|
Entamoeba histolytica ag eia - sendout
|
$128.19 |
$128.19 |
$128.19 |
$66.47
|
|
Ep & ablate supravent arrhyt
|
$62,741.81 |
$62,741.81 |
$62,741.81 |
$29,766.10
|
|
Epidrm agrft t/a/l 1st 100
|
$12,263.33 |
$12,263.33 |
$12,263.33 |
$2,856.87
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,514.11 |
$1,514.11 |
$1,514.11 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$3,287.68 |
$3,287.68 |
$3,287.68 |
$950.55
|
|
Epstein barr early antigen antibody
|
$140.38 |
$140.38 |
$140.38 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$163.60 |
$163.60 |
$163.60 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$194.10 |
$194.10 |
$194.10 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$824.58 |
$824.58 |
$824.58 |
$363.57
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$19,159.05 |
$19,159.05 |
$19,159.05 |
$6,313.52
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$15,911.01 |
$15,911.01 |
$15,911.01 |
$3,855.08
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$513.69 |
$513.69 |
$513.69 |
$364.08
|
|
ER Visit (level 1, minor)
|
$749.01 |
$749.01 |
$749.01 |
$276.70
|
|
ER Visit (level 2)
|
$1,597.73 |
$1,597.73 |
$1,597.73 |
$487.50
|
|
ER Visit (level 3)
|
$2,631.24 |
$2,631.24 |
$2,631.24 |
$850.50
|
|
ER Visit (level 4)
|
$4,248.37 |
$4,248.37 |
$4,248.37 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$6,209.24 |
$6,209.24 |
$6,209.24 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$637.85 |
$637.85 |
$637.85 |
$260.24
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$1,888.13 |
$1,888.13 |
$1,888.13 |
$671.00
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,372.93 |
$1,372.93 |
$1,372.93 |
$540.00
|
|
Established Patient Office Visit (level 1)
|
$425.29 |
$425.29 |
$425.29 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$531.03 |
$531.03 |
$531.03 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$621.40 |
$621.40 |
$621.40 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$803.91 |
$803.91 |
$803.91 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$1,022.75 |
$1,022.75 |
$1,022.75 |
$287.10
|
|
Estradiol total
|
$298.96 |
$298.96 |
$298.96 |
$153.00
|
|
Ethylene glycol -sendout
|
$136.56 |
$136.56 |
$136.56 |
$75.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$690.35 |
$690.35 |
$690.35 |
$213.17
|
|
Euflexxa inj per dose
|
$1,724.71 |
$1,724.71 |
$1,724.71 |
$727.80
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$1,049.78 |
$1,049.78 |
$1,049.78 |
$219.60
|
|
Evasc repair of iliac artery; endograft 34718
|
$20,292.72 |
$20,292.72 |
$20,292.72 |
$10,843.20
|
|
Evasc rpr a-ao ndgft 34701
|
$31,140.34 |
$31,140.34 |
$31,140.34 |
$6,020.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$18,235.33 |
$18,235.33 |
$18,235.33 |
$7,465.20
|
|
Evasc rpr ilio-iliac rpt
|
$21,870.98 |
$21,870.98 |
$21,870.98 |
$9,122.40
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$8,218.86 |
$8,218.86 |
$8,218.86 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$2,112.60
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,342.12 |
$1,342.12 |
$1,342.12 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$8,218.86 |
$8,218.86 |
$8,218.86 |
$1,301.30
|
|
Exchange biliary drg cath
|
$10,290.67 |
$10,290.67 |
$10,290.67 |
$4,176.15
|
|
Exchange nephrostomy cath
|
$5,820.89 |
$5,820.89 |
$5,820.89 |
$3,097.16
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$8,218.86 |
$8,218.86 |
$8,218.86 |
$832.60
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$2,124.65 |
$2,124.65 |
$2,124.65 |
$1,064.30
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$932.35
|
|
Exc prtl bn phlnx toe
|
$35,608.90 |
$35,608.90 |
$35,608.90 |
$3,752.25
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$18,750.12 |
$18,750.12 |
$18,750.12 |
$3,559.50
|
|
External chromosome analysis 20-25 cells
|
$842.52 |
$842.52 |
$842.52 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,538.13 |
$1,538.13 |
$1,538.13 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$191.85 |
$191.85 |
$191.85 |
$102.78
|
|
Facial bones <3
|
$1,472.99 |
$1,472.99 |
$1,472.99 |
$248.60
|
|
Factor ix
|
$203.73 |
$203.73 |
$203.73 |
$131.30
|
|
Factor viii
|
$191.53 |
$191.53 |
$191.53 |
$144.30
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$53.18 |
$53.18 |
$53.18 |
$27.81
|
|
Fat/lipids feces qualitative
|
$54.57 |
$54.57 |
$54.57 |
$34.56
|
|
Fatty acids nonesterified
|
$200.84 |
$200.84 |
$200.84 |
$57.60
|
|
#fecal-sodium
|
$52.00 |
$52.00 |
$52.00 |
$37.50
|
|
Fem/popl revasc w/stent
|
$23,093.66 |
$23,093.66 |
$23,093.66 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$267.71 |
$267.71 |
$267.71 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$615.81 |
$615.81 |
$615.81 |
$2,027.60
|
|
Ferritin
|
$235.96 |
$235.96 |
$235.96 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$4,017.63 |
$4,017.63 |
$4,017.63 |
$1,776.61
|
|
Fetal chrom aneuploidy gsa panel
|
$8,121.84 |
$8,121.84 |
$8,121.84 |
$1,217.45
|
|
Fetal hemoglobin rosette
|
$100.15 |
$100.15 |
$100.15 |
$76.70
|
|
#_fet/norfentcnfrmur
|
$120.34 |
$120.34 |
$120.34 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$271.67 |
$271.67 |
$271.67 |
$112.80
|
|
Fibrin degradation products
|
$168.50 |
$168.50 |
$168.50 |
$62.40
|
|
Fibrinogen activity
|
$206.21 |
$206.21 |
$206.21 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$165.64 |
$165.64 |
$165.64 |
$66.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$5,253.03 |
$5,253.03 |
$5,253.03 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,204.69 |
$2,204.69 |
$2,204.69 |
$973.70
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$8,218.86 |
$8,218.86 |
$8,218.86 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$5,296.40 |
$5,296.40 |
$5,296.40 |
$806.40
|
|
Flecainide (tambocor)-sendout
|
$199.45 |
$199.45 |
$199.45 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$812.98 |
$812.98 |
$812.98 |
$546.86
|
|
Flow cytometry interp 16 or more
|
$622.17 |
$622.17 |
$622.17 |
$208.80
|
|
Flow cytometry marker each additional
|
$206.57 |
$206.57 |
$206.57 |
$103.00
|
|
Flow cytometry one marker technical component
|
$3,772.53 |
$3,772.53 |
$3,772.53 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$280.88 |
$280.88 |
$280.88 |
$194.04
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$225.28 |
$225.28 |
$225.28 |
$86.42
|
|
Fluorescent antibody titer dna
|
$258.75 |
$258.75 |
$258.75 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,761.86 |
$1,761.86 |
$1,761.86 |
$507.00
|
|
Fluoroguide needle placement
|
$1,556.11 |
$1,556.11 |
$1,556.11 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$1,687.24 |
$1,687.24 |
$1,687.24 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$2,470.18 |
$2,470.18 |
$2,470.18 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$135.84 |
$135.84 |
$135.84 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$8,218.86 |
$8,218.86 |
$8,218.86 |
$1,588.65
|
|
Folic acid
|
$228.85 |
$228.85 |
$228.85 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$47.00 |
$47.00 |
$47.00 |
$55.66
|
|
Fomepizole 1 gram/ml intravenous solution
|
$3,752.54 |
$3,752.54 |
$3,752.54 |
$2,860.43
|
|
Fondaparinux sodium
|
$186.60 |
$186.60 |
$186.60 |
$176.81
|
|
Foot X-ray
|
$1,666.85 |
$1,666.85 |
$1,666.85 |
$362.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$329.58 |
$329.58 |
$329.58 |
$107.31
|
|
Fracture assessment via dxa
|
$1,131.72 |
$1,131.72 |
$1,131.72 |
$146.80
|
|
Fragmenting of kidney stone
|
$42,631.37 |
$42,631.37 |
$42,631.37 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$1,010.42 |
$1,010.42 |
$1,010.42 |
$168.75
|
|
Fructosamine glycated protein
|
$95.29 |
$95.29 |
$95.29 |
$60.42
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$159.50 |
$159.50 |
$159.50 |
$26.40
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$91.61 |
$91.61 |
$91.61 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$151.70 |
$151.70 |
$151.70 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$216.33 |
$216.33 |
$216.33 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$276.78 |
$276.78 |
$276.78 |
$210.50
|