|
Elbow X-ray (2 views, both sides)
|
$204.05 |
$204.05 |
$204.05 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$242.50 |
$242.50 |
$242.50 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$139.10 |
$139.10 |
$139.10 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$117.25 |
$117.25 |
$117.25 |
$81.75
|
|
Electroconvulsive therapy 90870
|
$1,076.45 |
$1,076.45 |
$1,076.45 |
$1,235.00
|
|
Electrolyte panel
|
$164.75 |
$164.75 |
$164.75 |
$79.30
|
|
Embolization s&i
|
$5,000.85 |
$5,000.85 |
$5,000.85 |
$3,215.00
|
|
Embo or occlude vascular hemorrhage s&i
|
$15,290.85 |
$15,290.85 |
$15,290.85 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$15,290.85 |
$15,290.85 |
$15,290.85 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$29,691.90 |
$29,691.90 |
$29,691.90 |
$14,741.00
|
|
Encephalitis, california igg/igm
|
$95.60 |
$95.60 |
$95.60 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$95.60 |
$95.60 |
$95.60 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$83.65 |
$83.65 |
$83.65 |
$54.99
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$7,366.35 |
$7,366.35 |
$7,366.35 |
$4,888.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$7,366.35 |
$7,366.35 |
$7,366.35 |
$5,515.40
|
|
Endoscopy swallow (fees) vid
|
$610.00 |
$610.00 |
$610.00 |
$402.35
|
|
Endovenous laser vein addon 36479
|
$7,366.35 |
$7,366.35 |
$7,366.35 |
$2,755.76
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$150.16 |
$150.16 |
$150.16 |
$112.79
|
|
Enzyme histochemistry
|
$396.70 |
$396.70 |
$396.70 |
$455.91
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1.00 |
$1.00 |
$1.00 |
$1,182.00
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$7,961.40 |
$7,961.40 |
$7,961.40 |
$3,778.57
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$377.39 |
$377.39 |
$377.39 |
$865.80
|
|
Epstein barr early antigen antibody
|
$39.00 |
$39.00 |
$39.00 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$39.00 |
$39.00 |
$39.00 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$39.00 |
$39.00 |
$39.00 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$513.23 |
$513.23 |
$513.23 |
$427.26
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$474.91 |
$474.91 |
$474.91 |
$232.12
|
|
ER Visit (level 1, minor)
|
$214.05 |
$214.05 |
$214.05 |
$252.60
|
|
ER Visit (level 2)
|
$351.30 |
$351.30 |
$351.30 |
$463.00
|
|
ER Visit (level 3)
|
$926.75 |
$926.75 |
$926.75 |
$812.18
|
|
ER Visit (level 4)
|
$1,754.55 |
$1,754.55 |
$1,754.55 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$3,306.00 |
$3,306.00 |
$3,306.00 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$326.51 |
$326.51 |
$326.51 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,724.09 |
$1,724.09 |
$1,724.09 |
$516.71
|
|
Established Patient Office Visit (level 1)
|
$165.30 |
$165.30 |
$165.30 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$352.80 |
$352.80 |
$352.80 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$352.80 |
$352.80 |
$352.80 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$352.80 |
$352.80 |
$352.80 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$396.35 |
$396.35 |
$396.35 |
$290.68
|
|
Estradiol total
|
$49.25 |
$49.25 |
$49.25 |
$152.10
|
|
Estrogens total-sendout
|
$116.70 |
$116.70 |
$116.70 |
$97.50
|
|
Ethylene glycol -sendout
|
$44.25 |
$44.25 |
$44.25 |
$86.04
|
|
Etoposide 20 mg/ml intravenous solution
|
$47.20 |
$47.20 |
$47.20 |
$235.20
|
|
Eval/fit voice prosthesis iii, st
|
$548.15 |
$548.15 |
$548.15 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$228.45 |
$228.45 |
$228.45 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$284.20 |
$284.20 |
$284.20 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$366.80 |
$366.80 |
$366.80 |
$318.24
|
|
Evoked potentials auditory screening automated analysis
|
$101.25 |
$101.25 |
$101.25 |
$261.30
|
|
Ewho w/joint(s) cf
|
$3,799.55 |
$3,799.55 |
$3,799.55 |
$830.70
|
|
Exchange biliary drg cath
|
$7,166.50 |
$7,166.50 |
$7,166.50 |
$3,856.84
|
|
Exchange nephrostomy cath
|
$1,726.75 |
$1,726.75 |
$1,726.75 |
$2,958.80
|
|
Exercise w/hemodynamic meas
|
$389.10 |
$389.10 |
$389.10 |
$901.60
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$4,101.67
|
|
External newborn metabolic screening panel
|
$55.50 |
$55.50 |
$55.50 |
$109.76
|
|
External recharg sys intern
|
$900.00 |
$900.00 |
$900.00 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$466.15 |
$466.15 |
$466.15 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$26.85 |
$26.85 |
$26.85 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$663.00 |
$663.00 |
$663.00 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,583.90 |
$1,583.90 |
$1,583.90 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,338.60 |
$1,338.60 |
$1,338.60 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,322.95 |
$2,322.95 |
$2,322.95 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$663.00 |
$663.00 |
$663.00 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$663.00 |
$663.00 |
$663.00 |
$381.75
|
|
Factor ix
|
$113.55 |
$113.55 |
$113.55 |
$162.50
|
|
Factor viii
|
$75.70 |
$75.70 |
$75.70 |
$148.00
|
|
Family therapy without pt 50min 90846
|
$416.25 |
$416.25 |
$416.25 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$298.15 |
$298.15 |
$298.15 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$28.21 |
$28.21 |
$28.21 |
$22.20
|
|
Fancc gene
|
$158.10 |
$158.10 |
$158.10 |
$140.00
|
|
Fat/lipids feces qualitative
|
$15.20 |
$15.20 |
$15.20 |
$36.00
|
|
#fecal-sodium
|
$53.80 |
$53.80 |
$53.80 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$96.60 |
$96.60 |
$96.60 |
$66.43
|
|
Fem/popl revasc w/stent
|
$30,622.00 |
$30,622.00 |
$30,622.00 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$219.12 |
$219.12 |
$219.12 |
$101.40
|
|
Fern test
|
$67.70 |
$67.70 |
$67.70 |
$37.03
|
|
Ferritin
|
$187.25 |
$187.25 |
$187.25 |
$102.48
|
|
Fetal chrom aneuploidy gsa panel
|
$2,255.30 |
$2,255.30 |
$2,255.30 |
$1,166.15
|
|
Fetal fibronectin
|
$763.25 |
$763.25 |
$763.25 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$119.90 |
$119.90 |
$119.90 |
$102.00
|
|
Fetal hemoglobin rosette
|
$27.80 |
$27.80 |
$27.80 |
$67.20
|
|
Fetal non stress test
|
$446.45 |
$446.45 |
$446.45 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$59.45 |
$59.45 |
$59.45 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$111.55 |
$111.55 |
$111.55 |
$120.64
|
|
Fibrinogen activity
|
$302.10 |
$302.10 |
$302.10 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$38.70 |
$38.70 |
$38.70 |
$61.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$85.45 |
$85.45 |
$85.45 |
$66.60
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,141.77 |
$1,141.77 |
$1,141.77 |
$1,197.83
|
|
Filter vena cava fem denali
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1.15 |
$1.15 |
$1.15 |
$825.00
|
|
Finger X-ray (both hands)
|
$235.50 |
$235.50 |
$235.50 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$96.15 |
$96.15 |
$96.15 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$605.20 |
$605.20 |
$605.20 |
$540.80
|
|
Flow cytometry marker each additional
|
$195.10 |
$195.10 |
$195.10 |
$97.50
|
|
Flow cytometry one marker technical component
|
$122.35 |
$122.35 |
$122.35 |
$285.00
|
|
Flt3 gene
|
$430.35 |
$430.35 |
$430.35 |
$366.29
|
|
Flt3 gene analysis
|
$215.80 |
$215.80 |
$215.80 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$45.34 |
$45.34 |
$45.34 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$930.24 |
$930.24 |
$930.24 |
$493.35
|
