|
Eptifibatide 0.75 mg/ml intravenous solution
|
$690.00 |
$690.00 |
$690.00 |
$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
|
$66.70 |
$66.70 |
$66.70 |
$232.12
|
|
ER Visit (level 1, minor)
|
$341.25 |
$341.25 |
$341.25 |
$252.60
|
|
ER Visit (level 2)
|
$615.32 |
$615.32 |
$615.32 |
$463.00
|
|
ER Visit (level 3)
|
$972.92 |
$972.92 |
$972.92 |
$812.18
|
|
ER Visit (level 4)
|
$2,448.55 |
$2,448.55 |
$2,448.55 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$5,452.20 |
$5,452.20 |
$5,452.20 |
$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
|
|
Established Patient Office Visit (level 1)
|
$35.10 |
$35.10 |
$35.10 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$304.20 |
$304.20 |
$304.20 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$297.05 |
$297.05 |
$297.05 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$659.10 |
$659.10 |
$659.10 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$1,023.75 |
$1,023.75 |
$1,023.75 |
$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
|
$1,421.55 |
$1,421.55 |
$1,421.55 |
$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
|
$1,313.65 |
$1,313.65 |
$1,313.65 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$516.00 |
$516.00 |
$516.00 |
$2,271.01
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$350.00 |
$350.00 |
$350.00 |
$779.35
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$403.00 |
$403.00 |
$403.00 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$457.60 |
$457.60 |
$457.60 |
$1,072.24
|
|
Exc malig feenl <0.5cm 11640
|
$354.90 |
$354.90 |
$354.90 |
$1,186.00
|
|
Exc malig tal <0.5cm 11600
|
$350.35 |
$350.35 |
$350.35 |
$973.71
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$450.45 |
$450.45 |
$450.45 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$512.20 |
$512.20 |
$512.20 |
$1,207.80
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,223.00 |
$2,223.00 |
$2,223.00 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,805.15 |
$2,805.15 |
$2,805.15 |
$4,101.67
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$133.25 |
$133.25 |
$133.25 |
$109.00
|
|
Eye implant band 40
|
$1,015.62 |
$1,015.62 |
$1,015.62 |
$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
|
|
Family therapy with patient 50 min 90847
|
$302.90 |
$302.90 |
$302.90 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$4.10 |
$4.10 |
$4.10 |
$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
|
|
Felbamate (felbatol(r)) - sendout
|
$65.00 |
$65.00 |
$65.00 |
$66.43
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$53.25 |
$53.25 |
$53.25 |
$101.40
|
|
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
|
$20,371.32 |
$20,371.32 |
$20,371.32 |
$7,358.16
|
|
Filter vena cava fem denali
|
$27,141.09 |
$27,141.09 |
$27,141.09 |
$3,718.18
|
|
Finger joint sz00 swanson w/grommets
|
$2,000.70 |
$2,000.70 |
$2,000.70 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$2,763.80 |
$2,763.80 |
$2,763.80 |
$241.50
|
|
Flow cytometry one marker technical component
|
$248.95 |
$248.95 |
$248.95 |
$285.00
|
|
Fludarabine 50 mg intravenous solution
|
$434.65 |
$434.65 |
$434.65 |
$493.35
|
|
Fluorescent antibody titer dna
|
$79.95 |
$79.95 |
$79.95 |
$123.65
|
|
Fluoroguide needle placement
|
$1,372.46 |
$1,372.46 |
$1,372.46 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$450.45 |
$450.45 |
$450.45 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$147.00 |
$147.00 |
$147.00 |
$107.00
|
|
Folic acid
|
$94.25 |
$94.25 |
$94.25 |
$101.50
|
|
Foot drp splt w/exp heel lg
|
$342.66 |
$342.66 |
$342.66 |
$143.14
|
|
Foot X-ray
|
$339.30 |
$339.30 |
$339.30 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$270.40 |
$270.40 |
$270.40 |
$290.40
|
|
Forearm X-ray (both sides)
|
$828.10 |
$828.10 |
$828.10 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,539.00 |
$1,539.00 |
$1,539.00 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$150.40 |
$150.40 |
$150.40 |
$103.62
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$337.35 |
$337.35 |
$337.35 |
$155.25
|
|
Fructosamine glycated protein
|
$69.55 |
$69.55 |
$69.55 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$230.10 |
$230.10 |
$230.10 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$3.00 |
$3.00 |
$3.00 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$6.75 |
$6.75 |
$6.75 |
$26.40
|
|
G0180 home health certification
|
$155.00 |
$155.00 |
$155.00 |
$116.00
|
|
Ga-67 gallium 0.1 mci
|
$253.10 |
$253.10 |
$253.10 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$15,600.00 |
$15,600.00 |
$15,600.00 |
$140.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$591.40 |
$591.40 |
$591.40 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$231.00 |
$231.00 |
$231.00 |
$120.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,440.40 |
$1,440.40 |
$1,440.40 |
$1,615.00
|
|
Gammaglobulin iga
|
$81.90 |
$81.90 |
$81.90 |
$69.60
|
|
Gammaglobulin ige
|
$83.85 |
$83.85 |
$83.85 |
$83.85
|
|
Gamma glutamyltransferase
|
$870.35 |
$870.35 |
$870.35 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$138.00 |
$138.00 |
$138.00 |
$197.40
|
|
Gemcitabine 1 gram intravenous solution
|
$540.20 |
$540.20 |
$540.20 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$31,504.65 |
$31,504.65 |
$31,504.65 |
$19,305.62
|
|
General health panel
|
$263.25 |
$263.25 |
$263.25 |
$262.44
|
|
Generator barostim neo2 2014
|
$52,159.90 |
$52,159.90 |
$52,159.90 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$26,000.00 |
$26,000.00 |
$26,000.00 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$43,712.50 |
$43,712.50 |
$43,712.50 |
$66,636.36
|