|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,164.01 |
$1,164.01 |
$1,164.01 |
$1,014.01
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$5,049.06 |
$5,049.06 |
$5,049.06 |
$18,038.06
|
|
Edetate calcium disodium inj
|
$4,250.55 |
$4,250.55 |
$4,250.55 |
$6,086.32
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$88.15 |
$88.15 |
$88.15 |
$81.90
|
|
Eeg 41-60 minutes 95812-26
|
$447.20 |
$447.20 |
$447.20 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$632.96 |
$632.96 |
$632.96 |
$1,049.59
|
|
Eeg during surgery
|
$1,581.11 |
$1,581.11 |
$1,581.11 |
$775.45
|
|
Eeg monitoring/function test
|
$1,200.13 |
$1,200.13 |
$1,200.13 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$546.96 |
$546.96 |
$546.96 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$546.96 |
$546.96 |
$546.96 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$632.96 |
$632.96 |
$632.96 |
$936.00
|
|
Eeg recording awake and asleep
|
$632.96 |
$632.96 |
$632.96 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$285.95 |
$285.95 |
$285.95 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$510.41 |
$510.41 |
$510.41 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$543.09 |
$543.09 |
$543.09 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$543.09 |
$543.09 |
$543.09 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$285.95 |
$285.95 |
$285.95 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$869.89 |
$869.89 |
$869.89 |
$1,251.52
|
|
E equine encephalitis igg
|
$7.46 |
$7.46 |
$7.46 |
$48.73
|
|
Egfr gene com variants
|
$135.45 |
$135.45 |
$135.45 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$17.20 |
$17.20 |
$17.20 |
$105.00
|
|
Electrd sq emblem s-icd
|
$9,864.20 |
$9,864.20 |
$9,864.20 |
$9,175.83
|
|
Electrical stimulation/unattended 97014
|
$72.24 |
$72.24 |
$72.24 |
$81.75
|
|
Electrolyte panel
|
$126.85 |
$126.85 |
$126.85 |
$86.33
|
|
Electron microscopy diagnostic
|
$740.03 |
$740.03 |
$740.03 |
$966.69
|
|
Electrophysiologic study
|
$6,588.89 |
$6,588.89 |
$6,588.89 |
$6,758.40
|
|
Electrophysiology evaluation
|
$6,588.89 |
$6,588.89 |
$6,588.89 |
$8,979.45
|
|
Electrophysiology evaluation
|
$5,488.09 |
$5,488.09 |
$5,488.09 |
$11,175.42
|
|
Electrophysiology evaluation
|
$1,646.04 |
$1,646.04 |
$1,646.04 |
$7,769.30
|
|
Electrophysiology evaluation
|
$1,646.04 |
$1,646.04 |
$1,646.04 |
$6,516.00
|
|
Electrophysiology evaluation
|
$1,726.02 |
$1,726.02 |
$1,726.02 |
$2,845.10
|
|
Electrophysiology evaluation
|
$1,155.84 |
$1,155.84 |
$1,155.84 |
$2,803.20
|
|
Electrophys map 3d add-on
|
$489.77 |
$489.77 |
$489.77 |
$6,534.00
|
|
Embolization s&i
|
$2,869.82 |
$2,869.82 |
$2,869.82 |
$3,060.05
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$577.92 |
$577.92 |
$577.92 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$716.38 |
$716.38 |
$716.38 |
$487.20
|
|
Emg cranial nerve bilateral
|
$350.02 |
$350.02 |
$350.02 |
$518.00
|
|
Emg needle test 1-extremity
|
$410.22 |
$410.22 |
$410.22 |
$342.24
|
|
Emg needle test 4-extremities
|
$814.85 |
$814.85 |
$814.85 |
$570.50
|
|
Encephalitis, california igg/igm
|
$7.46 |
$7.46 |
$7.46 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$7.46 |
$7.46 |
$7.46 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$7.46 |
$7.46 |
$7.46 |
$50.70
|
|
Endo cath bile duct s&i
|
$313.47 |
$313.47 |
$313.47 |
$612.37
|
|
Endo cath panc duct s&i
|
$309.60 |
$309.60 |
$309.60 |
$645.00
|
|
Endoluminl ivus oct c 1st
|
$847.10 |
$847.10 |
$847.10 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$677.68 |
$677.68 |
$677.68 |
$2,367.97
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$632.10 |
$632.10 |
$632.10 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$8.42 |
$8.42 |
$8.42 |
$66.47
|
|
Enzyme histochemistry
|
$214.57 |
$214.57 |
$214.57 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$17,003.92 |
$17,003.92 |
$17,003.92 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$17,003.92 |
$17,003.92 |
$17,003.92 |
$30,975.00
|
|
Ep induct arrhy by elect pacing
|
$1,140.79 |
$1,140.79 |
$1,140.79 |
$2,753.40
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$67.94 |
$67.94 |
$67.94 |
$450.94
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$4,095.75 |
$4,095.75 |
$4,095.75 |
$195.23
|
|
Epoetin alfa, 100 units esrd
|
$843.66 |
$843.66 |
$843.66 |
$41.32
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$561.58 |
$561.58 |
$561.58 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$843.66 |
$843.66 |
$843.66 |
$950.55
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$201.24 |
$201.24 |
$201.24 |
$136.00
|
|
Epstein barr early antigen antibody
|
$2.91 |
$2.91 |
$2.91 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$2.91 |
$2.91 |
$2.91 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$2.91 |
$2.91 |
$2.91 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$509.12 |
$509.12 |
$509.12 |
$363.57
|
|
Ercp biliary & pancreas
|
$485.47 |
$485.47 |
$485.47 |
$943.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$654.89 |
$654.89 |
$654.89 |
$364.08
|
|
ER Visit (level 1, minor)
|
$245.53 |
$245.53 |
$245.53 |
$276.70
|
|
ER Visit (level 2)
|
$602.00 |
$602.00 |
$602.00 |
$487.50
|
|
ER Visit (level 3)
|
$1,142.51 |
$1,142.51 |
$1,142.51 |
$850.50
|
|
ER Visit (level 4)
|
$1,815.46 |
$1,815.46 |
$1,815.46 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$2,629.88 |
$2,629.88 |
$2,629.88 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$42.14 |
$42.14 |
$42.14 |
$260.24
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$2,379.62 |
$2,379.62 |
$2,379.62 |
$540.00
|
|
Esophageal recording
|
$1,140.79 |
$1,140.79 |
$1,140.79 |
$1,963.00
|
|
Established Patient Office Visit (level 1)
|
$227.90 |
$227.90 |
$227.90 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$90.73 |
$90.73 |
$90.73 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$107.50 |
$107.50 |
$107.50 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$832.48 |
$832.48 |
$832.48 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$156.95 |
$156.95 |
$156.95 |
$287.10
|
|
Estradiol total
|
$41.71 |
$41.71 |
$41.71 |
$153.00
|
|
Ethylene glycol -sendout
|
$13.64 |
$13.64 |
$13.64 |
$75.00
|
|
Etonogestrel implant system
|
$424.84 |
$424.84 |
$424.84 |
$3,016.77
|
|
Etoposide 20 mg/ml intravenous solution
|
$866.88 |
$866.88 |
$866.88 |
$213.17
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$147.92 |
$147.92 |
$147.92 |
$219.60
|
|
Evaluation heart device
|
$1,782.35 |
$1,782.35 |
$1,782.35 |
$2,368.17
|
|
Evaluation psychiatric diagnostic
|
$203.39 |
$203.39 |
$203.39 |
$320.00
|
|
Evoked potentials auditory screening automated analysis
|
$186.62 |
$186.62 |
$186.62 |
$283.62
|
|
Evoked potentials upper limbs
|
$337.12 |
$337.12 |
$337.12 |
$908.54
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$4,487.05 |
$4,487.05 |
$4,487.05 |
$2,647.92
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,569.50 |
$1,569.50 |
$1,569.50 |
$3,473.04
|
|
External chromosome analysis 20-25 cells
|
$97.44 |
$97.44 |
$97.44 |
$389.35
|
|
External newborn metabolic screening panel
|
$96.75 |
$96.75 |
$96.75 |
$114.75
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$92.45 |
$92.45 |
$92.45 |
$61.32
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$75.25 |
$75.25 |
$75.25 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$27.95 |
$27.95 |
$27.95 |
$102.78
|
|
Facial bones <3
|
$132.87 |
$132.87 |
$132.87 |
$248.60
|
|
Factor ix
|
$14.16 |
$14.16 |
$14.16 |
$131.30
|
|
Factor viii
|
$10.66 |
$10.66 |
$10.66 |
$144.30
|
|
Factor viii
|
$23.22 |
$23.22 |
$23.22 |
$1.61
|
|
Factor viii recombinant nos
|
$9.37 |
$9.37 |
$9.37 |
$4.68
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$11.18 |
$11.18 |
$11.18 |
$27.81
|
|
Fat/lipids feces qualitative
|
$6.02 |
$6.02 |
$6.02 |
$34.56
|
