|
Drug assay voriconazole
|
$19.30 |
$19.30 |
$19.30 |
$96.75
|
|
Drug test def 15-21 classes
|
$36.40 |
$36.40 |
$36.40 |
$144.42
|
|
Drug test def 1-7 classes
|
$466.65 |
$466.65 |
$466.65 |
$250.52
|
|
Drug test def 22+ classes
|
$65.52 |
$65.52 |
$65.52 |
$246.92
|
|
Drug test def 8-14 classes
|
$287.93 |
$287.93 |
$287.93 |
$172.25
|
|
Drug test prsmv instrmnt
|
$15.66 |
$15.66 |
$15.66 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$62.25 |
$62.25 |
$62.25 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$227.50 |
$227.50 |
$227.50 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$104.11 |
$104.11 |
$104.11 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$104.11 |
$104.11 |
$104.11 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$346.90 |
$346.90 |
$346.90 |
$903.00
|
|
Dx bronchoscope/brush 31623
|
$1,157.16 |
$1,157.16 |
$1,157.16 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,428.34 |
$1,428.34 |
$1,428.34 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$991.54 |
$991.54 |
$991.54 |
$2,587.60
|
|
Ecg 12 lead tracing only
|
$566.75 |
$566.75 |
$566.75 |
$245.00
|
|
Ecg external < 48 hours recording
|
$172.18 |
$172.18 |
$172.18 |
$461.76
|
|
Echocardiogram (Heart Ultrasound)
|
$2,828.28 |
$2,828.28 |
$2,828.28 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$531.08 |
$531.08 |
$531.08 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,828.28 |
$2,828.28 |
$2,828.28 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$786.24 |
$786.24 |
$786.24 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$553.28 |
$553.28 |
$553.28 |
$353.46
|
|
Echo tee guidance
|
$1,168.44 |
$1,168.44 |
$1,168.44 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,925.93 |
$1,925.93 |
$1,925.93 |
$1,871.10
|
|
Echo transthoracic
|
$1,921.20 |
$1,921.20 |
$1,921.20 |
$1,492.50
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$4,274.09 |
$4,274.09 |
$4,274.09 |
$18,038.06
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$61.16 |
$61.16 |
$61.16 |
$81.90
|
|
Eeg monitor/record/awake/drowsy 95816
|
$627.18 |
$627.18 |
$627.18 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$944.22 |
$944.22 |
$944.22 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$1,111.66 |
$1,111.66 |
$1,111.66 |
$936.00
|
|
Eeg recording awake and asleep
|
$570.03 |
$570.03 |
$570.03 |
$1,030.27
|
|
Egfr gene com variants
|
$114.66 |
$114.66 |
$114.66 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$14.56 |
$14.56 |
$14.56 |
$105.00
|
|
Electrd sq emblem s-icd
|
$10,179.63 |
$10,179.63 |
$10,179.63 |
$9,175.83
|
|
Electrolyte panel
|
$519.80 |
$519.80 |
$519.80 |
$86.33
|
|
Electron microscopy diagnostic
|
$433.16 |
$433.16 |
$433.16 |
$966.69
|
|
Electrophysiology evaluation
|
$11,155.51 |
$11,155.51 |
$11,155.51 |
$11,175.42
|
|
Electrophysiology evaluation
|
$11,155.51 |
$11,155.51 |
$11,155.51 |
$7,769.30
|
|
Electrophysiology evaluation
|
$1,450.18 |
$1,450.18 |
$1,450.18 |
$6,516.00
|
|
Electrophysiology evaluation
|
$1,460.01 |
$1,460.01 |
$1,460.01 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$6,250.25 |
$6,250.25 |
$6,250.25 |
$6,534.00
|
|
Elotuzumab 300 mg intravenous solution
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$8,397.94
|
|
Endo cath bile duct s&i
|
$944.22 |
$944.22 |
$944.22 |
$612.37
|
|
Endoluminl ivus oct c 1st
|
$4,138.32 |
$4,138.32 |
$4,138.32 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$3,310.58 |
$3,310.58 |
$3,310.58 |
$2,367.97
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$434.26 |
$434.26 |
$434.26 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$7.12 |
$7.12 |
$7.12 |
$66.47
|
|
Ep & ablate supravent arrhyt
|
$32,603.12 |
$32,603.12 |
$32,603.12 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$45,970.66 |
$45,970.66 |
$45,970.66 |
$30,975.00
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$52.42 |
$52.42 |
$52.42 |
$450.94
|
|
Epoetin alfa, 100 units esrd
|
$1,868.05 |
$1,868.05 |
$1,868.05 |
$41.32
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,541.91 |
$1,541.91 |
$1,541.91 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$950.55
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$138.32 |
$138.32 |
$138.32 |
$136.00
|
|
Epstein barr early antigen antibody
|
$2.46 |
$2.46 |
$2.46 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$2.46 |
$2.46 |
$2.46 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$17.66 |
$17.66 |
$17.66 |
$95.04
|
|
Ercp biliary & pancreas
|
$944.22 |
$944.22 |
$944.22 |
$943.50
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$3,855.08
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$449.91 |
$449.91 |
$449.91 |
$364.08
|
|
ER Visit (level 1, minor)
|
$606.06 |
$606.06 |
$606.06 |
$276.70
|
|
ER Visit (level 2)
|
$808.45 |
$808.45 |
$808.45 |
$487.50
|
|
ER Visit (level 3)
|
$1,313.68 |
$1,313.68 |
$1,313.68 |
$850.50
|
|
ER Visit (level 4)
|
$2,374.38 |
$2,374.38 |
$2,374.38 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$5,051.96 |
$5,051.96 |
$5,051.96 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$42.23 |
$42.23 |
$42.23 |
$260.24
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,761.04 |
$1,761.04 |
$1,761.04 |
$540.00
|
|
Established Patient Office Visit (level 1)
|
$160.53 |
$160.53 |
$160.53 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$152.16 |
$152.16 |
$152.16 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$227.87 |
$227.87 |
$227.87 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$2,376.92 |
$2,376.92 |
$2,376.92 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$430.25 |
$430.25 |
$430.25 |
$287.10
|
|
Estradiol total
|
$10.20 |
$10.20 |
$10.20 |
$153.00
|
|
Estradiol valerate 10 mg inj
|
$653.75 |
$653.75 |
$653.75 |
$63.50
|
|
Etanercept injection
|
$2,427.52 |
$2,427.52 |
$2,427.52 |
$1,801.20
|
|
Ethanolamine oleate 100 mg
|
$1,046.87 |
$1,046.87 |
$1,046.87 |
$1,046.87
|
|
Ethylene glycol -sendout
|
$11.55 |
$11.55 |
$11.55 |
$75.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$595.51 |
$595.51 |
$595.51 |
$213.17
|
|
Etoposide 50 mg cap
|
$206.39 |
$206.39 |
$206.39 |
$196.27
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$131.77 |
$131.77 |
$131.77 |
$219.60
|
|
Evoked potentials auditory screening automated analysis
|
$283.20 |
$283.20 |
$283.20 |
$283.62
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$4,631.18 |
$4,631.18 |
$4,631.18 |
$2,647.92
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,619.80 |
$1,619.80 |
$1,619.80 |
$3,473.04
|
|
External chromosome analysis 20-25 cells
|
$133.96 |
$133.96 |
$133.96 |
$389.35
|
|
External newborn metabolic screening panel
|
$81.90 |
$81.90 |
$81.90 |
$114.75
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$49.21 |
$49.21 |
$49.21 |
$61.32
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$137.60 |
$137.60 |
$137.60 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$9.10 |
$9.10 |
$9.10 |
$102.78
|
|
F-18 fdg pet diag
|
$580.22 |
$580.22 |
$580.22 |
$602.25
|
|
F-18 florbetapir less than or equal to 10 mci
|
$9,921.55 |
$9,921.55 |
$9,921.55 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$1,813.82 |
$1,813.82 |
$1,813.82 |
$1,307.52
|
|
Facial bones <3
|
$451.73 |
$451.73 |
$451.73 |
$248.60
|
|
Factor ix complex
|
$4.37 |
$4.37 |
$4.37 |
$3.23
|
|
Factor viii
|
$28.76 |
$28.76 |
$28.76 |
$144.30
|
|
Factor viii
|
$5.46 |
$5.46 |
$5.46 |
$1.61
|
|
Factor viii recombinant nos
|
$6.56 |
$6.56 |
$6.56 |
$4.68
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$27.67 |
$27.67 |
$27.67 |
$27.81
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$7,077.64
|
|
Fat/lipids feces qualitative
|
$5.10 |
$5.10 |
$5.10 |
$34.56
|
|
Fatty acids nonesterified
|
$10.92 |
$10.92 |
$10.92 |
$57.60
|
|
#fecal-sodium
|
$4.28 |
$4.28 |
$4.28 |
$37.50
|