|
Encephalitis, western equine igg/igm
|
$9.68 |
$9.68 |
$9.68 |
$54.99
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$4,845.46 |
$4,845.46 |
$4,845.46 |
$4,888.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$3,246.01 |
$3,246.01 |
$3,246.01 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$239.87 |
$239.87 |
$239.87 |
$714.24
|
|
Endo cath panc duct s&i
|
$243.46 |
$243.46 |
$243.46 |
$672.43
|
|
Endoluminal bx biliary tree
|
$1,095.56 |
$1,095.56 |
$1,095.56 |
$2,379.30
|
|
Endoluminal bx urtr rnl plvs
|
$1,718.64 |
$1,718.64 |
$1,718.64 |
$2,375.60
|
|
Endoluminl ivus oct c 1st
|
$1,257.69 |
$1,257.69 |
$1,257.69 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$1,006.11 |
$1,006.11 |
$1,006.11 |
$2,158.95
|
|
Endoscopy swallow (fees) vid
|
$158.46 |
$158.46 |
$158.46 |
$402.35
|
|
Endovasc tempory vessel occl
|
$3,206.90 |
$3,206.90 |
$3,206.90 |
$11,474.40
|
|
Endovenous laser vein addon 36479
|
$1,577.58 |
$1,577.58 |
$1,577.58 |
$2,755.76
|
|
Endovenous mchnchem 1st vein
|
$4,118.88 |
$4,118.88 |
$4,118.88 |
$4,904.40
|
|
Endovenous rf abl vein addl
|
$1,568.34 |
$1,568.34 |
$1,568.34 |
$3,156.02
|
|
Enzyme histochemistry
|
$419.44 |
$419.44 |
$419.44 |
$455.91
|
|
Ep & ablate supravent arrhyt
|
$13,734.29 |
$13,734.29 |
$13,734.29 |
$26,193.60
|
|
Ep & ablate ventric tachy
|
$14,722.99 |
$14,722.99 |
$14,722.99 |
$27,778.40
|
|
Epidural/lumbar/sacral/ea add level64484
|
$399.78 |
$399.78 |
$399.78 |
$1,182.00
|
|
Ep induct arrhy by elect pacing
|
$1,292.72 |
$1,292.72 |
$1,292.72 |
$2,702.70
|
|
Epoetin alfa, 100 units esrd
|
$2.47 |
$2.47 |
$2.47 |
$6.00
|
|
Epstein barr early antigen antibody
|
$8.20 |
$8.20 |
$8.20 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$8.05 |
$8.05 |
$8.05 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$9.24 |
$9.24 |
$9.24 |
$85.50
|
|
Ercp biliary & pancreas
|
$282.11 |
$282.11 |
$282.11 |
$967.04
|
|
ER Visit (level 1, minor)
|
$297.16 |
$297.16 |
$297.16 |
$252.60
|
|
ER Visit (level 2)
|
$679.19 |
$679.19 |
$679.19 |
$463.00
|
|
ER Visit (level 3)
|
$1,142.80 |
$1,142.80 |
$1,142.80 |
$812.18
|
|
ER Visit (level 4)
|
$1,330.12 |
$1,330.12 |
$1,330.12 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,513.22 |
$1,513.22 |
$1,513.22 |
$1,871.60
|
|
Esophageal dilat s&i
|
$135.94 |
$135.94 |
$135.94 |
$551.20
|
|
Establish access to aorta
|
$249.17 |
$249.17 |
$249.17 |
$1,273.00
|
|
Establish access to artery
|
$260.26 |
$260.26 |
$260.26 |
$1,145.65
|
|
Established Patient Office Visit (level 1)
|
$223.01 |
$223.01 |
$223.01 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$565.22 |
$565.22 |
$565.22 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$1,134.28 |
$1,134.28 |
$1,134.28 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$1,749.48 |
$1,749.48 |
$1,749.48 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$2,464.64 |
$2,464.64 |
$2,464.64 |
$290.68
|
|
Estradiol total
|
$13.27 |
$13.27 |
$13.27 |
$152.10
|
|
Estrogens total-sendout
|
$10.43 |
$10.43 |
$10.43 |
$97.50
|
|
Ethylene glycol -sendout
|
$12.80 |
$12.80 |
$12.80 |
$86.04
|
|
Euglobulin lysis
|
$4.78 |
$4.78 |
$4.78 |
$63.84
|
|
Eval/fit voice prosthesis iii, st
|
$165.09 |
$165.09 |
$165.09 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$46.61 |
$46.61 |
$46.61 |
$213.15
|
|
Evaluation heart device
|
$587.16 |
$587.16 |
$587.16 |
$2,199.00
|
|
Evaluation of speech fluency 92521
|
$81.03 |
$81.03 |
$81.03 |
$302.50
|
|
Evasc prlng admn rx agnt 1st
|
$2,223.45 |
$2,223.45 |
$2,223.45 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$948.33 |
$948.33 |
$948.33 |
$2,803.24
|
|
Evasc rpr ilio-iliac ndgft
|
$4,301.22 |
$4,301.22 |
$4,301.22 |
$7,060.51
|
|
Event monitor
|
$76.67 |
$76.67 |
$76.67 |
$231.00
|
|
Evoked potential visual not glaucoma
|
$325.55 |
$325.55 |
$325.55 |
$814.61
|
|
Exchange biliary drg cath
|
$1,109.72 |
$1,109.72 |
$1,109.72 |
$3,856.84
|
|
Exchange drainage catheter
|
$805.11 |
$805.11 |
$805.11 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$1,314.85 |
$1,314.85 |
$1,314.85 |
$2,958.80
|
|
Exercise w/hemodynamic meas
|
$269.64 |
$269.64 |
$269.64 |
$901.60
|
|
Exome sequence analysis
|
$4,997.73 |
$4,997.73 |
$4,997.73 |
$5,258.00
|
|
Exome sequence analysis
|
$12,546.29 |
$12,546.29 |
$12,546.29 |
$12,000.00
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,436.70 |
$2,436.70 |
$2,436.70 |
$4,101.67
|
|
Explore chest vessels 35820
|
$1,897.59 |
$1,897.59 |
$1,897.59 |
$3,891.00
|
|
External cannula declotting
|
$1,245.86 |
$1,245.86 |
$1,245.86 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$238.34 |
$238.34 |
$238.34 |
$415.01
|
|
External newborn metabolic screening panel
|
$51.00 |
$51.00 |
$51.00 |
$109.76
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$7.90 |
$7.90 |
$7.90 |
$63.70
|
|
External recharg sys intern
|
$1,910.58 |
$1,910.58 |
$1,910.58 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$258.52 |
$258.52 |
$258.52 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$19.37 |
$19.37 |
$19.37 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$110.85 |
$110.85 |
$110.85 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$557.31 |
$557.31 |
$557.31 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$464.49 |
$464.49 |
$464.49 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$371.48 |
$371.48 |
$371.48 |
$1,320.00
|
|
F-18 fdg pet diag
|
$557.67 |
$557.67 |
$557.67 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$1,366.44 |
$1,366.44 |
$1,366.44 |
$5,224.83
|
|
F-18 sodium fluoride
|
$238.36 |
$238.36 |
$238.36 |
$492.56
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$604.10 |
$604.10 |
$604.10 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$402.73 |
$402.73 |
$402.73 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$81.41 |
$81.41 |
$81.41 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$89.86 |
$89.86 |
$89.86 |
$381.75
|
|
Factor ix
|
$14.54 |
$14.54 |
$14.54 |
$162.50
|
|
Factor viii
|
$12.14 |
$12.14 |
$12.14 |
$148.00
|
|
Fallopian tube recnl
|
$1,164.24 |
$1,164.24 |
$1,164.24 |
$3,740.75
|
|
Fancc gene
|
$74.00 |
$74.00 |
$74.00 |
$140.00
|
|
Fat/lipids feces qualitative
|
$10.74 |
$10.74 |
$10.74 |
$36.00
|
|
Fatty acids nonesterified
|
$10.90 |
$10.90 |
$10.90 |
$72.15
|
|
#fecal-sodium
|
$9.16 |
$9.16 |
$9.16 |
$37.53
|
|
Feeding tube reposition
|
$240.64 |
$240.64 |
$240.64 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$11.69 |
$11.69 |
$11.69 |
$66.43
|
|
Fem/popl revasc w/stent
|
$8,189.41 |
$8,189.41 |
$8,189.41 |
$16,129.60
|
|
Fern test
|
$10.43 |
$10.43 |
$10.43 |
$37.03
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$0.20 |
$0.20 |
$0.20 |
$2,590.25
|
|
Ferritin
|
$35.08 |
$35.08 |
$35.08 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$402.82 |
$402.82 |
$402.82 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$494.33 |
$494.33 |
$494.33 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$720.23 |
$720.23 |
$720.23 |
$477.50
|
|
Fetal fibronectin
|
$30.65 |
$30.65 |
$30.65 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$10.86 |
$10.86 |
$10.86 |
$102.00
|
|
Fetal hemoglobin rosette
|
$5.34 |
$5.34 |
$5.34 |
$67.20
|
|
Fetal non stress test
|
$493.29 |
$493.29 |
$493.29 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$10.59 |
$10.59 |
$10.59 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$58.88 |
$58.88 |
$58.88 |
$120.64
|
|
Fibrin degradation products
|
$14.72 |
$14.72 |
$14.72 |
$75.02
|
|
Fibrinogen activity
|
$39.38 |
$39.38 |
$39.38 |
$87.00
|
