|
Exc foot/toe tum subq < 1.5 cm 28043
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$3,504.00 |
$3,504.00 |
$3,504.00 |
$3,628.50
|
|
Exc hand tum deep 1.5 cm/>
|
$2,920.00 |
$2,920.00 |
$2,920.00 |
$2,271.01
|
|
Exchange biliary drg cath
|
$3,426.50 |
$3,426.50 |
$3,426.50 |
$3,854.69
|
|
Exchange drainage catheter
|
$2,206.00 |
$2,206.00 |
$2,206.00 |
$2,206.00
|
|
Exchange nephrostomy cath
|
$3,251.00 |
$3,251.00 |
$3,251.00 |
$2,955.48
|
|
Exc hidradenitis ing simpl 11462
|
$2,409.00 |
$2,409.00 |
$2,409.00 |
$3,386.84
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$6,132.00 |
$6,132.00 |
$6,132.00 |
$3,486.52
|
|
Excise anal ext tag/papilla
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$1,956.80
|
|
Excise intrspinl lesion lmbr
|
$12,451.00 |
$12,451.00 |
$12,451.00 |
$5,339.00
|
|
Excise lip or cheek fold
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,855.10
|
|
Excise mandible lesion
|
$16,716.00 |
$16,716.00 |
$16,716.00 |
$3,592.74
|
|
Excise parotid gland/lesion
|
$13,611.50 |
$13,611.50 |
$13,611.50 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$26,799.00 |
$26,799.00 |
$26,799.00 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$24,478.00 |
$24,478.00 |
$24,478.00 |
$6,839.00
|
|
Excise pharynx lesion
|
$2,968.67 |
$2,968.67 |
$2,968.67 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$2,263.00 |
$2,263.00 |
$2,263.00 |
$1,903.93
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$2,701.00 |
$2,701.00 |
$2,701.00 |
$2,701.00
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$3,942.00 |
$3,942.00 |
$3,942.00 |
$861.70
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,982.00 |
$2,982.00 |
$2,982.00 |
$2,019.16
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$7,300.00 |
$7,300.00 |
$7,300.00 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$5,596.67 |
$5,596.67 |
$5,596.67 |
$2,865.00
|
|
Excision lesion mouth roof
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$6,465.11
|
|
Excision of anal lesion(s)
|
$3,190.50 |
$3,190.50 |
$3,190.50 |
$3,816.64
|
|
Excision of mouth lesion complex 40816
|
$7,812.00 |
$7,812.00 |
$7,812.00 |
$3,986.00
|
|
Excision of neck cyst confined 42810
|
$3,978.50 |
$3,978.50 |
$3,978.50 |
$4,350.00
|
|
Excision of penis lesion(s) 54060
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,479.33
|
|
Excision of tongue lesion
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$3,819.23
|
|
Excision of uvula
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$3,811.00
|
|
Excision olecranon bursa
|
$5,402.00 |
$5,402.00 |
$5,402.00 |
$2,889.60
|
|
Excision tongue lesion without closure 41110
|
$4,856.00 |
$4,856.00 |
$4,856.00 |
$3,811.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$6,570.00 |
$6,570.00 |
$6,570.00 |
$3,650.40
|
|
Excis partial tal calc
|
$5,388.00 |
$5,388.00 |
$5,388.00 |
$3,591.33
|
|
Exc les conjunctiva >1 cm
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,760.73
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$2,591.37
|
|
Exc malig feenl 1.1-2 11642
|
$2,793.50 |
$2,793.50 |
$2,793.50 |
$1,082.00
|
|
Exc malig tal <0.5cm 11600
|
$924.50 |
$924.50 |
$924.50 |
$973.71
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$467.50 |
$467.50 |
$467.50 |
$889.20
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$1,294.80
|
|
Exc neck tum deep < 5 cm
|
$14,381.00 |
$14,381.00 |
$14,381.00 |
$3,501.81
|
|
Exc neck tum deep 5 cm/>
|
$5,694.00 |
$5,694.00 |
$5,694.00 |
$3,386.84
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$6,205.00 |
$6,205.00 |
$6,205.00 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$8,866.50 |
$8,866.50 |
$8,866.50 |
$3,752.25
|
|
Exc rect tum transanal part
|
$3,942.00 |
$3,942.00 |
$3,942.00 |
$3,245.23
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$4,256.00 |
$4,256.00 |
$4,256.00 |
$3,386.84
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$2,482.00 |
$2,482.00 |
$2,482.00 |
$2,014.93
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$4,326.00 |
$4,326.00 |
$4,326.00 |
$3,386.84
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$2,646.00 |
$2,646.00 |
$2,646.00 |
$4,576.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$3,869.00 |
$3,869.00 |
$3,869.00 |
$3,322.80
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$5,621.00 |
$5,621.00 |
$5,621.00 |
$2,557.92
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$3,869.00 |
$3,869.00 |
$3,869.00 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$4,453.00 |
$4,453.00 |
$4,453.00 |
$3,994.09
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$4,234.00 |
$4,234.00 |
$4,234.00 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$4,818.00 |
$4,818.00 |
$4,818.00 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$3,431.00 |
$3,431.00 |
$3,431.00 |
$3,188.10
|
|
Exc thigh/knee tum deep <5cm
|
$2,993.00 |
$2,993.00 |
$2,993.00 |
$3,167.89
|
|
Exc thrombosed hemorrhoid 46320
|
$1,375.50 |
$1,375.50 |
$1,375.50 |
$2,140.32
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$5,979.67 |
$5,979.67 |
$5,979.67 |
$1,954.00
|
|
Ex palate/uvula lesion without closure 42104
|
$8,103.00 |
$8,103.00 |
$8,103.00 |
$3,837.72
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,222.50 |
$1,222.50 |
$1,222.50 |
$4,101.67
|
|
Exploration maxillary sinus
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$4,341.97
|
|
Exploration of knee joint
|
$1,898.00 |
$1,898.00 |
$1,898.00 |
$3,981.06
|
|
Explore parathyroid glands
|
$16,206.00 |
$16,206.00 |
$16,206.00 |
$6,966.64
|
|
Explore penetrating wnd/extremity 20103
|
$5,767.00 |
$5,767.00 |
$5,767.00 |
$1,788.80
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$4,234.00 |
$4,234.00 |
$4,234.00 |
$3,623.43
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$8,614.00 |
$8,614.00 |
$8,614.00 |
$2,877.00
|
|
External chromosome analysis 20-25 cells
|
$422.50 |
$422.50 |
$422.50 |
$394.55
|
|
External recharg sys intern
|
$1,447.50 |
$1,447.50 |
$1,447.50 |
$2,788.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$679.00 |
$679.00 |
$679.00 |
$431.40
|
|
Extnd color vision xm
|
$67.00 |
$67.00 |
$67.00 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$344.63 |
$344.63 |
$344.63 |
$109.17
|
|
Extraction erupted tooth/exr
|
$6,789.00 |
$6,789.00 |
$6,789.00 |
$1,841.89
|
|
F-18 fdg pet diag
|
$512.00 |
$512.00 |
$512.00 |
$540.20
|
|
Facial bones <3
|
$192.50 |
$192.50 |
$192.50 |
$252.60
|
|
Factor ix
|
$162.50 |
$162.50 |
$162.50 |
$147.00
|
|
Factor ix complex
|
$1.00 |
$1.00 |
$1.00 |
$5.91
|
|
Factor ix recombinant nos
|
$1.00 |
$1.00 |
$1.00 |
$4.65
|
|
Factor viii
|
$208.50 |
$208.50 |
$208.50 |
$136.20
|
|
Factor viii
|
$0.50 |
$0.50 |
$0.50 |
$6.10
|
|
Factor viii recombinant nos
|
$0.50 |
$0.50 |
$0.50 |
$6.55
|
|
Family therapy without pt 50min 90846
|
$206.50 |
$206.50 |
$206.50 |
$239.50
|
|
Family therapy with patient 50 min 90847
|
$194.00 |
$194.00 |
$194.00 |
$234.60
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$2.18 |
$2.18 |
$2.18 |
$21.17
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$22,186.71 |
$22,186.71 |
$22,186.71 |
$5,508.16
|
|
Fancc gene
|
$594.00 |
$594.00 |
$594.00 |
$147.00
|
|
Fat/lipids feces qualitative
|
$28.00 |
$28.00 |
$28.00 |
$37.39
|
|
Fatty acids nonesterified
|
$116.00 |
$116.00 |
$116.00 |
$64.28
|
|
#fecal-sodium
|
$12.50 |
$12.50 |
$12.50 |
$37.79
|
|
Felbamate (felbatol(r)) - sendout
|
$34.00 |
$34.00 |
$34.00 |
$58.20
|
|
Fem/popl revasc w/stent
|
$10,324.50 |
$10,324.50 |
$10,324.50 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$10.50 |
$10.50 |
$10.50 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,252.75 |
$2,252.75 |
$2,252.75 |
$2,515.99
|
|
Ferritin
|
$114.50 |
$114.50 |
$114.50 |
$99.96
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$487.84 |
$487.84 |
$487.84 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$199.00 |
$199.00 |
$199.00 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$1,409.00 |
$1,409.00 |
$1,409.00 |
$1,206.81
|
|
Fetal contract stress test 59020 - 26
|
$475.50 |
$475.50 |
$475.50 |
$477.50
|
|
Fetal fibronectin
|
$436.50 |
$436.50 |
$436.50 |
$379.44
|
|
Fetal hemoglobin (kleihauer betke)
|
$100.00 |
$100.00 |
$100.00 |
$105.50
|
|
Fetal non stress test
|
$274.00 |
$274.00 |
$274.00 |
$466.00
|
