|
Epstein barr early antigen antibody
|
$27.56 |
$27.56 |
$27.56 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$27.56 |
$27.56 |
$27.56 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$30.16 |
$30.16 |
$30.16 |
$91.00
|
|
Ercp biliary & pancreas
|
$387.92 |
$387.92 |
$387.92 |
$967.04
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$1,921.14 |
$1,921.14 |
$1,921.14 |
$5,054.40
|
|
Ercp ea duct/ampulla dilate
|
$2,934.62 |
$2,934.62 |
$2,934.62 |
$4,157.89
|
|
Ercp lesion ablate w/dilate 43278
|
$1,478.10 |
$1,478.10 |
$1,478.10 |
$4,502.13
|
|
Ercp lithotripsy calculi
|
$3,649.10 |
$3,649.10 |
$3,649.10 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$2,499.12 |
$2,499.12 |
$2,499.12 |
$3,986.00
|
|
Ercp remove forgn body duct 43275
|
$1,767.74 |
$1,767.74 |
$1,767.74 |
$2,859.02
|
|
Ercp sphincter pressure meas
|
$1,352.78 |
$1,352.78 |
$1,352.78 |
$2,771.25
|
|
Ercp stent exchange w/dilate
|
$1,503.84 |
$1,503.84 |
$1,503.84 |
$5,467.20
|
|
Ercp w/specimen collection
|
$1,326.78 |
$1,326.78 |
$1,326.78 |
$4,494.90
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$383.69 |
$383.69 |
$383.69 |
$222.98
|
|
ER Visit (level 1, minor)
|
$133.12 |
$133.12 |
$133.12 |
$246.24
|
|
ER Visit (level 2)
|
$158.08 |
$158.08 |
$158.08 |
$452.20
|
|
ER Visit (level 3)
|
$238.16 |
$238.16 |
$238.16 |
$770.04
|
|
ER Visit (level 4)
|
$381.94 |
$381.94 |
$381.94 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$536.38 |
$536.38 |
$536.38 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$552.86 |
$552.86 |
$552.86 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$10.87 |
$10.87 |
$10.87 |
$553.88
|
|
Esophageal dilat s&i
|
$375.18 |
$375.18 |
$375.18 |
$581.10
|
|
Esophagosc dilate balloon 30
|
$856.18 |
$856.18 |
$856.18 |
$2,244.82
|
|
Esophagoscop stent placement
|
$1,472.64 |
$1,472.64 |
$1,472.64 |
$6,821.10
|
|
Esophagoscop ultrasound exam
|
$859.04 |
$859.04 |
$859.04 |
$2,638.57
|
|
Esophagoscopy balloon <30mm
|
$1,559.48 |
$1,559.48 |
$1,559.48 |
$2,460.00
|
|
Esophagoscopy control bleed
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$2,638.57
|
|
Esophagoscopy flex biopsy
|
$908.18 |
$908.18 |
$908.18 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$816.40 |
$816.40 |
$816.40 |
$1,296.00
|
|
Esophagoscopy flex remove fb
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$2,099.70
|
|
Esophagus endoscopy/ligation
|
$908.18 |
$908.18 |
$908.18 |
$2,392.00
|
|
Esophagus motility study
|
$1,436.76 |
$1,436.76 |
$1,436.76 |
$1,289.20
|
|
Esoph egd dilation <30 mm
|
$1,431.56 |
$1,431.56 |
$1,431.56 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$384.54 |
$384.54 |
$384.54 |
$2,221.83
|
|
Esophgl motil w/stim/perfus
|
$1,058.98 |
$1,058.98 |
$1,058.98 |
$1,341.75
|
|
Esoph imped function test
|
$1,902.94 |
$1,902.94 |
$1,902.94 |
$597.03
|
|
Esoph imped funct test > 1hr
|
$1,709.76 |
$1,709.76 |
$1,709.76 |
$1,089.15
|
|
Esoph scope w/submucous inj
|
$1,229.28 |
$1,229.28 |
$1,229.28 |
$2,638.57
|
|
Established Patient Office Visit (level 1)
|
$197.86 |
$197.86 |
$197.86 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$230.10 |
$230.10 |
$230.10 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$410.54 |
$410.54 |
$410.54 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$190.06 |
$190.06 |
$190.06 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$201.24 |
$201.24 |
$201.24 |
$280.33
|
|
Estradiol total
|
$28.86 |
$28.86 |
$28.86 |
$146.50
|
|
Ethylene glycol -sendout
|
$27.30 |
$27.30 |
$27.30 |
$89.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$84.23 |
$84.23 |
$84.23 |
$235.20
|
|
Eval/fit voice prosthesis iii, st
|
$157.30 |
$157.30 |
$157.30 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$81.64 |
$81.64 |
$81.64 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$125.84 |
$125.84 |
$125.84 |
$311.50
|
|
Event monitor
|
$39.52 |
$39.52 |
$39.52 |
$242.65
|
|
Exc benign tal 0.5 < cm 11400
|
$362.96 |
$362.96 |
$362.96 |
$827.40
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$247.52 |
$247.52 |
$247.52 |
$765.50
|
|
Exchange biliary drg cath
|
$3,553.42 |
$3,553.42 |
$3,553.42 |
$3,909.56
|
|
Exchange blood transfusion newborn 36450
|
$446.68 |
$446.68 |
$446.68 |
$554.45
|
|
Exchange drainage catheter
|
$2,523.30 |
$2,523.30 |
$2,523.30 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$1,870.44 |
$1,870.44 |
$1,870.44 |
$2,958.80
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,072.24 |
$1,072.24 |
$1,072.24 |
$1,012.86
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$2,735.72 |
$2,735.72 |
$2,735.72 |
$3,386.84
|
|
Exemestane, 25 mg
|
$46.61 |
$46.61 |
$46.61 |
$35.75
|
|
Explore penetrating wnd/extremity 20103
|
$592.28 |
$592.28 |
$592.28 |
$1,788.80
|
|
Explore wound abdomen 20102
|
$1,223.30 |
$1,223.30 |
$1,223.30 |
$2,568.80
|
|
Explore woundchest 20101
|
$1,902.68 |
$1,902.68 |
$1,902.68 |
$2,254.56
|
|
Explore wound neck 20100
|
$988.52 |
$988.52 |
$988.52 |
$1,185.00
|
|
Extended visual field xm
|
$72.80 |
$72.80 |
$72.80 |
$163.00
|
|
External chromosome analysis 20-25 cells
|
$88.92 |
$88.92 |
$88.92 |
$384.15
|
|
External newborn metabolic screening panel
|
$73.06 |
$73.06 |
$73.06 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$212.16 |
$212.16 |
$212.16 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$74.36 |
$74.36 |
$74.36 |
$108.60
|
|
F-18 fdg pet diag
|
$1,057.16 |
$1,057.16 |
$1,057.16 |
$551.72
|
|
Facial bones <3
|
$138.84 |
$138.84 |
$138.84 |
$252.60
|
|
Factor ix
|
$110.76 |
$110.76 |
$110.76 |
$156.13
|
|
Factor viii
|
$121.42 |
$121.42 |
$121.42 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$10.87 |
$10.87 |
$10.87 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$46,584.62 |
$46,584.62 |
$46,584.62 |
$5,800.72
|
|
Fat/lipids feces qualitative
|
$34.32 |
$34.32 |
$34.32 |
$38.35
|
|
Fecal microbiota prep instil
|
$614.12 |
$614.12 |
$614.12 |
$1,059.00
|
|
#fecal-sodium
|
$15.60 |
$15.60 |
$15.60 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$29.64 |
$29.64 |
$29.64 |
$65.00
|
|
Fem/popl revasc w/stent
|
$11,225.24 |
$11,225.24 |
$11,225.24 |
$16,843.00
|
|
Feno poc
|
$60.58 |
$60.58 |
$60.58 |
$97.18
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$10,868.00 |
$10,868.00 |
$10,868.00 |
$101.40
|
|
Ferritin
|
$97.50 |
$97.50 |
$97.50 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,502.68 |
$2,502.68 |
$2,502.68 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$385.06 |
$385.06 |
$385.06 |
$535.37
|
|
Fetal contract stress test 59020 - 26
|
$579.02 |
$579.02 |
$579.02 |
$475.50
|
|
Fetal fibronectin
|
$90.48 |
$90.48 |
$90.48 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$29.64 |
$29.64 |
$29.64 |
$105.12
|
|
Fetal hemoglobin rosette
|
$58.76 |
$58.76 |
$58.76 |
$67.20
|
|
Fetal non stress test
|
$651.56 |
$651.56 |
$651.56 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$32.50 |
$32.50 |
$32.50 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$112.84 |
$112.84 |
$112.84 |
$117.70
|
|
Fibrin degradation products
|
$55.90 |
$55.90 |
$55.90 |
$62.64
|
|
Fibrinogen activity
|
$74.36 |
$74.36 |
$74.36 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$45.24 |
$45.24 |
$45.24 |
$64.05
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$922.47 |
$922.47 |
$922.47 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,213.49 |
$1,213.49 |
$1,213.49 |
$869.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,568.06 |
$1,568.06 |
$1,568.06 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,818.96 |
$1,818.96 |
$1,818.96 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,266.72 |
$1,266.72 |
$1,266.72 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$1,556.36 |
$1,556.36 |
$1,556.36 |
$503.76
|
