|
Exchange drainage catheter
|
$2,667.20 |
$2,667.20 |
$2,667.20 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$3,641.60 |
$3,641.60 |
$3,641.60 |
$2,958.80
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$4,578.40 |
$4,578.40 |
$4,578.40 |
$3,322.80
|
|
Excise wrist tendon sheath
|
$4,113.60 |
$4,113.60 |
$4,113.60 |
$2,211.05
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,635.20 |
$1,635.20 |
$1,635.20 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,678.40 |
$2,678.40 |
$2,678.40 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,969.60 |
$1,969.60 |
$1,969.60 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$4,201.60 |
$4,201.60 |
$4,201.60 |
$2,865.00
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$3,127.20 |
$3,127.20 |
$3,127.20 |
$3,104.42
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$4,634.40 |
$4,634.40 |
$4,634.40 |
$2,937.55
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$2,924.22
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$4,804.80 |
$4,804.80 |
$4,804.80 |
$1,917.33
|
|
Exc tendon sheath or cap lesion 26160
|
$4,343.20 |
$4,343.20 |
$4,343.20 |
$2,797.08
|
|
Exc thrombosed hemorrhoid 46320
|
$3,485.60 |
$3,485.60 |
$3,485.60 |
$2,175.36
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$4,776.00 |
$4,776.00 |
$4,776.00 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$7,434.40 |
$7,434.40 |
$7,434.40 |
$4,101.67
|
|
Explore neck vessels 35800
|
$3,625.60 |
$3,625.60 |
$3,625.60 |
$1,772.80
|
|
Explore penetrating wnd/extremity 20103
|
$1,685.60 |
$1,685.60 |
$1,685.60 |
$1,788.80
|
|
Explore/repair chest 32110
|
$2,525.60 |
$2,525.60 |
$2,525.60 |
$3,698.00
|
|
Explore/treat finger joint
|
$4,428.00 |
$4,428.00 |
$4,428.00 |
$3,839.54
|
|
Explore/treat finger joint
|
$4,105.60 |
$4,105.60 |
$4,105.60 |
$2,480.83
|
|
Explore wound abdomen 20102
|
$2,568.80 |
$2,568.80 |
$2,568.80 |
$2,784.80
|
|
Explore woundchest 20101
|
$3,504.80 |
$3,504.80 |
$3,504.80 |
$2,227.68
|
|
Explore wound neck 20100
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$1,185.00
|
|
Explor not followed by surg repair artery; low extrem 35703
|
$5,554.40 |
$5,554.40 |
$5,554.40 |
$999.89
|
|
Expose endoprosth brachial 34834
|
$1,436.80 |
$1,436.80 |
$1,436.80 |
$1,888.20
|
|
Ext ecg>7d<15d scan a/r
|
$406.40 |
$406.40 |
$406.40 |
$345.60
|
|
External cannula declotting
|
$1,596.00 |
$1,596.00 |
$1,596.00 |
$1,838.28
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$445.60 |
$445.60 |
$445.60 |
$457.07
|
|
Extrnl counterpulse, per tx
|
$635.20 |
$635.20 |
$635.20 |
$431.60
|
|
Eye Socket (Orbit) X-ray
|
$477.60 |
$477.60 |
$477.60 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$3,222.40 |
$3,222.40 |
$3,222.40 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,951.20 |
$2,951.20 |
$2,951.20 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$2,098.40 |
$2,098.40 |
$2,098.40 |
$1,320.00
|
|
F-18 fdg pet diag
|
$371.20 |
$371.20 |
$371.20 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$3,076.00 |
$3,076.00 |
$3,076.00 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$548.80 |
$548.80 |
$548.80 |
$1,042.30
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,780.00 |
$4,780.00 |
$4,780.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,367.20 |
$3,367.20 |
$3,367.20 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$313.60 |
$313.60 |
$313.60 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$621.60 |
$621.60 |
$621.60 |
$381.75
|
|
Factor ix complex
|
$1.08 |
$1.08 |
$1.08 |
$4.68
|
|
Factor ix non-recombinant
|
$0.93 |
$0.93 |
$0.93 |
$4.63
|
|
Factor ix recombinant nos
|
$1.08 |
$1.08 |
$1.08 |
$4.65
|
|
Factor viia recomb sevenfact
|
$3,319.80 |
$3,319.80 |
$3,319.80 |
$8.43
|
|
Factor viii pegylated recomb
|
$690.56 |
$690.56 |
$690.56 |
$8.05
|
|
Factor viii recombinant nos
|
$1,104.16 |
$1,104.16 |
$1,104.16 |
$5.20
|
|
Factor xiii anti-hem factor
|
$10,101.18 |
$10,101.18 |
$10,101.18 |
$23.98
|
|
Family therapy without pt 50min 90846
|
$248.00 |
$248.00 |
$248.00 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$286.40 |
$286.40 |
$286.40 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$311.87 |
$311.87 |
$311.87 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$6,628.72 |
$6,628.72 |
$6,628.72 |
$5,894.50
|
|
Feno poc
|
$149.60 |
$149.60 |
$149.60 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$343.41 |
$343.41 |
$343.41 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,670.06 |
$1,670.06 |
$1,670.06 |
$2,590.25
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,906.44 |
$1,906.44 |
$1,906.44 |
$1,636.50
|
|
Ferumoxytol, esrd use
|
$1,906.44 |
$1,906.44 |
$1,906.44 |
$0.50
|
|
Fetal biophys profile w/nst 76818
|
$1,010.40 |
$1,010.40 |
$1,010.40 |
$541.74
|
|
Fetal cord puncture prenatal
|
$437.60 |
$437.60 |
$437.60 |
$751.20
|
|
Fetal fluid drainage w/us
|
$1,053.60 |
$1,053.60 |
$1,053.60 |
$612.00
|
|
Fetal non stress test
|
$492.00 |
$492.00 |
$492.00 |
$478.50
|
|
Fetal shunt placement w/us
|
$2,664.00 |
$2,664.00 |
$2,664.00 |
$754.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,509.70 |
$1,509.70 |
$1,509.70 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$695.24 |
$695.24 |
$695.24 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$12,740.00 |
$12,740.00 |
$12,740.00 |
$7,358.16
|
|
Filter vena cava fem denali
|
$6,030.40 |
$6,030.40 |
$6,030.40 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,868.80 |
$1,868.80 |
$1,868.80 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$478.40 |
$478.40 |
$478.40 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$563.20 |
$563.20 |
$563.20 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$744.80 |
$744.80 |
$744.80 |
$504.45
|
|
Finger X-ray (both hands)
|
$341.60 |
$341.60 |
$341.60 |
$241.50
|
|
Fixation of knee joint
|
$3,740.00 |
$3,740.00 |
$3,740.00 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,204.00 |
$1,204.00 |
$1,204.00 |
$1,183.00
|
|
Fl exam g/colon tube w contrast
|
$696.80 |
$696.80 |
$696.80 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$3,328.00 |
$3,328.00 |
$3,328.00 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$141.60 |
$141.60 |
$141.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$224.80 |
$224.80 |
$224.80 |
$285.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$326.24 |
$326.24 |
$326.24 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$415.58 |
$415.58 |
$415.58 |
$493.35
|
|
Fluidotherapy charges pt
|
$146.40 |
$146.40 |
$146.40 |
$101.40
|
|
Fluid pressure muscle 20950
|
$936.80 |
$936.80 |
$936.80 |
$779.45
|
|
Fluoroguide for spine inject 77003-26
|
$702.40 |
$702.40 |
$702.40 |
$495.00
|
|
Fluoroguide needle placement
|
$787.20 |
$787.20 |
$787.20 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$811.20 |
$811.20 |
$811.20 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$249.56 |
$249.56 |
$249.56 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$331.40 |
$331.40 |
$331.40 |
$72.52
|
|
Flutemetamol f18 diagnostic
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$5,265.00
|
|
Fmri brain by phys/psych
|
$2,097.60 |
$2,097.60 |
$2,097.60 |
$1,639.00
|
|
Fmri brain by tech
|
$2,805.60 |
$2,805.60 |
$2,805.60 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$3,100.80 |
$3,100.80 |
$3,100.80 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$563.20 |
$563.20 |
$563.20 |
$834.90
|
|
Folic acid 5 mg/ml injection solution
|
$311.38 |
$311.38 |
$311.38 |
$45.00
|
|
Follow-up angiography
|
$1,855.20 |
$1,855.20 |
$1,855.20 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,047.00 |
$4,047.00 |
$4,047.00 |
$2,511.73
|
|
Fondaparinux sodium
|
$388.19 |
$388.19 |
$388.19 |
$186.20
|
|
Foot lamin/prepreg composite
|
$162.40 |
$162.40 |
$162.40 |
$289.76
|
|
Foot longitud/metatarsal sup
|
$312.00 |
$312.00 |
$312.00 |
$221.20
|
|
Foot plas heel stabi pre ots
|
$21.60 |
$21.60 |
$21.60 |
$76.32
|
|
Foot X-ray
|
$488.00 |
$488.00 |
$488.00 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$294.40 |
$294.40 |
$294.40 |
$290.40
|