|
Established Patient Office Visit (level 3)
|
$268.20 |
$268.20 |
$268.20 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$294.00 |
$294.00 |
$294.00 |
$232.26
|
|
Established Patient Office Visit (level 5)
|
$408.60 |
$408.60 |
$408.60 |
$280.33
|
|
Estradiol total
|
$240.00 |
$240.00 |
$240.00 |
$151.20
|
|
Estrogens total-sendout
|
$92.40 |
$92.40 |
$92.40 |
$96.63
|
|
Etoposide 50 mg cap
|
$763.40 |
$763.40 |
$763.40 |
$135.02
|
|
Euglobulin lysis
|
$49.80 |
$49.80 |
$49.80 |
$59.15
|
|
Evaluation of speech fluency 92521
|
$247.20 |
$247.20 |
$247.20 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$594.60 |
$594.60 |
$594.60 |
$313.30
|
|
Event monitor
|
$893.40 |
$893.40 |
$893.40 |
$237.60
|
|
Ewhfo w/joint(s) cf
|
$5,792.68 |
$5,792.68 |
$5,792.68 |
$1,595.00
|
|
Ewho w/joint(s) cf
|
$3,341.09 |
$3,341.09 |
$3,341.09 |
$1,080.80
|
|
Ex arm/elbow tum deep 5 cm/>
|
$10,817.39 |
$10,817.39 |
$10,817.39 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$9,302.11 |
$9,302.11 |
$9,302.11 |
$3,646.94
|
|
Exc abdl tum deep 5 cm/>
|
$20,699.36 |
$20,699.36 |
$20,699.36 |
$3,370.52
|
|
Exc arm/elbo les sc >=3cm 24071
|
$12,410.68 |
$12,410.68 |
$12,410.68 |
$4,078.80
|
|
Exc back tum deep 5 cm/>
|
$11,535.52 |
$11,535.52 |
$11,535.52 |
$3,805.88
|
|
Exc bartholins gland/cyst
|
$11,841.31 |
$11,841.31 |
$11,841.31 |
$3,786.00
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$11,305.03 |
$11,305.03 |
$11,305.03 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$541.20 |
$541.20 |
$541.20 |
$827.77
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$541.20 |
$541.20 |
$541.20 |
$969.60
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$8,971.49 |
$8,971.49 |
$8,971.49 |
$1,491.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$10,845.23 |
$10,845.23 |
$10,845.23 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$10,886.50 |
$10,886.50 |
$10,886.50 |
$3,455.25
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$7,812.30 |
$7,812.30 |
$7,812.30 |
$768.00
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$9,015.99 |
$9,015.99 |
$9,015.99 |
$1,247.50
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$10,167.63 |
$10,167.63 |
$10,167.63 |
$2,101.45
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$9,274.42 |
$9,274.42 |
$9,274.42 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$24,694.46 |
$24,694.46 |
$24,694.46 |
$3,628.50
|
|
Exc forearm tum deep 3 cm/>
|
$7,856.14 |
$7,856.14 |
$7,856.14 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$9,686.80 |
$9,686.80 |
$9,686.80 |
$1,897.50
|
|
Exc hand tum deep 1.5 cm/>
|
$7,377.14 |
$7,377.14 |
$7,377.14 |
$2,271.01
|
|
Exchange biliary drg cath
|
$2,875.20 |
$2,875.20 |
$2,875.20 |
$3,854.69
|
|
Exchange drainage catheter
|
$2,684.40 |
$2,684.40 |
$2,684.40 |
$2,206.00
|
|
Exchange lens prosthesis
|
$17,877.89 |
$17,877.89 |
$17,877.89 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$2,773.80 |
$2,773.80 |
$2,773.80 |
$2,955.48
|
|
Exc hip/pelv tum deep < 5 cm
|
$8,851.42 |
$8,851.42 |
$8,851.42 |
$3,386.84
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$25,706.29 |
$25,706.29 |
$25,706.29 |
$3,370.52
|
|
Excise intrspinl lesion lmbr
|
$39,289.84 |
$39,289.84 |
$39,289.84 |
$5,339.00
|
|
Excise submaxillary gland
|
$22,244.29 |
$22,244.29 |
$22,244.29 |
$6,547.81
|
|
Excision addl breast lesion 19126
|
$28,200.56 |
$28,200.56 |
$28,200.56 |
$546.17
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$9,187.52 |
$9,187.52 |
$9,187.52 |
$2,019.16
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$8,347.03 |
$8,347.03 |
$8,347.03 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$11,988.29 |
$11,988.29 |
$11,988.29 |
$2,865.00
|
|
Excision breast lesion
|
$26,630.02 |
$26,630.02 |
$26,630.02 |
$3,986.00
|
|
Excision graft extremity
|
$18,116.96 |
$18,116.96 |
$18,116.96 |
$4,706.99
|
|
Excision of anal lesion(s)
|
$5,758.47 |
$5,758.47 |
$5,758.47 |
$3,816.64
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$13,207.47 |
$13,207.47 |
$13,207.47 |
$3,650.40
|
|
Exc malig feenl 3.1-4.0 11644
|
$10,889.17 |
$10,889.17 |
$10,889.17 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$11,042.48 |
$11,042.48 |
$11,042.48 |
$3,167.89
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$10,367.09 |
$10,367.09 |
$10,367.09 |
$1,917.33
|
|
Exc malig tal 0.6-1.0cm 11601
|
$7,669.42 |
$7,669.42 |
$7,669.42 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$754.20 |
$754.20 |
$754.20 |
$889.20
|
|
Exc neck tum deep < 5 cm
|
$11,535.52 |
$11,535.52 |
$11,535.52 |
$3,501.81
|
|
Exc neck tum deep 5 cm/>
|
$13,656.29 |
$13,656.29 |
$13,656.29 |
$3,386.84
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$19,947.04 |
$19,947.04 |
$19,947.04 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$10,174.39 |
$10,174.39 |
$10,174.39 |
$3,752.25
|
|
Exc rect tum transanal full
|
$21,473.20 |
$21,473.20 |
$21,473.20 |
$3,245.23
|
|
Exc shoulder tum deep < 5 cm
|
$10,381.41 |
$10,381.41 |
$10,381.41 |
$3,786.00
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$15,535.24 |
$15,535.24 |
$15,535.24 |
$3,386.84
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$7,431.22 |
$7,431.22 |
$7,431.22 |
$2,014.93
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$9,537.19 |
$9,537.19 |
$9,537.19 |
$4,576.00
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$8,181.99 |
$8,181.99 |
$8,181.99 |
$3,994.09
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$10,587.42 |
$10,587.42 |
$10,587.42 |
$1,898.50
|
|
Exc tendon sheath or cap lesion 26160
|
$22,444.94 |
$22,444.94 |
$22,444.94 |
$2,650.53
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$10,957.76 |
$10,957.76 |
$10,957.76 |
$1,954.00
|
|
Exome sequence analysis
|
$16,600.80 |
$16,600.80 |
$16,600.80 |
$5,258.00
|
|
Exome sequence analysis
|
$41,674.80 |
$41,674.80 |
$41,674.80 |
$12,000.00
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$11,333.82 |
$11,333.82 |
$11,333.82 |
$4,101.67
|
|
Exploration of foot joint
|
$18,820.49 |
$18,820.49 |
$18,820.49 |
$3,832.27
|
|
Exploration of toe joint
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,893.86
|
|
Explore parathyroid glands
|
$24,337.02 |
$24,337.02 |
$24,337.02 |
$6,966.64
|
|
Explore penetrating wnd/extremity 20103
|
$1,250.40 |
$1,250.40 |
$1,250.40 |
$1,788.80
|
|
Explore/treat finger joint
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$2,211.05
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$7,188.94 |
$7,188.94 |
$7,188.94 |
$2,877.00
|
|
Extended steel shank
|
$241.70 |
$241.70 |
$241.70 |
$111.44
|
|
Extension per extension per
|
$266.35 |
$266.35 |
$266.35 |
$134.44
|
|
External chromosome analysis 20-25 cells
|
$652.80 |
$652.80 |
$652.80 |
$394.55
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$41.40 |
$41.40 |
$41.40 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$841.80 |
$841.80 |
$841.80 |
$431.40
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$130.80 |
$130.80 |
$130.80 |
$109.17
|
|
Eye implant band 40
|
$7,410.03 |
$7,410.03 |
$7,410.03 |
$7,410.03
|
|
F-18 fdg pet diag
|
$748.20 |
$748.20 |
$748.20 |
$540.20
|
|
F-18 florbetapir less than or equal to 10 mci
|
$6,312.60 |
$6,312.60 |
$6,312.60 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$863.40 |
$863.40 |
$863.40 |
$989.72
|
|
Facial bones <3
|
$200.40 |
$200.40 |
$200.40 |
$252.60
|
|
Factor ix
|
$123.00 |
$123.00 |
$123.00 |
$147.00
|
|
Factor ix recombinant nos
|
$10,022.40 |
$10,022.40 |
$10,022.40 |
$4.65
|
|
Factor viii
|
$316.20 |
$316.20 |
$316.20 |
$136.20
|
|
Factor viii recombinant nos
|
$13,999.10 |
$13,999.10 |
$13,999.10 |
$6.55
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$48.00 |
$48.00 |
$48.00 |
$21.17
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$17,963.26 |
$17,963.26 |
$17,963.26 |
$5,508.16
|
|
Fat/lipids feces qualitative
|
$30.60 |
$30.60 |
$30.60 |
$37.39
|
|
Fatty acids nonesterified
|
$600.00 |
$600.00 |
$600.00 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$2,217.89 |
$2,217.89 |
$2,217.89 |
$956.25
|
|
#fecal-sodium
|
$32.40 |
$32.40 |
$32.40 |
$37.79
|
|
Felbamate (felbatol(r)) - sendout
|
$68.40 |
$68.40 |
$68.40 |
$58.20
|
|
Femoral lgth sock fx or equa
|
$252.93 |
$252.93 |
$252.93 |
$126.42
|
|
Fem/popl revasc w/stent
|
$61,275.38 |
$61,275.38 |
$61,275.38 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$346.34 |
$346.34 |
$346.34 |
$101.40
|
