|
Exc mal+marg tal 2.1-3 cm 11603
|
$827.40 |
$827.40 |
$827.40 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$795.45 |
$795.45 |
$795.45 |
$1,294.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$1,813.35 |
$1,813.35 |
$1,813.35 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$3,122.93 |
$3,122.93 |
$3,122.93 |
$3,839.54
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$5,239.80 |
$5,239.80 |
$5,239.80 |
$4,529.20
|
|
Exc thrombosed hemorrhoid 46320
|
$1,915.20 |
$1,915.20 |
$2,985.99 |
$2,175.36
|
|
Exercise tst brncspsm w/ecg
|
$324.00 |
$324.00 |
$469.15 |
$335.52
|
|
Exercise tst brncspsm wo ecg
|
$80.36 |
$80.36 |
$80.36 |
$129.92
|
|
Exercise w/hemodynamic meas
|
$2,285.01 |
$2,285.01 |
$5,101.44 |
$901.60
|
|
Exome sequence analysis
|
$1,599.60 |
$2,456.50 |
$37,483.51 |
$5,258.00
|
|
Exome sequence analysis
|
$6,600.00 |
$6,600.00 |
$6,600.00 |
$12,000.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$60.27 |
$60.27 |
$10,615.08 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$5,520.00 |
$5,520.00 |
$10,400.94 |
$4,101.67
|
|
Explore penetrating wnd/extremity 20103
|
$1,716.04 |
$1,716.04 |
$1,716.04 |
$1,788.80
|
|
Explore/repair chest 32110
|
$2,792.40 |
$2,792.40 |
$4,553.92 |
$3,698.00
|
|
Explore/treat finger joint
|
$1,422.60 |
$1,422.60 |
$1,947.60 |
$2,480.83
|
|
Explore wound abdomen 20102
|
$1,681.65 |
$1,681.65 |
$2,929.84 |
$2,784.80
|
|
Explore woundchest 20101
|
$2,063.39 |
$2,063.39 |
$2,063.39 |
$2,227.68
|
|
Explore wound neck 20100
|
$812.40 |
$812.40 |
$1,185.00 |
$1,185.00
|
|
Expose art endoprosth iliac 34820
|
$5,370.81 |
$5,370.81 |
$5,370.81 |
$1,812.80
|
|
Expose endoprosth brachial 34834
|
$215.40 |
$215.40 |
$215.40 |
$1,888.20
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$4,662.30 |
$4,662.30 |
$5,309.71 |
$3,623.43
|
|
Ext ecg>48hr<7d scan a/r
|
$131.00 |
$131.00 |
$131.00 |
$241.92
|
|
Extended visual field xm
|
$246.29 |
$246.29 |
$246.29 |
$162.75
|
|
Extension drainage tubing
|
$27.60 |
$27.60 |
$27.60 |
$27.60
|
|
External cannula declotting
|
$1,404.86 |
$1,404.86 |
$1,404.86 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$263.25 |
$288.50 |
$4,705.00 |
$415.01
|
|
External newborn metabolic screening panel
|
$71.00 |
$83.43 |
$670.80 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$169.00 |
$797.10 |
$3,815.96 |
$457.07
|
|
Extnd color vision xm
|
$105.04 |
$105.04 |
$105.04 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$60.50 |
$60.50 |
$532.50 |
$109.00
|
|
Extraction erupted tooth/exr
|
$454.74 |
$454.74 |
$454.74 |
$1,666.43
|
|
Extraction of lens
|
$2,523.23 |
$2,523.23 |
$2,523.23 |
$2,698.92
|
|
Eye allergy tests
|
$129.56 |
$129.56 |
$129.56 |
$142.80
|
|
Eye implant band 40
|
$32,989.33 |
$32,989.33 |
$32,989.33 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$155.33 |
$442.00 |
$1,395.11 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,563.46 |
$2,316.50 |
$4,576.33 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,543.83 |
$2,049.50 |
$4,462.31 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,678.86 |
$1,782.00 |
$4,147.15 |
$1,320.00
|
|
F-18 fdg pet diag
|
$427.05 |
$427.05 |
$6,479.41 |
$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
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,717.50 |
$3,482.70 |
$6,934.19 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,091.00 |
$2,551.50 |
$6,457.70 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$121.12 |
$353.00 |
$1,059.90 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$281.80 |
$426.06 |
$1,075.86 |
$381.75
|
|
Factor ix
|
$30.00 |
$251.47 |
$663.16 |
$162.50
|
|
Factor ix complex
|
$3.70 |
$22.13 |
$1,575.00 |
$4.68
|
|
Factor ix non-recombinant
|
$4.63 |
$4.63 |
$4.63 |
$4.63
|
|
Factor ix recombinant nos
|
$4.65 |
$22.92 |
$5,178.62 |
$4.65
|
|
Factor viii
|
$34.00 |
$252.75 |
$1,021.35 |
$148.00
|
|
Factor viii
|
$4.38 |
$4.38 |
$21.98 |
$4.85
|
|
Factor viii nuwiq recomb 1iu
|
$5.20 |
$5.20 |
$5.20 |
$5.20
|
|
Factor viii recombinant nos
|
$5.20 |
$23.64 |
$2,469.62 |
$5.20
|
|
Factor viii recomb novoeight
|
$5.91 |
$5.91 |
$24.58 |
$7.21
|
|
Fallopian tube recnl
|
$3,328.80 |
$3,328.80 |
$3,328.80 |
$3,740.75
|
|
Family therapy without pt 50min 90846
|
$377.25 |
$377.25 |
$377.25 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$181.20 |
$181.20 |
$407.55 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$4.92 |
$4.92 |
$20.16 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$4,134.50 |
$5,085.07 |
$5,349.71 |
$5,894.50
|
|
Fancc gene
|
$33.50 |
$33.50 |
$3,206.06 |
$140.00
|
|
Fat/lipids feces qualitative
|
$9.00 |
$44.60 |
$598.61 |
$36.00
|
|
Fatty acids nonesterified
|
$39.50 |
$129.15 |
$784.17 |
$72.15
|
|
Fda ide #g240020 carry bag
|
$1,461.90 |
$1,461.90 |
$1,461.90 |
$903.05
|
|
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
|
$897.47 |
$2,182.00 |
$2,182.00 |
$1,009.14
|
|
#fecal-sodium
|
$9.50 |
$9.50 |
$108.30 |
$37.53
|
|
Feeding tube reposition
|
$235.70 |
$945.00 |
$1,800.55 |
$520.00
|
|
Fees w/laryngeal sense test
|
$432.00 |
$432.00 |
$432.00 |
$471.00
|
|
Felbamate (felbatol(r)) - sendout
|
$14.50 |
$433.44 |
$1,331.14 |
$66.43
|
|
Femoral endovas graft add-on 34813
|
$215.50 |
$215.50 |
$4,198.81 |
$1,245.40
|
|
Femoral lgth sock fx or equa
|
$126.42 |
$126.42 |
$126.42 |
$126.42
|
|
Fem/popl revasc w/stent
|
$13,263.60 |
$13,263.60 |
$25,228.15 |
$16,129.60
|
|
Feno poc
|
$105.50 |
$105.50 |
$153.50 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$4.00 |
$13.00 |
$143.68 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,590.25 |
$2,590.25 |
$2,748.37 |
$2,590.25
|
|
Ferritin
|
$76.65 |
$182.00 |
$1,356.97 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,678.62 |
$2,102.74 |
$2,363.39 |
$1,636.50
|
|
Ferumoxytol, esrd use
|
$1,678.62 |
$1,678.62 |
$1,678.62 |
$0.50
|
|
Fetal aneuploidy trisom risk
|
$698.50 |
$698.50 |
$1,077.00 |
$1,077.00
|
|
Fetal biophys profile w/nst 76818
|
$381.75 |
$754.00 |
$1,558.53 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$698.50 |
$698.50 |
$698.50 |
$879.51
|
|
Fetal chrom aneuploidy gsa panel
|
$870.00 |
$1,231.20 |
$4,066.05 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$441.90 |
$441.90 |
$623.30 |
$477.50
|
|
Fetal cord puncture prenatal
|
$271.50 |
$271.50 |
$271.50 |
$751.20
|
|
Fetal fibronectin
|
$521.65 |
$1,187.00 |
$2,126.61 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$124.00 |
$166.89 |
$882.59 |
$102.00
|
|
Fetal hemoglobin rosette
|
$99.86 |
$102.00 |
$246.88 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$13.50 |
$13.50 |
$70.18 |
$67.00
|
|
Fetal non stress test
|
$337.50 |
$557.85 |
$750.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$57.50 |
$57.50 |
$247.50 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$148.97 |
$235.00 |
$658.31 |
$120.64
|
|
Fibrin degradation products
|
$112.15 |
$147.00 |
$1,529.62 |
$75.02
|
|
Fibrin degrade semiquant
|
$215.41 |
$215.41 |
$658.31 |
$84.50
|
|
Fibrin degradj d-dimer
|
$334.60 |
$334.60 |
$334.60 |
$111.30
|
|
Fibrinogen activity
|
$147.00 |
$147.36 |
$271.07 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$64.05 |
$83.50 |
$396.08 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$30.00 |
$84.03 |
$1,952.35 |
$72.80
|
|
Fibrinolytic plasminogen
|
$40.50 |
$156.15 |
$457.78 |
$107.50
|
|
Fibrinolytic plasminogen
|
$79.36 |
$382.17 |
$2,805.90 |
$103.60
|
