|
Exploration of chest 39010
|
$5,702.20 |
$5,702.20 |
$5,702.20 |
$1,920.00
|
|
Explore penetrating wnd/extremity 20103
|
$624.75 |
$624.75 |
$624.75 |
$1,917.33
|
|
Explore wound abdomen 20102
|
$1,014.30 |
$1,014.30 |
$1,014.30 |
$2,837.09
|
|
Explore woundchest 20101
|
$1,014.30 |
$1,014.30 |
$1,014.30 |
$2,179.44
|
|
Explor not followed by surg repair artery; low extrem 35703
|
$7,783.65 |
$7,783.65 |
$7,783.65 |
$2,559.50
|
|
Explor not followed by surg repair artery; up extrem 35702
|
$7,783.65 |
$7,783.65 |
$7,783.65 |
$1,851.20
|
|
Expose art endoprosth iliac 34820
|
$238.35 |
$238.35 |
$238.35 |
$1,820.00
|
|
Expose endoprosth brachial 34834
|
$306.25 |
$306.25 |
$306.25 |
$1,807.40
|
|
External chromosome analysis 20-25 cells
|
$321.30 |
$321.30 |
$880.52 |
$389.35
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$37.45 |
$37.45 |
$760.82 |
$61.32
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$13,425.93 |
$13,425.93 |
$13,425.93 |
$4,260.30
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$647.15 |
$647.15 |
$647.15 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$159.60 |
$159.60 |
$159.60 |
$102.78
|
|
Eye implant band 40
|
$9,738.75 |
$9,738.75 |
$9,738.75 |
$125.00
|
|
F-18 fdg pet diag
|
$479.15 |
$479.15 |
$3,681.20 |
$602.25
|
|
F-18 florbetapir less than or equal to 10 mci
|
$4,073.83 |
$4,073.83 |
$4,073.83 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$1,042.30 |
$1,042.30 |
$1,042.30 |
$1,307.52
|
|
F-18 sodium fluoride
|
$254.10 |
$254.10 |
$254.10 |
$564.20
|
|
Facial bones <3
|
$112.35 |
$112.35 |
$112.35 |
$248.60
|
|
Factor ix
|
$71.75 |
$71.75 |
$1,564.90 |
$131.30
|
|
Factor ix alprolix recomb
|
$131.30 |
$131.30 |
$131.30 |
$3.59
|
|
Factor ix complex
|
$126.36 |
$126.36 |
$126.36 |
$3.23
|
|
Factor ix recombinant nos
|
$2,644.25 |
$2,644.25 |
$2,644.25 |
$3.04
|
|
Factor viii
|
$226.10 |
$226.10 |
$1,813.37 |
$144.30
|
|
Factor viii recombinant nos
|
$5,557.21 |
$5,557.21 |
$5,557.21 |
$4.68
|
|
Factor viii recomb novoeight
|
$3,643.48 |
$3,643.48 |
$3,643.48 |
$1.38
|
|
Factor xiii anti-hem factor
|
$146.89 |
$146.89 |
$146.89 |
$10.78
|
|
Fallopian tube recnl
|
$2,814.70 |
$2,814.70 |
$2,814.70 |
$3,624.75
|
|
Family therapy with patient 50 min 90847
|
$99.19 |
$99.19 |
$99.19 |
$239.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$7,077.64 |
$7,077.64 |
$7,077.64 |
$7,077.64
|
|
Fat/lipids feces qualitative
|
$421.37 |
$421.37 |
$421.37 |
$34.56
|
|
Fatty acids nonesterified
|
$180.18 |
$180.18 |
$180.18 |
$57.60
|
|
Fda ide #g240020 carry bag
|
$1,696.10 |
$1,696.10 |
$1,696.10 |
$933.57
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$22,811.39 |
$22,811.39 |
$22,811.39 |
$63.30
|
|
#fecal-sodium
|
$25.20 |
$25.20 |
$494.03 |
$37.50
|
|
Femoral endovas graft add-on 34813
|
$390.60 |
$390.60 |
$57,157.91 |
$1,304.00
|
|
Fem/popl revasc w/stent
|
$13,989.15 |
$13,989.15 |
$13,989.15 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$171.92 |
$171.92 |
$171.92 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,329.31 |
$1,329.31 |
$1,329.31 |
$2,027.60
|
|
Ferritin
|
$103.95 |
$103.95 |
$2,971.34 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$241.59 |
$241.59 |
$241.59 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$492.45 |
$492.45 |
$492.45 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$587.30 |
$587.30 |
$587.30 |
$540.54
|
|
Fetal fibronectin
|
$395.85 |
$395.85 |
$395.85 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$70.70 |
$70.70 |
$1,685.14 |
$88.80
|
|
Fetal hemoglobin rosette
|
$166.60 |
$166.60 |
$2,040.48 |
$76.70
|
|
Fetal non stress test
|
$481.25 |
$481.25 |
$1,148.19 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$2,054.25 |
$2,054.25 |
$2,054.25 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$175.00 |
$175.00 |
$175.00 |
$112.80
|
|
Fibrin degrade semiquant
|
$203.70 |
$203.70 |
$203.70 |
$92.00
|
|
Fibrinogen activity
|
$172.20 |
$172.20 |
$172.20 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$3,374.64 |
$3,374.64 |
$3,374.64 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$1,285.93 |
$1,285.93 |
$1,285.93 |
$56.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$23.80 |
$23.80 |
$47.44 |
$59.89
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$204.29 |
$204.29 |
$204.29 |
$460.87
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$777.91 |
$777.91 |
$777.91 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$469.69 |
$469.69 |
$469.69 |
$973.70
|
|
Filter spider fx 3mmx320cm
|
$25,590.50 |
$25,590.50 |
$25,590.50 |
$6,152.59
|
|
Filter vena cava fem denali
|
$8,197.79 |
$8,197.79 |
$8,197.79 |
$3,467.25
|
|
Finasteride, 5 mg
|
$123.27 |
$123.27 |
$123.27 |
$4.87
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$988.40 |
$988.40 |
$988.40 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$494.20 |
$494.20 |
$494.20 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,116.50 |
$1,116.50 |
$1,116.50 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$219.80 |
$219.80 |
$219.80 |
$547.53
|
|
Fix g/colon tube w/device
|
$679.35 |
$679.35 |
$679.35 |
$1,236.90
|
|
Fl exam g/colon tube w contrast
|
$220.85 |
$220.85 |
$641.62 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$723.80 |
$723.80 |
$723.80 |
$1,284.13
|
|
Florbetaben f18 diagnostic
|
$2,454.20 |
$2,454.20 |
$2,454.20 |
$1,273.76
|
|
Flow cytometry marker each additional
|
$151.55 |
$151.55 |
$151.55 |
$103.00
|
|
Flow cytometry one marker technical component
|
$493.15 |
$493.15 |
$493.15 |
$270.75
|
|
Floxuridine injection
|
$413.09 |
$413.09 |
$413.09 |
$774.69
|
|
Flt3 gene
|
$175.00 |
$175.00 |
$175.00 |
$352.95
|
|
Flt3 gene analysis
|
$135.45 |
$135.45 |
$135.45 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$459.69 |
$459.69 |
$459.69 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$391.91 |
$391.91 |
$871.39 |
$601.96
|
|
Fluorescent antibody titer dna
|
$88.90 |
$88.90 |
$88.90 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$803.95 |
$803.95 |
$803.95 |
$507.00
|
|
Fluoroguide needle placement
|
$2,696.75 |
$2,696.75 |
$2,696.75 |
$536.26
|
|
Fluoro polarize fetal lung
|
$77.00 |
$77.00 |
$77.00 |
$62.81
|
|
Fluoroscopy up to 1 hour
|
$573.30 |
$573.30 |
$573.30 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$67.24 |
$67.24 |
$191.51 |
$107.46
|
|
Flutemetamol f18 diagnostic
|
$2,892.40 |
$2,892.40 |
$2,892.40 |
$2,892.40
|
|
Fmri brain by phys/psych
|
$753.55 |
$753.55 |
$753.55 |
$1,112.67
|
|
Fmri brain by tech
|
$992.95 |
$992.95 |
$992.95 |
$1,486.75
|
|
Fna bx w/ct gdn 1st les
|
$1,427.65 |
$1,427.65 |
$1,427.65 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$494.20 |
$494.20 |
$494.20 |
$775.14
|
|
Fna bx w/mr gdn 1st les
|
$494.20 |
$494.20 |
$494.20 |
$973.71
|
|
Fna bx w/mr gdn ea addl
|
$494.20 |
$494.20 |
$494.20 |
$612.30
|
|
Folic acid
|
$67.55 |
$67.55 |
$3,204.60 |
$90.60
|
|
Follow-up angiography
|
$1,670.20 |
$1,670.20 |
$4,204.55 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$3,178.98 |
$3,178.98 |
$3,178.98 |
$2,860.43
|
|
Fondaparinux sodium
|
$203.77 |
$203.77 |
$203.77 |
$176.81
|
|
Foot X-ray
|
$513.80 |
$513.80 |
$513.80 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$237.65 |
$237.65 |
$237.65 |
$595.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$470.29 |
$470.29 |
$1,804.41 |
$470.29
|
|
Foscarnet sodium injection
|
$452.69 |
$452.69 |
$452.69 |
$970.94
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$76.77 |
$76.77 |
$76.77 |
$107.31
|
|
Fracture assessment via dxa
|
$108.85 |
$108.85 |
$108.85 |
$146.80
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$162.75 |
$162.75 |
$405.28 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$164.30 |
$164.30 |
$164.30 |
$123.90
|