|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$520.50 |
$520.50 |
$520.50 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,943.50 |
$1,943.50 |
$1,943.50 |
$2,760.60
|
|
Excision nasal polyp(s) simple 30110
|
$1,822.00 |
$1,822.00 |
$1,822.00 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$3,367.00 |
$3,367.00 |
$3,367.00 |
$3,816.64
|
|
Excision of gum lesion 41825
|
$3,805.50 |
$3,805.50 |
$3,805.50 |
$4,007.22
|
|
Excision of penis lesion(s) 54060
|
$2,265.50 |
$2,265.50 |
$2,265.50 |
$2,479.33
|
|
Excision of tongue lesion
|
$3,734.50 |
$3,734.50 |
$3,734.50 |
$3,811.00
|
|
Excision olecranon bursa
|
$4,048.00 |
$4,048.00 |
$4,048.00 |
$2,889.60
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$9,245.00 |
$9,245.00 |
$9,245.00 |
$3,650.40
|
|
Excis partial tal calc
|
$4,137.67 |
$4,137.67 |
$4,137.67 |
$3,591.33
|
|
Exc les conjunctiva >1 cm
|
$2,922.50 |
$2,922.50 |
$2,922.50 |
$2,760.73
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$4,350.50 |
$4,350.50 |
$4,350.50 |
$2,591.37
|
|
Exc malig feenl <0.5cm 11640
|
$811.00 |
$811.00 |
$811.00 |
$1,055.20
|
|
Exc malig feenl 1.1-2 11642
|
$1,013.50 |
$1,013.50 |
$1,013.50 |
$1,082.00
|
|
Exc malig feenl >4cm 11646
|
$1,446.50 |
$1,446.50 |
$1,446.50 |
$3,083.21
|
|
Exc malig snhfg 0.5cm or less 11620
|
$958.00 |
$958.00 |
$958.00 |
$1,210.30
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,013.50 |
$1,013.50 |
$1,013.50 |
$973.71
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$792.00 |
$792.00 |
$792.00 |
$973.20
|
|
Exc malig tal 0.6-1.0cm 11601
|
$426.50 |
$426.50 |
$426.50 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$531.00 |
$531.00 |
$531.00 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$811.00 |
$811.00 |
$811.00 |
$1,131.50
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$931.00 |
$931.00 |
$931.00 |
$1,294.80
|
|
Exc mandible 21025
|
$7,008.50 |
$7,008.50 |
$7,008.50 |
$6,465.11
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$16,967.00 |
$16,967.00 |
$16,967.00 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$1,013.50 |
$1,013.50 |
$1,013.50 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$906.00 |
$906.00 |
$906.00 |
$2,014.93
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$2,310.40
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$8,255.00 |
$8,255.00 |
$8,255.00 |
$4,576.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$3,390.50 |
$3,390.50 |
$3,390.50 |
$3,986.00
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$2,557.92
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$4,014.40
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$1,968.50 |
$1,968.50 |
$1,968.50 |
$1,898.50
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$3,390.50 |
$3,390.50 |
$3,390.50 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$2,083.50 |
$2,083.50 |
$2,083.50 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$2,210.50 |
$2,210.50 |
$2,210.50 |
$3,188.10
|
|
Exc thrombosed hemorrhoid 46320
|
$1,448.50 |
$1,448.50 |
$1,448.50 |
$2,106.15
|
|
Exc tmr sft tiss shldr subq <3cm
|
$1,968.50 |
$1,968.50 |
$1,968.50 |
$2,448.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$7,859.00 |
$7,859.00 |
$7,859.00 |
$1,917.33
|
|
Exc vagina lesion 57135
|
$3,711.50 |
$3,711.50 |
$3,711.50 |
$4,232.80
|
|
Exercise tst brncspsm w/ecg
|
$234.00 |
$234.00 |
$234.00 |
$324.00
|
|
Exercise tst brncspsm wo ecg
|
$88.00 |
$88.00 |
$88.00 |
$129.92
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$1,788.00 |
$1,788.00 |
$1,788.00 |
$2,470.78
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$845.00 |
$845.00 |
$845.00 |
$4,048.38
|
|
Exploration of knee joint
|
$3,981.50 |
$3,981.50 |
$3,981.50 |
$3,981.06
|
|
Explore/irrigate tear ducts
|
$348.00 |
$348.00 |
$348.00 |
$523.25
|
|
Explore parathyroid glands
|
$7,008.50 |
$7,008.50 |
$7,008.50 |
$6,966.64
|
|
Explore penetrating wnd/extremity 20103
|
$1,516.00 |
$1,516.00 |
$1,516.00 |
$1,788.80
|
|
Explore wound abdomen 20102
|
$2,309.00 |
$2,309.00 |
$2,309.00 |
$2,791.50
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$2,734.20
|
|
Ext ecg>48hr<7d scan a/r
|
$110.00 |
$110.00 |
$110.00 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$221.50 |
$221.50 |
$221.50 |
$357.23
|
|
External chromosome analysis 20-25 cells
|
$335.50 |
$335.50 |
$335.50 |
$394.55
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,618.50 |
$1,618.50 |
$1,618.50 |
$431.95
|
|
Extnd color vision xm
|
$67.00 |
$67.00 |
$67.00 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$333.50 |
$333.50 |
$333.50 |
$111.17
|
|
Extraction of lens
|
$2,834.50 |
$2,834.50 |
$2,834.50 |
$2,653.00
|
|
F-18 fdg pet diag
|
$512.00 |
$512.00 |
$512.00 |
$551.72
|
|
Facial bones <3
|
$249.00 |
$249.00 |
$249.00 |
$252.60
|
|
Factor ix
|
$317.50 |
$317.50 |
$317.50 |
$162.00
|
|
Factor viii
|
$161.50 |
$161.50 |
$161.50 |
$138.60
|
|
Factor viii recombinant nos
|
$1.00 |
$1.00 |
$1.00 |
$6.56
|
|
Family therapy with patient 50 min 90847
|
$175.50 |
$175.50 |
$175.50 |
$231.60
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$1.09 |
$1.09 |
$1.09 |
$22.20
|
|
Fat/lipids feces qualitative
|
$28.00 |
$28.00 |
$28.00 |
$37.44
|
|
Fatty acids nonesterified
|
$157.15 |
$157.15 |
$157.15 |
$64.28
|
|
#fecal-sodium
|
$44.00 |
$44.00 |
$44.00 |
$38.50
|
|
Felbamate (felbatol(r)) - sendout
|
$34.00 |
$34.00 |
$34.00 |
$58.20
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$5.25 |
$5.25 |
$5.25 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,252.75 |
$2,252.75 |
$2,252.75 |
$2,515.99
|
|
Ferritin
|
$76.50 |
$76.50 |
$76.50 |
$102.48
|
|
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
|
$526.00 |
$526.00 |
$526.00 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$800.00 |
$800.00 |
$800.00 |
$1,206.81
|
|
Fetal hemoglobin (kleihauer betke)
|
$100.00 |
$100.00 |
$100.00 |
$106.00
|
|
Fetal non stress test
|
$260.50 |
$260.50 |
$260.50 |
$468.21
|
|
#_fet/norfentcnfrmur
|
$85.00 |
$85.00 |
$85.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$92.00 |
$92.00 |
$92.00 |
$119.43
|
|
Fibrin degradation products
|
$55.00 |
$55.00 |
$55.00 |
$67.20
|
|
Fibrin degrade semiquant
|
$69.50 |
$69.50 |
$69.50 |
$81.00
|
|
Fibrinogen activity
|
$93.00 |
$93.00 |
$93.00 |
$85.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$301.50 |
$301.50 |
$301.50 |
$63.94
|
|
Fibrinolytic plasminogen
|
$165.50 |
$165.50 |
$165.50 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$125.50 |
$125.50 |
$125.50 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$303.33 |
$303.33 |
$303.33 |
$571.09
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$304.96 |
$304.96 |
$304.96 |
$869.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$403.50 |
$403.50 |
$403.50 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$499.50 |
$499.50 |
$499.50 |
$503.76
|
|
Finger joint sz00 swanson w/grommets
|
$2,500.50 |
$2,500.50 |
$2,500.50 |
$4,584.72
|
|
Fixation of knee joint
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
$1,893.86
|
|
Flecainide (tambocor)-sendout
|
$14.00 |
$14.00 |
$14.00 |
$65.24
|
|
Fl exam g/colon tube w contrast
|
$493.00 |
$493.00 |
$493.00 |
$532.39
|
|
Florbetaben f18 diagnostic
|
$4,039.00 |
$4,039.00 |
$4,039.00 |
$4,339.99
|
|
Flow cytometry interp 16 or more
|
$156.55 |
$156.55 |
$156.55 |
$196.30
|
|
Flow cytometry marker each additional
|
$846.72 |
$846.72 |
$846.72 |
$97.50
|
|
Flow cytometry one marker technical component
|
$279.00 |
$279.00 |
$279.00 |
$273.89
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$18.45 |
$18.45 |
$18.45 |
$64.22
|
|
Fluidotherapy charges pt
|
$61.50 |
$61.50 |
$61.50 |
$94.24
|
