|
Explore/irrigate tear ducts
|
$224.00 |
$333.50 |
$333.50 |
|
|
Explore parathyroid glands
|
$25,958.98 |
$25,958.98 |
$25,958.98 |
|
|
Explore penetrating wnd/extremity 20103
|
$1,504.00 |
$2,079.50 |
$14,126.44 |
|
|
Explore/repair chest 32110
|
$3,791.00 |
$5,147.00 |
$5,147.00 |
|
|
Explore/treat ankle joint
|
$116,355.28 |
$116,355.28 |
$116,355.28 |
|
|
Explore/treat finger joint
|
$952.20 |
$1,794.50 |
$2,481.50 |
|
|
Explore wound abdomen 20102
|
$2,441.00 |
$3,375.50 |
$3,375.50 |
|
|
Explore wound neck 20100
|
$541.00 |
$747.50 |
$747.50 |
|
|
Expose endoprosth brachial 34834
|
$6,196.00 |
$7,649.50 |
$7,649.50 |
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$1,526.50 |
$2,110.50 |
$11,199.06 |
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$1,526.50 |
$2,110.50 |
$14,733.80 |
|
|
Extended steel shank
|
$291.49 |
$291.49 |
$291.49 |
|
|
Extended visual field xm
|
$92.50 |
$128.50 |
$128.50 |
|
|
Extension per extension per
|
$321.21 |
$321.21 |
$321.21 |
|
|
External cannula declotting
|
$534.50 |
$944.00 |
$1,165.50 |
|
|
External chromosome analysis 20-25 cells
|
$534.60 |
$965.00 |
$1,413.50 |
|
|
External newborn metabolic screening panel
|
$307.00 |
$307.00 |
$307.00 |
|
|
External ocular photography
|
$76.50 |
$106.00 |
$106.00 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$33.50 |
$38.00 |
$183.00 |
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$11,619.00 |
$11,619.00 |
$11,619.00 |
|
|
External recharg sys intern
|
$5,508.50 |
$5,508.50 |
$8,370.00 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$640.80 |
$1,325.00 |
$2,032.00 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$101.00 |
$135.50 |
$703.00 |
|
|
Extraction of lens 66920
|
$2,166.50 |
$3,209.50 |
$3,209.50 |
|
|
Eye allergy tests
|
$97.00 |
$120.00 |
$120.00 |
|
|
Eye implant band 40
|
$3,552.50 |
$5,479.50 |
$8,936.51 |
|
|
Eye Socket (Orbit) X-ray
|
$147.00 |
$313.50 |
$1,212.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$962.00 |
$1,976.50 |
$8,451.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$962.00 |
$1,976.50 |
$7,746.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$811.00 |
$1,517.40 |
$7,181.00 |
|
|
Ezh2 gene full gene sequence
|
$303.00 |
$306.50 |
$486.00 |
|
|
F-18 fdg pet diag
|
$879.00 |
$879.00 |
$1,221.11 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$1,714.44 |
$1,714.44 |
$7,681.00 |
|
|
F-18 fluciclovine per mci
|
$940.00 |
$940.00 |
$3,439.80 |
|
|
F-18 sodium fluoride
|
$754.00 |
$754.00 |
$754.00 |
|
|
F9 full gene sequence
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$808.00 |
$2,530.50 |
$7,157.00 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$668.00 |
$2,735.50 |
$12,521.00 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$133.00 |
$275.50 |
$1,072.00 |
|
|
Facial Bones X-ray (complete)
|
$155.50 |
$470.40 |
$1,577.00 |
|
|
Facility svs dental rehab
|
$9,599.70 |
$9,599.70 |
$9,599.70 |
|
|
Factor ix
|
$145.50 |
$393.00 |
$1,145.00 |
|
|
Factor ix complex
|
$2,000.00 |
$2,000.00 |
$8,664.00 |
|
|
Factor ix recombinant nos
|
$4.00 |
$21,924.00 |
$25,056.00 |
|
|
Factor viii
|
$145.50 |
$393.00 |
$1,145.00 |
|
|
Factor viii recombinant nos
|
$12.00 |
$24,431.40 |
$27,342.00 |
|
|
Family therapy without pt 50min 90846
|
$118.50 |
$164.00 |
$1,282.00 |
|
|
Family therapy with patient 50 min 90847
|
$118.50 |
$164.00 |
$358.00 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$45.00 |
$45.00 |
$45.00 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$15,370.63 |
$15,370.63 |
$17,592.88 |
|
|
Fat/lipids feces qualitative
|
$34.00 |
$47.00 |
$251.00 |
|
|
Fatty acids nonesterified
|
$122.50 |
$169.00 |
$571.20 |
|
|
Fda ide #g240020 carry bag
|
$429.00 |
$829.50 |
$2,674.78 |
|
|
Fecal microbiota prep instil
|
$407.50 |
$503.50 |
$503.50 |
|
|
#fecal-sodium
|
$24.00 |
$42.60 |
$128.50 |
|
|
Feeding tube reposition
|
$266.00 |
$442.00 |
$737.00 |
|
|
Fees w/laryngeal sense test
|
$119.00 |
$148.00 |
$161.50 |
|
|
Felbamate (felbatol(r)) - sendout
|
$690.00 |
$690.00 |
$690.00 |
|
|
Femoral lgth sock fx or equa
|
$132.50 |
$132.50 |
$305.03 |
|
|
Fem/popl revasc w/stent
|
$11,509.00 |
$12,614.50 |
$31,358.00 |
|
|
Feno poc
|
$38.50 |
$48.00 |
$48.00 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$27.82 |
$639.87 |
$716.10 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$6,184.90 |
$6,184.90 |
$7,068.46 |
|
|
Ferritin
|
$38.40 |
$223.50 |
$461.50 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,244.96 |
$2,420.00 |
$2,565.67 |
|
|
Ferumoxytol, esrd use
|
$2,420.00 |
$2,420.00 |
$2,420.00 |
|
|
Fetal aneuploidy trisom risk
|
$2,500.00 |
$2,500.00 |
$2,500.00 |
|
|
Fetal biophys profile w/nst 76818
|
$290.00 |
$371.00 |
$1,481.00 |
|
|
Fetal chrmoml microdeltj
|
$694.80 |
$694.80 |
$694.80 |
|
|
Fetal chrom aneuploidy gsa panel
|
$2,189.00 |
$2,189.00 |
$2,277.60 |
|
|
Fetal contract stress test 59020 - 26
|
$298.00 |
$616.50 |
$2,317.00 |
|
|
Fetal cord puncture prenatal
|
$219.50 |
$303.50 |
$303.50 |
|
|
Fetal fibronectin
|
$286.00 |
$395.50 |
$855.00 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$59.00 |
$92.00 |
$491.00 |
|
|
Fetal hemoglobin rosette
|
$64.50 |
$89.00 |
$217.00 |
|
|
Fetal non stress test
|
$325.50 |
$449.50 |
$767.00 |
|
|
#_fet/norfentcnfrmur
|
$208.00 |
$247.00 |
$302.00 |
|
|
Fibrin degradation d dimer quantitative
|
$58.00 |
$149.40 |
$693.00 |
|
|
Fibrin degradation products
|
$72.00 |
$129.00 |
$305.00 |
|
|
Fibrin degrade semiquant
|
$418.00 |
$418.00 |
$418.00 |
|
|
Fibrinogen activity
|
$37.50 |
$156.00 |
$383.50 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$47.00 |
$58.50 |
$175.20 |
|
|
Fibrinolytic antiplasmin
|
$12.00 |
$156.00 |
$202.00 |
|
|
Fibrinolytic plasminogen
|
$133.00 |
$183.50 |
$460.20 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$327.00 |
$327.00 |
$919.00 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,353.00 |
$1,353.00 |
$3,258.72 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,843.72 |
$1,843.72 |
$2,107.10 |
|
|
Filter spider fx 3mmx320cm
|
$7,132.50 |
$8,349.50 |
$93,814.88 |
|
|
Filter vena cava fem denali
|
$3,025.00 |
$5,951.00 |
$12,985.17 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$550.50 |
$910.50 |
$3,384.50 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$276.00 |
$791.50 |
$2,026.50 |
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$256.50 |
$332.50 |
$2,026.50 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$276.00 |
$719.00 |
$3,384.50 |
|
|
Fine needle asp without image guide 10021
|
$320.50 |
$395.00 |
$735.50 |
|
|
Finger joint sz00 swanson w/grommets
|
$14,377.24 |
$14,377.24 |
$14,377.24 |
|
|
Finger X-ray (both hands)
|
$113.50 |
$253.00 |
$466.00 |
|
|
Fitg c-lens keratoconus 1st
|
$44.50 |
$62.00 |
$62.00 |
|
|
Fitting of diaphragm/cap 57170
|
$105.50 |
$145.50 |
$145.50 |
|
|
Fixation of ankle joint
|
$2,056.00 |
$2,843.00 |
$2,843.00 |
|
|
Fixation of knee joint
|
$7,009.03 |
$7,009.03 |
$65,652.30 |
|
