|
Endovenous laser vein addon 36479
|
$6,472.20 |
$6,472.20 |
$6,472.20 |
$2,424.21
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$234.90 |
$234.90 |
$234.90 |
$67.20
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$203.03 |
$203.03 |
$203.03 |
$43.20
|
|
Entamoeba histolytica ag eia - sendout
|
$118.80 |
$118.80 |
$118.80 |
$68.90
|
|
Enzyme histochemistry
|
$312.60 |
$312.60 |
$312.60 |
$506.35
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$3,895.20 |
$3,895.20 |
$3,895.20 |
$2,154.21
|
|
Epidrm agrft t/a/l 1st 100
|
$3,895.20 |
$3,895.20 |
$3,895.20 |
$2,710.80
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$195.23 |
$195.23 |
$195.23 |
$161.59
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,074.20 |
$1,074.20 |
$1,074.20 |
$336.66
|
|
Epstein barr early antigen antibody
|
$203.40 |
$203.40 |
$203.40 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$184.80 |
$184.80 |
$184.80 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$255.60 |
$255.60 |
$255.60 |
$112.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$15.59 |
$15.59 |
$15.59 |
$62.40
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,178.18 |
$3,178.18 |
$3,178.18 |
$3,590.11
|
|
Ercp biliary & pancreas
|
$258.00 |
$258.00 |
$258.00 |
$885.80
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$296.58 |
$296.58 |
$296.58 |
$296.58
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$364.08 |
$364.08 |
$364.08 |
$138.28
|
|
ER Visit (level 1, minor)
|
$78.00 |
$78.00 |
$78.00 |
$270.00
|
|
ER Visit (level 2)
|
$550.80 |
$550.80 |
$550.80 |
$469.39
|
|
ER Visit (level 3)
|
$877.80 |
$877.80 |
$877.80 |
$821.52
|
|
ER Visit (level 4)
|
$1,667.40 |
$1,667.40 |
$1,667.40 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$2,458.20 |
$2,458.20 |
$2,458.20 |
$1,900.20
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$235.01 |
$235.01 |
$235.01 |
$195.33
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$562.34 |
$562.34 |
$562.34 |
$406.83
|
|
Esophagus motility study
|
$1,781.40 |
$1,781.40 |
$1,781.40 |
$1,257.17
|
|
Esoph imped function test
|
$408.00 |
$408.00 |
$408.00 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$907.80 |
$907.80 |
$907.80 |
$1,089.15
|
|
Established Patient Office Visit (level 1)
|
$139.20 |
$139.20 |
$139.20 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$245.40 |
$245.40 |
$245.40 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$293.40 |
$293.40 |
$293.40 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$378.00 |
$378.00 |
$378.00 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$522.60 |
$522.60 |
$522.60 |
$270.09
|
|
Estradiol total
|
$231.60 |
$231.60 |
$231.60 |
$142.20
|
|
Estradiol valerate 10 mg inj
|
$192.96 |
$192.96 |
$192.96 |
$137.64
|
|
Estrogens total-sendout
|
$256.20 |
$256.20 |
$256.20 |
$111.00
|
|
Etanercept injection
|
$543.92 |
$543.92 |
$543.92 |
$1,080.88
|
|
Ethanolamine oleate 100 mg
|
$807.30 |
$807.30 |
$807.30 |
$1,597.69
|
|
Ethylene glycol -sendout
|
$220.80 |
$220.80 |
$220.80 |
$81.25
|
|
Etoposide 20 mg/ml intravenous solution
|
$1.82 |
$1.82 |
$1.82 |
$20.35
|
|
Etoposide 50 mg cap
|
$116.41 |
$116.41 |
$116.41 |
$110.87
|
|
Eval aud rehab status/first hr 92626
|
$47.40 |
$47.40 |
$47.40 |
$266.00
|
|
Eval/fit voice prosthesis iii, st
|
$192.00 |
$192.00 |
$192.00 |
$384.94
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$192.00 |
$192.00 |
$192.00 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$126.60 |
$126.60 |
$126.60 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$140.40 |
$140.40 |
$140.40 |
$325.65
|
|
Event monitor
|
$888.00 |
$888.00 |
$888.00 |
$228.60
|
|
Evoked auditory tst complete
|
$177.00 |
$177.00 |
$177.00 |
$374.62
|
|
Evoked oa emissions ltd
|
$155.40 |
$155.40 |
$155.40 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$375.00 |
$375.00 |
$375.00 |
$328.16
|
|
Evoked potentials upper limbs
|
$1,432.80 |
$1,432.80 |
$1,432.80 |
$903.00
|
|
Evoked potential visual not glaucoma
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$852.80
|
|
Evok oa screening qual
|
$139.80 |
$139.80 |
$139.80 |
$127.03
|
|
Exc benign tal 0.5 < cm 11400
|
$2,816.40 |
$2,816.40 |
$2,816.40 |
$805.70
|
|
Exchange nephrostomy cath
|
$15,310.80 |
$15,310.80 |
$15,310.80 |
$2,752.00
|
|
Exercise tst brncspsm w/ecg
|
$296.40 |
$296.40 |
$296.40 |
$297.73
|
|
External chromosome analysis 20-25 cells
|
$960.00 |
$960.00 |
$960.00 |
$457.50
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$912.00 |
$912.00 |
$912.00 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$207.60 |
$207.60 |
$207.60 |
$102.50
|
|
F-18 fdg pet diag
|
$218.40 |
$218.40 |
$218.40 |
$750.58
|
|
Facial bones <3
|
$208.20 |
$208.20 |
$208.20 |
$216.45
|
|
Factor ix
|
$410.40 |
$410.40 |
$410.40 |
$139.75
|
|
Factor ix complex
|
$3.23 |
$3.23 |
$3.23 |
$3.23
|
|
Factor viii
|
$595.80 |
$595.80 |
$595.80 |
$152.50
|
|
Factor viii nuwiq recomb 1iu
|
$3.32 |
$3.32 |
$3.32 |
$1.18
|
|
Family therapy with patient 50 min 90847
|
$159.60 |
$159.60 |
$159.60 |
$224.80
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$47.09 |
$47.09 |
$47.09 |
$47.09
|
|
Fat/lipids feces qualitative
|
$169.80 |
$169.80 |
$169.80 |
$43.66
|
|
Fatty acids nonesterified
|
$154.80 |
$154.80 |
$154.80 |
$64.28
|
|
#fecal-sodium
|
$84.60 |
$84.60 |
$84.60 |
$40.30
|
|
Fem/popl revasc w/stent
|
$29,964.60 |
$29,964.60 |
$29,964.60 |
$21,553.12
|
|
Feno poc
|
$75.60 |
$75.60 |
$75.60 |
$97.18
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$125.31 |
$125.31 |
$125.31 |
$48.88
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,131.58 |
$2,131.58 |
$2,131.58 |
$2,131.58
|
|
Ferritin
|
$165.00 |
$165.00 |
$165.00 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,392.29 |
$1,392.29 |
$1,392.29 |
$2,289.60
|
|
Fetal biophys profile w/nst 76818
|
$480.00 |
$480.00 |
$480.00 |
$525.33
|
|
Fetal fibronectin
|
$451.80 |
$451.80 |
$451.80 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$234.60 |
$234.60 |
$234.60 |
$59.85
|
|
Fetal hemoglobin rosette
|
$119.40 |
$119.40 |
$119.40 |
$48.35
|
|
Fetal non stress test
|
$665.40 |
$665.40 |
$665.40 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$286.80 |
$286.80 |
$286.80 |
$87.60
|
|
Fibrin degradation products
|
$213.60 |
$213.60 |
$213.60 |
$56.16
|
|
Fibrin degrade semiquant
|
$21.00 |
$21.00 |
$21.00 |
$88.00
|
|
Fibrinogen activity
|
$206.40 |
$206.40 |
$206.40 |
$61.80
|
|
Fibrinolytic plasminogen
|
$276.00 |
$276.00 |
$276.00 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$210.60 |
$210.60 |
$210.60 |
$70.80
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$844.70 |
$844.70 |
$844.70 |
$1,223.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2.24 |
$2.24 |
$2.24 |
$998.68
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,697.40 |
$1,697.40 |
$1,697.40 |
$1,070.00
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,697.40 |
$1,697.40 |
$1,697.40 |
$612.97
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,710.60 |
$1,710.60 |
$1,710.60 |
$738.00
|
|
Fine needle asp without image guide 10021
|
$756.00 |
$756.00 |
$756.00 |
$547.53
|
|
Fl exam g/colon tube w contrast
|
$931.80 |
$931.80 |
$931.80 |
$522.75
|
|
Flow cytometry marker each additional
|
$429.00 |
$429.00 |
$429.00 |
$103.00
|
|
Flow cytometry one marker technical component
|
$317.40 |
$317.40 |
$317.40 |
$304.43
|
|
Flt3 gene
|
$421.80 |
$421.80 |
$421.80 |
$355.00
|
|
Flt3 gene analysis
|
$273.60 |
$273.60 |
$273.60 |
$262.80
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$103.18 |
$103.18 |
$103.18 |
$48.56
|
|
Fludarabine 50 mg intravenous solution
|
$301.45 |
$301.45 |
$301.45 |
$417.96
|
|
Fluidotherapy charges pt
|
$54.00 |
$54.00 |
$54.00 |
$101.40
|
