|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$8,498.00 |
$8,498.00 |
$8,498.00 |
$2,896.40
|
|
External cannula declotting
|
$2,349.00 |
$2,349.00 |
$2,349.00 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$791.50 |
$791.50 |
$791.50 |
$403.00
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$59.50 |
$59.50 |
$59.50 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,605.00 |
$1,605.00 |
$1,605.00 |
$445.60
|
|
Extnd color vision xm
|
$72.50 |
$72.50 |
$72.50 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$481.50 |
$481.50 |
$481.50 |
$109.00
|
|
Extrnl counterpulse, per tx
|
$207.50 |
$207.50 |
$207.50 |
$431.60
|
|
Eye suture during surgery
|
$5,445.50 |
$5,445.50 |
$5,445.50 |
$817.53
|
|
F-18 fdg pet diag
|
$538.00 |
$538.00 |
$538.00 |
$551.72
|
|
Facial bones <3
|
$278.00 |
$278.00 |
$278.00 |
$252.60
|
|
Factor ix
|
$49.00 |
$49.00 |
$49.00 |
$154.50
|
|
Factor viii
|
$70.00 |
$70.00 |
$70.00 |
$144.82
|
|
Family therapy without pt 50min 90846
|
$285.00 |
$285.00 |
$285.00 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$285.00 |
$285.00 |
$285.00 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$5.18 |
$5.18 |
$5.18 |
$22.23
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$27,704.04 |
$27,704.04 |
$27,704.04 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$13.50 |
$13.50 |
$13.50 |
$36.00
|
|
Fatty acids nonesterified
|
$116.00 |
$116.00 |
$116.00 |
$64.28
|
|
Fecal microbiota prep instil
|
$816.50 |
$816.50 |
$816.50 |
$1,059.00
|
|
#fecal-sodium
|
$42.00 |
$42.00 |
$42.00 |
$37.50
|
|
Fem/popl revasc w/stent
|
$37,041.00 |
$37,041.00 |
$37,041.00 |
$16,782.48
|
|
Feno poc
|
$41.00 |
$41.00 |
$41.00 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$15.75 |
$15.75 |
$15.75 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,252.75 |
$2,252.75 |
$2,252.75 |
$2,590.25
|
|
Ferritin
|
$89.00 |
$89.00 |
$89.00 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$487.85 |
$487.85 |
$487.85 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$575.50 |
$575.50 |
$575.50 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$364.50 |
$364.50 |
$364.50 |
$475.50
|
|
Fetal fibronectin
|
$377.50 |
$377.50 |
$377.50 |
$387.60
|
|
Fetal hemoglobin (kleihauer betke)
|
$46.00 |
$46.00 |
$46.00 |
$104.00
|
|
Fetal hemoglobin rosette
|
$36.00 |
$36.00 |
$36.00 |
$67.20
|
|
Fetal non stress test
|
$689.00 |
$689.00 |
$689.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$85.00 |
$85.00 |
$85.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$62.00 |
$62.00 |
$62.00 |
$120.05
|
|
Fibrin degradation products
|
$44.50 |
$44.50 |
$44.50 |
$74.25
|
|
Fibrinogen activity
|
$54.50 |
$54.50 |
$54.50 |
$85.86
|
|
Fibrinolytic plasminogen
|
$28.00 |
$28.00 |
$28.00 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$42.00 |
$42.00 |
$42.00 |
$66.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$487.94 |
$487.94 |
$487.94 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$5,428.10 |
$5,428.10 |
$5,428.10 |
$7,188.75
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,279.00 |
$1,279.00 |
$1,279.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$888.00 |
$888.00 |
$888.00 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$127.50 |
$127.50 |
$127.50 |
$280.50
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$698.00 |
$698.00 |
$698.00 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$799.00 |
$799.00 |
$799.00 |
$497.00
|
|
Finger joint sz00 swanson w/grommets
|
$1,930.58 |
$1,930.58 |
$1,930.58 |
$4,584.72
|
|
Fixation of knee joint
|
$4,057.63 |
$4,057.63 |
$4,057.63 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,165.45
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$8,089.50 |
$8,089.50 |
$8,089.50 |
$4,350.00
|
|
Flecainide (tambocor)-sendout
|
$34.00 |
$34.00 |
$34.00 |
$65.24
|
|
Fl exam g/colon tube w contrast
|
$332.50 |
$332.50 |
$332.50 |
$523.95
|
|
Flexible Sigmoidoscopy
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$2,497.00 |
$2,497.00 |
$2,497.00 |
$2,160.48
|
|
Flotufolastat f18 diag 1 mci
|
$834.50 |
$834.50 |
$834.50 |
$2,215.03
|
|
Flow cytometry marker each additional
|
$720.00 |
$720.00 |
$720.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$446.50 |
$446.50 |
$446.50 |
$276.60
|
|
Flt3 gene
|
$742.00 |
$742.00 |
$742.00 |
$355.00
|
|
Flt3 gene analysis
|
$156.50 |
$156.50 |
$156.50 |
$215.20
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$20.25 |
$20.25 |
$20.25 |
$64.15
|
|
Fluidotherapy charges pt
|
$39.50 |
$39.50 |
$39.50 |
$98.40
|
|
Fluid pressure muscle 20950
|
$1,027.50 |
$1,027.50 |
$1,027.50 |
$779.45
|
|
Fluocinol acet intravit imp
|
$1,090.50 |
$1,090.50 |
$1,090.50 |
$14,359.80
|
|
Fluorescent antibody titer dna
|
$71.50 |
$71.50 |
$71.50 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$57.00 |
$57.00 |
$57.00 |
$495.95
|
|
Fluoroguide needle placement
|
$709.50 |
$709.50 |
$709.50 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$600.50 |
$600.50 |
$600.50 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$46.13 |
$46.13 |
$46.13 |
$107.00
|
|
Fluzone vacc, 3 yrs & >, im
|
$18.00 |
$18.00 |
$18.00 |
$60.00
|
|
Fna bx w/ct gdn 1st les
|
$1,273.00 |
$1,273.00 |
$1,273.00 |
$1,427.65
|
|
Foam drg >16<=48 sq in w/bdr
|
$58.10 |
$58.10 |
$58.10 |
$58.10
|
|
Foam drg <=16 sq in w/border
|
$60.09 |
$60.09 |
$60.09 |
$16.25
|
|
Folic acid
|
$96.50 |
$96.50 |
$96.50 |
$99.96
|
|
Follow-up surgery of eye
|
$4,643.00 |
$4,643.00 |
$4,643.00 |
$3,572.40
|
|
Fondaparinux sodium
|
$73.43 |
$73.43 |
$73.43 |
$186.87
|
|
Foot X-ray
|
$405.00 |
$405.00 |
$405.00 |
$352.08
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$544.50 |
$544.50 |
$544.50 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$93.00 |
$93.00 |
$93.00 |
$490.67
|
|
Foscarnet sodium injection
|
$321.44 |
$321.44 |
$321.44 |
$1,008.91
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$30.58 |
$30.58 |
$30.58 |
$106.25
|
|
Fracture assessment via dxa
|
$352.50 |
$352.50 |
$352.50 |
$175.50
|
|
Fragmenting of kidney stone
|
$9,855.50 |
$9,855.50 |
$9,855.50 |
$10,312.25
|
|
Frenectomy 41115
|
$7,721.34 |
$7,721.34 |
$7,721.34 |
$1,939.47
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$238.00 |
$238.00 |
$238.00 |
$153.02
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$241.50 |
$241.50 |
$241.50 |
$164.16
|
|
Fth/gft fr n/e/e/l each addl
|
$4,148.38 |
$4,148.38 |
$4,148.38 |
$1,368.50
|
|
Fth/gft fr trnk each addl
|
$1,114.50 |
$1,114.50 |
$1,114.50 |
$1,331.00
|
|
Ftl cgen abnor four anal
|
$40.00 |
$40.00 |
$40.00 |
$205.80
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$8,296.75 |
$8,296.75 |
$8,296.75 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,404.50 |
$2,404.50 |
$2,404.50 |
$2,469.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$10,952.34 |
$10,952.34 |
$10,952.34 |
$2,706.60
|
|
Fundus photography with i&r 92250
|
$303.00 |
$303.00 |
$303.00 |
$178.20
|
|
Furosemide 10 mg/ml injection solution
|
$12.07 |
$12.07 |
$12.07 |
$19.53
|
|
Fusion of big toe joint
|
$17,773.50 |
$17,773.50 |
$17,773.50 |
$5,488.00
|
|
Fusion of finger joint
|
$12,931.50 |
$12,931.50 |
$12,931.50 |
$4,350.00
|
|
Fusion of foot bones
|
$26,247.00 |
$26,247.00 |
$26,247.00 |
$6,411.60
|
|
Fusion of foot bones
|
$37,212.00 |
$37,212.00 |
$37,212.00 |
$14,061.89
|
|
Fusion of knuckle
|
$15,077.00 |
$15,077.00 |
$15,077.00 |
$6,311.00
|
|
Ga-67 gallium 0.1 mci
|
$120.50 |
$120.50 |
$120.50 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$4,149.50 |
$4,149.50 |
$4,149.50 |
$139.70
|
