|
Electrolyte panel
|
$155.75 |
$155.75 |
$155.75 |
$79.30
|
|
Encephalitis, california igg/igm
|
$63.25 |
$63.25 |
$63.25 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$63.25 |
$63.25 |
$63.25 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$63.25 |
$63.25 |
$63.25 |
$54.99
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$42.24 |
$42.24 |
$42.24 |
$112.79
|
|
Enterostomy/cecostomy tube open 44300
|
$1,133.30 |
$1,133.30 |
$1,133.30 |
$1,741.60
|
|
Enzyme histochemistry
|
$4,702.95 |
$4,702.95 |
$4,702.95 |
$455.91
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$610.50 |
$610.50 |
$610.50 |
$3,778.57
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,988.36 |
$1,988.36 |
$1,988.36 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,494.43 |
$1,494.43 |
$1,494.43 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$67.85 |
$67.85 |
$67.85 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$252.90 |
$252.90 |
$252.90 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$252.90 |
$252.90 |
$252.90 |
$85.50
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,729.09 |
$1,729.09 |
$1,729.09 |
$2,488.75
|
|
ER Visit (level 1, minor)
|
$323.60 |
$323.60 |
$323.60 |
$252.60
|
|
ER Visit (level 2)
|
$473.35 |
$473.35 |
$473.35 |
$463.00
|
|
ER Visit (level 3)
|
$596.35 |
$596.35 |
$596.35 |
$812.18
|
|
ER Visit (level 4)
|
$770.70 |
$770.70 |
$770.70 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,058.95 |
$1,058.95 |
$1,058.95 |
$1,871.60
|
|
Escharotomy ea addl incision
|
$228.45 |
$228.45 |
$228.45 |
$203.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$617.94 |
$617.94 |
$617.94 |
$516.71
|
|
Esophageal motility
|
$795.55 |
$795.55 |
$795.55 |
$655.45
|
|
Established Patient Office Visit (level 1)
|
$224.65 |
$224.65 |
$224.65 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$271.45 |
$271.45 |
$271.45 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$335.60 |
$335.60 |
$335.60 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$466.65 |
$466.65 |
$466.65 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$464.00 |
$464.00 |
$464.00 |
$290.68
|
|
Estradiol total
|
$479.50 |
$479.50 |
$479.50 |
$152.10
|
|
Estrogens total-sendout
|
$138.25 |
$138.25 |
$138.25 |
$97.50
|
|
Ethylene glycol -sendout
|
$294.10 |
$294.10 |
$294.10 |
$86.04
|
|
Etoposide 20 mg/ml intravenous solution
|
$35.20 |
$35.20 |
$35.20 |
$235.20
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$215.55 |
$215.55 |
$215.55 |
$213.15
|
|
Event monitor
|
$306.20 |
$306.20 |
$306.20 |
$231.00
|
|
Evoked potentials auditory screening automated analysis
|
$141.65 |
$141.65 |
$141.65 |
$261.30
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$375.50 |
$375.50 |
$375.50 |
$1,152.96
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$790.80 |
$790.80 |
$790.80 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$373.65 |
$373.65 |
$373.65 |
$2,271.01
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$998.80 |
$998.80 |
$998.80 |
$779.35
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$195.45 |
$195.45 |
$195.45 |
$914.34
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,759.00 |
$1,759.00 |
$1,759.00 |
$1,072.24
|
|
Exc malig tal <0.5cm 11600
|
$399.90 |
$399.90 |
$399.90 |
$973.71
|
|
Exc thrombosed hemorrhoid 46320
|
$149.45 |
$149.45 |
$149.45 |
$2,175.36
|
|
Expl lap celiotomy w/wo bx 49000
|
$2,699.85 |
$2,699.85 |
$2,699.85 |
$2,357.35
|
|
Explore penetrating wnd/extremity 20103
|
$648.50 |
$648.50 |
$648.50 |
$1,788.80
|
|
Explore/treat finger joint
|
$677.85 |
$677.85 |
$677.85 |
$2,480.83
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$370.45 |
$370.45 |
$370.45 |
$3,623.43
|
|
Ext ecg>48hr<7d rev&interpj
|
$445.30 |
$445.30 |
$445.30 |
$57.00
|
|
Ext ecg>7d<15d rev&interpj
|
$445.30 |
$445.30 |
$445.30 |
$63.20
|
|
External chromosome analysis 20-25 cells
|
$420.70 |
$420.70 |
$420.70 |
$415.01
|
|
External newborn metabolic screening panel
|
$244.85 |
$244.85 |
$244.85 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$218.00 |
$218.00 |
$218.00 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$75.80 |
$75.80 |
$75.80 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$685.35 |
$685.35 |
$685.35 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,408.10 |
$2,408.10 |
$2,408.10 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,267.40 |
$1,267.40 |
$1,267.40 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,394.15 |
$1,394.15 |
$1,394.15 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,105.85 |
$3,105.85 |
$3,105.85 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,527.55 |
$2,527.55 |
$2,527.55 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$546.95 |
$546.95 |
$546.95 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$725.30 |
$725.30 |
$725.30 |
$381.75
|
|
Factor ix
|
$435.15 |
$435.15 |
$435.15 |
$162.50
|
|
Factor viii
|
$194.25 |
$194.25 |
$194.25 |
$148.00
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$5.00 |
$5.00 |
$5.00 |
$22.20
|
|
Fancc gene
|
$86.70 |
$86.70 |
$86.70 |
$140.00
|
|
Fat/lipids feces qualitative
|
$124.25 |
$124.25 |
$124.25 |
$36.00
|
|
Fatty acids nonesterified
|
$168.75 |
$168.75 |
$168.75 |
$72.15
|
|
#fecal-sodium
|
$51.55 |
$51.55 |
$51.55 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$165.20 |
$165.20 |
$165.20 |
$66.43
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$152.97 |
$152.97 |
$152.97 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,805.85 |
$1,805.85 |
$1,805.85 |
$2,590.25
|
|
Ferritin
|
$171.65 |
$171.65 |
$171.65 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$905.96 |
$905.96 |
$905.96 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$867.60 |
$867.60 |
$867.60 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$1,256.20 |
$1,256.20 |
$1,256.20 |
$879.51
|
|
Fetal chrom aneuploidy gsa panel
|
$1,776.90 |
$1,776.90 |
$1,776.90 |
$1,166.15
|
|
Fetal fibronectin
|
$867.60 |
$867.60 |
$867.60 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$183.60 |
$183.60 |
$183.60 |
$102.00
|
|
Fetal hemoglobin rosette
|
$79.85 |
$79.85 |
$79.85 |
$67.20
|
|
Fetal non stress test
|
$576.25 |
$576.25 |
$576.25 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$282.40 |
$282.40 |
$282.40 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$223.60 |
$223.60 |
$223.60 |
$120.64
|
|
Fibrinogen activity
|
$135.65 |
$135.65 |
$135.65 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$40.25 |
$40.25 |
$40.25 |
$61.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$476.95 |
$476.95 |
$476.95 |
$66.60
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$614.79 |
$614.79 |
$614.79 |
$1,197.83
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$66.80 |
$66.80 |
$66.80 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$53.55 |
$53.55 |
$53.55 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$63.00 |
$63.00 |
$63.00 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$40.10 |
$40.10 |
$40.10 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$129.90 |
$129.90 |
$129.90 |
$504.45
|
|
Finger X-ray (both hands)
|
$330.00 |
$330.00 |
$330.00 |
$241.50
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$776.85 |
$776.85 |
$776.85 |
$4,499.12
|
|
Flecainide (tambocor)-sendout
|
$153.50 |
$153.50 |
$153.50 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$1,000.15 |
$1,000.15 |
$1,000.15 |
$540.80
|
|
Floor of mouth biopsy 41108
|
$4,016.40 |
$4,016.40 |
$4,016.40 |
$2,168.40
|
|
Flow cytometry marker each additional
|
$76.20 |
$76.20 |
$76.20 |
$97.50
|
|
Flow cytometry one marker technical component
|
$427.00 |
$427.00 |
$427.00 |
$285.00
|
|
Flt3 gene
|
$192.40 |
$192.40 |
$192.40 |
$366.29
|
|
Flt3 gene analysis
|
$96.70 |
$96.70 |
$96.70 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$89.24 |
$89.24 |
$89.24 |
$64.22
|