|
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
|
|
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
|
$108.00 |
$108.00 |
$108.00 |
$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
|
$305.00 |
$305.00 |
$305.00 |
$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
|
$138.00 |
$138.00 |
$138.00 |
$232.12
|
|
ER Visit (level 1, minor)
|
$341.25 |
$341.25 |
$341.25 |
$252.60
|
|
ER Visit (level 2)
|
$965.00 |
$965.00 |
$965.00 |
$463.00
|
|
ER Visit (level 3)
|
$602.55 |
$602.55 |
$602.55 |
$812.18
|
|
ER Visit (level 4)
|
$3,125.00 |
$3,125.00 |
$3,125.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$5,874.00 |
$5,874.00 |
$5,874.00 |
$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) IV wrapper osm only
|
$427.50 |
$427.50 |
$427.50 |
$516.71
|
|
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)
|
$235.30 |
$235.30 |
$235.30 |
$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
|
|
Event monitor
|
$307.45 |
$307.45 |
$307.45 |
$231.00
|
|
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
|
|
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
|
$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 (Orbit) X-ray
|
$507.65 |
$507.65 |
$507.65 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,458.60 |
$1,458.60 |
$1,458.60 |
$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 (1 to 2 views)
|
$323.05 |
$323.05 |
$323.05 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$401.70 |
$401.70 |
$401.70 |
$381.75
|
|
Family therapy without pt 50min 90846
|
$282.75 |
$282.75 |
$282.75 |
$244.07
|
|
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
|
$4.00 |
$4.00 |
$4.00 |
$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
|
|
Fatty acids nonesterified
|
$81.25 |
$81.25 |
$81.25 |
$72.15
|
|
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
|
|
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
|
|
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
|
|
Finger X-ray (both hands)
|
$282.75 |
$282.75 |
$282.75 |
$241.50
|
|
Flow cytometry marker each additional
|
$85.15 |
$85.15 |
$85.15 |
$97.50
|
|
Flow cytometry one marker technical component
|
$248.95 |
$248.95 |
$248.95 |
$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
|
|
Fluorescent antibody titer dna
|
$79.95 |
$79.95 |
$79.95 |
$123.65
|
|
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
|
|
Folic acid
|
$94.25 |
$94.25 |
$94.25 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$106.00 |
$106.00 |
$106.00 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$6,898.50 |
$6,898.50 |
$6,898.50 |
$2,511.73
|
|
Foot drp splt w/exp heel lg
|
$275.11 |
$275.11 |
$275.11 |
$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)
|
$349.05 |
$349.05 |
$349.05 |
$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
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$144.95 |
$144.95 |
$144.95 |
$164.84
|
|
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
|
$48.25 |
$48.25 |
$48.25 |
$26.40
|
|
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
|