|
Exc abdl tum deep < 5 cm
|
$9,711.19 |
$9,711.19 |
$9,711.19 |
$3,386.84
|
|
Exc arm/elbo les sc >=3cm 24071
|
$16,836.56 |
$16,836.56 |
$16,836.56 |
$4,078.80
|
|
Exc arm/elbo les sc <3cm 24075
|
$17,586.00 |
$17,586.00 |
$17,586.00 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$10,795.40 |
$10,795.40 |
$10,795.40 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$10,610.57 |
$10,610.57 |
$10,610.57 |
$3,805.88
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$10,490.26 |
$10,490.26 |
$10,490.26 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$42,496.87 |
$42,496.87 |
$42,496.87 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$541.20 |
$541.20 |
$541.20 |
$914.34
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$5,981.39 |
$5,981.39 |
$5,981.39 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$6,996.28 |
$6,996.28 |
$6,996.28 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$9,174.41 |
$9,174.41 |
$9,174.41 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$311.40 |
$311.40 |
$311.40 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$5,580.12 |
$5,580.12 |
$5,580.12 |
$1,247.50
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$12,827.24 |
$12,827.24 |
$12,827.24 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$9,069.44 |
$9,069.44 |
$9,069.44 |
$3,628.50
|
|
Exc hand les sc < 1.5 cm
|
$7,783.18 |
$7,783.18 |
$7,783.18 |
$1,897.50
|
|
Exc hidradenitis ing simpl 11462
|
$27,531.79 |
$27,531.79 |
$27,531.79 |
$3,386.84
|
|
Excise parotid gland/lesion
|
$49,855.00 |
$49,855.00 |
$49,855.00 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$41,888.00 |
$41,888.00 |
$41,888.00 |
$6,839.00
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$15,318.57 |
$15,318.57 |
$15,318.57 |
$2,623.00
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$6,779.55 |
$6,779.55 |
$6,779.55 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$8,805.13 |
$8,805.13 |
$8,805.13 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$12,044.03 |
$12,044.03 |
$12,044.03 |
$2,865.00
|
|
Excision breast lesion
|
$30,623.56 |
$30,623.56 |
$30,623.56 |
$3,749.85
|
|
Excision floor mouth lesion 41116
|
$15,453.25 |
$15,453.25 |
$15,453.25 |
$3,892.91
|
|
Excision olecranon bursa
|
$15,792.54 |
$15,792.54 |
$15,792.54 |
$2,889.60
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$10,869.61 |
$10,869.61 |
$10,869.61 |
$3,650.40
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$126,315.25 |
$126,315.25 |
$126,315.25 |
$2,296.00
|
|
Exc malig snhfg 0.5cm or less 11620
|
$5,508.00 |
$5,508.00 |
$5,508.00 |
$1,210.30
|
|
Exc malig tal <0.5cm 11600
|
$1,351.80 |
$1,351.80 |
$1,351.80 |
$973.20
|
|
Exc malig tal 0.6-1.0cm 11601
|
$1,330.80 |
$1,330.80 |
$1,330.80 |
$832.60
|
|
Exc neck tum deep 5 cm/>
|
$23,043.54 |
$23,043.54 |
$23,043.54 |
$3,386.84
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$16,039.67 |
$16,039.67 |
$16,039.67 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$14,594.27 |
$14,594.27 |
$14,594.27 |
$3,752.25
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$8,083.20 |
$8,083.20 |
$8,083.20 |
$1,274.00
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$16,770.29 |
$16,770.29 |
$16,770.29 |
$2,310.40
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$9,131.15 |
$9,131.15 |
$9,131.15 |
$4,576.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$14,190.32 |
$14,190.32 |
$14,190.32 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$8,245.33 |
$8,245.33 |
$8,245.33 |
$3,986.00
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$10,692.01 |
$10,692.01 |
$10,692.01 |
$3,994.09
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$8,969.67 |
$8,969.67 |
$8,969.67 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$15,429.30 |
$15,429.30 |
$15,429.30 |
$3,994.09
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$8,359.52 |
$8,359.52 |
$8,359.52 |
$1,898.50
|
|
Exc tendon sheath or cap lesion 26160
|
$9,419.18 |
$9,419.18 |
$9,419.18 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$9,844.29 |
$9,844.29 |
$9,844.29 |
$3,188.10
|
|
Exc thrombosed hemorrhoid 46320
|
$2,228.40 |
$2,228.40 |
$2,228.40 |
$2,099.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$9,132.19 |
$9,132.19 |
$9,132.19 |
$1,917.33
|
|
Exc vagina lesion 57135
|
$9,743.46 |
$9,743.46 |
$9,743.46 |
$4,232.80
|
|
Exome sequence analysis
|
$16,600.80 |
$16,600.80 |
$16,600.80 |
$5,520.90
|
|
Exome sequence analysis
|
$41,674.80 |
$41,674.80 |
$41,674.80 |
$12,546.29
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$11,333.82 |
$11,333.82 |
$11,333.82 |
$4,048.38
|
|
Exploration maxillary sinus
|
$31,442.29 |
$31,442.29 |
$31,442.29 |
$4,341.97
|
|
Exploration of knee joint
|
$37,667.39 |
$37,667.39 |
$37,667.39 |
$3,981.06
|
|
Exploration of toe joint
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,893.86
|
|
Explore penetrating wnd/extremity 20103
|
$1,250.40 |
$1,250.40 |
$1,250.40 |
$1,788.80
|
|
Explore/treat finger joint
|
$12,980.35 |
$12,980.35 |
$12,980.35 |
$2,146.20
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$8,088.96 |
$8,088.96 |
$8,088.96 |
$2,734.20
|
|
Extended steel shank
|
$241.70 |
$241.70 |
$241.70 |
$122.00
|
|
Extension per extension per
|
$266.35 |
$266.35 |
$266.35 |
$143.44
|
|
External chromosome analysis 20-25 cells
|
$652.80 |
$652.80 |
$652.80 |
$384.15
|
|
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 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$130.80 |
$130.80 |
$130.80 |
$108.60
|
|
Eye implant band 40
|
$7,410.03 |
$7,410.03 |
$7,410.03 |
$6,394.52
|
|
F-18 fdg pet diag
|
$748.20 |
$748.20 |
$748.20 |
$551.72
|
|
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 |
$940.00
|
|
Facial bones <3
|
$200.40 |
$200.40 |
$200.40 |
$252.60
|
|
Factor ix
|
$133.80 |
$133.80 |
$133.80 |
$156.13
|
|
Factor ix recombinant nos
|
$9,500.40 |
$9,500.40 |
$9,500.40 |
$4.65
|
|
Factor viii
|
$316.20 |
$316.20 |
$316.20 |
$133.81
|
|
Factor viii recombinant nos
|
$13,269.98 |
$13,269.98 |
$13,269.98 |
$6.56
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$48.00 |
$48.00 |
$48.00 |
$22.20
|
|
Fat/lipids feces qualitative
|
$33.60 |
$33.60 |
$33.60 |
$38.35
|
|
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 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$68.40 |
$68.40 |
$68.40 |
$65.00
|
|
Femoral lgth sock fx or equa
|
$252.93 |
$252.93 |
$252.93 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$328.13 |
$328.13 |
$328.13 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$8,040.37 |
$8,040.37 |
$8,040.37 |
$2,590.25
|
|
Ferritin
|
$178.80 |
$178.80 |
$178.80 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,918.45 |
$2,918.45 |
$2,918.45 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$1,566.00 |
$1,566.00 |
$1,566.00 |
$535.37
|
|
Fetal chrmoml microdeltj
|
$694.80 |
$694.80 |
$694.80 |
$834.96
|
|
Fetal contract stress test 59020 - 26
|
$759.60 |
$759.60 |
$759.60 |
$475.50
|
|
Fetal cord puncture prenatal
|
$156.60 |
$156.60 |
$156.60 |
$714.56
|
|
Fetal fibronectin
|
$627.00 |
$627.00 |
$627.00 |
$373.41
|
|
Fetal fluid drainage w/us
|
$172.20 |
$172.20 |
$172.20 |
$644.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$184.20 |
$184.20 |
$184.20 |
$105.12
|
|
Fetal hemoglobin rosette
|
$27.60 |
$27.60 |
$27.60 |
$67.20
|
|
Fetal non stress test
|
$767.40 |
$767.40 |
$767.40 |
$463.03
|
|
Fibrin degradation d dimer quantitative
|
$199.20 |
$199.20 |
$199.20 |
$117.70
|
|
Fibrin degradation products
|
$49.20 |
$49.20 |
$49.20 |
$62.64
|
|
Fibrinogen activity
|
$183.00 |
$183.00 |
$183.00 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$51.00 |
$51.00 |
$51.00 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$203.40 |
$203.40 |
$203.40 |
$72.80
|
|
Fibrinolytic plasminogen
|
$483.00 |
$483.00 |
$483.00 |
$107.50
|
|
Fibrinolytic plasminogen
|
$196.80 |
$196.80 |
$196.80 |
$95.92
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$178.80 |
$178.80 |
$178.80 |
$65.00
|
