|
Endocerv curettage w/scope 57456
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$515.50
|
|
Endocervical curettage 57505
|
$1,171.00 |
$1,171.00 |
$1,171.00 |
$1,030.40
|
|
Endoscopy swallow (fees) vid
|
$2,050.00 |
$2,050.00 |
$2,050.00 |
$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
|
$288.00 |
$288.00 |
$288.00 |
$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
|
$2,108.00 |
$2,108.00 |
$2,108.00 |
$943.50
|
|
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)
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$276.70
|
|
ER Visit (level 2)
|
$1,958.00 |
$1,958.00 |
$1,958.00 |
$487.50
|
|
ER Visit (level 3)
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$850.50
|
|
ER Visit (level 4)
|
$9,394.00 |
$9,394.00 |
$9,394.00 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$9,678.00 |
$9,678.00 |
$9,678.00 |
$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
|
|
Esophageal dilat s&i
|
$246.00 |
$246.00 |
$246.00 |
$525.00
|
|
Esophageal motility
|
$587.00 |
$587.00 |
$587.00 |
$573.20
|
|
Established Patient Office Visit (level 1)
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$287.10
|
|
Estradiol total
|
$355.00 |
$355.00 |
$355.00 |
$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
|
|
Eval/fit voice prosthesis iii, st
|
$901.00 |
$901.00 |
$901.00 |
$370.41
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$284.00 |
$284.00 |
$284.00 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$557.00 |
$557.00 |
$557.00 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$579.00 |
$579.00 |
$579.00 |
$320.00
|
|
Event monitor
|
$543.00 |
$543.00 |
$543.00 |
$242.12
|
|
Evoked potentials upper limbs
|
$1,591.00 |
$1,591.00 |
$1,591.00 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,513.00 |
$1,513.00 |
$1,513.00 |
$829.44
|
|
Exam of vagina w/scope 57420
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$535.00
|
|
Exc arm/elbo les sc <3cm 24075
|
$5,167.00 |
$5,167.00 |
$5,167.00 |
$1,917.33
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,722.00 |
$1,722.00 |
$1,722.00 |
$2,184.60
|
|
Exc benign tal 0.5 < cm 11400
|
$740.00 |
$740.00 |
$740.00 |
$837.48
|
|
Excise/repair mouth lesion
|
$4,921.00 |
$4,921.00 |
$4,921.00 |
$2,133.48
|
|
Exc thrombosed hemorrhoid 46320
|
$10,400.00 |
$10,400.00 |
$10,400.00 |
$2,491.20
|
|
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
|
$11,457.00 |
$11,457.00 |
$11,457.00 |
$1,917.33
|
|
Ext ecg>48hr<7d scan a/r
|
$361.00 |
$361.00 |
$361.00 |
$251.71
|
|
Ext ecg>7d<15d scan a/r
|
$361.00 |
$361.00 |
$361.00 |
$262.20
|
|
Extended visual field xm
|
$643.00 |
$643.00 |
$643.00 |
$162.75
|
|
External chromosome analysis 20-25 cells
|
$128.00 |
$128.00 |
$128.00 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$128.00 |
$128.00 |
$128.00 |
$458.73
|
|
Extnd color vision xm
|
$570.00 |
$570.00 |
$570.00 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$109.00 |
$109.00 |
$109.00 |
$102.78
|
|
F-18 fdg pet diag
|
$297.50 |
$297.50 |
$297.50 |
$602.25
|
|
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
|
|
F-18 sodium fluoride
|
$0.35 |
$0.35 |
$0.35 |
$564.20
|
|
Facial bones <3
|
$467.00 |
$467.00 |
$467.00 |
$248.60
|
|
Factor ix
|
$285.00 |
$285.00 |
$285.00 |
$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
|
$44.00 |
$44.00 |
$44.00 |
$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
|
|
Family therapy without pt 50min 90846
|
$171.00 |
$171.00 |
$171.00 |
$244.07
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$9,829.30 |
$9,829.30 |
$9,829.30 |
$5,923.42
|
|
Fat/lipids feces qualitative
|
$19.00 |
$19.00 |
$19.00 |
$34.56
|