|
EKG (Tracing Only)
|
$260.80 |
$260.80 |
$260.80 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$388.80 |
$388.80 |
$388.80 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$437.60 |
$437.60 |
$437.60 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$132.80 |
$132.80 |
$132.80 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$108.00 |
$108.00 |
$108.00 |
$81.75
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$88.20 |
$88.20 |
$88.20 |
$112.79
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$58.84 |
$58.84 |
$58.84 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$50.60 |
$50.60 |
$50.60 |
$31.76
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$780.00 |
$780.00 |
$780.00 |
$1,329.09
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$200.39 |
$200.39 |
$200.39 |
$232.12
|
|
ER Visit (level 1, minor)
|
$315.20 |
$315.20 |
$315.20 |
$252.60
|
|
ER Visit (level 2)
|
$501.60 |
$501.60 |
$501.60 |
$463.00
|
|
ER Visit (level 3)
|
$888.00 |
$888.00 |
$888.00 |
$812.18
|
|
ER Visit (level 4)
|
$1,411.20 |
$1,411.20 |
$1,411.20 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$2,052.80 |
$2,052.80 |
$2,052.80 |
$1,871.60
|
|
Established Patient Office Visit (level 1)
|
$140.00 |
$140.00 |
$140.00 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$126.40 |
$126.40 |
$126.40 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$193.60 |
$193.60 |
$193.60 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$253.60 |
$253.60 |
$253.60 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$316.80 |
$316.80 |
$316.80 |
$290.68
|
|
Eval/fit voice prosthesis iii, st
|
$440.00 |
$440.00 |
$440.00 |
$359.50
|
|
Event monitor
|
$197.60 |
$197.60 |
$197.60 |
$231.00
|
|
Ewho w/joint(s) cf
|
$1,261.12 |
$1,261.12 |
$1,261.12 |
$830.70
|
|
Exc thrombosed hemorrhoid 46320
|
$3,763.20 |
$3,763.20 |
$3,763.20 |
$2,175.36
|
|
Explore penetrating wnd/extremity 20103
|
$3,382.40 |
$3,382.40 |
$3,382.40 |
$1,788.80
|
|
Explore wound abdomen 20102
|
$2,784.80 |
$2,784.80 |
$2,784.80 |
$2,784.80
|
|
Explore woundchest 20101
|
$1,876.00 |
$1,876.00 |
$1,876.00 |
$2,227.68
|
|
Eye Socket (Orbit) X-ray
|
$472.80 |
$472.80 |
$472.80 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,210.40 |
$2,210.40 |
$2,210.40 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,011.20 |
$4,011.20 |
$4,011.20 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,105.60 |
$3,105.60 |
$3,105.60 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$335.20 |
$335.20 |
$335.20 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$570.40 |
$570.40 |
$570.40 |
$381.75
|
|
Family therapy without pt 50min 90846
|
$540.00 |
$540.00 |
$540.00 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$540.00 |
$540.00 |
$540.00 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$48.71 |
$48.71 |
$48.71 |
$22.20
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$49.48 |
$49.48 |
$49.48 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$826.85 |
$826.85 |
$826.85 |
$2,590.25
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$352.89 |
$352.89 |
$352.89 |
$1,636.50
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$491.20 |
$491.20 |
$491.20 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$295.13 |
$295.13 |
$295.13 |
$891.02
|
|
Finger X-ray (both hands)
|
$319.20 |
$319.20 |
$319.20 |
$241.50
|
|
Flow cytometry marker each additional
|
$93.60 |
$93.60 |
$93.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$558.40 |
$558.40 |
$558.40 |
$285.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$47.71 |
$47.71 |
$47.71 |
$64.22
|
|
Fluidotherapy charges pt
|
$118.40 |
$118.40 |
$118.40 |
$101.40
|
|
Folic acid 5 mg/ml injection solution
|
$48.17 |
$48.17 |
$48.17 |
$45.00
|
|
Fo nontorsion joint cf
|
$318.24 |
$318.24 |
$318.24 |
$217.50
|
|
Foot X-ray
|
$438.40 |
$438.40 |
$438.40 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$371.20 |
$371.20 |
$371.20 |
$290.40
|
|
Forearm X-ray (both sides)
|
$391.20 |
$391.20 |
$391.20 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$888.80 |
$888.80 |
$888.80 |
$534.00
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$72.89 |
$72.89 |
$72.89 |
$103.62
|
|
Full Spine X-ray (Scoliosis Survey)
|
$461.60 |
$461.60 |
$461.60 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$48.56 |
$48.56 |
$48.56 |
$19.53
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$102.00 |
$102.00 |
$102.00 |
$108.40
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,854.40 |
$1,854.40 |
$1,854.40 |
$1,615.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$51.02 |
$51.02 |
$51.02 |
$52.54
|
|
Ghs abscess perianal iandd
|
$1,720.80 |
$1,720.80 |
$1,720.80 |
$1,465.00
|
|
Ghs bladder cath - complex-foley
|
$435.20 |
$435.20 |
$435.20 |
$344.00
|
|
Ghs central line insert < age 5, failed
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$600.00 |
$600.00 |
$600.00 |
$594.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$540.80 |
$540.80 |
$540.80 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$784.80 |
$784.80 |
$784.80 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,011.20 |
$1,011.20 |
$1,011.20 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$678.40 |
$678.40 |
$678.40 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$1,980.80 |
$1,980.80 |
$1,980.80 |
$2,227.20
|
|
Ghs clsd red med malleolus fx without manip
|
$581.60 |
$581.60 |
$581.60 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$2,316.00 |
$2,316.00 |
$2,316.00 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$790.40 |
$790.40 |
$790.40 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$652.80 |
$652.80 |
$652.80 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$120.80 |
$120.80 |
$120.80 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$358.40 |
$358.40 |
$358.40 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$457.60 |
$457.60 |
$457.60 |
$422.25
|
|
Ghs cutdown placement age 1 and over
|
$415.20 |
$415.20 |
$415.20 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$289.60 |
$289.60 |
$289.60 |
$190.30
|
|
Ghs dislocation elbow closed treatment
|
$718.40 |
$718.40 |
$718.40 |
$602.00
|
|
Ghs excision ingrown nail
|
$404.00 |
$404.00 |
$404.00 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$733.60 |
$733.60 |
$733.60 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$4,950.40 |
$4,950.40 |
$4,950.40 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$5,960.80 |
$5,960.80 |
$5,960.80 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$4,380.80 |
$4,380.80 |
$4,380.80 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$3,285.60 |
$3,285.60 |
$3,285.60 |
$1,706.20
|
|
Ghs gastric intub aspiration lavage
|
$419.20 |
$419.20 |
$419.20 |
$368.50
|
|
Ghs i and d perirectal abscess 46040
|
$3,581.60 |
$3,581.60 |
$3,581.60 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,932.80 |
$1,932.80 |
$1,932.80 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$474.40 |
$474.40 |
$474.40 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$561.60 |
$561.60 |
$561.60 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$256.00 |
$256.00 |
$256.00 |
$350.90
|
|
Ghs init tx 1st degree burn
|
$250.40 |
$250.40 |
$250.40 |
$275.88
|
|
Ghs inj tendon origin/insertion
|
$465.60 |
$465.60 |
$465.60 |
$434.12
|
|
Ghs insertion of needle - bone
|
$408.00 |
$408.00 |
$408.00 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$988.80 |
$988.80 |
$988.80 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,688.80 |
$1,688.80 |
$1,688.80 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,258.40 |
$3,258.40 |
$3,258.40 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$173.60 |
$173.60 |
$173.60 |
$200.20
|
|
Ghs IV thrombolytics - cerebral
|
$883.20 |
$883.20 |
$883.20 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$542.40 |
$542.40 |
$542.40 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$884.80 |
$884.80 |
$884.80 |
$591.00
|