|
Eptifibatide 0.75 mg/ml intravenous solution
|
$626.87 |
$626.87 |
$626.87 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,741.24 |
$2,741.24 |
$2,741.24 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$287.62 |
$310.76 |
$555.43 |
$967.04
|
|
Ercp w/specimen collection
|
$1,360.76 |
$1,360.76 |
$1,470.99 |
$4,494.90
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,585.38 |
$2,585.38 |
$2,585.38 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$146.69 |
$146.69 |
$186.87 |
$232.12
|
|
ER Visit (level 1, minor)
|
$140.38 |
$219.99 |
$291.49 |
$252.60
|
|
ER Visit (level 2)
|
$266.10 |
$364.81 |
$587.68 |
$463.00
|
|
ER Visit (level 3)
|
$465.56 |
$618.46 |
$918.38 |
$812.18
|
|
ER Visit (level 4)
|
$738.99 |
$1,094.05 |
$1,523.05 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$945.77 |
$1,508.88 |
$1,658.87 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$79.46 |
$79.46 |
$79.46 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$207.81 |
$207.81 |
$207.81 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$39.35 |
$39.35 |
$1,092.56 |
$516.71
|
|
Esophageal dilat s&i
|
$138.59 |
$138.59 |
$149.74 |
$551.20
|
|
Esophageal motility
|
$314.60 |
$314.60 |
$591.93 |
$655.45
|
|
Esophageal recording
|
$545.86 |
$545.86 |
$545.86 |
$1,985.34
|
|
Esophagus motility study
|
$545.94 |
$836.20 |
$983.11 |
$1,257.17
|
|
Esoph imped function test
|
$472.54 |
$472.54 |
$749.70 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$694.86 |
$694.86 |
$694.86 |
$1,121.40
|
|
Establish access to aorta
|
$289.62 |
$289.62 |
$313.08 |
$1,273.00
|
|
Establish access to artery
|
$302.51 |
$302.51 |
$327.02 |
$1,145.65
|
|
Established Patient Office Visit (level 1)
|
$113.08 |
$220.69 |
$225.91 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$137.91 |
$559.34 |
$572.57 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$186.04 |
$1,122.47 |
$1,149.03 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$1,205.98 |
$1,731.28 |
$1,772.23 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$296.05 |
$2,439.00 |
$2,496.70 |
$290.68
|
|
Estradiol total
|
$13.27 |
$13.44 |
$126.06 |
$152.10
|
|
Estrogens total-sendout
|
$10.43 |
$10.43 |
$10.56 |
$97.50
|
|
Etanercept injection
|
$2,735.89 |
$2,735.89 |
$2,735.89 |
$3,172.86
|
|
Ethylene glycol -sendout
|
$12.80 |
$15.04 |
$22.92 |
$86.04
|
|
Etoposide 20 mg/ml intravenous solution
|
$312.48 |
$312.48 |
$312.48 |
$235.20
|
|
Euglobulin lysis
|
$4.76 |
$5.88 |
$16.81 |
$63.84
|
|
Eval/fit voice prosthesis iii, st
|
$183.76 |
$183.76 |
$471.77 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$46.61 |
$47.20 |
$182.98 |
$213.15
|
|
Evaluation heart device
|
$601.53 |
$675.44 |
$727.71 |
$2,199.00
|
|
Evaluation of speech fluency 92521
|
$47.41 |
$71.12 |
$260.15 |
$302.50
|
|
Evasc prlng admn rx agnt 1st
|
$2,584.40 |
$2,793.75 |
$2,894.04 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$1,102.28 |
$1,191.57 |
$1,447.02 |
$2,803.24
|
|
Evasc rpr a-ao ndgft 34701
|
$2,175.49 |
$2,175.49 |
$15,615.84 |
$5,403.50
|
|
Evasc rpr a-biiliac ndgft rptr
|
$17,320.19 |
$17,320.19 |
$17,320.19 |
$8,565.60
|
|
Evasc rpr a-unilac ndgft 34703
|
$14,440.65 |
$14,440.65 |
$15,610.42 |
$5,741.00
|
|
Evasc rpr ilio-iliac ndgft
|
$4,999.47 |
$5,404.46 |
$7,060.51 |
$7,060.51
|
|
Event monitor
|
$73.02 |
$73.02 |
$121.86 |
$231.00
|
|
Evoked potentials upper limbs
|
$368.98 |
$405.69 |
$462.99 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$310.02 |
$340.88 |
$532.13 |
$814.61
|
|
Exc coccygl pr ulc flap clsr
|
$3,257.18 |
$3,257.18 |
$3,257.18 |
$4,332.25
|
|
Exc coccygl pr ulc prim sutr
|
$2,573.42 |
$2,573.42 |
$2,573.42 |
$2,682.40
|
|
Exchange biliary drg cath
|
$1,289.87 |
$1,394.36 |
$3,009.78 |
$3,856.84
|
|
Exchange drainage catheter
|
$935.81 |
$1,011.62 |
$1,528.00 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$1,528.30 |
$1,652.10 |
$4,618.77 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$1,739.44 |
$1,739.44 |
$1,739.44 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$1,739.44 |
$1,739.44 |
$1,739.44 |
$3,399.24
|
|
Exc prtl bn phlnx toe
|
$1,314.68 |
$1,314.68 |
$1,314.68 |
$3,839.54
|
|
Exc sacral pr ulc prim sutr
|
$2,143.48 |
$2,143.48 |
$2,143.48 |
$3,386.84
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$1,835.79 |
$1,835.79 |
$1,835.79 |
$3,386.84
|
|
Exercise w/hemodynamic meas
|
$340.26 |
$340.26 |
$605.09 |
$901.60
|
|
Exome sequence analysis
|
$2,842.08 |
$2,842.08 |
$6,425.65 |
$5,258.00
|
|
Exome sequence analysis
|
$2,842.08 |
$2,842.08 |
$2,842.08 |
$12,000.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,848.96 |
$2,848.96 |
$2,848.96 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,538.61 |
$2,649.79 |
$2,848.96 |
$4,101.67
|
|
Ext ecg>48hr<7d scan a/r
|
$70.29 |
$70.29 |
$70.29 |
$241.92
|
|
External cannula declotting
|
$1,448.11 |
$1,448.11 |
$1,565.41 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$155.10 |
$269.95 |
$300.35 |
$415.01
|
|
External newborn metabolic screening panel
|
$40.42 |
$63.20 |
$279.63 |
$109.76
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$10.07 |
$10.07 |
$12.98 |
$63.70
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$3,510.12 |
$3,510.12 |
$5,793.03 |
$4,388.25
|
|
External recharg sys intern
|
$2,346.88 |
$2,346.88 |
$3,173.28 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$292.82 |
$325.79 |
$684.55 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$24.70 |
$31.85 |
$139.69 |
$109.00
|
|
Extrnl counterpulse, per tx
|
$298.27 |
$298.27 |
$334.92 |
$431.60
|
|
Eye Socket (Orbit) X-ray
|
$113.01 |
$122.11 |
$227.29 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$477.29 |
$497.29 |
$1,681.95 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$397.79 |
$414.47 |
$1,557.42 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$318.14 |
$331.47 |
$1,323.63 |
$1,320.00
|
|
F-18 fdg pet diag
|
$342.93 |
$342.93 |
$893.21 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$2,072.82 |
$2,072.82 |
$2,664.45 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$446.56 |
$446.56 |
$446.56 |
$1,042.30
|
|
F-18 sodium fluoride
|
$216.98 |
$216.98 |
$262.41 |
$492.56
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$485.11 |
$543.08 |
$2,598.37 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$323.41 |
$362.05 |
$1,273.21 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$83.00 |
$89.68 |
$167.32 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$91.61 |
$98.98 |
$232.26 |
$381.75
|
|
Factor ix
|
$14.46 |
$17.85 |
$325.85 |
$162.50
|
|
Factor ix non-recombinant
|
$1.91 |
$1.91 |
$1.91 |
$4.63
|
|
Factor viii
|
$14.92 |
$20.86 |
$275.04 |
$148.00
|
|
Fallopian tube recnl
|
$1,353.24 |
$1,353.24 |
$1,462.86 |
$3,740.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$12.37 |
$12.37 |
$16.81 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$4,210.03 |
$4,210.03 |
$4,210.03 |
$5,894.50
|
|
Fancc gene
|
$267.02 |
$267.02 |
$267.02 |
$140.00
|
|
Fat/lipids feces qualitative
|
$7.64 |
$10.74 |
$101.28 |
$36.00
|
|
Fatty acids nonesterified
|
$10.90 |
$11.04 |
$28.65 |
$72.15
|
|
Fda ide #g240020 carry bag
|
$642.30 |
$642.30 |
$6,551.30 |
$903.05
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$15,924.82 |
$15,924.82 |
$15,924.82 |
$14,956.68
|
|
#fecal-sodium
|
$7.64 |
$9.16 |
$24.05 |
$37.53
|
|
Feeding tube reposition
|
$245.34 |
$245.34 |
$265.08 |
$520.00
|
|
Fees w/laryngeal sense test
|
$138.54 |
$138.54 |
$138.54 |
$471.00
|
|
Felbamate (felbatol(r)) - sendout
|
$11.69 |
$11.84 |
$29.42 |
$66.43
|
|
Fem/popl revasc w/stent
|
$9,518.86 |
$10,289.94 |
$14,230.27 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$0.43 |
$19.93 |
$61.89 |
$101.40
|
