|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,329.09 |
$1,329.09 |
$1,329.09 |
$1,289.71
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$219.26 |
$219.26 |
$219.26 |
$129.30
|
|
Epstein barr early antigen antibody
|
$104.00 |
$104.00 |
$104.00 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$64.50 |
$64.50 |
$64.50 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$78.00 |
$78.00 |
$78.00 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$126.72 |
$126.72 |
$126.72 |
$393.98
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$4,595.58 |
$4,595.58 |
$4,595.58 |
$3,838.45
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$3,551.00 |
$3,551.00 |
$3,551.00 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$445.86 |
$445.86 |
$445.86 |
$222.98
|
|
ER Visit (level 1, minor)
|
$318.50 |
$318.50 |
$318.50 |
$246.24
|
|
ER Visit (level 2)
|
$540.50 |
$540.50 |
$540.50 |
$452.20
|
|
ER Visit (level 3)
|
$1,129.50 |
$1,129.50 |
$1,129.50 |
$770.04
|
|
ER Visit (level 4)
|
$2,072.50 |
$2,072.50 |
$2,072.50 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$3,057.00 |
$3,057.00 |
$3,057.00 |
$1,820.02
|
|
Erwinaze injection
|
$6,423.46 |
$6,423.46 |
$6,423.46 |
$6,423.46
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$306.45 |
$306.45 |
$306.45 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$429.78 |
$429.78 |
$429.78 |
$553.88
|
|
Esophagus motility study
|
$2,686.50 |
$2,686.50 |
$2,686.50 |
$1,289.20
|
|
Esoph balloon distension tst
|
$5,696.50 |
$5,696.50 |
$5,696.50 |
$1,040.00
|
|
Established Patient Office Visit (level 1)
|
$253.00 |
$253.00 |
$253.00 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$15.75 |
$15.75 |
$15.75 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$23.62 |
$23.62 |
$23.62 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$34.30 |
$34.30 |
$34.30 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$47.08 |
$47.08 |
$47.08 |
$280.33
|
|
Estradiol total
|
$140.00 |
$140.00 |
$140.00 |
$146.50
|
|
Estradiol valerate 10 mg inj
|
$817.35 |
$817.35 |
$817.35 |
$57.35
|
|
Estrogens total-sendout
|
$153.50 |
$153.50 |
$153.50 |
$96.20
|
|
Etanercept injection
|
$1,150.24 |
$1,150.24 |
$1,150.24 |
$3,172.86
|
|
Ethylene glycol -sendout
|
$390.00 |
$390.00 |
$390.00 |
$89.40
|
|
Etonogestrel implant system
|
$825.65 |
$825.65 |
$825.65 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$628.44 |
$628.44 |
$628.44 |
$235.20
|
|
Etoposide 50 mg cap
|
$89.11 |
$89.11 |
$89.11 |
$135.02
|
|
Euflexxa inj per dose
|
$510.68 |
$510.68 |
$510.68 |
$587.51
|
|
Eval/fit voice prosthesis iii, st
|
$359.00 |
$359.00 |
$359.00 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$298.50 |
$298.50 |
$298.50 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$288.00 |
$288.00 |
$288.00 |
$311.50
|
|
Event monitor
|
$244.00 |
$244.00 |
$244.00 |
$242.65
|
|
Evoked oa emissions ltd
|
$362.00 |
$362.00 |
$362.00 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$232.50 |
$232.50 |
$232.50 |
$249.71
|
|
Exam pelvic add-on
|
$10.85 |
$10.85 |
$10.85 |
$41.60
|
|
Exercise tst brncspsm w/ecg
|
$771.00 |
$771.00 |
$771.00 |
$318.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$6,000.00 |
$6,000.00 |
$6,000.00 |
$4,048.38
|
|
External newborn metabolic screening panel
|
$71.50 |
$71.50 |
$71.50 |
$109.76
|
|
External recharg sys intern
|
$5,740.80 |
$5,740.80 |
$5,740.80 |
$2,635.20
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$551.50 |
$551.50 |
$551.50 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$125.50 |
$125.50 |
$125.50 |
$108.60
|
|
F-18 fdg pet diag
|
$1,487.50 |
$1,487.50 |
$1,487.50 |
$551.72
|
|
Facial bones <3
|
$200.50 |
$200.50 |
$200.50 |
$252.60
|
|
Factor ix
|
$190.00 |
$190.00 |
$190.00 |
$156.13
|
|
Factor ix recombinant nos
|
$3,162.00 |
$3,162.00 |
$3,162.00 |
$4.65
|
|
Factor viii
|
$131.00 |
$131.00 |
$131.00 |
$133.81
|
|
Factor viii fc fusion recomb
|
$8,202.60 |
$8,202.60 |
$8,202.60 |
$8.28
|
|
Factor viii recombinant nos
|
$6,518.14 |
$6,518.14 |
$6,518.14 |
$6.56
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$7,046.92 |
$7,046.92 |
$7,046.92 |
$5,800.72
|
|
Fat/lipids feces qualitative
|
$62.50 |
$62.50 |
$62.50 |
$38.35
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$11,420.12 |
$11,420.12 |
$11,420.12 |
$14,956.68
|
|
Felbamate (felbatol(r)) - sendout
|
$124.00 |
$124.00 |
$124.00 |
$65.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$107.80 |
$107.80 |
$107.80 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,367.34 |
$3,367.34 |
$3,367.34 |
$2,590.25
|
|
Ferritin
|
$120.50 |
$120.50 |
$120.50 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$650.20 |
$650.20 |
$650.20 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$462.50 |
$462.50 |
$462.50 |
$535.37
|
|
Fetal fibronectin
|
$342.50 |
$342.50 |
$342.50 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$105.00 |
$105.00 |
$105.00 |
$105.12
|
|
Fetal hemoglobin rosette
|
$87.00 |
$87.00 |
$87.00 |
$67.20
|
|
Fetal non stress test
|
$671.00 |
$671.00 |
$671.00 |
$463.03
|
|
Fibrin degradation d dimer quantitative
|
$122.00 |
$122.00 |
$122.00 |
$117.70
|
|
Fibrinogen activity
|
$66.50 |
$66.50 |
$66.50 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$41.50 |
$41.50 |
$41.50 |
$64.05
|
|
Fibrinolytic plasminogen
|
$170.50 |
$170.50 |
$170.50 |
$107.50
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$537.36 |
$537.36 |
$537.36 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,223.96 |
$1,223.96 |
$1,223.96 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$474.94 |
$474.94 |
$474.94 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$11,797.05 |
$11,797.05 |
$11,797.05 |
$7,160.28
|
|
Filter vena cava fem denali
|
$5,360.00 |
$5,360.00 |
$5,360.00 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$931.50 |
$931.50 |
$931.50 |
$823.90
|
|
Flecainide (tambocor)-sendout
|
$111.50 |
$111.50 |
$111.50 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$1,021.50 |
$1,021.50 |
$1,021.50 |
$511.92
|
|
Flow cytometry marker each additional
|
$83.50 |
$83.50 |
$83.50 |
$97.50
|
|
Flow cytometry one marker technical component
|
$247.50 |
$247.50 |
$247.50 |
$284.40
|
|
Flt3 gene
|
$309.00 |
$309.00 |
$309.00 |
$355.00
|
|
Flt3 gene analysis
|
$309.00 |
$309.00 |
$309.00 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$52.68 |
$52.68 |
$52.68 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$493.35 |
$493.35 |
$493.35 |
$493.35
|
|
Fluidotherapy charges pt
|
$75.00 |
$75.00 |
$75.00 |
$91.00
|
|
Fluocinol acet intravit imp
|
$12,350.00 |
$12,350.00 |
$12,350.00 |
$14,359.80
|
|
Fluorescent antibody titer dna
|
$60.00 |
$60.00 |
$60.00 |
$122.82
|
|
Fluoroguide needle placement
|
$346.50 |
$346.50 |
$346.50 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$609.50 |
$609.50 |
$609.50 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$2,593.09 |
$2,593.09 |
$2,593.09 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$210.68 |
$210.68 |
$210.68 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$1,687.50 |
$1,687.50 |
$1,687.50 |
$1,420.80
|
|
Folic acid
|
$98.00 |
$98.00 |
$98.00 |
$101.50
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,717.41 |
$1,717.41 |
$1,717.41 |
$2,581.14
|
|
Fondaparinux sodium
|
$80.92 |
$80.92 |
$80.92 |
$185.12
|
|
Fo nontorsion joint cf
|
$230.50 |
$230.50 |
$230.50 |
$217.50
|
|
Foot X-ray
|
$293.50 |
$293.50 |
$293.50 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$185.08 |
$185.08 |
$185.08 |
$457.50
|
|
Foscarnet sodium injection
|
$1,458.38 |
$1,458.38 |
$1,458.38 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$106.25 |
$106.25 |
$106.25 |
$106.10
|
