|
Epstein barr viral capsid antigen antibody igm
|
$23.53 |
$23.53 |
$23.53 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$319.13 |
$319.13 |
$319.13 |
$363.57
|
|
Ercp biliary & pancreas
|
$477.73 |
$477.73 |
$477.73 |
$943.50
|
|
Ercp remove duct calculi 43264
|
$3,543.41 |
$3,543.41 |
$3,543.41 |
$4,214.73
|
|
Ercp w/specimen collection
|
$3,543.41 |
$3,543.41 |
$3,543.41 |
$4,440.54
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$410.80 |
$410.80 |
$410.80 |
$364.08
|
|
ER Visit (level 1, minor)
|
$517.50 |
$517.50 |
$517.50 |
$276.70
|
|
ER Visit (level 2)
|
$1,034.51 |
$1,034.51 |
$1,034.51 |
$487.50
|
|
ER Visit (level 3)
|
$1,551.52 |
$1,551.52 |
$1,551.52 |
$850.50
|
|
ER Visit (level 4)
|
$2,233.43 |
$2,233.43 |
$2,233.43 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$3,163.66 |
$3,163.66 |
$3,163.66 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$38.80 |
$38.80 |
$38.80 |
$260.24
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,491.86 |
$1,491.86 |
$1,491.86 |
$540.00
|
|
Established Patient Office Visit (level 1)
|
$117.86 |
$117.86 |
$117.86 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$83.91 |
$83.91 |
$83.91 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$106.70 |
$106.70 |
$106.70 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$1,674.22 |
$1,674.22 |
$1,674.22 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$280.33 |
$280.33 |
$280.33 |
$287.10
|
|
Estradiol total
|
$87.79 |
$87.79 |
$87.79 |
$153.00
|
|
Ethylene glycol -sendout
|
$15.39 |
$15.39 |
$15.39 |
$75.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$164.90 |
$164.90 |
$164.90 |
$219.60
|
|
Evaluation heart device
|
$1,955.52 |
$1,955.52 |
$1,955.52 |
$2,368.17
|
|
Evasc prlng admn rx agnt 1st
|
$2,729.10 |
$2,729.10 |
$2,729.10 |
$4,462.80
|
|
Evasc prlng admn rx agnt add
|
$2,729.10 |
$2,729.10 |
$2,729.10 |
$3,484.88
|
|
Evasc rpr a-ao ndgft 34701
|
$2,073.86 |
$2,073.86 |
$2,073.86 |
$6,020.00
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$2,073.86 |
$2,073.86 |
$2,073.86 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$6,495.12 |
$6,495.12 |
$6,495.12 |
$10,294.05
|
|
Evasc rpr a-unilac ndgft 34703
|
$4,311.65 |
$4,311.65 |
$4,311.65 |
$7,465.20
|
|
Evasc rpr a-unilac ndgft rpt
|
$4,311.65 |
$4,311.65 |
$4,311.65 |
$9,282.60
|
|
Evasc rpr ilio-iliac ndgft
|
$4,311.65 |
$4,311.65 |
$4,311.65 |
$8,412.85
|
|
Evasc rpr ilio-iliac rpt
|
$4,311.65 |
$4,311.65 |
$4,311.65 |
$9,122.40
|
|
Evoked potentials auditory screening automated analysis
|
$505.37 |
$505.37 |
$505.37 |
$283.62
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,872.66 |
$2,872.66 |
$2,872.66 |
$2,184.60
|
|
Exc benign feenlm >4.0cm 11446
|
$4,949.43 |
$4,949.43 |
$4,949.43 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$2,875.08 |
$2,875.08 |
$2,875.08 |
$2,244.06
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,243.54 |
$1,243.54 |
$1,243.54 |
$1,045.20
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$2,947.35 |
$2,947.35 |
$2,947.35 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,873.63 |
$2,873.63 |
$2,873.63 |
$2,112.60
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$478.21 |
$478.21 |
$478.21 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,244.03 |
$1,244.03 |
$1,244.03 |
$1,301.30
|
|
Exc face tum deep 2cm/> 21014
|
$5,165.74 |
$5,165.74 |
$5,165.74 |
$3,386.84
|
|
Exchange biliary drg cath
|
$2,780.02 |
$2,780.02 |
$2,780.02 |
$4,176.15
|
|
Exchange drainage catheter
|
$1,974.92 |
$1,974.92 |
$1,974.92 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$3,971.67 |
$3,971.67 |
$3,971.67 |
$3,097.16
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$4,164.21 |
$4,164.21 |
$4,164.21 |
$3,386.84
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$4,952.82 |
$4,952.82 |
$4,952.82 |
$3,411.20
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,280.89 |
$1,280.89 |
$1,280.89 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,995.36 |
$2,995.36 |
$2,995.36 |
$1,981.25
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$478.21 |
$478.21 |
$478.21 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,947.35 |
$2,947.35 |
$2,947.35 |
$2,916.96
|
|
Exc malig feenl 1.1-2 11642
|
$1,278.95 |
$1,278.95 |
$1,278.95 |
$1,113.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$478.21 |
$478.21 |
$478.21 |
$932.35
|
|
Exc neck tum deep < 5 cm
|
$4,164.21 |
$4,164.21 |
$4,164.21 |
$3,386.84
|
|
Exc of facial bones/osteomy/abcess 21026
|
$8,607.30 |
$8,607.30 |
$8,607.30 |
$4,555.73
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$4,952.82 |
$4,952.82 |
$4,952.82 |
$3,170.64
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$2,947.35 |
$2,947.35 |
$2,947.35 |
$2,271.01
|
|
Exercise w/hemodynamic meas
|
$635.35 |
$635.35 |
$635.35 |
$971.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$6,581.45 |
$6,581.45 |
$6,581.45 |
$2,647.92
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,992.45 |
$2,992.45 |
$2,992.45 |
$3,473.04
|
|
Explore wound abdomen 20102
|
$3,315.95 |
$3,315.95 |
$3,315.95 |
$2,837.09
|
|
Expose art endoprosth iliac 34820
|
$1,430.27 |
$1,430.27 |
$1,430.27 |
$1,820.00
|
|
Ext ecg>48hr<7d scan a/r
|
$232.32 |
$232.32 |
$232.32 |
$251.71
|
|
Ext ecg>7d<15d scan a/r
|
$232.32 |
$232.32 |
$232.32 |
$262.20
|
|
External newborn metabolic screening panel
|
$109.13 |
$109.13 |
$109.13 |
$114.75
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$172.18 |
$172.18 |
$172.18 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$9.70 |
$9.70 |
$9.70 |
$102.78
|
|
Facial bones <3
|
$444.26 |
$444.26 |
$444.26 |
$248.60
|
|
Factor ix
|
$15.97 |
$15.97 |
$15.97 |
$131.30
|
|
Factor ix complex
|
$2.43 |
$2.43 |
$2.43 |
$3.23
|
|
Factor ix recombinant nos
|
$3.88 |
$3.88 |
$3.88 |
$3.04
|
|
Factor viii
|
$12.03 |
$12.03 |
$12.03 |
$144.30
|
|
Factor viii
|
$4.85 |
$4.85 |
$4.85 |
$1.61
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$26.19 |
$26.19 |
$26.19 |
$27.81
|
|
Fat/lipids feces qualitative
|
$119.31 |
$119.31 |
$119.31 |
$34.56
|
|
#fecal-sodium
|
$97.00 |
$97.00 |
$97.00 |
$37.50
|
|
Fem/popl revasc w/stent
|
$11,230.18 |
$11,230.18 |
$11,230.18 |
$18,599.10
|
|
Feno poc
|
$54.81 |
$54.81 |
$54.81 |
$80.25
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$77.60 |
$77.60 |
$77.60 |
$120.15
|
|
Fern test
|
$16.98 |
$16.98 |
$16.98 |
$17.72
|
|
Ferritin
|
$177.51 |
$177.51 |
$177.51 |
$103.68
|
|
Fetal biophys profile w/nst 76818
|
$1,166.91 |
$1,166.91 |
$1,166.91 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$511.68 |
$511.68 |
$511.68 |
$540.54
|
|
Fetal fibronectin
|
$382.18 |
$382.18 |
$382.18 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$189.64 |
$189.64 |
$189.64 |
$88.80
|
|
Fetal non stress test
|
$356.96 |
$356.96 |
$356.96 |
$507.90
|
|
Fibrin degrade semiquant
|
$140.17 |
$140.17 |
$140.17 |
$92.00
|
|
Fibrinogen activity
|
$178.48 |
$178.48 |
$178.48 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$28.62 |
$28.62 |
$28.62 |
$66.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$8.84 |
$8.84 |
$8.84 |
$59.89
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,117.93 |
$1,117.93 |
$1,117.93 |
$1,405.40
|
|
Filter spider fx 3mmx320cm
|
$5,060.98 |
$5,060.98 |
$5,060.98 |
$6,152.59
|
|
Filter vena cava fem denali
|
$3,892.13 |
$3,892.13 |
$3,892.13 |
$3,467.25
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$453.48 |
$453.48 |
$453.48 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$773.09 |
$773.09 |
$773.09 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$474.33 |
$474.33 |
$474.33 |
$547.53
|
|
Fix g/colon tube w/device
|
$1,648.03 |
$1,648.03 |
$1,648.03 |
$1,236.90
|
|
Fl exam g/colon tube w contrast
|
$303.61 |
$303.61 |
$303.61 |
$546.86
|
|
Flow cytometry one marker technical component
|
$47.15 |
$47.15 |
$47.15 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$406.92 |
$406.92 |
$406.92 |
$86.42
|
|
Fluocinolone acetonide implt
|
$27,287.07 |
$27,287.07 |
$27,287.07 |
$32,193.00
|