|
Echocardiograpy doppler follow up/limited study
|
$2,184.59 |
$2,184.59 |
$2,184.59 |
$353.46
|
|
Echo stress
|
$6,986.59 |
$6,986.59 |
$6,986.59 |
$1,582.75
|
|
Echo tee guidance
|
$5,042.29 |
$5,042.29 |
$5,042.29 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$6,986.59 |
$6,986.59 |
$6,986.59 |
$1,871.10
|
|
Echo transthoracic
|
$6,986.59 |
$6,986.59 |
$6,986.59 |
$1,492.50
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$3,339.08 |
$3,339.08 |
$3,339.08 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$2,822.71 |
$2,822.71 |
$2,822.71 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$2,822.71 |
$2,822.71 |
$2,822.71 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$11,572.73 |
$11,572.73 |
$11,572.73 |
$3,950.10
|
|
Eeg 41-60 minutes 95812-26
|
$3,786.43 |
$3,786.43 |
$3,786.43 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$5,011.97 |
$5,011.97 |
$5,011.97 |
$1,049.59
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,665.23 |
$2,665.23 |
$2,665.23 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$3,786.43 |
$3,786.43 |
$3,786.43 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$4,579.72 |
$4,579.72 |
$4,579.72 |
$936.00
|
|
Eeg recording awake and asleep
|
$3,786.43 |
$3,786.43 |
$3,786.43 |
$1,030.27
|
|
Eeg without vid 2-12 hr unmntr
|
$3,786.43 |
$3,786.43 |
$3,786.43 |
$586.20
|
|
Eeg wo vid ea 12-26hr unmntr
|
$6,536.53 |
$6,536.53 |
$6,536.53 |
$1,251.52
|
|
E equine encephalitis igg
|
$706.92 |
$706.92 |
$706.92 |
$48.73
|
|
Egfr gene com variants
|
$17,396.11 |
$17,396.11 |
$17,396.11 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$110.40 |
$110.40 |
$110.40 |
$105.00
|
|
Electrical stimulation/unattended 97014
|
$954.81 |
$954.81 |
$954.81 |
$81.75
|
|
Electrolyte panel
|
$627.35 |
$627.35 |
$627.35 |
$86.33
|
|
Electron microscopy diagnostic
|
$3,521.47 |
$3,521.47 |
$3,521.47 |
$966.69
|
|
Electrophysiology evaluation
|
$50,998.26 |
$50,998.26 |
$50,998.26 |
$8,979.45
|
|
Electrophysiology evaluation
|
$29,124.73 |
$29,124.73 |
$29,124.73 |
$11,175.42
|
|
Electrophysiology evaluation
|
$11,201.67 |
$11,201.67 |
$11,201.67 |
$2,845.10
|
|
Electrophysiology evaluation
|
$3,403.06 |
$3,403.06 |
$3,403.06 |
$2,803.20
|
|
Embo or occlude vascular arterial s&i
|
$49,480.98 |
$49,480.98 |
$49,480.98 |
$16,060.54
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$434.00
|
|
Emg cranial nerve bilateral
|
$3,786.43 |
$3,786.43 |
$3,786.43 |
$518.00
|
|
Emg needle test 1-extremity
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$342.24
|
|
Emg needle test 4-extremities
|
$2,012.62 |
$2,012.62 |
$2,012.62 |
$570.50
|
|
Emg thor paraspinal without t1/t2
|
$2,012.62 |
$2,012.62 |
$2,012.62 |
$309.83
|
|
Encephalitis, california igg/igm
|
$706.92 |
$706.92 |
$706.92 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$706.92 |
$706.92 |
$706.92 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$706.92 |
$706.92 |
$706.92 |
$50.70
|
|
Endo cath bile duct s&i
|
$223.71 |
$223.71 |
$223.71 |
$612.37
|
|
Endoluminl ivus oct c 1st
|
$22,056.05 |
$22,056.05 |
$22,056.05 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$5,739.00 |
$5,739.00 |
$5,739.00 |
$2,367.97
|
|
Endoscopy swallow (fees) vid
|
$216.28 |
$216.28 |
$216.28 |
$402.35
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$759.91 |
$759.91 |
$759.91 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$642.08 |
$642.08 |
$642.08 |
$66.47
|
|
Enzyme histochemistry
|
$9,136.14 |
$9,136.14 |
$9,136.14 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$42,863.16 |
$42,863.16 |
$42,863.16 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$34,064.53 |
$34,064.53 |
$34,064.53 |
$30,975.00
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$12,600.28 |
$12,600.28 |
$12,600.28 |
$2,478.85
|
|
Epidural/lumbar/sacral/ea add level64484
|
$8,224.22 |
$8,224.22 |
$8,224.22 |
$1,182.00
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$2,351.99 |
$2,351.99 |
$2,351.99 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$5,352.76 |
$5,352.76 |
$5,352.76 |
$950.55
|
|
Epstein barr early antigen antibody
|
$703.17 |
$703.17 |
$703.17 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$511.25 |
$511.25 |
$511.25 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$972.23 |
$972.23 |
$972.23 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,275.92 |
$1,275.92 |
$1,275.92 |
$363.57
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$31,252.24 |
$31,252.24 |
$31,252.24 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$4,663.74 |
$4,663.74 |
$4,663.74 |
$943.50
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$5,616.23 |
$5,616.23 |
$5,616.23 |
$3,855.08
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$790.73 |
$790.73 |
$790.73 |
$364.08
|
|
ER Visit (level 1, minor)
|
$661.48 |
$661.48 |
$661.48 |
$276.70
|
|
ER Visit (level 2)
|
$853.98 |
$853.98 |
$853.98 |
$487.50
|
|
ER Visit (level 3)
|
$1,837.49 |
$1,837.49 |
$1,837.49 |
$850.50
|
|
ER Visit (level 4)
|
$2,401.00 |
$2,401.00 |
$2,401.00 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$4,565.74 |
$4,565.74 |
$4,565.74 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$794.66 |
$794.66 |
$794.66 |
$260.24
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$2,363.09 |
$2,363.09 |
$2,363.09 |
$671.00
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,716.79 |
$1,716.79 |
$1,716.79 |
$540.00
|
|
Established Patient Office Visit (level 1)
|
$544.26 |
$544.26 |
$544.26 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$653.49 |
$653.49 |
$653.49 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$832.40 |
$832.40 |
$832.40 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$1,054.63 |
$1,054.63 |
$1,054.63 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$1,013.75 |
$1,013.75 |
$1,013.75 |
$287.10
|
|
Estradiol total
|
$1,065.80 |
$1,065.80 |
$1,065.80 |
$153.00
|
|
Ethylene glycol -sendout
|
$499.09 |
$499.09 |
$499.09 |
$75.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$288.82 |
$288.82 |
$288.82 |
$213.17
|
|
Euflexxa inj per dose
|
$2,802.25 |
$2,802.25 |
$2,802.25 |
$727.80
|
|
Eval/fit voice prosthesis iii, st
|
$652.84 |
$652.84 |
$652.84 |
$370.41
|
|
Evaluation of speech fluency 92521
|
$607.63 |
$607.63 |
$607.63 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$1,944.45 |
$1,944.45 |
$1,944.45 |
$320.00
|
|
Event monitor
|
$543.39 |
$543.39 |
$543.39 |
$242.12
|
|
Exchange biliary drg cath
|
$11,361.00 |
$11,361.00 |
$11,361.00 |
$4,176.15
|
|
Exchange drainage catheter
|
$20,348.51 |
$20,348.51 |
$20,348.51 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$14,589.68 |
$14,589.68 |
$14,589.68 |
$3,097.16
|
|
External chromosome analysis 20-25 cells
|
$7,750.48 |
$7,750.48 |
$7,750.48 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$7,704.39 |
$7,704.39 |
$7,704.39 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$1,563.17 |
$1,563.17 |
$1,563.17 |
$102.78
|
|
Facial bones <3
|
$1,162.81 |
$1,162.81 |
$1,162.81 |
$248.60
|
|
Factor viii
|
$959.36 |
$959.36 |
$959.36 |
$144.30
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$69.48 |
$69.48 |
$69.48 |
$27.81
|
|
Fat/lipids feces qualitative
|
$402.04 |
$402.04 |
$402.04 |
$34.56
|
|
Fatty acids nonesterified
|
$1,005.99 |
$1,005.99 |
$1,005.99 |
$57.60
|
|
#fecal-sodium
|
$260.47 |
$260.47 |
$260.47 |
$37.50
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$406.85 |
$406.85 |
$406.85 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$950.11 |
$950.11 |
$950.11 |
$2,027.60
|
|
Ferritin
|
$730.51 |
$730.51 |
$730.51 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$6,839.65 |
$6,839.65 |
$6,839.65 |
$1,776.61
|
|
Fibrin degradation d dimer quantitative
|
$722.68 |
$722.68 |
$722.68 |
$112.80
|
|
Fibrin degradation products
|
$369.27 |
$369.27 |
$369.27 |
$62.40
|
|
Fibrinogen activity
|
$549.38 |
$549.38 |
$549.38 |
$82.38
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$8,559.89 |
$8,559.89 |
$8,559.89 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$3,585.50 |
$3,585.50 |
$3,585.50 |
$973.70
|
|
Flecainide (tambocor)-sendout
|
$999.03 |
$999.03 |
$999.03 |
$66.43
|
