|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$5,299.67 |
$5,299.67 |
$5,299.67 |
$4,576.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$4,575.00 |
$4,575.00 |
$4,575.00 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$4,612.50 |
$4,612.50 |
$4,612.50 |
$3,986.00
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$1,930.33 |
$1,930.33 |
$1,930.33 |
$2,557.92
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$3,359.00 |
$3,359.00 |
$3,359.00 |
$3,994.09
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$5,259.00 |
$5,259.00 |
$5,259.00 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$5,348.50 |
$5,348.50 |
$5,348.50 |
$3,994.09
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$3,048.50 |
$3,048.50 |
$3,048.50 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$4,575.00 |
$4,575.00 |
$4,575.00 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$3,207.00 |
$3,207.00 |
$3,207.00 |
$3,188.10
|
|
Exc thigh/knee tum deep <5cm
|
$8,047.00 |
$8,047.00 |
$8,047.00 |
$3,167.89
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$7,654.00 |
$7,654.00 |
$7,654.00 |
$1,917.33
|
|
Exc vagina lesion 57135
|
$3,587.00 |
$3,587.00 |
$3,587.00 |
$4,232.80
|
|
Ex palate/uvula lesion without closure 42104
|
$1,884.67 |
$1,884.67 |
$1,884.67 |
$3,837.72
|
|
Exploration maxillary sinus
|
$1,939.88 |
$1,939.88 |
$1,939.88 |
$5,855.00
|
|
Exploration maxillary sinus
|
$1,881.50 |
$1,881.50 |
$1,881.50 |
$4,341.97
|
|
Exploration of knee joint
|
$4,195.00 |
$4,195.00 |
$4,195.00 |
$3,981.06
|
|
Explore parathyroid glands
|
$7,458.25 |
$7,458.25 |
$7,458.25 |
$6,966.64
|
|
Explore scrotum
|
$3,511.00 |
$3,511.00 |
$3,511.00 |
$3,863.60
|
|
Explore wound abdomen 20102
|
$4,195.00 |
$4,195.00 |
$4,195.00 |
$2,609.00
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$2,036.67 |
$2,036.67 |
$2,036.67 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$7,083.00 |
$7,083.00 |
$7,083.00 |
$2,734.20
|
|
External chromosome analysis 20-25 cells
|
$643.00 |
$643.00 |
$643.00 |
$390.60
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$926.00 |
$926.00 |
$926.00 |
$454.00
|
|
Extnd color vision xm
|
$67.00 |
$67.00 |
$67.00 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$207.00 |
$207.00 |
$207.00 |
$109.18
|
|
Eye implant band 40
|
$400.45 |
$400.45 |
$400.45 |
$6,394.52
|
|
F-18 fdg pet diag
|
$512.00 |
$512.00 |
$512.00 |
$551.72
|
|
F-18 sodium fluoride
|
$973.00 |
$973.00 |
$973.00 |
$532.20
|
|
Facial bones <3
|
$209.00 |
$209.00 |
$209.00 |
$252.60
|
|
Factor ix
|
$25.50 |
$25.50 |
$25.50 |
$165.96
|
|
Factor viii
|
$30.50 |
$30.50 |
$30.50 |
$137.50
|
|
Factor viii
|
$1.00 |
$1.00 |
$1.00 |
$5.02
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$2.49 |
$2.49 |
$2.49 |
$21.00
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$24,691.76 |
$24,691.76 |
$24,691.76 |
$5,508.16
|
|
Fancc gene
|
$131.50 |
$131.50 |
$131.50 |
$147.31
|
|
Fat/lipids feces qualitative
|
$30.00 |
$30.00 |
$30.00 |
$36.75
|
|
Fatty acids nonesterified
|
$124.50 |
$124.50 |
$124.50 |
$64.28
|
|
#fecal-sodium
|
$6.50 |
$6.50 |
$6.50 |
$39.65
|
|
Felbamate (felbatol(r)) - sendout
|
$36.50 |
$36.50 |
$36.50 |
$62.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$21.00 |
$21.00 |
$21.00 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,252.75 |
$2,252.75 |
$2,252.75 |
$2,590.25
|
|
Ferritin
|
$72.50 |
$72.50 |
$72.50 |
$102.60
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$857.84 |
$857.84 |
$857.84 |
$1,713.43
|
|
Fetal biophys profile w/nst 76818
|
$363.00 |
$363.00 |
$363.00 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$788.00 |
$788.00 |
$788.00 |
$477.50
|
|
Fetal hemoglobin (kleihauer betke)
|
$107.50 |
$107.50 |
$107.50 |
$105.30
|
|
Fetal hemoglobin rosette
|
$31.50 |
$31.50 |
$31.50 |
$68.00
|
|
Fetal non stress test
|
$271.50 |
$271.50 |
$271.50 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$91.50 |
$91.50 |
$91.50 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$52.50 |
$52.50 |
$52.50 |
$120.96
|
|
Fibrin degradation products
|
$36.00 |
$36.00 |
$36.00 |
$67.55
|
|
Fibrinogen activity
|
$44.00 |
$44.00 |
$44.00 |
$86.40
|
|
Fibrinolytic plasminogen
|
$63.00 |
$63.00 |
$63.00 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$26.00 |
$26.00 |
$26.00 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$303.36 |
$303.36 |
$303.36 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$461.53 |
$461.53 |
$461.53 |
$1,141.77
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$487.93 |
$487.93 |
$487.93 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$2,426.00 |
$2,426.00 |
$2,426.00 |
$7,180.66
|
|
Filter vena cava fem denali
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$3,816.40
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$316.00 |
$316.00 |
$316.00 |
$833.25
|
|
Fine needle asp without image guide 10021
|
$1,521.13 |
$1,521.13 |
$1,521.13 |
$515.55
|
|
Fixation of knee joint
|
$2,626.00 |
$2,626.00 |
$2,626.00 |
$1,893.86
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$4,955.00 |
$4,955.00 |
$4,955.00 |
$4,350.00
|
|
Flecainide (tambocor)-sendout
|
$15.00 |
$15.00 |
$15.00 |
$66.12
|
|
Flexible Sigmoidoscopy
|
$1,652.00 |
$1,652.00 |
$1,652.00 |
$1,278.72
|
|
Flotufolastat f18 diag 1 mci
|
$834.50 |
$834.50 |
$834.50 |
$3,308.76
|
|
Flow cytometry marker each additional
|
$280.00 |
$280.00 |
$280.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$654.00 |
$654.00 |
$654.00 |
$279.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$20.25 |
$20.25 |
$20.25 |
$64.41
|
|
Fluocinol acet intravit imp
|
$1,090.50 |
$1,090.50 |
$1,090.50 |
$14,359.80
|
|
Fluorescent antibody titer dna
|
$845.00 |
$845.00 |
$845.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$361.00 |
$361.00 |
$361.00 |
$507.00
|
|
Fluoroguide needle placement
|
$442.50 |
$442.50 |
$442.50 |
$517.44
|
|
Fluoroscopy up to 1 hour
|
$692.00 |
$692.00 |
$692.00 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$52.06 |
$52.06 |
$52.06 |
$97.74
|
|
Fluzone vacc, 3 yrs & >, im
|
$18.00 |
$18.00 |
$18.00 |
$50.00
|
|
Fna bx w/ct gdn 1st les
|
$1,267.00 |
$1,267.00 |
$1,267.00 |
$1,427.65
|
|
Foam drg >16<=48 sq in w/bdr
|
$66.40 |
$66.40 |
$66.40 |
$62.09
|
|
Folic acid
|
$78.00 |
$78.00 |
$78.00 |
$102.90
|
|
Foot X-ray
|
$388.00 |
$388.00 |
$388.00 |
$365.31
|
|
Forehead flap w/vasc pedicle 15731
|
$4,757.50 |
$4,757.50 |
$4,757.50 |
$4,777.60
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$45.48 |
$45.48 |
$45.48 |
$470.29
|
|
Foscarnet sodium injection
|
$59.00 |
$59.00 |
$59.00 |
$975.28
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$117.52 |
$117.52 |
$117.52 |
$106.25
|
|
_fragile x methylation-sendout
|
$160.50 |
$160.50 |
$160.50 |
$175.75
|
|
Frenectomy 41115
|
$2,126.00 |
$2,126.00 |
$2,126.00 |
$1,783.50
|
|
Frenotomy 40806
|
$2,675.00 |
$2,675.00 |
$2,675.00 |
$729.70
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$286.50 |
$286.50 |
$286.50 |
$152.75
|
|
Fructosamine glycated protein
|
$5.00 |
$5.00 |
$5.00 |
$63.50
|
|
Fth/gft fr trnk each addl
|
$1,114.50 |
$1,114.50 |
$1,114.50 |
$1,331.00
|
|
Ftl cgen abnor four anal
|
$43.00 |
$43.00 |
$43.00 |
$202.80
|
|
Ftl cgen abnor two proteins
|
$31.00 |
$31.00 |
$31.00 |
$110.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,207.75 |
$2,207.75 |
$2,207.75 |
$3,091.20
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$9,849.51 |
$9,849.51 |
$9,849.51 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$973.00 |
$973.00 |
$973.00 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,181.17 |
$2,181.17 |
$2,181.17 |
$2,707.20
|
|
Furosemide 10 mg/ml injection solution
|
$60.00 |
$60.00 |
$60.00 |
$19.53
|
|
Fusion of big toe joint
|
$9,824.00 |
$9,824.00 |
$9,824.00 |
$5,488.00
|
|
Fusion of big toe joint
|
$6,634.00 |
$6,634.00 |
$6,634.00 |
$6,839.00
|
