|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$298.35 |
$298.35 |
$298.35 |
$30,598.85
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$11.05 |
$11.05 |
$11.05 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$12.35 |
$12.35 |
$12.35 |
$507.10
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$22.10 |
$22.10 |
$22.10 |
$256.27
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$94.90 |
$94.90 |
$94.90 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$198.25 |
$198.25 |
$198.25 |
$1,329.09
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$424.45 |
$424.45 |
$424.45 |
$129.30
|
|
Epstein barr early antigen antibody
|
$232.05 |
$232.05 |
$232.05 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$232.05 |
$232.05 |
$232.05 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$232.05 |
$232.05 |
$232.05 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$158.60 |
$158.60 |
$158.60 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$87.10 |
$87.10 |
$87.10 |
$3,838.45
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$830.05 |
$830.05 |
$830.05 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$932.75 |
$932.75 |
$932.75 |
$232.12
|
|
ER Visit (level 1, minor)
|
$510.25 |
$510.25 |
$510.25 |
$252.60
|
|
ER Visit (level 2)
|
$698.75 |
$698.75 |
$698.75 |
$463.00
|
|
ER Visit (level 3)
|
$1,179.10 |
$1,179.10 |
$1,179.10 |
$812.18
|
|
ER Visit (level 4)
|
$1,588.60 |
$1,588.60 |
$1,588.60 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$1,871.60
|
|
Erwinaze injection
|
$3,545.75 |
$3,545.75 |
$3,545.75 |
$6,423.46
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$874.25 |
$874.25 |
$874.25 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$2,058.55 |
$2,058.55 |
$2,058.55 |
$516.71
|
|
Esophageal motility
|
$1,059.50 |
$1,059.50 |
$1,059.50 |
$655.45
|
|
Esophagus motility study
|
$1,307.80 |
$1,307.80 |
$1,307.80 |
$1,257.17
|
|
Esoph balloon distension tst
|
$1,407.90 |
$1,407.90 |
$1,407.90 |
$1,040.00
|
|
Esophgl motil w/stim/perfus
|
$1,392.95 |
$1,392.95 |
$1,392.95 |
$1,392.95
|
|
Esoph imped funct test > 1hr
|
$2,017.60 |
$2,017.60 |
$2,017.60 |
$1,121.40
|
|
Established Patient Office Visit (level 1)
|
$439.40 |
$439.40 |
$439.40 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$440.05 |
$440.05 |
$440.05 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$546.65 |
$546.65 |
$546.65 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$759.85 |
$759.85 |
$759.85 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$770.90 |
$770.90 |
$770.90 |
$290.68
|
|
Estradiol total
|
$59.80 |
$59.80 |
$59.80 |
$152.10
|
|
Estradiol valerate 10 mg inj
|
$1,068.60 |
$1,068.60 |
$1,068.60 |
$57.35
|
|
Estrogens total-sendout
|
$26.00 |
$26.00 |
$26.00 |
$97.50
|
|
Etanercept injection
|
$6,851.65 |
$6,851.65 |
$6,851.65 |
$3,172.86
|
|
Ethanolamine oleate 100 mg
|
$3,760.25 |
$3,760.25 |
$3,760.25 |
$824.88
|
|
Etoposide 20 mg/ml intravenous solution
|
$13.65 |
$13.65 |
$13.65 |
$235.20
|
|
Etoposide 50 mg cap
|
$495.95 |
$495.95 |
$495.95 |
$135.02
|
|
Eval aud funcj ea addl 15
|
$106.60 |
$106.60 |
$106.60 |
$69.60
|
|
Eval aud rehab status/first hr 92626
|
$443.30 |
$443.30 |
$443.30 |
$329.59
|
|
Eval/fit voice prosthesis iii, st
|
$512.20 |
$512.20 |
$512.20 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$117.65 |
$117.65 |
$117.65 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$347.75 |
$347.75 |
$347.75 |
$302.50
|
|
Evoked potentials upper limbs
|
$877.50 |
$877.50 |
$877.50 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$852.80 |
$852.80 |
$852.80 |
$814.61
|
|
Exercise tst brncspsm w/ecg
|
$434.20 |
$434.20 |
$434.20 |
$335.52
|
|
Exercise tst brncspsm wo ecg
|
$182.00 |
$182.00 |
$182.00 |
$129.92
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$7,901.40 |
$7,901.40 |
$7,901.40 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$11,540.75 |
$11,540.75 |
$11,540.75 |
$4,101.67
|
|
External chromosome analysis 20-25 cells
|
$290.55 |
$290.55 |
$290.55 |
$415.01
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$7,333.95 |
$7,333.95 |
$7,333.95 |
$4,388.25
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$574.60 |
$574.60 |
$574.60 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$174.85 |
$174.85 |
$174.85 |
$109.00
|
|
Eye implant band 40
|
$8,102.90 |
$8,102.90 |
$8,102.90 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$919.75 |
$919.75 |
$919.75 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$4,727.45 |
$4,727.45 |
$4,727.45 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$3,848.65 |
$3,848.65 |
$3,848.65 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$3,557.45 |
$3,557.45 |
$3,557.45 |
$1,320.00
|
|
F-18 fdg pet diag
|
$566.80 |
$566.80 |
$566.80 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,258.80 |
$4,258.80 |
$4,258.80 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,413.15 |
$3,413.15 |
$3,413.15 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$501.80 |
$501.80 |
$501.80 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$815.10 |
$815.10 |
$815.10 |
$381.75
|
|
Factor ix
|
$487.50 |
$487.50 |
$487.50 |
$162.50
|
|
Factor ix alprolix recomb
|
$3.25 |
$3.25 |
$3.25 |
$9.46
|
|
Factor ix recombinant nos
|
$8.45 |
$8.45 |
$8.45 |
$4.65
|
|
Factor viii
|
$487.50 |
$487.50 |
$487.50 |
$148.00
|
|
Factor viii fc fusion recomb
|
$26.65 |
$26.65 |
$26.65 |
$8.28
|
|
Factor viii nuwiq recomb 1iu
|
$14.95 |
$14.95 |
$14.95 |
$5.20
|
|
Factor viii pegylated recomb
|
$10.40 |
$10.40 |
$10.40 |
$8.05
|
|
Factor viii recombinant nos
|
$3.25 |
$3.25 |
$3.25 |
$5.20
|
|
Factor viii recomb novoeight
|
$11.70 |
$11.70 |
$11.70 |
$7.21
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$3.25 |
$3.25 |
$3.25 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$138.45 |
$138.45 |
$138.45 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$32.50 |
$32.50 |
$32.50 |
$36.00
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$282.75 |
$282.75 |
$282.75 |
$14,956.68
|
|
#fecal-sodium
|
$116.35 |
$116.35 |
$116.35 |
$37.53
|
|
Fees w/laryngeal sense test
|
$506.35 |
$506.35 |
$506.35 |
$471.00
|
|
Feno poc
|
$114.40 |
$114.40 |
$114.40 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$251.55 |
$251.55 |
$251.55 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$11.70 |
$11.70 |
$11.70 |
$2,590.25
|
|
Ferritin
|
$339.95 |
$339.95 |
$339.95 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$10.40 |
$10.40 |
$10.40 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$1,025.05 |
$1,025.05 |
$1,025.05 |
$541.74
|
|
Fetal fibronectin
|
$904.80 |
$904.80 |
$904.80 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$442.65 |
$442.65 |
$442.65 |
$102.00
|
|
Fetal hemoglobin rosette
|
$245.05 |
$245.05 |
$245.05 |
$67.20
|
|
#_fet/norfentcnfrmur
|
$184.60 |
$184.60 |
$184.60 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$414.70 |
$414.70 |
$414.70 |
$120.64
|
|
Fibrin degradation products
|
$215.15 |
$215.15 |
$215.15 |
$75.02
|
|
Fibrinogen activity
|
$331.50 |
$331.50 |
$331.50 |
$87.00
|
|
Fibrinolytic plasminogen
|
$209.95 |
$209.95 |
$209.95 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$124.80 |
$124.80 |
$124.80 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$6.50 |
$6.50 |
$6.50 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$188.50 |
$188.50 |
$188.50 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2.60 |
$2.60 |
$2.60 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$48,296.95 |
$48,296.95 |
$48,296.95 |
$7,358.16
|
|
Filter vena cava fem denali
|
$10,387.00 |
$10,387.00 |
$10,387.00 |
$3,718.18
|
|
Finger joint sz00 swanson w/grommets
|
$7,287.80 |
$7,287.80 |
$7,287.80 |
$4,584.72
|