|
Endoskeletal axial rotation
|
$1,019.48 |
$1,019.48 |
$1,019.48 |
$854.00
|
|
Endoskel knee-shin mnl lock
|
$901.77 |
$901.77 |
$901.77 |
$1,097.21
|
|
Energy storing foot
|
$931.78 |
$931.78 |
$931.78 |
$840.00
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$6,473.85 |
$6,473.85 |
$6,473.85 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$69.43 |
$69.43 |
$69.43 |
$112.79
|
|
Enzyme histochemistry
|
$120.29 |
$120.29 |
$120.29 |
$455.91
|
|
Eo elas w/metal jnts pre ots
|
$205.58 |
$205.58 |
$205.58 |
$145.60
|
|
Epidural/lumbar/sacral/ea add level64484
|
$343.11 |
$343.11 |
$343.11 |
$1,182.00
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$47.82 |
$47.82 |
$47.82 |
$507.10
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$817.75 |
$817.75 |
$817.75 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,210.50 |
$1,210.50 |
$1,210.50 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$60.59 |
$60.59 |
$60.59 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$48.66 |
$48.66 |
$48.66 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$49.45 |
$49.45 |
$49.45 |
$85.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$69.62 |
$69.62 |
$69.62 |
$232.12
|
|
ER Visit (level 1, minor)
|
$135.18 |
$135.18 |
$135.18 |
$252.60
|
|
ER Visit (level 2)
|
$230.33 |
$230.33 |
$230.33 |
$463.00
|
|
ER Visit (level 3)
|
$417.31 |
$417.31 |
$417.31 |
$812.18
|
|
ER Visit (level 4)
|
$685.10 |
$685.10 |
$685.10 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$946.68 |
$946.68 |
$946.68 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$142.49 |
$142.49 |
$142.49 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$332.58 |
$332.58 |
$332.58 |
$516.71
|
|
Established Patient Office Visit (level 1)
|
$38.47 |
$38.47 |
$38.47 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$47.77 |
$47.77 |
$47.77 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$59.30 |
$59.30 |
$59.30 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$70.78 |
$70.78 |
$70.78 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$85.01 |
$85.01 |
$85.01 |
$290.68
|
|
Estradiol total
|
$272.94 |
$272.94 |
$272.94 |
$152.10
|
|
Ethylene glycol -sendout
|
$186.76 |
$186.76 |
$186.76 |
$86.04
|
|
Etonogestrel implant system
|
$826.22 |
$826.22 |
$826.22 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$170.17 |
$170.17 |
$170.17 |
$235.20
|
|
Euflexxa inj per dose
|
$218.28 |
$218.28 |
$218.28 |
$510.68
|
|
Eval/fit voice prosthesis iii, st
|
$192.92 |
$192.92 |
$192.92 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$96.66 |
$96.66 |
$96.66 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$192.92 |
$192.92 |
$192.92 |
$302.50
|
|
Evoked auditory tst complete
|
$221.87 |
$221.87 |
$221.87 |
$357.41
|
|
Evoked oa emissions ltd
|
$161.50 |
$161.50 |
$161.50 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$81.76 |
$81.76 |
$81.76 |
$261.30
|
|
Evok oa screening qual
|
$153.83 |
$153.83 |
$153.83 |
$109.13
|
|
Ewhfo w/joint(s) cf
|
$1,955.46 |
$1,955.46 |
$1,955.46 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$1,127.90 |
$1,127.90 |
$1,127.90 |
$830.70
|
|
Excursion amplifier lever ty
|
$457.02 |
$457.02 |
$457.02 |
$294.00
|
|
Excursion amplifier pulley t
|
$310.80 |
$310.80 |
$310.80 |
$226.80
|
|
Exercise tst brncspsm wo ecg
|
$507.36 |
$507.36 |
$507.36 |
$129.92
|
|
Exoskeletal ak ultra-light m
|
$1,181.99 |
$1,181.99 |
$1,181.99 |
$996.80
|
|
Exoskeletal axial rotation u
|
$1,016.29 |
$1,016.29 |
$1,016.29 |
$868.00
|
|
Exoskeletal bk ultralt mater
|
$819.00 |
$819.00 |
$819.00 |
$4,542.72
|
|
Exoskel hip ultra-light mate
|
$1,692.49 |
$1,692.49 |
$1,692.49 |
$1,257.20
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,258.65 |
$2,258.65 |
$2,258.65 |
$4,101.67
|
|
Extended steel shank
|
$81.65 |
$81.65 |
$81.65 |
$111.44
|
|
Extension per extension per
|
$89.88 |
$89.88 |
$89.88 |
$134.44
|
|
External chromosome analysis 20-25 cells
|
$565.38 |
$565.38 |
$565.38 |
$415.01
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$65.35 |
$65.35 |
$65.35 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$375.26 |
$375.26 |
$375.26 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$229.71 |
$229.71 |
$229.71 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$128.80 |
$128.80 |
$128.80 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,589.34 |
$1,589.34 |
$1,589.34 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,192.13 |
$1,192.13 |
$1,192.13 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$794.70 |
$794.70 |
$794.70 |
$1,320.00
|
|
F-18 fdg pet diag
|
$397.26 |
$397.26 |
$397.26 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,229.63 |
$3,229.63 |
$3,229.63 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,614.76 |
$1,614.76 |
$1,614.76 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$171.81 |
$171.81 |
$171.81 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$171.81 |
$171.81 |
$171.81 |
$381.75
|
|
Factor ix
|
$96.88 |
$96.88 |
$96.88 |
$162.50
|
|
Factor viii
|
$523.82 |
$523.82 |
$523.82 |
$148.00
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$24.24 |
$24.24 |
$24.24 |
$22.20
|
|
Fancc gene
|
$224.95 |
$224.95 |
$224.95 |
$140.00
|
|
Fat/lipids feces qualitative
|
$46.54 |
$46.54 |
$46.54 |
$36.00
|
|
Fda ide #g240020 carry bag
|
$564.65 |
$564.65 |
$564.65 |
$903.05
|
|
Felbamate (felbatol(r)) - sendout
|
$60.59 |
$60.59 |
$60.59 |
$66.43
|
|
Fem focal defic constant fri
|
$7,308.56 |
$7,308.56 |
$7,308.56 |
$5,703.60
|
|
Femoral lgth sock fx or equa
|
$95.76 |
$95.76 |
$95.76 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$117.67 |
$117.67 |
$117.67 |
$101.40
|
|
Fern test
|
$101.47 |
$101.47 |
$101.47 |
$37.03
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,915.31 |
$1,915.31 |
$1,915.31 |
$2,590.25
|
|
Ferritin
|
$30.86 |
$30.86 |
$30.86 |
$102.48
|
|
Fetal aneuploidy trisom risk
|
$557.26 |
$557.26 |
$557.26 |
$1,077.00
|
|
Fetal biophys profile w/nst 76818
|
$425.21 |
$425.21 |
$425.21 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$349.05 |
$349.05 |
$349.05 |
$477.50
|
|
Fetal cord puncture prenatal
|
$782.54 |
$782.54 |
$782.54 |
$751.20
|
|
Fetal fibronectin
|
$513.07 |
$513.07 |
$513.07 |
$389.95
|
|
Fetal fluid drainage w/us
|
$147.95 |
$147.95 |
$147.95 |
$612.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$136.70 |
$136.70 |
$136.70 |
$102.00
|
|
Fetal hemoglobin rosette
|
$56.62 |
$56.62 |
$56.62 |
$67.20
|
|
Fetal non stress test
|
$401.41 |
$401.41 |
$401.41 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$78.34 |
$78.34 |
$78.34 |
$120.64
|
|
Fibrinogen activity
|
$51.35 |
$51.35 |
$51.35 |
$87.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$337.35 |
$337.35 |
$337.35 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,061.41 |
$1,061.41 |
$1,061.41 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$529.79 |
$529.79 |
$529.79 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$5,839.57 |
$5,839.57 |
$5,839.57 |
$7,358.16
|
|
Filter vena cava fem denali
|
$3,594.08 |
$3,594.08 |
$3,594.08 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$931.62 |
$931.62 |
$931.62 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$242.26 |
$242.26 |
$242.26 |
$825.00
|
|
Finger X-ray (both hands)
|
$257.66 |
$257.66 |
$257.66 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$51.52 |
$51.52 |
$51.52 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$678.10 |
$678.10 |
$678.10 |
$540.80
|
|
Flex/ext wrist w/wo friction
|
$3,626.56 |
$3,626.56 |
$3,626.56 |
$2,525.60
|
|
Flex foot system
|
$5,822.15 |
$5,822.15 |
$5,822.15 |
$4,746.00
|