|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$50,429.90 |
$50,429.90 |
$50,429.90 |
$30,598.85
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,695.20 |
$1,695.20 |
$1,695.20 |
$1,182.00
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$58.00 |
$58.00 |
$58.00 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$50.40 |
$50.40 |
$50.40 |
$31.76
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$919.80 |
$919.80 |
$919.80 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$487.50 |
$487.50 |
$487.50 |
$33.60
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$1,405.00 |
$1,405.00 |
$1,405.00 |
$256.27
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$2,079.00 |
$2,079.00 |
$2,079.00 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$4,916.35 |
$4,916.35 |
$4,916.35 |
$1,329.09
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$156.15 |
$156.15 |
$156.15 |
$129.30
|
|
Epstein barr early antigen antibody
|
$104.00 |
$104.00 |
$104.00 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$141.05 |
$141.05 |
$141.05 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$166.40 |
$166.40 |
$166.40 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$209.50 |
$209.50 |
$209.50 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$10,020.45 |
$10,020.45 |
$10,020.45 |
$3,838.45
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$7,050.00 |
$7,050.00 |
$7,050.00 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$138.00 |
$138.00 |
$138.00 |
$232.12
|
|
ER Visit (level 1, minor)
|
$420.00 |
$420.00 |
$420.00 |
$252.60
|
|
ER Visit (level 2)
|
$763.00 |
$763.00 |
$763.00 |
$463.00
|
|
ER Visit (level 3)
|
$1,785.00 |
$1,785.00 |
$1,785.00 |
$812.18
|
|
ER Visit (level 4)
|
$3,491.30 |
$3,491.30 |
$3,491.30 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$7,518.00 |
$7,518.00 |
$7,518.00 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$125.40 |
$125.40 |
$125.40 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$271.25 |
$271.25 |
$271.25 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$427.50 |
$427.50 |
$427.50 |
$516.71
|
|
Esophagus motility study
|
$765.70 |
$765.70 |
$765.70 |
$1,257.17
|
|
Esoph egd dilation <30 mm
|
$16,883.97 |
$16,883.97 |
$16,883.97 |
$2,656.80
|
|
Esoph imped funct test > 1hr
|
$1,359.15 |
$1,359.15 |
$1,359.15 |
$1,121.40
|
|
Established Patient Office Visit (level 1)
|
$25.00 |
$25.00 |
$25.00 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$76.00 |
$76.00 |
$76.00 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$141.00 |
$141.00 |
$141.00 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$209.00 |
$209.00 |
$209.00 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$307.00 |
$307.00 |
$307.00 |
$290.68
|
|
Estradiol total
|
$232.05 |
$232.05 |
$232.05 |
$152.10
|
|
Etoposide 20 mg/ml intravenous solution
|
$174.75 |
$174.75 |
$174.75 |
$235.20
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$108.55 |
$108.55 |
$108.55 |
$213.15
|
|
Evaluation psychiatric diagnostic
|
$585.00 |
$585.00 |
$585.00 |
$318.24
|
|
Exc/crtg b1 cst/b9 tum rds
|
$1,850.00 |
$1,850.00 |
$1,850.00 |
$2,617.60
|
|
Exc hand tum deep < 1.5 cm 26116
|
$18,609.35 |
$18,609.35 |
$18,609.35 |
$2,391.84
|
|
Exchange lens prosthesis
|
$27,454.70 |
$27,454.70 |
$27,454.70 |
$4,504.00
|
|
Excision olecranon bursa
|
$24,143.38 |
$24,143.38 |
$24,143.38 |
$3,591.33
|
|
Exc leg/ankle tum dep 5 cm/ > 27634
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
$3,531.45
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$29,566.40 |
$29,566.40 |
$29,566.40 |
$4,425.20
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$27,000.20 |
$27,000.20 |
$27,000.20 |
$4,019.60
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$1,917.33
|
|
Exc tendon sheath or cap lesion 26160
|
$17,479.03 |
$17,479.03 |
$17,479.03 |
$2,797.08
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$27,927.82 |
$27,927.82 |
$27,927.82 |
$2,054.40
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,420.11 |
$2,420.11 |
$2,420.11 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,952.42 |
$2,952.42 |
$2,952.42 |
$4,101.67
|
|
Explore/treat finger joint
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$2,480.83
|
|
Explore/treat knee joint
|
$1,654.00 |
$1,654.00 |
$1,654.00 |
$4,386.51
|
|
Ext ecg>48hr<7d rev&interpj
|
$80.00 |
$80.00 |
$80.00 |
$57.00
|
|
Ext ecg>7d<15d rev&interpj
|
$87.00 |
$87.00 |
$87.00 |
$63.20
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$61.10 |
$61.10 |
$61.10 |
$63.70
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$148.85 |
$148.85 |
$148.85 |
$109.00
|
|
Eye implant band 40
|
$1,141.56 |
$1,141.56 |
$1,141.56 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$559.65 |
$559.65 |
$559.65 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,788.15 |
$1,788.15 |
$1,788.15 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,609.40 |
$1,609.40 |
$1,609.40 |
$1,320.00
|
|
F-18 fdg pet diag
|
$1,768.20 |
$1,768.20 |
$1,768.20 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$15,145.00 |
$15,145.00 |
$15,145.00 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$27,455.00 |
$27,455.00 |
$27,455.00 |
$1,042.30
|
|
F-18 sodium fluoride
|
$1,391.25 |
$1,391.25 |
$1,391.25 |
$492.56
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,576.30 |
$3,576.30 |
$3,576.30 |
$2,821.87
|
|
Facial Bones X-ray (complete)
|
$559.65 |
$559.65 |
$559.65 |
$381.75
|
|
Factor ix
|
$340.60 |
$340.60 |
$340.60 |
$162.50
|
|
Factor viii
|
$153.40 |
$153.40 |
$153.40 |
$148.00
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$4.15 |
$4.15 |
$4.15 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$9,722.40 |
$9,722.40 |
$9,722.40 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$48.75 |
$48.75 |
$48.75 |
$36.00
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$28,233.45 |
$28,233.45 |
$28,233.45 |
$14,956.68
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$165.00 |
$165.00 |
$165.00 |
$101.40
|
|
Fern test
|
$55.25 |
$55.25 |
$55.25 |
$37.03
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$5,262.00 |
$5,262.00 |
$5,262.00 |
$2,590.25
|
|
Ferritin
|
$65.00 |
$65.00 |
$65.00 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,333.80 |
$1,333.80 |
$1,333.80 |
$1,636.50
|
|
Fetal fibronectin
|
$468.00 |
$468.00 |
$468.00 |
$389.95
|
|
Fibrin degradation d dimer quantitative
|
$85.15 |
$85.15 |
$85.15 |
$120.64
|
|
Fibrinogen activity
|
$66.95 |
$66.95 |
$66.95 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$268.45 |
$268.45 |
$268.45 |
$61.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,611.50 |
$1,611.50 |
$1,611.50 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2,444.10 |
$2,444.10 |
$2,444.10 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,018.90 |
$2,018.90 |
$2,018.90 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$17,509.15 |
$17,509.15 |
$17,509.15 |
$7,358.16
|
|
Filter vena cava fem denali
|
$23,327.77 |
$23,327.77 |
$23,327.77 |
$3,718.18
|
|
Finger joint sz00 swanson w/grommets
|
$2,105.74 |
$2,105.74 |
$2,105.74 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$455.65 |
$455.65 |
$455.65 |
$241.50
|
|
Fixation of knee joint
|
$12,238.30 |
$12,238.30 |
$12,238.30 |
$1,963.35
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$19,878.65 |
$19,878.65 |
$19,878.65 |
$4,499.12
|
|
Flexible Sigmoidoscopy
|
$204.00 |
$204.00 |
$204.00 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$100.75 |
$100.75 |
$100.75 |
$97.50
|
|
Flow cytometry one marker technical component
|
$457.60 |
$457.60 |
$457.60 |
$285.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$74.00 |
$74.00 |
$74.00 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$434.65 |
$434.65 |
$434.65 |
$493.35
|
|
Fluidotherapy charges pt
|
$2,584.00 |
$2,584.00 |
$2,584.00 |
$101.40
|
|
Fluorescent antibody titer dna
|
$349.05 |
$349.05 |
$349.05 |
$123.65
|
|
Fluoroguide needle placement
|
$2,216.50 |
$2,216.50 |
$2,216.50 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$34,853.30 |
$34,853.30 |
$34,853.30 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$147.00 |
$147.00 |
$147.00 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$23.10 |
$23.10 |
$23.10 |
$72.52
|