|
Endoluminl ivus oct c 1st
|
$6,620.30 |
$6,620.30 |
$6,620.30 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$5,296.12 |
$5,296.12 |
$5,296.12 |
$2,367.97
|
|
Endovasc rpr a-biiliac endogft 34705
|
$4,246.54 |
$4,246.54 |
$4,246.54 |
$10,604.25
|
|
Endovasc tempory vessel occl
|
$9,830.48 |
$9,830.48 |
$9,830.48 |
$11,261.25
|
|
Endovenous laser vein addon 36479
|
$3,308.97 |
$3,308.97 |
$3,308.97 |
$2,535.97
|
|
Endovenous rf abl vein addl
|
$2,758.31 |
$2,758.31 |
$2,758.31 |
$3,156.02
|
|
Endoven ther chem adhes 1st 36482
|
$5,890.00 |
$5,890.00 |
$5,890.00 |
$6,459.57
|
|
Endoven ther chem adhes sbsq 36483
|
$3,651.78 |
$3,651.78 |
$3,651.78 |
$3,800.23
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$142.59 |
$142.59 |
$259.81 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$12.94 |
$12.94 |
$25.13 |
$66.47
|
|
Enzyme histochemistry
|
$67.87 |
$67.87 |
$182.24 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$16,344.05 |
$16,344.05 |
$16,344.05 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$21,737.48 |
$21,737.48 |
$21,737.48 |
$30,975.00
|
|
Epidural/lumbar/sacral/ea add level64484
|
$754.70 |
$754.70 |
$754.70 |
$1,182.00
|
|
Epilepsy gen seq alys panel
|
$426.30 |
$426.30 |
$827.95 |
$2,448.56
|
|
Ep induct arrhy by elect pacing
|
$727.95 |
$727.95 |
$727.95 |
$2,753.40
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$256.96 |
$256.96 |
$256.96 |
$203.16
|
|
Epoetin alfa, 100 units esrd
|
$2.36 |
$2.36 |
$2,234.33 |
$15.00
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$230.69 |
$230.69 |
$505.98 |
$910.89
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$21.17 |
$21.17 |
$21.17 |
$1,061.90
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$53.81 |
$53.81 |
$53.81 |
$132.50
|
|
Epstein barr early antigen antibody
|
$1.99 |
$1.99 |
$3.86 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$2.36 |
$2.36 |
$4.57 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$7.87 |
$7.87 |
$15.28 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,863.38 |
$1,863.38 |
$1,863.38 |
$357.88
|
|
Ercp biliary & pancreas
|
$523.03 |
$523.03 |
$523.03 |
$943.50
|
|
Ercp w/specimen collection
|
$2,013.61 |
$2,013.61 |
$2,013.61 |
$4,440.54
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,616.71 |
$1,616.71 |
$1,616.71 |
$2,568.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$159.35 |
$159.35 |
$159.35 |
$268.61
|
|
ER Visit (level 1, minor)
|
$351.33 |
$351.33 |
$351.33 |
$276.70
|
|
ER Visit (level 2)
|
$724.42 |
$724.42 |
$724.42 |
$487.50
|
|
ER Visit (level 3)
|
$1,053.70 |
$1,053.70 |
$1,053.70 |
$850.50
|
|
ER Visit (level 4)
|
$1,624.35 |
$1,624.35 |
$1,624.35 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$2,195.01 |
$2,195.01 |
$2,195.01 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$229.32 |
$229.32 |
$229.32 |
$248.39
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$2,061,013.50 |
$2,061,013.50 |
$2,061,013.50 |
$427.50
|
|
Esophageal dilat s&i
|
$1,898.07 |
$1,898.07 |
$1,898.07 |
$525.00
|
|
Esophageal motility
|
$280.77 |
$280.77 |
$280.77 |
$573.20
|
|
Esophagoscopy balloon <30mm
|
$877.59 |
$877.59 |
$877.59 |
$2,460.00
|
|
Esophagoscopy flex remove fb
|
$1,067.22 |
$1,067.22 |
$1,067.22 |
$2,109.53
|
|
Esophagus motility study
|
$917.87 |
$917.87 |
$917.87 |
$1,289.20
|
|
Esoph imped function test
|
$227.85 |
$227.85 |
$227.85 |
$597.03
|
|
Esoph imped funct test > 1hr
|
$407.49 |
$407.49 |
$407.49 |
$986.40
|
|
Establish access to aorta
|
$679.14 |
$679.14 |
$679.14 |
$1,280.06
|
|
Establish access to artery
|
$1,682.57 |
$1,682.57 |
$1,682.57 |
$1,145.65
|
|
Establish brain cavity shunt
|
$1,046.94 |
$1,046.94 |
$1,046.94 |
$2,464.00
|
|
Established Patient Office Visit (level 1)
|
$68.80 |
$68.80 |
$68.80 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$159.06 |
$159.06 |
$159.06 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$198.75 |
$198.75 |
$198.75 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$69.67 |
$69.67 |
$238.44 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$143.18 |
$143.18 |
$143.18 |
$287.10
|
|
Estradiol total
|
$89.09 |
$89.09 |
$172.45 |
$153.00
|
|
Etanercept injection
|
$1,710.79 |
$1,710.79 |
$3,118.24 |
$1,962.39
|
|
Ethanolamine oleate 100 mg
|
$351.33 |
$351.33 |
$351.33 |
$1,011.00
|
|
Ethylene glycol -sendout
|
$18.12 |
$18.12 |
$48.50 |
$75.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$195.51 |
$195.51 |
$195.51 |
$235.20
|
|
Etoposide 50 mg cap
|
$67.92 |
$67.92 |
$67.92 |
$147.15
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$149.06 |
$149.06 |
$176.44 |
$219.60
|
|
Evaluation psychiatric diagnostic
|
$199.85 |
$199.85 |
$199.85 |
$320.00
|
|
Evasc prlng admn rx agnt 1st
|
$2,690.40 |
$2,690.40 |
$2,690.40 |
$4,462.80
|
|
Evasc prlng admn rx agnt add
|
$894.35 |
$894.35 |
$894.35 |
$3,484.88
|
|
Evasc rpr a-ao ndgft 34701
|
$4,246.54 |
$4,246.54 |
$4,246.54 |
$6,020.00
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$1,330.65 |
$1,330.65 |
$1,330.65 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$4,246.54 |
$4,246.54 |
$4,246.54 |
$10,294.05
|
|
Evasc rpr a-unilac ndgft 34703
|
$4,246.54 |
$4,246.54 |
$4,246.54 |
$7,465.20
|
|
Evasc rpr a-unilac ndgft rpt
|
$2,832.11 |
$2,832.11 |
$2,832.11 |
$9,282.60
|
|
Evasc rpr ilio-iliac ndgft
|
$4,246.54 |
$4,246.54 |
$4,246.54 |
$8,412.85
|
|
Evasc rpr ilio-iliac rpt
|
$1,330.65 |
$1,330.65 |
$1,330.65 |
$9,122.40
|
|
Evoked potentials auditory screening automated analysis
|
$119.66 |
$119.66 |
$119.66 |
$283.62
|
|
Evoked potentials upper limbs
|
$1,198.94 |
$1,198.94 |
$2,410.77 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,177.41 |
$1,177.41 |
$1,177.41 |
$829.44
|
|
Exchange biliary drg cath
|
$6,108.74 |
$6,108.74 |
$6,108.74 |
$4,176.15
|
|
Exchange drainage catheter
|
$1,486.47 |
$1,486.47 |
$1,486.47 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$1,270.97 |
$1,270.97 |
$1,270.97 |
$3,097.16
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,470.78 |
$2,470.78 |
$2,470.78 |
$2,551.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,123.67 |
$1,123.67 |
$1,123.67 |
$4,005.75
|
|
External cannula declotting
|
$732.06 |
$732.06 |
$732.06 |
$1,829.42
|
|
External chromosome analysis 20-25 cells
|
$74.09 |
$74.09 |
$143.90 |
$389.35
|
|
External newborn metabolic screening panel
|
$70.86 |
$70.86 |
$128.48 |
$102.52
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$69.05 |
$69.05 |
$134.10 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$45.40 |
$45.40 |
$88.79 |
$102.78
|
|
F-18 fdg pet diag
|
$187.28 |
$187.28 |
$187.28 |
$602.25
|
|
F-18 florbetapir less than or equal to 10 mci
|
$934.92 |
$934.92 |
$934.92 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$1,339.17 |
$1,339.17 |
$1,339.17 |
$1,307.52
|
|
Facial bones <3
|
$364.86 |
$364.86 |
$364.86 |
$248.60
|
|
Factor ix
|
$11.76 |
$11.76 |
$18.80 |
$131.30
|
|
Factor ix complex
|
$1.47 |
$1.47 |
$1.47 |
$6.72
|
|
Factor ix recombinant nos
|
$1.77 |
$1.77 |
$1.77 |
$4.17
|
|
Factor viii
|
$38.25 |
$38.25 |
$74.29 |
$144.30
|
|
Factor viii recombinant nos
|
$432.77 |
$432.77 |
$432.77 |
$7.67
|
|
Fallopian tube recnl
|
$2,095.34 |
$2,095.34 |
$2,095.34 |
$3,624.75
|
|
Family therapy without pt 50min 90846
|
$138.19 |
$138.19 |
$138.19 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$138.19 |
$138.19 |
$138.19 |
$239.20
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$19.11 |
$19.11 |
$19.11 |
$23.64
|
|
Fat/lipids feces qualitative
|
$4.12 |
$4.12 |
$8.00 |
$34.56
|
|
Fatty acids nonesterified
|
$8.82 |
$8.82 |
$17.13 |
$57.60
|
|
#fecal-sodium
|
$36.75 |
$36.75 |
$55.96 |
$37.50
|
|
Feeding tube reposition
|
$153.47 |
$153.47 |
$153.47 |
$441.86
|
|
Fem/popl revasc w/stent
|
$8,442.80 |
$8,442.80 |
$8,442.80 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$127.31 |
$127.31 |
$127.31 |
$112.95
|
