|
Eeg without vid ea 12-26hr intmt
|
$498.78 |
$498.78 |
$498.78 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$259.83 |
$259.83 |
$259.83 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$498.78 |
$498.78 |
$498.78 |
$1,251.52
|
|
E equine encephalitis igg
|
$5.66 |
$5.66 |
$5.66 |
$48.73
|
|
Egfr gene com variants
|
$102.69 |
$102.69 |
$102.69 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$13.04 |
$13.04 |
$13.04 |
$105.00
|
|
Electrd sq emblem s-icd
|
$7,478.44 |
$7,478.44 |
$7,478.44 |
$9,175.83
|
|
Electrical stimulation/unattended 97014
|
$58.03 |
$58.03 |
$58.03 |
$81.75
|
|
Electrolyte panel
|
$102.37 |
$102.37 |
$102.37 |
$86.33
|
|
Electron microscopy diagnostic
|
$789.25 |
$789.25 |
$789.25 |
$966.69
|
|
Electrophysiologic study
|
$5,496.69 |
$5,496.69 |
$5,496.69 |
$6,758.40
|
|
Electrophysiology evaluation
|
$2,122.59 |
$2,122.59 |
$2,122.59 |
$8,979.45
|
|
Electrophysiology evaluation
|
$4,162.37 |
$4,162.37 |
$4,162.37 |
$11,175.42
|
|
Electrophysiology evaluation
|
$582.57 |
$582.57 |
$582.57 |
$7,769.30
|
|
Electrophysiology evaluation
|
$915.74 |
$915.74 |
$915.74 |
$6,516.00
|
|
Electrophysiology evaluation
|
$660.81 |
$660.81 |
$660.81 |
$2,845.10
|
|
Electrophysiology evaluation
|
$1,250.54 |
$1,250.54 |
$1,250.54 |
$2,803.20
|
|
Electrophys map 3d add-on
|
$2,834.90 |
$2,834.90 |
$2,834.90 |
$6,534.00
|
|
Embolization s&i
|
$591.37 |
$591.37 |
$591.37 |
$3,060.05
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$287.21 |
$287.21 |
$287.21 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$350.45 |
$350.45 |
$350.45 |
$487.20
|
|
Emg cranial nerve bilateral
|
$339.70 |
$339.70 |
$339.70 |
$518.00
|
|
Emg needle test 1-extremity
|
$206.69 |
$206.69 |
$206.69 |
$342.24
|
|
Emg needle test 4-extremities
|
$404.90 |
$404.90 |
$404.90 |
$570.50
|
|
Encephalitis, california igg/igm
|
$5.66 |
$5.66 |
$5.66 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$5.66 |
$5.66 |
$5.66 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$5.66 |
$5.66 |
$5.66 |
$50.70
|
|
Endo cath bile duct s&i
|
$298.29 |
$298.29 |
$298.29 |
$612.37
|
|
Endo cath panc duct s&i
|
$347.52 |
$347.52 |
$347.52 |
$645.00
|
|
Endoluminl ivus oct c 1st
|
$1,956.66 |
$1,956.66 |
$1,956.66 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$234.72 |
$234.72 |
$234.72 |
$2,367.97
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$335.13 |
$335.13 |
$335.13 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$6.38 |
$6.38 |
$6.38 |
$66.47
|
|
Enzyme histochemistry
|
$789.25 |
$789.25 |
$789.25 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$14,424.20 |
$14,424.20 |
$14,424.20 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$14,424.20 |
$14,424.20 |
$14,424.20 |
$30,975.00
|
|
Ep induct arrhy by elect pacing
|
$2,206.70 |
$2,206.70 |
$2,206.70 |
$2,753.40
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$1,169.37 |
$1,169.37 |
$1,169.37 |
$450.94
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$3,256.42 |
$3,256.42 |
$3,256.42 |
$195.23
|
|
Epoetin alfa, 100 units esrd
|
$670.91 |
$670.91 |
$670.91 |
$41.32
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$446.30 |
$446.30 |
$446.30 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$670.91 |
$670.91 |
$670.91 |
$950.55
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$160.07 |
$160.07 |
$160.07 |
$136.00
|
|
Epstein barr early antigen antibody
|
$2.21 |
$2.21 |
$2.21 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$2.21 |
$2.21 |
$2.21 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$2.21 |
$2.21 |
$2.21 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$404.57 |
$404.57 |
$404.57 |
$363.57
|
|
Ercp biliary & pancreas
|
$629.51 |
$629.51 |
$629.51 |
$943.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$520.63 |
$520.63 |
$520.63 |
$364.08
|
|
ER Visit (level 1, minor)
|
$204.41 |
$204.41 |
$204.41 |
$276.70
|
|
ER Visit (level 2)
|
$408.81 |
$408.81 |
$408.81 |
$487.50
|
|
ER Visit (level 3)
|
$647.11 |
$647.11 |
$647.11 |
$850.50
|
|
ER Visit (level 4)
|
$1,004.41 |
$1,004.41 |
$1,004.41 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$1,702.38 |
$1,702.38 |
$1,702.38 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$33.58 |
$33.58 |
$33.58 |
$260.24
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,891.78 |
$1,891.78 |
$1,891.78 |
$540.00
|
|
Esophageal recording
|
$991.37 |
$991.37 |
$991.37 |
$1,963.00
|
|
Esoph imped function test
|
$233.09 |
$233.09 |
$233.09 |
$597.03
|
|
Esoph imped funct test > 1hr
|
$326.66 |
$326.66 |
$326.66 |
$986.40
|
|
Established Patient Office Visit (level 1)
|
$172.78 |
$172.78 |
$172.78 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$55.75 |
$55.75 |
$55.75 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$70.75 |
$70.75 |
$70.75 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$631.47 |
$631.47 |
$631.47 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$188.43 |
$188.43 |
$188.43 |
$287.10
|
|
Estradiol total
|
$34.89 |
$34.89 |
$34.89 |
$153.00
|
|
Ethanolamine oleate 100 mg
|
$1,211.75 |
$1,211.75 |
$1,211.75 |
$1,046.87
|
|
Ethylene glycol -sendout
|
$10.35 |
$10.35 |
$10.35 |
$75.00
|
|
Etonogestrel implant system
|
$4,419.26 |
$4,419.26 |
$4,419.26 |
$3,016.77
|
|
Etoposide 20 mg/ml intravenous solution
|
$38.15 |
$38.15 |
$38.15 |
$213.17
|
|
Etoposide 50 mg cap
|
$238.96 |
$238.96 |
$238.96 |
$196.27
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$140.51 |
$140.51 |
$140.51 |
$219.60
|
|
Evaluation heart device
|
$2,359.27 |
$2,359.27 |
$2,359.27 |
$2,368.17
|
|
Evoked potentials auditory screening automated analysis
|
$33.58 |
$33.58 |
$33.58 |
$283.62
|
|
Evoked potentials upper limbs
|
$259.17 |
$259.17 |
$259.17 |
$908.54
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$3,401.81 |
$3,401.81 |
$3,401.81 |
$2,647.92
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,189.90 |
$1,189.90 |
$1,189.90 |
$3,473.04
|
|
External chromosome analysis 20-25 cells
|
$73.88 |
$73.88 |
$73.88 |
$389.35
|
|
External newborn metabolic screening panel
|
$73.35 |
$73.35 |
$73.35 |
$114.75
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$72.38 |
$72.38 |
$72.38 |
$61.32
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$57.05 |
$57.05 |
$57.05 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$21.19 |
$21.19 |
$21.19 |
$102.78
|
|
Facial bones <3
|
$407.50 |
$407.50 |
$407.50 |
$248.60
|
|
Factor ix
|
$10.73 |
$10.73 |
$10.73 |
$131.30
|
|
Factor ix recombinant nos
|
$4.89 |
$4.89 |
$4.89 |
$3.04
|
|
Factor viii
|
$8.08 |
$8.08 |
$8.08 |
$144.30
|
|
Factor viii recombinant nos
|
$17.61 |
$17.61 |
$17.61 |
$4.68
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$8.48 |
$8.48 |
$8.48 |
$27.81
|
|
Fat/lipids feces qualitative
|
$4.57 |
$4.57 |
$4.57 |
$34.56
|
|
Fatty acids nonesterified
|
$9.78 |
$9.78 |
$9.78 |
$57.60
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$36,405.08 |
$36,405.08 |
$36,405.08 |
$63.30
|
|
#fecal-sodium
|
$37.17 |
$37.17 |
$37.17 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$5.56 |
$5.56 |
$5.56 |
$66.43
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$112.47 |
$112.47 |
$112.47 |
$120.15
|
|
Fern test
|
$56.40 |
$56.40 |
$56.40 |
$17.72
|
|
Ferritin
|
$104.98 |
$104.98 |
$104.98 |
$103.68
|
|
Fetal biophys profile w/nst 76818
|
$534.32 |
$534.32 |
$534.32 |
$541.74
|
|
Fetal fibronectin
|
$301.23 |
$301.23 |
$301.23 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$190.39 |
$190.39 |
$190.39 |
$88.80
|
|
Fetal hemoglobin rosette
|
$110.84 |
$110.84 |
$110.84 |
$76.70
|
|
Fetal non stress test
|
$160.40 |
$160.40 |
$160.40 |
$507.90
|
