|
EKG tracing for initial prev
|
$203.20 |
$203.20 |
$203.20 |
$81.76
|
|
EKG (Tracing Only)
|
$278.40 |
$278.40 |
$278.40 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$372.00 |
$372.00 |
$372.00 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$446.40 |
$446.40 |
$446.40 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$111.20 |
$111.20 |
$111.20 |
$87.49
|
|
Electrolyte panel
|
$127.20 |
$127.20 |
$127.20 |
$79.30
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$7,245.60 |
$7,245.60 |
$7,245.60 |
$5,515.40
|
|
Endovenous rf abl vein addl
|
$5,305.60 |
$5,305.60 |
$5,305.60 |
$3,156.02
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$69.70 |
$69.70 |
$69.70 |
$112.79
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$68.51 |
$68.51 |
$68.51 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$70.40 |
$70.40 |
$70.40 |
$31.76
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$312.29 |
$312.29 |
$312.29 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$97.12 |
$97.12 |
$97.12 |
$33.60
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$335.69 |
$335.69 |
$335.69 |
$865.80
|
|
Epstein barr nuclear antigen antibody
|
$171.20 |
$171.20 |
$171.20 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$162.40 |
$162.40 |
$162.40 |
$85.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$115.64 |
$115.64 |
$115.64 |
$232.12
|
|
ER Visit (level 1, minor)
|
$323.20 |
$323.20 |
$323.20 |
$252.60
|
|
ER Visit (level 2)
|
$464.00 |
$464.00 |
$464.00 |
$463.00
|
|
ER Visit (level 3)
|
$704.80 |
$704.80 |
$704.80 |
$812.18
|
|
ER Visit (level 4)
|
$1,292.80 |
$1,292.80 |
$1,292.80 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,752.80 |
$1,752.80 |
$1,752.80 |
$1,871.60
|
|
Established Patient Office Visit (level 1)
|
$150.40 |
$150.40 |
$150.40 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$164.80 |
$164.80 |
$164.80 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$202.40 |
$202.40 |
$202.40 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$256.00 |
$256.00 |
$256.00 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$308.80 |
$308.80 |
$308.80 |
$290.68
|
|
Estradiol total
|
$282.40 |
$282.40 |
$282.40 |
$152.10
|
|
Estrogens total-sendout
|
$52.80 |
$52.80 |
$52.80 |
$97.50
|
|
Etoposide 20 mg/ml intravenous solution
|
$232.51 |
$232.51 |
$232.51 |
$235.20
|
|
Evaluation of speech fluency 92521
|
$400.80 |
$400.80 |
$400.80 |
$302.50
|
|
Event monitor
|
$409.60 |
$409.60 |
$409.60 |
$231.00
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,568.80 |
$1,568.80 |
$1,568.80 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$2,127.20 |
$2,127.20 |
$2,127.20 |
$1,152.96
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$906.40 |
$906.40 |
$906.40 |
$1,501.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$421.60 |
$421.60 |
$421.60 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,119.20 |
$1,119.20 |
$1,119.20 |
$1,314.67
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$2,005.60 |
$2,005.60 |
$2,005.60 |
$999.50
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$4,485.60 |
$4,485.60 |
$4,485.60 |
$3,484.00
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$583.20 |
$583.20 |
$583.20 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,370.40 |
$1,370.40 |
$1,370.40 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$802.40 |
$802.40 |
$802.40 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$4,390.40 |
$4,390.40 |
$4,390.40 |
$2,865.00
|
|
Exc malig feenl 1.1-2 11642
|
$1,113.60 |
$1,113.60 |
$1,113.60 |
$1,082.00
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$653.60 |
$653.60 |
$653.60 |
$889.20
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$2,541.60 |
$2,541.60 |
$2,541.60 |
$1,294.80
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$2,365.60 |
$2,365.60 |
$2,365.60 |
$1,274.00
|
|
Ext ecg>7d<15d scan a/r
|
$386.40 |
$386.40 |
$386.40 |
$345.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$104.80 |
$104.80 |
$104.80 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$520.80 |
$520.80 |
$520.80 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,952.80 |
$2,952.80 |
$2,952.80 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,661.60 |
$2,661.60 |
$2,661.60 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$2,284.80 |
$2,284.80 |
$2,284.80 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,758.40 |
$4,758.40 |
$4,758.40 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,392.00 |
$3,392.00 |
$3,392.00 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$365.60 |
$365.60 |
$365.60 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$597.60 |
$597.60 |
$597.60 |
$381.75
|
|
Factor viii
|
$349.60 |
$349.60 |
$349.60 |
$148.00
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$95.52 |
$95.52 |
$95.52 |
$22.20
|
|
Fat/lipids feces qualitative
|
$234.40 |
$234.40 |
$234.40 |
$36.00
|
|
Felbamate (felbatol(r)) - sendout
|
$54.40 |
$54.40 |
$54.40 |
$66.43
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$60.92 |
$60.92 |
$60.92 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,545.58 |
$1,545.58 |
$1,545.58 |
$2,590.25
|
|
Ferritin
|
$156.80 |
$156.80 |
$156.80 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$489.22 |
$489.22 |
$489.22 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$756.80 |
$756.80 |
$756.80 |
$541.74
|
|
Fetal hemoglobin rosette
|
$127.20 |
$127.20 |
$127.20 |
$67.20
|
|
Fibrin degradation d dimer quantitative
|
$219.20 |
$219.20 |
$219.20 |
$120.64
|
|
Fibrinogen activity
|
$48.00 |
$48.00 |
$48.00 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$90.40 |
$90.40 |
$90.40 |
$61.00
|
|
Fine needle asp without image guide 10021
|
$691.20 |
$691.20 |
$691.20 |
$504.45
|
|
Finger X-ray (both hands)
|
$345.60 |
$345.60 |
$345.60 |
$241.50
|
|
Flexible Sigmoidoscopy
|
$2,204.80 |
$2,204.80 |
$2,204.80 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$216.00 |
$216.00 |
$216.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$242.40 |
$242.40 |
$242.40 |
$285.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$71.51 |
$71.51 |
$71.51 |
$64.22
|
|
Fluorescent antibody titer dna
|
$56.80 |
$56.80 |
$56.80 |
$123.65
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$244.96 |
$244.96 |
$244.96 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$64.93 |
$64.93 |
$64.93 |
$72.52
|
|
Folic acid
|
$134.40 |
$134.40 |
$134.40 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$60.13 |
$60.13 |
$60.13 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$804.56 |
$804.56 |
$804.56 |
$2,511.73
|
|
Fondaparinux sodium
|
$75.24 |
$75.24 |
$75.24 |
$186.20
|
|
Foot X-ray
|
$452.00 |
$452.00 |
$452.00 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$340.80 |
$340.80 |
$340.80 |
$290.40
|
|
Forearm X-ray (both sides)
|
$412.80 |
$412.80 |
$412.80 |
$324.00
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$61.68 |
$61.68 |
$61.68 |
$103.62
|
|
_fragile x methylation-sendout
|
$120.80 |
$120.80 |
$120.80 |
$183.74
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$313.60 |
$313.60 |
$313.60 |
$164.84
|
|
Fructosamine glycated protein
|
$56.00 |
$56.00 |
$56.00 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$520.80 |
$520.80 |
$520.80 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$60.76 |
$60.76 |
$60.76 |
$19.53
|
|
Fusion of big toe joint
|
$8,581.60 |
$8,581.60 |
$8,581.60 |
$5,488.00
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$102.00 |
$102.00 |
$102.00 |
$108.40
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,925.60 |
$1,925.60 |
$1,925.60 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$2,131.20 |
$2,131.20 |
$2,131.20 |
$1,615.00
|
|
Gammaglobulin iga
|
$91.20 |
$91.20 |
$91.20 |
$69.60
|
|
Gammaglobulin ige
|
$188.00 |
$188.00 |
$188.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$74.40 |
$74.40 |
$74.40 |
$57.54
|
|
Gamunex-c/gammaked
|
$3,746.40 |
$3,746.40 |
$3,746.40 |
$7,435.88
|