|
Epinephrine 1 mg/ml im kit - adult
|
$21.54 |
$21.54 |
$21.54 |
$25.30
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$1.20 |
$1.20 |
$1.20 |
$393.15
|
|
Epstein barr early antigen antibody
|
$1.71 |
$1.71 |
$1.71 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$1.71 |
$1.71 |
$1.71 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$1.71 |
$1.71 |
$1.71 |
$91.00
|
|
Ercp biliary & pancreas
|
$652.80 |
$652.80 |
$652.80 |
$967.04
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$124.75 |
$124.75 |
$124.75 |
$222.98
|
|
ER Visit (level 1, minor)
|
$111.36 |
$111.36 |
$111.36 |
$246.24
|
|
ER Visit (level 2)
|
$223.20 |
$223.20 |
$223.20 |
$452.20
|
|
ER Visit (level 3)
|
$373.12 |
$373.12 |
$373.12 |
$770.04
|
|
ER Visit (level 4)
|
$607.68 |
$607.68 |
$607.68 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,037.76 |
$1,037.76 |
$1,037.76 |
$1,820.02
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$13.90 |
$13.90 |
$13.90 |
$553.88
|
|
Esophageal dilat s&i
|
$281.92 |
$281.92 |
$281.92 |
$581.10
|
|
Establish access to aorta
|
$203.52 |
$203.52 |
$203.52 |
$1,280.06
|
|
Established Patient Office Visit (level 1)
|
$55.20 |
$55.20 |
$55.20 |
$120.25
|
|
Estradiol total
|
$79.04 |
$79.04 |
$79.04 |
$146.50
|
|
Ethylene glycol -sendout
|
$2.12 |
$2.12 |
$2.12 |
$89.40
|
|
Eval/fit voice prosthesis iii, st
|
$225.44 |
$225.44 |
$225.44 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$211.52 |
$211.52 |
$211.52 |
$219.60
|
|
Evaluation heart device
|
$276.80 |
$276.80 |
$276.80 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$145.28 |
$145.28 |
$145.28 |
$311.50
|
|
Evasc prlng admn rx agnt 1st
|
$528.00 |
$528.00 |
$528.00 |
$3,822.00
|
|
Evasc rpr a-ao ndgft 34701
|
$4,028.48 |
$4,028.48 |
$4,028.48 |
$5,230.40
|
|
Evasc rpr a-unilac ndgft 34703
|
$3,458.40 |
$3,458.40 |
$3,458.40 |
$5,578.73
|
|
Evoked oa emissions ltd
|
$64.64 |
$64.64 |
$64.64 |
$234.32
|
|
Exc abd les sc 3 cm/>
|
$2,582.88 |
$2,582.88 |
$2,582.88 |
$3,796.00
|
|
Exc forearm tum deep 3 cm/>
|
$2,582.88 |
$2,582.88 |
$2,582.88 |
$3,994.09
|
|
Exchange biliary drg cath
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$3,909.56
|
|
Exchange drainage catheter
|
$1,216.32 |
$1,216.32 |
$1,216.32 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$1,337.28 |
$1,337.28 |
$1,337.28 |
$2,958.80
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,906.24 |
$2,906.24 |
$2,906.24 |
$2,470.50
|
|
External chromosome analysis 20-25 cells
|
$29.70 |
$29.70 |
$29.70 |
$384.15
|
|
External newborn metabolic screening panel
|
$48.96 |
$48.96 |
$48.96 |
$109.76
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$6.36 |
$6.36 |
$6.36 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$113.76 |
$113.76 |
$113.76 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$13.68 |
$13.68 |
$13.68 |
$108.60
|
|
F-18 fdg pet diag
|
$450.88 |
$450.88 |
$450.88 |
$551.72
|
|
F-18 fluciclovine per mci
|
$2,758.56 |
$2,758.56 |
$2,758.56 |
$940.00
|
|
F9 full gene sequence
|
$76.80 |
$76.80 |
$76.80 |
$1,200.00
|
|
Facial bones <3
|
$125.28 |
$125.28 |
$125.28 |
$252.60
|
|
Factor ix
|
$53.92 |
$53.92 |
$53.92 |
$156.13
|
|
Factor viii
|
$50.72 |
$50.72 |
$50.72 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$7.75 |
$7.75 |
$7.75 |
$22.20
|
|
Fancc gene
|
$5.86 |
$5.86 |
$5.86 |
$147.00
|
|
Fat/lipids feces qualitative
|
$6.88 |
$6.88 |
$6.88 |
$38.35
|
|
Fatty acids nonesterified
|
$2.32 |
$2.32 |
$2.32 |
$64.28
|
|
#fecal-sodium
|
$45.44 |
$45.44 |
$45.44 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$2.42 |
$2.42 |
$2.42 |
$65.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$40.27 |
$40.27 |
$40.27 |
$101.40
|
|
Ferritin
|
$52.16 |
$52.16 |
$52.16 |
$100.94
|
|
Fetal biophys profile w/nst 76818
|
$271.52 |
$271.52 |
$271.52 |
$535.37
|
|
Fetal chrmoml microdeltj
|
$44.00 |
$44.00 |
$44.00 |
$834.96
|
|
Fetal chrom aneuploidy gsa panel
|
$72.00 |
$72.00 |
$72.00 |
$1,206.81
|
|
Fetal contract stress test 59020 - 26
|
$134.56 |
$134.56 |
$134.56 |
$475.50
|
|
Fetal fibronectin
|
$380.32 |
$380.32 |
$380.32 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$26.24 |
$26.24 |
$26.24 |
$105.12
|
|
Fetal hemoglobin rosette
|
$39.36 |
$39.36 |
$39.36 |
$67.20
|
|
Fetal non stress test
|
$140.96 |
$140.96 |
$140.96 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$3.44 |
$3.44 |
$3.44 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$85.76 |
$85.76 |
$85.76 |
$117.70
|
|
Fibrin degradation products
|
$112.64 |
$112.64 |
$112.64 |
$62.64
|
|
Fibrin degrade semiquant
|
$46.24 |
$46.24 |
$46.24 |
$78.09
|
|
Fibrinogen activity
|
$82.56 |
$82.56 |
$82.56 |
$83.50
|
|
Fibrinolytic antiplasmin
|
$1.10 |
$1.10 |
$1.10 |
$72.80
|
|
Fibrinolytic plasminogen
|
$2.44 |
$2.44 |
$2.44 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$0.93 |
$0.93 |
$0.93 |
$65.00
|
|
Filter vena cava fem denali
|
$320.64 |
$320.64 |
$320.64 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$178.72 |
$178.72 |
$178.72 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$80.80 |
$80.80 |
$80.80 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$292.48 |
$292.48 |
$292.48 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$98.56 |
$98.56 |
$98.56 |
$503.76
|
|
Flecainide (tambocor)-sendout
|
$2.98 |
$2.98 |
$2.98 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$275.52 |
$275.52 |
$275.52 |
$511.92
|
|
Flow cytometry marker each additional
|
$16.00 |
$16.00 |
$16.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$48.00 |
$48.00 |
$48.00 |
$284.40
|
|
Flt3 gene
|
$55.41 |
$55.41 |
$55.41 |
$355.00
|
|
Flt3 gene analysis
|
$27.79 |
$27.79 |
$27.79 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$20.16 |
$20.16 |
$20.16 |
$64.22
|
|
Fluidotherapy charges pt
|
$94.24 |
$94.24 |
$94.24 |
$91.00
|
|
Fluorescent antibody titer dna
|
$42.56 |
$42.56 |
$42.56 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$128.48 |
$128.48 |
$128.48 |
$496.03
|
|
Fluoroguide needle placement
|
$167.84 |
$167.84 |
$167.84 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$399.36 |
$399.36 |
$399.36 |
$492.00
|
|
Fna bx w/ct gdn 1st les
|
$869.28 |
$869.28 |
$869.28 |
$1,420.80
|
|
Folic acid
|
$51.36 |
$51.36 |
$51.36 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$0.80 |
$0.80 |
$0.80 |
$54.75
|
|
Follow-up angiography
|
$840.32 |
$840.32 |
$840.32 |
$2,040.78
|
|
Fondaparinux sodium
|
$110.96 |
$110.96 |
$110.96 |
$185.12
|
|
Foot plas heel stabi pre ots
|
$64.32 |
$64.32 |
$64.32 |
$76.32
|
|
Foot X-ray
|
$232.32 |
$232.32 |
$232.32 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$273.12 |
$273.12 |
$273.12 |
$580.42
|
|
Forearm/arm cuffs free motio
|
$583.20 |
$583.20 |
$583.20 |
$901.60
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$129.25 |
$129.25 |
$129.25 |
$106.10
|
|
Fracture assessment via dxa
|
$160.00 |
$160.00 |
$160.00 |
$173.18
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$15.23 |
$15.23 |
$15.23 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$13.92 |
$13.92 |
$13.92 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$43.52 |
$43.52 |
$43.52 |
$122.00
|
|
Frozen blood freeze/thaw
|
$10.40 |
$10.40 |
$10.40 |
$179.01
|
|
Fructosamine glycated protein
|
$2.15 |
$2.15 |
$2.15 |
$60.75
|
