|
Epstein barr early antigen antibody
|
$28.80 |
$28.80 |
$28.80 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$33.60 |
$33.60 |
$33.60 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$60.60 |
$60.60 |
$60.60 |
$91.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$429.60 |
$429.60 |
$429.60 |
$222.98
|
|
ER Visit (level 1, minor)
|
$61.20 |
$61.20 |
$61.20 |
$246.24
|
|
ER Visit (level 2)
|
$144.00 |
$144.00 |
$144.00 |
$452.20
|
|
ER Visit (level 3)
|
$280.20 |
$280.20 |
$280.20 |
$770.04
|
|
ER Visit (level 4)
|
$1,761.60 |
$1,761.60 |
$1,761.60 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$3,004.20 |
$3,004.20 |
$3,004.20 |
$1,820.02
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,298.40 |
$1,298.40 |
$1,298.40 |
$553.88
|
|
Esophagoscopy flex biopsy
|
$481.80 |
$481.80 |
$481.80 |
$2,132.00
|
|
Esoph balloon distension tst
|
$147.00 |
$147.00 |
$147.00 |
$1,040.00
|
|
Esoph egd dilation <30 mm
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$2,656.80
|
|
Esoph fundoplasty lap 43327
|
$1,299.00 |
$1,299.00 |
$1,299.00 |
$3,148.00
|
|
Esoph scope w/submucous inj
|
$567.00 |
$567.00 |
$567.00 |
$2,638.57
|
|
Established Patient Office Visit (level 1)
|
$142.80 |
$142.80 |
$142.80 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$253.80 |
$253.80 |
$253.80 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$312.00 |
$312.00 |
$312.00 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$695.40 |
$695.40 |
$695.40 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$916.20 |
$916.20 |
$916.20 |
$280.33
|
|
Estradiol total
|
$135.60 |
$135.60 |
$135.60 |
$146.50
|
|
Estrogens total-sendout
|
$281.40 |
$281.40 |
$281.40 |
$96.20
|
|
Ethylene glycol -sendout
|
$258.60 |
$258.60 |
$258.60 |
$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
|
$127.80 |
$127.80 |
$127.80 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$480.00 |
$480.00 |
$480.00 |
$311.50
|
|
Event monitor
|
$181.20 |
$181.20 |
$181.20 |
$242.65
|
|
Exc abd les sc 3 cm/>
|
$733.80 |
$733.80 |
$733.80 |
$3,796.00
|
|
Exc abdl tum deep 5 cm/>
|
$1,109.40 |
$1,109.40 |
$1,109.40 |
$3,370.52
|
|
Exc back tum deep 5 cm/>
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$3,805.88
|
|
Exc benign feenlm >4.0cm 11446
|
$532.80 |
$532.80 |
$532.80 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$383.40 |
$383.40 |
$383.40 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$187.80 |
$187.80 |
$187.80 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$87.00 |
$87.00 |
$87.00 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$243.00 |
$243.00 |
$243.00 |
$1,135.40
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$337.80 |
$337.80 |
$337.80 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$949.20 |
$949.20 |
$949.20 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$136.20 |
$136.20 |
$136.20 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$308.40 |
$308.40 |
$308.40 |
$1,247.50
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$408.60 |
$408.60 |
$408.60 |
$973.71
|
|
Exc hidradenitis peri/umb comp 11471
|
$732.60 |
$732.60 |
$732.60 |
$3,386.84
|
|
Exc hip/pelv tum deep < 5 cm
|
$949.80 |
$949.80 |
$949.80 |
$3,386.84
|
|
Excise inferior turbinate
|
$561.00 |
$561.00 |
$561.00 |
$3,589.62
|
|
Excise/repair mouth lesion
|
$292.20 |
$292.20 |
$292.20 |
$1,903.93
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$336.60 |
$336.60 |
$336.60 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$276.00 |
$276.00 |
$276.00 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$201.60 |
$201.60 |
$201.60 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$434.40 |
$434.40 |
$434.40 |
$2,865.00
|
|
Excision of anal lesion(s)
|
$267.00 |
$267.00 |
$267.00 |
$3,786.00
|
|
Excision of meckels diverticulum 44800
|
$1,414.20 |
$1,414.20 |
$1,414.20 |
$1,373.40
|
|
Excision of stomach lesion
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$1,494.24
|
|
Excision olecranon bursa
|
$644.40 |
$644.40 |
$644.40 |
$2,889.60
|
|
Exc malig feenl 1.1-2 11642
|
$510.60 |
$510.60 |
$510.60 |
$1,082.00
|
|
Exc malig tal <0.5cm 11600
|
$154.20 |
$154.20 |
$154.20 |
$973.20
|
|
Exc malig tal 0.6-1.0cm 11601
|
$336.60 |
$336.60 |
$336.60 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$344.40 |
$344.40 |
$344.40 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$390.00 |
$390.00 |
$390.00 |
$1,131.50
|
|
Exc neck tum deep 5 cm/>
|
$1,251.60 |
$1,251.60 |
$1,251.60 |
$3,386.84
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$480.60 |
$480.60 |
$480.60 |
$3,386.84
|
|
Exc rect tum transanal part
|
$992.40 |
$992.40 |
$992.40 |
$3,245.23
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$657.60 |
$657.60 |
$657.60 |
$3,370.52
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$622.80 |
$622.80 |
$622.80 |
$3,994.09
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$3,994.09
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$552.00 |
$552.00 |
$552.00 |
$1,917.33
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$61.94 |
$61.94 |
$61.94 |
$4,048.38
|
|
Expl lap celiotomy w/wo bx 49000
|
$1,366.80 |
$1,366.80 |
$1,366.80 |
$1,944.80
|
|
Explore limb vessels 35860
|
$1,144.20 |
$1,144.20 |
$1,144.20 |
$4,341.66
|
|
Explore small intestine 44020
|
$1,548.00 |
$1,548.00 |
$1,548.00 |
$1,548.00
|
|
Explor not followed by surg repair artery; low extrem 35703
|
$783.00 |
$783.00 |
$783.00 |
$999.89
|
|
Ext ecg>48hr<7d rev&interpj
|
$57.00 |
$57.00 |
$57.00 |
$57.00
|
|
Ext ecg>7d<15d rev&interpj
|
$57.00 |
$57.00 |
$57.00 |
$63.20
|
|
External chromosome analysis 20-25 cells
|
$454.20 |
$454.20 |
$454.20 |
$384.15
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$454.20 |
$454.20 |
$454.20 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$198.00 |
$198.00 |
$198.00 |
$108.60
|
|
F-18 fdg pet diag
|
$1,359.00 |
$1,359.00 |
$1,359.00 |
$551.72
|
|
Facial bones <3
|
$249.00 |
$249.00 |
$249.00 |
$252.60
|
|
Factor viii
|
$581.40 |
$581.40 |
$581.40 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$4.20 |
$4.20 |
$4.20 |
$22.20
|
|
Fat/lipids feces qualitative
|
$13.80 |
$13.80 |
$13.80 |
$38.35
|
|
Fatty acids nonesterified
|
$28.20 |
$28.20 |
$28.20 |
$64.28
|
|
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
|
$240.60 |
$240.60 |
$240.60 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$1,776.61
|
|
Fetal chrom aneuploidy gsa panel
|
$2,230.20 |
$2,230.20 |
$2,230.20 |
$1,206.81
|
|
#_fet/norfentcnfrmur
|
$33.60 |
$33.60 |
$33.60 |
$95.68
|
|
Fibrin degradation products
|
$180.60 |
$180.60 |
$180.60 |
$62.64
|
|
Fibrin degrade semiquant
|
$69.60 |
$69.60 |
$69.60 |
$78.09
|
|
Fibrinogen activity
|
$91.20 |
$91.20 |
$91.20 |
$83.50
|
|
Fibrinolytic antiplasmin
|
$111.00 |
$111.00 |
$111.00 |
$72.80
|
|
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
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$105.60 |
$105.60 |
$105.60 |
$272.70
|
|
Fine needle asp without image guide 10021
|
$82.80 |
$82.80 |
$82.80 |
$503.76
|
|
Flexible Sigmoidoscopy
|
$189.00 |
$189.00 |
$189.00 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$24.00 |
$24.00 |
$24.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$318.60 |
$318.60 |
$318.60 |
$284.40
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$32.40 |
$32.40 |
$32.40 |
$64.22
|
|
Fluidotherapy charges pt
|
$139.80 |
$139.80 |
$139.80 |
$91.00
|
|
Fluoroguide needle placement
|
$565.20 |
$565.20 |
$565.20 |
$510.00
|
