|
Echo tee probe placement image acquisition interpretation & report
|
$7,821.44 |
$7,821.44 |
$7,821.44 |
$1,851.45
|
|
Eeg 41-60 minutes 95812-26
|
$4,238.88 |
$4,238.88 |
$4,238.88 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$7,317.60 |
$7,317.60 |
$7,317.60 |
$1,025.45
|
|
Eeg during surgery
|
$3,509.35 |
$3,509.35 |
$3,509.35 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$4,101.26 |
$4,101.26 |
$4,101.26 |
$861.12
|
|
Eeg/record in coma or sleep only 95822
|
$4,238.88 |
$4,238.88 |
$4,238.88 |
$936.00
|
|
Eeg recording awake and asleep
|
$4,238.88 |
$4,238.88 |
$4,238.88 |
$1,030.27
|
|
Ehrlicha chaffeensis amp prb
|
$122.82 |
$122.82 |
$122.82 |
$105.00
|
|
Electrical stimulation/unattended 97014
|
$218.26 |
$218.26 |
$218.26 |
$82.20
|
|
Electrolyte panel
|
$252.38 |
$252.38 |
$252.38 |
$88.20
|
|
Electrophysiology evaluation
|
$21,995.33 |
$21,995.33 |
$21,995.33 |
$10,724.84
|
|
Electrophysiology evaluation
|
$14,905.19 |
$14,905.19 |
$14,905.19 |
$7,769.30
|
|
Electrophysiology evaluation
|
$5,267.16 |
$5,267.16 |
$5,267.16 |
$2,845.10
|
|
Electrophys map 3d add-on
|
$13,860.14 |
$13,860.14 |
$13,860.14 |
$6,418.44
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$1,651.84 |
$1,651.84 |
$1,651.84 |
$446.78
|
|
Emg cranial nerve bilateral
|
$1,036.17 |
$1,036.17 |
$1,036.17 |
$518.00
|
|
Emg needle test 1-extremity
|
$1,651.84 |
$1,651.84 |
$1,651.84 |
$354.90
|
|
Endoluminl ivus oct c 1st
|
$14,927.75 |
$14,927.75 |
$14,927.75 |
$3,316.48
|
|
Endoluminl ivus oct c ea
|
$14,937.16 |
$14,937.16 |
$14,937.16 |
$2,294.50
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$833.91 |
$833.91 |
$833.91 |
$121.63
|
|
Ep & ablate supravent arrhyt
|
$52,595.73 |
$52,595.73 |
$52,595.73 |
$29,766.10
|
|
Ep induct arrhy by elect pacing
|
$3,773.07 |
$3,773.07 |
$3,773.07 |
$2,753.40
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$2,583.65 |
$2,583.65 |
$2,583.65 |
$884.44
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$6,311.15 |
$6,311.15 |
$6,311.15 |
$823.43
|
|
Epstein barr early antigen antibody
|
$59.08 |
$59.08 |
$59.08 |
$71.64
|
|
Epstein barr nuclear antigen antibody
|
$53.52 |
$53.52 |
$53.52 |
$80.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$359.99 |
$359.99 |
$359.99 |
$92.40
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,401.01 |
$1,401.01 |
$1,401.01 |
$393.98
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$36,860.45 |
$36,860.45 |
$36,860.45 |
$6,313.52
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$14,343.78 |
$14,343.78 |
$14,343.78 |
$3,109.44
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$867.78 |
$867.78 |
$867.78 |
$364.08
|
|
ER Visit (level 1, minor)
|
$391.81 |
$391.81 |
$391.81 |
$277.55
|
|
ER Visit (level 2)
|
$1,268.44 |
$1,268.44 |
$1,268.44 |
$488.80
|
|
ER Visit (level 3)
|
$2,675.52 |
$2,675.52 |
$2,675.52 |
$850.50
|
|
ER Visit (level 4)
|
$3,818.91 |
$3,818.91 |
$3,818.91 |
$1,360.50
|
|
ER Visit (level 5, high severity)
|
$4,611.82 |
$4,611.82 |
$4,611.82 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$605.98 |
$605.98 |
$605.98 |
$253.52
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$1,793.19 |
$1,793.19 |
$1,793.19 |
$671.00
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,303.98 |
$1,303.98 |
$1,303.98 |
$553.88
|
|
Estradiol total
|
$447.04 |
$447.04 |
$447.04 |
$149.43
|
|
Ethylene glycol -sendout
|
$238.40 |
$238.40 |
$238.40 |
$77.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$573.06 |
$573.06 |
$573.06 |
$213.17
|
|
Euflexxa inj per dose
|
$3,302.74 |
$3,302.74 |
$3,302.74 |
$727.80
|
|
Evoked potentials upper limbs
|
$4,238.88 |
$4,238.88 |
$4,238.88 |
$908.54
|
|
Exchange drainage catheter
|
$6,394.76 |
$6,394.76 |
$6,394.76 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$24,811.20 |
$24,811.20 |
$24,811.20 |
$3,097.16
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$21,567.36 |
$21,567.36 |
$21,567.36 |
$3,527.30
|
|
External chromosome analysis 20-25 cells
|
$506.14 |
$506.14 |
$506.14 |
$377.52
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$503.13 |
$503.13 |
$503.13 |
$454.00
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$286.88 |
$286.88 |
$286.88 |
$102.78
|
|
Facial bones <3
|
$1,301.76 |
$1,301.76 |
$1,301.76 |
$241.75
|
|
Factor ix
|
$304.64 |
$304.64 |
$304.64 |
$139.15
|
|
Factor viii
|
$286.40 |
$286.40 |
$286.40 |
$144.82
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$72.12 |
$72.12 |
$72.12 |
$24.21
|
|
Fat/lipids feces qualitative
|
$27.13 |
$27.13 |
$27.13 |
$37.39
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$445.89 |
$445.89 |
$445.89 |
$116.23
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,042.94 |
$1,042.94 |
$1,042.94 |
$1,812.62
|
|
Ferritin
|
$300.69 |
$300.69 |
$300.69 |
$103.95
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$7,297.94 |
$7,297.94 |
$7,297.94 |
$1,907.62
|
|
Fibrin degradation d dimer quantitative
|
$611.63 |
$611.63 |
$611.63 |
$112.89
|
|
Fibrin degradation products
|
$110.24 |
$110.24 |
$110.24 |
$62.40
|
|
Fibrinogen activity
|
$136.96 |
$136.96 |
$136.96 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$247.68 |
$247.68 |
$247.68 |
$66.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$10,094.07 |
$10,094.07 |
$10,094.07 |
$1,455.09
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$4,226.61 |
$4,226.61 |
$4,226.61 |
$973.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$5,164.74 |
$5,164.74 |
$5,164.74 |
$794.80
|
|
Fl exam g/colon tube w contrast
|
$3,738.08 |
$3,738.08 |
$3,738.08 |
$540.80
|
|
Flow cytometry interp 16 or more
|
$489.18 |
$489.18 |
$489.18 |
$208.80
|
|
Flow cytometry marker each additional
|
$49.01 |
$49.01 |
$49.01 |
$102.00
|
|
Flow cytometry one marker technical component
|
$4,339.36 |
$4,339.36 |
$4,339.36 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$179.59 |
$179.59 |
$179.59 |
$198.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$217.65 |
$217.65 |
$217.65 |
$86.42
|
|
Fluorescent antibody titer dna
|
$192.80 |
$192.80 |
$192.80 |
$123.65
|
|
Fluoroguide needle placement
|
$1,524.59 |
$1,524.59 |
$1,524.59 |
$539.38
|
|
Fluoroscopy up to 1 hour
|
$1,383.73 |
$1,383.73 |
$1,383.73 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$2,070.71 |
$2,070.71 |
$2,070.71 |
$106.20
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$217.27 |
$217.27 |
$217.27 |
$148.04
|
|
Fna bx w/ct gdn 1st les
|
$9,453.76 |
$9,453.76 |
$9,453.76 |
$1,549.35
|
|
Folic acid
|
$563.79 |
$563.79 |
$563.79 |
$87.75
|
|
Folic acid 5 mg/ml injection solution
|
$62.55 |
$62.55 |
$62.55 |
$56.70
|
|
Fomepizole 1 gram/ml intravenous solution
|
$7,205.93 |
$7,205.93 |
$7,205.93 |
$2,926.05
|
|
Fondaparinux sodium
|
$305.21 |
$305.21 |
$305.21 |
$176.54
|
|
Foot X-ray
|
$1,416.63 |
$1,416.63 |
$1,416.63 |
$364.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$2,406.72 |
$2,406.72 |
$2,406.72 |
$584.12
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$552.01 |
$552.01 |
$552.01 |
$110.69
|
|
Fragmenting of kidney stone
|
$43,147.51 |
$43,147.51 |
$43,147.51 |
$9,382.20
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$1,162.24 |
$1,162.24 |
$1,162.24 |
$168.75
|
|
Fructosamine glycated protein
|
$58.66 |
$58.66 |
$58.66 |
$60.42
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$258.98 |
$258.98 |
$258.98 |
$26.40
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$212.60 |
$212.60 |
$212.60 |
$176.62
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$352.04 |
$352.04 |
$352.04 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$502.04 |
$502.04 |
$502.04 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$642.31 |
$642.31 |
$642.31 |
$210.50
|
|
Gammaglobulin iga
|
$148.80 |
$148.80 |
$148.80 |
$76.05
|
|
Gammaglobulin ige
|
$57.61 |
$57.61 |
$57.61 |
$85.00
|
|
Gamma glutamyltransferase
|
$253.41 |
$253.41 |
$253.41 |
$55.28
|
|
Gamunex-c/gammaked
|
$36,710.58 |
$36,710.58 |
$36,710.58 |
$7,372.04
|
|
Gemcitabine 1 gram intravenous solution
|
$791.38 |
$791.38 |
$791.38 |
$263.34
|
|
General health panel
|
$1,574.08 |
$1,574.08 |
$1,574.08 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$252.22 |
$252.22 |
$252.22 |
$57.84
|