|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,178.18 |
$3,178.18 |
$3,178.18 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$273.60 |
$273.60 |
$273.60 |
$967.04
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$296.58 |
$296.58 |
$296.58 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$364.08 |
$364.08 |
$364.08 |
$232.12
|
|
ER Visit (level 1, minor)
|
$155.40 |
$155.40 |
$155.40 |
$252.60
|
|
ER Visit (level 2)
|
$481.20 |
$481.20 |
$481.20 |
$463.00
|
|
ER Visit (level 3)
|
$776.40 |
$776.40 |
$776.40 |
$812.18
|
|
ER Visit (level 4)
|
$1,304.40 |
$1,304.40 |
$1,304.40 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$2,173.80 |
$2,173.80 |
$2,173.80 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$185.87 |
$185.87 |
$185.87 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$562.34 |
$562.34 |
$562.34 |
$516.71
|
|
Esophagus motility study
|
$1,623.00 |
$1,623.00 |
$1,623.00 |
$1,257.17
|
|
Esoph imped function test
|
$561.60 |
$561.60 |
$561.60 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$1,422.00 |
$1,422.00 |
$1,422.00 |
$1,121.40
|
|
Establish access to aorta
|
$1,686.00 |
$1,686.00 |
$1,686.00 |
$1,273.00
|
|
Established Patient Office Visit (level 1)
|
$204.00 |
$204.00 |
$204.00 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$198.60 |
$198.60 |
$198.60 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$210.00 |
$210.00 |
$210.00 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$240.00 |
$240.00 |
$240.00 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$270.00 |
$270.00 |
$270.00 |
$290.68
|
|
Estradiol total
|
$255.00 |
$255.00 |
$255.00 |
$152.10
|
|
Estrogens total-sendout
|
$66.00 |
$66.00 |
$66.00 |
$97.50
|
|
Ethylene glycol -sendout
|
$192.60 |
$192.60 |
$192.60 |
$86.04
|
|
Etoposide 20 mg/ml intravenous solution
|
$1.82 |
$1.82 |
$1.82 |
$235.20
|
|
Etoposide 50 mg cap
|
$46.45 |
$46.45 |
$46.45 |
$135.02
|
|
Euglobulin lysis
|
$144.00 |
$144.00 |
$144.00 |
$63.84
|
|
Eval aud rehab status/first hr 92626
|
$312.00 |
$312.00 |
$312.00 |
$329.59
|
|
Eval/fit voice prosthesis iii, st
|
$336.60 |
$336.60 |
$336.60 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$195.60 |
$195.60 |
$195.60 |
$213.15
|
|
Evaluation heart device
|
$2,616.60 |
$2,616.60 |
$2,616.60 |
$2,199.00
|
|
Evaluation of speech fluency 92521
|
$250.80 |
$250.80 |
$250.80 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$426.00 |
$426.00 |
$426.00 |
$318.24
|
|
Evasc prlng admn rx agnt 1st
|
$20,962.20 |
$20,962.20 |
$20,962.20 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$18,338.40 |
$18,338.40 |
$18,338.40 |
$2,803.24
|
|
Evasc rpr a-ao ndgft 34701
|
$13,642.80 |
$13,642.80 |
$13,642.80 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$20,464.20 |
$20,464.20 |
$20,464.20 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$20,464.20 |
$20,464.20 |
$20,464.20 |
$8,565.60
|
|
Evasc rpr a-unilac ndgft 34703
|
$13,642.80 |
$13,642.80 |
$13,642.80 |
$5,741.00
|
|
Evasc rpr a-unilac ndgft rpt
|
$20,464.20 |
$20,464.20 |
$20,464.20 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$13,642.80 |
$13,642.80 |
$13,642.80 |
$7,060.51
|
|
Evasc rpr ilio-iliac rpt
|
$20,464.20 |
$20,464.20 |
$20,464.20 |
$7,922.00
|
|
Evasc st rpr thrc/aa acrs br
|
$17,154.00 |
$17,154.00 |
$17,154.00 |
$5,225.35
|
|
Evasc st rpr thrc/aa x crsg
|
$17,154.00 |
$17,154.00 |
$17,154.00 |
$11,524.11
|
|
Event monitor
|
$634.80 |
$634.80 |
$634.80 |
$231.00
|
|
Evoked potentials auditory screening automated analysis
|
$552.60 |
$552.60 |
$552.60 |
$261.30
|
|
Evoked potentials upper limbs
|
$903.00 |
$903.00 |
$903.00 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$814.61
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,923.00 |
$1,923.00 |
$1,923.00 |
$2,271.01
|
|
Exchange biliary drg cath
|
$4,934.40 |
$4,934.40 |
$4,934.40 |
$3,856.84
|
|
Exchange blood transfusion newborn 36450
|
$273.00 |
$273.00 |
$273.00 |
$566.55
|
|
Exchange drainage catheter
|
$1,401.00 |
$1,401.00 |
$1,401.00 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$3,580.80 |
$3,580.80 |
$3,580.80 |
$2,958.80
|
|
Exercise tst brncspsm w/ecg
|
$245.40 |
$245.40 |
$245.40 |
$335.52
|
|
External chromosome analysis 20-25 cells
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$415.01
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$948.00 |
$948.00 |
$948.00 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$113.40 |
$113.40 |
$113.40 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$281.40 |
$281.40 |
$281.40 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$994.20 |
$994.20 |
$994.20 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$885.00 |
$885.00 |
$885.00 |
$1,320.00
|
|
F-18 fdg pet diag
|
$530.40 |
$530.40 |
$530.40 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$5,452.20 |
$5,452.20 |
$5,452.20 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$758.40 |
$758.40 |
$758.40 |
$1,042.30
|
|
Fabrication & fitting
|
$221.40 |
$221.40 |
$221.40 |
$182.27
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,176.20 |
$2,176.20 |
$2,176.20 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,270.20 |
$1,270.20 |
$1,270.20 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$281.40 |
$281.40 |
$281.40 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$310.80 |
$310.80 |
$310.80 |
$381.75
|
|
Factor ix
|
$127.80 |
$127.80 |
$127.80 |
$162.50
|
|
Factor ix non-recombinant
|
$3.45 |
$3.45 |
$3.45 |
$4.63
|
|
Factor ix recombinant nos
|
$3.46 |
$3.46 |
$3.46 |
$4.65
|
|
Factor viii
|
$187.80 |
$187.80 |
$187.80 |
$148.00
|
|
Factor viii fc fusion recomb
|
$3.87 |
$3.87 |
$3.87 |
$8.28
|
|
Factor viii recombinant nos
|
$3.30 |
$3.30 |
$3.30 |
$5.20
|
|
Family therapy without pt 50min 90846
|
$213.00 |
$213.00 |
$213.00 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$246.00 |
$246.00 |
$246.00 |
$236.70
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$47.09 |
$47.09 |
$47.09 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$71.40 |
$71.40 |
$71.40 |
$36.00
|
|
Fatty acids nonesterified
|
$102.60 |
$102.60 |
$102.60 |
$72.15
|
|
#fecal-sodium
|
$32.40 |
$32.40 |
$32.40 |
$37.53
|
|
Fem/popl revasc w/stent
|
$19,740.00 |
$19,740.00 |
$19,740.00 |
$16,129.60
|
|
Feno poc
|
$123.00 |
$123.00 |
$123.00 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$125.31 |
$125.31 |
$125.31 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,172.80 |
$2,172.80 |
$2,172.80 |
$2,590.25
|
|
Ferritin
|
$94.20 |
$94.20 |
$94.20 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,392.29 |
$1,392.29 |
$1,392.29 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$544.20 |
$544.20 |
$544.20 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$415.80 |
$415.80 |
$415.80 |
$477.50
|
|
Fetal fibronectin
|
$939.00 |
$939.00 |
$939.00 |
$389.95
|
|
Fetal fluid drainage w/us
|
$472.80 |
$472.80 |
$472.80 |
$612.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$60.00 |
$60.00 |
$60.00 |
$102.00
|
|
Fetal lung maturity assess lam body dnst
|
$64.80 |
$64.80 |
$64.80 |
$67.00
|
|
Fetal non stress test
|
$748.80 |
$748.80 |
$748.80 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$119.40 |
$119.40 |
$119.40 |
$120.64
|
|
Fibrin degradation products
|
$134.40 |
$134.40 |
$134.40 |
$75.02
|
|
Fibrin degrade semiquant
|
$136.80 |
$136.80 |
$136.80 |
$84.50
|
|
Fibrinogen activity
|
$146.40 |
$146.40 |
$146.40 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$151.20 |
$151.20 |
$151.20 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$68.40 |
$68.40 |
$68.40 |
$72.80
|
|
Fibrinolytic plasminogen
|
$172.20 |
$172.20 |
$172.20 |
$107.50
|