|
Eculizumab 300 mg/30 ml intravenous solution
|
$6,857.33 |
$6,857.33 |
$6,857.33 |
$18,038.06
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$98.12 |
$98.12 |
$98.12 |
$81.90
|
|
Eeg 41-60 minutes 95812-26
|
$269.81 |
$269.81 |
$269.81 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$937.32 |
$937.32 |
$937.32 |
$1,049.59
|
|
Eeg during surgery
|
$800.67 |
$800.67 |
$800.67 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,750.25 |
$1,750.25 |
$1,750.25 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$269.81 |
$269.81 |
$269.81 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$284.41 |
$284.41 |
$284.41 |
$936.00
|
|
Eeg recording awake and asleep
|
$488.81 |
$488.81 |
$488.81 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$487.06 |
$487.06 |
$487.06 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$487.06 |
$487.06 |
$487.06 |
$586.20
|
|
Eeg without vid ea 12-26hr intmt
|
$934.99 |
$934.99 |
$934.99 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$487.06 |
$487.06 |
$487.06 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$934.99 |
$934.99 |
$934.99 |
$1,251.52
|
|
E equine encephalitis igg
|
$10.13 |
$10.13 |
$10.13 |
$48.73
|
|
Egfr gene com variants
|
$183.96 |
$183.96 |
$183.96 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$23.36 |
$23.36 |
$23.36 |
$105.00
|
|
Electrd sq emblem s-icd
|
$8,295.72 |
$8,295.72 |
$8,295.72 |
$9,175.83
|
|
Electrode stimulation brain
|
$1,740.91 |
$1,740.91 |
$1,740.91 |
$1,180.80
|
|
Electrolyte panel
|
$200.90 |
$200.90 |
$200.90 |
$86.33
|
|
Electron microscopy diagnostic
|
$868.30 |
$868.30 |
$868.30 |
$966.69
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$279.74 |
$279.74 |
$279.74 |
$434.00
|
|
Emg cranial nerve bilateral
|
$500.49 |
$500.49 |
$500.49 |
$518.00
|
|
Emg needle test 4-extremities
|
$410.56 |
$410.56 |
$410.56 |
$570.50
|
|
Encephalitis, california igg/igm
|
$10.13 |
$10.13 |
$10.13 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$10.13 |
$10.13 |
$10.13 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$10.13 |
$10.13 |
$10.13 |
$50.70
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$10,962.88
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$334.05 |
$334.05 |
$334.05 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$11.43 |
$11.43 |
$11.43 |
$66.47
|
|
Enzyme histochemistry
|
$327.98 |
$327.98 |
$327.98 |
$460.32
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$2,389.15 |
$2,389.15 |
$2,389.15 |
$3,762.53
|
|
Epoetin alfa, 100 units esrd
|
$81.76 |
$81.76 |
$81.76 |
$41.32
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,778.28 |
$1,778.28 |
$1,778.28 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$950.55
|
|
Epstein barr early antigen antibody
|
$3.95 |
$3.95 |
$3.95 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$4.68 |
$4.68 |
$4.68 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$4.68 |
$4.68 |
$4.68 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$2,367.54 |
$2,367.54 |
$2,367.54 |
$363.57
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$3,855.08
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$559.48 |
$559.48 |
$559.48 |
$364.08
|
|
ER Visit (level 1, minor)
|
$442.09 |
$442.09 |
$442.09 |
$276.70
|
|
ER Visit (level 2)
|
$892.94 |
$892.94 |
$892.94 |
$487.50
|
|
ER Visit (level 3)
|
$1,797.56 |
$1,797.56 |
$1,797.56 |
$850.50
|
|
ER Visit (level 4)
|
$14,831.85 |
$14,831.85 |
$14,831.85 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$19,674.96 |
$19,674.96 |
$19,674.96 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$805.92 |
$805.92 |
$805.92 |
$260.24
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,889,532.00 |
$1,889,532.00 |
$1,889,532.00 |
$540.00
|
|
Established Patient Office Visit (level 1)
|
$301.93 |
$301.93 |
$301.93 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$670.44 |
$670.44 |
$670.44 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$1,323.93 |
$1,323.93 |
$1,323.93 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$1,797.56 |
$1,797.56 |
$1,797.56 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$2,882.63 |
$2,882.63 |
$2,882.63 |
$287.10
|
|
Estradiol total
|
$40.26 |
$40.26 |
$40.26 |
$153.00
|
|
Estradiol valerate 10 mg inj
|
$48.48 |
$48.48 |
$48.48 |
$63.50
|
|
Estrogens total-sendout
|
$85.27 |
$85.27 |
$85.27 |
$89.25
|
|
Ethylene glycol -sendout
|
$104.52 |
$104.52 |
$104.52 |
$75.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$44.39 |
$44.39 |
$44.39 |
$213.17
|
|
Euglobulin lysis
|
$53.73 |
$53.73 |
$53.73 |
$39.75
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$272.73 |
$272.73 |
$272.73 |
$219.60
|
|
Evoked potentials auditory screening automated analysis
|
$366.76 |
$366.76 |
$366.76 |
$283.62
|
|
Exc prtl bn phlnx toe
|
$5,338.35 |
$5,338.35 |
$5,338.35 |
$3,752.25
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$4,906.77 |
$4,906.77 |
$4,906.77 |
$2,647.92
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,230.88 |
$2,230.88 |
$2,230.88 |
$3,473.04
|
|
External chromosome analysis 20-25 cells
|
$102.20 |
$102.20 |
$102.20 |
$389.35
|
|
External newborn metabolic screening panel
|
$131.40 |
$131.40 |
$131.40 |
$114.75
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$61.32 |
$61.32 |
$61.32 |
$61.32
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$103.06 |
$103.06 |
$103.06 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$46.43 |
$46.43 |
$46.43 |
$102.78
|
|
F-18 fdg pet diag
|
$495.24 |
$495.24 |
$495.24 |
$602.25
|
|
Facial bones <3
|
$392.45 |
$392.45 |
$392.45 |
$248.60
|
|
Factor ix
|
$19.22 |
$19.22 |
$19.22 |
$131.30
|
|
Factor ix complex
|
$4.68 |
$4.68 |
$4.68 |
$3.23
|
|
Factor viii
|
$27.93 |
$27.93 |
$27.93 |
$144.30
|
|
Factor viii recombinant nos
|
$7.60 |
$7.60 |
$7.60 |
$4.68
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$26.87 |
$26.87 |
$26.87 |
$27.81
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$7,077.64
|
|
Fancc gene
|
$23.72 |
$23.72 |
$23.72 |
$147.31
|
|
Fat/lipids feces qualitative
|
$8.18 |
$8.18 |
$8.18 |
$34.56
|
|
Fatty acids nonesterified
|
$17.52 |
$17.52 |
$17.52 |
$57.60
|
|
#fecal-sodium
|
$7.77 |
$7.77 |
$7.77 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$9.95 |
$9.95 |
$9.95 |
$66.43
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$447.35 |
$447.35 |
$447.35 |
$120.15
|
|
Fern test
|
$86.44 |
$86.44 |
$86.44 |
$17.72
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$2,027.60
|
|
Ferritin
|
$311.86 |
$311.86 |
$311.86 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$1,776.61
|
|
Ferumoxytol, esrd use
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$0.34
|
|
Fetal biophys profile w/nst 76818
|
$938.49 |
$938.49 |
$938.49 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$564.15 |
$564.15 |
$564.15 |
$540.54
|
|
Fetal fibronectin
|
$378.44 |
$378.44 |
$378.44 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$220.76 |
$220.76 |
$220.76 |
$88.80
|
|
Fetal hemoglobin rosette
|
$108.04 |
$108.04 |
$108.04 |
$76.70
|
|
Fetal non stress test
|
$494.65 |
$494.65 |
$494.65 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$287.33 |
$287.33 |
$287.33 |
$112.80
|
|
Fibrin degradation products
|
$20.63 |
$20.63 |
$20.63 |
$62.40
|
|
Fibrinogen activity
|
$208.49 |
$208.49 |
$208.49 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$20.63 |
$20.63 |
$20.63 |
$56.00
|
|
Fibrinolytic plasminogen
|
$32.64 |
$32.64 |
$32.64 |
$109.45
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,412.12 |
$1,412.12 |
$1,412.12 |
$460.87
|
