|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$12,816.58 |
$12,816.58 |
$12,816.58 |
$2,872.59
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$7,539.43 |
$7,539.43 |
$7,539.43 |
$67.20
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$135.21 |
$135.21 |
$135.21 |
$43.20
|
|
Enzyme histochemistry
|
$542.75 |
$542.75 |
$542.75 |
$506.35
|
|
Ep & ablate supravent arrhyt
|
$21,728.85 |
$21,728.85 |
$21,728.85 |
$30,975.00
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$63.80 |
$63.80 |
$63.80 |
$66.06
|
|
Epinephrine 1 mg/ml im kit - adult
|
$10.39 |
$10.39 |
$10.39 |
$10.76
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$950.62 |
$950.62 |
$950.62 |
$656.17
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$257.11 |
$257.11 |
$257.11 |
$336.66
|
|
Epstein barr early antigen antibody
|
$115.70 |
$115.70 |
$115.70 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$72.80 |
$72.80 |
$72.80 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$159.25 |
$159.25 |
$159.25 |
$112.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$422.50 |
$422.50 |
$422.50 |
$62.40
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,590.11 |
$3,590.11 |
$3,590.11 |
$3,590.11
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,528.17 |
$2,528.17 |
$2,528.17 |
$296.58
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$586.43 |
$586.43 |
$586.43 |
$138.28
|
|
ER Visit (level 1, minor)
|
$267.15 |
$267.15 |
$267.15 |
$270.00
|
|
ER Visit (level 2)
|
$430.95 |
$430.95 |
$430.95 |
$469.39
|
|
ER Visit (level 3)
|
$1,006.20 |
$1,006.20 |
$1,006.20 |
$821.52
|
|
ER Visit (level 4)
|
$1,892.92 |
$1,892.92 |
$1,892.92 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$4,887.09 |
$4,887.09 |
$4,887.09 |
$1,900.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,364.67 |
$1,364.67 |
$1,364.67 |
$406.83
|
|
Esoph egd dilation <30 mm
|
$4,481.52 |
$4,481.52 |
$4,481.52 |
$2,638.57
|
|
Established Patient Office Visit (level 1)
|
$120.25 |
$120.25 |
$120.25 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$133.25 |
$133.25 |
$133.25 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$160.55 |
$160.55 |
$160.55 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$198.25 |
$198.25 |
$198.25 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$248.30 |
$248.30 |
$248.30 |
$270.09
|
|
Estradiol total
|
$161.85 |
$161.85 |
$161.85 |
$142.20
|
|
Ethylene glycol -sendout
|
$198.25 |
$198.25 |
$198.25 |
$81.25
|
|
Etoposide 20 mg/ml intravenous solution
|
$230.16 |
$230.16 |
$230.16 |
$20.35
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$89.05 |
$89.05 |
$89.05 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$394.55 |
$394.55 |
$394.55 |
$347.75
|
|
Event monitor
|
$440.05 |
$440.05 |
$440.05 |
$228.60
|
|
Evoked oa emissions ltd
|
$218.40 |
$218.40 |
$218.40 |
$234.32
|
|
Exc ext ear/partial/simple repair 69110
|
$12,413.97 |
$12,413.97 |
$12,413.97 |
$3,167.89
|
|
Exchange lens prosthesis
|
$13,318.33 |
$13,318.33 |
$13,318.33 |
$4,504.00
|
|
Excise lesion testis
|
$11,176.09 |
$11,176.09 |
$11,176.09 |
$2,715.20
|
|
Excise lip or cheek fold
|
$11,372.30 |
$11,372.30 |
$11,372.30 |
$1,640.99
|
|
Excision of penis lesion(s) 54060
|
$9,507.76 |
$9,507.76 |
$9,507.76 |
$2,371.50
|
|
Exc rect tum transanal part
|
$10,232.55 |
$10,232.55 |
$10,232.55 |
$2,594.40
|
|
Exc vagina lesion 57135
|
$11,054.12 |
$11,054.12 |
$11,054.12 |
$3,783.19
|
|
Ex palate/uvula lesion without closure 42104
|
$9,665.57 |
$9,665.57 |
$9,665.57 |
$3,629.25
|
|
Exploration for testis
|
$11,976.73 |
$11,976.73 |
$11,976.73 |
$3,909.56
|
|
External chromosome analysis 20-25 cells
|
$1,110.85 |
$1,110.85 |
$1,110.85 |
$457.50
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$416.65 |
$416.65 |
$416.65 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$157.30 |
$157.30 |
$157.30 |
$102.50
|
|
F-18 fdg pet diag
|
$1,244.10 |
$1,244.10 |
$1,244.10 |
$750.58
|
|
Facial bones <3
|
$276.25 |
$276.25 |
$276.25 |
$216.45
|
|
Factor viii
|
$205.40 |
$205.40 |
$205.40 |
$152.50
|
|
Factor viii recombinant nos
|
$1,427.56 |
$1,427.56 |
$1,427.56 |
$3.30
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$5,800.72 |
$5,800.72 |
$5,800.72 |
$47.09
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$146.25 |
$146.25 |
$146.25 |
$48.88
|
|
Fern test
|
$58.50 |
$58.50 |
$58.50 |
$18.02
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$457.29 |
$457.29 |
$457.29 |
$2,131.58
|
|
Ferritin
|
$122.85 |
$122.85 |
$122.85 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,121.30 |
$3,121.30 |
$3,121.30 |
$2,289.60
|
|
Fetal hemoglobin (kleihauer betke)
|
$264.55 |
$264.55 |
$264.55 |
$59.85
|
|
Fetal hemoglobin rosette
|
$109.85 |
$109.85 |
$109.85 |
$48.35
|
|
Fetal non stress test
|
$654.55 |
$654.55 |
$654.55 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$119.60 |
$119.60 |
$119.60 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$155.35 |
$155.35 |
$155.35 |
$87.60
|
|
Fibrinogen activity
|
$76.05 |
$76.05 |
$76.05 |
$61.80
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$797.16 |
$797.16 |
$797.16 |
$492.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,209.01 |
$1,209.01 |
$1,209.01 |
$1,223.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$998.68 |
$998.68 |
$998.68 |
$998.68
|
|
Finasteride, 5 mg
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$3,118.70 |
$3,118.70 |
$3,118.70 |
$738.00
|
|
Flexible Sigmoidoscopy
|
$2,156.54 |
$2,156.54 |
$2,156.54 |
$1,278.72
|
|
Flow cytometry marker each additional
|
$92.95 |
$92.95 |
$92.95 |
$103.00
|
|
Flow cytometry one marker technical component
|
$245.05 |
$245.05 |
$245.05 |
$304.43
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$38.02 |
$38.02 |
$38.02 |
$48.56
|
|
Fluidotherapy charges pt
|
$55.25 |
$55.25 |
$55.25 |
$101.40
|
|
Fluoroguide needle placement
|
$717.60 |
$717.60 |
$717.60 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$235.30 |
$235.30 |
$235.30 |
$474.50
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$60.18 |
$60.18 |
$60.18 |
$73.16
|
|
Folic acid
|
$107.90 |
$107.90 |
$107.90 |
$85.50
|
|
Folic acid 5 mg/ml injection solution
|
$147.87 |
$147.87 |
$147.87 |
$3.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,243.15 |
$2,243.15 |
$2,243.15 |
$18.44
|
|
Fondaparinux sodium
|
$229.50 |
$229.50 |
$229.50 |
$121.83
|
|
Foot X-ray
|
$493.35 |
$493.35 |
$493.35 |
$339.50
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$118.30 |
$118.30 |
$118.30 |
$201.52
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$20.28 |
$20.28 |
$20.28 |
$66.38
|
|
Fragmenting of kidney stone
|
$16,967.74 |
$16,967.74 |
$16,967.74 |
$9,827.25
|
|
Frenectomy 41115
|
$12,462.48 |
$12,462.48 |
$12,462.48 |
$1,708.80
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$228.15 |
$228.15 |
$228.15 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$104.00 |
$104.00 |
$104.00 |
$217.30
|
|
Furosemide 10 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$263.01 |
$263.01 |
$263.01 |
$2.04
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$122.86 |
$122.86 |
$122.86 |
$15.60
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$599.78 |
$599.78 |
$599.78 |
$90.60
|
|
Gallbladder Removal (Laparoscopic)
|
$15,250.50 |
$15,250.50 |
$15,250.50 |
$6,870.89
|
|
Gammaglobulin iga
|
$100.10 |
$100.10 |
$100.10 |
$78.60
|
|
Gammaglobulin ige
|
$129.35 |
$129.35 |
$129.35 |
$87.10
|
|
Gamma glutamyltransferase
|
$46.80 |
$46.80 |
$46.80 |
$54.60
|
|
Gamunex-c/gammaked
|
$6,970.60 |
$6,970.60 |
$6,970.60 |
$100.40
|
|
Gemcitabine 1 gram intravenous solution
|
$88.76 |
$88.76 |
$88.76 |
$168.02
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$29.70 |
$29.70 |
$29.70 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$103.35 |
$103.35 |
$103.35 |
$114.00
|
