|
Exc malig snhfg 0.5cm or less 11620
|
$1,105.20 |
$1,105.20 |
$1,105.20 |
$1,377.57
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$1,052.40 |
$1,052.40 |
$1,052.40 |
$1,954.00
|
|
Exc malig tal 0.6-1.0cm 11601
|
$490.80 |
$490.80 |
$490.80 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$258.60 |
$258.60 |
$258.60 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$483.60 |
$483.60 |
$483.60 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$491.40 |
$491.40 |
$491.40 |
$1,294.80
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$491.40 |
$491.40 |
$491.40 |
$1,274.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$1,105.20 |
$1,105.20 |
$1,105.20 |
$2,054.40
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,967.60 |
$2,967.60 |
$2,967.60 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,872.20 |
$2,872.20 |
$2,872.20 |
$4,101.67
|
|
Expl lap celiotomy w/wo bx 49000
|
$6,630.60 |
$6,630.60 |
$6,630.60 |
$2,357.35
|
|
Exploration of knee joint
|
$6,400.80 |
$6,400.80 |
$6,400.80 |
$4,192.86
|
|
Explore penetrating wnd/extremity 20103
|
$3,349.80 |
$3,349.80 |
$3,349.80 |
$1,788.80
|
|
Explore/treat finger joint
|
$6,347.40 |
$6,347.40 |
$6,347.40 |
$2,480.83
|
|
Explore/treat wrist joint
|
$5,383.80 |
$5,383.80 |
$5,383.80 |
$4,499.12
|
|
External chromosome analysis 20-25 cells
|
$354.60 |
$354.60 |
$354.60 |
$415.01
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$354.60 |
$354.60 |
$354.60 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$132.60 |
$132.60 |
$132.60 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$399.00 |
$399.00 |
$399.00 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,712.60 |
$2,712.60 |
$2,712.60 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,623.00 |
$1,623.00 |
$1,623.00 |
$1,320.00
|
|
F-18 fdg pet diag
|
$2,058.00 |
$2,058.00 |
$2,058.00 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$7,344.60 |
$7,344.60 |
$7,344.60 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$710.40 |
$710.40 |
$710.40 |
$1,042.30
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,804.00 |
$3,804.00 |
$3,804.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,398.20 |
$2,398.20 |
$2,398.20 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$320.40 |
$320.40 |
$320.40 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$444.00 |
$444.00 |
$444.00 |
$381.75
|
|
Factor ix
|
$82.20 |
$82.20 |
$82.20 |
$162.50
|
|
Factor viii
|
$239.40 |
$239.40 |
$239.40 |
$148.00
|
|
Factor viii recomb novoeight
|
$3.40 |
$3.40 |
$3.40 |
$7.21
|
|
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
|
$199.80 |
$199.80 |
$199.80 |
$36.00
|
|
Fatty acids nonesterified
|
$153.60 |
$153.60 |
$153.60 |
$72.15
|
|
#fecal-sodium
|
$83.40 |
$83.40 |
$83.40 |
$37.53
|
|
Feeding tube reposition
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$226.20 |
$226.20 |
$226.20 |
$66.43
|
|
Fem/popl revasc w/stent
|
$7,915.20 |
$7,915.20 |
$7,915.20 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$82.80 |
$82.80 |
$82.80 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$5,580.60 |
$5,580.60 |
$5,580.60 |
$2,590.25
|
|
Ferritin
|
$212.40 |
$212.40 |
$212.40 |
$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 fibronectin
|
$851.40 |
$851.40 |
$851.40 |
$389.95
|
|
Fetal non stress test
|
$373.20 |
$373.20 |
$373.20 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$148.20 |
$148.20 |
$148.20 |
$120.64
|
|
Fibrin degradation products
|
$91.80 |
$91.80 |
$91.80 |
$75.02
|
|
Fibrinogen activity
|
$133.20 |
$133.20 |
$133.20 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$61.80 |
$61.80 |
$61.80 |
$61.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$66.60 |
$66.60 |
$66.60 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$347.40 |
$347.40 |
$347.40 |
$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
|
|
Filter spider fx 3mmx320cm
|
$5,677.80 |
$5,677.80 |
$5,677.80 |
$7,358.16
|
|
Filter vena cava fem denali
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$3,718.18
|
|
Finasteride, 5 mg
|
$20.60 |
$20.60 |
$20.60 |
$11.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$726.00 |
$726.00 |
$726.00 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$722.40 |
$722.40 |
$722.40 |
$504.45
|
|
Finger joint sz00 swanson w/grommets
|
$1,917.00 |
$1,917.00 |
$1,917.00 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$294.60 |
$294.60 |
$294.60 |
$241.50
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$5,510.40 |
$5,510.40 |
$5,510.40 |
$4,499.12
|
|
Flecainide (tambocor)-sendout
|
$205.80 |
$205.80 |
$205.80 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$598.20 |
$598.20 |
$598.20 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$374.40 |
$374.40 |
$374.40 |
$200.00
|
|
Flow cytometry marker each additional
|
$276.60 |
$276.60 |
$276.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$276.60 |
$276.60 |
$276.60 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$287.40 |
$287.40 |
$287.40 |
$172.50
|
|
Flt3 gene
|
$277.80 |
$277.80 |
$277.80 |
$366.29
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$42.00 |
$42.00 |
$42.00 |
$64.22
|
|
Fluid pressure muscle 20950
|
$801.60 |
$801.60 |
$801.60 |
$779.45
|
|
Fluorescent antibody titer dna
|
$202.20 |
$202.20 |
$202.20 |
$123.65
|
|
Fluoroestradiol f 18
|
$1,413.00 |
$1,413.00 |
$1,413.00 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$495.00
|
|
Fluoroguide needle placement
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$534.60 |
$534.60 |
$534.60 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$31.80 |
$31.80 |
$31.80 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$276.00 |
$276.00 |
$276.00 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$971.40 |
$971.40 |
$971.40 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$726.00 |
$726.00 |
$726.00 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$587.40 |
$587.40 |
$587.40 |
$1,294.80
|
|
Foam drg >16<=48 sq in w/bdr
|
$19.20 |
$19.20 |
$19.20 |
$58.10
|
|
Foam drg >16<=48 sq in without b
|
$21.60 |
$21.60 |
$21.60 |
$39.00
|
|
Foam drg <=16 sq in w/border
|
$50.40 |
$50.40 |
$50.40 |
$16.25
|
|
Folic acid
|
$130.80 |
$130.80 |
$130.80 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$0.80 |
$0.80 |
$0.80 |
$45.00
|
|
Follow-up angiography
|
$1,141.80 |
$1,141.80 |
$1,141.80 |
$1,983.00
|
|
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)
|
$627.60 |
$627.60 |
$627.60 |
$290.40
|
|
Forearm X-ray (both sides)
|
$545.40 |
$545.40 |
$545.40 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,173.00 |
$1,173.00 |
$1,173.00 |
$490.67
|
|
Foscarnet sodium injection
|
$526.40 |
$526.40 |
$526.40 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$366.60 |
$366.60 |
$366.60 |
$103.62
|
|
Frenectomy 41115
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$1,939.47
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$243.00 |
$243.00 |
$243.00 |
$155.25
|
