|
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 |
$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 |
$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
|
|
Exploration of knee joint
|
$2,593.50 |
$2,593.50 |
$2,593.50 |
$4,192.86
|
|
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 |
$1,422.60 |
$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
|
|
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 |
$450.00 |
$558.82 |
$415.01
|
|
External newborn metabolic screening panel
|
$83.43 |
$83.43 |
$176.10 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$124.80 |
$797.10 |
$1,465.10 |
$457.07
|
|
Extnd color vision xm
|
$105.04 |
$105.04 |
$105.04 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$169.65 |
$206.70 |
$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 |
$328.35 |
$328.35 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,563.46 |
$2,264.55 |
$2,264.55 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,543.83 |
$2,046.60 |
$2,046.60 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,678.86 |
$2,046.60 |
$2,046.60 |
$1,320.00
|
|
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)
|
$3,482.70 |
$3,482.70 |
$3,691.51 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,551.50 |
$2,830.05 |
$2,830.05 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$121.12 |
$252.60 |
$252.60 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$281.80 |
$381.75 |
$381.75 |
$381.75
|
|
Factor ix
|
$251.47 |
$269.55 |
$269.55 |
$162.50
|
|
Factor ix complex
|
$3.70 |
$3.70 |
$22.13 |
$4.68
|
|
Factor ix non-recombinant
|
$4.63 |
$4.63 |
$4.63 |
$4.63
|
|
Factor ix recombinant nos
|
$4.65 |
$4.65 |
$22.92 |
$4.65
|
|
Factor viii
|
$252.75 |
$252.75 |
$813.60 |
$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 |
$5.20 |
$23.64 |
$5.20
|
|
Factor viii recomb novoeight
|
$5.91 |
$5.91 |
$24.58 |
$7.21
|
|
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
|
$20.16 |
$20.16 |
$20.16 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$5,085.07 |
$5,349.71 |
$5,349.71 |
$5,894.50
|
|
Fancc gene
|
$378.11 |
$378.11 |
$378.11 |
$140.00
|
|
Fat/lipids feces qualitative
|
$52.20 |
$52.20 |
$62.05 |
$36.00
|
|
Fatty acids nonesterified
|
$129.15 |
$129.15 |
$208.04 |
$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 |
$897.47 |
$897.47 |
$1,009.14
|
|
#fecal-sodium
|
$42.21 |
$108.30 |
$108.30 |
$37.53
|
|
Feeding tube reposition
|
$235.70 |
$235.70 |
$235.70 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$433.44 |
$433.44 |
$433.44 |
$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 |
$13,263.60 |
$25,228.15 |
$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 |
$101.40 |
$143.68 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,590.25 |
$2,748.37 |
$2,748.37 |
$2,590.25
|
|
Ferritin
|
$76.65 |
$76.65 |
$149.69 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,102.74 |
$2,363.39 |
$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 |
$381.75 |
$541.74 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$870.00 |
$870.00 |
$1,231.20 |
$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 |
$547.65 |
$547.65 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$166.89 |
$335.40 |
$335.40 |
$102.00
|
|
Fetal hemoglobin rosette
|
$99.86 |
$102.00 |
$102.00 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$70.18 |
$70.18 |
$70.18 |
$67.00
|
|
Fetal non stress test
|
$337.50 |
$337.50 |
$557.85 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$247.50 |
$247.50 |
$247.50 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$148.97 |
$407.55 |
$407.55 |
$120.64
|
|
Fibrin degradation products
|
$112.15 |
$112.15 |
$279.90 |
$75.02
|
|
Fibrin degradj d-dimer
|
$334.60 |
$334.60 |
$334.60 |
$111.30
|
|
Fibrinogen activity
|
$147.36 |
$246.00 |
$246.00 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$59.10 |
$64.05 |
$396.08 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$84.03 |
$84.03 |
$130.90 |
$72.80
|
|
Fibrinolytic plasminogen
|
$156.15 |
$156.15 |
$263.93 |
$107.50
|
|
Fibrinolytic plasminogen
|
$382.17 |
$382.17 |
$382.17 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$48.90 |
$48.90 |
$163.27 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$756.87 |
$756.87 |
$962.88 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$919.19 |
$1,052.24 |
$1,052.24 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$869.18 |
$869.18 |
$1,202.05 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$9,600.00 |
$9,600.00 |
$11,135.12 |
$7,358.16
|
|
Filter vena cava fem denali
|
$3,416.00 |
$6,359.98 |
$6,359.98 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,081.52 |
$1,081.52 |
$1,608.15 |
$1,081.52
|
