|
Endo abl/incom vein/ext/laser/#1 36478
|
$12,243.72 |
$12,243.72 |
$12,243.72 |
$5,160.00
|
|
Endo cath bile duct s&i
|
$207.08 |
$207.08 |
$207.08 |
$606.01
|
|
Endoluminl ivus oct c 1st
|
$20,416.84 |
$20,416.84 |
$20,416.84 |
$3,325.80
|
|
Endoluminl ivus oct c ea
|
$20,582.33 |
$20,582.33 |
$20,582.33 |
$2,296.00
|
|
Endoscopy swallow (fees) vid
|
$200.20 |
$200.20 |
$200.20 |
$405.95
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$1,030.11 |
$1,030.11 |
$1,030.11 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$237.74 |
$237.74 |
$237.74 |
$66.47
|
|
Enzyme histochemistry
|
$6,483.82 |
$6,483.82 |
$6,483.82 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$74,795.57 |
$74,795.57 |
$74,795.57 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$74,795.57 |
$74,795.57 |
$74,795.57 |
$30,473.30
|
|
Epidural/lumbar/sacral/ea add level64484
|
$4,639.70 |
$4,639.70 |
$4,639.70 |
$1,182.00
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$3,189.16 |
$3,189.16 |
$3,189.16 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$7,724.54 |
$7,724.54 |
$7,724.54 |
$840.03
|
|
Epstein barr early antigen antibody
|
$42.23 |
$42.23 |
$42.23 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$46.97 |
$46.97 |
$46.97 |
$82.40
|
|
Epstein barr viral capsid antigen antibody igm
|
$359.99 |
$359.99 |
$359.99 |
$93.75
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,729.87 |
$1,729.87 |
$1,729.87 |
$404.57
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$45,109.07 |
$45,109.07 |
$45,109.07 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$905.49 |
$905.49 |
$905.49 |
$943.50
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$17,557.89 |
$17,557.89 |
$17,557.89 |
$3,177.55
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$1,071.91 |
$1,071.91 |
$1,071.91 |
$364.08
|
|
ER Visit (level 1, minor)
|
$428.23 |
$428.23 |
$428.23 |
$276.85
|
|
ER Visit (level 2)
|
$851.30 |
$851.30 |
$851.30 |
$487.50
|
|
ER Visit (level 3)
|
$1,504.84 |
$1,504.84 |
$1,504.84 |
$850.50
|
|
ER Visit (level 4)
|
$2,585.90 |
$2,585.90 |
$2,585.90 |
$1,360.00
|
|
ER Visit (level 5, high severity)
|
$3,034.16 |
$3,034.16 |
$3,034.16 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$684.48 |
$684.48 |
$684.48 |
$255.47
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$2,019.60 |
$2,019.60 |
$2,019.60 |
$671.00
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,469.44 |
$1,469.44 |
$1,469.44 |
$553.88
|
|
Establish access to aorta
|
$5,097.71 |
$5,097.71 |
$5,097.71 |
$1,280.06
|
|
Established Patient Office Visit (level 1)
|
$458.19 |
$458.19 |
$458.19 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$537.17 |
$537.17 |
$537.17 |
$137.91
|
|
Established Patient Office Visit (level 3)
|
$622.35 |
$622.35 |
$622.35 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$707.51 |
$707.51 |
$707.51 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$938.42 |
$938.42 |
$938.42 |
$287.10
|
|
Estradiol total
|
$554.47 |
$554.47 |
$554.47 |
$151.80
|
|
Ethylene glycol -sendout
|
$63.63 |
$63.63 |
$63.63 |
$77.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$709.04 |
$709.04 |
$709.04 |
$213.17
|
|
Euflexxa inj per dose
|
$4,043.01 |
$4,043.01 |
$4,043.01 |
$727.80
|
|
Eval/fit voice prosthesis iii, st
|
$604.33 |
$604.33 |
$604.33 |
$363.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$917.12 |
$917.12 |
$917.12 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$562.47 |
$562.47 |
$562.47 |
$347.75
|
|
Evasc prlng admn rx agnt 1st
|
$6,698.24 |
$6,698.24 |
$6,698.24 |
$4,450.05
|
|
Evasc prlng admn rx agnt add
|
$4,018.95 |
$4,018.95 |
$4,018.95 |
$3,484.88
|
|
Evoked oa emissions ltd
|
$938.00 |
$938.00 |
$938.00 |
$273.00
|
|
Evoked potentials auditory screening automated analysis
|
$1,109.06 |
$1,109.06 |
$1,109.06 |
$283.62
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$3,086.38 |
$3,086.38 |
$3,086.38 |
$797.64
|
|
Exchange biliary drg cath
|
$23,320.08 |
$23,320.08 |
$23,320.08 |
$4,176.15
|
|
Exchange drainage catheter
|
$6,231.68 |
$6,231.68 |
$6,231.68 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$5,072.49 |
$5,072.49 |
$5,072.49 |
$3,131.93
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$5,211.38 |
$5,211.38 |
$5,211.38 |
$1,064.30
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$11,889.00 |
$11,889.00 |
$11,889.00 |
$3,527.30
|
|
External chromosome analysis 20-25 cells
|
$441.06 |
$441.06 |
$441.06 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$658.35 |
$658.35 |
$658.35 |
$454.35
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$355.82 |
$355.82 |
$355.82 |
$104.80
|
|
Facial bones <3
|
$357.95 |
$357.95 |
$357.95 |
$242.74
|
|
Factor ix
|
$62.38 |
$62.38 |
$62.38 |
$138.60
|
|
Factor viii
|
$238.32 |
$238.32 |
$238.32 |
$144.82
|
|
Family therapy with patient 50 min 90847
|
$1,199.96 |
$1,199.96 |
$1,199.96 |
$239.20
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$90.27 |
$90.27 |
$90.27 |
$26.87
|
|
Fat/lipids feces qualitative
|
$42.36 |
$42.36 |
$42.36 |
$36.75
|
|
Fatty acids nonesterified
|
$72.44 |
$72.44 |
$72.44 |
$56.70
|
|
#fecal-sodium
|
$96.44 |
$96.44 |
$96.44 |
$37.50
|
|
Fem/popl revasc w/stent
|
$72,743.44 |
$72,743.44 |
$72,743.44 |
$18,697.29
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$551.32 |
$551.32 |
$551.32 |
$123.82
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,288.03 |
$1,288.03 |
$1,288.03 |
$1,896.25
|
|
Ferritin
|
$375.04 |
$375.04 |
$375.04 |
$103.95
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$9,172.48 |
$9,172.48 |
$9,172.48 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$2,027.98 |
$2,027.98 |
$2,027.98 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$15,063.35 |
$15,063.35 |
$15,063.35 |
$1,217.45
|
|
Fetal fibronectin
|
$1,038.12 |
$1,038.12 |
$1,038.12 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$382.88 |
$382.88 |
$382.88 |
$91.20
|
|
Fetal hemoglobin rosette
|
$221.22 |
$221.22 |
$221.22 |
$78.00
|
|
Fetal non stress test
|
$3,095.33 |
$3,095.33 |
$3,095.33 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$123.99 |
$123.99 |
$123.99 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$31.05 |
$31.05 |
$31.05 |
$113.40
|
|
Fibrin degradation products
|
$40.19 |
$40.19 |
$40.19 |
$63.90
|
|
Fibrinogen activity
|
$97.30 |
$97.30 |
$97.30 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$307.20 |
$307.20 |
$307.20 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$153.01 |
$153.01 |
$153.01 |
$58.85
|
|
Fibrinolytic plasminogen
|
$341.13 |
$341.13 |
$341.13 |
$110.50
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$12,353.87 |
$12,353.87 |
$12,353.87 |
$1,411.44
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$5,173.60 |
$5,173.60 |
$5,173.60 |
$973.70
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,851.48 |
$1,851.48 |
$1,851.48 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,031.45 |
$1,031.45 |
$1,031.45 |
$794.80
|
|
Fix g/colon tube w/device
|
$5,945.48 |
$5,945.48 |
$5,945.48 |
$1,204.00
|
|
Flecainide (tambocor)-sendout
|
$369.92 |
$369.92 |
$369.92 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$904.04 |
$904.04 |
$904.04 |
$540.80
|
|
Flow cytometry interp 16 or more
|
$394.51 |
$394.51 |
$394.51 |
$208.80
|
|
Flow cytometry marker each additional
|
$341.39 |
$341.39 |
$341.39 |
$103.00
|
|
Flow cytometry one marker technical component
|
$2,750.88 |
$2,750.88 |
$2,750.88 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$268.94 |
$268.94 |
$268.94 |
$86.84
|
|
Fluorescent antibody titer dna
|
$300.00 |
$300.00 |
$300.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,261.47 |
$1,261.47 |
$1,261.47 |
$507.00
|
|
Fluoroguide needle placement
|
$889.26 |
$889.26 |
$889.26 |
$539.38
|
|
Fluoroscopy up to 1 hour
|
$708.45 |
$708.45 |
$708.45 |
$492.75
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$2,552.55 |
$2,552.55 |
$2,552.55 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$270.91 |
$270.91 |
$270.91 |
$148.04
|
|
Fna bx w/ct gdn 1st les
|
$1,955.48 |
$1,955.48 |
$1,955.48 |
$1,588.65
|
|
Folic acid
|
$370.14 |
$370.14 |
$370.14 |
$89.40
|
