|
External cannula declotting
|
$118.50 |
$119.00 |
$2,349.00 |
|
|
External chromosome analysis 20-25 cells
|
$335.50 |
$403.00 |
$791.50 |
|
|
External newborn metabolic screening panel
|
$106.00 |
$106.00 |
$106.00 |
|
|
External ocular photography
|
$44.00 |
$44.00 |
$209.00 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$59.50 |
$59.50 |
$59.50 |
|
|
External recharg sys intern
|
$1,447.50 |
$1,447.50 |
$1,447.50 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$298.40 |
$475.00 |
$1,618.50 |
|
|
Extnd color vision xm
|
$9.00 |
$67.00 |
$130.00 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$157.00 |
$235.13 |
$1,225.00 |
|
|
Extraction erupted tooth/exr
|
$6,789.00 |
$6,789.00 |
$6,789.00 |
|
|
Extraction of lens
|
$799.00 |
$799.00 |
$4,221.00 |
|
|
Extraction of lens
|
$732.50 |
$780.50 |
$4,082.00 |
|
|
Extrnl counterpulse, per tx
|
$207.50 |
$207.50 |
$1,582.50 |
|
|
Eye implant band 40
|
$400.45 |
$400.45 |
$2,151.12 |
|
|
Eye photodynamic ther add-on
|
$390.50 |
$390.50 |
$637.00 |
|
|
Eye surgery follow-up add-on
|
$2,307.83 |
$2,307.83 |
$2,307.83 |
|
|
Eye suture during surgery
|
$3,026.50 |
$3,026.50 |
$5,445.50 |
|
|
F-18 fdg pet diag
|
$113.00 |
$512.00 |
$1,516.20 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$3,235.00 |
$3,235.00 |
$4,543.80 |
|
|
F-18 sodium fluoride
|
$193.00 |
$198.00 |
$973.00 |
|
|
Face bone graft
|
$13,496.34 |
$13,496.34 |
$13,496.34 |
|
|
Facial bones <3
|
$11.00 |
$193.50 |
$301.00 |
|
|
Facial nerve function test
|
$455.00 |
$455.00 |
$455.00 |
|
|
Factor ix
|
$25.50 |
$162.50 |
$640.20 |
|
|
Factor ix complex
|
$1.00 |
$1.00 |
$1.00 |
|
|
Factor ix recombinant nos
|
$1.00 |
$1.00 |
$16,646.40 |
|
|
Factor viii
|
$22.50 |
$87.50 |
$640.20 |
|
|
Factor viii
|
$0.50 |
$1.00 |
$1.00 |
|
|
Factor viii fc fusion recomb
|
$14,940.00 |
$14,940.00 |
$14,940.00 |
|
|
Factor viii recombinant nos
|
$0.50 |
$1.00 |
$1,755.23 |
|
|
Factor viii recomb obizur
|
$6.00 |
$6.00 |
$6.00 |
|
|
Fam adapt bhv tx gdn phy/qhp
|
$334.00 |
$334.00 |
$334.00 |
|
|
Family therapy without pt 50min 90846
|
$113.00 |
$196.00 |
$596.00 |
|
|
Family therapy with patient 50 min 90847
|
$117.00 |
$191.00 |
$596.00 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.83 |
$2.30 |
$5.18 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$8,338.80 |
$24,691.76 |
$37,037.64 |
|
|
Fancc gene
|
$131.50 |
$357.00 |
$594.00 |
|
|
Fat/lipids feces qualitative
|
$13.50 |
$28.00 |
$44.80 |
|
|
Fatty acids nonesterified
|
$101.00 |
$116.00 |
$252.00 |
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$18,544.20 |
$18,544.20 |
$36,174.60 |
|
|
Fecal microbiota prep instil
|
$816.50 |
$816.50 |
$907.00 |
|
|
#fecal-sodium
|
$6.50 |
$22.50 |
$44.50 |
|
|
Feeding tube reposition
|
$548.00 |
$548.00 |
$548.00 |
|
|
Felbamate (felbatol(r)) - sendout
|
$34.00 |
$34.00 |
$54.40 |
|
|
Femoral endovas graft add-on 34813
|
$252.00 |
$260.00 |
$416.00 |
|
|
Fem/popl revasc w/stent
|
$10,324.50 |
$15,769.00 |
$37,041.00 |
|
|
Feno poc
|
$41.00 |
$72.50 |
$164.50 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$2.00 |
$10.50 |
$600.00 |
|
|
Fern test
|
$15.50 |
$15.50 |
$15.50 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,501.83 |
$2,252.75 |
$3,310.20 |
|
|
Ferritin
|
$17.60 |
$75.50 |
$247.20 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1.50 |
$487.85 |
$1,715.67 |
|
|
Fetal biophys profile w/nst 76818
|
$50.50 |
$193.00 |
$806.00 |
|
|
Fetal chrom aneuploidy gsa panel
|
$800.00 |
$800.00 |
$1,409.00 |
|
|
Fetal contract stress test 59020 - 26
|
$363.00 |
$401.50 |
$788.00 |
|
|
Fetal fibronectin
|
$125.00 |
$327.50 |
$436.50 |
|
|
Fetal fluid drainage w/us
|
$408.50 |
$408.50 |
$408.50 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$46.00 |
$104.00 |
$234.50 |
|
|
Fetal hemoglobin rosette
|
$31.50 |
$41.50 |
$82.00 |
|
|
Fetal lung maturity assess lam body dnst
|
$81.50 |
$108.00 |
$108.00 |
|
|
Fetal non stress test
|
$193.50 |
$274.00 |
$1,196.00 |
|
|
#_fet/norfentcnfrmur
|
$80.00 |
$85.00 |
$239.20 |
|
|
Fibrin degradation d dimer quantitative
|
$26.40 |
$57.50 |
$130.50 |
|
|
Fibrin degradation products
|
$36.00 |
$41.50 |
$196.20 |
|
|
Fibrin degrade semiquant
|
$69.50 |
$69.60 |
$69.60 |
|
|
Fibrin degradj d-dimer
|
$79.00 |
$79.00 |
$111.50 |
|
|
Fibrinogen activity
|
$18.40 |
$58.00 |
$155.40 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$25.00 |
$301.50 |
$321.50 |
|
|
Fibrinolytic antiplasmin
|
$152.40 |
$152.40 |
$296.70 |
|
|
Fibrinolytic plasminogen
|
$28.00 |
$58.50 |
$305.60 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$26.00 |
$41.00 |
$275.20 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$303.33 |
$303.34 |
$303.36 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$307.70 |
$461.53 |
$461.53 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1.00 |
$325.30 |
$1,464.60 |
|
|
Filtered speech hearing test
|
$135.00 |
$135.00 |
$135.00 |
|
|
Filter spider fx 3mmx320cm
|
$1,245.50 |
$1,933.00 |
$5,428.10 |
|
|
Filter vena cava fem denali
|
$1,640.50 |
$2,028.00 |
$4,290.50 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,279.00 |
$1,454.50 |
$1,655.50 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$173.00 |
$173.00 |
$888.00 |
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$43.50 |
$46.00 |
$280.50 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$49.80 |
$698.00 |
$4,882.50 |
|
|
Fine needle asp without image guide 10021
|
$82.80 |
$467.50 |
$4,107.50 |
|
|
Finger joint sz00 swanson w/grommets
|
$1,930.58 |
$1,954.50 |
$2,688.89 |
|
|
Finger tendon transfer
|
$6,874.50 |
$6,874.50 |
$6,874.50 |
|
|
Fistula repair transperine 57308
|
$710.50 |
$710.50 |
$1,136.80 |
|
|
Fitg c-lens keratoconus 1st
|
$45.00 |
$86.00 |
$137.60 |
|
|
Fitting of diaphragm/cap 57170
|
$232.50 |
$232.50 |
$232.50 |
|
|
Fixation of knee joint
|
$1,540.00 |
$1,848.50 |
$4,057.63 |
|
|
Fix g/colon tube w/device
|
$1,042.50 |
$1,077.50 |
$1,470.00 |
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$715.50 |
$733.50 |
$8,089.50 |
|
|
Flecainide (tambocor)-sendout
|
$14.00 |
$14.00 |
$34.00 |
|
|
Fl exam g/colon tube w contrast
|
$332.50 |
$493.00 |
$1,364.00 |
|
|
Flexible Sigmoidoscopy
|
$60.00 |
$1,046.50 |
$3,582.00 |
|
|
Floor of mouth biopsy 41108
|
$552.00 |
$1,898.50 |
$2,684.50 |
|
|
Florbetaben f18 diagnostic
|
$4,039.00 |
$4,039.00 |
$4,488.00 |
|
|
Flortaucipir inj 1 millicuri
|
$464.00 |
$464.00 |
$464.00 |
|
|
Flotufolastat f18 diag 1 mci
|
$816.00 |
$834.50 |
$927.00 |
|
|
Flow cytometry interp 16 or more
|
$84.00 |
$88.50 |
$200.00 |
|
|
Flow cytometry marker each additional
|
$24.00 |
$460.00 |
$3,850.00 |
|
|
Flow cytometry one marker technical component
|
$206.50 |
$209.50 |
$950.00 |
|
