|
Encephalitis, st louis igg/igm
|
$4.60 |
$4.60 |
$4.60 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$4.60 |
$4.60 |
$4.60 |
$50.70
|
|
Endo cath bile duct s&i
|
$917.91 |
$917.91 |
$917.91 |
$612.37
|
|
Endo cath panc duct s&i
|
$908.99 |
$908.99 |
$908.99 |
$645.00
|
|
Endoluminal bx urtr rnl plvs
|
$3,231.94 |
$3,231.94 |
$3,231.94 |
$2,172.53
|
|
Endoluminl ivus oct c 1st
|
$3,316.48 |
$3,316.48 |
$3,316.48 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$2,653.02 |
$2,653.02 |
$2,653.02 |
$2,367.97
|
|
Endovasc rpr a-biiliac endogft 34705
|
$2,701.56 |
$2,701.56 |
$2,701.56 |
$10,604.25
|
|
Endovasc tempory vessel occl
|
$6,798.40 |
$6,798.40 |
$6,798.40 |
$11,261.25
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$160.71 |
$160.71 |
$160.71 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$5.46 |
$5.46 |
$5.46 |
$66.47
|
|
Enzyme histochemistry
|
$18.14 |
$18.14 |
$18.14 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$8,386.19 |
$8,386.19 |
$8,386.19 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$11,153.31 |
$11,153.31 |
$11,153.31 |
$30,975.00
|
|
Ep induct arrhy by elect pacing
|
$895.87 |
$895.87 |
$895.87 |
$2,753.40
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$1,040.40 |
$1,040.40 |
$1,040.40 |
$203.16
|
|
Epoetin alfa, 100 units esrd
|
$674.35 |
$674.35 |
$674.35 |
$15.00
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$570.28 |
$570.28 |
$570.28 |
$824.16
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,255.50 |
$1,255.50 |
$1,255.50 |
$850.81
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$79.80 |
$79.80 |
$79.80 |
$136.00
|
|
Epstein barr early antigen antibody
|
$1.89 |
$1.89 |
$1.89 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$2.24 |
$2.24 |
$2.24 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$2.24 |
$2.24 |
$2.24 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$129.46 |
$129.46 |
$129.46 |
$319.29
|
|
Ercp biliary & pancreas
|
$1,031.19 |
$1,031.19 |
$1,031.19 |
$943.50
|
|
Ercp w/specimen collection
|
$2,839.39 |
$2,839.39 |
$2,839.39 |
$4,440.54
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,255.50 |
$1,255.50 |
$1,255.50 |
$2,568.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$166.29 |
$166.29 |
$166.29 |
$262.60
|
|
ER Visit (level 1, minor)
|
$176.89 |
$176.89 |
$176.89 |
$276.70
|
|
ER Visit (level 2)
|
$354.06 |
$354.06 |
$354.06 |
$487.50
|
|
ER Visit (level 3)
|
$516.15 |
$516.15 |
$516.15 |
$850.50
|
|
ER Visit (level 4)
|
$1,489.31 |
$1,489.31 |
$1,489.31 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$2,197.13 |
$2,197.13 |
$2,197.13 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$15.63 |
$15.63 |
$15.63 |
$248.39
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$604.60 |
$604.60 |
$604.60 |
$424.52
|
|
Esoph imped function test
|
$304.67 |
$304.67 |
$304.67 |
$597.03
|
|
Esoph imped funct test > 1hr
|
$734.89 |
$734.89 |
$734.89 |
$986.40
|
|
Establish access to aorta
|
$711.45 |
$711.45 |
$711.45 |
$1,280.06
|
|
Establish access to artery
|
$163.22 |
$163.22 |
$163.22 |
$1,145.65
|
|
Established Patient Office Visit (level 1)
|
$365.77 |
$365.77 |
$365.77 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$115.51 |
$115.51 |
$115.51 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$237.15 |
$237.15 |
$237.15 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$896.99 |
$896.99 |
$896.99 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$196.42 |
$196.42 |
$196.42 |
$287.10
|
|
Estradiol total
|
$130.58 |
$130.58 |
$130.58 |
$153.00
|
|
Estradiol valerate 10 mg inj
|
$401.21 |
$401.21 |
$401.21 |
$80.09
|
|
Ethanolamine oleate 100 mg
|
$387.26 |
$387.26 |
$387.26 |
$1,046.87
|
|
Ethylene glycol -sendout
|
$8.85 |
$8.85 |
$8.85 |
$75.00
|
|
Etonogestrel implant system
|
$1,255.50 |
$1,255.50 |
$1,255.50 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$17.58 |
$17.58 |
$17.58 |
$230.16
|
|
Etoposide 50 mg cap
|
$76.45 |
$76.45 |
$76.45 |
$184.44
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$134.76 |
$134.76 |
$134.76 |
$219.60
|
|
Evaluation heart device
|
$592.04 |
$592.04 |
$592.04 |
$2,368.17
|
|
Evaluation psychiatric diagnostic
|
$222.09 |
$222.09 |
$222.09 |
$320.00
|
|
Evasc prlng admn rx agnt 1st
|
$5,339.23 |
$5,339.23 |
$5,339.23 |
$4,462.80
|
|
Evasc prlng admn rx agnt add
|
$5,339.23 |
$5,339.23 |
$5,339.23 |
$3,484.88
|
|
Evasc rpr a-ao ndgft 34701
|
$2,521.89 |
$2,521.89 |
$2,521.89 |
$6,020.00
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$2,521.89 |
$2,521.89 |
$2,521.89 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$2,701.56 |
$2,701.56 |
$2,701.56 |
$10,294.05
|
|
Evasc rpr a-unilac ndgft 34703
|
$2,521.89 |
$2,521.89 |
$2,521.89 |
$7,465.20
|
|
Evasc rpr a-unilac ndgft rpt
|
$2,521.89 |
$2,521.89 |
$2,521.89 |
$9,282.60
|
|
Evasc rpr ilio-iliac ndgft
|
$2,521.89 |
$2,521.89 |
$2,521.89 |
$8,412.85
|
|
Evasc rpr ilio-iliac rpt
|
$2,521.89 |
$2,521.89 |
$2,521.89 |
$9,122.40
|
|
Event monitor
|
$496.35 |
$496.35 |
$496.35 |
$242.12
|
|
Evoked potentials auditory screening automated analysis
|
$602.92 |
$602.92 |
$602.92 |
$283.62
|
|
Evoked potentials upper limbs
|
$643.66 |
$643.66 |
$643.66 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$602.92 |
$602.92 |
$602.92 |
$829.44
|
|
Exchange biliary drg cath
|
$3,231.94 |
$3,231.94 |
$3,231.94 |
$4,176.15
|
|
Exchange nephrostomy cath
|
$3,231.94 |
$3,231.94 |
$3,231.94 |
$3,097.16
|
|
Exercise w/hemodynamic meas
|
$255.01 |
$255.01 |
$255.01 |
$971.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$3,260.96 |
$3,260.96 |
$3,260.96 |
$2,675.40
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,482.89 |
$1,482.89 |
$1,482.89 |
$4,101.67
|
|
External newborn metabolic screening panel
|
$62.78 |
$62.78 |
$62.78 |
$104.72
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$181.63 |
$181.63 |
$181.63 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$10.35 |
$10.35 |
$10.35 |
$102.78
|
|
F-18 fdg pet diag
|
$814.41 |
$814.41 |
$814.41 |
$602.25
|
|
Facial bones <3
|
$321.69 |
$321.69 |
$321.69 |
$248.60
|
|
Factor ix
|
$221.53 |
$221.53 |
$221.53 |
$131.30
|
|
Factor ix complex
|
$1.12 |
$1.12 |
$1.12 |
$6.72
|
|
Factor ix recombinant nos
|
$1.68 |
$1.68 |
$1.68 |
$7.00
|
|
Factor viii
|
$218.46 |
$218.46 |
$218.46 |
$144.30
|
|
Factor viii
|
$1.68 |
$1.68 |
$1.68 |
$3.87
|
|
Factor viii recombinant nos
|
$2.52 |
$2.52 |
$2.52 |
$7.50
|
|
Family therapy without pt 50min 90846
|
$402.88 |
$402.88 |
$402.88 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$402.88 |
$402.88 |
$402.88 |
$239.20
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$15.07 |
$15.07 |
$15.07 |
$22.23
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$1,768.03 |
$1,768.03 |
$1,768.03 |
$5,508.16
|
|
Fat/lipids feces qualitative
|
$50.78 |
$50.78 |
$50.78 |
$34.56
|
|
#fecal-sodium
|
$52.74 |
$52.74 |
$52.74 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$4.76 |
$4.76 |
$4.76 |
$66.43
|
|
Fem/popl revasc w/stent
|
$7,469.39 |
$7,469.39 |
$7,469.39 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$36.00 |
$36.00 |
$36.00 |
$113.65
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,070.25 |
$1,070.25 |
$1,070.25 |
$1,741.41
|
|
Ferritin
|
$146.48 |
$146.48 |
$146.48 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,255.50 |
$1,255.50 |
$1,255.50 |
$1,328.88
|
|
Fetal biophys profile w/nst 76818
|
$768.09 |
$768.09 |
$768.09 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$552.70 |
$552.70 |
$552.70 |
$540.54
|
|
Fetal fibronectin
|
$253.34 |
$253.34 |
$253.34 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$131.97 |
$131.97 |
$131.97 |
$88.80
|
|
Fetal hemoglobin rosette
|
$117.46 |
$117.46 |
$117.46 |
$76.70
|