|
Evoked auditory tst complete
|
$374.62 |
$374.62 |
$374.62 |
$357.41
|
|
Evoked oa emissions ltd
|
$234.32 |
$234.32 |
$234.32 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$359.72 |
$359.72 |
$359.72 |
$261.30
|
|
Evoked potentials upper limbs
|
$908.54 |
$908.54 |
$908.54 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,041.27 |
$1,041.27 |
$1,041.27 |
$814.61
|
|
Exam plvc w/anes othr thn lcl
|
$1,069.67 |
$1,069.67 |
$1,069.67 |
$3,816.40
|
|
Exc benign tal 0.5 < cm 11400
|
$827.40 |
$827.40 |
$827.40 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$549.60 |
$549.60 |
$549.60 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,358.40 |
$1,358.40 |
$1,358.40 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$2,061.19 |
$2,061.19 |
$2,061.19 |
$2,069.20
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$449.25 |
$707.65 |
$707.65 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,466.01 |
$1,466.01 |
$1,466.01 |
$1,314.67
|
|
Exchange biliary drg cath
|
$2,790.30 |
$4,278.56 |
$4,278.56 |
$3,856.84
|
|
Exchange blood transfusion newborn 36450
|
$485.65 |
$485.65 |
$566.55 |
$566.55
|
|
Exchange drainage catheter
|
$2,017.80 |
$2,256.80 |
$3,456.63 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$2,628.13 |
$2,628.13 |
$3,009.45 |
$2,958.80
|
|
Excise lip or cheek fold
|
$1,969.57 |
$1,969.57 |
$1,969.57 |
$1,855.10
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$762.65 |
$762.65 |
$795.45 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,663.16 |
$1,663.16 |
$1,663.16 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,896.60 |
$3,858.66 |
$3,858.66 |
$2,865.00
|
|
Excision breast lesion
|
$3,694.96 |
$3,694.96 |
$3,694.96 |
$4,064.45
|
|
Excision of rectal stricture
|
$1,157.12 |
$1,157.12 |
$1,157.12 |
$1,521.00
|
|
Excision olecranon bursa
|
$1,924.65 |
$1,924.65 |
$1,924.65 |
$3,591.33
|
|
Exc malig snhfg 0.5cm or less 11620
|
$984.27 |
$984.27 |
$984.27 |
$1,377.57
|
|
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 |
$2,985.99 |
$2,985.99 |
$2,175.36
|
|
Exercise tst brncspsm w/ecg
|
$324.00 |
$469.15 |
$2,054.29 |
$335.52
|
|
Exercise tst brncspsm wo ecg
|
$80.36 |
$80.36 |
$272.50 |
$129.92
|
|
Exercise w/hemodynamic meas
|
$2,285.01 |
$2,285.01 |
$2,285.01 |
$901.60
|
|
Exome sequence analysis
|
$4,912.50 |
$4,912.50 |
$4,912.50 |
$5,258.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$60.27 |
$10,615.08 |
$10,615.08 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$5,520.00 |
$10,400.94 |
$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
|
$4,553.92 |
$4,553.92 |
$4,553.92 |
$3,698.00
|
|
Explore/treat finger joint
|
$1,422.60 |
$1,947.60 |
$1,947.60 |
$2,480.83
|
|
Explore wound abdomen 20102
|
$1,681.65 |
$2,929.84 |
$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
|
$1,185.00 |
$1,185.00 |
$1,185.00 |
$1,185.00
|
|
Expose art endoprosth iliac 34820
|
$5,370.81 |
$5,370.81 |
$49,666.99 |
$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 |
$5,309.71 |
$5,309.71 |
$3,623.43
|
|
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
|
$450.00 |
$558.82 |
$558.82 |
$415.01
|
|
External newborn metabolic screening panel
|
$83.43 |
$83.43 |
$711.19 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$953.40 |
$1,465.10 |
$2,892.26 |
$457.07
|
|
Extnd color vision xm
|
$105.04 |
$105.04 |
$105.04 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$177.37 |
$532.50 |
$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 |
$155.33 |
$868.07 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,563.46 |
$1,563.46 |
$8,971.80 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,543.83 |
$1,543.83 |
$7,415.17 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,678.86 |
$1,678.86 |
$6,387.01 |
$1,320.00
|
|
F-18 fdg pet diag
|
$5,750.68 |
$5,750.68 |
$5,750.68 |
$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
|
$1,356.78 |
$7,930.80 |
$7,930.80 |
$1,042.30
|
|
F-18 sodium fluoride
|
$6,118.50 |
$6,118.50 |
$6,118.50 |
$492.56
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,482.70 |
$3,691.51 |
$10,349.94 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,551.50 |
$2,551.50 |
$10,262.84 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$121.12 |
$121.12 |
$753.62 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$281.80 |
$281.80 |
$1,250.09 |
$381.75
|
|
Factor ix
|
$251.47 |
$251.47 |
$1,089.75 |
$162.50
|
|
Factor ix complex
|
$3.70 |
$22.13 |
$22.13 |
$4.68
|
|
Factor ix non-recombinant
|
$4.63 |
$4.63 |
$2,553.38 |
$4.63
|
|
Factor ix recombinant nos
|
$4.65 |
$22.92 |
$15,168.60 |
$4.65
|
|
Factor viii
|
$252.75 |
$813.60 |
$1,089.75 |
$148.00
|
|
Factor viii
|
$4.38 |
$21.98 |
$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 |
$23.64 |
$5.20
|
|
Factor viii recomb novoeight
|
$5.91 |
$24.58 |
$11,880.00 |
$7.21
|
|
Family therapy with patient 50 min 90847
|
$181.20 |
$181.20 |
$181.20 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$20.16 |
$20.16 |
$40.80 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$5,085.07 |
$5,085.07 |
$5,349.71 |
$5,894.50
|
|
Fancc gene
|
$378.11 |
$378.11 |
$378.11 |
$140.00
|
|
Fat/lipids feces qualitative
|
$52.20 |
$62.05 |
$369.05 |
$36.00
|
|
Fatty acids nonesterified
|
$20.52 |
$129.15 |
$208.04 |
$72.15
|
|
Fda ide #g240020 carry bag
|
$1,461.90 |
$1,461.90 |
$3,104.00 |
$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 |
$897.47 |
$1,489.50 |
$1,009.14
|
|
#fecal-sodium
|
$42.21 |
$42.21 |
$1,170.53 |
$37.53
|
|
Feeding tube reposition
|
$235.70 |
$235.70 |
$2,405.07 |
$520.00
|
|
Fees w/laryngeal sense test
|
$843.52 |
$843.52 |
$843.52 |
$471.00
|
|
Felbamate (felbatol(r)) - sendout
|
$433.44 |
$433.44 |
$977.28 |
$66.43
|
|
Femoral endovas graft add-on 34813
|
$215.50 |
$215.50 |
$215.50 |
$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 |
$25,228.15 |
$60,885.62 |
$16,129.60
|
|
Feno poc
|
$153.50 |
$153.50 |
$153.50 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$101.40 |
$143.68 |
$143.68 |
$101.40
|
|
Fern test
|
$55.50 |
$55.50 |
$55.50 |
$37.03
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,590.25 |
$2,590.25 |
$2,748.37 |
$2,590.25
|
|
Ferritin
|
$76.65 |
$149.69 |
$654.17 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,102.74 |
$2,102.74 |
$2,363.39 |
$1,636.50
|
|
Fetal aneuploidy trisom risk
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$1,077.00
|
|
Fetal biophys profile w/nst 76818
|
$381.75 |
$541.74 |
$541.74 |
$541.74
|
