|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$802.20 |
$802.20 |
$802.20 |
$851.50
|
|
Echograp trans r pros study
|
$192.00 |
$192.00 |
$192.00 |
$459.40
|
|
Echo stress
|
$397.80 |
$397.80 |
$397.80 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,325.40 |
$1,325.40 |
$1,325.40 |
$1,849.50
|
|
Echo transthoracic
|
$816.60 |
$816.60 |
$816.60 |
$1,361.75
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$21,747.60 |
$21,747.60 |
$21,747.60 |
$18,199.20
|
|
Eeg recording awake and asleep
|
$463.20 |
$463.20 |
$463.20 |
$931.20
|
|
Electrical stimulation/unattended 97014
|
$209.40 |
$209.40 |
$209.40 |
$79.20
|
|
Electrolyte panel
|
$115.20 |
$115.20 |
$115.20 |
$84.24
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$298.80 |
$298.80 |
$298.80 |
$109.71
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$54.90 |
$54.90 |
$54.90 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$897.90 |
$897.90 |
$897.90 |
$393.15
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$45.00 |
$45.00 |
$45.00 |
$34.13
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$154.20 |
$154.20 |
$154.20 |
$248.81
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,471.20 |
$1,471.20 |
$1,471.20 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$1,289.71
|
|
Epstein barr early antigen antibody
|
$40.20 |
$40.20 |
$40.20 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$28.20 |
$28.20 |
$28.20 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$57.60 |
$57.60 |
$57.60 |
$91.00
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$6,681.60 |
$6,681.60 |
$6,681.60 |
$3,838.45
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$429.60 |
$429.60 |
$429.60 |
$222.98
|
|
ER Visit (level 1, minor)
|
$66.60 |
$66.60 |
$66.60 |
$246.24
|
|
ER Visit (level 2)
|
$152.40 |
$152.40 |
$152.40 |
$452.20
|
|
ER Visit (level 3)
|
$292.80 |
$292.80 |
$292.80 |
$770.04
|
|
ER Visit (level 4)
|
$1,847.40 |
$1,847.40 |
$1,847.40 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$3,148.80 |
$3,148.80 |
$3,148.80 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$248.40 |
$248.40 |
$248.40 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,298.40 |
$1,298.40 |
$1,298.40 |
$553.88
|
|
Esophagus motility study
|
$3,846.00 |
$3,846.00 |
$3,846.00 |
$1,289.20
|
|
Established Patient Office Visit (level 1)
|
$413.40 |
$413.40 |
$413.40 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$387.60 |
$387.60 |
$387.60 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$514.20 |
$514.20 |
$514.20 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$662.40 |
$662.40 |
$662.40 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$872.40 |
$872.40 |
$872.40 |
$280.33
|
|
Estradiol total
|
$192.00 |
$192.00 |
$192.00 |
$146.50
|
|
Estrogens total-sendout
|
$275.40 |
$275.40 |
$275.40 |
$96.20
|
|
Ethylene glycol -sendout
|
$255.60 |
$255.60 |
$255.60 |
$89.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$34.80 |
$34.80 |
$34.80 |
$235.20
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$130.80 |
$130.80 |
$130.80 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$429.00 |
$429.00 |
$429.00 |
$311.50
|
|
Event monitor
|
$175.20 |
$175.20 |
$175.20 |
$242.65
|
|
Evok oa screening qual
|
$197.40 |
$197.40 |
$197.40 |
$109.13
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$61.94 |
$61.94 |
$61.94 |
$4,048.38
|
|
Explore wound abdomen 20102
|
$4,049.40 |
$4,049.40 |
$4,049.40 |
$2,568.80
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$431.40 |
$431.40 |
$431.40 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$198.00 |
$198.00 |
$198.00 |
$108.60
|
|
F-18 fdg pet diag
|
$1,134.60 |
$1,134.60 |
$1,134.60 |
$551.72
|
|
Facial bones <3
|
$302.40 |
$302.40 |
$302.40 |
$252.60
|
|
Factor ix
|
$180.00 |
$180.00 |
$180.00 |
$156.13
|
|
Factor viii
|
$550.20 |
$550.20 |
$550.20 |
$133.81
|
|
Factor viii recombinant nos
|
$5.40 |
$5.40 |
$5.40 |
$6.56
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$32.40 |
$32.40 |
$32.40 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$8,338.80 |
$8,338.80 |
$8,338.80 |
$5,800.72
|
|
Fat/lipids feces qualitative
|
$40.80 |
$40.80 |
$40.80 |
$38.35
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$45.00 |
$45.00 |
$45.00 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,310.20 |
$3,310.20 |
$3,310.20 |
$2,590.25
|
|
Ferritin
|
$229.80 |
$229.80 |
$229.80 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$1,776.61
|
|
Ferumoxytol, esrd use
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$0.50
|
|
Fetal biophys profile w/nst 76818
|
$943.80 |
$943.80 |
$943.80 |
$535.37
|
|
Fetal chrom aneuploidy gsa panel
|
$2,230.20 |
$2,230.20 |
$2,230.20 |
$1,206.81
|
|
Fetal hemoglobin (kleihauer betke)
|
$102.00 |
$102.00 |
$102.00 |
$105.12
|
|
Fetal non stress test
|
$236.40 |
$236.40 |
$236.40 |
$463.03
|
|
Fibrin degradation products
|
$78.00 |
$78.00 |
$78.00 |
$62.64
|
|
Fibrin degrade semiquant
|
$69.60 |
$69.60 |
$69.60 |
$78.09
|
|
Fibrinogen activity
|
$133.80 |
$133.80 |
$133.80 |
$83.50
|
|
Fibrinolytic plasminogen
|
$129.00 |
$129.00 |
$129.00 |
$107.50
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,464.60 |
$1,464.60 |
$1,464.60 |
$869.18
|
|
Flow cytometry marker each additional
|
$24.00 |
$24.00 |
$24.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$559.80 |
$559.80 |
$559.80 |
$284.40
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$32.40 |
$32.40 |
$32.40 |
$64.22
|
|
Fluidotherapy charges pt
|
$156.60 |
$156.60 |
$156.60 |
$91.00
|
|
Fluoroscopy up to 1 hour
|
$489.60 |
$489.60 |
$489.60 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$184.20 |
$184.20 |
$184.20 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$94.20 |
$94.20 |
$94.20 |
$72.52
|
|
Folic acid
|
$255.60 |
$255.60 |
$255.60 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$139.80 |
$139.80 |
$139.80 |
$54.75
|
|
Foot X-ray
|
$611.40 |
$611.40 |
$611.40 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$96.60 |
$96.60 |
$96.60 |
$457.50
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$176.40 |
$176.40 |
$176.40 |
$156.60
|
|
Fructosamine glycated protein
|
$143.40 |
$143.40 |
$143.40 |
$60.75
|
|
Furosemide 10 mg/ml injection solution
|
$11.40 |
$11.40 |
$11.40 |
$19.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$336.00 |
$336.00 |
$336.00 |
$177.52
|
|
Gammaglobulin iga
|
$16.80 |
$16.80 |
$16.80 |
$67.20
|
|
Gammaglobulin ige
|
$171.00 |
$171.00 |
$171.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$118.80 |
$118.80 |
$118.80 |
$57.54
|
|
Gamunex-c/gammaked
|
$8,343.60 |
$8,343.60 |
$8,343.60 |
$7,634.20
|
|
Gemcitabine 1 gram intravenous solution
|
$346.80 |
$346.80 |
$346.80 |
$207.51
|
|
General health panel
|
$274.20 |
$274.20 |
$274.20 |
$275.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$12.00 |
$12.00 |
$12.00 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$189.60 |
$189.60 |
$189.60 |
$126.00
|
|
Ghs abscess perianal iandd
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$3,292.20 |
$3,292.20 |
$3,292.20 |
$3,515.40
|
|
Ghs bladder cath - complex-foley
|
$193.80 |
$193.80 |
$193.80 |
$344.00
|
|
Ghs central line insert < age 5, failed
|
$3,974.40 |
$3,974.40 |
$3,974.40 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$369.60 |
$369.60 |
$369.60 |
$565.49
|
|
Ghs chemo >8 hrs
|
$433.20 |
$433.20 |
$433.20 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$286.20 |
$286.20 |
$286.20 |
$286.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$287.40 |
$287.40 |
$287.40 |
$512.40
|
|
Ghs community re-entry 15 minutes
|
$55.20 |
$55.20 |
$55.20 |
$88.50
|
