|
Electrical Stimulation Therapy (each 15 minutes)
|
$56.00 |
$56.00 |
$56.00 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$52.00 |
$52.00 |
$52.00 |
$81.75
|
|
Electrolyte panel
|
$116.80 |
$116.80 |
$116.80 |
$79.30
|
|
Electron microscopy diagnostic
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$1,011.98
|
|
Elotuzumab 300 mg intravenous solution
|
$5,136.27 |
$5,136.27 |
$5,136.27 |
$5,761.81
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$4,851.24 |
$4,851.24 |
$4,851.24 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$74.06 |
$74.06 |
$74.06 |
$112.79
|
|
Envrn ivntj med mgmt psyc pt
|
$58.40 |
$58.40 |
$58.40 |
$74.10
|
|
Enzyme histochemistry
|
$276.80 |
$276.80 |
$276.80 |
$455.91
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$41.61 |
$41.61 |
$41.61 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$36.68 |
$36.68 |
$36.68 |
$31.76
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$37.04 |
$37.04 |
$37.04 |
$33.60
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$1,660.00 |
$1,660.00 |
$1,660.00 |
$3,778.57
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$462.81 |
$462.81 |
$462.81 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$560.00 |
$560.00 |
$560.00 |
$1,329.09
|
|
Epstein barr nuclear antigen antibody
|
$60.00 |
$60.00 |
$60.00 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$90.40 |
$90.40 |
$90.40 |
$85.50
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,220.36 |
$1,220.36 |
$1,220.36 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$134.70 |
$134.70 |
$134.70 |
$232.12
|
|
ER Visit (level 1, minor)
|
$245.60 |
$245.60 |
$245.60 |
$252.60
|
|
ER Visit (level 2)
|
$395.20 |
$395.20 |
$395.20 |
$463.00
|
|
ER Visit (level 3)
|
$640.80 |
$640.80 |
$640.80 |
$812.18
|
|
ER Visit (level 4)
|
$1,048.00 |
$1,048.00 |
$1,048.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,622.40 |
$1,622.40 |
$1,622.40 |
$1,871.60
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$39.99 |
$39.99 |
$39.99 |
$516.71
|
|
Esophageal dilat s&i
|
$875.20 |
$875.20 |
$875.20 |
$551.20
|
|
Established Patient Office Visit (level 1)
|
$221.60 |
$221.60 |
$221.60 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$100.80 |
$100.80 |
$100.80 |
$139.20
|
|
Estradiol total
|
$128.00 |
$128.00 |
$128.00 |
$152.10
|
|
Ethylene glycol -sendout
|
$200.00 |
$200.00 |
$200.00 |
$86.04
|
|
Etoposide 20 mg/ml intravenous solution
|
$321.65 |
$321.65 |
$321.65 |
$235.20
|
|
Eval/fit voice prosthesis iii, st
|
$470.40 |
$470.40 |
$470.40 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$267.20 |
$267.20 |
$267.20 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$391.20 |
$391.20 |
$391.20 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$430.40 |
$430.40 |
$430.40 |
$318.24
|
|
Evoked oa emissions ltd
|
$187.20 |
$187.20 |
$187.20 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$275.20 |
$275.20 |
$275.20 |
$261.30
|
|
Explore penetrating wnd/extremity 20103
|
$2,210.40 |
$2,210.40 |
$2,210.40 |
$1,788.80
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$2,432.00 |
$2,432.00 |
$2,432.00 |
$3,623.43
|
|
External chromosome analysis 20-25 cells
|
$338.40 |
$338.40 |
$338.40 |
$415.01
|
|
External newborn metabolic screening panel
|
$235.20 |
$235.20 |
$235.20 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$569.60 |
$569.60 |
$569.60 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$120.00 |
$120.00 |
$120.00 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$481.60 |
$481.60 |
$481.60 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,578.40 |
$2,578.40 |
$2,578.40 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,194.40 |
$2,194.40 |
$2,194.40 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,815.20 |
$1,815.20 |
$1,815.20 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,772.00 |
$3,772.00 |
$3,772.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,835.20 |
$2,835.20 |
$2,835.20 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$253.60 |
$253.60 |
$253.60 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$368.80 |
$368.80 |
$368.80 |
$381.75
|
|
Factor ix
|
$83.20 |
$83.20 |
$83.20 |
$162.50
|
|
Factor ix non-recombinant
|
$61.40 |
$61.40 |
$61.40 |
$4.63
|
|
Factor viii
|
$78.40 |
$78.40 |
$78.40 |
$148.00
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$35.24 |
$35.24 |
$35.24 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$3,579.24 |
$3,579.24 |
$3,579.24 |
$5,894.50
|
|
Fatty acids nonesterified
|
$57.60 |
$57.60 |
$57.60 |
$72.15
|
|
#fecal-sodium
|
$28.00 |
$28.00 |
$28.00 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$36.80 |
$36.80 |
$36.80 |
$66.43
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$39.56 |
$39.56 |
$39.56 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$554.32 |
$554.32 |
$554.32 |
$2,590.25
|
|
Ferritin
|
$89.60 |
$89.60 |
$89.60 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,997.59 |
$1,997.59 |
$1,997.59 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$823.20 |
$823.20 |
$823.20 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$610.40 |
$610.40 |
$610.40 |
$477.50
|
|
Fetal fibronectin
|
$311.20 |
$311.20 |
$311.20 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$266.40 |
$266.40 |
$266.40 |
$102.00
|
|
Fetal hemoglobin rosette
|
$30.40 |
$30.40 |
$30.40 |
$67.20
|
|
Fetal non stress test
|
$300.00 |
$300.00 |
$300.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$178.40 |
$178.40 |
$178.40 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$113.60 |
$113.60 |
$113.60 |
$120.64
|
|
Fibrinogen activity
|
$48.00 |
$48.00 |
$48.00 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$86.40 |
$86.40 |
$86.40 |
$61.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$60.00 |
$60.00 |
$60.00 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$391.88 |
$391.88 |
$391.88 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,096.24 |
$1,096.24 |
$1,096.24 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$478.36 |
$478.36 |
$478.36 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$1,991.20 |
$1,991.20 |
$1,991.20 |
$7,358.16
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,006.40 |
$1,006.40 |
$1,006.40 |
$825.00
|
|
Finger X-ray (both hands)
|
$220.00 |
$220.00 |
$220.00 |
$241.50
|
|
Fl exam g/colon tube w contrast
|
$516.80 |
$516.80 |
$516.80 |
$540.80
|
|
Flow cytometry marker each additional
|
$114.40 |
$114.40 |
$114.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$558.40 |
$558.40 |
$558.40 |
$285.00
|
|
Flt3 gene
|
$443.20 |
$443.20 |
$443.20 |
$366.29
|
|
Flt3 gene analysis
|
$222.40 |
$222.40 |
$222.40 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$74.24 |
$74.24 |
$74.24 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$330.40 |
$330.40 |
$330.40 |
$493.35
|
|
Fluidotherapy charges pt
|
$101.60 |
$101.60 |
$101.60 |
$101.40
|
|
Fluorescent antibody titer dna
|
$54.40 |
$54.40 |
$54.40 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$660.80 |
$660.80 |
$660.80 |
$495.00
|
|
Fluoroguide needle placement
|
$645.60 |
$645.60 |
$645.60 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$516.80 |
$516.80 |
$516.80 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$319.54 |
$319.54 |
$319.54 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$140.12 |
$140.12 |
$140.12 |
$72.52
|
|
Folic acid
|
$95.20 |
$95.20 |
$95.20 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$34.69 |
$34.69 |
$34.69 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,594.03 |
$1,594.03 |
$1,594.03 |
$2,511.73
|
|
Fondaparinux sodium
|
$103.67 |
$103.67 |
$103.67 |
$186.20
|
|
Foot X-ray
|
$313.60 |
$313.60 |
$313.60 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$224.80 |
$224.80 |
$224.80 |
$290.40
|