|
Explore woundchest 20101
|
$375.20 |
$375.20 |
$375.20 |
$2,195.00
|
|
Explor not followed by surg repair artery; low extrem 35703
|
$724.00 |
$724.00 |
$724.00 |
$999.89
|
|
Explr/decompress eye socket
|
$2,182.40 |
$2,182.40 |
$2,182.40 |
$5,821.06
|
|
Expose art endoprosth iliac 34820
|
$599.20 |
$599.20 |
$599.20 |
$1,812.80
|
|
Expose endoprosth brachial 34834
|
$228.80 |
$228.80 |
$228.80 |
$1,888.20
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$729.60 |
$729.60 |
$729.60 |
$3,623.43
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$440.00 |
$440.00 |
$440.00 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$581.60 |
$581.60 |
$581.60 |
$2,896.40
|
|
Ext ecg>48hr<7d rev&interpj
|
$40.80 |
$40.80 |
$40.80 |
$57.00
|
|
Ext ecg>7d<15d rev&interpj
|
$44.00 |
$44.00 |
$44.00 |
$63.20
|
|
Extended visual field xm
|
$46.40 |
$46.40 |
$46.40 |
$162.75
|
|
External cannula declotting
|
$189.60 |
$189.60 |
$189.60 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$536.80 |
$536.80 |
$536.80 |
$403.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$298.40 |
$298.40 |
$298.40 |
$445.60
|
|
Extnd color vision xm
|
$15.20 |
$15.20 |
$15.20 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$411.20 |
$411.20 |
$411.20 |
$109.00
|
|
Extraction of lens
|
$1,278.40 |
$1,278.40 |
$1,278.40 |
$4,452.74
|
|
Extraction of lens
|
$1,172.00 |
$1,172.00 |
$1,172.00 |
$2,685.92
|
|
F-18 fdg pet diag
|
$683.20 |
$683.20 |
$683.20 |
$551.72
|
|
Facial bones <3
|
$201.60 |
$201.60 |
$201.60 |
$252.60
|
|
Factor ix
|
$128.00 |
$128.00 |
$128.00 |
$154.50
|
|
Factor viii
|
$274.40 |
$274.40 |
$274.40 |
$144.82
|
|
Family therapy without pt 50min 90846
|
$180.80 |
$180.80 |
$180.80 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$187.20 |
$187.20 |
$187.20 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$1.33 |
$1.33 |
$1.33 |
$22.23
|
|
Fat/lipids feces qualitative
|
$44.80 |
$44.80 |
$44.80 |
$36.00
|
|
Fatty acids nonesterified
|
$252.00 |
$252.00 |
$252.00 |
$64.28
|
|
Felbamate (felbatol(r)) - sendout
|
$54.40 |
$54.40 |
$54.40 |
$61.00
|
|
Femoral endovas graft add-on 34813
|
$416.00 |
$416.00 |
$416.00 |
$1,245.40
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$6.78 |
$6.78 |
$6.78 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,402.93 |
$2,402.93 |
$2,402.93 |
$2,590.25
|
|
Ferritin
|
$17.60 |
$17.60 |
$17.60 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$915.02 |
$915.02 |
$915.02 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$89.60 |
$89.60 |
$89.60 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$1,390.40 |
$1,390.40 |
$1,390.40 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$384.80 |
$384.80 |
$384.80 |
$475.50
|
|
Fetal non stress test
|
$384.80 |
$384.80 |
$384.80 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$239.20 |
$239.20 |
$239.20 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$26.40 |
$26.40 |
$26.40 |
$120.05
|
|
Fibrin degradation products
|
$37.60 |
$37.60 |
$37.60 |
$74.25
|
|
Fibrinogen activity
|
$18.40 |
$18.40 |
$18.40 |
$85.86
|
|
Fibrinolytic plasminogen
|
$305.60 |
$305.60 |
$305.60 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$275.20 |
$275.20 |
$275.20 |
$66.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$520.46 |
$520.46 |
$520.46 |
$891.02
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$69.60 |
$69.60 |
$69.60 |
$280.50
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$111.20 |
$111.20 |
$111.20 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$623.20 |
$623.20 |
$623.20 |
$497.00
|
|
Fistula repair transperine 57308
|
$1,136.80 |
$1,136.80 |
$1,136.80 |
$1,245.00
|
|
Fitg c-lens keratoconus 1st
|
$137.60 |
$137.60 |
$137.60 |
$127.00
|
|
Fixation of knee joint
|
$2,481.60 |
$2,481.60 |
$2,481.60 |
$1,963.35
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$5,354.40 |
$5,354.40 |
$5,354.40 |
$4,350.00
|
|
Flecainide (tambocor)-sendout
|
$22.40 |
$22.40 |
$22.40 |
$65.24
|
|
Flexible Sigmoidoscopy
|
$739.20 |
$739.20 |
$739.20 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$141.60 |
$141.60 |
$141.60 |
$194.00
|
|
Flow cytometry marker each additional
|
$576.00 |
$576.00 |
$576.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$330.40 |
$330.40 |
$330.40 |
$276.60
|
|
#flow interp 9 - 15 markers
|
$104.80 |
$104.80 |
$104.80 |
$172.50
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$8.40 |
$8.40 |
$8.40 |
$64.15
|
|
Fluocinol acet intravit imp
|
$1,163.20 |
$1,163.20 |
$1,163.20 |
$14,359.80
|
|
Fluorescein angrph mltiframe
|
$72.80 |
$72.80 |
$72.80 |
$336.50
|
|
Fluorescent antibody titer dna
|
$80.00 |
$80.00 |
$80.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$398.40 |
$398.40 |
$398.40 |
$495.95
|
|
Fluoroguide needle placement
|
$148.00 |
$148.00 |
$148.00 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$491.20 |
$491.20 |
$491.20 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$128.30 |
$128.30 |
$128.30 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$10.33 |
$10.33 |
$10.33 |
$72.52
|
|
Fluzone vacc, 3 yrs & >, im
|
$43.20 |
$43.20 |
$43.20 |
$60.00
|
|
Folic acid
|
$12.00 |
$12.00 |
$12.00 |
$99.96
|
|
Follow-up surgery of eye
|
$835.20 |
$835.20 |
$835.20 |
$3,572.40
|
|
Foot X-ray
|
$403.20 |
$403.20 |
$403.20 |
$352.08
|
|
Forensic cytopathology
|
$22.40 |
$22.40 |
$22.40 |
$63.23
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$94.40 |
$94.40 |
$94.40 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$52.58 |
$52.58 |
$52.58 |
$490.67
|
|
Foscarnet sodium injection
|
$63.20 |
$63.20 |
$63.20 |
$1,008.91
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$79.34 |
$79.34 |
$79.34 |
$106.25
|
|
Fragmenting of kidney stone
|
$948.00 |
$948.00 |
$948.00 |
$10,312.25
|
|
Freeing of bowel adhesion 44005
|
$1,924.80 |
$1,924.80 |
$1,924.80 |
$2,062.20
|
|
Frenulotomy of penis
|
$329.60 |
$329.60 |
$329.60 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$152.00 |
$152.00 |
$152.00 |
$153.02
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$126.40 |
$126.40 |
$126.40 |
$164.16
|
|
Fructosamine glycated protein
|
$13.60 |
$13.60 |
$13.60 |
$61.75
|
|
Fth/gft fr trnk each addl
|
$121.60 |
$121.60 |
$121.60 |
$1,331.00
|
|
Full field erg w/i&r
|
$60.80 |
$60.80 |
$60.80 |
$393.12
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$1,294.40 |
$1,294.40 |
$1,294.40 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$957.60 |
$957.60 |
$957.60 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$108.00 |
$108.00 |
$108.00 |
$1,021.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$1,237.60 |
$1,237.60 |
$1,237.60 |
$2,706.60
|
|
Fundus photography with i&r 92250
|
$36.00 |
$36.00 |
$36.00 |
$178.20
|
|
Furosemide 10 mg/ml injection solution
|
$17.98 |
$17.98 |
$17.98 |
$19.53
|
|
Fusion of ankle joint open
|
$1,690.40 |
$1,690.40 |
$1,690.40 |
$10,629.07
|
|
Fusion of big toe joint
|
$14,661.60 |
$14,661.60 |
$14,661.60 |
$5,488.00
|
|
Fusion of big toe joint
|
$833.60 |
$833.60 |
$833.60 |
$6,839.00
|
|
Fusion of finger joint
|
$6,913.60 |
$6,913.60 |
$6,913.60 |
$4,350.00
|
|
Fusion of foot bones
|
$1,219.20 |
$1,219.20 |
$1,219.20 |
$6,411.60
|
|
Fusion of foot bones
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$5,110.00
|
|
Fusion of tibiofibular joint
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$8,299.09
|
|
G0180 home health certification
|
$97.60 |
$97.60 |
$97.60 |
$116.00
|
|
Gabapentin non-blood
|
$55.20 |
$55.20 |
$55.20 |
$42.35
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$30.38 |
$30.38 |
$30.38 |
$121.12
|
|
Galac-1-phosphate uridyltran - sendout
|
$28.00 |
$28.00 |
$28.00 |
$100.00
|
