|
Drug of abuse screen urine
|
$28.00 |
$28.00 |
$28.00 |
$67.89
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$137.15 |
$137.15 |
$137.15 |
$278.85
|
|
Duragen 1x1 5ea/bx
|
$1,503.57 |
$1,503.57 |
$1,503.57 |
$10,564.87
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$171.82 |
$171.82 |
$171.82 |
$16,549.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$13,206.10 |
$13,206.10 |
$13,206.10 |
$8,445.90
|
|
Ear irrigation 69209
|
$108.00 |
$108.00 |
$108.00 |
$154.70
|
|
Ecg external > 48 hours up to 7 days recording
|
$219.70 |
$219.70 |
$219.70 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$458.25 |
$458.25 |
$458.25 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,527.50 |
$1,527.50 |
$1,527.50 |
$2,024.64
|
|
Echocardiograpy doppler follow up/limited study
|
$292.50 |
$292.50 |
$292.50 |
$371.25
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$18,199.20 |
$18,199.20 |
$18,199.20 |
$19,540.29
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$18,942.60 |
$18,942.60 |
$18,942.60 |
$13,130.61
|
|
EKG (Electrocardiogram)
|
$81.25 |
$81.25 |
$81.25 |
$89.60
|
|
EKG for initial prevent exam g0403
|
$49.00 |
$49.00 |
$49.00 |
$37.60
|
|
EKG interpret & report preve g0405
|
$30.55 |
$30.55 |
$30.55 |
$19.20
|
|
EKG tracing for initial prev
|
$62.40 |
$62.40 |
$62.40 |
$81.76
|
|
EKG (Tracing Only)
|
$1,219.00 |
$1,219.00 |
$1,219.00 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$237.25 |
$237.25 |
$237.25 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$327.60 |
$327.60 |
$327.60 |
$364.20
|
|
Electrd sq emblem s-icd
|
$7,374.87 |
$7,374.87 |
$7,374.87 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$81.25 |
$81.25 |
$81.25 |
$87.49
|
|
Electrolyte panel
|
$63.05 |
$63.05 |
$63.05 |
$79.30
|
|
Electron microscopy diagnostic
|
$455.00 |
$455.00 |
$455.00 |
$1,011.98
|
|
Elotuzumab 300 mg intravenous solution
|
$9,470.30 |
$9,470.30 |
$9,470.30 |
$5,761.81
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$42,858.30 |
$42,858.30 |
$42,858.30 |
$14,606.11
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$12,640.50 |
$12,640.50 |
$12,640.50 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$54.00 |
$54.00 |
$54.00 |
$112.79
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$50,429.90 |
$50,429.90 |
$50,429.90 |
$30,598.85
|
|
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
|
$655.40 |
$655.40 |
$655.40 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$35.20 |
$35.20 |
$35.20 |
$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
|
|
Epstein barr early antigen antibody
|
$94.25 |
$94.25 |
$94.25 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$107.90 |
$107.90 |
$107.90 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$1,879.00 |
$1,879.00 |
$1,879.00 |
$85.50
|
|
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
|
$184.00 |
$184.00 |
$184.00 |
$232.12
|
|
ER Visit (level 1, minor)
|
$341.25 |
$341.25 |
$341.25 |
$252.60
|
|
ER Visit (level 2)
|
$487.50 |
$487.50 |
$487.50 |
$463.00
|
|
ER Visit (level 3)
|
$1,772.00 |
$1,772.00 |
$1,772.00 |
$812.18
|
|
ER Visit (level 4)
|
$3,580.10 |
$3,580.10 |
$3,580.10 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$6,878.70 |
$6,878.70 |
$6,878.70 |
$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) IV wrapper osm only
|
$427.50 |
$427.50 |
$427.50 |
$516.71
|
|
Established Patient Office Visit (level 1)
|
$54.00 |
$54.00 |
$54.00 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$120.00 |
$120.00 |
$120.00 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$192.00 |
$192.00 |
$192.00 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$272.00 |
$272.00 |
$272.00 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$382.00 |
$382.00 |
$382.00 |
$290.68
|
|
Estradiol total
|
$154.70 |
$154.70 |
$154.70 |
$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
|
$208.65 |
$208.65 |
$208.65 |
$213.15
|
|
Exam pelvic add-on
|
$56.00 |
$56.00 |
$56.00 |
$46.85
|
|
Exc arm/elbo les sc <3cm 24075
|
$1,795.95 |
$1,795.95 |
$1,795.95 |
$2,532.80
|
|
Exc benign tal 0.5 < cm 11400
|
$275.60 |
$275.60 |
$275.60 |
$832.60
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$531.00 |
$531.00 |
$531.00 |
$1,501.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$263.90 |
$263.90 |
$263.90 |
$779.35
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$15,617.55 |
$15,617.55 |
$15,617.55 |
$2,865.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$4,420.32
|
|
Exc malig tal <0.5cm 11600
|
$654.00 |
$654.00 |
$654.00 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$758.00 |
$758.00 |
$758.00 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$812.00 |
$812.00 |
$812.00 |
$889.20
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
$1,294.80
|
|
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
|
|
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
|
$133.25 |
$133.25 |
$133.25 |
$109.00
|
|
Eye implant band 40
|
$1,141.56 |
$1,141.56 |
$1,141.56 |
$5,641.12
|
|
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)
|
$3,714.10 |
$3,714.10 |
$3,714.10 |
$2,821.87
|
|
Factor ix
|
$146.25 |
$146.25 |
$146.25 |
$162.50
|
|
Factor viii
|
$246.35 |
$246.35 |
$246.35 |
$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
|
$45.50 |
$45.50 |
$45.50 |
$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)
|
$53.25 |
$53.25 |
$53.25 |
$101.40
|
|
Fern test
|
$40.95 |
$40.95 |
$40.95 |
$37.03
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$5,262.00 |
$5,262.00 |
$5,262.00 |
$2,590.25
|
|
Ferritin
|
$107.25 |
$107.25 |
$107.25 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$712.85 |
$712.85 |
$712.85 |
$1,636.50
|
|
Fetal fibronectin
|
$442.00 |
$442.00 |
$442.00 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$48.75 |
$48.75 |
$48.75 |
$102.00
|
|
Fetal hemoglobin rosette
|
$81.90 |
$81.90 |
$81.90 |
$67.20
|
|
Fibrin degradation d dimer quantitative
|
$145.60 |
$145.60 |
$145.60 |
$120.64
|
|
Fibrinogen activity
|
$67.60 |
$67.60 |
$67.60 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$222.30 |
$222.30 |
$222.30 |
$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
|
$1,447.95 |
$1,447.95 |
$1,447.95 |
$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
|