|
Ethylene glycol -sendout
|
$28.91 |
$32.01 |
$40.33 |
|
|
Etoposide 20 mg/ml intravenous solution
|
$77.08 |
$77.08 |
$85.36 |
|
|
Etoposide 50 mg cap
|
$65.40 |
$65.40 |
$72.42 |
|
|
Eval/fit voice prosthesis iii, st
|
$155.39 |
$155.39 |
$216.79 |
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$142.19 |
$142.19 |
$169.35 |
|
|
Evaluation heart device
|
$667.28 |
$667.28 |
$738.89 |
|
|
Evasc prlng admn rx agnt 1st
|
$1,684.34 |
$1,684.34 |
$2,347.87 |
|
|
Evasc prlng admn rx agnt add
|
$839.90 |
$839.90 |
$1,001.22 |
|
|
Evasc rpr a-ao ndgft 34701
|
$389.30 |
$431.08 |
$543.12 |
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$353.83 |
$391.81 |
$493.64 |
|
|
Evasc rpr a-biiliac ndgft rptr
|
$353.83 |
$391.81 |
$493.64 |
|
|
Evasc rpr a-unilac ndgft 34703
|
$353.83 |
$391.81 |
$493.64 |
|
|
Evasc rpr a-unilac ndgft rpt
|
$353.83 |
$353.83 |
$493.64 |
|
|
Evasc rpr ilio-iliac ndgft
|
$353.83 |
$353.83 |
$493.64 |
|
|
Evasc rpr ilio-iliac rpt
|
$353.83 |
$353.83 |
$493.64 |
|
|
Event monitor
|
$177.35 |
$177.35 |
$177.35 |
|
|
Evoked auditory tst complete
|
$58.43 |
$58.43 |
$81.51 |
|
|
Evoked oa emissions ltd
|
$95.45 |
$95.45 |
$95.45 |
|
|
Evoked potentials upper limbs
|
$121.77 |
$134.84 |
$169.89 |
|
|
Evoked potential visual not glaucoma
|
$286.59 |
$286.59 |
$399.83 |
|
|
Exchange biliary drg cath
|
$1,652.30 |
$1,829.62 |
$2,305.16 |
|
|
Exchange drainage catheter
|
$1,023.36 |
$1,133.19 |
$1,427.72 |
|
|
Exchange nephrostomy cath
|
$1,856.28 |
$1,856.28 |
$3,083.57 |
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$214.64 |
$214.64 |
$214.64 |
|
|
Exc malig tal 0.6-1.0cm 11601
|
$180.81 |
$180.81 |
$180.81 |
|
|
Exercise w/hemodynamic meas
|
$237.19 |
$237.19 |
$237.19 |
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$1,763.41 |
$1,763.41 |
$1,952.66 |
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,356.08 |
$1,501.61 |
$5,327.38 |
|
|
Explore penetrating wnd/extremity 20103
|
$561.09 |
$561.09 |
$561.09 |
|
|
External cannula declotting
|
$372.08 |
$372.08 |
$372.08 |
|
|
External chromosome analysis 20-25 cells
|
$270.60 |
$299.64 |
$377.52 |
|
|
External newborn metabolic screening panel
|
$118.85 |
$118.85 |
$118.85 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$84.67 |
$93.76 |
$118.12 |
|
|
External recharg sys intern
|
$1,356.08 |
$1,356.08 |
$1,501.61 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$270.60 |
$299.64 |
$377.52 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$66.42 |
$73.55 |
$92.67 |
|
|
Eye Socket (Orbit) X-ray
|
$212.79 |
$283.52 |
$395.54 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$864.36 |
$1,412.66 |
$1,970.83 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$720.30 |
$1,296.01 |
$1,808.10 |
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$576.24 |
$1,101.47 |
$1,536.68 |
|
|
F-18 fdg pet diag
|
$310.58 |
$343.91 |
$433.29 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$1,566.20 |
$1,734.28 |
$2,477.12 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$923.94 |
$1,023.09 |
$1,651.41 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$134.54 |
$209.10 |
$291.72 |
|
|
Facial Bones X-ray (complete)
|
$229.41 |
$290.69 |
$405.55 |
|
|
Factor ix
|
$18.25 |
$20.21 |
$38.08 |
|
|
Factor ix complex
|
$1.44 |
$1.44 |
$1.59 |
|
|
Factor viii
|
$54.53 |
$54.95 |
$76.08 |
|
|
Factor viii
|
$1.82 |
$1.82 |
$1.82 |
|
|
Factor viii recombinant nos
|
$5.33 |
$5.33 |
$5.91 |
|
|
Factor viii recomb obizur
|
$1.14 |
$1.14 |
$1.14 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$5.33 |
$5.91 |
$7.44 |
|
|
Fat/lipids feces qualitative
|
$10.46 |
$11.58 |
$32.78 |
|
|
Fatty acids nonesterified
|
$15.17 |
$16.80 |
$33.26 |
|
|
#fecal-sodium
|
$12.92 |
$14.31 |
$27.96 |
|
|
Felbamate (felbatol(r)) - sendout
|
$14.76 |
$16.35 |
$35.67 |
|
|
Femoral lgth sock fx or equa
|
$108.65 |
$120.31 |
$151.58 |
|
|
Fem/popl revasc w/stent
|
$9,501.96 |
$9,501.96 |
$10,521.68 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$7.44 |
$30.75 |
$36.32 |
|
|
Fern test
|
$31.81 |
$31.81 |
$31.81 |
|
|
Ferritin
|
$28.92 |
$45.31 |
$63.21 |
|
|
Fetal biophys profile w/nst 76818
|
$138.47 |
$138.47 |
$535.37 |
|
|
Fetal chrom aneuploidy gsa panel
|
$1,107.11 |
$1,107.11 |
$1,107.11 |
|
|
Fetal contract stress test 59020 - 26
|
$311.22 |
$311.22 |
$717.42 |
|
|
Fetal fibronectin
|
$93.51 |
$441.16 |
$615.48 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$28.44 |
$79.95 |
$111.54 |
|
|
Fetal hemoglobin rosette
|
$13.98 |
$45.10 |
$62.92 |
|
|
Fetal non stress test
|
$179.11 |
$179.11 |
$700.03 |
|
|
#_fet/norfentcnfrmur
|
$32.29 |
$32.29 |
$32.29 |
|
|
Fibrin degradation d dimer quantitative
|
$14.94 |
$128.13 |
$178.75 |
|
|
Fibrin degradation products
|
$30.75 |
$34.05 |
$42.90 |
|
|
Fibrinogen activity
|
$14.46 |
$51.46 |
$71.79 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$22.65 |
$43.05 |
$60.06 |
|
|
Fibrinolytic plasminogen
|
$16.61 |
$18.39 |
$23.17 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$5.13 |
$5.68 |
$34.22 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$267.86 |
$267.86 |
$267.86 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$632.64 |
$632.64 |
$632.64 |
|
|
Filter spider fx 3mmx320cm
|
$3,877.17 |
$4,293.26 |
$6,658.50 |
|
|
Filter vena cava fem denali
|
$2,293.13 |
$2,539.23 |
$5,327.38 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,191.26 |
$1,191.26 |
$1,191.26 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,191.26 |
$1,191.26 |
$1,191.26 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,191.26 |
$1,191.26 |
$1,661.95 |
|
|
Fine needle asp without image guide 10021
|
$155.80 |
$155.80 |
$155.80 |
|
|
Finger X-ray (both hands)
|
$157.05 |
$257.69 |
$359.51 |
|
|
Fix g/colon tube w/device
|
$336.61 |
$336.61 |
$372.74 |
|
|
Flebogamma injection
|
$927.01 |
$927.01 |
$927.01 |
|
|
Flecainide (tambocor)-sendout
|
$27.06 |
$29.97 |
$37.76 |
|
|
Fl exam g/colon tube w contrast
|
$90.44 |
$469.62 |
$738.21 |
|
|
Flow cytometry marker each additional
|
$27.22 |
$83.64 |
$116.69 |
|
|
Flow cytometry one marker technical component
|
$164.59 |
$355.47 |
$495.93 |
|
|
Flt3 gene
|
$219.76 |
$241.54 |
$306.60 |
|
|
Flt3 gene analysis
|
$121.01 |
$219.76 |
$306.60 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$24.03 |
$140.84 |
$155.95 |
|
|
Fludarabine 50 mg intravenous solution
|
$104.55 |
$104.55 |
$115.77 |
|
|
Fluidotherapy charges pt
|
$42.56 |
$71.14 |
$99.25 |
|
|
Fluid pressure muscle 20950
|
$387.60 |
$387.60 |
$387.60 |
|
|
Fluorescent antibody titer dna
|
$482.11 |
$559.65 |
$780.78 |
|
|
Fluoroguide for spine inject 77003-26
|
$247.10 |
$657.03 |
$916.63 |
|
|
Fluoroguide needle placement
|
$448.63 |
$732.88 |
$1,022.45 |
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$130.79 |
$144.83 |
$360.19 |
|
