|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$4,272.75 |
$4,272.75 |
$4,272.75 |
$10,962.88
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$357.66 |
$357.66 |
$357.66 |
$121.63
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$59.36 |
$59.36 |
$59.36 |
$59.36
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$1,248.86 |
$1,248.86 |
$1,248.86 |
$450.94
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$28.35 |
$28.35 |
$28.35 |
$195.23
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$5,006.70 |
$5,006.70 |
$5,006.70 |
$3,762.53
|
|
Epoetin alfa, 100 units esrd
|
$115.46 |
$115.46 |
$115.46 |
$41.32
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,905.99 |
$1,905.99 |
$1,905.99 |
$918.00
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$144.00 |
$144.00 |
$144.00 |
$136.00
|
|
Epstein barr early antigen antibody
|
$3.04 |
$3.04 |
$3.04 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$3.04 |
$3.04 |
$3.04 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$3.60 |
$3.60 |
$3.60 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$432.00 |
$432.00 |
$432.00 |
$363.57
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$1,589.85 |
$1,589.85 |
$1,589.85 |
$943.50
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$3,855.08
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$424.23 |
$424.23 |
$424.23 |
$364.08
|
|
ER Visit (level 1, minor)
|
$540.00 |
$540.00 |
$540.00 |
$276.70
|
|
ER Visit (level 2)
|
$945.00 |
$945.00 |
$945.00 |
$487.50
|
|
ER Visit (level 3)
|
$1,441.80 |
$1,441.80 |
$1,441.80 |
$850.50
|
|
ER Visit (level 4)
|
$2,791.80 |
$2,791.80 |
$2,791.80 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$4,498.20 |
$4,498.20 |
$4,498.20 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$51.97 |
$51.97 |
$51.97 |
$260.24
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$2,020.50 |
$2,020.50 |
$2,020.50 |
$540.00
|
|
Esophageal dilat s&i
|
$2,133.90 |
$2,133.90 |
$2,133.90 |
$525.00
|
|
Esophagoscop stent placement
|
$7,106.40 |
$7,106.40 |
$7,106.40 |
$6,505.71
|
|
Esophagus motility study
|
$1,506.60 |
$1,506.60 |
$1,506.60 |
$1,289.20
|
|
Esoph imped function test
|
$398.70 |
$398.70 |
$398.70 |
$597.03
|
|
Esoph imped funct test > 1hr
|
$712.80 |
$712.80 |
$712.80 |
$986.40
|
|
Established Patient Office Visit (level 1)
|
$653.40 |
$653.40 |
$653.40 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$871.65 |
$871.65 |
$871.65 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$1,089.45 |
$1,089.45 |
$1,089.45 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$1,290.15 |
$1,290.15 |
$1,290.15 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$2,083.05 |
$2,083.05 |
$2,083.05 |
$287.10
|
|
Estradiol total
|
$12.60 |
$12.60 |
$12.60 |
$153.00
|
|
Estradiol valerate 10 mg inj
|
$20.76 |
$20.76 |
$20.76 |
$63.50
|
|
Ethanolamine oleate 100 mg
|
$1,293.84 |
$1,293.84 |
$1,293.84 |
$1,046.87
|
|
Ethylene glycol -sendout
|
$39.60 |
$39.60 |
$39.60 |
$75.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$736.20 |
$736.20 |
$736.20 |
$213.17
|
|
Etoposide 50 mg cap
|
$255.15 |
$255.15 |
$255.15 |
$196.27
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$163.35 |
$163.35 |
$163.35 |
$219.60
|
|
Evasc repair of iliac artery; endograft 34718
|
$6,189.75 |
$6,189.75 |
$6,189.75 |
$10,843.20
|
|
Evasc rpr a-ao ndgft 34701
|
$5,950.80 |
$5,950.80 |
$5,950.80 |
$6,020.00
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$1,864.35 |
$1,864.35 |
$1,864.35 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$5,950.80 |
$5,950.80 |
$5,950.80 |
$10,294.05
|
|
Evasc rpr a-iliac ndgft 34717
|
$5,950.80 |
$5,950.80 |
$5,950.80 |
$6,925.05
|
|
Evasc rpr a-unilac ndgft 34703
|
$5,950.80 |
$5,950.80 |
$5,950.80 |
$7,465.20
|
|
Evasc rpr a-unilac ndgft rpt
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$9,282.60
|
|
Evasc rpr ilio-iliac ndgft
|
$5,950.80 |
$5,950.80 |
$5,950.80 |
$8,412.85
|
|
Evasc rpr ilio-iliac rpt
|
$1,864.35 |
$1,864.35 |
$1,864.35 |
$9,122.40
|
|
Event monitor
|
$511.65 |
$511.65 |
$511.65 |
$242.12
|
|
Evoked potentials auditory screening automated analysis
|
$322.20 |
$322.20 |
$322.20 |
$283.62
|
|
Exchange biliary drg cath
|
$3,980.70 |
$3,980.70 |
$3,980.70 |
$4,176.15
|
|
Exchange drainage catheter
|
$2,728.80 |
$2,728.80 |
$2,728.80 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$2,623.50 |
$2,623.50 |
$2,623.50 |
$3,097.16
|
|
Excision breast lesion
|
$3,749.85 |
$3,749.85 |
$3,749.85 |
$3,694.96
|
|
Exercise w/hemodynamic meas
|
$53.10 |
$53.10 |
$53.10 |
$971.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$5,380.65 |
$5,380.65 |
$5,380.65 |
$2,647.92
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,882.80 |
$1,882.80 |
$1,882.80 |
$3,473.04
|
|
External chromosome analysis 20-25 cells
|
$114.75 |
$114.75 |
$114.75 |
$389.35
|
|
External newborn metabolic screening panel
|
$101.25 |
$101.25 |
$101.25 |
$114.75
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$116.10 |
$116.10 |
$116.10 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$9.00 |
$9.00 |
$9.00 |
$102.78
|
|
F-18 fdg pet diag
|
$1,039.05 |
$1,039.05 |
$1,039.05 |
$602.25
|
|
F-18 fluciclovine per mci
|
$11,194.20 |
$11,194.20 |
$11,194.20 |
$1,307.52
|
|
Facial bones <3
|
$531.00 |
$531.00 |
$531.00 |
$248.60
|
|
Factor ix
|
$14.81 |
$14.81 |
$14.81 |
$131.30
|
|
Factor ix recombinant nos
|
$5.40 |
$5.40 |
$5.40 |
$3.04
|
|
Factor viii
|
$11.16 |
$11.16 |
$11.16 |
$144.30
|
|
Factor viii recombinant nos
|
$8.10 |
$8.10 |
$8.10 |
$4.68
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$11.70 |
$11.70 |
$11.70 |
$27.81
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$7,077.64
|
|
Fat/lipids feces qualitative
|
$6.30 |
$6.30 |
$6.30 |
$34.56
|
|
#fecal-sodium
|
$172.35 |
$172.35 |
$172.35 |
$37.50
|
|
Feeding tube reposition
|
$1,470.15 |
$1,470.15 |
$1,470.15 |
$441.86
|
|
Felbamate (felbatol(r)) - sendout
|
$7.67 |
$7.67 |
$7.67 |
$66.43
|
|
Fem/popl revasc w/stent
|
$8,836.20 |
$8,836.20 |
$8,836.20 |
$18,599.10
|
|
Feno poc
|
$147.60 |
$147.60 |
$147.60 |
$80.25
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$120.15 |
$120.15 |
$120.15 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,577.50 |
$3,577.50 |
$3,577.50 |
$2,027.60
|
|
Ferritin
|
$119.25 |
$119.25 |
$119.25 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$626.40 |
$626.40 |
$626.40 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$875.25 |
$875.25 |
$875.25 |
$540.54
|
|
Fetal fibronectin
|
$559.80 |
$559.80 |
$559.80 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$741.15 |
$741.15 |
$741.15 |
$88.80
|
|
Fetal hemoglobin rosette
|
$55.80 |
$55.80 |
$55.80 |
$76.70
|
|
Fetal non stress test
|
$611.10 |
$611.10 |
$611.10 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$313.20 |
$313.20 |
$313.20 |
$112.80
|
|
Fibrinogen activity
|
$477.90 |
$477.90 |
$477.90 |
$82.38
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$8.20 |
$8.20 |
$8.20 |
$59.89
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,773.14 |
$1,773.14 |
$1,773.14 |
$460.87
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,185.23 |
$1,185.23 |
$1,185.23 |
$973.70
|
|
Filter spider fx 3mmx320cm
|
$9,096.30 |
$9,096.30 |
$9,096.30 |
$6,152.59
|
|
Filter vena cava fem denali
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$3,467.25
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$811.80 |
$811.80 |
$811.80 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$594.45 |
$594.45 |
$594.45 |
$624.65
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$272.70 |
$272.70 |
$272.70 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$594.45 |
$594.45 |
$594.45 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$309.60 |
$309.60 |
$309.60 |
$547.53
|
