|
Embo or occlude vascular arterial s&i
|
$10,545.00 |
$10,545.00 |
$10,545.00 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$10,545.00 |
$10,545.00 |
$10,545.00 |
$15,266.94
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$16,999.80 |
$16,999.80 |
$16,999.80 |
$16,381.78
|
|
Embo or occlude vascular venous s&i
|
$9,915.60 |
$9,915.60 |
$9,915.60 |
$15,873.70
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$1,038.00 |
$1,038.00 |
$1,038.00 |
$447.50
|
|
Endoluminal bx urtr rnl plvs
|
$1,817.40 |
$1,817.40 |
$1,817.40 |
$2,020.20
|
|
Endovenous mchnchem 1st vein
|
$7,716.60 |
$7,716.60 |
$7,716.60 |
$5,134.35
|
|
Endovenous mchnchem add-on
|
$5,790.00 |
$5,790.00 |
$5,790.00 |
$2,203.63
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$234.90 |
$234.90 |
$234.90 |
$67.20
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$46.47 |
$46.47 |
$46.47 |
$43.20
|
|
Entamoeba histolytica ag eia - sendout
|
$185.40 |
$185.40 |
$185.40 |
$68.90
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$4,847.57 |
$4,847.57 |
$4,847.57 |
$161.59
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,074.20 |
$1,074.20 |
$1,074.20 |
$336.66
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,519.32 |
$1,519.32 |
$1,519.32 |
$379.58
|
|
Epstein barr early antigen antibody
|
$115.80 |
$115.80 |
$115.80 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$133.20 |
$133.20 |
$133.20 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$159.00 |
$159.00 |
$159.00 |
$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)
|
$310.20 |
$310.20 |
$310.20 |
$270.00
|
|
ER Visit (level 2)
|
$531.00 |
$531.00 |
$531.00 |
$469.39
|
|
ER Visit (level 3)
|
$885.60 |
$885.60 |
$885.60 |
$821.52
|
|
ER Visit (level 4)
|
$1,855.80 |
$1,855.80 |
$1,855.80 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$2,920.20 |
$2,920.20 |
$2,920.20 |
$1,900.20
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$272.94 |
$272.94 |
$272.94 |
$195.33
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$562.34 |
$562.34 |
$562.34 |
$406.83
|
|
Established Patient Office Visit (level 1)
|
$805.20 |
$805.20 |
$805.20 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$885.60 |
$885.60 |
$885.60 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$966.60 |
$966.60 |
$966.60 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$1,126.80 |
$1,126.80 |
$1,126.80 |
$270.09
|
|
Estradiol total
|
$204.60 |
$204.60 |
$204.60 |
$142.20
|
|
Estrogens total-sendout
|
$235.20 |
$235.20 |
$235.20 |
$111.00
|
|
Ethanolamine oleate 100 mg
|
$256.53 |
$256.53 |
$256.53 |
$1,597.69
|
|
Ethylene glycol -sendout
|
$195.00 |
$195.00 |
$195.00 |
$81.25
|
|
Etoposide 20 mg/ml intravenous solution
|
$1.82 |
$1.82 |
$1.82 |
$20.35
|
|
Euglobulin lysis
|
$193.80 |
$193.80 |
$193.80 |
$37.70
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$185.40 |
$185.40 |
$185.40 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$121.80 |
$121.80 |
$121.80 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$393.60 |
$393.60 |
$393.60 |
$325.65
|
|
Event monitor
|
$999.00 |
$999.00 |
$999.00 |
$228.60
|
|
Evoked oa emissions ltd
|
$133.20 |
$133.20 |
$133.20 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$133.20 |
$133.20 |
$133.20 |
$328.16
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$4,402.20 |
$4,402.20 |
$4,402.20 |
$1,967.25
|
|
Exc prtl bn phlnx toe
|
$5,713.80 |
$5,713.80 |
$5,713.80 |
$3,122.93
|
|
Exercise tst brncspsm w/ecg
|
$273.60 |
$273.60 |
$273.60 |
$297.73
|
|
External chromosome analysis 20-25 cells
|
$924.00 |
$924.00 |
$924.00 |
$457.50
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$853.20 |
$853.20 |
$853.20 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$180.60 |
$180.60 |
$180.60 |
$102.50
|
|
F-18 fdg pet diag
|
$218.40 |
$218.40 |
$218.40 |
$750.58
|
|
F-18 florbetapir less than or equal to 10 mci
|
$6,387.60 |
$6,387.60 |
$6,387.60 |
$5,224.83
|
|
Facial bones <3
|
$208.20 |
$208.20 |
$208.20 |
$216.45
|
|
Factor ix
|
$399.00 |
$399.00 |
$399.00 |
$139.75
|
|
Factor ix complex
|
$3.23 |
$3.23 |
$3.23 |
$3.23
|
|
Factor viii
|
$487.80 |
$487.80 |
$487.80 |
$152.50
|
|
Family therapy without pt 50min 90846
|
$309.00 |
$309.00 |
$309.00 |
$230.40
|
|
Family therapy with patient 50 min 90847
|
$309.00 |
$309.00 |
$309.00 |
$224.80
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$47.09 |
$47.09 |
$47.09 |
$47.09
|
|
Fat/lipids feces qualitative
|
$159.60 |
$159.60 |
$159.60 |
$43.66
|
|
Fatty acids nonesterified
|
$132.60 |
$132.60 |
$132.60 |
$64.28
|
|
#fecal-sodium
|
$92.40 |
$92.40 |
$92.40 |
$40.30
|
|
Fem/popl revasc w/stent
|
$26,511.00 |
$26,511.00 |
$26,511.00 |
$21,553.12
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$80.94 |
$80.94 |
$80.94 |
$48.88
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,172.80 |
$2,172.80 |
$2,172.80 |
$2,131.58
|
|
Ferritin
|
$225.60 |
$225.60 |
$225.60 |
$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 contract stress test 59020 - 26
|
$477.00 |
$477.00 |
$477.00 |
$555.60
|
|
Fetal fibronectin
|
$694.20 |
$694.20 |
$694.20 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$105.60 |
$105.60 |
$105.60 |
$59.85
|
|
Fetal hemoglobin rosette
|
$112.20 |
$112.20 |
$112.20 |
$48.35
|
|
Fetal lung maturity assess lam body dnst
|
$88.80 |
$88.80 |
$88.80 |
$64.28
|
|
Fetal non stress test
|
$835.80 |
$835.80 |
$835.80 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$277.20 |
$277.20 |
$277.20 |
$87.60
|
|
Fibrin degradation products
|
$201.60 |
$201.60 |
$201.60 |
$56.16
|
|
Fibrin degrade semiquant
|
$182.40 |
$182.40 |
$182.40 |
$88.00
|
|
Fibrinogen activity
|
$191.40 |
$191.40 |
$191.40 |
$61.80
|
|
Fibrinolytic antiplasmin
|
$209.40 |
$209.40 |
$209.40 |
$68.40
|
|
Fibrinolytic plasminogen
|
$266.40 |
$266.40 |
$266.40 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$186.60 |
$186.60 |
$186.60 |
$70.80
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,241.66 |
$1,241.66 |
$1,241.66 |
$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
|
$2,010.00 |
$2,010.00 |
$2,010.00 |
$1,070.00
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$2,010.00 |
$2,010.00 |
$2,010.00 |
$612.97
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,968.00 |
$1,968.00 |
$1,968.00 |
$738.00
|
|
Fine needle asp without image guide 10021
|
$1,015.80 |
$1,015.80 |
$1,015.80 |
$547.53
|
|
Fl exam g/colon tube w contrast
|
$904.20 |
$904.20 |
$904.20 |
$522.75
|
|
Flow cytometry marker each additional
|
$160.20 |
$160.20 |
$160.20 |
$103.00
|
|
Flow cytometry one marker technical component
|
$241.20 |
$241.20 |
$241.20 |
$304.43
|
|
Flt3 gene
|
$327.60 |
$327.60 |
$327.60 |
$355.00
|
|
Flt3 gene analysis
|
$246.60 |
$246.60 |
$246.60 |
$262.80
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$132.67 |
$132.67 |
$132.67 |
$48.56
|
|
Fludarabine 50 mg intravenous solution
|
$301.45 |
$301.45 |
$301.45 |
$417.96
|
|
Fluidotherapy charges pt
|
$139.20 |
$139.20 |
$139.20 |
$101.40
|
|
Fluorescent antibody titer dna
|
$243.60 |
$243.60 |
$243.60 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$276.00 |
$276.00 |
$276.00 |
$497.25
|
|
Fluoroguide needle placement
|
$276.00 |
$276.00 |
$276.00 |
$510.00
|
