|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$10,118.58 |
$10,118.58 |
$12,270.77 |
$4,576.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$9,953.84 |
$9,953.84 |
$12,041.34 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$24,065.99 |
$24,065.99 |
$24,065.99 |
$3,986.00
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$11,518.13 |
$11,518.13 |
$11,518.13 |
$2,557.92
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$10,143.64 |
$10,143.64 |
$10,143.64 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$10,664.97 |
$10,664.97 |
$19,108.19 |
$3,994.09
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$8,459.51 |
$8,459.51 |
$12,392.58 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$10,550.34 |
$10,550.34 |
$10,550.34 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$13,253.89 |
$13,253.89 |
$13,253.89 |
$3,188.10
|
|
Exc thigh/knee tum deep <5cm
|
$7,617.77 |
$7,617.77 |
$7,617.77 |
$3,167.89
|
|
Exc thigh/knee tum dep 5cm/>
|
$16,039.69 |
$16,039.69 |
$16,039.69 |
$3,520.00
|
|
Exc vagina lesion 57135
|
$34,301.67 |
$34,301.67 |
$34,301.67 |
$4,232.80
|
|
Exercise w/hemodynamic meas
|
$484.20 |
$484.20 |
$484.20 |
$901.60
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$13,668.60 |
$13,668.60 |
$13,668.60 |
$4,101.67
|
|
Exploration maxillary sinus
|
$34,273.92 |
$34,273.92 |
$34,273.92 |
$4,341.97
|
|
Exploration of foot joint
|
$46,188.55 |
$46,188.55 |
$46,188.55 |
$3,832.27
|
|
Exploration of foot joint
|
$7,426.60 |
$7,426.60 |
$7,426.60 |
$3,591.33
|
|
Exploration of spinal fusion
|
$128,566.69 |
$128,566.69 |
$128,566.69 |
$1,975.20
|
|
Exploration of toe joint
|
$952.20 |
$952.20 |
$31,722.14 |
$1,893.86
|
|
Explore parathyroid glands
|
$25,958.98 |
$25,958.98 |
$25,958.98 |
$6,966.64
|
|
Explore penetrating wnd/extremity 20103
|
$3,598.80 |
$3,598.80 |
$14,126.44 |
$1,788.80
|
|
Explore/treat ankle joint
|
$116,355.28 |
$116,355.28 |
$116,355.28 |
$3,839.54
|
|
Explore/treat finger joint
|
$952.20 |
$952.20 |
$952.20 |
$2,146.20
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$11,199.06 |
$11,199.06 |
$11,199.06 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$10,078.72 |
$10,078.72 |
$14,733.80 |
$2,734.20
|
|
Extended steel shank
|
$291.49 |
$291.49 |
$291.49 |
$111.44
|
|
Extension per extension per
|
$321.21 |
$321.21 |
$321.21 |
$134.44
|
|
External chromosome analysis 20-25 cells
|
$534.60 |
$534.60 |
$534.60 |
$393.60
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$11,619.00 |
$11,619.00 |
$11,619.00 |
$4,260.30
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$640.80 |
$640.80 |
$640.80 |
$431.40
|
|
Eye implant band 40
|
$8,936.51 |
$8,936.51 |
$8,936.51 |
$7,410.03
|
|
F-18 fdg pet diag
|
$1,221.11 |
$1,221.11 |
$1,221.11 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$1,714.44 |
$1,714.44 |
$1,714.44 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$3,439.80 |
$3,439.80 |
$3,439.80 |
$989.72
|
|
F9 full gene sequence
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,200.00
|
|
Facility svs dental rehab
|
$9,599.70 |
$9,599.70 |
$9,599.70 |
$4,558.89
|
|
Factor ix complex
|
$7,569.60 |
$7,569.60 |
$8,664.00 |
$5.91
|
|
Factor ix recombinant nos
|
$21,924.00 |
$21,924.00 |
$25,056.00 |
$4.65
|
|
Factor viii recombinant nos
|
$24,431.40 |
$24,431.40 |
$27,342.00 |
$6.56
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$45.00 |
$45.00 |
$45.00 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$15,370.63 |
$15,370.63 |
$17,592.88 |
$5,508.16
|
|
Fat/lipids feces qualitative
|
$45.60 |
$45.60 |
$45.60 |
$37.44
|
|
Fatty acids nonesterified
|
$571.20 |
$571.20 |
$571.20 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$2,674.78 |
$2,674.78 |
$2,674.78 |
$956.25
|
|
#fecal-sodium
|
$42.60 |
$42.60 |
$42.60 |
$37.96
|
|
Femoral lgth sock fx or equa
|
$305.03 |
$305.03 |
$305.03 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$639.87 |
$639.87 |
$716.10 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$6,184.90 |
$6,184.90 |
$7,068.46 |
$2,515.99
|
|
Ferritin
|
$38.40 |
$38.40 |
$166.20 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,244.96 |
$2,244.96 |
$2,565.67 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$909.60 |
$909.60 |
$909.60 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$694.80 |
$694.80 |
$694.80 |
$902.10
|
|
Fetal chrom aneuploidy gsa panel
|
$2,277.60 |
$2,277.60 |
$2,277.60 |
$1,200.00
|
|
Fetal contract stress test 59020 - 26
|
$562.80 |
$562.80 |
$562.80 |
$477.50
|
|
Fetal fibronectin
|
$471.60 |
$471.60 |
$471.60 |
$387.60
|
|
Fetal hemoglobin (kleihauer betke)
|
$192.00 |
$192.00 |
$192.00 |
$106.00
|
|
Fetal hemoglobin rosette
|
$98.40 |
$98.40 |
$98.40 |
$67.20
|
|
Fetal non stress test
|
$596.40 |
$596.40 |
$596.40 |
$467.46
|
|
Fibrin degradation d dimer quantitative
|
$149.40 |
$149.40 |
$149.40 |
$119.40
|
|
Fibrin degradation products
|
$162.60 |
$162.60 |
$162.60 |
$65.94
|
|
Fibrinogen activity
|
$163.20 |
$163.20 |
$163.20 |
$84.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$175.20 |
$175.20 |
$175.20 |
$63.94
|
|
Fibrinolytic plasminogen
|
$460.20 |
$460.20 |
$460.20 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$327.00 |
$327.00 |
$327.00 |
$65.40
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$2,911.82 |
$2,911.82 |
$3,258.72 |
$571.09
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,843.72 |
$1,843.72 |
$2,107.10 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$93,814.88 |
$93,814.88 |
$93,814.88 |
$7,180.66
|
|
Filter vena cava fem denali
|
$12,985.17 |
$12,985.17 |
$12,985.17 |
$3,860.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,835.40 |
$1,835.40 |
$1,835.40 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,102.80 |
$1,102.80 |
$1,102.80 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$333.00 |
$333.00 |
$333.00 |
$500.40
|
|
Finger joint sz00 swanson w/grommets
|
$14,377.24 |
$14,377.24 |
$14,377.24 |
$4,584.72
|
|
Fixation of knee joint
|
$7,009.03 |
$7,009.03 |
$65,652.30 |
$1,893.86
|
|
Fix g/colon tube w/device
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$1,183.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$8,051.16 |
$8,051.16 |
$8,051.16 |
$4,350.00
|
|
Flecainide (tambocor)-sendout
|
$56.40 |
$56.40 |
$56.40 |
$63.18
|
|
Fl exam g/colon tube w contrast
|
$420.60 |
$420.60 |
$420.60 |
$528.62
|
|
Flexible Sigmoidoscopy
|
$7,426.80 |
$7,426.80 |
$7,834.80 |
$1,278.72
|
|
Flex thermoplastic collar mo
|
$973.73 |
$973.73 |
$973.73 |
$187.60
|
|
Flow cytometry marker each additional
|
$114.00 |
$114.00 |
$114.00 |
$97.44
|
|
Flow cytometry one marker technical component
|
$528.00 |
$528.00 |
$528.00 |
$270.75
|
|
Floweramniopatch, per sq cm
|
$16,046.81 |
$16,046.81 |
$16,046.81 |
$6,814.14
|
|
Flt3 gene
|
$496.80 |
$496.80 |
$496.80 |
$355.00
|
|
Flt3 gene analysis
|
$249.00 |
$249.00 |
$249.00 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$45.00 |
$45.00 |
$45.00 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$470.61 |
$470.61 |
$538.65 |
$493.35
|
|
Fluidotherapy charges pt
|
$115.20 |
$115.20 |
$140.40 |
$93.77
|
|
Fluid pressure muscle 20950
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$778.78
|
|
Fluorescent antibody titer dna
|
$125.40 |
$125.40 |
$125.40 |
$123.65
|
|
Fluoroestradiol f 18
|
$11,760.00 |
$11,760.00 |
$47,040.00 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$723.60 |
$723.60 |
$723.60 |
$496.03
|
|
Fluoroguide needle placement
|
$735.00 |
$735.00 |
$735.00 |
$510.00
|
|
Fluoro polarize fetal lung
|
$83.40 |
$83.40 |
$83.40 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$492.00 |
$492.00 |
$492.00 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$105.07
|
|
Flutemetamol f18 diagnostic
|
$47,520.00 |
$47,520.00 |
$47,520.00 |
$5,215.08
|
|
Fna bx w/ct gdn 1st les
|
$2,681.40 |
$2,681.40 |
$2,681.40 |
$1,436.50
|
|
Fna bx w/ct gdn ea addl
|
$997.80 |
$997.80 |
$997.80 |
$834.90
|
|
Folic acid
|
$44.40 |
$44.40 |
$44.40 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$45.00 |
$45.00 |
$45.00 |
$48.78
|
