|
Esoph egd dilation <30 mm
|
$2,448.75 |
$2,448.75 |
$2,448.75 |
$2,656.80
|
|
Esoph imped function test
|
$1,108.50 |
$1,108.50 |
$1,108.50 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$1,139.25 |
$1,139.25 |
$1,139.25 |
$1,121.40
|
|
Esoph scope w/submucous inj
|
$3,078.00 |
$3,078.00 |
$3,078.00 |
$2,590.33
|
|
Established Patient Office Visit (level 1)
|
$102.00 |
$102.00 |
$102.00 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$105.75 |
$105.75 |
$105.75 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$117.00 |
$117.00 |
$117.00 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$150.00 |
$150.00 |
$150.00 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$280.50 |
$280.50 |
$280.50 |
$290.68
|
|
Estradiol total
|
$226.50 |
$226.50 |
$226.50 |
$152.10
|
|
Estrogens total-sendout
|
$108.00 |
$108.00 |
$108.00 |
$97.50
|
|
Etanercept injection
|
$7,314.47 |
$7,314.47 |
$7,314.47 |
$3,172.86
|
|
Ethanolamine oleate 100 mg
|
$1,622.73 |
$1,622.73 |
$1,622.73 |
$824.88
|
|
Ethylene glycol -sendout
|
$95.25 |
$95.25 |
$95.25 |
$86.04
|
|
Etonogestrel implant system
|
$4,715.65 |
$4,715.65 |
$4,715.65 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$213.17 |
$213.17 |
$213.17 |
$235.20
|
|
Etoposide 50 mg cap
|
$5,934.05 |
$5,934.05 |
$5,934.05 |
$135.02
|
|
Euflexxa inj per dose
|
$1,186.77 |
$1,186.77 |
$1,186.77 |
$510.68
|
|
Eval/fit voice prosthesis iii, st
|
$441.75 |
$441.75 |
$441.75 |
$359.50
|
|
Evaluation of speech fluency 92521
|
$280.50 |
$280.50 |
$280.50 |
$302.50
|
|
Evasc prlng admn rx agnt 1st
|
$1,967.25 |
$1,967.25 |
$1,967.25 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$252.00 |
$252.00 |
$252.00 |
$2,803.24
|
|
Evasc rpr a-ao ndgft 34701
|
$2,959.50 |
$2,959.50 |
$2,959.50 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$2,059.50 |
$2,059.50 |
$2,059.50 |
$4,577.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$2,959.50 |
$2,959.50 |
$2,959.50 |
$5,741.00
|
|
Evasc rpr a-unilac ndgft rpt
|
$9,804.00 |
$9,804.00 |
$9,804.00 |
$5,902.40
|
|
Event monitor
|
$352.50 |
$352.50 |
$352.50 |
$231.00
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$2,789.25 |
$2,789.25 |
$2,789.25 |
$3,483.00
|
|
Exchange biliary drg cath
|
$1,292.25 |
$1,292.25 |
$1,292.25 |
$3,856.84
|
|
Exchange drainage catheter
|
$2,610.75 |
$2,610.75 |
$2,610.75 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$1,132.50 |
$1,132.50 |
$1,132.50 |
$2,958.80
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$2,639.25 |
$2,639.25 |
$2,639.25 |
$3,486.52
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$3,375.75 |
$3,375.75 |
$3,375.75 |
$2,865.00
|
|
Excision of anal lesion(s)
|
$2,658.75 |
$2,658.75 |
$2,658.75 |
$3,823.00
|
|
Excision of penis lesion(s) 54060
|
$1,976.25 |
$1,976.25 |
$1,976.25 |
$2,837.09
|
|
Exc malig tal <0.5cm 11600
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$973.71
|
|
Exc prtl bn phlnx toe
|
$3,006.75 |
$3,006.75 |
$3,006.75 |
$3,839.54
|
|
Exercise tst brncspsm w/ecg
|
$783.75 |
$783.75 |
$783.75 |
$335.52
|
|
Exome sequence analysis
|
$7,002.00 |
$7,002.00 |
$7,002.00 |
$5,258.00
|
|
Exome sequence analysis
|
$7,002.00 |
$7,002.00 |
$7,002.00 |
$12,000.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$4,848.75 |
$4,848.75 |
$4,848.75 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$7,852.50 |
$7,852.50 |
$7,852.50 |
$4,101.67
|
|
Explore/treat knee joint
|
$3,228.00 |
$3,228.00 |
$3,228.00 |
$4,386.51
|
|
Explore woundchest 20101
|
$1,693.50 |
$1,693.50 |
$1,693.50 |
$2,227.68
|
|
Ext ecg>48hr<7d scan a/r
|
$220.50 |
$220.50 |
$220.50 |
$241.92
|
|
External chromosome analysis 20-25 cells
|
$370.50 |
$370.50 |
$370.50 |
$415.01
|
|
External recharg sys intern
|
$2,475.00 |
$2,475.00 |
$2,475.00 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$872.25 |
$872.25 |
$872.25 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$234.00 |
$234.00 |
$234.00 |
$109.00
|
|
Eye implant band 40
|
$356.07 |
$356.07 |
$356.07 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$569.25 |
$569.25 |
$569.25 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,781.25 |
$1,781.25 |
$1,781.25 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,689.00 |
$1,689.00 |
$1,689.00 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$1,320.00
|
|
Ezh2 gene common variants
|
$328.50 |
$328.50 |
$328.50 |
$288.21
|
|
F-18 fdg pet diag
|
$2,773.11 |
$2,773.11 |
$2,773.11 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$5,679.38 |
$5,679.38 |
$5,679.38 |
$5,224.83
|
|
Fabrication & fitting
|
$180.00 |
$180.00 |
$180.00 |
$182.27
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,806.75 |
$1,806.75 |
$1,806.75 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$507.00 |
$507.00 |
$507.00 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$551.25 |
$551.25 |
$551.25 |
$381.75
|
|
Factor ix
|
$282.00 |
$282.00 |
$282.00 |
$162.50
|
|
Factor ix alprolix recomb
|
$38,712.83 |
$38,712.83 |
$38,712.83 |
$9.46
|
|
Factor ix complex
|
$4,991.63 |
$4,991.63 |
$4,991.63 |
$4.68
|
|
Factor ix idelvion inj
|
$36,235.50 |
$36,235.50 |
$36,235.50 |
$14.35
|
|
Factor ix recombinant nos
|
$7,321.05 |
$7,321.05 |
$7,321.05 |
$4.65
|
|
Factor viii
|
$312.00 |
$312.00 |
$312.00 |
$148.00
|
|
Factor viii fc fusion recomb
|
$17,969.85 |
$17,969.85 |
$17,969.85 |
$8.28
|
|
Factor viii pegylated recomb
|
$11.10 |
$11.10 |
$11.10 |
$8.05
|
|
Factor viii recombinant nos
|
$11.10 |
$11.10 |
$11.10 |
$5.20
|
|
Factor viii recomb obizur
|
$5,435.33 |
$5,435.33 |
$5,435.33 |
$7.29
|
|
Factor xiii recomb a-subunit
|
$68.26 |
$68.26 |
$68.26 |
$46.05
|
|
Fallopian tube recnl
|
$2,904.00 |
$2,904.00 |
$2,904.00 |
$3,740.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$8.88 |
$8.88 |
$8.88 |
$22.20
|
|
Fatty acids nonesterified
|
$139.50 |
$139.50 |
$139.50 |
$72.15
|
|
Fda ide #g240020 carry bag
|
$956.25 |
$956.25 |
$956.25 |
$903.05
|
|
#fecal-sodium
|
$123.75 |
$123.75 |
$123.75 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$133.50 |
$133.50 |
$133.50 |
$66.43
|
|
Feno poc
|
$141.75 |
$141.75 |
$141.75 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$35.94 |
$35.94 |
$35.94 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,736.68 |
$3,736.68 |
$3,736.68 |
$2,590.25
|
|
Ferritin
|
$242.25 |
$242.25 |
$242.25 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$4,030.11 |
$4,030.11 |
$4,030.11 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$872.25 |
$872.25 |
$872.25 |
$541.74
|
|
Fetal hemoglobin rosette
|
$193.50 |
$193.50 |
$193.50 |
$67.20
|
|
Fetal shunt placement w/us
|
$296.25 |
$296.25 |
$296.25 |
$754.00
|
|
#_fet/norfentcnfrmur
|
$212.25 |
$212.25 |
$212.25 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$207.00 |
$207.00 |
$207.00 |
$120.64
|
|
Fibrin degradation products
|
$197.25 |
$197.25 |
$197.25 |
$75.02
|
|
Fibrinogen activity
|
$79.50 |
$79.50 |
$79.50 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$82.50 |
$82.50 |
$82.50 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$108.75 |
$108.75 |
$108.75 |
$72.80
|
|
Fibrinolytic plasminogen
|
$728.25 |
$728.25 |
$728.25 |
$107.50
|
|
Fibrinolytic plasminogen
|
$431.25 |
$431.25 |
$431.25 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$628.50 |
$628.50 |
$628.50 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$492.48 |
$492.48 |
$492.48 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,964.97 |
$1,964.97 |
$1,964.97 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,504.82 |
$1,504.82 |
$1,504.82 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$8,212.50 |
$8,212.50 |
$8,212.50 |
$7,358.16
|
