|
Eptifibatide 0.75 mg/ml intravenous solution
|
$875.96 |
$875.96 |
$875.96 |
$363.57
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$20,559.58 |
$20,559.58 |
$20,559.58 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$4,699.00 |
$4,699.00 |
$4,699.00 |
$943.50
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$6,619.51 |
$6,619.51 |
$6,619.51 |
$3,855.08
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$544.72 |
$544.72 |
$568.00 |
$364.08
|
|
ER Visit (level 1, minor)
|
$724.42 |
$724.42 |
$825.00 |
$276.70
|
|
ER Visit (level 2)
|
$1,093.85 |
$1,093.85 |
$1,740.00 |
$487.50
|
|
ER Visit (level 3)
|
$1,647.42 |
$1,647.42 |
$3,044.00 |
$850.50
|
|
ER Visit (level 4)
|
$2,694.74 |
$2,694.74 |
$4,058.00 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$4,319.00 |
$4,319.00 |
$4,429.66 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$338.00 |
$338.00 |
$680.16 |
$260.24
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$2,018.63 |
$2,018.63 |
$2,018.63 |
$671.00
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,467.09 |
$1,467.09 |
$1,467.09 |
$540.00
|
|
Esophageal dilat s&i
|
$2,796.00 |
$2,796.00 |
$2,796.00 |
$525.00
|
|
Esoph egd dilation <30 mm
|
$8,918.21 |
$8,918.21 |
$8,918.21 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$471.43 |
$471.43 |
$544.00 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$724.93 |
$724.93 |
$865.00 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$865.00 |
$865.00 |
$978.39 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$1,138.00 |
$1,138.00 |
$1,231.87 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$1,485.35 |
$1,485.35 |
$1,548.00 |
$287.10
|
|
Estradiol total
|
$9.00 |
$9.00 |
$317.42 |
$153.00
|
|
Estrogens total-sendout
|
$18.50 |
$18.50 |
$18.50 |
$89.25
|
|
Ethanolamine oleate 100 mg
|
$1,102.00 |
$1,102.00 |
$1,102.00 |
$1,046.87
|
|
Ethylene glycol -sendout
|
$13.63 |
$13.63 |
$50.79 |
$75.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$311.91 |
$311.91 |
$311.91 |
$213.17
|
|
Euflexxa inj per dose
|
$1,848.30 |
$1,848.30 |
$1,848.30 |
$727.80
|
|
Euglobulin lysis
|
$75.75 |
$75.75 |
$75.75 |
$39.75
|
|
Eval/fit voice prosthesis iii, st
|
$415.11 |
$415.11 |
$415.11 |
$370.41
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$303.29 |
$303.29 |
$527.00 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$269.00 |
$269.00 |
$384.75 |
$347.75
|
|
Event monitor
|
$567.02 |
$567.02 |
$1,311.00 |
$242.12
|
|
Evoked oa emissions ltd
|
$976.71 |
$976.71 |
$976.71 |
$273.00
|
|
Evoked potentials auditory screening automated analysis
|
$1,109.06 |
$1,109.06 |
$1,109.06 |
$283.62
|
|
Exc benign tal 0.5 < cm 11400
|
$4,868.78 |
$4,868.78 |
$4,868.78 |
$837.48
|
|
Exchange biliary drg cath
|
$40,227.14 |
$40,227.14 |
$40,227.14 |
$4,176.15
|
|
Exchange drainage catheter
|
$6,530.95 |
$6,530.95 |
$6,530.95 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$8,401.88 |
$8,401.88 |
$8,401.88 |
$3,097.16
|
|
External chromosome analysis 20-25 cells
|
$478.30 |
$478.30 |
$478.30 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,038.00 |
$1,038.00 |
$1,584.85 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$197.68 |
$197.68 |
$197.68 |
$102.78
|
|
F-18 fdg pet diag
|
$2,749.00 |
$2,749.00 |
$2,749.00 |
$602.25
|
|
Facial bones <3
|
$1,134.89 |
$1,134.89 |
$3,412.00 |
$248.60
|
|
Factor ix
|
$87.00 |
$87.00 |
$209.92 |
$131.30
|
|
Factor ix recombinant nos
|
$13.00 |
$13.00 |
$13.00 |
$3.04
|
|
Factor viii
|
$32.00 |
$32.00 |
$64.65 |
$144.30
|
|
Factor viii recombinant nos
|
$7.00 |
$7.00 |
$7.00 |
$4.68
|
|
Family therapy with patient 50 min 90847
|
$2,069.93 |
$2,069.93 |
$2,069.93 |
$239.20
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$50.66 |
$50.66 |
$68.00 |
$27.81
|
|
Fat/lipids feces qualitative
|
$22.56 |
$22.56 |
$38.00 |
$34.56
|
|
Fatty acids nonesterified
|
$10.10 |
$10.10 |
$10.10 |
$57.60
|
|
#fecal-sodium
|
$55.21 |
$55.21 |
$55.21 |
$37.50
|
|
Feeding tube reposition
|
$343.00 |
$343.00 |
$343.00 |
$441.86
|
|
Fem/popl revasc w/stent
|
$27,928.50 |
$27,928.50 |
$27,928.50 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$282.64 |
$282.64 |
$282.64 |
$120.15
|
|
Fern test
|
$223.00 |
$223.00 |
$223.00 |
$17.72
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$653.53 |
$653.53 |
$653.53 |
$2,027.60
|
|
Ferritin
|
$223.75 |
$223.75 |
$823.00 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$6,264.01 |
$6,264.01 |
$6,264.01 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$2,841.47 |
$2,841.47 |
$2,853.00 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$8,368.53 |
$8,368.53 |
$8,368.53 |
$1,217.45
|
|
Fetal contract stress test 59020 - 26
|
$819.20 |
$819.20 |
$819.20 |
$540.54
|
|
Fetal fibronectin
|
$491.00 |
$491.00 |
$770.16 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$85.23 |
$85.23 |
$85.23 |
$88.80
|
|
Fetal hemoglobin rosette
|
$152.61 |
$152.61 |
$152.61 |
$76.70
|
|
Fetal non stress test
|
$780.67 |
$780.67 |
$780.67 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$142.59 |
$142.59 |
$142.59 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$112.23 |
$112.23 |
$112.23 |
$112.80
|
|
Fibrin degradation products
|
$5.97 |
$5.97 |
$252.71 |
$62.40
|
|
Fibrin degrade semiquant
|
$569.00 |
$569.00 |
$569.00 |
$92.00
|
|
Fibrinogen activity
|
$440.32 |
$440.32 |
$894.00 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$170.67 |
$170.67 |
$170.67 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$85.01 |
$85.01 |
$85.01 |
$56.00
|
|
Fibrinolytic plasminogen
|
$189.53 |
$189.53 |
$408.00 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$87.87 |
$87.87 |
$87.87 |
$59.89
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$5,635.05 |
$5,635.05 |
$5,635.05 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,363.44 |
$2,363.44 |
$2,363.44 |
$973.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,551.41 |
$1,551.41 |
$1,551.41 |
$806.40
|
|
Flecainide (tambocor)-sendout
|
$13.32 |
$13.32 |
$64.31 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$912.64 |
$912.64 |
$912.64 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$10,088.94 |
$10,088.94 |
$10,088.94 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$117.34 |
$117.34 |
$117.34 |
$208.80
|
|
Flow cytometry marker each additional
|
$34.13 |
$34.13 |
$289.00 |
$103.00
|
|
Flow cytometry one marker technical component
|
$3,588.11 |
$3,588.11 |
$3,588.11 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$198.00 |
$198.00 |
$198.00 |
$194.04
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$301.23 |
$301.23 |
$301.23 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$5,022.00 |
$5,022.00 |
$5,022.00 |
$601.96
|
|
Fluidotherapy charges pt
|
$183.36 |
$183.36 |
$394.00 |
$95.00
|
|
Fluorescent antibody titer dna
|
$132.86 |
$132.86 |
$132.86 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$653.35 |
$653.35 |
$2,339.00 |
$507.00
|
|
Fluoroguide needle placement
|
$1,840.43 |
$1,840.43 |
$2,638.00 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$1,673.88 |
$1,673.88 |
$1,673.88 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$83.00 |
$83.00 |
$964.98 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$83.00 |
$83.00 |
$136.55 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$3,930.64 |
$3,930.64 |
$3,930.64 |
$1,588.65
|
|
Folic acid
|
$191.33 |
$191.33 |
$724.00 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$44.68 |
$44.68 |
$555.90 |
$55.66
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,024.66 |
$4,024.66 |
$4,024.66 |
$2,860.43
|
|
Fondaparinux sodium
|
$194.86 |
$194.86 |
$194.86 |
$176.81
|
|
Foot X-ray
|
$1,493.47 |
$1,493.47 |
$1,493.47 |
$362.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$348.56 |
$348.56 |
$348.56 |
$107.31
|
