|
Eeg 41-60 minutes 95812-26
|
$4,902.95 |
$4,902.95 |
$4,902.95 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$4,350.15 |
$4,350.15 |
$4,350.15 |
$1,049.59
|
|
Eeg during surgery
|
$848.60 |
$848.60 |
$848.60 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$3,943.85 |
$3,943.85 |
$3,943.85 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$5,716.70 |
$5,716.70 |
$5,716.70 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$4,401.25 |
$4,401.25 |
$4,401.25 |
$936.00
|
|
Eeg recording awake and asleep
|
$4,915.15 |
$4,915.15 |
$4,915.15 |
$1,030.27
|
|
E equine encephalitis igg
|
$6.19 |
$6.19 |
$25.35 |
$48.73
|
|
Egfr gene com variants
|
$177.20 |
$177.20 |
$340.80 |
$619.04
|
|
EKG tracing for initial prev
|
$1,561.95 |
$1,561.95 |
$1,561.95 |
$56.65
|
|
Electrolyte panel
|
$59.23 |
$59.23 |
$1,036.00 |
$86.33
|
|
Electron microscopy diagnostic
|
$295.72 |
$295.72 |
$1,542.15 |
$966.69
|
|
Electrophysiologic study
|
$28,680.20 |
$28,680.20 |
$28,680.20 |
$6,758.40
|
|
Electrophysiology evaluation
|
$28,680.20 |
$28,680.20 |
$28,680.20 |
$8,979.45
|
|
Electrophysiology evaluation
|
$28,680.20 |
$28,680.20 |
$28,680.20 |
$11,175.42
|
|
Electrophysiology evaluation
|
$11,253.70 |
$11,253.70 |
$11,253.70 |
$7,769.30
|
|
Electrophysiology evaluation
|
$11,253.70 |
$11,253.70 |
$11,253.70 |
$6,516.00
|
|
Electrophysiology evaluation
|
$2,359.30 |
$2,359.30 |
$2,359.30 |
$2,845.10
|
|
Electrophysiology evaluation
|
$4,906.95 |
$4,906.95 |
$4,906.95 |
$2,803.20
|
|
Electrophys map 3d add-on
|
$11,253.70 |
$11,253.70 |
$11,253.70 |
$6,534.00
|
|
Embolization s&i
|
$6,732.55 |
$6,732.55 |
$6,732.55 |
$3,060.05
|
|
Encephalitis, california igg/igm
|
$6.19 |
$6.19 |
$11.05 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$6.19 |
$6.19 |
$11.05 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$6.19 |
$6.19 |
$28.65 |
$50.70
|
|
Endo cath bile duct s&i
|
$9,721.45 |
$9,721.45 |
$9,721.45 |
$612.37
|
|
Endo cath panc duct s&i
|
$9,721.45 |
$9,721.45 |
$9,721.45 |
$645.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$23.75 |
$23.75 |
$23.75 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$5.77 |
$5.77 |
$5.77 |
$66.47
|
|
Ep & ablate ventric tachy
|
$99,927.90 |
$99,927.90 |
$99,927.90 |
$30,975.00
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$13.83 |
$13.83 |
$13.83 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$34.97 |
$34.97 |
$34.97 |
$950.55
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$265.00 |
$265.00 |
$265.00 |
$136.00
|
|
Epstein barr early antigen antibody
|
$60.48 |
$60.48 |
$60.48 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$70.56 |
$70.56 |
$70.56 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$83.52 |
$83.52 |
$83.52 |
$95.04
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$25.04 |
$25.04 |
$25.04 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$9,721.45 |
$9,721.45 |
$9,721.45 |
$943.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$21.24 |
$21.24 |
$21.24 |
$364.08
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$0.46 |
$0.46 |
$0.46 |
$540.00
|
|
Esophageal recording
|
$4,286.85 |
$4,286.85 |
$4,286.85 |
$1,963.00
|
|
Esophagoscopy balloon <30mm
|
$1,549.20 |
$1,549.20 |
$1,549.20 |
$2,460.00
|
|
Esophagus motility study
|
$3,109.75 |
$3,109.75 |
$3,109.75 |
$1,289.20
|
|
Esoph imped funct test > 1hr
|
$6,210.50 |
$6,210.50 |
$6,210.50 |
$986.40
|
|
Established Patient Office Visit (level 2)
|
$799.65 |
$799.65 |
$799.65 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$1,176.45 |
$1,176.45 |
$1,176.45 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$1,516.55 |
$1,516.55 |
$1,516.55 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$1,660.95 |
$1,660.95 |
$1,660.95 |
$287.10
|
|
Estradiol total
|
$346.84 |
$346.84 |
$346.84 |
$153.00
|
|
Estrogens total-sendout
|
$6.60 |
$6.60 |
$33.76 |
$89.25
|
|
Ethylene glycol -sendout
|
$7.99 |
$7.99 |
$16.55 |
$75.00
|
|
Eval/fit voice prosthesis iii, st
|
$195.20 |
$195.20 |
$697.90 |
$370.41
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$270.45 |
$270.45 |
$349.68 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$269.60 |
$269.60 |
$459.90 |
$347.75
|
|
Event monitor
|
$160.55 |
$160.55 |
$160.55 |
$242.12
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$144.00 |
$144.00 |
$144.00 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$218.40 |
$218.40 |
$218.40 |
$102.78
|
|
F-18 fdg pet diag
|
$319.20 |
$319.20 |
$4,418.65 |
$602.25
|
|
F-18 fluciclovine per mci
|
$7,624.40 |
$7,624.40 |
$7,624.40 |
$1,307.52
|
|
F-18 sodium fluoride
|
$5,381.75 |
$5,381.75 |
$5,381.75 |
$564.20
|
|
Facial bones <3
|
$488.80 |
$488.80 |
$488.80 |
$248.60
|
|
Factor ix
|
$338.30 |
$338.30 |
$338.30 |
$131.30
|
|
Factor ix recombinant nos
|
$1.57 |
$1.57 |
$1.57 |
$3.04
|
|
Factor viii
|
$45.20 |
$45.20 |
$338.30 |
$144.30
|
|
Factor viii recombinant nos
|
$1.45 |
$1.45 |
$2.90 |
$4.68
|
|
Fat/lipids feces qualitative
|
$5.65 |
$5.65 |
$5.65 |
$34.56
|
|
Fatty acids nonesterified
|
$12.29 |
$12.29 |
$12.29 |
$57.60
|
|
#fecal-sodium
|
$5.08 |
$5.08 |
$5.10 |
$37.50
|
|
Feno poc
|
$392.45 |
$392.45 |
$392.45 |
$80.25
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$56.02 |
$56.02 |
$56.02 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1.60 |
$1.60 |
$1.60 |
$2,027.60
|
|
Ferritin
|
$231.31 |
$231.31 |
$692.00 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$651.00 |
$651.00 |
$651.00 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$279.60 |
$279.60 |
$7,944.45 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$3,094.30 |
$3,094.30 |
$3,094.30 |
$540.54
|
|
Fetal fibronectin
|
$378.16 |
$378.16 |
$1,225.70 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$127.00 |
$127.00 |
$550.00 |
$88.80
|
|
Fetal hemoglobin rosette
|
$30.92 |
$30.92 |
$531.00 |
$76.70
|
|
Fetal lung maturity assess lam body dnst
|
$116.75 |
$116.75 |
$154.35 |
$64.28
|
|
Fetal non stress test
|
$2,725.80 |
$2,725.80 |
$2,725.80 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$39.10 |
$39.10 |
$39.10 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$78.60 |
$78.60 |
$78.60 |
$112.80
|
|
Fibrin degradation products
|
$71.19 |
$71.19 |
$493.00 |
$62.40
|
|
Fibrinogen activity
|
$66.63 |
$66.63 |
$179.75 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$15.13 |
$15.13 |
$15.13 |
$56.00
|
|
Fibrinolytic plasminogen
|
$22.32 |
$22.32 |
$22.32 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$8.80 |
$8.80 |
$71.00 |
$59.89
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1.36 |
$1.36 |
$1.36 |
$973.70
|
|
Flecainide (tambocor)-sendout
|
$16.55 |
$16.55 |
$16.55 |
$66.43
|
|
Flow cytometry interp 16 or more
|
$112.40 |
$112.40 |
$112.40 |
$208.80
|
|
Flow cytometry marker each additional
|
$19.85 |
$19.85 |
$73.40 |
$103.00
|
|
Flow cytometry one marker technical component
|
$19.85 |
$19.85 |
$320.50 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$81.60 |
$81.60 |
$81.60 |
$194.04
|
|
Flt3 gene
|
$84.00 |
$84.00 |
$84.00 |
$352.95
|
|
Flt3 gene analysis
|
$150.80 |
$150.80 |
$150.80 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$4.80 |
$4.80 |
$4.80 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$2,987.00 |
$2,987.00 |
$2,987.00 |
$601.96
|
|
Fluidotherapy charges pt
|
$58.00 |
$58.00 |
$58.00 |
$95.00
|
|
Fluorescent antibody titer dna
|
$44.64 |
$44.64 |
$44.64 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$985.60 |
$985.60 |
$985.60 |
$507.00
|
|
Fluoroguide needle placement
|
$394.00 |
$394.00 |
$394.00 |
$536.26
|
