|
Explore deep node(s) neck
|
$858.60 |
$858.60 |
$858.60 |
|
|
Explore/irrigate tear ducts
|
$365.00 |
$365.00 |
$365.00 |
|
|
Explore limb vessels 35860
|
$3,349.20 |
$3,583.20 |
$5,272.80 |
|
|
Explore parathyroid glands
|
$1,307.40 |
$1,307.40 |
$6,804.00 |
|
|
Explore penetrating wnd/extremity 20103
|
$1,741.20 |
$3,792.60 |
$5,807.40 |
|
|
Explore/repair chest 32110
|
$7,908.00 |
$7,908.00 |
$18,903.00 |
|
|
Explore scrotum
|
$797.83 |
$797.83 |
$797.83 |
|
|
Explore small intestine 44020
|
$1,671.00 |
$1,671.00 |
$1,671.00 |
|
|
Explore/treat ankle joint
|
$799.20 |
$799.20 |
$799.20 |
|
|
Explore/treat finger joint
|
$2,511.00 |
$2,511.00 |
$2,511.00 |
|
|
Explore/treat finger joint
|
$717.60 |
$4,131.00 |
$6,347.40 |
|
|
Explore/treat wrist joint
|
$3,843.00 |
$4,809.60 |
$6,887.40 |
|
|
Explore wound abdomen 20102
|
$2,563.50 |
$3,845.40 |
$4,684.20 |
|
|
Explore woundchest 20101
|
$3,265.20 |
$3,265.20 |
$3,537.00 |
|
|
Explore wound neck 20100
|
$5,929.80 |
$5,929.80 |
$5,929.80 |
|
|
Expose art endoprosth iliac 34820
|
$6,210.00 |
$6,210.00 |
$6,210.00 |
|
|
Expose endoprosth brachial 34834
|
$3,380.40 |
$3,380.40 |
$3,380.40 |
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$445.80 |
$445.80 |
$1,898.50 |
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$581.40 |
$877.20 |
$3,369.60 |
|
|
Ext ecg>48hr<7d scan a/r
|
$131.00 |
$246.60 |
$341.60 |
|
|
Ext ecg>7d<15d rec scan a/r
|
$426.60 |
$1,439.40 |
$1,753.20 |
|
|
Ext ecg>7d<15d scan a/r
|
$220.20 |
$240.00 |
$1,043.00 |
|
|
Extended steel shank
|
$205.20 |
$205.20 |
$205.20 |
|
|
External chromosome analysis 20-25 cells
|
$354.60 |
$942.60 |
$2,557.20 |
|
|
External newborn metabolic screening panel
|
$264.60 |
$264.60 |
$301.60 |
|
|
External ocular photography
|
$91.20 |
$91.20 |
$91.20 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$121.20 |
$192.00 |
$218.40 |
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$11,619.60 |
$11,619.60 |
$11,619.60 |
|
|
External recharg sys intern
|
$3,349.80 |
$4,144.20 |
$6,835.20 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$354.60 |
$939.60 |
$2,652.00 |
|
|
Extnd color vision xm
|
$67.00 |
$67.00 |
$67.00 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$74.40 |
$100.20 |
$1,020.00 |
|
|
Extraction of lens
|
$2,652.50 |
$2,652.50 |
$2,652.50 |
|
|
Extrnl counterpulse, per tx
|
$543.60 |
$585.60 |
$1,424.40 |
|
|
Eye implant band 40
|
$97.20 |
$2,927.40 |
$4,016.80 |
|
|
Eye Socket (Orbit) X-ray
|
$111.00 |
$272.00 |
$686.40 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$402.00 |
$1,294.80 |
$5,112.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$322.50 |
$1,294.80 |
$4,599.60 |
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$268.00 |
$879.00 |
$2,937.00 |
|
|
Ezh2 gene common variants
|
$610.80 |
$610.80 |
$864.60 |
|
|
F-18 fdg pet diag
|
$354.00 |
$835.20 |
$2,190.60 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$7,344.60 |
$12,351.00 |
$14,930.40 |
|
|
F-18 fluciclovine per mci
|
$710.40 |
$1,588.80 |
$11,610.00 |
|
|
F-18 sodium fluoride
|
$532.20 |
$640.80 |
$2,190.60 |
|
|
F9 full gene sequence
|
$1,626.60 |
$1,626.60 |
$1,626.60 |
|
|
Face bone graft
|
$1,479.60 |
$1,479.60 |
$1,479.60 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$638.00 |
$2,854.80 |
$9,808.20 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$463.50 |
$1,741.80 |
$6,214.20 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$88.00 |
$224.00 |
$686.40 |
|
|
Facial Bones X-ray (complete)
|
$133.20 |
$419.40 |
$686.40 |
|
|
Factor ix
|
$82.20 |
$112.80 |
$1,503.00 |
|
|
Factor ix alprolix recomb
|
$7.80 |
$8.40 |
$19.80 |
|
|
Factor ix complex
|
$3.60 |
$7.80 |
$8.40 |
|
|
Factor ix recombinant nos
|
$11.40 |
$2,040.00 |
$3,950.80 |
|
|
Factor viia recomb sevenfact
|
$4.20 |
$4.20 |
$4.20 |
|
|
Factor viii
|
$47.40 |
$134.40 |
$2,282.40 |
|
|
Factor viii fc fusion recomb
|
$5.40 |
$5.40 |
$6.00 |
|
|
Factor viii recombinant nos
|
$2.40 |
$21.60 |
$2,280.00 |
|
|
Factor viii recomb novoeight
|
$3.15 |
$3.40 |
$2,592.00 |
|
|
Factor viii recomb obizur
|
$16.20 |
$16.20 |
$16.20 |
|
|
Fallopian tube recnl
|
$804.60 |
$972.80 |
$2,343.60 |
|
|
Fam adapt bhv tx gdn phy/qhp
|
$66.00 |
$66.00 |
$66.00 |
|
|
Family therapy without pt 50min 90846
|
$67.20 |
$128.00 |
$406.80 |
|
|
Family therapy with patient 50 min 90847
|
$67.20 |
$205.50 |
$406.80 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.30 |
$0.40 |
$36.40 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$52.80 |
$55.20 |
$29,347.50 |
|
|
Fancc gene
|
$502.20 |
$532.80 |
$3,029.40 |
|
|
Fat/lipids feces qualitative
|
$16.80 |
$28.00 |
$246.60 |
|
|
Fatty acids nonesterified
|
$78.40 |
$94.80 |
$3,835.20 |
|
|
Fda ide #g240020 carry bag
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
|
|
Fecal microbiota prep instil
|
$356.40 |
$356.40 |
$356.40 |
|
|
#fecal-sodium
|
$19.20 |
$53.00 |
$5,749.20 |
|
|
Feeding tube reposition
|
$447.60 |
$447.60 |
$1,011.00 |
|
|
Felbamate (felbatol(r)) - sendout
|
$34.00 |
$178.80 |
$2,410.20 |
|
|
Fem/popl revasc w/stent
|
$7,915.20 |
$17,281.80 |
$67,293.00 |
|
|
Feno poc
|
$52.50 |
$192.00 |
$273.60 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$16.20 |
$125.40 |
$451.20 |
|
|
Fern test
|
$83.40 |
$83.40 |
$83.40 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4.20 |
$58.80 |
$5,580.60 |
|
|
Ferritin
|
$40.00 |
$76.20 |
$570.00 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$4.65 |
$42.00 |
$4,458.40 |
|
|
Fetal aneuploidy trisom risk
|
$2,092.80 |
$2,112.60 |
$2,239.80 |
|
|
Fetal biophys profile w/nst 76818
|
$147.50 |
$394.20 |
$1,152.00 |
|
|
Fetal chrom aneuploidy gsa panel
|
$1,644.00 |
$3,621.60 |
$3,787.80 |
|
|
Fetal contract stress test 59020 - 26
|
$220.00 |
$555.60 |
$780.60 |
|
|
Fetal cord puncture prenatal
|
$1,034.40 |
$1,034.40 |
$3,562.80 |
|
|
Fetal fibronectin
|
$111.60 |
$326.40 |
$1,029.60 |
|
|
Fetal fluid drainage w/us
|
$1,034.40 |
$1,034.40 |
$3,361.20 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$40.20 |
$86.40 |
$431.20 |
|
|
Fetal hemoglobin rosette
|
$39.20 |
$70.40 |
$1,333.80 |
|
|
Fetal lung maturity assess lam body dnst
|
$47.40 |
$93.00 |
$253.20 |
|
|
Fetal monitor w/report
|
$384.00 |
$384.00 |
$384.00 |
|
|
Fetal non stress test
|
$266.40 |
$640.80 |
$1,448.80 |
|
|
Fetal shunt placement w/us
|
$1,034.40 |
$1,034.40 |
$4,827.60 |
|
|
#_fet/norfentcnfrmur
|
$62.40 |
$85.00 |
$186.00 |
|
|
Fibrin degradation d dimer quantitative
|
$47.40 |
$85.20 |
$186.20 |
|
|
Fibrin degradation products
|
$8.00 |
$51.00 |
$820.80 |
|
|
Fibrin degrade semiquant
|
$34.80 |
$70.20 |
$1,882.80 |
|
|
Fibrinogen activity
|
$44.00 |
$80.40 |
$255.60 |
|
