|
Ecg external < 48 hours recording
|
$451.10 |
$451.10 |
$451.10 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$500.50 |
$500.50 |
$500.50 |
$541.20
|
|
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
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$910.00 |
$910.00 |
$910.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$341.25 |
$341.25 |
$341.25 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,943.50 |
$1,943.50 |
$1,943.50 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$696.15 |
$696.15 |
$696.15 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$292.50 |
$292.50 |
$292.50 |
$371.25
|
|
Echo stress
|
$1,406.20 |
$1,406.20 |
$1,406.20 |
$1,609.44
|
|
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
|
|
Egd remove lesion snare
|
$7,872.90 |
$7,872.90 |
$7,872.90 |
$2,597.25
|
|
EKG (Tracing Only)
|
$536.00 |
$536.00 |
$536.00 |
$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
|
|
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
|
|
Endoscopy swallow (fees) vid
|
$594.10 |
$594.10 |
$594.10 |
$402.35
|
|
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
|
$37.65 |
$37.65 |
$37.65 |
$112.79
|
|
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
|
$3,521.70 |
$3,521.70 |
$3,521.70 |
$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
|
$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
|
$120.90 |
$120.90 |
$120.90 |
$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
|
$66.70 |
$66.70 |
$66.70 |
$232.12
|
|
ER Visit (level 1, minor)
|
$525.00 |
$525.00 |
$525.00 |
$252.60
|
|
ER Visit (level 2)
|
$1,081.55 |
$1,081.55 |
$1,081.55 |
$463.00
|
|
ER Visit (level 3)
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$812.18
|
|
ER Visit (level 4)
|
$3,661.00 |
$3,661.00 |
$3,661.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$5,847.25 |
$5,847.25 |
$5,847.25 |
$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)
|
$917.20 |
$917.20 |
$917.20 |
$122.20
|
|
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
|
$154.70 |
$154.70 |
$154.70 |
$152.10
|
|
Etoposide 20 mg/ml intravenous solution
|
$174.75 |
$174.75 |
$174.75 |
$235.20
|
|
Eval/fit voice prosthesis iii, st
|
$223.60 |
$223.60 |
$223.60 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$208.65 |
$208.65 |
$208.65 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$185.90 |
$185.90 |
$185.90 |
$302.50
|
|
Evok oa screening qual
|
$177.45 |
$177.45 |
$177.45 |
$109.13
|
|
Exc arm/elbo les sc >=3cm 24071
|
$7,063.35 |
$7,063.35 |
$7,063.35 |
$4,529.20
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$18,711.87 |
$18,711.87 |
$18,711.87 |
$3,483.00
|
|
Exc face tum deep 2cm/> 21014
|
$1,801.00 |
$1,801.00 |
$1,801.00 |
$3,421.60
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$11,406.10 |
$11,406.10 |
$11,406.10 |
$3,484.00
|
|
Exc forearm les sc 3 cm/>
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$3,628.50
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$11,126.45 |
$11,126.45 |
$11,126.45 |
$2,865.00
|
|
Excision olecranon bursa
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$3,591.33
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$8,460.30 |
$8,460.30 |
$8,460.30 |
$1,294.80
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$953.00 |
$953.00 |
$953.00 |
$3,386.84
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$11,050.15 |
$11,050.15 |
$11,050.15 |
$4,160.80
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$7,159.35 |
$7,159.35 |
$7,159.35 |
$2,924.22
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$13,010.50 |
$13,010.50 |
$13,010.50 |
$4,019.60
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$10,627.75 |
$10,627.75 |
$10,627.75 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$6,699.50 |
$6,699.50 |
$6,699.50 |
$2,797.08
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$13,669.23 |
$13,669.23 |
$13,669.23 |
$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
|
|
External chromosome analysis 20-25 cells
|
$469.30 |
$469.30 |
$469.30 |
$415.01
|
|
External newborn metabolic screening panel
|
$92.30 |
$92.30 |
$92.30 |
$109.76
|
|
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
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,722.50 |
$1,722.50 |
$1,722.50 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,524.90 |
$1,524.90 |
$1,524.90 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$2,244.00 |
$2,244.00 |
$2,244.00 |
$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)
|
$3,714.10 |
$3,714.10 |
$3,714.10 |
$2,821.87
|
|
Facial Bones X-ray (complete)
|
$401.70 |
$401.70 |
$401.70 |
$381.75
|
|
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
|
$3.00 |
$3.00 |
$3.00 |
$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
|
|
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
|