|
Exc benign tal 0.5 < cm 11400
|
$1,741.60 |
$1,741.60 |
$1,741.60 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$490.80 |
$490.80 |
$490.80 |
$969.60
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$490.80 |
$490.80 |
$490.80 |
$1,501.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$346.40 |
$346.40 |
$346.40 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$636.00 |
$636.00 |
$636.00 |
$1,314.67
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$1,534.40 |
$1,534.40 |
$1,534.40 |
$999.50
|
|
Exchange drainage catheter
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$2,220.54
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$346.40 |
$346.40 |
$346.40 |
$1,072.24
|
|
Exc malig feenl <0.5cm 11640
|
$1,534.40 |
$1,534.40 |
$1,534.40 |
$1,186.00
|
|
Exc malig tal 0.6-1.0cm 11601
|
$1,534.40 |
$1,534.40 |
$1,534.40 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$2,371.20 |
$2,371.20 |
$2,371.20 |
$889.20
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$8,618.40 |
$8,618.40 |
$8,618.40 |
$3,386.84
|
|
Exc thrombosed hemorrhoid 46320
|
$8,618.40 |
$8,618.40 |
$8,618.40 |
$2,175.36
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$3,588.80 |
$3,588.80 |
$3,588.80 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$4,135.20 |
$4,135.20 |
$4,135.20 |
$4,101.67
|
|
Explore penetrating wnd/extremity 20103
|
$4,051.20 |
$4,051.20 |
$4,051.20 |
$1,788.80
|
|
Explore/treat wrist joint
|
$6,511.20 |
$6,511.20 |
$6,511.20 |
$4,499.12
|
|
Ext ecg>48hr<7d scan a/r
|
$341.60 |
$341.60 |
$341.60 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$229.80 |
$229.80 |
$229.80 |
$345.60
|
|
External chromosome analysis 20-25 cells
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$415.01
|
|
External newborn metabolic screening panel
|
$301.60 |
$301.60 |
$301.60 |
$109.76
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$146.40 |
$146.40 |
$146.40 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$428.80 |
$428.80 |
$428.80 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$212.00 |
$212.00 |
$212.00 |
$109.00
|
|
Eye implant band 40
|
$3,584.00 |
$3,584.00 |
$3,584.00 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$482.40 |
$482.40 |
$482.40 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$3,280.80 |
$3,280.80 |
$3,280.80 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,600.80 |
$2,600.80 |
$2,600.80 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,962.40 |
$1,962.40 |
$1,962.40 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,600.00 |
$4,600.00 |
$4,600.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,900.80 |
$2,900.80 |
$2,900.80 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$388.00 |
$388.00 |
$388.00 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$536.80 |
$536.80 |
$536.80 |
$381.75
|
|
Factor ix
|
$321.60 |
$321.60 |
$321.60 |
$162.50
|
|
Factor viii
|
$289.60 |
$289.60 |
$289.60 |
$148.00
|
|
Factor viii recombinant nos
|
$4.20 |
$4.20 |
$4.20 |
$5.20
|
|
Factor viii recomb novoeight
|
$3.40 |
$3.40 |
$3.40 |
$7.21
|
|
Fallopian tube recnl
|
$972.80 |
$972.80 |
$972.80 |
$3,740.75
|
|
Family therapy without pt 50min 90846
|
$128.00 |
$128.00 |
$128.00 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$128.00 |
$128.00 |
$128.00 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.40 |
$0.40 |
$0.40 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$52.80 |
$52.80 |
$52.80 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$241.60 |
$241.60 |
$241.60 |
$36.00
|
|
Fatty acids nonesterified
|
$185.60 |
$185.60 |
$185.60 |
$72.15
|
|
Felbamate (felbatol(r)) - sendout
|
$226.20 |
$226.20 |
$226.20 |
$66.43
|
|
Feno poc
|
$273.60 |
$273.60 |
$273.60 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$218.40 |
$218.40 |
$218.40 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$5,580.60 |
$5,580.60 |
$5,580.60 |
$2,590.25
|
|
Ferritin
|
$256.80 |
$256.80 |
$256.80 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,963.60 |
$3,963.60 |
$3,963.60 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$541.74
|
|
Fetal fibronectin
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$431.20 |
$431.20 |
$431.20 |
$102.00
|
|
Fetal non stress test
|
$451.20 |
$451.20 |
$451.20 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$179.20 |
$179.20 |
$179.20 |
$120.64
|
|
Fibrin degradation products
|
$111.20 |
$111.20 |
$111.20 |
$75.02
|
|
Fibrinogen activity
|
$160.80 |
$160.80 |
$160.80 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$61.80 |
$61.80 |
$61.80 |
$61.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$80.80 |
$80.80 |
$80.80 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$582.00 |
$582.00 |
$582.00 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2,461.20 |
$2,461.20 |
$2,461.20 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,032.80 |
$2,032.80 |
$2,032.80 |
$891.02
|
|
Finasteride, 5 mg
|
$20.60 |
$20.60 |
$20.60 |
$11.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$877.60 |
$877.60 |
$877.60 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$722.40 |
$722.40 |
$722.40 |
$504.45
|
|
Finger X-ray (both hands)
|
$356.80 |
$356.80 |
$356.80 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$228.80 |
$228.80 |
$228.80 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$2,151.20 |
$2,151.20 |
$2,151.20 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$797.60 |
$797.60 |
$797.60 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$452.80 |
$452.80 |
$452.80 |
$200.00
|
|
Flow cytometry marker each additional
|
$334.40 |
$334.40 |
$334.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$1,882.40 |
$1,882.40 |
$1,882.40 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$348.00 |
$348.00 |
$348.00 |
$172.50
|
|
Floxuridine injection
|
$555.60 |
$555.60 |
$555.60 |
$5,871.79
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$42.00 |
$42.00 |
$42.00 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$1,258.80 |
$1,258.80 |
$1,258.80 |
$493.35
|
|
Fluidotherapy charges pt
|
$143.20 |
$143.20 |
$143.20 |
$101.40
|
|
Fluorescent antibody titer dna
|
$244.80 |
$244.80 |
$244.80 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,542.40 |
$1,542.40 |
$1,542.40 |
$495.00
|
|
Fluoroguide needle placement
|
$1,542.40 |
$1,542.40 |
$1,542.40 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$647.20 |
$647.20 |
$647.20 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$318.60 |
$318.60 |
$318.60 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$718.20 |
$718.20 |
$718.20 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$877.60 |
$877.60 |
$877.60 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$710.40 |
$710.40 |
$710.40 |
$1,294.80
|
|
Foam drg >16<=48 sq in w/bdr
|
$23.60 |
$23.60 |
$23.60 |
$58.10
|
|
Foam drg <=16 sq in w/border
|
$19.00 |
$19.00 |
$19.00 |
$16.25
|
|
Foam drsg <=16 sq in without bdr
|
$9.60 |
$9.60 |
$9.60 |
$21.74
|
|
Folic acid
|
$158.40 |
$158.40 |
$158.40 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$0.80 |
$0.80 |
$0.80 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$5,244.60 |
$5,244.60 |
$5,244.60 |
$2,511.73
|
|
Fondaparinux sodium
|
$595.80 |
$595.80 |
$595.80 |
$186.20
|
|
Foot X-ray
|
$364.80 |
$364.80 |
$364.80 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$759.20 |
$759.20 |
$759.20 |
$290.40
|
|
Forearm X-ray (both sides)
|
$660.00 |
$660.00 |
$660.00 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,549.20 |
$1,549.20 |
$1,549.20 |
$490.67
|
|
Foscarnet sodium injection
|
$1,974.60 |
$1,974.60 |
$1,974.60 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$366.60 |
$366.60 |
$366.60 |
$103.62
|
