|
Electron microscopy diagnostic
|
$140.13 |
$140.13 |
$140.13 |
$983.41
|
|
Embo or occlude vascular arterial s&i
|
$7,316.80 |
$7,316.80 |
$7,316.80 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$9,146.00 |
$9,146.00 |
$9,146.00 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$7,703.60 |
$7,703.60 |
$7,703.60 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$7,316.80 |
$7,316.80 |
$7,316.80 |
$14,586.00
|
|
Encephalitis, california igg/igm
|
$3.95 |
$3.95 |
$3.95 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$3.95 |
$3.95 |
$3.95 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$3.95 |
$3.95 |
$3.95 |
$53.10
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$999.80 |
$999.80 |
$999.80 |
$5,119.50
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$5,221.60 |
$5,221.60 |
$5,221.60 |
$5,372.80
|
|
Endoscopic Ultrasound exam esoph
|
$3,932.20 |
$3,932.20 |
$3,932.20 |
$2,557.50
|
|
Endoscopy swallow (fees) vid
|
$145.60 |
$145.60 |
$145.60 |
$402.35
|
|
Endo, single, pulmonary
|
$585.00 |
$585.00 |
$585.00 |
$1,046.66
|
|
Endovenous laser vein addon 36479
|
$95.60 |
$95.60 |
$95.60 |
$2,603.36
|
|
Endovenous rf abl vein addl
|
$95.60 |
$95.60 |
$95.60 |
$3,226.73
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$19.55 |
$19.55 |
$19.55 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$2.02 |
$2.02 |
$2.02 |
$56.89
|
|
Enzyme cell activity ra
|
$98.86 |
$98.86 |
$98.86 |
$197.60
|
|
Enzyme histochemistry
|
$16.35 |
$16.35 |
$16.35 |
$471.60
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
$2,478.85
|
|
Epidrm a-grft f/n/hf/g addl
|
$579.80 |
$579.80 |
$579.80 |
$1,148.00
|
|
Epidrm agrft t/a/l 1st 100
|
$1,159.60 |
$1,159.60 |
$1,159.60 |
$2,710.80
|
|
Epidrm autogrft t/a/l add-on
|
$579.80 |
$579.80 |
$579.80 |
$1,113.83
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$12.30 |
$12.30 |
$12.30 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$14.72 |
$14.72 |
$14.72 |
$25.30
|
|
Epstein barr early antigen antibody
|
$2.80 |
$2.80 |
$2.80 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$3.20 |
$3.20 |
$3.20 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$3.80 |
$3.80 |
$3.80 |
$91.00
|
|
Ercp biliary & pancreas
|
$951.20 |
$951.20 |
$951.20 |
$967.04
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$75.95 |
$75.95 |
$75.95 |
$222.98
|
|
ER Visit (level 1, minor)
|
$59.00 |
$59.00 |
$59.00 |
$246.24
|
|
ER Visit (level 2)
|
$131.40 |
$131.40 |
$131.40 |
$452.20
|
|
ER Visit (level 3)
|
$217.00 |
$217.00 |
$217.00 |
$770.04
|
|
ER Visit (level 4)
|
$337.00 |
$337.00 |
$337.00 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$490.00 |
$490.00 |
$490.00 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$82.00 |
$82.00 |
$82.00 |
$223.99
|
|
Escharotomy ea addl incision
|
$95.60 |
$95.60 |
$95.60 |
$203.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$69.00 |
$69.00 |
$69.00 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$9.24 |
$9.24 |
$9.24 |
$553.88
|
|
Esophageal motility
|
$191.00 |
$191.00 |
$191.00 |
$655.45
|
|
Established Patient Office Visit (level 1)
|
$15.00 |
$15.00 |
$15.00 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$33.20 |
$33.20 |
$33.20 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$43.00 |
$43.00 |
$43.00 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$57.20 |
$57.20 |
$57.20 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$80.40 |
$80.40 |
$80.40 |
$280.33
|
|
Estradiol total
|
$73.20 |
$73.20 |
$73.20 |
$146.50
|
|
Estrogens total-sendout
|
$4.40 |
$4.40 |
$4.40 |
$96.20
|
|
Ethylene glycol -sendout
|
$2.65 |
$2.65 |
$2.65 |
$89.40
|
|
Etonogestrel implant system
|
$610.49 |
$610.49 |
$610.49 |
$2,081.30
|
|
Eval/fit voice prosthesis iii, st
|
$45.40 |
$45.40 |
$45.40 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$84.60 |
$84.60 |
$84.60 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$36.40 |
$36.40 |
$36.40 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$74.20 |
$74.20 |
$74.20 |
$312.00
|
|
Evoked oa emissions ltd
|
$99.00 |
$99.00 |
$99.00 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$16.60 |
$16.60 |
$16.60 |
$249.71
|
|
Evok oa screening qual
|
$16.60 |
$16.60 |
$16.60 |
$109.13
|
|
Exc arm/elbo les sc <3cm 24075
|
$450.60 |
$450.60 |
$450.60 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$450.60 |
$450.60 |
$450.60 |
$2,676.58
|
|
Exc benign tal 0.5 < cm 11400
|
$181.00 |
$181.00 |
$181.00 |
$827.40
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$420.00 |
$420.00 |
$420.00 |
$2,166.78
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$127.00 |
$127.00 |
$127.00 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$260.00 |
$260.00 |
$260.00 |
$1,247.50
|
|
Exc forearm les sc 3 cm/>
|
$417.20 |
$417.20 |
$417.20 |
$3,628.50
|
|
Exchange biliary drg cath
|
$2,872.20 |
$2,872.20 |
$2,872.20 |
$3,909.56
|
|
Exchange drainage catheter
|
$1,214.20 |
$1,214.20 |
$1,214.20 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$1,506.80 |
$1,506.80 |
$1,506.80 |
$2,958.80
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$220.00 |
$220.00 |
$220.00 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$450.60 |
$450.60 |
$450.60 |
$2,865.00
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$265.80 |
$265.80 |
$265.80 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$181.00 |
$181.00 |
$181.00 |
$1,131.50
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$195.40 |
$195.40 |
$195.40 |
$1,294.80
|
|
Exc prtl bn phlnx toe
|
$899.80 |
$899.80 |
$899.80 |
$3,752.25
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$790.00 |
$790.00 |
$790.00 |
$4,576.00
|
|
Exc trchntr pr ulc prim sutr
|
$514.60 |
$514.60 |
$514.60 |
$2,087.80
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$417.20 |
$417.20 |
$417.20 |
$1,917.33
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$2,470.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,338.00 |
$1,338.00 |
$1,338.00 |
$4,048.38
|
|
External chromosome analysis 20-25 cells
|
$37.13 |
$37.13 |
$37.13 |
$384.15
|
|
External newborn metabolic screening panel
|
$47.20 |
$47.20 |
$47.20 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$37.62 |
$37.62 |
$37.62 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$5.60 |
$5.60 |
$5.60 |
$108.60
|
|
Facial bones <3
|
$272.40 |
$272.40 |
$272.40 |
$252.60
|
|
Factor ix
|
$3.39 |
$3.39 |
$3.39 |
$156.13
|
|
Factor viii
|
$36.00 |
$36.00 |
$36.00 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$5.18 |
$5.18 |
$5.18 |
$22.20
|
|
Fancc gene
|
$63.50 |
$63.50 |
$63.50 |
$147.00
|
|
Fat/lipids feces qualitative
|
$2.20 |
$2.20 |
$2.20 |
$38.35
|
|
Fatty acids nonesterified
|
$2.90 |
$2.90 |
$2.90 |
$64.28
|
|
#fecal-sodium
|
$9.80 |
$9.80 |
$9.80 |
$37.50
|
|
Feeding tube reposition
|
$135.00 |
$135.00 |
$135.00 |
$532.61
|
|
Felbamate (felbatol(r)) - sendout
|
$3.03 |
$3.03 |
$3.03 |
$65.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$5.37 |
$5.37 |
$5.37 |
$101.40
|
|
Ferritin
|
$133.40 |
$133.40 |
$133.40 |
$100.94
|
|
Fetal biophys profile w/nst 76818
|
$866.40 |
$866.40 |
$866.40 |
$535.37
|
|
Fetal chrmoml microdeltj
|
$9.00 |
$9.00 |
$9.00 |
$834.96
|
|
Fetal chrom aneuploidy gsa panel
|
$90.00 |
$90.00 |
$90.00 |
$1,206.81
|
|
Fetal fibronectin
|
$319.80 |
$319.80 |
$319.80 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$37.80 |
$37.80 |
$37.80 |
$105.12
|
|
Fetal hemoglobin rosette
|
$81.80 |
$81.80 |
$81.80 |
$67.20
|
|
Fetal non stress test
|
$80.80 |
$80.80 |
$80.80 |
$463.03
|
