|
Ethylene glycol -sendout
|
$51.35 |
$51.35 |
$51.35 |
$86.04
|
|
Etoposide 20 mg/ml intravenous solution
|
$43.09 |
$43.09 |
$43.09 |
$235.20
|
|
Euglobulin lysis
|
$173.55 |
$173.55 |
$173.55 |
$63.84
|
|
Eval/fit voice prosthesis iii, st
|
$459.55 |
$459.55 |
$459.55 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$202.80 |
$202.80 |
$202.80 |
$213.15
|
|
Evaluation heart device
|
$419.90 |
$419.90 |
$419.90 |
$2,199.00
|
|
Evaluation of speech fluency 92521
|
$300.30 |
$300.30 |
$300.30 |
$302.50
|
|
Evasc prlng admn rx agnt 1st
|
$5,603.00 |
$5,603.00 |
$5,603.00 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$5,093.40 |
$5,093.40 |
$5,093.40 |
$2,803.24
|
|
Event monitor
|
$165.10 |
$165.10 |
$165.10 |
$231.00
|
|
Evoked potentials upper limbs
|
$737.75 |
$737.75 |
$737.75 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$605.80 |
$605.80 |
$605.80 |
$814.61
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$3,061.50 |
$3,061.50 |
$3,061.50 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$1,040.65 |
$1,040.65 |
$1,040.65 |
$832.60
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$2,039.05 |
$2,039.05 |
$2,039.05 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,944.50 |
$2,944.50 |
$2,944.50 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$4,002.05 |
$4,002.05 |
$4,002.05 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,040.65 |
$1,040.65 |
$1,040.65 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$973.70 |
$973.70 |
$973.70 |
$1,314.67
|
|
Exchange biliary drg cath
|
$8,624.20 |
$8,624.20 |
$8,624.20 |
$3,856.84
|
|
Exchange drainage catheter
|
$3,051.10 |
$3,051.10 |
$3,051.10 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$5,090.80 |
$5,090.80 |
$5,090.80 |
$2,958.80
|
|
Excise lip or cheek fold
|
$3,890.90 |
$3,890.90 |
$3,890.90 |
$1,855.10
|
|
Excise max/zygoma b9 tumor
|
$15,382.90 |
$15,382.90 |
$15,382.90 |
$6,588.00
|
|
Excise/repair mouth lesion
|
$4,493.45 |
$4,493.45 |
$4,493.45 |
$1,915.20
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,039.05 |
$2,039.05 |
$2,039.05 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$798.20 |
$798.20 |
$798.20 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$3,061.50 |
$3,061.50 |
$3,061.50 |
$2,865.00
|
|
Excision gum each quadrant
|
$8,307.00 |
$8,307.00 |
$8,307.00 |
$4,560.40
|
|
Excision of gum lesion
|
$8,307.00 |
$8,307.00 |
$8,307.00 |
$4,560.40
|
|
Excision of gum lesion
|
$16,472.95 |
$16,472.95 |
$16,472.95 |
$6,547.81
|
|
Excision of gum lesion
|
$3,890.90 |
$3,890.90 |
$3,890.90 |
$3,710.62
|
|
Excision of gum lesion 41825
|
$8,307.00 |
$8,307.00 |
$8,307.00 |
$4,007.22
|
|
Excision of salivary cyst
|
$8,214.70 |
$8,214.70 |
$8,214.70 |
$4,558.89
|
|
Excision of tongue lesion
|
$8,860.15 |
$8,860.15 |
$8,860.15 |
$3,837.72
|
|
Excision tongue lesion without closure 41110
|
$8,860.15 |
$8,860.15 |
$8,860.15 |
$3,819.23
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$8,721.05 |
$8,721.05 |
$8,721.05 |
$3,104.42
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$2,996.50 |
$2,996.50 |
$2,996.50 |
$1,954.00
|
|
Exc malig tal <0.5cm 11600
|
$2,039.05 |
$2,039.05 |
$2,039.05 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$1,348.75 |
$1,348.75 |
$1,348.75 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$2,039.05 |
$2,039.05 |
$2,039.05 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$2,039.05 |
$2,039.05 |
$2,039.05 |
$1,294.80
|
|
Exc mandible 21025
|
$15,915.90 |
$15,915.90 |
$15,915.90 |
$6,289.53
|
|
Exc sacral pr ulc prim sutr
|
$4,427.80 |
$4,427.80 |
$4,427.80 |
$3,386.84
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$4,024.80 |
$4,024.80 |
$4,024.80 |
$2,924.22
|
|
Exc thrombosed hemorrhoid 46320
|
$3,595.15 |
$3,595.15 |
$3,595.15 |
$2,175.36
|
|
Exc trchntr pr ulc prim sutr
|
$4,427.80 |
$4,427.80 |
$4,427.80 |
$2,087.80
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$4,024.80 |
$4,024.80 |
$4,024.80 |
$2,054.40
|
|
Exercise w/hemodynamic meas
|
$676.65 |
$676.65 |
$676.65 |
$901.60
|
|
Ex palate/uvula lesion without closure 42104
|
$8,307.00 |
$8,307.00 |
$8,307.00 |
$3,837.72
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$9,224.15 |
$9,224.15 |
$9,224.15 |
$4,101.67
|
|
Explore penetrating wnd/extremity 20103
|
$2,039.05 |
$2,039.05 |
$2,039.05 |
$1,788.80
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$4,226.95 |
$4,226.95 |
$4,226.95 |
$3,623.43
|
|
Ext ecg>48hr<7d scan a/r
|
$1,322.75 |
$1,322.75 |
$1,322.75 |
$241.92
|
|
External cannula declotting
|
$1,867.45 |
$1,867.45 |
$1,867.45 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$384.15 |
$384.15 |
$384.15 |
$415.01
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$167.70 |
$167.70 |
$167.70 |
$63.70
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$5,155.15 |
$5,155.15 |
$5,155.15 |
$4,388.25
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$445.25 |
$445.25 |
$445.25 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$324.35 |
$324.35 |
$324.35 |
$109.00
|
|
Eye implant band 40
|
$46,718.10 |
$46,718.10 |
$46,718.10 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$824.85 |
$824.85 |
$824.85 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$4,299.10 |
$4,299.10 |
$4,299.10 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$3,500.90 |
$3,500.90 |
$3,500.90 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$3,235.70 |
$3,235.70 |
$3,235.70 |
$1,320.00
|
|
Ezh2 gene common variants
|
$153.40 |
$153.40 |
$153.40 |
$288.21
|
|
F-18 fdg pet diag
|
$922.35 |
$922.35 |
$922.35 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$6,048.25 |
$6,048.25 |
$6,048.25 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$285.35 |
$285.35 |
$285.35 |
$1,042.30
|
|
F-18 sodium fluoride
|
$392.60 |
$392.60 |
$392.60 |
$492.56
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,818.75 |
$3,818.75 |
$3,818.75 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,059.55 |
$3,059.55 |
$3,059.55 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$449.80 |
$449.80 |
$449.80 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$731.25 |
$731.25 |
$731.25 |
$381.75
|
|
Factor ix
|
$284.70 |
$284.70 |
$284.70 |
$162.50
|
|
Factor ix complex
|
$9.75 |
$9.75 |
$9.75 |
$4.68
|
|
Factor ix non-recombinant
|
$9.75 |
$9.75 |
$9.75 |
$4.63
|
|
Factor ix recombinant nos
|
$9.75 |
$9.75 |
$9.75 |
$4.65
|
|
Factor viii
|
$369.85 |
$369.85 |
$369.85 |
$148.00
|
|
Factor viii recombinant nos
|
$9.75 |
$9.75 |
$9.75 |
$5.20
|
|
Factor viii recomb novoeight
|
$19.50 |
$19.50 |
$19.50 |
$7.21
|
|
Fallopian tube recnl
|
$3,740.75 |
$3,740.75 |
$3,740.75 |
$3,740.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$9.75 |
$9.75 |
$9.75 |
$22.20
|
|
Fat/lipids feces qualitative
|
$31.85 |
$31.85 |
$31.85 |
$36.00
|
|
Fatty acids nonesterified
|
$92.30 |
$92.30 |
$92.30 |
$72.15
|
|
#fecal-sodium
|
$48.10 |
$48.10 |
$48.10 |
$37.53
|
|
Fem/popl revasc w/stent
|
$24,937.25 |
$24,937.25 |
$24,937.25 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$9.75 |
$9.75 |
$9.75 |
$101.40
|
|
Ferritin
|
$135.20 |
$135.20 |
$135.20 |
$102.48
|
|
Fetal chrmoml microdeltj
|
$376.35 |
$376.35 |
$376.35 |
$879.51
|
|
Fetal chrom aneuploidy gsa panel
|
$874.25 |
$874.25 |
$874.25 |
$1,166.15
|
|
Fetal fibronectin
|
$202.80 |
$202.80 |
$202.80 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$212.55 |
$212.55 |
$212.55 |
$102.00
|
|
Fetal lung maturity assess lam body dnst
|
$48.75 |
$48.75 |
$48.75 |
$67.00
|
|
Fetal non stress test
|
$598.65 |
$598.65 |
$598.65 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$18.85 |
$18.85 |
$18.85 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$180.70 |
$180.70 |
$180.70 |
$120.64
|
|
Fibrin degradation products
|
$122.20 |
$122.20 |
$122.20 |
$75.02
|
|
Fibrinogen activity
|
$113.10 |
$113.10 |
$113.10 |
$87.00
|
