|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$2,443.20
|
|
Exc benign feenlm >4.0cm 11446
|
$3,515.40 |
$3,515.40 |
$3,515.40 |
$3,386.84
|
|
Exc benign tal 0.5 < cm 11400
|
$1,341.60 |
$1,341.60 |
$1,341.60 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$2,069.20
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$969.00 |
$969.00 |
$969.00 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,651.80 |
$1,651.80 |
$1,651.80 |
$1,314.67
|
|
Exchange biliary drg cath
|
$7,502.40 |
$7,502.40 |
$7,502.40 |
$3,856.84
|
|
Exchange drainage catheter
|
$6,913.20 |
$6,913.20 |
$6,913.20 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$2,685.60 |
$2,685.60 |
$2,685.60 |
$2,958.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$914.34
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$2,865.00
|
|
Exc malig tal <0.5cm 11600
|
$2,034.60 |
$2,034.60 |
$2,034.60 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$2,034.60 |
$2,034.60 |
$2,034.60 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$2,034.60 |
$2,034.60 |
$2,034.60 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$2,034.60 |
$2,034.60 |
$2,034.60 |
$1,294.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$5,229.00 |
$5,229.00 |
$5,229.00 |
$3,386.84
|
|
Exc thrombosed hemorrhoid 46320
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$2,175.36
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$3,121.20 |
$3,121.20 |
$3,121.20 |
$2,054.40
|
|
Exercise tst brncspsm w/ecg
|
$275.40 |
$275.40 |
$275.40 |
$335.52
|
|
Exercise tst brncspsm wo ecg
|
$112.80 |
$112.80 |
$112.80 |
$129.92
|
|
Exercise w/hemodynamic meas
|
$2,715.00 |
$2,715.00 |
$2,715.00 |
$901.60
|
|
Explore penetrating wnd/extremity 20103
|
$5,344.20 |
$5,344.20 |
$5,344.20 |
$1,788.80
|
|
Explore/repair chest 32110
|
$7,908.00 |
$7,908.00 |
$7,908.00 |
$3,698.00
|
|
Explore/treat finger joint
|
$4,131.00 |
$4,131.00 |
$4,131.00 |
$2,480.83
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$3,623.43
|
|
Extended steel shank
|
$205.20 |
$205.20 |
$205.20 |
$111.44
|
|
External chromosome analysis 20-25 cells
|
$1,033.80 |
$1,033.80 |
$1,033.80 |
$415.01
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,028.40 |
$1,028.40 |
$1,028.40 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$100.20 |
$100.20 |
$100.20 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$262.80 |
$262.80 |
$262.80 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$796.80 |
$796.80 |
$796.80 |
$1,320.00
|
|
F-18 fdg pet diag
|
$537.60 |
$537.60 |
$537.60 |
$551.72
|
|
F-18 fluciclovine per mci
|
$1,588.80 |
$1,588.80 |
$1,588.80 |
$1,042.30
|
|
F-18 sodium fluoride
|
$640.80 |
$640.80 |
$640.80 |
$492.56
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$188.40 |
$188.40 |
$188.40 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$262.80 |
$262.80 |
$262.80 |
$381.75
|
|
Factor ix
|
$96.60 |
$96.60 |
$96.60 |
$162.50
|
|
Factor ix recombinant nos
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$4.65
|
|
Factor viii
|
$91.20 |
$91.20 |
$91.20 |
$148.00
|
|
Factor viii recombinant nos
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$5.20
|
|
Factor viii recomb novoeight
|
$2,592.00 |
$2,592.00 |
$2,592.00 |
$7.21
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$1,620.60 |
$1,620.60 |
$1,620.60 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$25.80 |
$25.80 |
$25.80 |
$36.00
|
|
Fatty acids nonesterified
|
$94.80 |
$94.80 |
$94.80 |
$72.15
|
|
#fecal-sodium
|
$24.60 |
$24.60 |
$24.60 |
$37.53
|
|
Feeding tube reposition
|
$447.60 |
$447.60 |
$447.60 |
$520.00
|
|
Fem/popl revasc w/stent
|
$17,281.80 |
$17,281.80 |
$17,281.80 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$35.40 |
$35.40 |
$35.40 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$58.80 |
$58.80 |
$58.80 |
$2,590.25
|
|
Ferritin
|
$68.40 |
$68.40 |
$68.40 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$42.00 |
$42.00 |
$42.00 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$394.20 |
$394.20 |
$394.20 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$1,644.00 |
$1,644.00 |
$1,644.00 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$555.60 |
$555.60 |
$555.60 |
$477.50
|
|
Fetal cord puncture prenatal
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$751.20
|
|
Fetal fibronectin
|
$326.40 |
$326.40 |
$326.40 |
$389.95
|
|
Fetal fluid drainage w/us
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$612.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$40.20 |
$40.20 |
$40.20 |
$102.00
|
|
Fetal hemoglobin rosette
|
$48.00 |
$48.00 |
$48.00 |
$67.20
|
|
Fetal non stress test
|
$752.40 |
$752.40 |
$752.40 |
$478.50
|
|
Fetal shunt placement w/us
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$754.00
|
|
Fibrin degradation d dimer quantitative
|
$51.60 |
$51.60 |
$51.60 |
$120.64
|
|
Fibrin degradation products
|
$34.20 |
$34.20 |
$34.20 |
$75.02
|
|
Fibrin degrade semiquant
|
$34.80 |
$34.80 |
$34.80 |
$84.50
|
|
Fibrinogen activity
|
$49.20 |
$49.20 |
$49.20 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$33.00 |
$33.00 |
$33.00 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$40.20 |
$40.20 |
$40.20 |
$72.80
|
|
Fibrinolytic plasminogen
|
$87.00 |
$87.00 |
$87.00 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$33.00 |
$33.00 |
$33.00 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$262.80 |
$262.80 |
$262.80 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$188.40 |
$188.40 |
$188.40 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$328.80 |
$328.80 |
$328.80 |
$891.02
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$2,287.20 |
$2,287.20 |
$2,287.20 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$231.60 |
$231.60 |
$231.60 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,152.60 |
$1,152.60 |
$1,152.60 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$504.45
|
|
Finger X-ray (both hands)
|
$188.40 |
$188.40 |
$188.40 |
$241.50
|
|
Fix g/colon tube w/device
|
$2,977.20 |
$2,977.20 |
$2,977.20 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$124.20 |
$124.20 |
$124.20 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$1,728.00 |
$1,728.00 |
$1,728.00 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$1,158.00 |
$1,158.00 |
$1,158.00 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$208.80 |
$208.80 |
$208.80 |
$200.00
|
|
Flow cytometry marker each additional
|
$175.20 |
$175.20 |
$175.20 |
$97.50
|
|
Flow cytometry one marker technical component
|
$664.80 |
$664.80 |
$664.80 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$55.20 |
$55.20 |
$55.20 |
$172.50
|
|
Floxuridine injection
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$5,871.79
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$2.40 |
$2.40 |
$2.40 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$81.00 |
$81.00 |
$81.00 |
$493.35
|
|
Fluorescent antibody titer dna
|
$66.60 |
$66.60 |
$66.60 |
$123.65
|
|
Fluoroestradiol f 18
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$990.00 |
$990.00 |
$990.00 |
$495.00
|
|
Fluoroguide needle placement
|
$1,011.60 |
$1,011.60 |
$1,011.60 |
$497.92
|
