|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$734.54 |
$734.54 |
$734.54 |
$222.98
|
|
ER Visit (level 1, minor)
|
$238.32 |
$238.32 |
$238.32 |
$246.24
|
|
ER Visit (level 2)
|
$398.88 |
$398.88 |
$398.88 |
$452.20
|
|
ER Visit (level 3)
|
$738.72 |
$738.72 |
$738.72 |
$770.04
|
|
ER Visit (level 4)
|
$1,144.08 |
$1,144.08 |
$1,144.08 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$1,820.02
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$17.80 |
$17.80 |
$17.80 |
$553.88
|
|
Established Patient Office Visit (level 1)
|
$131.76 |
$131.76 |
$131.76 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$200.16 |
$200.16 |
$200.16 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$246.96 |
$246.96 |
$246.96 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$310.32 |
$310.32 |
$310.32 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$393.12 |
$393.12 |
$393.12 |
$280.33
|
|
Estradiol total
|
$283.68 |
$283.68 |
$283.68 |
$146.50
|
|
Estrogens total-sendout
|
$92.16 |
$92.16 |
$92.16 |
$96.20
|
|
Ethylene glycol -sendout
|
$172.08 |
$172.08 |
$172.08 |
$89.40
|
|
Eval/fit voice prosthesis iii, st
|
$498.96 |
$498.96 |
$498.96 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$267.12 |
$267.12 |
$267.12 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$393.12 |
$393.12 |
$393.12 |
$311.50
|
|
Event monitor
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$242.65
|
|
Evoked oa emissions ltd
|
$364.32 |
$364.32 |
$364.32 |
$234.32
|
|
Evoked potentials upper limbs
|
$460.08 |
$460.08 |
$460.08 |
$908.54
|
|
Evok oa screening qual
|
$192.96 |
$192.96 |
$192.96 |
$109.13
|
|
Exchange drainage catheter
|
$2,219.76 |
$2,219.76 |
$2,219.76 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$3,633.12 |
$3,633.12 |
$3,633.12 |
$2,958.80
|
|
Excise anal ext tag/papilla
|
$5,022.00 |
$5,022.00 |
$5,022.00 |
$1,710.00
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$4,048.38
|
|
External chromosome analysis 20-25 cells
|
$673.20 |
$673.20 |
$673.20 |
$384.15
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$612.00 |
$612.00 |
$612.00 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$125.28 |
$125.28 |
$125.28 |
$108.60
|
|
Facial bones <3
|
$267.84 |
$267.84 |
$267.84 |
$252.60
|
|
Factor ix
|
$85.68 |
$85.68 |
$85.68 |
$156.13
|
|
Factor viii
|
$127.44 |
$127.44 |
$127.44 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.17 |
$0.17 |
$0.17 |
$22.20
|
|
Fat/lipids feces qualitative
|
$39.60 |
$39.60 |
$39.60 |
$38.35
|
|
Fatty acids nonesterified
|
$23.76 |
$23.76 |
$23.76 |
$64.28
|
|
#fecal-sodium
|
$43.20 |
$43.20 |
$43.20 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$28.80 |
$28.80 |
$28.80 |
$65.00
|
|
Fem/popl revasc w/stent
|
$21,382.56 |
$21,382.56 |
$21,382.56 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$10.58 |
$10.58 |
$10.58 |
$101.40
|
|
Ferritin
|
$197.28 |
$197.28 |
$197.28 |
$100.94
|
|
Fetal chrom aneuploidy gsa panel
|
$1,159.92 |
$1,159.92 |
$1,159.92 |
$1,206.81
|
|
Fetal contract stress test 59020 - 26
|
$1,305.36 |
$1,305.36 |
$1,305.36 |
$475.50
|
|
Fetal fibronectin
|
$547.20 |
$547.20 |
$547.20 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$203.04 |
$203.04 |
$203.04 |
$105.12
|
|
Fetal hemoglobin rosette
|
$50.40 |
$50.40 |
$50.40 |
$67.20
|
|
Fetal non stress test
|
$971.28 |
$971.28 |
$971.28 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$164.16 |
$164.16 |
$164.16 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$81.36 |
$81.36 |
$81.36 |
$117.70
|
|
Fibrin degradation products
|
$63.36 |
$63.36 |
$63.36 |
$62.64
|
|
Fibrinogen activity
|
$120.96 |
$120.96 |
$120.96 |
$83.50
|
|
Fibrinolytic antiplasmin
|
$144.00 |
$144.00 |
$144.00 |
$72.80
|
|
Filter spider fx 3mmx320cm
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$7,160.28
|
|
Filter vena cava fem denali
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$624.24 |
$624.24 |
$624.24 |
$823.90
|
|
Flecainide (tambocor)-sendout
|
$98.64 |
$98.64 |
$98.64 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$511.92 |
$511.92 |
$511.92 |
$511.92
|
|
Flow cytometry interp 16 or more
|
$638.64 |
$638.64 |
$638.64 |
$204.00
|
|
Flow cytometry marker each additional
|
$72.00 |
$72.00 |
$72.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$453.60 |
$453.60 |
$453.60 |
$284.40
|
|
#flow interp 9 - 15 markers
|
$207.36 |
$207.36 |
$207.36 |
$172.50
|
|
Flt3 gene
|
$468.00 |
$468.00 |
$468.00 |
$355.00
|
|
Flt3 gene analysis
|
$293.04 |
$293.04 |
$293.04 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$110.25 |
$110.25 |
$110.25 |
$64.22
|
|
Fluidotherapy charges pt
|
$156.96 |
$156.96 |
$156.96 |
$91.00
|
|
Fluorescent antibody titer dna
|
$129.60 |
$129.60 |
$129.60 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$1,124.64 |
$1,124.64 |
$1,124.64 |
$496.03
|
|
Fluoroguide needle placement
|
$651.60 |
$651.60 |
$651.60 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$792.72 |
$792.72 |
$792.72 |
$492.00
|
|
Fna bx w/ct gdn 1st les
|
$958.32 |
$958.32 |
$958.32 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$882.72 |
$882.72 |
$882.72 |
$833.25
|
|
Foam drg > 48 sq in without brdr
|
$65.52 |
$65.52 |
$65.52 |
$33.49
|
|
Folic acid
|
$151.92 |
$151.92 |
$151.92 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$1.35 |
$1.35 |
$1.35 |
$54.75
|
|
Fondaparinux sodium
|
$96.41 |
$96.41 |
$96.41 |
$185.12
|
|
Foot X-ray
|
$501.12 |
$501.12 |
$501.12 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$512.64 |
$512.64 |
$512.64 |
$532.80
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$78.33 |
$78.33 |
$78.33 |
$106.10
|
|
Fragmenting of kidney stone
|
$12,939.84 |
$12,939.84 |
$12,939.84 |
$10,057.42
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$197.28 |
$197.28 |
$197.28 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$240.48 |
$240.48 |
$240.48 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$174.24 |
$174.24 |
$174.24 |
$122.00
|
|
Fructosamine glycated protein
|
$102.96 |
$102.96 |
$102.96 |
$60.75
|
|
Ftl cgen abnor five anal
|
$192.24 |
$192.24 |
$192.24 |
$155.10
|
|
Ftl cgen abnor four anal
|
$289.44 |
$289.44 |
$289.44 |
$204.52
|
|
Furosemide 10 mg/ml injection solution
|
$1.12 |
$1.12 |
$1.12 |
$19.00
|
|
Gabapentin non-blood
|
$60.48 |
$60.48 |
$60.48 |
$36.30
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$15.25 |
$15.25 |
$15.25 |
$144.98
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$1.35 |
$1.35 |
$1.35 |
$177.52
|
|
Galectin-3
|
$105.84 |
$105.84 |
$105.84 |
$111.60
|
|
Gammaglobulin iga
|
$138.24 |
$138.24 |
$138.24 |
$67.20
|
|
Gammaglobulin ige
|
$127.44 |
$127.44 |
$127.44 |
$83.85
|
|
Gamma glutamyltransferase
|
$92.88 |
$92.88 |
$92.88 |
$57.54
|
|
Generator barostim neo2 2014
|
$25,920.00 |
$25,920.00 |
$25,920.00 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$34,020.00 |
$34,020.00 |
$34,020.00 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$65.52 |
$65.52 |
$65.52 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$208.80 |
$208.80 |
$208.80 |
$126.00
|
|
Ghs abscess perianal iandd
|
$1,883.52 |
$1,883.52 |
$1,883.52 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$6,984.72 |
$6,984.72 |
$6,984.72 |
$3,515.40
|
|
Ghs alpha thalasemia, 7 deletions
|
$605.52 |
$605.52 |
$605.52 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$91.44 |
$91.44 |
$91.44 |
$69.30
|
