|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$222.30 |
$222.30 |
$222.30 |
$1,247.50
|
|
Exchange biliary drg cath
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$3,909.56
|
|
Exchange blood transfusion newborn 36450
|
$119.40 |
$119.40 |
$119.40 |
$554.45
|
|
Exchange drainage catheter
|
$848.10 |
$848.10 |
$848.10 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$516.00 |
$516.00 |
$516.00 |
$2,958.80
|
|
Exc hidradenitis peri/umb int 11470
|
$516.90 |
$516.90 |
$516.90 |
$3,386.84
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$293.70 |
$293.70 |
$293.70 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$202.05 |
$202.05 |
$202.05 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$268.95 |
$268.95 |
$268.95 |
$2,865.00
|
|
Exc malig feenl 1.1-2 11642
|
$294.75 |
$294.75 |
$294.75 |
$1,082.00
|
|
Exc malig tal 0.6-1.0cm 11601
|
$135.60 |
$135.60 |
$135.60 |
$832.60
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$164.10 |
$164.10 |
$164.10 |
$1,131.50
|
|
Exc thrombosed hemorrhoid 46320
|
$674.70 |
$674.70 |
$674.70 |
$2,099.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$613.05 |
$613.05 |
$613.05 |
$1,917.33
|
|
Exercise tst brncspsm w/ecg
|
$60.15 |
$60.15 |
$60.15 |
$318.50
|
|
Explore penetrating wnd/extremity 20103
|
$222.45 |
$222.45 |
$222.45 |
$1,788.80
|
|
External chromosome analysis 20-25 cells
|
$218.25 |
$218.25 |
$218.25 |
$384.15
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$91.65 |
$91.65 |
$91.65 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$221.10 |
$221.10 |
$221.10 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$31.50 |
$31.50 |
$31.50 |
$108.60
|
|
F-18 fdg pet diag
|
$198.45 |
$198.45 |
$198.45 |
$551.72
|
|
F-18 fluciclovine per mci
|
$902.25 |
$902.25 |
$902.25 |
$940.00
|
|
F-18 sodium fluoride
|
$94.80 |
$94.80 |
$94.80 |
$392.60
|
|
F9 full gene sequence
|
$471.45 |
$471.45 |
$471.45 |
$1,200.00
|
|
Facial bones <3
|
$65.85 |
$65.85 |
$65.85 |
$252.60
|
|
Factor ix
|
$33.45 |
$33.45 |
$33.45 |
$156.13
|
|
Factor ix recombinant nos
|
$1,516.80 |
$1,516.80 |
$1,516.80 |
$4.65
|
|
Factor viii
|
$31.50 |
$31.50 |
$31.50 |
$133.81
|
|
Family therapy without pt 50min 90846
|
$76.80 |
$76.80 |
$76.80 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$81.45 |
$81.45 |
$81.45 |
$230.36
|
|
Fat/lipids feces qualitative
|
$9.00 |
$9.00 |
$9.00 |
$38.35
|
|
Fatty acids nonesterified
|
$23.25 |
$23.25 |
$23.25 |
$64.28
|
|
#fecal-sodium
|
$8.70 |
$8.70 |
$8.70 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$24.00 |
$24.00 |
$24.00 |
$65.00
|
|
Fem/popl revasc w/stent
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$61.14 |
$61.14 |
$61.14 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,782.71 |
$2,782.71 |
$2,782.71 |
$2,590.25
|
|
Ferritin
|
$23.85 |
$23.85 |
$23.85 |
$100.94
|
|
Fetal biophys profile w/nst 76818
|
$101.55 |
$101.55 |
$101.55 |
$535.37
|
|
Fetal contract stress test 59020 - 26
|
$215.25 |
$215.25 |
$215.25 |
$475.50
|
|
Fetal fibronectin
|
$112.80 |
$112.80 |
$112.80 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$13.50 |
$13.50 |
$13.50 |
$105.12
|
|
Fetal hemoglobin rosette
|
$11.70 |
$11.70 |
$11.70 |
$67.20
|
|
Fetal non stress test
|
$37.20 |
$37.20 |
$37.20 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$13.35 |
$13.35 |
$13.35 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$17.85 |
$17.85 |
$17.85 |
$117.70
|
|
Fibrin degradation products
|
$12.15 |
$12.15 |
$12.15 |
$62.64
|
|
Fibrinogen activity
|
$15.00 |
$15.00 |
$15.00 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$7.50 |
$7.50 |
$7.50 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$4.35 |
$4.35 |
$4.35 |
$72.80
|
|
Fibrinolytic plasminogen
|
$28.95 |
$28.95 |
$28.95 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$10.80 |
$10.80 |
$10.80 |
$65.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$723.04 |
$723.04 |
$723.04 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$633.12 |
$633.12 |
$633.12 |
$869.18
|
|
Fine needle asp without image guide 10021
|
$136.65 |
$136.65 |
$136.65 |
$503.76
|
|
Fix g/colon tube w/device
|
$280.35 |
$280.35 |
$280.35 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$24.00 |
$24.00 |
$24.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$228.45 |
$228.45 |
$228.45 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$393.75 |
$393.75 |
$393.75 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$61.80 |
$61.80 |
$61.80 |
$97.50
|
|
Flow cytometry one marker technical component
|
$101.10 |
$101.10 |
$101.10 |
$284.40
|
|
Flt3 gene
|
$213.00 |
$213.00 |
$213.00 |
$355.00
|
|
Flt3 gene analysis
|
$106.50 |
$106.50 |
$106.50 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$11.26 |
$11.26 |
$11.26 |
$64.22
|
|
Fluidotherapy charges pt
|
$22.05 |
$22.05 |
$22.05 |
$91.00
|
|
Fluorescent antibody titer dna
|
$21.15 |
$21.15 |
$21.15 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$69.30 |
$69.30 |
$69.30 |
$496.03
|
|
Fluoroguide needle placement
|
$69.30 |
$69.30 |
$69.30 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$69.30 |
$69.30 |
$69.30 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$52.60 |
$52.60 |
$52.60 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$327.04 |
$327.04 |
$327.04 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$747.90 |
$747.90 |
$747.90 |
$1,420.80
|
|
Folic acid
|
$25.80 |
$25.80 |
$25.80 |
$101.50
|
|
Follow-up angiography
|
$492.60 |
$492.60 |
$492.60 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,917.15 |
$1,917.15 |
$1,917.15 |
$2,581.14
|
|
Fondaparinux sodium
|
$137.10 |
$137.10 |
$137.10 |
$185.12
|
|
Fo nontorsion joint cf
|
$96.15 |
$96.15 |
$96.15 |
$217.50
|
|
Foot arch support remov prem
|
$36.75 |
$36.75 |
$36.75 |
$106.20
|
|
Foot insert plastazote or eq
|
$78.15 |
$78.15 |
$78.15 |
$365.48
|
|
Foot longitud/metatarsal sup
|
$65.70 |
$65.70 |
$65.70 |
$221.20
|
|
Foot X-ray
|
$76.35 |
$76.35 |
$76.35 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$474.30 |
$474.30 |
$474.30 |
$580.42
|
|
Forearm/arm cuffs free motio
|
$360.30 |
$360.30 |
$360.30 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$106.50 |
$106.50 |
$106.50 |
$532.80
|
|
Formoterol fumarate, inh
|
$20.70 |
$20.70 |
$20.70 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$482.62 |
$482.62 |
$482.62 |
$457.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$269.05 |
$269.05 |
$269.05 |
$106.10
|
|
_fragile x methylation-sendout
|
$96.75 |
$96.75 |
$96.75 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$59.40 |
$59.40 |
$59.40 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$108.15 |
$108.15 |
$108.15 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$47.40 |
$47.40 |
$47.40 |
$122.00
|
|
Frozen blood thaw
|
$93.75 |
$93.75 |
$93.75 |
$209.50
|
|
Fructosamine glycated protein
|
$26.40 |
$26.40 |
$26.40 |
$60.75
|
|
Ftl cgen abnor four anal
|
$197.10 |
$197.10 |
$197.10 |
$204.52
|
|
Fundus photography with i&r 92250
|
$54.75 |
$54.75 |
$54.75 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$15.85 |
$15.85 |
$15.85 |
$19.00
|
|
Fxn gene detc abnor alleles
|
$107.70 |
$107.70 |
$107.70 |
$189.06
|
|
Fxn gene full gene sequence
|
$216.00 |
$216.00 |
$216.00 |
$302.31
|
|
Ga-67 gallium 0.1 mci
|
$27.30 |
$27.30 |
$27.30 |
$118.56
|
|
Ga-68 gallium 68 dotatate
|
$330.00 |
$330.00 |
$330.00 |
$119.90
|
