|
Epstein barr early antigen antibody
|
$72.50 |
$72.50 |
$72.50 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$85.00 |
$85.00 |
$85.00 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$112.50 |
$112.50 |
$112.50 |
$85.50
|
|
Ercp biliary & pancreas
|
$705.00 |
$705.00 |
$705.00 |
$967.04
|
|
Ercp lithotripsy calculi
|
$6,990.00 |
$6,990.00 |
$6,990.00 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$3,420.00 |
$3,420.00 |
$3,420.00 |
$4,060.00
|
|
Ercp sphincter pressure meas
|
$4,450.00 |
$4,450.00 |
$4,450.00 |
$3,552.00
|
|
Ercp w/specimen collection
|
$3,420.00 |
$3,420.00 |
$3,420.00 |
$4,494.90
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$44.72 |
$44.72 |
$44.72 |
$232.12
|
|
ER Visit (level 1, minor)
|
$195.00 |
$195.00 |
$195.00 |
$252.60
|
|
ER Visit (level 2)
|
$267.50 |
$267.50 |
$267.50 |
$463.00
|
|
ER Visit (level 3)
|
$580.00 |
$580.00 |
$580.00 |
$812.18
|
|
ER Visit (level 4)
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$1,871.60
|
|
Escharotomy ea addl incision
|
$222.50 |
$222.50 |
$222.50 |
$203.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$10.79 |
$10.79 |
$10.79 |
$516.71
|
|
Esophageal dilat s&i
|
$525.00 |
$525.00 |
$525.00 |
$551.20
|
|
Esophagoscopy flex biopsy
|
$2,370.00 |
$2,370.00 |
$2,370.00 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$1,296.00
|
|
Esoph balloon distension tst
|
$780.00 |
$780.00 |
$780.00 |
$1,040.00
|
|
Esoph endoscopy dilation
|
$2,370.00 |
$2,370.00 |
$2,370.00 |
$2,221.83
|
|
Establish access to aorta
|
$1,580.00 |
$1,580.00 |
$1,580.00 |
$1,273.00
|
|
Establish access to artery
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$1,145.65
|
|
Established Patient Office Visit (level 1)
|
$90.00 |
$90.00 |
$90.00 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$120.00 |
$120.00 |
$120.00 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$147.50 |
$147.50 |
$147.50 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$177.50 |
$177.50 |
$177.50 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$207.50 |
$207.50 |
$207.50 |
$290.68
|
|
Estradiol total
|
$80.00 |
$80.00 |
$80.00 |
$152.10
|
|
Ethylene glycol -sendout
|
$85.00 |
$85.00 |
$85.00 |
$86.04
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$305.00 |
$305.00 |
$305.00 |
$213.15
|
|
Evaluation heart device
|
$1,825.00 |
$1,825.00 |
$1,825.00 |
$2,199.00
|
|
Evaluation of speech fluency 92521
|
$350.00 |
$350.00 |
$350.00 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$397.50 |
$397.50 |
$397.50 |
$318.24
|
|
Evasc prlng admn rx agnt 1st
|
$5,105.00 |
$5,105.00 |
$5,105.00 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$5,380.00 |
$5,380.00 |
$5,380.00 |
$2,803.24
|
|
Evasc rpr a-ao ndgft 34701
|
$3,005.00 |
$3,005.00 |
$3,005.00 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$3,700.00 |
$3,700.00 |
$3,700.00 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$4,120.00 |
$4,120.00 |
$4,120.00 |
$8,565.60
|
|
Evasc rpr a-unilac ndgft 34703
|
$4,085.00 |
$4,085.00 |
$4,085.00 |
$5,741.00
|
|
Evasc rpr ilio-iliac ndgft
|
$5,710.00 |
$5,710.00 |
$5,710.00 |
$7,060.51
|
|
Evoked potential visual not glaucoma
|
$497.50 |
$497.50 |
$497.50 |
$814.61
|
|
Exam pelvic add-on
|
$50.00 |
$50.00 |
$50.00 |
$46.85
|
|
Exchange biliary drg cath
|
$2,555.00 |
$2,555.00 |
$2,555.00 |
$3,856.84
|
|
Exchange drainage catheter
|
$2,375.00 |
$2,375.00 |
$2,375.00 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$2,958.80
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,064.75
|
|
Exercise w/hemodynamic meas
|
$342.50 |
$342.50 |
$342.50 |
$901.60
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,540.50 |
$3,540.50 |
$3,540.50 |
$4,101.67
|
|
Expl lap celiotomy w/wo bx 49000
|
$4,940.00 |
$4,940.00 |
$4,940.00 |
$2,357.35
|
|
Explore/repair chest 32110
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$3,698.00
|
|
External chromosome analysis 20-25 cells
|
$635.00 |
$635.00 |
$635.00 |
$415.01
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$75.00 |
$75.00 |
$75.00 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$630.00 |
$630.00 |
$630.00 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$102.50 |
$102.50 |
$102.50 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$322.50 |
$322.50 |
$322.50 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,285.00 |
$1,285.00 |
$1,285.00 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$890.00 |
$890.00 |
$890.00 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$785.00 |
$785.00 |
$785.00 |
$1,320.00
|
|
F-18 fdg pet diag
|
$875.50 |
$875.50 |
$875.50 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,360.00 |
$2,360.00 |
$2,360.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$230.00 |
$230.00 |
$230.00 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$342.50 |
$342.50 |
$342.50 |
$381.75
|
|
Factor ix
|
$202.50 |
$202.50 |
$202.50 |
$162.50
|
|
Factor viii
|
$152.50 |
$152.50 |
$152.50 |
$148.00
|
|
Family therapy with patient 50 min 90847
|
$192.50 |
$192.50 |
$192.50 |
$236.70
|
|
Fancc gene
|
$140.00 |
$140.00 |
$140.00 |
$140.00
|
|
#fecal-sodium
|
$37.50 |
$37.50 |
$37.50 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$280.00 |
$280.00 |
$280.00 |
$66.43
|
|
Fem/popl revasc w/stent
|
$15,955.00 |
$15,955.00 |
$15,955.00 |
$16,129.60
|
|
Feno poc
|
$92.50 |
$92.50 |
$92.50 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$60.56 |
$60.56 |
$60.56 |
$101.40
|
|
Fern test
|
$32.50 |
$32.50 |
$32.50 |
$37.03
|
|
Ferritin
|
$80.00 |
$80.00 |
$80.00 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$460.00 |
$460.00 |
$460.00 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$462.50 |
$462.50 |
$462.50 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$452.50 |
$452.50 |
$452.50 |
$477.50
|
|
Fetal fibronectin
|
$282.50 |
$282.50 |
$282.50 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$55.00 |
$55.00 |
$55.00 |
$102.00
|
|
Fetal hemoglobin rosette
|
$40.00 |
$40.00 |
$40.00 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$92.50 |
$92.50 |
$92.50 |
$67.00
|
|
Fetal non stress test
|
$450.00 |
$450.00 |
$450.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$307.50 |
$307.50 |
$307.50 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$85.00 |
$85.00 |
$85.00 |
$120.64
|
|
Fibrinogen activity
|
$55.00 |
$55.00 |
$55.00 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$25.00 |
$25.00 |
$25.00 |
$61.00
|
|
Fibrinolytic plasminogen
|
$107.50 |
$107.50 |
$107.50 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$100.00 |
$100.00 |
$100.00 |
$66.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1.41 |
$1.41 |
$1.41 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$7,358.16
|
|
Filter vena cava fem denali
|
$8,709.38 |
$8,709.38 |
$8,709.38 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$535.00 |
$535.00 |
$535.00 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$565.00 |
$565.00 |
$565.00 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$372.50 |
$372.50 |
$372.50 |
$504.45
|
|
Finger X-ray (both hands)
|
$345.00 |
$345.00 |
$345.00 |
$241.50
|
|
Fix g/colon tube w/device
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$77.50 |
$77.50 |
$77.50 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$430.00 |
$430.00 |
$430.00 |
$540.80
|
