|
Explore/biopsy eye socket
|
$1,013.00 |
$1,013.00 |
$1,013.00 |
$4,870.40
|
|
Explore chest vessels 35820
|
$2,148.00 |
$2,148.00 |
$2,148.00 |
$3,891.00
|
|
Explore deep node(s) neck
|
$549.50 |
$549.50 |
$549.50 |
$6,376.26
|
|
Explore/irrigate tear ducts
|
$116.50 |
$116.50 |
$116.50 |
$545.30
|
|
Explore limb vessels 35860
|
$900.50 |
$900.50 |
$900.50 |
$4,341.66
|
|
Explore neck vessels 35800
|
$774.50 |
$774.50 |
$774.50 |
$1,772.80
|
|
Explore parathyroid glands
|
$1,083.50 |
$1,083.50 |
$1,083.50 |
$7,000.36
|
|
Explore penetrating wnd/extremity 20103
|
$381.00 |
$381.00 |
$381.00 |
$1,788.80
|
|
Explore scrotum
|
$407.50 |
$407.50 |
$407.50 |
$3,863.60
|
|
Explore small intestine 44020
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,548.00
|
|
Explore/treat ankle joint
|
$471.00 |
$471.00 |
$471.00 |
$3,839.54
|
|
Explore/treat eye socket
|
$962.50 |
$962.50 |
$962.50 |
$3,269.14
|
|
Explore/treat finger joint
|
$357.00 |
$357.00 |
$357.00 |
$3,594.44
|
|
Explore/treat finger joint
|
$420.00 |
$420.00 |
$420.00 |
$2,211.05
|
|
Explore/treat wrist joint
|
$429.00 |
$429.00 |
$429.00 |
$3,986.00
|
|
Explore wound abdomen 20102
|
$273.00 |
$273.00 |
$273.00 |
$2,699.50
|
|
Explore woundchest 20101
|
$224.00 |
$224.00 |
$224.00 |
$2,195.00
|
|
Explor not followed by surg repair artery; low extrem 35703
|
$445.00 |
$445.00 |
$445.00 |
$999.89
|
|
Explr/decompress eye socket
|
$1,434.00 |
$1,434.00 |
$1,434.00 |
$5,821.06
|
|
Expose art endoprosth iliac 34820
|
$363.50 |
$363.50 |
$363.50 |
$1,812.80
|
|
Expose endoprosth brachial 34834
|
$139.00 |
$139.00 |
$139.00 |
$1,888.20
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$468.00 |
$468.00 |
$468.00 |
$3,623.43
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$271.50 |
$271.50 |
$271.50 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$363.50 |
$363.50 |
$363.50 |
$2,896.40
|
|
Ext ecg>48hr<7d rev&interpj
|
$25.00 |
$25.00 |
$25.00 |
$57.00
|
|
Ext ecg>7d<15d rev&interpj
|
$27.50 |
$27.50 |
$27.50 |
$63.20
|
|
Extended visual field xm
|
$127.50 |
$127.50 |
$127.50 |
$162.75
|
|
External cannula declotting
|
$119.00 |
$119.00 |
$119.00 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$335.50 |
$335.50 |
$335.50 |
$403.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$475.00 |
$475.00 |
$475.00 |
$445.60
|
|
Extnd color vision xm
|
$9.00 |
$9.00 |
$9.00 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$157.00 |
$157.00 |
$157.00 |
$109.00
|
|
Extraction of lens
|
$853.00 |
$853.00 |
$853.00 |
$4,452.74
|
|
Extraction of lens
|
$780.50 |
$780.50 |
$780.50 |
$2,685.92
|
|
F-18 fdg pet diag
|
$427.00 |
$427.00 |
$427.00 |
$551.72
|
|
Facial bones <3
|
$147.00 |
$147.00 |
$147.00 |
$252.60
|
|
Factor ix
|
$214.00 |
$214.00 |
$214.00 |
$154.50
|
|
Factor viii
|
$55.00 |
$55.00 |
$55.00 |
$144.82
|
|
Family therapy without pt 50min 90846
|
$196.00 |
$196.00 |
$196.00 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$180.00 |
$180.00 |
$180.00 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$3.45 |
$3.45 |
$3.45 |
$22.23
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$13,889.12 |
$13,889.12 |
$13,889.12 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$28.00 |
$28.00 |
$28.00 |
$36.00
|
|
Fatty acids nonesterified
|
$101.00 |
$101.00 |
$101.00 |
$64.28
|
|
Femoral endovas graft add-on 34813
|
$252.00 |
$252.00 |
$252.00 |
$1,245.40
|
|
Feno poc
|
$124.00 |
$124.00 |
$124.00 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$22.73 |
$22.73 |
$22.73 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,501.83 |
$1,501.83 |
$1,501.83 |
$2,590.25
|
|
Ferritin
|
$65.50 |
$65.50 |
$65.50 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1.50 |
$1.50 |
$1.50 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$50.50 |
$50.50 |
$50.50 |
$541.74
|
|
Fetal non stress test
|
$201.50 |
$201.50 |
$201.50 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$85.00 |
$85.00 |
$85.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$130.50 |
$130.50 |
$130.50 |
$120.05
|
|
Fibrinogen activity
|
$100.00 |
$100.00 |
$100.00 |
$85.86
|
|
Fibrinolytic plasminogen
|
$58.50 |
$58.50 |
$58.50 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$41.00 |
$41.00 |
$41.00 |
$66.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1.00 |
$1.00 |
$1.00 |
$891.02
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$46.00 |
$46.00 |
$46.00 |
$280.50
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,177.00 |
$1,177.00 |
$1,177.00 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$403.00 |
$403.00 |
$403.00 |
$497.00
|
|
Fistula repair transperine 57308
|
$710.50 |
$710.50 |
$710.50 |
$1,245.00
|
|
Fitg c-lens keratoconus 1st
|
$93.50 |
$93.50 |
$93.50 |
$127.00
|
|
Fixation of knee joint
|
$2,062.50 |
$2,062.50 |
$2,062.50 |
$1,963.35
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$733.50 |
$733.50 |
$733.50 |
$4,350.00
|
|
Flecainide (tambocor)-sendout
|
$14.00 |
$14.00 |
$14.00 |
$65.24
|
|
Flexible Sigmoidoscopy
|
$854.00 |
$854.00 |
$854.00 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$84.00 |
$84.00 |
$84.00 |
$194.00
|
|
Flow cytometry marker each additional
|
$640.00 |
$640.00 |
$640.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$206.50 |
$206.50 |
$206.50 |
$276.60
|
|
#flow interp 9 - 15 markers
|
$61.50 |
$61.50 |
$61.50 |
$172.50
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$6.75 |
$6.75 |
$6.75 |
$64.15
|
|
Fluidotherapy charges pt
|
$79.50 |
$79.50 |
$79.50 |
$98.40
|
|
Fluocinol acet intravit imp
|
$727.00 |
$727.00 |
$727.00 |
$14,359.80
|
|
Fluorescein angrph mltiframe
|
$44.00 |
$44.00 |
$44.00 |
$336.50
|
|
Fluorescent antibody titer dna
|
$50.00 |
$50.00 |
$50.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$249.00 |
$249.00 |
$249.00 |
$495.95
|
|
Fluoroguide needle placement
|
$273.00 |
$273.00 |
$273.00 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$433.00 |
$433.00 |
$433.00 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$69.50 |
$69.50 |
$69.50 |
$107.00
|
|
Fluzone vacc, 3 yrs & >, im
|
$27.00 |
$27.00 |
$27.00 |
$60.00
|
|
Foam drg >16<=48 sq in w/bdr
|
$58.10 |
$58.10 |
$58.10 |
$58.10
|
|
Folic acid
|
$48.50 |
$48.50 |
$48.50 |
$99.96
|
|
Follow-up surgery of eye
|
$553.50 |
$553.50 |
$553.50 |
$3,572.40
|
|
Foot X-ray
|
$271.00 |
$271.00 |
$271.00 |
$352.08
|
|
Forensic cytopathology
|
$13.50 |
$13.50 |
$13.50 |
$63.23
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$249.50 |
$249.50 |
$249.50 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$26.19 |
$26.19 |
$26.19 |
$490.67
|
|
Foscarnet sodium injection
|
$39.50 |
$39.50 |
$39.50 |
$1,008.91
|
|
Fragmenting of kidney stone
|
$596.50 |
$596.50 |
$596.50 |
$10,312.25
|
|
Freeing of bowel adhesion 44005
|
$1,230.50 |
$1,230.50 |
$1,230.50 |
$2,062.20
|
|
Frenulotomy of penis
|
$202.00 |
$202.00 |
$202.00 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$133.00 |
$133.00 |
$133.00 |
$153.02
|
|
Fructosamine glycated protein
|
$4.50 |
$4.50 |
$4.50 |
$61.75
|
|
Fth/gft fr trnk each addl
|
$80.50 |
$80.50 |
$80.50 |
$1,331.00
|
|
Full field erg w/i&r
|
$35.50 |
$35.50 |
$35.50 |
$393.12
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$868.00 |
$868.00 |
$868.00 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$627.50 |
$627.50 |
$627.50 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$899.50 |
$899.50 |
$899.50 |
$1,021.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$817.50 |
$817.50 |
$817.50 |
$2,706.60
|
