|
ER Visit (level 4)
|
$992.55 |
$992.55 |
$992.55 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$1,459.03 |
$1,459.03 |
$1,459.03 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$56.84 |
$56.84 |
$56.84 |
$248.39
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$2,200.30 |
$2,200.30 |
$2,200.30 |
$488.72
|
|
Esophagoscopy flex remove fb
|
$1,922.37 |
$1,922.37 |
$1,922.37 |
$2,109.53
|
|
Esophagus motility study
|
$583.69 |
$583.69 |
$583.69 |
$1,289.20
|
|
Esoph imped function test
|
$304.20 |
$304.20 |
$304.20 |
$597.03
|
|
Establish access to aorta
|
$493.14 |
$493.14 |
$493.14 |
$1,280.06
|
|
Establish access to artery
|
$602.12 |
$602.12 |
$602.12 |
$1,145.65
|
|
Established Patient Office Visit (level 1)
|
$112.90 |
$112.90 |
$112.90 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$119.56 |
$119.56 |
$119.56 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$149.36 |
$149.36 |
$149.36 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$784.40 |
$784.40 |
$784.40 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$233.24 |
$233.24 |
$233.24 |
$287.10
|
|
Estradiol total
|
$121.92 |
$121.92 |
$121.92 |
$153.00
|
|
Ethanolamine oleate 100 mg
|
$1,408.85 |
$1,408.85 |
$1,408.85 |
$1,046.87
|
|
Etoposide 20 mg/ml intravenous solution
|
$44.30 |
$44.30 |
$44.30 |
$234.83
|
|
Euglobulin lysis
|
$43.92 |
$43.92 |
$43.92 |
$39.75
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$188.16 |
$188.16 |
$188.16 |
$219.60
|
|
Evaluation heart device
|
$2,645.22 |
$2,645.22 |
$2,645.22 |
$2,368.17
|
|
Evasc prlng admn rx agnt 1st
|
$3,692.64 |
$3,692.64 |
$3,692.64 |
$4,462.80
|
|
Evasc prlng admn rx agnt add
|
$3,692.64 |
$3,692.64 |
$3,692.64 |
$3,484.88
|
|
Evasc rpr a-ao ndgft 34701
|
$3,938.43 |
$3,938.43 |
$3,938.43 |
$6,020.00
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$3,938.43 |
$3,938.43 |
$3,938.43 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$3,938.43 |
$3,938.43 |
$3,938.43 |
$10,294.05
|
|
Evasc rpr a-iliac ndgft 34717
|
$1,970.59 |
$1,970.59 |
$1,970.59 |
$6,925.05
|
|
Evasc rpr a-unilac ndgft 34703
|
$3,731.84 |
$3,731.84 |
$3,731.84 |
$7,465.20
|
|
Evasc rpr a-unilac ndgft rpt
|
$3,623.26 |
$3,623.26 |
$3,623.26 |
$9,282.60
|
|
Evasc rpr ilio-iliac ndgft
|
$1,913.36 |
$1,913.36 |
$1,913.36 |
$8,412.85
|
|
Evasc rpr ilio-iliac rpt
|
$1,913.36 |
$1,913.36 |
$1,913.36 |
$9,122.40
|
|
Event monitor
|
$549.59 |
$549.59 |
$549.59 |
$242.12
|
|
Evoked potentials auditory screening automated analysis
|
$249.71 |
$249.71 |
$249.71 |
$283.62
|
|
Evoked potentials upper limbs
|
$735.00 |
$735.00 |
$735.00 |
$908.54
|
|
Exchange biliary drg cath
|
$3,097.59 |
$3,097.59 |
$3,097.59 |
$4,176.15
|
|
Exchange drainage catheter
|
$2,851.02 |
$2,851.02 |
$2,851.02 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$2,931.38 |
$2,931.38 |
$2,931.38 |
$3,097.16
|
|
Exercise w/hemodynamic meas
|
$212.86 |
$212.86 |
$212.86 |
$971.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$5,507.21 |
$5,507.21 |
$5,507.21 |
$2,675.40
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,926.29 |
$1,926.29 |
$1,926.29 |
$4,101.67
|
|
Expose art endoprosth iliac 34820
|
$1,130.92 |
$1,130.92 |
$1,130.92 |
$1,820.00
|
|
Expose endoprosth brachial 34834
|
$647.98 |
$647.98 |
$647.98 |
$1,807.40
|
|
External cannula declotting
|
$2,784.77 |
$2,784.77 |
$2,784.77 |
$1,829.42
|
|
External chromosome analysis 20-25 cells
|
$71.35 |
$71.35 |
$71.35 |
$389.35
|
|
External newborn metabolic screening panel
|
$88.20 |
$88.20 |
$88.20 |
$104.72
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$43.22 |
$43.22 |
$43.22 |
$61.32
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$1,811.04 |
$1,811.04 |
$1,811.04 |
$4,260.30
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$143.08 |
$143.08 |
$143.08 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$54.10 |
$54.10 |
$54.10 |
$102.78
|
|
F-18 fdg pet diag
|
$194.04 |
$194.04 |
$194.04 |
$602.25
|
|
F-18 sodium fluoride
|
$176.40 |
$176.40 |
$176.40 |
$564.20
|
|
Facial bones <3
|
$203.06 |
$203.06 |
$203.06 |
$248.60
|
|
Factor ix
|
$89.39 |
$89.39 |
$89.39 |
$131.30
|
|
Factor ix complex
|
$3.53 |
$3.53 |
$3.53 |
$4.68
|
|
Factor viii
|
$46.83 |
$46.83 |
$46.83 |
$144.30
|
|
Factor viii recombinant nos
|
$9.02 |
$9.02 |
$9.02 |
$6.55
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$21.17 |
$21.17 |
$21.17 |
$24.21
|
|
Fancc gene
|
$109.53 |
$109.53 |
$109.53 |
$147.31
|
|
Fat/lipids feces qualitative
|
$5.49 |
$5.49 |
$5.49 |
$34.56
|
|
Fatty acids nonesterified
|
$11.76 |
$11.76 |
$11.76 |
$57.60
|
|
#fecal-sodium
|
$8.63 |
$8.63 |
$8.63 |
$37.50
|
|
Feeding tube reposition
|
$519.40 |
$519.40 |
$519.40 |
$441.86
|
|
Felbamate (felbatol(r)) - sendout
|
$6.68 |
$6.68 |
$6.68 |
$66.43
|
|
Femoral endovas graft add-on 34813
|
$551.55 |
$551.55 |
$551.55 |
$1,304.00
|
|
Fem/popl revasc w/stent
|
$13,642.39 |
$13,642.39 |
$13,642.39 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$114.47 |
$114.47 |
$114.47 |
$118.20
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,895.70 |
$3,895.70 |
$3,895.70 |
$2,131.58
|
|
Ferritin
|
$118.39 |
$118.39 |
$118.39 |
$103.68
|
|
Fetal biophys profile w/nst 76818
|
$587.22 |
$587.22 |
$587.22 |
$541.74
|
|
Fetal cord puncture prenatal
|
$408.08 |
$408.08 |
$408.08 |
$764.92
|
|
Fetal fibronectin
|
$921.60 |
$921.60 |
$921.60 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$73.31 |
$73.31 |
$73.31 |
$88.80
|
|
Fetal hemoglobin rosette
|
$79.58 |
$79.58 |
$79.58 |
$76.70
|
|
Fetal non stress test
|
$290.87 |
$290.87 |
$290.87 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$246.96 |
$246.96 |
$246.96 |
$112.80
|
|
Fibrin degradation products
|
$40.48 |
$40.48 |
$40.48 |
$62.40
|
|
Fibrinogen activity
|
$105.06 |
$105.06 |
$105.06 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$46.83 |
$46.83 |
$46.83 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$13.85 |
$13.85 |
$13.85 |
$56.00
|
|
Fibrinolytic plasminogen
|
$21.96 |
$21.96 |
$21.96 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$71.25 |
$71.25 |
$71.25 |
$59.89
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,648.36 |
$1,648.36 |
$1,648.36 |
$545.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,931.00 |
$1,931.00 |
$1,931.00 |
$1,004.98
|
|
Filter spider fx 3mmx320cm
|
$7,160.28 |
$7,160.28 |
$7,160.28 |
$6,878.20
|
|
Filter vena cava fem denali
|
$4,235.56 |
$4,235.56 |
$4,235.56 |
$3,519.51
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,527.24 |
$1,527.24 |
$1,527.24 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,322.22 |
$1,322.22 |
$1,322.22 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,126.61 |
$1,126.61 |
$1,126.61 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$446.88 |
$446.88 |
$446.88 |
$547.53
|
|
Fix g/colon tube w/device
|
$842.02 |
$842.02 |
$842.02 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$9.89 |
$9.89 |
$9.89 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$339.08 |
$339.08 |
$339.08 |
$546.86
|
|
Flow cytometry marker each additional
|
$64.49 |
$64.49 |
$64.49 |
$103.00
|
|
Flow cytometry one marker technical component
|
$92.12 |
$92.12 |
$92.12 |
$270.75
|
|
Flt3 gene
|
$313.60 |
$313.60 |
$313.60 |
$352.95
|
|
Flt3 gene analysis
|
$42.26 |
$42.26 |
$42.26 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$599.76 |
$599.76 |
$599.76 |
$74.00
|
|
Fludarabine 50 mg intravenous solution
|
$444.53 |
$444.53 |
$444.53 |
$601.96
|
|
Fluocinolone acetonide implt
|
$32,193.00 |
$32,193.00 |
$32,193.00 |
$32,193.00
|
|
Fluorescent antibody titer dna
|
$98.00 |
$98.00 |
$98.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$416.70 |
$416.70 |
$416.70 |
$507.00
|
