|
Elec analys infus pump w/reprog 62368
|
$367.92 |
$367.92 |
$367.92 |
$616.11
|
|
Electrical stimulation/unattended 97014
|
$30.96 |
$30.96 |
$30.96 |
$79.20
|
|
Electrolyte panel
|
$54.72 |
$54.72 |
$54.72 |
$84.24
|
|
Electron microscopy diagnostic
|
$252.23 |
$252.23 |
$252.23 |
$983.41
|
|
Emb without cervical dilation 58100
|
$181.08 |
$181.08 |
$181.08 |
$370.50
|
|
Encephalitis, california igg/igm
|
$4.22 |
$4.22 |
$4.22 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$4.22 |
$4.22 |
$4.22 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$4.22 |
$4.22 |
$4.22 |
$53.10
|
|
Endocervical curettage 57505
|
$783.72 |
$783.72 |
$783.72 |
$1,035.00
|
|
Endoscopy swallow (fees) vid
|
$237.24 |
$237.24 |
$237.24 |
$402.35
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$33.96 |
$33.96 |
$33.96 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$3.64 |
$3.64 |
$3.64 |
$56.89
|
|
Enzyme cell activity ra
|
$168.45 |
$168.45 |
$168.45 |
$197.60
|
|
Enzyme histochemistry
|
$29.43 |
$29.43 |
$29.43 |
$471.60
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$33.24 |
$33.24 |
$33.24 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$36.19 |
$36.19 |
$36.19 |
$25.30
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$2.02 |
$2.02 |
$2.02 |
$393.15
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$35.28 |
$35.28 |
$35.28 |
$34.13
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$3,236.76 |
$3,236.76 |
$3,236.76 |
$3,762.53
|
|
Epstein barr early antigen antibody
|
$3.85 |
$3.85 |
$3.85 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$3.85 |
$3.85 |
$3.85 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$3.85 |
$3.85 |
$3.85 |
$91.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$195.96 |
$195.96 |
$195.96 |
$222.98
|
|
ER Visit (level 1, minor)
|
$153.00 |
$153.00 |
$153.00 |
$246.24
|
|
ER Visit (level 2)
|
$438.48 |
$438.48 |
$438.48 |
$452.20
|
|
ER Visit (level 3)
|
$6,228.00 |
$6,228.00 |
$6,228.00 |
$770.04
|
|
ER Visit (level 4)
|
$6,872.76 |
$6,872.76 |
$6,872.76 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$7,646.76 |
$7,646.76 |
$7,646.76 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$12.60 |
$12.60 |
$12.60 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$222.96 |
$222.96 |
$222.96 |
$553.88
|
|
Established Patient Office Visit (level 1)
|
$36.00 |
$36.00 |
$36.00 |
$120.25
|
|
Estradiol total
|
$152.64 |
$152.64 |
$152.64 |
$146.50
|
|
Estradiol valerate 10 mg inj
|
$13.68 |
$13.68 |
$13.68 |
$57.35
|
|
Ethylene glycol -sendout
|
$4.77 |
$4.77 |
$4.77 |
$89.40
|
|
Etonogestrel implant system
|
$1,442.98 |
$1,442.98 |
$1,442.98 |
$2,081.30
|
|
Euflexxa inj per dose
|
$143.64 |
$143.64 |
$143.64 |
$587.51
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$353.16 |
$353.16 |
$353.16 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$143.64 |
$143.64 |
$143.64 |
$311.50
|
|
Event monitor
|
$266.40 |
$266.40 |
$266.40 |
$242.65
|
|
Evoked oa emissions ltd
|
$258.12 |
$258.12 |
$258.12 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$41.76 |
$41.76 |
$41.76 |
$249.71
|
|
Evok oa screening qual
|
$97.20 |
$97.20 |
$97.20 |
$109.13
|
|
Exc benign tal 0.5 < cm 11400
|
$306.00 |
$306.00 |
$306.00 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$540.00 |
$540.00 |
$540.00 |
$1,135.40
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$180.00 |
$180.00 |
$180.00 |
$765.50
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$399.60 |
$399.60 |
$399.60 |
$1,012.86
|
|
Exc thrombosed hemorrhoid 46320
|
$1,061.28 |
$1,061.28 |
$1,061.28 |
$2,099.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$858.60 |
$858.60 |
$858.60 |
$2,470.50
|
|
Ext ecg>48hr<7d rev&interpj
|
$30.24 |
$30.24 |
$30.24 |
$57.00
|
|
External chromosome analysis 20-25 cells
|
$66.83 |
$66.83 |
$66.83 |
$384.15
|
|
External newborn metabolic screening panel
|
$81.00 |
$81.00 |
$81.00 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$67.72 |
$67.72 |
$67.72 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$42.84 |
$42.84 |
$42.84 |
$108.60
|
|
F-18 fdg pet diag
|
$954.36 |
$954.36 |
$954.36 |
$551.72
|
|
Facial bones <3
|
$347.40 |
$347.40 |
$347.40 |
$252.60
|
|
Factor ix
|
$6.09 |
$6.09 |
$6.09 |
$156.13
|
|
Factor viii
|
$64.80 |
$64.80 |
$64.80 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$12.17 |
$12.17 |
$12.17 |
$22.20
|
|
Fancc gene
|
$13.18 |
$13.18 |
$13.18 |
$147.00
|
|
Fat/lipids feces qualitative
|
$1.63 |
$1.63 |
$1.63 |
$38.35
|
|
Fatty acids nonesterified
|
$5.22 |
$5.22 |
$5.22 |
$64.28
|
|
#fecal-sodium
|
$23.04 |
$23.04 |
$23.04 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$5.45 |
$5.45 |
$5.45 |
$65.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$16.71 |
$16.71 |
$16.71 |
$101.40
|
|
Ferritin
|
$96.12 |
$96.12 |
$96.12 |
$100.94
|
|
Fetal biophys profile w/nst 76818
|
$265.32 |
$265.32 |
$265.32 |
$535.37
|
|
Fetal chrmoml microdeltj
|
$99.00 |
$99.00 |
$99.00 |
$834.96
|
|
Fetal chrom aneuploidy gsa panel
|
$162.00 |
$162.00 |
$162.00 |
$1,206.81
|
|
Fetal contract stress test 59020 - 26
|
$484.20 |
$484.20 |
$484.20 |
$475.50
|
|
Fetal fibronectin
|
$224.28 |
$224.28 |
$224.28 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$2.26 |
$2.26 |
$2.26 |
$105.12
|
|
Fetal non stress test
|
$383.40 |
$383.40 |
$383.40 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$205.92 |
$205.92 |
$205.92 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$83.52 |
$83.52 |
$83.52 |
$117.70
|
|
Fibrin degradation products
|
$113.76 |
$113.76 |
$113.76 |
$62.64
|
|
Fibrin degrade semiquant
|
$113.76 |
$113.76 |
$113.76 |
$78.09
|
|
Fibrinogen activity
|
$132.84 |
$132.84 |
$132.84 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$14.40 |
$14.40 |
$14.40 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$2.47 |
$2.47 |
$2.47 |
$72.80
|
|
Fibrinolytic plasminogen
|
$5.50 |
$5.50 |
$5.50 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$2.09 |
$2.09 |
$2.09 |
$65.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$503.23 |
$503.23 |
$503.23 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$749.08 |
$749.08 |
$749.08 |
$869.18
|
|
Flecainide (tambocor)-sendout
|
$6.71 |
$6.71 |
$6.71 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$499.68 |
$499.68 |
$499.68 |
$511.92
|
|
Flow cytometry marker each additional
|
$7.44 |
$7.44 |
$7.44 |
$97.50
|
|
Flow cytometry one marker technical component
|
$108.00 |
$108.00 |
$108.00 |
$284.40
|
|
Flt3 gene
|
$54.00 |
$54.00 |
$54.00 |
$355.00
|
|
Flt3 gene analysis
|
$54.00 |
$54.00 |
$54.00 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$21.13 |
$21.13 |
$21.13 |
$64.22
|
|
Fluidotherapy charges pt
|
$32.40 |
$32.40 |
$32.40 |
$91.00
|
|
Flulaval vacc, 3 yrs & >, im
|
$46.80 |
$46.80 |
$46.80 |
$17.60
|
|
Fluorescent antibody titer dna
|
$221.40 |
$221.40 |
$221.40 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$307.08 |
$307.08 |
$307.08 |
$496.03
|
|
Fluoroguide needle placement
|
$324.72 |
$324.72 |
$324.72 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$575.28 |
$575.28 |
$575.28 |
$492.00
|
|
Fluvirin vacc, 3 yrs & >, im
|
$10.44 |
$10.44 |
$10.44 |
$17.16
|
|
Folic acid
|
$111.96 |
$111.96 |
$111.96 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$1.12 |
$1.12 |
$1.12 |
$54.75
|
|
Foot X-ray
|
$479.52 |
$479.52 |
$479.52 |
$362.40
|
