|
Ecg < 30 days transmission & analysis
|
$1,588.14 |
$1,588.14 |
$1,588.14 |
$477.75
|
|
Ecg external < 48 hours recording
|
$949.92 |
$949.92 |
$949.92 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,374.40 |
$1,374.40 |
$1,374.40 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$2,236.86 |
$2,236.86 |
$2,236.86 |
$154.30
|
|
Echocardiogram (Heart Ultrasound)
|
$3,656.79 |
$3,656.79 |
$3,656.79 |
$2,083.84
|
|
Echocardiography doppler color flow mapping
|
$872.93 |
$872.93 |
$872.93 |
$461.61
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,942.33 |
$1,942.33 |
$1,942.33 |
$786.00
|
|
Echocardiograpy doppler follow up/limited study
|
$809.60 |
$809.60 |
$809.60 |
$354.90
|
|
Echo tee probe placement image acquisition interpretation & report
|
$6,224.83 |
$6,224.83 |
$6,224.83 |
$1,959.70
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,610.15 |
$1,610.15 |
$1,610.15 |
$1,031.85
|
|
Eeg during surgery
|
$3,069.03 |
$3,069.03 |
$3,069.03 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,567.09 |
$2,567.09 |
$2,567.09 |
$861.12
|
|
Eeg recording awake and asleep
|
$2,675.34 |
$2,675.34 |
$2,675.34 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$2,536.36 |
$2,536.36 |
$2,536.36 |
$759.21
|
|
Ehrlicha chaffeensis amp prb
|
$108.32 |
$108.32 |
$108.32 |
$105.60
|
|
Electrical stimulation/unattended 97014
|
$79.20 |
$79.20 |
$79.20 |
$82.20
|
|
Electrolyte panel
|
$279.62 |
$279.62 |
$279.62 |
$92.30
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$555.67 |
$555.67 |
$555.67 |
$447.50
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$252.76 |
$252.76 |
$252.76 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$92.56 |
$92.56 |
$92.56 |
$66.60
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,088.15 |
$1,088.15 |
$1,088.15 |
$1,204.45
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$840.97 |
$840.97 |
$840.97 |
$824.16
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$2,097.56 |
$2,097.56 |
$2,097.56 |
$767.28
|
|
Epstein barr early antigen antibody
|
$201.43 |
$201.43 |
$201.43 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$239.78 |
$239.78 |
$239.78 |
$85.00
|
|
Epstein barr viral capsid antigen antibody igm
|
$306.77 |
$306.77 |
$306.77 |
$96.80
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$417.48 |
$417.48 |
$417.48 |
$393.98
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$12,203.16 |
$12,203.16 |
$12,203.16 |
$6,313.52
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$13,575.47 |
$13,575.47 |
$13,575.47 |
$3,697.16
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$262.60 |
$262.60 |
$262.60 |
$364.08
|
|
ER Visit (level 1, minor)
|
$474.69 |
$474.69 |
$474.69 |
$276.25
|
|
ER Visit (level 2)
|
$636.37 |
$636.37 |
$636.37 |
$483.20
|
|
ER Visit (level 3)
|
$987.92 |
$987.92 |
$987.92 |
$850.50
|
|
ER Visit (level 4)
|
$1,347.19 |
$1,347.19 |
$1,347.19 |
$1,347.19
|
|
ER Visit (level 5, high severity)
|
$1,667.94 |
$1,667.94 |
$1,667.94 |
$1,973.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$155.60 |
$155.60 |
$155.60 |
$232.84
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$438.03 |
$438.03 |
$438.03 |
$1,138.94
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$321.65 |
$321.65 |
$321.65 |
$562.34
|
|
Established Patient Office Visit (level 1)
|
$193.06 |
$193.06 |
$193.06 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$569.76 |
$569.76 |
$569.76 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$621.63 |
$621.63 |
$621.63 |
$186.04
|
|
Established Patient Office Visit (level 4)
|
$683.73 |
$683.73 |
$683.73 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$907.70 |
$907.70 |
$907.70 |
$280.50
|
|
Estradiol total
|
$424.92 |
$424.92 |
$424.92 |
$151.80
|
|
Ethylene glycol -sendout
|
$184.19 |
$184.19 |
$184.19 |
$79.50
|
|
Etoposide 20 mg/ml intravenous solution
|
$584.83 |
$584.83 |
$584.83 |
$213.17
|
|
Euflexxa inj per dose
|
$1,102.38 |
$1,102.38 |
$1,102.38 |
$831.82
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$798.63 |
$798.63 |
$798.63 |
$222.75
|
|
Event monitor
|
$461.09 |
$461.09 |
$461.09 |
$251.00
|
|
Evoked oa emissions ltd
|
$234.21 |
$234.21 |
$234.21 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$1,141.22 |
$1,141.22 |
$1,141.22 |
$283.62
|
|
Evok oa screening qual
|
$191.86 |
$191.86 |
$191.86 |
$120.90
|
|
Ext ecg>48hr<7d scan a/r
|
$833.82 |
$833.82 |
$833.82 |
$251.71
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$528.38 |
$528.38 |
$528.38 |
$104.80
|
|
Facial bones <3
|
$507.53 |
$507.53 |
$507.53 |
$241.75
|
|
Factor ix
|
$601.71 |
$601.71 |
$601.71 |
$146.08
|
|
Factor viii
|
$682.63 |
$682.63 |
$682.63 |
$152.50
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$34.94 |
$34.94 |
$34.94 |
$22.20
|
|
Fat/lipids feces qualitative
|
$283.58 |
$283.58 |
$283.58 |
$38.35
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$140.05 |
$140.05 |
$140.05 |
$102.69
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$313.47 |
$313.47 |
$313.47 |
$1,475.61
|
|
Ferritin
|
$284.39 |
$284.39 |
$284.39 |
$103.95
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,323.88 |
$2,323.88 |
$2,323.88 |
$2,232.93
|
|
Fetal biophys profile w/nst 76818
|
$344.79 |
$344.79 |
$344.79 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$2,043.11 |
$2,043.11 |
$2,043.11 |
$1,231.20
|
|
Fetal contract stress test 59020 - 26
|
$652.97 |
$652.97 |
$652.97 |
$579.00
|
|
Fetal hemoglobin rosette
|
$151.67 |
$151.67 |
$151.67 |
$78.60
|
|
Fetal non stress test
|
$511.93 |
$511.93 |
$511.93 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$138.02 |
$138.02 |
$138.02 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$394.41 |
$394.41 |
$394.41 |
$112.23
|
|
Fibrin degradation products
|
$176.96 |
$176.96 |
$176.96 |
$67.55
|
|
Fibrinogen activity
|
$227.51 |
$227.51 |
$227.51 |
$82.38
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$53.29 |
$53.29 |
$53.29 |
$64.25
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$3,348.94 |
$3,348.94 |
$3,348.94 |
$1,295.37
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,408.00 |
$1,408.00 |
$1,408.00 |
$998.68
|
|
Fl exam g/colon tube w contrast
|
$893.78 |
$893.78 |
$893.78 |
$565.50
|
|
Flow cytometry interp 16 or more
|
$24.90 |
$24.90 |
$24.90 |
$208.80
|
|
Flow cytometry marker each additional
|
$109.41 |
$109.41 |
$109.41 |
$102.00
|
|
Flow cytometry one marker technical component
|
$977.50 |
$977.50 |
$977.50 |
$276.90
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$70.77 |
$70.77 |
$70.77 |
$79.71
|
|
Fluorescent antibody titer dna
|
$309.60 |
$309.60 |
$309.60 |
$137.80
|
|
Fluoroguide needle placement
|
$1,264.48 |
$1,264.48 |
$1,264.48 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$660.09 |
$660.09 |
$660.09 |
$489.84
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$2,092.67 |
$2,092.67 |
$2,092.67 |
$97.74
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$82.64 |
$82.64 |
$82.64 |
$171.99
|
|
Folic acid
|
$339.15 |
$339.15 |
$339.15 |
$87.50
|
|
Folic acid 5 mg/ml injection solution
|
$31.56 |
$31.56 |
$31.56 |
$48.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,393.55 |
$2,393.55 |
$2,393.55 |
$3,068.55
|
|
Fondaparinux sodium
|
$108.65 |
$108.65 |
$108.65 |
$154.14
|
|
Foot X-ray
|
$700.75 |
$700.75 |
$700.75 |
$364.80
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$170.88 |
$170.88 |
$170.88 |
$94.85
|
|
Fragmenting of kidney stone
|
$16,177.74 |
$16,177.74 |
$16,177.74 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$238.38 |
$238.38 |
$238.38 |
$190.45
|
|
Fructosamine glycated protein
|
$257.29 |
$257.29 |
$257.29 |
$64.28
|
|
Ftl cgen abnor four anal
|
$108.49 |
$108.49 |
$108.49 |
$211.83
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$93.70 |
$93.70 |
$93.70 |
$26.40
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$233.48 |
$233.48 |
$233.48 |
$177.43
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$386.61 |
$386.61 |
$386.61 |
$144.98
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$551.33 |
$551.33 |
$551.33 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$705.38 |
$705.38 |
$705.38 |
$210.50
|