|
Epstein barr viral capsid antigen antibody igm
|
$9.82 |
$9.82 |
$9.93 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$964.23 |
$964.23 |
$2,848.29 |
$305.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,620.75 |
$2,620.75 |
$2,620.75 |
$4,539.76
|
|
Ercp biliary & pancreas
|
$638.22 |
$638.22 |
$645.17 |
$943.50
|
|
Ercp w/specimen collection
|
$3,228.87 |
$3,228.87 |
$3,264.06 |
$4,440.54
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,471.75 |
$2,471.75 |
$2,498.69 |
$2,568.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$243.33 |
$243.33 |
$245.98 |
$265.40
|
|
ER Visit (level 1, minor)
|
$174.70 |
$174.70 |
$176.60 |
$276.70
|
|
ER Visit (level 2)
|
$548.67 |
$548.67 |
$554.65 |
$487.50
|
|
ER Visit (level 3)
|
$723.36 |
$723.36 |
$731.25 |
$850.50
|
|
ER Visit (level 4)
|
$1,172.20 |
$1,172.20 |
$1,184.98 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$2,494.50 |
$2,494.50 |
$2,521.69 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$350.86 |
$350.86 |
$354.68 |
$248.39
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$3,150,643.62 |
$3,150,643.62 |
$3,184,983.06 |
$488.72
|
|
Esophageal dilat s&i
|
$2,442.02 |
$2,442.02 |
$2,468.64 |
$525.00
|
|
Esophageal motility
|
$360.77 |
$360.77 |
$364.70 |
$573.20
|
|
Esophagoscopy balloon <30mm
|
$2,637.63 |
$2,637.63 |
$2,666.38 |
$2,460.00
|
|
Esophagoscopy flex remove fb
|
$1,716.83 |
$1,716.83 |
$1,735.54 |
$2,109.53
|
|
Esophagus motility study
|
$1,317.90 |
$1,317.90 |
$1,332.27 |
$1,289.20
|
|
Esoph imped function test
|
$353.06 |
$353.06 |
$356.91 |
$597.03
|
|
Esoph imped funct test > 1hr
|
$633.08 |
$633.08 |
$639.98 |
$986.40
|
|
Establish access to aorta
|
$937.89 |
$937.89 |
$937.89 |
$1,280.06
|
|
Establish access to artery
|
$287.73 |
$287.73 |
$1,915.48 |
$1,145.65
|
|
Establish brain cavity shunt
|
$1,373.32 |
$1,373.32 |
$1,373.32 |
$2,464.00
|
|
Established Patient Office Visit (level 1)
|
$86.08 |
$86.08 |
$93.59 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$86.25 |
$86.25 |
$86.25 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$107.54 |
$107.54 |
$107.54 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$134.33 |
$134.33 |
$140.61 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$148.27 |
$148.27 |
$148.27 |
$287.10
|
|
Estradiol total
|
$110.10 |
$110.10 |
$111.30 |
$153.00
|
|
Estradiol valerate 10 mg inj
|
$21.29 |
$21.29 |
$21.52 |
$80.09
|
|
Ethanolamine oleate 100 mg
|
$537.29 |
$537.29 |
$543.15 |
$1,046.87
|
|
Ethylene glycol -sendout
|
$11.65 |
$11.65 |
$11.77 |
$75.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$23.13 |
$23.13 |
$302.00 |
$234.83
|
|
Etoposide 50 mg cap
|
$105.00 |
$105.00 |
$105.00 |
$135.02
|
|
Euflexxa inj per dose
|
$546.49 |
$546.49 |
$546.49 |
$421.94
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$158.18 |
$158.18 |
$159.91 |
$219.60
|
|
Evasc prlng admn rx agnt 1st
|
$2,256.32 |
$2,256.32 |
$3,563.83 |
$4,462.80
|
|
Evasc prlng admn rx agnt add
|
$1,128.16 |
$1,128.16 |
$1,140.46 |
$3,484.88
|
|
Evasc rpr a-ao ndgft 34701
|
$5,518.58 |
$5,518.58 |
$5,578.73 |
$6,020.00
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$1,729.31 |
$1,729.31 |
$1,748.16 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$5,518.58 |
$5,518.58 |
$5,578.73 |
$10,294.05
|
|
Evasc rpr a-unilac ndgft 34703
|
$5,518.58 |
$5,518.58 |
$5,578.73 |
$7,465.20
|
|
Evasc rpr a-unilac ndgft rpt
|
$3,681.01 |
$3,681.01 |
$3,721.13 |
$9,282.60
|
|
Evasc rpr ilio-iliac ndgft
|
$5,518.58 |
$5,518.58 |
$5,578.73 |
$8,412.85
|
|
Evasc rpr ilio-iliac rpt
|
$1,729.31 |
$1,729.31 |
$1,748.16 |
$9,122.40
|
|
Evoked potentials auditory screening automated analysis
|
$149.52 |
$149.52 |
$218.74 |
$283.62
|
|
Evoked potentials upper limbs
|
$1,445.98 |
$1,445.98 |
$1,461.74 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$670.88 |
$670.88 |
$678.19 |
$829.44
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$933.65 |
$933.65 |
$933.65 |
$1,301.30
|
|
Exchange biliary drg cath
|
$3,813.13 |
$3,813.13 |
$3,854.69 |
$4,176.15
|
|
Exchange drainage catheter
|
$3,388.15 |
$3,388.15 |
$3,425.08 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$1,850.05 |
$1,850.05 |
$2,505.00 |
$3,097.16
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$878.97 |
$878.97 |
$878.97 |
$1,981.25
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$513.44 |
$513.44 |
$513.44 |
$1,064.30
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$4,405.84 |
$4,405.84 |
$4,453.86 |
$2,675.40
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,003.82 |
$2,003.82 |
$2,025.66 |
$4,101.67
|
|
External cannula declotting
|
$873.71 |
$873.71 |
$961.54 |
$1,829.42
|
|
External chromosome analysis 20-25 cells
|
$92.49 |
$92.49 |
$93.50 |
$389.35
|
|
External newborn metabolic screening panel
|
$86.62 |
$86.62 |
$87.56 |
$104.72
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$86.19 |
$86.19 |
$87.13 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$33.40 |
$33.40 |
$33.77 |
$102.78
|
|
F-18 fdg pet diag
|
$233.78 |
$233.78 |
$236.33 |
$602.25
|
|
F-18 florbetapir less than or equal to 10 mci
|
$1,167.06 |
$1,167.06 |
$1,179.78 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$1,671.69 |
$1,671.69 |
$1,689.91 |
$1,307.52
|
|
Facial bones <3
|
$194.51 |
$194.51 |
$196.63 |
$248.60
|
|
Factor ix
|
$12.08 |
$12.08 |
$12.21 |
$131.30
|
|
Factor ix recombinant nos
|
$2.23 |
$2.23 |
$2.23 |
$4.89
|
|
Factor viii
|
$47.75 |
$47.75 |
$48.27 |
$144.30
|
|
Factor viii fc fusion recomb
|
$4.78 |
$4.78 |
$4.78 |
$6.53
|
|
Factor viii recombinant nos
|
$3.34 |
$3.34 |
$3.34 |
$6.55
|
|
Fallopian tube recnl
|
$2,682.04 |
$2,682.04 |
$2,711.27 |
$3,624.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$9.55 |
$9.55 |
$9.65 |
$24.21
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$4,024.53 |
$4,024.53 |
$4,024.53 |
$5,923.42
|
|
Fat/lipids feces qualitative
|
$5.14 |
$5.14 |
$5.20 |
$34.56
|
|
Fatty acids nonesterified
|
$11.01 |
$11.01 |
$11.13 |
$57.60
|
|
#fecal-sodium
|
$34.87 |
$34.87 |
$35.25 |
$37.50
|
|
Feeding tube reposition
|
$195.25 |
$195.25 |
$197.38 |
$441.86
|
|
Fem/popl revasc w/stent
|
$28,027.79 |
$28,027.79 |
$28,333.27 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$100.56 |
$100.56 |
$196.63 |
$118.20
|
|
Fern test
|
$47.35 |
$47.35 |
$47.86 |
$32.50
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,812.62 |
$1,812.62 |
$1,812.62 |
$2,131.58
|
|
Ferritin
|
$104.97 |
$104.97 |
$106.11 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,031.35 |
$2,031.35 |
$2,053.49 |
$1,426.50
|
|
Ferumoxytol, esrd use
|
$2,031.35 |
$2,031.35 |
$2,031.35 |
$0.34
|
|
Fetal biophys profile w/nst 76818
|
$1,509.48 |
$1,509.48 |
$1,525.93 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$227.54 |
$227.54 |
$230.02 |
$1,217.45
|
|
Fetal contract stress test 59020 - 26
|
$398.20 |
$398.20 |
$398.20 |
$540.54
|
|
Fetal fibronectin
|
$443.71 |
$443.71 |
$448.54 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$119.28 |
$119.28 |
$120.58 |
$88.80
|
|
Fetal hemoglobin rosette
|
$54.32 |
$54.32 |
$54.91 |
$76.70
|
|
Fetal non stress test
|
$248.83 |
$248.83 |
$251.54 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$110.47 |
$110.47 |
$111.68 |
$112.80
|
|
Fibrin degradation products
|
$12.96 |
$12.96 |
$13.11 |
$62.40
|
|
Fibrin degrade semiquant
|
$142.03 |
$142.03 |
$143.58 |
$92.00
|
|
Fibrinogen activity
|
$107.54 |
$107.54 |
$108.71 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$12.96 |
$12.96 |
$13.11 |
$56.00
|
|
Fibrinolytic plasminogen
|
$26.80 |
$26.80 |
$27.09 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$6.69 |
$6.69 |
$6.76 |
$59.89
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$614.36 |
$614.36 |
$614.36 |
$545.40
|