|
Evaluation of speech fluency 92521
|
$356.85 |
$356.85 |
$356.85 |
$311.50
|
|
Evasc rpr a-ao ndgft 34701
|
$11,756.40 |
$11,756.40 |
$11,756.40 |
$5,230.40
|
|
Evasc rpr a-unilac ndgft 34703
|
$11,756.40 |
$11,756.40 |
$11,756.40 |
$5,578.73
|
|
Evasc rpr ilio-iliac ndgft
|
$11,756.40 |
$11,756.40 |
$11,756.40 |
$6,931.00
|
|
Evoked potentials upper limbs
|
$812.40 |
$812.40 |
$812.40 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$812.40 |
$812.40 |
$812.40 |
$814.61
|
|
Exc benign tal 0.5 < cm 11400
|
$827.40 |
$827.40 |
$827.40 |
$827.40
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,896.60 |
$1,896.60 |
$1,896.60 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,295.35 |
$3,295.35 |
$3,295.35 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$431.85 |
$431.85 |
$431.85 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$827.40 |
$827.40 |
$827.40 |
$1,247.50
|
|
Exchange biliary drg cath
|
$2,790.30 |
$2,790.30 |
$2,790.30 |
$3,909.56
|
|
Exchange blood transfusion newborn 36450
|
$566.55 |
$566.55 |
$566.55 |
$554.45
|
|
Exchange drainage catheter
|
$2,017.80 |
$2,017.80 |
$2,017.80 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$3,009.45 |
$3,009.45 |
$3,009.45 |
$2,958.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$795.45 |
$795.45 |
$795.45 |
$832.60
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$827.40 |
$827.40 |
$827.40 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,896.60 |
$1,896.60 |
$1,896.60 |
$2,865.00
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$1,813.35 |
$1,813.35 |
$1,813.35 |
$3,386.84
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$60.27 |
$60.27 |
$60.27 |
$2,470.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$5,520.00 |
$5,520.00 |
$5,520.00 |
$4,048.38
|
|
Extension drainage tubing
|
$27.60 |
$27.60 |
$27.60 |
$27.60
|
|
External chromosome analysis 20-25 cells
|
$263.25 |
$263.25 |
$263.25 |
$384.15
|
|
External newborn metabolic screening panel
|
$176.10 |
$176.10 |
$176.10 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$797.10 |
$797.10 |
$797.10 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$169.65 |
$169.65 |
$169.65 |
$108.60
|
|
Facial bones <3
|
$252.60 |
$252.60 |
$252.60 |
$252.60
|
|
Factor ix
|
$91.95 |
$91.95 |
$91.95 |
$156.13
|
|
Factor ix complex
|
$3.70 |
$3.70 |
$3.70 |
$5.91
|
|
Factor ix non-recombinant
|
$4.63 |
$4.63 |
$4.63 |
$4.63
|
|
Factor ix recombinant nos
|
$4.65 |
$4.65 |
$4.65 |
$4.65
|
|
Factor viii
|
$47.97 |
$47.97 |
$47.97 |
$133.81
|
|
Factor viii
|
$4.38 |
$4.38 |
$4.38 |
$5.02
|
|
Factor viii nuwiq recomb 1iu
|
$5.20 |
$5.20 |
$5.20 |
$5.20
|
|
Factor viii recombinant nos
|
$5.20 |
$5.20 |
$5.20 |
$6.56
|
|
Factor viii recomb novoeight
|
$5.91 |
$5.91 |
$5.91 |
$7.39
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$5,349.71 |
$5,349.71 |
$5,349.71 |
$5,800.72
|
|
Fatty acids nonesterified
|
$129.15 |
$129.15 |
$129.15 |
$64.28
|
|
Fecal microbiota prep instil
|
$1,489.50 |
$1,489.50 |
$1,489.50 |
$1,059.00
|
|
#fecal-sodium
|
$108.30 |
$108.30 |
$108.30 |
$37.50
|
|
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 |
$13,263.60 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$101.40 |
$101.40 |
$101.40 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,748.37 |
$2,748.37 |
$2,748.37 |
$2,590.25
|
|
Ferritin
|
$76.65 |
$76.65 |
$76.65 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,363.39 |
$2,363.39 |
$2,363.39 |
$1,776.61
|
|
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 |
$381.75 |
$535.37
|
|
Fetal contract stress test 59020 - 26
|
$441.90 |
$441.90 |
$441.90 |
$475.50
|
|
Fetal fibronectin
|
$547.65 |
$547.65 |
$547.65 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$335.40 |
$335.40 |
$335.40 |
$105.12
|
|
Fetal hemoglobin rosette
|
$102.00 |
$102.00 |
$102.00 |
$67.20
|
|
Fetal non stress test
|
$337.50 |
$337.50 |
$337.50 |
$463.03
|
|
Fibrin degradation d dimer quantitative
|
$407.55 |
$407.55 |
$407.55 |
$117.70
|
|
Fibrin degradation products
|
$98.73 |
$98.73 |
$98.73 |
$62.64
|
|
Fibrinogen activity
|
$246.00 |
$246.00 |
$246.00 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$59.10 |
$59.10 |
$59.10 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$84.03 |
$84.03 |
$84.03 |
$72.80
|
|
Fibrinolytic plasminogen
|
$156.15 |
$156.15 |
$156.15 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$48.90 |
$48.90 |
$48.90 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$756.87 |
$756.87 |
$756.87 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,052.24 |
$1,052.24 |
$1,052.24 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$869.18 |
$869.18 |
$869.18 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$9,600.00 |
$9,600.00 |
$9,600.00 |
$7,160.28
|
|
Filter vena cava fem denali
|
$6,359.98 |
$6,359.98 |
$6,359.98 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$390.00 |
$390.00 |
$390.00 |
$823.90
|
|
Fix g/colon tube w/device
|
$710.40 |
$710.40 |
$710.40 |
$1,183.00
|
|
Fl exam g/colon tube w contrast
|
$298.80 |
$298.80 |
$298.80 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$1,094.55 |
$1,094.55 |
$1,094.55 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$17.66 |
$17.66 |
$17.66 |
$187.60
|
|
Flotufolastat f18 diag 1 mci
|
$7,377.60 |
$7,377.60 |
$7,377.60 |
$2,324.00
|
|
Flow cytometry marker each additional
|
$270.00 |
$270.00 |
$270.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$285.00 |
$285.00 |
$285.00 |
$284.40
|
|
Floxuridine injection
|
$7,208.41 |
$7,208.41 |
$7,208.41 |
$5,929.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$57.00 |
$57.00 |
$57.00 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$237.60 |
$237.60 |
$237.60 |
$493.35
|
|
Fluidotherapy charges pt
|
$115.20 |
$115.20 |
$115.20 |
$91.00
|
|
Fluocinolone acetonide implt
|
$37,669.50 |
$37,669.50 |
$37,669.50 |
$30,686.32
|
|
Fluorescent antibody titer dna
|
$513.45 |
$513.45 |
$513.45 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$535.80 |
$535.80 |
$535.80 |
$496.03
|
|
Fluoroguide needle placement
|
$425.40 |
$425.40 |
$425.40 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$417.15 |
$417.15 |
$417.15 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$73.92 |
$73.92 |
$73.92 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$33.48 |
$33.48 |
$33.48 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$526.50 |
$526.50 |
$526.50 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$390.00 |
$390.00 |
$390.00 |
$833.25
|
|
Foam drg >16<=48 sq in w/bdr
|
$318.48 |
$318.48 |
$318.48 |
$62.09
|
|
Foam drg >16<=48 sq in without b
|
$118.55 |
$118.55 |
$118.55 |
$41.14
|
|
Foam drg <=16 sq in w/border
|
$112.25 |
$112.25 |
$112.25 |
$16.37
|
|
Foam drg > 48 sq in w/border
|
$23.63 |
$23.63 |
$23.63 |
$23.63
|
|
Foam drg > 48 sq in without brdr
|
$144.75 |
$144.75 |
$144.75 |
$33.49
|
|
Foam drsg <=16 sq in without bdr
|
$59.76 |
$59.76 |
$59.76 |
$21.74
|
|
Folic acid
|
$128.10 |
$128.10 |
$128.10 |
$101.50
|
|
Follow-up angiography
|
$2,416.65 |
$2,416.65 |
$2,416.65 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,033.07 |
$2,033.07 |
$2,033.07 |
$2,581.14
|
|
Fondaparinux sodium
|
$244.44 |
$244.44 |
$244.44 |
$185.12
|
|
Foot arch supp premold metat
|
$12.89 |
$12.89 |
$12.89 |
$70.22
|
|
Foot drp splt w/exp heel lg
|
$161.23 |
$161.23 |
$161.23 |
$143.87
|
|
Foot lamin/prepreg composite
|
$246.40 |
$246.40 |
$246.40 |
$289.76
|
|
Foot longitudinal arch suppo
|
$366.96 |
$366.96 |
$366.96 |
$295.47
|
