|
Embo or occlude vascular tumor/organ/infarct s&i
|
$46,092.05 |
$46,092.05 |
$46,092.05 |
$15,290.85
|
|
Embo or occlude vascular venous s&i
|
$46,092.05 |
$46,092.05 |
$46,092.05 |
$15,038.25
|
|
Emb w/colposcopy 58110
|
$604.24 |
$604.24 |
$604.24 |
$290.55
|
|
Emb without cervical dilation 58100
|
$604.24 |
$604.24 |
$604.24 |
$397.66
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$12,384.37 |
$12,384.37 |
$12,384.37 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$2,304.75 |
$2,304.75 |
$2,304.75 |
$578.01
|
|
Endoluminl ivus oct c 1st
|
$4,282.19 |
$4,282.19 |
$4,282.19 |
$3,325.80
|
|
Endoluminl ivus oct c ea
|
$3,195.28 |
$3,195.28 |
$3,195.28 |
$2,270.17
|
|
Endoscopy swallow (fees) vid
|
$247.78 |
$247.78 |
$247.78 |
$419.65
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$130.10 |
$130.10 |
$130.10 |
$119.84
|
|
Entamoeba histolytica ag eia - sendout
|
$30.91 |
$30.91 |
$30.91 |
$66.47
|
|
Enzyme histochemistry
|
$133.42 |
$133.42 |
$133.42 |
$460.32
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,320.19 |
$1,320.19 |
$1,320.19 |
$1,182.00
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$375.56 |
$375.56 |
$375.56 |
$884.44
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$781.91 |
$781.91 |
$781.91 |
$823.43
|
|
Epstein barr early antigen antibody
|
$20.15 |
$20.15 |
$20.15 |
$71.64
|
|
Epstein barr nuclear antigen antibody
|
$19.71 |
$19.71 |
$19.71 |
$79.50
|
|
Epstein barr viral capsid antigen antibody igm
|
$63.00 |
$63.00 |
$63.00 |
$90.40
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$209.65 |
$209.65 |
$209.65 |
$393.98
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$4,501.77 |
$4,501.77 |
$4,501.77 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$1,644.88 |
$1,644.88 |
$1,644.88 |
$929.40
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$4,346.61 |
$4,346.61 |
$4,346.61 |
$3,078.07
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$134.85 |
$134.85 |
$134.85 |
$364.08
|
|
ER Visit (level 1, minor)
|
$299.94 |
$299.94 |
$299.94 |
$280.50
|
|
ER Visit (level 2)
|
$733.48 |
$733.48 |
$733.48 |
$487.50
|
|
ER Visit (level 3)
|
$1,642.11 |
$1,642.11 |
$1,642.11 |
$850.50
|
|
ER Visit (level 4)
|
$2,164.93 |
$2,164.93 |
$2,164.93 |
$1,360.50
|
|
ER Visit (level 5, high severity)
|
$2,992.53 |
$2,992.53 |
$2,992.53 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$213.18 |
$213.18 |
$213.18 |
$250.66
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$611.71 |
$611.71 |
$611.71 |
$755.59
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$447.49 |
$447.49 |
$447.49 |
$553.88
|
|
Esophageal dilat s&i
|
$845.86 |
$845.86 |
$845.86 |
$525.00
|
|
Esophagoscopy flex remove fb
|
$179.42 |
$179.42 |
$179.42 |
$2,101.52
|
|
Established Patient Office Visit (level 1)
|
$265.94 |
$265.94 |
$265.94 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$347.20 |
$347.20 |
$347.20 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$301.23 |
$301.23 |
$301.23 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$380.72 |
$380.72 |
$380.72 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$472.07 |
$472.07 |
$472.07 |
$287.10
|
|
Estradiol total
|
$95.00 |
$95.00 |
$95.00 |
$147.79
|
|
Ethylene glycol -sendout
|
$39.96 |
$39.96 |
$39.96 |
$77.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$216.54 |
$216.54 |
$216.54 |
$213.17
|
|
Euflexxa inj per dose
|
$415.59 |
$415.59 |
$415.59 |
$727.80
|
|
Eval/fit voice prosthesis iii, st
|
$467.53 |
$467.53 |
$467.53 |
$363.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$290.89 |
$290.89 |
$290.89 |
$216.60
|
|
Evaluation of speech fluency 92521
|
$375.30 |
$375.30 |
$375.30 |
$347.75
|
|
Evoked oa emissions ltd
|
$736.24 |
$736.24 |
$736.24 |
$252.08
|
|
Evoked potentials auditory screening automated analysis
|
$1,069.57 |
$1,069.57 |
$1,069.57 |
$283.62
|
|
Exchange biliary drg cath
|
$9,649.75 |
$9,649.75 |
$9,649.75 |
$4,176.15
|
|
Exchange drainage catheter
|
$2,791.26 |
$2,791.26 |
$2,791.26 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$5,417.98 |
$5,417.98 |
$5,417.98 |
$3,131.93
|
|
Explore penetrating wnd/extremity 20103
|
$1,866.59 |
$1,866.59 |
$1,866.59 |
$1,917.33
|
|
Ext ecg>48hr<7d scan a/r
|
$399.93 |
$399.93 |
$399.93 |
$251.71
|
|
Ext ecg>7d<15d scan a/r
|
$399.93 |
$399.93 |
$399.93 |
$268.80
|
|
External chromosome analysis 20-25 cells
|
$221.84 |
$221.84 |
$221.84 |
$376.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$393.63 |
$393.63 |
$393.63 |
$452.81
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$304.96 |
$304.96 |
$304.96 |
$102.50
|
|
Facial bones <3
|
$688.23 |
$688.23 |
$688.23 |
$241.75
|
|
Factor ix
|
$68.42 |
$68.42 |
$68.42 |
$138.60
|
|
Factor viii
|
$68.42 |
$68.42 |
$68.42 |
$138.60
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$24.53 |
$24.53 |
$24.53 |
$23.13
|
|
Fat/lipids feces qualitative
|
$6.52 |
$6.52 |
$6.52 |
$37.39
|
|
Fatty acids nonesterified
|
$125.70 |
$125.70 |
$125.70 |
$56.70
|
|
Fem/popl revasc w/stent
|
$43,888.61 |
$43,888.61 |
$43,888.61 |
$18,697.29
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$75.67 |
$75.67 |
$75.67 |
$116.20
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$159.42 |
$159.42 |
$159.42 |
$1,741.41
|
|
Ferritin
|
$199.30 |
$199.30 |
$199.30 |
$103.95
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$901.02 |
$901.02 |
$901.02 |
$1,934.11
|
|
Fetal contract stress test 59020 - 26
|
$604.24 |
$604.24 |
$604.24 |
$555.60
|
|
Fetal fibronectin
|
$720.79 |
$720.79 |
$720.79 |
$348.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$240.06 |
$240.06 |
$240.06 |
$87.55
|
|
Fetal hemoglobin rosette
|
$52.37 |
$52.37 |
$52.37 |
$78.00
|
|
Fetal non stress test
|
$492.91 |
$492.91 |
$492.91 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$127.44 |
$127.44 |
$127.44 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$350.13 |
$350.13 |
$350.13 |
$112.80
|
|
Fibrin degradation products
|
$261.06 |
$261.06 |
$261.06 |
$59.43
|
|
Fibrinogen activity
|
$231.02 |
$231.02 |
$231.02 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$195.76 |
$195.76 |
$195.76 |
$66.00
|
|
Fibrinolytic plasminogen
|
$173.74 |
$173.74 |
$173.74 |
$112.02
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$42.78 |
$42.78 |
$42.78 |
$60.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,242.54 |
$1,242.54 |
$1,242.54 |
$1,411.44
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$528.09 |
$528.09 |
$528.09 |
$973.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,506.26 |
$1,506.26 |
$1,506.26 |
$785.65
|
|
Fix g/colon tube w/device
|
$2,186.27 |
$2,186.27 |
$2,186.27 |
$1,204.00
|
|
Flecainide (tambocor)-sendout
|
$53.95 |
$53.95 |
$53.95 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$701.12 |
$701.12 |
$701.12 |
$555.00
|
|
Flow cytometry interp 16 or more
|
$42.87 |
$42.87 |
$42.87 |
$208.80
|
|
Flow cytometry marker each additional
|
$50.61 |
$50.61 |
$50.61 |
$102.00
|
|
Flow cytometry one marker technical component
|
$1,033.01 |
$1,033.01 |
$1,033.01 |
$270.75
|
|
Flt3 gene
|
$574.80 |
$574.80 |
$574.80 |
$351.12
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$88.10 |
$88.10 |
$88.10 |
$84.72
|
|
Fluidotherapy charges pt
|
$198.85 |
$198.85 |
$198.85 |
$98.90
|
|
Fluorescent antibody titer dna
|
$202.98 |
$202.98 |
$202.98 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$5,392.64 |
$5,392.64 |
$5,392.64 |
$507.00
|
|
Fluoroguide needle placement
|
$2,446.94 |
$2,446.94 |
$2,446.94 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$771.91 |
$771.91 |
$771.91 |
$492.75
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$716.21 |
$716.21 |
$716.21 |
$105.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$43.33 |
$43.33 |
$43.33 |
$148.04
|
|
Folic acid
|
$209.52 |
$209.52 |
$209.52 |
$87.75
|
|
Folic acid 5 mg/ml injection solution
|
$22.96 |
$22.96 |
$22.96 |
$50.70
|
|
Follow-up angiography
|
$3,849.74 |
$3,849.74 |
$3,849.74 |
$1,885.45
|
