|
Explore wound neck 20100
|
$157.85 |
$157.85 |
$1,334.50 |
$1,185.00
|
|
Explor not followed by surg repair artery; up extrem 35702
|
$6,036.66 |
$6,036.66 |
$6,036.66 |
$1,122.00
|
|
Explr/decompress eye socket
|
$5,965.71 |
$5,965.71 |
$5,965.71 |
$5,855.00
|
|
Explr/decompress eye socket
|
$4,955.69 |
$4,955.69 |
$4,955.69 |
$5,405.82
|
|
Expose endoprosth brachial 34834
|
$8,738.33 |
$8,738.33 |
$8,738.33 |
$1,888.20
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$4,244.63 |
$4,244.63 |
$4,244.63 |
$3,623.43
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$77.18 |
$77.18 |
$2,122.74 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$84.70 |
$84.70 |
$3,339.18 |
$2,896.40
|
|
Ext ecg>48hr<7d scan a/r
|
$480.62 |
$480.62 |
$480.62 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$480.62 |
$480.62 |
$480.62 |
$345.60
|
|
Extended culture of oocytes
|
$545.24 |
$545.24 |
$545.24 |
$904.19
|
|
Extended visual field xm
|
$286.50 |
$286.50 |
$286.50 |
$162.75
|
|
Extensive ear canal surgery 69150
|
$5,395.75 |
$5,395.75 |
$5,395.75 |
$5,395.75
|
|
Extensive mastoid surgery
|
$8,521.48 |
$8,521.48 |
$8,521.48 |
$7,000.36
|
|
Extensive surgery of throat
|
$7,021.85 |
$7,021.85 |
$7,021.85 |
$7,000.36
|
|
Extensive surgery of throat
|
$5,153.07 |
$5,153.07 |
$5,153.07 |
$6,547.81
|
|
Extensive testis surgery
|
$4,478.01 |
$4,478.01 |
$4,478.01 |
$4,081.37
|
|
External cannula declotting
|
$1,471.82 |
$1,471.82 |
$1,471.82 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$218.75 |
$218.75 |
$632.62 |
$415.01
|
|
External newborn metabolic screening panel
|
$59.29 |
$59.29 |
$147.70 |
$109.76
|
|
External ocular photography
|
$201.26 |
$201.26 |
$201.26 |
$76.95
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$79.29 |
$79.29 |
$79.29 |
$63.70
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$504.19 |
$504.19 |
$504.19 |
$4,388.25
|
|
External recharg sys intern
|
$1,215.55 |
$1,215.55 |
$1,215.55 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$662.38 |
$662.38 |
$1,465.10 |
$457.07
|
|
Extnd color vision xm
|
$215.51 |
$215.51 |
$215.51 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$51.63 |
$51.63 |
$200.75 |
$109.00
|
|
Extraction of lens
|
$3,791.29 |
$3,791.29 |
$3,791.29 |
$4,396.50
|
|
Extraction of lens
|
$2,388.93 |
$2,388.93 |
$2,388.93 |
$2,698.92
|
|
Extraction of lens 66920
|
$3,197.48 |
$3,197.48 |
$3,197.48 |
$3,737.60
|
|
Extrnl counterpulse, per tx
|
$297.63 |
$297.63 |
$297.63 |
$431.60
|
|
Eye allergy tests
|
$129.56 |
$129.56 |
$129.56 |
$142.80
|
|
Eye implant band 40
|
$14,348.43 |
$14,348.43 |
$32,989.33 |
$5,641.12
|
|
Eye photodynamic ther add-on
|
$746.59 |
$746.59 |
$746.59 |
$821.60
|
|
Eye Socket (Orbit) X-ray
|
$102.73 |
$102.73 |
$349.15 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$604.63 |
$604.63 |
$1,563.46 |
$1,705.60
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$518.00 |
$518.00 |
$1,543.83 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$454.48 |
$454.48 |
$1,466.86 |
$1,320.00
|
|
Eye surgery follow-up add-on
|
$1,914.01 |
$1,914.01 |
$1,914.01 |
$4,670.40
|
|
Eye suture during surgery
|
$1,748.73 |
$1,748.73 |
$1,748.73 |
$1,612.80
|
|
F-18 fdg pet diag
|
$632.63 |
$632.63 |
$632.63 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$4,960.80 |
$4,960.80 |
$4,960.80 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$7,930.80 |
$7,930.80 |
$7,930.80 |
$1,042.30
|
|
F-18 sodium fluoride
|
$133.18 |
$133.18 |
$133.18 |
$492.56
|
|
F9 full gene sequence
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$1,200.00
|
|
Face bone graft
|
$6,700.98 |
$6,700.98 |
$6,700.98 |
$6,700.98
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$1,006.78 |
$1,006.78 |
$3,345.40 |
$2,830.10
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$674.63 |
$674.63 |
$2,347.34 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$124.95 |
$124.95 |
$241.75 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$392.26 |
$392.26 |
$392.26 |
$381.75
|
|
Facial nerve function test
|
$180.01 |
$180.01 |
$180.01 |
$368.50
|
|
Factor ix
|
$64.93 |
$64.93 |
$267.03 |
$162.00
|
|
Factor ix complex
|
$22.13 |
$22.13 |
$22.13 |
$4.68
|
|
Factor ix recombinant nos
|
$22.92 |
$22.92 |
$178.50 |
$4.65
|
|
Factor viii
|
$108.50 |
$108.50 |
$813.60 |
$145.50
|
|
Factor viii
|
$21.98 |
$21.98 |
$21.98 |
$4.85
|
|
Factor viii recombinant nos
|
$23.64 |
$23.64 |
$23.64 |
$5.20
|
|
Factor viii recomb novoeight
|
$24.58 |
$24.58 |
$24.58 |
$7.21
|
|
Fallopian tube recnl
|
$2,566.09 |
$2,566.09 |
$2,566.09 |
$3,740.75
|
|
Family therapy without pt 50min 90846
|
$61.25 |
$61.25 |
$245.24 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$68.25 |
$68.25 |
$230.36 |
$234.60
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$20.16 |
$20.16 |
$20.16 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$443.60 |
$443.60 |
$5,085.07 |
$5,894.50
|
|
Fancc gene
|
$378.11 |
$378.11 |
$378.11 |
$140.00
|
|
Fat/lipids feces qualitative
|
$14.88 |
$14.88 |
$61.56 |
$34.80
|
|
Fatty acids nonesterified
|
$208.04 |
$208.04 |
$208.04 |
$72.15
|
|
Fda ide #g240020 carry bag
|
$1,076.40 |
$1,076.40 |
$1,076.40 |
$903.05
|
|
Fecal bilirubin test
|
$6.76 |
$6.76 |
$6.76 |
$12.00
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$3,252.85 |
$3,252.85 |
$3,252.85 |
$14,956.68
|
|
Fecal microbiota prep instil
|
$203.86 |
$203.86 |
$203.86 |
$1,009.14
|
|
#fecal-sodium
|
$52.72 |
$52.72 |
$52.72 |
$37.50
|
|
Feeding tube reposition
|
$398.83 |
$398.83 |
$438.70 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$67.90 |
$67.90 |
$126.04 |
$66.43
|
|
Femoral endovas graft add-on 34813
|
$6,254.63 |
$6,254.63 |
$6,254.63 |
$1,245.40
|
|
Fem/popl revasc w/stent
|
$7,118.30 |
$7,118.30 |
$21,553.12 |
$16,782.48
|
|
Feno poc
|
$4.55 |
$4.55 |
$164.46 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$0.59 |
$0.59 |
$143.68 |
$101.40
|
|
Fern test
|
$33.70 |
$33.70 |
$33.70 |
$35.14
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,590.25 |
$2,590.25 |
$2,590.25 |
$2,590.25
|
|
Ferritin
|
$45.85 |
$45.85 |
$117.28 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$56.05 |
$56.05 |
$2,102.74 |
$1,636.50
|
|
Ferumoxytol, esrd use
|
$56.05 |
$56.05 |
$56.05 |
$0.50
|
|
Fetal aneuploidy trisom risk
|
$540.00 |
$540.00 |
$540.00 |
$1,077.00
|
|
Fetal biophys profile w/nst 76818
|
$541.74 |
$541.74 |
$541.74 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$810.00 |
$810.00 |
$810.00 |
$1,195.80
|
|
Fetal contract stress test 59020 - 26
|
$717.65 |
$717.65 |
$829.50 |
$477.50
|
|
Fetal cord puncture prenatal
|
$794.34 |
$794.34 |
$794.34 |
$714.56
|
|
Fetal fibronectin
|
$301.00 |
$301.00 |
$554.10 |
$389.95
|
|
Fetal fluid drainage w/us
|
$576.78 |
$576.78 |
$576.78 |
$606.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$33.43 |
$33.43 |
$122.61 |
$101.40
|
|
Fetal hemoglobin rosette
|
$104.08 |
$104.08 |
$106.05 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$61.02 |
$61.02 |
$61.02 |
$67.00
|
|
Fetal monitor/interpret only
|
$281.39 |
$281.39 |
$281.39 |
$102.40
|
|
Fetal monitor w/report
|
$509.03 |
$509.03 |
$509.03 |
$295.50
|
|
Fetal non stress test
|
$223.48 |
$223.48 |
$567.54 |
$478.50
|
|
Fetal scalp blood sampling 59030
|
$584.47 |
$584.47 |
$584.47 |
$359.97
|
|
#_fet/norfentcnfrmur
|
$3.68 |
$3.68 |
$247.50 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$88.90 |
$88.90 |
$125.73 |
$120.25
|
|
Fibrin degradation products
|
$49.70 |
$49.70 |
$100.32 |
$75.00
|
|
Fibrin degrade semiquant
|
$104.32 |
$104.32 |
$104.32 |
$82.74
|
