|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$202.05 |
$202.05 |
$202.05 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$268.95 |
$268.95 |
$268.95 |
$2,865.00
|
|
Excision of penis lesion(s) 54060
|
$780.45 |
$780.45 |
$780.45 |
$2,479.33
|
|
Excision tongue lesion without closure 41110
|
$928.20 |
$928.20 |
$928.20 |
$3,786.00
|
|
Exc malig feenl <0.5cm 11640
|
$240.30 |
$240.30 |
$240.30 |
$1,055.20
|
|
Exc malig feenl 1.1-2 11642
|
$294.75 |
$294.75 |
$294.75 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$290.70 |
$290.70 |
$290.70 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$324.15 |
$324.15 |
$324.15 |
$3,083.21
|
|
Exc malig snhfg 0.5cm or less 11620
|
$676.05 |
$676.05 |
$676.05 |
$1,210.30
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$198.60 |
$198.60 |
$198.60 |
$973.71
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$743.70 |
$743.70 |
$743.70 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$294.75 |
$294.75 |
$294.75 |
$973.20
|
|
Exc malig tal 0.6-1.0cm 11601
|
$135.60 |
$135.60 |
$135.60 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$149.10 |
$149.10 |
$149.10 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$164.10 |
$164.10 |
$164.10 |
$1,131.50
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$180.45 |
$180.45 |
$180.45 |
$1,294.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$1,174.65 |
$1,174.65 |
$1,174.65 |
$3,386.84
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$1,174.65 |
$1,174.65 |
$1,174.65 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$218.40 |
$218.40 |
$218.40 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$817.95 |
$817.95 |
$817.95 |
$2,014.93
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$899.85 |
$899.85 |
$899.85 |
$3,370.52
|
|
Exc tendon sheath or cap lesion 26160
|
$708.15 |
$708.15 |
$708.15 |
$2,650.53
|
|
Exc thrombosed hemorrhoid 46320
|
$674.70 |
$674.70 |
$674.70 |
$2,099.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$613.05 |
$613.05 |
$613.05 |
$1,917.33
|
|
Exc vagina lesion 57135
|
$1,192.05 |
$1,192.05 |
$1,192.05 |
$4,232.80
|
|
Exercise tst brncspsm w/ecg
|
$60.15 |
$60.15 |
$60.15 |
$318.50
|
|
Exercise w/hemodynamic meas
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$901.60
|
|
Exome re-evaluation
|
$410.55 |
$410.55 |
$410.55 |
$441.60
|
|
Exome sequence analysis
|
$6,134.25 |
$6,134.25 |
$6,134.25 |
$5,520.90
|
|
Exome sequence analysis
|
$15,399.75 |
$15,399.75 |
$15,399.75 |
$12,546.29
|
|
Explore adrenal gland w or without biopsy 60540
|
$624.15 |
$624.15 |
$624.15 |
$2,228.80
|
|
Explore penetrating wnd/extremity 20103
|
$222.45 |
$222.45 |
$222.45 |
$1,788.80
|
|
Explore/treat finger joint
|
$1,444.95 |
$1,444.95 |
$1,444.95 |
$3,594.44
|
|
Explore/treat finger joint
|
$723.45 |
$723.45 |
$723.45 |
$2,146.20
|
|
Explore wound abdomen 20102
|
$853.20 |
$853.20 |
$853.20 |
$2,568.80
|
|
Explore woundchest 20101
|
$853.20 |
$853.20 |
$853.20 |
$2,254.56
|
|
External chromosome analysis 20-25 cells
|
$218.25 |
$218.25 |
$218.25 |
$384.15
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$91.65 |
$91.65 |
$91.65 |
$61.10
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$4,388.25 |
$4,388.25 |
$4,388.25 |
$4,260.30
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$221.10 |
$221.10 |
$221.10 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$31.50 |
$31.50 |
$31.50 |
$108.60
|
|
F-18 fdg pet diag
|
$198.45 |
$198.45 |
$198.45 |
$551.72
|
|
F-18 fluciclovine per mci
|
$902.25 |
$902.25 |
$902.25 |
$940.00
|
|
F-18 sodium fluoride
|
$94.80 |
$94.80 |
$94.80 |
$392.60
|
|
F9 full gene sequence
|
$471.45 |
$471.45 |
$471.45 |
$1,200.00
|
|
Facial bones <3
|
$65.85 |
$65.85 |
$65.85 |
$252.60
|
|
Factor ix
|
$33.45 |
$33.45 |
$33.45 |
$156.13
|
|
Factor ix recombinant nos
|
$4,683.24 |
$4,683.24 |
$4,683.24 |
$4.65
|
|
Factor viii
|
$31.50 |
$31.50 |
$31.50 |
$133.81
|
|
Family therapy without pt 50min 90846
|
$76.80 |
$76.80 |
$76.80 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$81.45 |
$81.45 |
$81.45 |
$230.36
|
|
Fasciotomy hip/thigh any typ
|
$1,478.40 |
$1,478.40 |
$1,478.40 |
$3,342.87
|
|
Fat/lipids feces qualitative
|
$9.00 |
$9.00 |
$9.00 |
$38.35
|
|
Fatty acids nonesterified
|
$23.25 |
$23.25 |
$23.25 |
$64.28
|
|
#fecal-sodium
|
$8.70 |
$8.70 |
$8.70 |
$37.50
|
|
Feeding tube reposition
|
$79.05 |
$79.05 |
$79.05 |
$532.61
|
|
Felbamate (felbatol(r)) - sendout
|
$24.00 |
$24.00 |
$24.00 |
$65.00
|
|
Fem/popl revasc w/stent
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$61.14 |
$61.14 |
$61.14 |
$101.40
|
|
Ferritin
|
$23.85 |
$23.85 |
$23.85 |
$100.94
|
|
Fetal biophys profile w/nst 76818
|
$101.55 |
$101.55 |
$101.55 |
$535.37
|
|
Fetal chrmoml microdeltj
|
$511.65 |
$511.65 |
$511.65 |
$834.96
|
|
Fetal chrom aneuploidy gsa panel
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$1,206.81
|
|
Fetal contract stress test 59020 - 26
|
$215.25 |
$215.25 |
$215.25 |
$475.50
|
|
Fetal fibronectin
|
$112.80 |
$112.80 |
$112.80 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$13.50 |
$13.50 |
$13.50 |
$105.12
|
|
Fetal hemoglobin rosette
|
$11.70 |
$11.70 |
$11.70 |
$67.20
|
|
Fetal non stress test
|
$37.20 |
$37.20 |
$37.20 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$13.35 |
$13.35 |
$13.35 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$17.85 |
$17.85 |
$17.85 |
$117.70
|
|
Fibrin degradation products
|
$12.15 |
$12.15 |
$12.15 |
$62.64
|
|
Fibrin degrade semiquant
|
$12.60 |
$12.60 |
$12.60 |
$78.09
|
|
Fibrin degradj d-dimer
|
$20.25 |
$20.25 |
$20.25 |
$111.50
|
|
Fibrinogen activity
|
$15.00 |
$15.00 |
$15.00 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$7.50 |
$7.50 |
$7.50 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$4.35 |
$4.35 |
$4.35 |
$72.80
|
|
Fibrinolytic plasminogen
|
$28.95 |
$28.95 |
$28.95 |
$107.50
|
|
Fibrinolytic plasminogen
|
$17.85 |
$17.85 |
$17.85 |
$95.92
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$10.80 |
$10.80 |
$10.80 |
$65.00
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$633.12 |
$633.12 |
$633.12 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$804.60 |
$804.60 |
$804.60 |
$7,160.28
|
|
Filter vena cava fem denali
|
$583.20 |
$583.20 |
$583.20 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$304.05 |
$304.05 |
$304.05 |
$1,081.52
|
|
Fine needle asp without image guide 10021
|
$136.65 |
$136.65 |
$136.65 |
$503.76
|
|
Fix g/colon tube w/device
|
$280.35 |
$280.35 |
$280.35 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$24.00 |
$24.00 |
$24.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$228.45 |
$228.45 |
$228.45 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$393.75 |
$393.75 |
$393.75 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$61.80 |
$61.80 |
$61.80 |
$97.50
|
|
Flow cytometry one marker technical component
|
$101.10 |
$101.10 |
$101.10 |
$284.40
|
|
Flt3 gene
|
$213.00 |
$213.00 |
$213.00 |
$355.00
|
|
Flt3 gene analysis
|
$106.50 |
$106.50 |
$106.50 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$8.43 |
$8.43 |
$8.43 |
$64.22
|
|
Fluidotherapy charges pt
|
$22.05 |
$22.05 |
$22.05 |
$91.00
|
|
Fluid pressure muscle 20950
|
$319.20 |
$319.20 |
$319.20 |
$768.94
|
|
Fluorescent antibody titer dna
|
$21.15 |
$21.15 |
$21.15 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$69.30 |
$69.30 |
$69.30 |
$496.03
|
|
Fluoroguide needle placement
|
$69.30 |
$69.30 |
$69.30 |
$510.00
|
|
Fluoro polarize fetal lung
|
$29.25 |
$29.25 |
$29.25 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$69.30 |
$69.30 |
$69.30 |
$492.00
|