|
Electron microscopy diagnostic
|
$540.40 |
$540.40 |
$728.00 |
|
|
Electrophysiology evaluation
|
$13,249.60 |
$13,249.60 |
$13,249.60 |
|
|
Electrophysiology evaluation
|
$9,322.95 |
$9,322.95 |
$9,322.95 |
|
|
Electrophysiology evaluation
|
$5,677.10 |
$5,677.10 |
$5,677.10 |
|
|
Electrophysiology evaluation
|
$458.90 |
$458.90 |
$1,158.80 |
|
|
Electrophys map 3d add-on
|
$4,038.45 |
$4,038.45 |
$4,038.45 |
|
|
Embolization s&i
|
$1,667.20 |
$1,667.20 |
$1,667.20 |
|
|
Embo or occlude vascular arterial s&i
|
$3,692.00 |
$3,692.00 |
$3,692.00 |
|
|
Encephalitis, western equine igg/igm
|
$96.00 |
$96.00 |
$96.00 |
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$4,648.00 |
$4,648.00 |
$4,648.00 |
|
|
Endo cath bile duct s&i
|
$856.80 |
$856.80 |
$856.80 |
|
|
Endoluminl ivus oct c 1st
|
$3,222.00 |
$3,222.00 |
$5,870.15 |
|
|
Endoluminl ivus oct c ea
|
$1,909.70 |
$1,909.70 |
$1,909.70 |
|
|
Endoscopy maxillary sinus
|
$16,470.48 |
$16,470.48 |
$16,470.48 |
|
|
Endoscopy swallow (fees) vid
|
$176.40 |
$176.40 |
$603.85 |
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$12,816.58 |
$12,816.58 |
$12,816.58 |
|
|
Endovenous rf abl vein addl
|
$2,002.40 |
$2,002.40 |
$2,002.40 |
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$7,539.43 |
$7,539.43 |
$7,539.43 |
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$135.21 |
$135.21 |
$135.21 |
|
|
Enzyme histochemistry
|
$542.75 |
$542.75 |
$542.75 |
|
|
Ep & ablate supravent arrhyt
|
$21,728.85 |
$21,728.85 |
$21,728.85 |
|
|
Epidural/lumbar/sacral/ea add level64484
|
$716.80 |
$716.80 |
$752.80 |
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$63.80 |
$63.80 |
$63.80 |
|
|
Epinephrine 1 mg/ml im kit - adult
|
$10.39 |
$10.39 |
$10.39 |
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$950.62 |
$950.62 |
$950.62 |
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$1,933.20 |
$1,933.20 |
$1,933.20 |
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$257.11 |
$257.11 |
$257.11 |
|
|
Epstein barr early antigen antibody
|
$51.60 |
$113.60 |
$115.70 |
|
|
Epstein barr nuclear antigen antibody
|
$72.80 |
$76.40 |
$78.80 |
|
|
Epstein barr viral capsid antigen antibody igm
|
$51.60 |
$80.00 |
$159.25 |
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$422.50 |
$422.50 |
$422.50 |
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,590.11 |
$3,590.11 |
$3,590.11 |
|
|
Ercp biliary & pancreas
|
$847.20 |
$847.20 |
$847.20 |
|
|
Ercp remove duct calculi 43264
|
$1,839.20 |
$1,839.20 |
$1,839.20 |
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,528.17 |
$2,528.17 |
$2,528.17 |
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$586.43 |
$586.43 |
$586.43 |
|
|
ER Visit (level 1, minor)
|
$100.80 |
$153.60 |
$267.15 |
|
|
ER Visit (level 2)
|
$157.60 |
$316.00 |
$430.95 |
|
|
ER Visit (level 3)
|
$242.00 |
$457.60 |
$1,006.20 |
|
|
ER Visit (level 4)
|
$412.80 |
$855.60 |
$1,892.92 |
|
|
ER Visit (level 5, high severity)
|
$640.80 |
$1,585.20 |
$4,887.09 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,364.67 |
$1,364.67 |
$1,364.67 |
|
|
Esophageal dilat s&i
|
$422.00 |
$422.00 |
$422.00 |
|
|
Esophagoscopy/flex/diagnostic 43200
|
$606.00 |
$606.00 |
$606.00 |
|
|
Esoph egd dilation <30 mm
|
$4,481.52 |
$4,481.52 |
$4,481.52 |
|
|
Established Patient Office Visit (level 1)
|
$63.60 |
$120.25 |
$198.40 |
|
|
Established Patient Office Visit (level 2)
|
$95.20 |
$133.25 |
$152.80 |
|
|
Established Patient Office Visit (level 3)
|
$116.00 |
$160.55 |
$3,724.40 |
|
|
Established Patient Office Visit (level 4)
|
$137.20 |
$198.25 |
$263.20 |
|
|
Established Patient Office Visit (level 5)
|
$158.40 |
$248.30 |
$313.60 |
|
|
Estradiol total
|
$103.20 |
$138.00 |
$161.85 |
|
|
Estrogens total-sendout
|
$205.20 |
$205.20 |
$205.20 |
|
|
Ethylene glycol -sendout
|
$198.25 |
$198.25 |
$198.25 |
|
|
Etoposide 20 mg/ml intravenous solution
|
$230.16 |
$230.16 |
$230.16 |
|
|
Eval/fit voice prosthesis iii, st
|
$114.80 |
$114.80 |
$123.20 |
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$72.00 |
$72.00 |
$89.05 |
|
|
Evaluation heart device
|
$874.40 |
$874.40 |
$874.40 |
|
|
Evaluation of speech fluency 92521
|
$155.60 |
$211.20 |
$394.55 |
|
|
Evaluation psychiatric diagnostic
|
$86.40 |
$86.40 |
$145.20 |
|
|
Event monitor
|
$160.00 |
$160.00 |
$440.05 |
|
|
Evoked oa emissions ltd
|
$218.40 |
$218.40 |
$218.40 |
|
|
Exc benign tal 0.5 < cm 11400
|
$578.00 |
$578.00 |
$578.00 |
|
|
Exc ext ear/partial/simple repair 69110
|
$12,413.97 |
$12,413.97 |
$12,413.97 |
|
|
Exchange drainage catheter
|
$845.20 |
$845.20 |
$845.20 |
|
|
Exchange lens prosthesis
|
$13,318.33 |
$13,318.33 |
$13,318.33 |
|
|
Exchange nephrostomy cath
|
$1,219.60 |
$1,219.60 |
$1,219.60 |
|
|
Excise lesion testis
|
$11,176.09 |
$11,176.09 |
$11,176.09 |
|
|
Excise lip or cheek fold
|
$11,372.30 |
$11,372.30 |
$11,372.30 |
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,001.20 |
$2,001.20 |
$2,001.20 |
|
|
Excision of penis lesion(s) 54060
|
$9,507.76 |
$9,507.76 |
$9,507.76 |
|
|
Exc rect tum transanal part
|
$10,232.55 |
$10,232.55 |
$10,232.55 |
|
|
Exc vagina lesion 57135
|
$11,054.12 |
$11,054.12 |
$11,054.12 |
|
|
Ex palate/uvula lesion without closure 42104
|
$9,665.57 |
$9,665.57 |
$9,665.57 |
|
|
Exploration for testis
|
$11,976.73 |
$11,976.73 |
$11,976.73 |
|
|
External chromosome analysis 20-25 cells
|
$393.60 |
$393.60 |
$1,110.85 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$240.00 |
$416.65 |
$588.80 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$89.60 |
$128.80 |
$157.30 |
|
|
F-18 fdg pet diag
|
$1,244.10 |
$1,244.10 |
$1,244.10 |
|
|
Facial bones <3
|
$78.80 |
$192.40 |
$276.25 |
|
|
Factor ix
|
$72.00 |
$72.00 |
$72.00 |
|
|
Factor viii
|
$80.40 |
$198.80 |
$205.40 |
|
|
Factor viii recombinant nos
|
$1,427.56 |
$1,427.56 |
$1,427.56 |
|
|
Family therapy without pt 50min 90846
|
$153.60 |
$153.60 |
$153.60 |
|
|
Family therapy with patient 50 min 90847
|
$81.20 |
$81.20 |
$153.60 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$5,800.72 |
$5,800.72 |
$5,800.72 |
|
|
Fat/lipids feces qualitative
|
$58.00 |
$58.00 |
$70.00 |
|
|
Fatty acids nonesterified
|
$38.00 |
$38.00 |
$38.00 |
|
|
#fecal-sodium
|
$16.80 |
$16.80 |
$48.80 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$146.25 |
$146.25 |
$146.25 |
|
|
Fern test
|
$58.50 |
$58.50 |
$58.50 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$457.29 |
$457.29 |
$457.29 |
|
|
Ferritin
|
$52.80 |
$79.20 |
$122.85 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,121.30 |
$3,121.30 |
$3,121.30 |
|
|
Fetal biophys profile w/nst 76818
|
$365.60 |
$365.60 |
$365.60 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$35.20 |
$35.20 |
$264.55 |
|
|
Fetal hemoglobin rosette
|
$109.85 |
$109.85 |
$109.85 |
|
|
Fetal non stress test
|
$333.20 |
$333.20 |
$654.55 |
|
|
#_fet/norfentcnfrmur
|
$119.60 |
$119.60 |
$119.60 |
|
|
Fibrin degradation d dimer quantitative
|
$80.80 |
$80.80 |
$155.35 |
|
