|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,355.40 |
$1,355.40 |
$1,355.40 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$55.80 |
$55.80 |
$55.80 |
$232.12
|
|
ER Visit (level 1, minor)
|
$97.80 |
$97.80 |
$97.80 |
$252.60
|
|
ER Visit (level 2)
|
$195.60 |
$195.60 |
$195.60 |
$463.00
|
|
ER Visit (level 3)
|
$293.40 |
$293.40 |
$293.40 |
$812.18
|
|
ER Visit (level 4)
|
$489.60 |
$489.60 |
$489.60 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$783.60 |
$783.60 |
$783.60 |
$1,871.60
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$81.60 |
$81.60 |
$81.60 |
$516.71
|
|
Esophageal dilat s&i
|
$0.60 |
$0.60 |
$0.60 |
$551.20
|
|
Esophageal motility
|
$201.60 |
$201.60 |
$201.60 |
$655.45
|
|
Establish access to artery
|
$0.60 |
$0.60 |
$0.60 |
$1,145.65
|
|
Established Patient Office Visit (level 1)
|
$58.20 |
$58.20 |
$58.20 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$87.60 |
$87.60 |
$87.60 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$117.00 |
$117.00 |
$117.00 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$146.40 |
$146.40 |
$146.40 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$175.80 |
$175.80 |
$175.80 |
$290.68
|
|
Estradiol total
|
$24.00 |
$24.00 |
$24.00 |
$152.10
|
|
Estrogens total-sendout
|
$40.20 |
$40.20 |
$40.20 |
$97.50
|
|
Ethylene glycol -sendout
|
$24.00 |
$24.00 |
$24.00 |
$86.04
|
|
Euglobulin lysis
|
$12.60 |
$12.60 |
$12.60 |
$63.84
|
|
Eval/fit voice prosthesis iii, st
|
$207.60 |
$207.60 |
$207.60 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$67.20 |
$67.20 |
$67.20 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$150.00 |
$150.00 |
$150.00 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$351.60 |
$351.60 |
$351.60 |
$318.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$0.60 |
$0.60 |
$0.60 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$0.60 |
$0.60 |
$0.60 |
$5,403.50
|
|
Evasc rpr a-iliac ndgft 34717
|
$0.60 |
$0.60 |
$0.60 |
$4,919.00
|
|
Event monitor
|
$66.00 |
$66.00 |
$66.00 |
$231.00
|
|
Evoked potential visual not glaucoma
|
$153.60 |
$153.60 |
$153.60 |
$814.61
|
|
Exchange biliary drg cath
|
$0.60 |
$0.60 |
$0.60 |
$3,856.84
|
|
Exchange drainage catheter
|
$0.60 |
$0.60 |
$0.60 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$0.60 |
$0.60 |
$0.60 |
$2,958.80
|
|
Exercise w/hemodynamic meas
|
$0.60 |
$0.60 |
$0.60 |
$901.60
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$15,240.60 |
$15,240.60 |
$15,240.60 |
$4,101.67
|
|
External chromosome analysis 20-25 cells
|
$649.20 |
$649.20 |
$649.20 |
$415.01
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$49.80 |
$49.80 |
$49.80 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$243.60 |
$243.60 |
$243.60 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$45.00 |
$45.00 |
$45.00 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$142.80 |
$142.80 |
$142.80 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$190.80 |
$190.80 |
$190.80 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$172.80 |
$172.80 |
$172.80 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$140.40 |
$140.40 |
$140.40 |
$1,320.00
|
|
F-18 fdg pet diag
|
$234.00 |
$234.00 |
$234.00 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$513.00 |
$513.00 |
$513.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$388.80 |
$388.80 |
$388.80 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$89.40 |
$89.40 |
$89.40 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$142.80 |
$142.80 |
$142.80 |
$381.75
|
|
Factor ix
|
$97.20 |
$97.20 |
$97.20 |
$162.50
|
|
Factor ix recombinant nos
|
$1.20 |
$1.20 |
$1.20 |
$4.65
|
|
Factor viii
|
$97.20 |
$97.20 |
$97.20 |
$148.00
|
|
Family therapy without pt 50min 90846
|
$117.00 |
$117.00 |
$117.00 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$117.00 |
$117.00 |
$117.00 |
$236.70
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$31.20 |
$31.20 |
$31.20 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$24.00 |
$24.00 |
$24.00 |
$36.00
|
|
Feeding tube reposition
|
$0.60 |
$0.60 |
$0.60 |
$520.00
|
|
Fem/popl revasc w/stent
|
$0.60 |
$0.60 |
$0.60 |
$16,129.60
|
|
Feno poc
|
$49.20 |
$49.20 |
$49.20 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$0.60 |
$0.60 |
$0.60 |
$101.40
|
|
Ferritin
|
$24.00 |
$24.00 |
$24.00 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$472.80 |
$472.80 |
$472.80 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$357.60 |
$357.60 |
$357.60 |
$541.74
|
|
Fetal fibronectin
|
$283.80 |
$283.80 |
$283.80 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$37.20 |
$37.20 |
$37.20 |
$102.00
|
|
Fetal hemoglobin rosette
|
$24.00 |
$24.00 |
$24.00 |
$67.20
|
|
Fetal non stress test
|
$722.40 |
$722.40 |
$722.40 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$24.00 |
$24.00 |
$24.00 |
$120.64
|
|
Fibrin degradation products
|
$24.00 |
$24.00 |
$24.00 |
$75.02
|
|
Fibrin degrade semiquant
|
$24.00 |
$24.00 |
$24.00 |
$84.50
|
|
Fibrinogen activity
|
$14.40 |
$14.40 |
$14.40 |
$87.00
|
|
Fibrinolytic antiplasmin
|
$81.00 |
$81.00 |
$81.00 |
$72.80
|
|
Fibrinolytic plasminogen
|
$81.00 |
$81.00 |
$81.00 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$37.20 |
$37.20 |
$37.20 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$296.40 |
$296.40 |
$296.40 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$617.40 |
$617.40 |
$617.40 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$372.60 |
$372.60 |
$372.60 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$2,570.40 |
$2,570.40 |
$2,570.40 |
$7,358.16
|
|
Filter vena cava fem denali
|
$5,440.20 |
$5,440.20 |
$5,440.20 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$0.60 |
$0.60 |
$0.60 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$0.60 |
$0.60 |
$0.60 |
$825.00
|
|
Finger joint sz00 swanson w/grommets
|
$5,254.20 |
$5,254.20 |
$5,254.20 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$124.80 |
$124.80 |
$124.80 |
$241.50
|
|
Fl exam g/colon tube w contrast
|
$0.60 |
$0.60 |
$0.60 |
$540.80
|
|
Flow cytometry marker each additional
|
$81.00 |
$81.00 |
$81.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$81.00 |
$81.00 |
$81.00 |
$285.00
|
|
Flt3 gene
|
$243.60 |
$243.60 |
$243.60 |
$366.29
|
|
Flt3 gene analysis
|
$243.60 |
$243.60 |
$243.60 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$6.00 |
$6.00 |
$6.00 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$103.80 |
$103.80 |
$103.80 |
$493.35
|
|
Fluidotherapy charges pt
|
$34.20 |
$34.20 |
$34.20 |
$101.40
|
|
Fluorescent antibody titer dna
|
$45.00 |
$45.00 |
$45.00 |
$123.65
|
|
Fluoroguide needle placement
|
$0.60 |
$0.60 |
$0.60 |
$497.92
|
|
Fluoro polarize fetal lung
|
$40.20 |
$40.20 |
$40.20 |
$153.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$196.20 |
$196.20 |
$196.20 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$1.20 |
$1.20 |
$1.20 |
$107.00
|
|
Fna bx w/ct gdn 1st les
|
$0.60 |
$0.60 |
$0.60 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$0.60 |
$0.60 |
$0.60 |
$834.90
|
|
Folic acid
|
$24.00 |
$24.00 |
$24.00 |
$101.50
|
|
Follow-up angiography
|
$0.60 |
$0.60 |
$0.60 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$684.00 |
$684.00 |
$684.00 |
$2,511.73
|
|
Fondaparinux sodium
|
$34.20 |
$34.20 |
$34.20 |
$186.20
|