|
Exome sequence analysis
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$5,258.00
|
|
Exome sequence analysis
|
$587.08 |
$587.08 |
$587.08 |
$12,000.00
|
|
Ex palate/uvula lesion without closure 42104
|
$2,473.34 |
$2,473.34 |
$2,473.34 |
$3,837.72
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$10,615.08 |
$10,615.08 |
$10,615.08 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$10,400.94 |
$10,400.94 |
$10,400.94 |
$4,101.67
|
|
Exploration for testis
|
$3,919.49 |
$3,919.49 |
$3,919.49 |
$4,156.03
|
|
Exploration for testis
|
$2,738.14 |
$2,738.14 |
$2,738.14 |
$3,468.80
|
|
Exploration maxillary sinus
|
$5,595.69 |
$5,595.69 |
$5,595.69 |
$5,855.00
|
|
Exploration maxillary sinus
|
$2,931.88 |
$2,931.88 |
$2,931.88 |
$4,362.99
|
|
Exploration of ankle joint
|
$3,931.12 |
$3,931.12 |
$3,931.12 |
$3,931.12
|
|
Exploration of foot joint
|
$3,832.27 |
$3,832.27 |
$3,832.27 |
$3,832.27
|
|
Exploration of foot joint
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$3,786.00
|
|
Exploration of frontal sinus
|
$4,555.73 |
$4,555.73 |
$4,555.73 |
$4,555.73
|
|
Exploration of frontal sinus
|
$5,324.42 |
$5,324.42 |
$5,324.42 |
$6,553.49
|
|
Exploration of knee joint
|
$6,245.69 |
$6,245.69 |
$6,245.69 |
$4,192.86
|
|
Exploration of middle ear
|
$5,295.17 |
$5,295.17 |
$5,295.17 |
$3,837.72
|
|
Exploration of toe joint
|
$3,616.06 |
$3,616.06 |
$3,616.06 |
$2,211.05
|
|
Explore/biopsy eye socket
|
$4,433.76 |
$4,433.76 |
$4,433.76 |
$4,870.40
|
|
Explore/biopsy eye socket
|
$6,340.24 |
$6,340.24 |
$6,340.24 |
$6,340.24
|
|
Explore deep node(s) neck
|
$6,224.40 |
$6,224.40 |
$6,224.40 |
$6,376.26
|
|
Explore/drain eye socket
|
$4,364.94 |
$4,364.94 |
$4,364.94 |
$3,269.14
|
|
Explore epididymis
|
$3,159.40 |
$3,159.40 |
$3,159.40 |
$4,081.37
|
|
Explore inner ear
|
$6,473.38 |
$6,473.38 |
$6,473.38 |
$6,553.49
|
|
Explore inner ear
|
$7,907.61 |
$7,907.61 |
$7,907.61 |
$7,000.36
|
|
Explore/irrigate tear ducts
|
$547.55 |
$547.55 |
$547.55 |
$545.30
|
|
Explore limb vessels 35860
|
$4,508.77 |
$4,508.77 |
$4,508.77 |
$4,341.66
|
|
Explore parathyroid glands
|
$8,641.76 |
$8,641.76 |
$8,641.76 |
$7,000.36
|
|
Explore penetrating wnd/extremity 20103
|
$730.89 |
$730.89 |
$2,014.54 |
$1,788.80
|
|
Explore/repair chest 32110
|
$3,313.01 |
$3,313.01 |
$3,313.01 |
$3,698.00
|
|
Explore scrotum
|
$4,403.54 |
$4,403.54 |
$4,403.54 |
$3,863.60
|
|
Explore/treat ankle joint
|
$4,351.84 |
$4,351.84 |
$4,351.84 |
$3,839.54
|
|
Explore/treat eye socket
|
$3,717.32 |
$3,717.32 |
$3,717.32 |
$3,320.43
|
|
Explore/treat eye socket
|
$5,809.13 |
$5,809.13 |
$5,809.13 |
$5,809.13
|
|
Explore/treat eye socket 67413
|
$3,995.76 |
$3,995.76 |
$3,995.76 |
$4,500.80
|
|
Explore/treat finger joint
|
$3,046.68 |
$3,046.68 |
$3,046.68 |
$3,839.54
|
|
Explore/treat finger joint
|
$2,706.42 |
$2,706.42 |
$2,706.42 |
$2,480.83
|
|
Explore/treat knee joint
|
$5,221.69 |
$5,221.69 |
$5,221.69 |
$4,386.51
|
|
Explore/treat wrist joint
|
$3,123.40 |
$3,123.40 |
$3,123.40 |
$4,499.12
|
|
Explore wound abdomen 20102
|
$3,076.33 |
$3,076.33 |
$3,076.33 |
$2,784.80
|
|
Explore woundchest 20101
|
$2,179.44 |
$2,179.44 |
$2,179.44 |
$2,227.68
|
|
Explore wound neck 20100
|
$1,334.50 |
$1,334.50 |
$1,334.50 |
$1,185.00
|
|
Explor not followed by surg repair artery; up extrem 35702
|
$6,036.66 |
$6,036.66 |
$6,036.66 |
$1,122.00
|
|
Explr/decompress eye socket
|
$5,965.71 |
$5,965.71 |
$5,965.71 |
$5,965.71
|
|
Explr/decompress eye socket
|
$4,955.69 |
$4,955.69 |
$4,955.69 |
$5,419.00
|
|
Expose endoprosth brachial 34834
|
$8,738.33 |
$8,738.33 |
$8,738.33 |
$1,888.20
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$4,244.63 |
$4,244.63 |
$4,244.63 |
$3,623.43
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$2,122.74 |
$2,122.74 |
$2,122.74 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$3,339.18 |
$3,339.18 |
$3,339.18 |
$2,896.40
|
|
Ext ecg>48hr<7d scan a/r
|
$108.09 |
$108.09 |
$480.62 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$98.28 |
$98.28 |
$480.62 |
$345.60
|
|
Extended culture of oocytes
|
$545.24 |
$545.24 |
$545.24 |
$904.19
|
|
Extended visual field xm
|
$286.50 |
$286.50 |
$286.50 |
$162.75
|
|
Extensive ear canal surgery 69150
|
$5,395.75 |
$5,395.75 |
$5,395.75 |
$5,395.75
|
|
Extensive mastoid surgery
|
$8,521.48 |
$8,521.48 |
$8,521.48 |
$7,000.36
|
|
Extensive surgery of throat
|
$7,021.85 |
$7,021.85 |
$7,021.85 |
$7,000.36
|
|
Extensive surgery of throat
|
$5,153.07 |
$5,153.07 |
$5,153.07 |
$6,547.81
|
|
Extensive testis surgery
|
$4,478.01 |
$4,478.01 |
$4,478.01 |
$4,081.37
|
|
External cannula declotting
|
$1,471.82 |
$1,471.82 |
$1,471.82 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$250.29 |
$250.29 |
$632.62 |
$415.01
|
|
External newborn metabolic screening panel
|
$59.29 |
$59.29 |
$59.29 |
$109.76
|
|
External ocular photography
|
$201.26 |
$201.26 |
$201.26 |
$86.03
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$79.29 |
$79.29 |
$79.29 |
$63.70
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$504.19 |
$504.19 |
$504.19 |
$4,388.25
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$222.12 |
$222.12 |
$1,465.10 |
$457.07
|
|
Extnd color vision xm
|
$215.51 |
$215.51 |
$215.51 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$57.87 |
$57.87 |
$200.75 |
$109.00
|
|
Extraction of lens
|
$3,791.29 |
$3,791.29 |
$3,791.29 |
$4,452.74
|
|
Extraction of lens
|
$2,388.93 |
$2,388.93 |
$2,388.93 |
$2,698.92
|
|
Extraction of lens 66920
|
$3,197.48 |
$3,197.48 |
$3,197.48 |
$3,737.60
|
|
Extrnl counterpulse, per tx
|
$297.63 |
$297.63 |
$297.63 |
$431.60
|
|
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 photodynamic ther add-on
|
$746.59 |
$746.59 |
$746.59 |
$821.60
|
|
Eye Socket (Orbit) X-ray
|
$156.87 |
$156.87 |
$349.15 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$845.10 |
$845.10 |
$1,563.46 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$615.78 |
$615.78 |
$1,543.83 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$555.93 |
$555.93 |
$1,466.86 |
$1,320.00
|
|
Eye surgery follow-up add-on
|
$1,914.01 |
$1,914.01 |
$1,914.01 |
$4,670.40
|
|
Eye suture during surgery
|
$1,748.73 |
$1,748.73 |
$1,748.73 |
$1,612.80
|
|
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
|
|
F9 full gene sequence
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$1,200.00
|
|
Face bone graft
|
$6,700.98 |
$6,700.98 |
$6,700.98 |
$6,700.98
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$1,460.43 |
$1,460.43 |
$3,345.40 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$888.66 |
$888.66 |
$2,347.34 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$107.28 |
$107.28 |
$241.75 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$139.23 |
$139.23 |
$392.26 |
$381.75
|
|
Facial nerve function test
|
$180.01 |
$180.01 |
$180.01 |
$368.50
|
|
Factor ix
|
$267.03 |
$267.03 |
$267.03 |
$162.50
|
|
Factor ix complex
|
$22.13 |
$22.13 |
$22.13 |
$4.68
|
|
Factor ix recombinant nos
|
$2.25 |
$2.25 |
$22.92 |
$4.65
|
|
Factor viii
|
$122.13 |
$122.13 |
$813.60 |
$148.00
|
|
Factor viii
|
$21.98 |
$21.98 |
$21.98 |
$4.85
|
|
Factor viii recombinant nos
|
$2.70 |
$2.70 |
$23.64 |
$5.20
|
|
Factor viii recomb novoeight
|
$24.58 |
$24.58 |
$24.58 |
$7.21
|
|
Fallopian tube recnl
|
$797.76 |
$797.76 |
$2,566.09 |
$3,740.75
|
|
Family therapy without pt 50min 90846
|
$245.24 |
$245.24 |
$245.24 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$230.36 |
$230.36 |
$230.36 |
$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 |
$5,085.07 |
$5,085.07 |
$5,894.50
|
