|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$255.60 |
$2,574.60 |
$3,393.60 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$2,493.60 |
$2,493.60 |
$3,393.60 |
$2,069.20
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,431.00 |
$2,377.20 |
$2,815.20 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,574.60 |
$2,961.60 |
$3,420.00 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,706.20 |
$3,706.20 |
$5,502.00 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$2,281.20 |
$2,637.00 |
$2,961.60 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$2,574.60 |
$2,584.20 |
$3,265.20 |
$1,314.67
|
|
Exc face tum deep 2cm/> 21014
|
$7,471.20 |
$7,471.20 |
$7,471.20 |
$3,421.60
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$2,574.60 |
$2,579.40 |
$3,123.60 |
$999.50
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$3,448.20 |
$3,572.40 |
$5,985.00 |
$2,101.45
|
|
Exchange biliary drg cath
|
$2,259.00 |
$3,228.60 |
$8,884.20 |
$3,856.84
|
|
Exchange drainage catheter
|
$2,393.40 |
$3,549.60 |
$6,013.80 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$1,941.60 |
$3,761.40 |
$8,884.20 |
$2,958.80
|
|
Excimer lsr psriasis 250-500
|
$667.80 |
$667.80 |
$667.80 |
$372.84
|
|
Excimer lsr psriasis<250sqcm
|
$652.20 |
$652.20 |
$652.20 |
$347.88
|
|
Excimer lsr psriasis>500sqcm
|
$997.80 |
$997.80 |
$997.80 |
$472.79
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$6,814.20 |
$6,814.20 |
$6,814.20 |
$3,398.50
|
|
Excise anal ext tag/papilla
|
$2,145.00 |
$2,813.40 |
$4,177.20 |
$2,272.02
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$4,161.60 |
$4,161.60 |
$4,161.60 |
$3,322.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$2,513.40 |
$3,015.00 |
$3,910.20 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,427.00 |
$2,427.00 |
$2,961.60 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$2,389.20 |
$2,952.60 |
$3,265.20 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$3,265.20 |
$3,556.80 |
$5,442.60 |
$2,865.00
|
|
Excision of anal lesion(s)
|
$2,145.60 |
$3,114.00 |
$5,621.40 |
$3,823.00
|
|
Excision of gum lesion 41825
|
$4,553.40 |
$4,553.40 |
$4,553.40 |
$4,007.22
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$4,745.40 |
$4,745.40 |
$6,807.60 |
$4,420.32
|
|
Exc malig feenl 1.1-2 11642
|
$2,427.00 |
$3,448.20 |
$3,835.20 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$3,451.80 |
$3,451.80 |
$3,734.40 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$3,435.00 |
$3,435.00 |
$3,453.60 |
$3,253.05
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$2,574.60 |
$2,574.60 |
$2,574.60 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$3,448.20 |
$3,448.20 |
$3,835.20 |
$1,954.00
|
|
Exc malig tal <0.5cm 11600
|
$2,574.60 |
$2,574.60 |
$3,109.80 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$2,563.20 |
$2,563.20 |
$2,767.80 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$2,427.00 |
$2,574.60 |
$2,961.60 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$2,574.60 |
$2,584.20 |
$4,057.80 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$3,045.60 |
$3,448.20 |
$3,835.20 |
$1,294.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$3,669.60 |
$4,251.00 |
$4,440.60 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$3,448.20 |
$3,448.20 |
$3,835.20 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$3,529.20 |
$3,572.40 |
$3,835.20 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$2,752.20 |
$2,752.20 |
$3,448.20 |
$3,386.84
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$3,343.20 |
$3,343.20 |
$3,360.60 |
$3,322.80
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$3,342.00 |
$3,342.00 |
$5,502.00 |
$2,924.22
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$4,215.00 |
$4,215.00 |
$4,215.00 |
$4,019.60
|
|
Exc thigh/knee les sc<3cm 27327
|
$5,981.40 |
$5,981.40 |
$5,981.40 |
$3,229.48
|
|
Exc thrombosed hemorrhoid 46320
|
$2,481.60 |
$2,491.20 |
$3,560.40 |
$2,175.36
|
|
Exc tmr sft tiss shldr subq <3cm
|
$5,502.00 |
$5,502.00 |
$5,502.00 |
$3,059.15
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$3,247.80 |
$3,448.20 |
$3,835.20 |
$2,054.40
|
|
Exc vagina lesion 57135
|
$3,045.00 |
$3,045.00 |
$3,045.00 |
$4,292.17
|
|
Exemestane, 25 mg
|
$37.20 |
$43.20 |
$141.60 |
$43.20
|
|
Exercise tst brncspsm w/ecg
|
$221.40 |
$221.40 |
$221.40 |
$335.52
|
|
Exercise w/hemodynamic meas
|
$2,715.00 |
$2,715.00 |
$2,715.00 |
$901.60
|
|
Exome re-evaluation
|
$1,939.20 |
$1,939.20 |
$1,939.20 |
$441.60
|
|
Exome sequence analysis
|
$5,002.20 |
$5,002.20 |
$7,800.00 |
$5,258.00
|
|
Exome sequence analysis
|
$2,501.40 |
$2,501.40 |
$2,501.40 |
$12,000.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,395.80 |
$2,941.80 |
$4,151.40 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,680.20 |
$5,235.60 |
$10,690.80 |
$4,101.67
|
|
Expl lap celiotomy w/wo bx 49000
|
$4,482.60 |
$5,776.80 |
$7,111.20 |
$2,357.35
|
|
Exploration of knee joint
|
$5,046.00 |
$5,776.80 |
$8,659.80 |
$4,192.86
|
|
Explore limb vessels 35860
|
$3,583.20 |
$3,846.60 |
$5,272.80 |
$4,341.66
|
|
Explore penetrating wnd/extremity 20103
|
$1,954.20 |
$4,569.00 |
$5,807.40 |
$1,788.80
|
|
Explore/repair chest 32110
|
$10,822.80 |
$10,822.80 |
$18,903.00 |
$3,698.00
|
|
Explore/treat wrist joint
|
$4,093.20 |
$4,685.40 |
$6,887.40 |
$4,499.12
|
|
Explore wound abdomen 20102
|
$3,225.00 |
$3,845.40 |
$4,684.20 |
$2,784.80
|
|
Explore woundchest 20101
|
$3,265.20 |
$3,265.20 |
$3,537.00 |
$2,227.68
|
|
Explore wound neck 20100
|
$5,929.80 |
$5,929.80 |
$5,929.80 |
$1,185.00
|
|
Expose art endoprosth iliac 34820
|
$6,210.00 |
$6,210.00 |
$6,210.00 |
$1,812.80
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$3,369.60 |
$3,369.60 |
$3,369.60 |
$2,896.40
|
|
Ext ecg>48hr<7d scan a/r
|
$161.40 |
$259.20 |
$268.80 |
$241.92
|
|
Ext ecg>7d<15d rec scan a/r
|
$459.60 |
$1,464.60 |
$1,753.20 |
$789.60
|
|
Ext ecg>7d<15d scan a/r
|
$223.80 |
$262.20 |
$324.00 |
$345.60
|
|
External chromosome analysis 20-25 cells
|
$828.60 |
$919.20 |
$1,226.40 |
$415.01
|
|
External newborn metabolic screening panel
|
$264.60 |
$264.60 |
$264.60 |
$109.76
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$177.00 |
$192.60 |
$218.40 |
$63.70
|
|
External recharg sys intern
|
$3,816.00 |
$4,144.20 |
$6,835.20 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,178.40 |
$1,340.40 |
$2,099.40 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$119.40 |
$273.00 |
$1,020.00 |
$109.00
|
|
Extrnl counterpulse, per tx
|
$585.60 |
$585.60 |
$1,424.40 |
$431.60
|
|
Eye implant band 40
|
$2,927.40 |
$2,927.40 |
$4,016.80 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$405.00 |
$456.60 |
$686.40 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,953.20 |
$3,394.80 |
$5,112.00 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,654.40 |
$3,054.00 |
$4,599.60 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,740.00 |
$1,950.00 |
$2,937.00 |
$1,320.00
|
|
Ezh2 gene common variants
|
$610.80 |
$610.80 |
$864.60 |
$288.21
|
|
F-18 fdg pet diag
|
$1,013.40 |
$1,257.60 |
$1,335.60 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$14,930.40 |
$14,930.40 |
$14,930.40 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$1,579.20 |
$1,579.20 |
$11,610.00 |
$1,042.30
|
|
F-18 sodium fluoride
|
$532.20 |
$532.20 |
$748.80 |
$492.56
|
|
F9 full gene sequence
|
$1,626.60 |
$1,626.60 |
$1,626.60 |
$1,200.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$5,810.40 |
$6,512.40 |
$9,808.20 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,682.80 |
$4,125.00 |
$6,214.20 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$405.00 |
$443.40 |
$686.40 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$405.00 |
$456.60 |
$686.40 |
$381.75
|
|
Factor ix
|
$138.60 |
$222.60 |
$1,503.00 |
$162.50
|
|
Factor ix alprolix recomb
|
$7.80 |
$7.80 |
$8.40 |
$9.46
|
|
Factor ix complex
|
$7.80 |
$7.80 |
$8.40 |
$4.68
|
|
Factor ix recombinant nos
|
$15.40 |
$34.65 |
$34.65 |
$4.65
|
|
Factor viii
|
$125.40 |
$213.00 |
$2,282.40 |
$148.00
|
|
Factor viii fc fusion recomb
|
$5.40 |
$5.40 |
$5.40 |
$8.28
|
|
Factor viii recombinant nos
|
$13.60 |
$21.60 |
$21.60 |
$5.20
|
|
Factor viii recomb novoeight
|
$3.15 |
$3.15 |
$3.40 |
$7.21
|
