|
Electrical stimulation/unattended 97014
|
$124.00 |
$124.00 |
$124.00 |
$81.75
|
|
Electrolyte panel
|
$164.00 |
$164.00 |
$164.00 |
$86.33
|
|
Electron microscopy diagnostic
|
$320.00 |
$320.00 |
$320.00 |
$966.69
|
|
Elosulfase alfa, injection
|
$994.70 |
$994.70 |
$994.70 |
$994.70
|
|
Elotuzumab 300 mg intravenous solution
|
$10,411.42 |
$10,411.42 |
$10,411.42 |
$6,093.38
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$24,978.39 |
$24,978.39 |
$24,978.39 |
$24,397.67
|
|
Embo or occlude vascular arterial s&i
|
$11,471.47 |
$11,471.47 |
$11,471.47 |
$16,060.54
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$12,238.87 |
$12,238.87 |
$12,238.87 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$11,238.92 |
$11,238.92 |
$11,238.92 |
$15,038.25
|
|
Endo cath bile duct s&i
|
$1,949.00 |
$1,949.00 |
$1,949.00 |
$612.37
|
|
Endoscopic Ultrasound exam esoph
|
$4,275.28 |
$4,275.28 |
$4,275.28 |
$2,638.57
|
|
Endoscopy swallow (fees) vid
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$402.35
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$14,747.25 |
$14,747.25 |
$14,747.25 |
$9,592.21
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$27.65 |
$27.65 |
$27.65 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$22.00 |
$22.00 |
$22.00 |
$66.47
|
|
Enzyme cell activity ra
|
$772.00 |
$772.00 |
$772.00 |
$197.60
|
|
Enzyme histochemistry
|
$302.00 |
$302.00 |
$302.00 |
$460.32
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$69,301.58 |
$69,301.58 |
$69,301.58 |
$48,471.50
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$4.35 |
$4.35 |
$4.35 |
$203.16
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,282.77 |
$1,282.77 |
$1,282.77 |
$874.20
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$224.06 |
$224.06 |
$224.06 |
$967.12
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$103.95 |
$103.95 |
$103.95 |
$136.00
|
|
Epstein barr early antigen antibody
|
$8.00 |
$8.00 |
$8.00 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$8.00 |
$8.00 |
$8.00 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$316.00 |
$316.00 |
$316.00 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$6.32 |
$6.32 |
$6.32 |
$305.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$6,397.41 |
$6,397.41 |
$6,397.41 |
$4,539.76
|
|
Ercp biliary & pancreas
|
$1,507.00 |
$1,507.00 |
$1,507.00 |
$943.50
|
|
Ercp remove duct calculi 43264
|
$4,607.08 |
$4,607.08 |
$4,607.08 |
$4,214.73
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,467.50 |
$2,467.50 |
$2,467.50 |
$2,568.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$86.88 |
$86.88 |
$86.88 |
$265.40
|
|
ER Visit (level 1, minor)
|
$2,059.00 |
$2,059.00 |
$2,059.00 |
$276.70
|
|
ER Visit (level 2)
|
$2,113.00 |
$2,113.00 |
$2,113.00 |
$487.50
|
|
ER Visit (level 3)
|
$2,599.00 |
$2,599.00 |
$2,599.00 |
$850.50
|
|
ER Visit (level 4)
|
$2,924.00 |
$2,924.00 |
$2,924.00 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$3,547.00 |
$3,547.00 |
$3,547.00 |
$2,007.00
|
|
Erwinaze injection
|
$16,436.46 |
$16,436.46 |
$16,436.46 |
$5,106.67
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$187.85 |
$187.85 |
$187.85 |
$248.39
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$3.34 |
$3.34 |
$3.34 |
$349.65
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$2.21 |
$2.21 |
$2.21 |
$488.72
|
|
Esophagus motility study
|
$2,521.00 |
$2,521.00 |
$2,521.00 |
$1,289.20
|
|
Esoph egd dilation <30 mm
|
$4,346.13 |
$4,346.13 |
$4,346.13 |
$2,656.80
|
|
Esoph imped function test
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$597.03
|
|
Establish access to aorta
|
$2,729.00 |
$2,729.00 |
$2,729.00 |
$1,280.06
|
|
Estradiol total
|
$551.00 |
$551.00 |
$551.00 |
$153.00
|
|
Estradiol valerate 10 mg inj
|
$203.60 |
$203.60 |
$203.60 |
$80.09
|
|
Estrogens total-sendout
|
$20.00 |
$20.00 |
$20.00 |
$89.25
|
|
Etanercept injection
|
$6,504.16 |
$6,504.16 |
$6,504.16 |
$2,247.00
|
|
Ethanolamine oleate 100 mg
|
$786.05 |
$786.05 |
$786.05 |
$1,046.87
|
|
Eth estr and eton monthly
|
$532.21 |
$532.21 |
$532.21 |
$377.85
|
|
Ethylene glycol -sendout
|
$46.00 |
$46.00 |
$46.00 |
$75.00
|
|
Etonogestrel implant system
|
$3,271.87 |
$3,271.87 |
$3,271.87 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$6.01 |
$6.01 |
$6.01 |
$234.83
|
|
Etoposide 50 mg cap
|
$246.52 |
$246.52 |
$246.52 |
$135.02
|
|
Euflexxa inj per dose
|
$179.99 |
$179.99 |
$179.99 |
$421.94
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$298.00 |
$298.00 |
$298.00 |
$219.60
|
|
Exc arm/elbo les sc >=3cm 24071
|
$6,855.28 |
$6,855.28 |
$6,855.28 |
$3,386.84
|
|
Exc arm/elbo les sc <3cm 24075
|
$5,167.00 |
$5,167.00 |
$5,167.00 |
$1,917.33
|
|
Exc back tum deep 5 cm/>
|
$5,500.34 |
$5,500.34 |
$5,500.34 |
$3,370.52
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$2,417.00 |
$2,417.00 |
$2,417.00 |
$1,372.15
|
|
Exchange biliary drg cath
|
$10,963.00 |
$10,963.00 |
$10,963.00 |
$4,176.15
|
|
Exchange nephrostomy cath
|
$6,587.99 |
$6,587.99 |
$6,587.99 |
$3,097.16
|
|
Excise/repair mouth lesion
|
$4,921.00 |
$4,921.00 |
$4,921.00 |
$2,133.48
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$8,395.00 |
$8,395.00 |
$8,395.00 |
$1,981.25
|
|
Excision breast lesion
|
$6,517.01 |
$6,517.01 |
$6,517.01 |
$3,694.96
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$6,253.08 |
$6,253.08 |
$6,253.08 |
$3,255.75
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$6,323.00 |
$6,323.00 |
$6,323.00 |
$1,246.00
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$6,344.32 |
$6,344.32 |
$6,344.32 |
$4,295.90
|
|
Exome re-evaluation
|
$744.00 |
$744.00 |
$744.00 |
$352.00
|
|
Exome sequence analysis
|
$6,367.00 |
$6,367.00 |
$6,367.00 |
$5,258.00
|
|
Exome sequence analysis
|
$8,918.00 |
$8,918.00 |
$8,918.00 |
$12,000.00
|
|
Explore penetrating wnd/extremity 20103
|
$1,661.00 |
$1,661.00 |
$1,661.00 |
$1,917.33
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$5,450.15 |
$5,450.15 |
$5,450.15 |
$2,271.01
|
|
External chromosome analysis 20-25 cells
|
$128.00 |
$128.00 |
$128.00 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$834.00 |
$834.00 |
$834.00 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$109.00 |
$109.00 |
$109.00 |
$102.78
|
|
F-18 florbetapir less than or equal to 10 mci
|
$353.40 |
$353.40 |
$353.40 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$514.05 |
$514.05 |
$514.05 |
$1,307.52
|
|
Facial bones <3
|
$778.00 |
$778.00 |
$778.00 |
$248.60
|
|
Factor ix
|
$505.00 |
$505.00 |
$505.00 |
$131.30
|
|
Factor ix alprolix recomb
|
$12.40 |
$12.40 |
$12.40 |
$5.61
|
|
Factor ix complex
|
$4,434.22 |
$4,434.22 |
$4,434.22 |
$4.68
|
|
Factor ix idelvion inj
|
$19.10 |
$19.10 |
$19.10 |
$5.34
|
|
Factor ix non-recombinant
|
$3.92 |
$3.92 |
$3.92 |
$1.89
|
|
Factor ix recomb gly rebinyn
|
$16.03 |
$16.03 |
$16.03 |
$4.58
|
|
Factor ix recombinan rixubis
|
$5.10 |
$5.10 |
$5.10 |
$5.10
|
|
Factor ix recombinant nos
|
$3.55 |
$3.55 |
$3.55 |
$4.89
|
|
Factor viia recomb sevenfact
|
$6.78 |
$6.78 |
$6.78 |
$3.24
|
|
Factor viii
|
$494.00 |
$494.00 |
$494.00 |
$144.30
|
|
Factor viii
|
$3.87 |
$3.87 |
$3.87 |
$3.87
|
|
Factor viii fc fusion recomb
|
$9.21 |
$9.21 |
$9.21 |
$6.53
|
|
Factor viii nuwiq recomb 1iu
|
$2.34 |
$2.34 |
$2.34 |
$1.24
|
|
Factor viii pegylated recomb
|
$20,279.53 |
$20,279.53 |
$20,279.53 |
$3.53
|
|
Factor viii recombinant nos
|
$9.34 |
$9.34 |
$9.34 |
$6.55
|
|
Factor viii recomb novoeight
|
$3.13 |
$3.13 |
$3.13 |
$11.70
|
|
Factor viii recomb obizur
|
$3.82 |
$3.82 |
$3.82 |
$4.46
|
|
Factor xiii anti-hem factor
|
$28.50 |
$28.50 |
$28.50 |
$10.40
|
|
Factor xiii recomb a-subunit
|
$63.62 |
$63.62 |
$63.62 |
$46.45
|
|
Fam adapt bhv tx gdn phy/qhp
|
$776.00 |
$776.00 |
$776.00 |
$35.25
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$9,829.30 |
$9,829.30 |
$9,829.30 |
$5,923.42
|
