|
Eptifibatide 0.75 mg/ml intravenous solution
|
$16.87 |
$16.87 |
$16.87 |
$393.98
|
|
Ercp biliary & pancreas
|
$263.55 |
$263.55 |
$263.55 |
$967.04
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$43.96 |
$43.96 |
$43.96 |
$222.98
|
|
ER Visit (level 1, minor)
|
$102.06 |
$102.06 |
$102.06 |
$246.24
|
|
ER Visit (level 2)
|
$181.23 |
$181.23 |
$181.23 |
$452.20
|
|
ER Visit (level 3)
|
$307.72 |
$307.72 |
$307.72 |
$770.04
|
|
ER Visit (level 4)
|
$569.03 |
$569.03 |
$569.03 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$732.41 |
$732.41 |
$732.41 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$47.25 |
$47.25 |
$47.25 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1.12 |
$1.12 |
$1.12 |
$553.88
|
|
Esophagus motility study
|
$114.94 |
$114.94 |
$114.94 |
$1,289.20
|
|
Established Patient Office Visit (level 1)
|
$27.72 |
$27.72 |
$27.72 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$39.90 |
$39.90 |
$39.90 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$56.91 |
$56.91 |
$56.91 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$86.73 |
$86.73 |
$86.73 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$168.63 |
$168.63 |
$168.63 |
$280.33
|
|
Estradiol total
|
$30.52 |
$30.52 |
$30.52 |
$146.50
|
|
Estrogens total-sendout
|
$0.56 |
$0.56 |
$0.56 |
$96.20
|
|
Etoposide 20 mg/ml intravenous solution
|
$28.63 |
$28.63 |
$28.63 |
$235.20
|
|
Euflexxa inj per dose
|
$279.51 |
$279.51 |
$279.51 |
$587.51
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$46.76 |
$46.76 |
$46.76 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$31.08 |
$31.08 |
$31.08 |
$311.50
|
|
Evoked potentials upper limbs
|
$143.01 |
$143.01 |
$143.01 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$124.39 |
$124.39 |
$124.39 |
$814.61
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$1,115.59 |
$1,115.59 |
$1,115.59 |
$2,470.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$970.34 |
$970.34 |
$970.34 |
$4,048.38
|
|
External newborn metabolic screening panel
|
$12.34 |
$12.34 |
$12.34 |
$109.76
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$4.90 |
$4.90 |
$4.90 |
$108.60
|
|
F-18 fdg pet diag
|
$32.20 |
$32.20 |
$32.20 |
$551.72
|
|
Facial bones <3
|
$101.43 |
$101.43 |
$101.43 |
$252.60
|
|
Factor ix recombinant nos
|
$0.84 |
$0.84 |
$0.84 |
$4.65
|
|
Factor viii
|
$3.50 |
$3.50 |
$3.50 |
$133.81
|
|
Factor viii
|
$0.70 |
$0.70 |
$0.70 |
$5.02
|
|
Factor viii recombinant nos
|
$1.05 |
$1.05 |
$1.05 |
$6.56
|
|
Fat/lipids feces qualitative
|
$1.05 |
$1.05 |
$1.05 |
$38.35
|
|
#fecal-sodium
|
$3.04 |
$3.04 |
$3.04 |
$37.50
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$32.48 |
$32.48 |
$32.48 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1.19 |
$1.19 |
$1.19 |
$2,590.25
|
|
Ferritin
|
$35.84 |
$35.84 |
$35.84 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1.40 |
$1.40 |
$1.40 |
$1,776.61
|
|
Fetal fibronectin
|
$85.68 |
$85.68 |
$85.68 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$18.83 |
$18.83 |
$18.83 |
$105.12
|
|
Fetal hemoglobin rosette
|
$29.61 |
$29.61 |
$29.61 |
$67.20
|
|
Fetal non stress test
|
$136.85 |
$136.85 |
$136.85 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$0.77 |
$0.77 |
$0.77 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$78.89 |
$78.89 |
$78.89 |
$117.70
|
|
Fibrinogen activity
|
$20.30 |
$20.30 |
$20.30 |
$83.50
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$0.77 |
$0.77 |
$0.77 |
$1,096.24
|
|
Filter vena cava fem denali
|
$666.12 |
$666.12 |
$666.12 |
$3,718.18
|
|
Finger joint sz00 swanson w/grommets
|
$570.92 |
$570.92 |
$570.92 |
$4,584.72
|
|
Flow cytometry interp 16 or more
|
$5.83 |
$5.83 |
$5.83 |
$204.00
|
|
Flow cytometry marker each additional
|
$1.81 |
$1.81 |
$1.81 |
$97.50
|
|
Flow cytometry one marker technical component
|
$6.18 |
$6.18 |
$6.18 |
$284.40
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$143.99 |
$143.99 |
$143.99 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$442.89 |
$442.89 |
$442.89 |
$493.35
|
|
Fluorescent antibody titer dna
|
$3.85 |
$3.85 |
$3.85 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$352.87 |
$352.87 |
$352.87 |
$496.03
|
|
Fluoroguide needle placement
|
$522.55 |
$522.55 |
$522.55 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$108.15 |
$108.15 |
$108.15 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$34.86 |
$34.86 |
$34.86 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$69.37 |
$69.37 |
$69.37 |
$72.52
|
|
Fluvirin vacc, 3 yrs & >, im
|
$9.80 |
$9.80 |
$9.80 |
$17.16
|
|
Folic acid
|
$17.01 |
$17.01 |
$17.01 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$0.07 |
$0.07 |
$0.07 |
$54.75
|
|
Fomepizole 1 gram/ml intravenous solution
|
$9.17 |
$9.17 |
$9.17 |
$2,581.14
|
|
Fondaparinux sodium
|
$9.45 |
$9.45 |
$9.45 |
$185.12
|
|
Foot X-ray
|
$124.88 |
$124.88 |
$124.88 |
$362.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$8.12 |
$8.12 |
$8.12 |
$106.10
|
|
_fragile x methylation-sendout
|
$37.16 |
$37.16 |
$37.16 |
$174.00
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$34.72 |
$34.72 |
$34.72 |
$156.60
|
|
Fructosamine glycated protein
|
$0.35 |
$0.35 |
$0.35 |
$60.75
|
|
Ga-67 gallium 0.1 mci
|
$166.88 |
$166.88 |
$166.88 |
$118.56
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.77 |
$0.77 |
$0.77 |
$102.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$4.83 |
$4.83 |
$4.83 |
$144.98
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.21 |
$0.21 |
$0.21 |
$177.52
|
|
Galactose transferase test
|
$1.28 |
$1.28 |
$1.28 |
$31.35
|
|
Gammaglobulin iga
|
$1.09 |
$1.09 |
$1.09 |
$67.20
|
|
Gammaglobulin ige
|
$0.98 |
$0.98 |
$0.98 |
$83.85
|
|
Gamma glutamyltransferase
|
$19.46 |
$19.46 |
$19.46 |
$57.54
|
|
Gamunex-c/gammaked
|
$47.39 |
$47.39 |
$47.39 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$140.21 |
$140.21 |
$140.21 |
$197.40
|
|
Gated heart multiple
|
$580.86 |
$580.86 |
$580.86 |
$1,400.64
|
|
Gemcitabine 1 gram intravenous solution
|
$47.88 |
$47.88 |
$47.88 |
$207.51
|
|
Generator barostim neo2 2014
|
$3,548.09 |
$3,548.09 |
$3,548.09 |
$48,147.60
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$39.06 |
$39.06 |
$39.06 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$54.81 |
$54.81 |
$54.81 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$266.00 |
$266.00 |
$266.00 |
$1,418.18
|
|
Ghs alpha thalasemia, 7 deletions
|
$15.75 |
$15.75 |
$15.75 |
$371.84
|
|
Ghs bleeding time (ivy)
|
$117.60 |
$117.60 |
$117.60 |
$64.40
|
|
Ghs flow volume loop
|
$37.38 |
$37.38 |
$37.38 |
$308.69
|
|
Ghs histoplasma antigen
|
$5.25 |
$5.25 |
$5.25 |
$141.00
|
|
Ghs HIV antibody
|
$17.78 |
$17.78 |
$17.78 |
$90.14
|
|
Ghs low level laser therapy
|
$34.72 |
$34.72 |
$34.72 |
$77.70
|
|
Ghs mbp
|
$1.82 |
$1.82 |
$1.82 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$30.03 |
$30.03 |
$30.03 |
$242.31
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$30.03 |
$30.03 |
$30.03 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$15.26 |
$15.26 |
$15.26 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$13.16 |
$13.16 |
$13.16 |
$147.75
|
|
Ghs pacing - transcutaneous
|
$125.93 |
$125.93 |
$125.93 |
$815.20
|
|
Ghs ppd (tb intradermal)
|
$30.24 |
$30.24 |
$30.24 |
$37.70
|