|
Epstein barr nuclear antigen antibody
|
$42.83 |
$42.83 |
$42.83 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$43.38 |
$43.38 |
$43.38 |
$112.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$66.06 |
$66.06 |
$66.06 |
$62.40
|
|
Ercp biliary & pancreas
|
$421.80 |
$421.80 |
$421.80 |
$885.80
|
|
Ercp lithotripsy calculi
|
$2,717.19 |
$2,717.19 |
$2,717.19 |
$4,379.25
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,346.95 |
$1,346.95 |
$1,346.95 |
$296.58
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$64.55 |
$64.55 |
$64.55 |
$138.28
|
|
ER Visit (level 1, minor)
|
$141.62 |
$141.62 |
$141.62 |
$270.00
|
|
ER Visit (level 2)
|
$314.96 |
$314.96 |
$314.96 |
$469.39
|
|
ER Visit (level 3)
|
$529.47 |
$529.47 |
$529.47 |
$821.52
|
|
ER Visit (level 4)
|
$757.95 |
$757.95 |
$757.95 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$1,152.46 |
$1,152.46 |
$1,152.46 |
$1,900.20
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$107.65 |
$107.65 |
$107.65 |
$195.33
|
|
Esophageal recording
|
$624.56 |
$624.56 |
$624.56 |
$1,429.67
|
|
Establish access to aorta
|
$200.17 |
$200.17 |
$200.17 |
$1,560.95
|
|
Established Patient Office Visit (level 1)
|
$92.87 |
$92.87 |
$92.87 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$131.07 |
$131.07 |
$131.07 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$165.39 |
$165.39 |
$165.39 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$213.21 |
$213.21 |
$213.21 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$264.46 |
$264.46 |
$264.46 |
$270.09
|
|
Estradiol total
|
$88.43 |
$88.43 |
$88.43 |
$142.20
|
|
Estradiol valerate 10 mg inj
|
$137.64 |
$137.64 |
$137.64 |
$137.64
|
|
Estrogens total-sendout
|
$83.71 |
$83.71 |
$83.71 |
$111.00
|
|
Etanercept injection
|
$2,306.67 |
$2,306.67 |
$2,306.67 |
$1,080.88
|
|
Ethylene glycol -sendout
|
$64.75 |
$64.75 |
$64.75 |
$81.25
|
|
Etoposide 20 mg/ml intravenous solution
|
$20.35 |
$20.35 |
$20.35 |
$20.35
|
|
Etoposide 50 mg cap
|
$110.87 |
$110.87 |
$110.87 |
$110.87
|
|
Euglobulin lysis
|
$84.92 |
$84.92 |
$84.92 |
$37.70
|
|
Eval/fit voice prosthesis iii, st
|
$119.60 |
$119.60 |
$119.60 |
$384.94
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$122.29 |
$122.29 |
$122.29 |
$219.60
|
|
Evaluation heart device
|
$553.06 |
$553.06 |
$553.06 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$76.41 |
$76.41 |
$76.41 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$123.95 |
$123.95 |
$123.95 |
$325.65
|
|
Evasc prlng admn rx agnt 1st
|
$1,025.92 |
$1,025.92 |
$1,025.92 |
$4,420.65
|
|
Evasc prlng admn rx agnt add
|
$1,025.92 |
$1,025.92 |
$1,025.92 |
$3,060.00
|
|
Event monitor
|
$120.81 |
$120.81 |
$120.81 |
$228.60
|
|
Evoked potentials upper limbs
|
$188.70 |
$188.70 |
$188.70 |
$903.00
|
|
Evoked potential visual not glaucoma
|
$452.97 |
$452.97 |
$452.97 |
$852.80
|
|
Exc bartholins gland/cyst
|
$2,463.18 |
$2,463.18 |
$2,463.18 |
$2,476.30
|
|
Exc benign tal 0.5 < cm 11400
|
$289.06 |
$289.06 |
$289.06 |
$805.70
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,006.31 |
$1,006.31 |
$1,006.31 |
$973.71
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$854.98 |
$854.98 |
$854.98 |
$1,908.09
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$673.49 |
$673.49 |
$673.49 |
$1,224.75
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,635.88 |
$2,635.88 |
$2,635.88 |
$1,967.25
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$346.88 |
$346.88 |
$346.88 |
$779.35
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$1,006.31 |
$1,006.31 |
$1,006.31 |
$1,874.89
|
|
Exchange biliary drg cath
|
$3,383.19 |
$3,383.19 |
$3,383.19 |
$4,143.00
|
|
Exchange drainage catheter
|
$881.16 |
$881.16 |
$881.16 |
$2,178.16
|
|
Exchange nephrostomy cath
|
$1,762.31 |
$1,762.31 |
$1,762.31 |
$2,752.00
|
|
Excise lip or cheek fold
|
$1,028.05 |
$1,028.05 |
$1,028.05 |
$1,640.99
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$940.45 |
$940.45 |
$940.45 |
$1,855.89
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$463.33 |
$463.33 |
$463.33 |
$973.71
|
|
Excision tongue lesion without closure 41110
|
$1,245.05 |
$1,245.05 |
$1,245.05 |
$3,544.29
|
|
Exc malig feenl 1.1-2 11642
|
$513.38 |
$513.38 |
$513.38 |
$1,082.00
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$1,006.31 |
$1,006.31 |
$1,006.31 |
$1,849.38
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,394.16 |
$1,394.16 |
$1,394.16 |
$1,154.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,394.16 |
$1,394.16 |
$1,394.16 |
$1,322.10
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$2,379.93 |
$2,379.93 |
$2,379.93 |
$3,285.96
|
|
Exc prtl bn phlnx toe
|
$1,633.64 |
$1,633.64 |
$1,633.64 |
$3,122.93
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$1,383.71 |
$1,383.71 |
$1,383.71 |
$2,850.35
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$1,338.38 |
$1,338.38 |
$1,338.38 |
$1,908.09
|
|
Exc thrombosed hemorrhoid 46320
|
$2,503.42 |
$2,503.42 |
$2,503.42 |
$2,481.60
|
|
Explore penetrating wnd/extremity 20103
|
$1,040.35 |
$1,040.35 |
$1,040.35 |
$1,908.09
|
|
Explore/repair chest 32110
|
$921.49 |
$921.49 |
$921.49 |
$3,579.20
|
|
Explore wound abdomen 20102
|
$2,158.77 |
$2,158.77 |
$2,158.77 |
$2,837.09
|
|
Explore woundchest 20101
|
$2,158.77 |
$2,158.77 |
$2,158.77 |
$2,113.50
|
|
Explore wound neck 20100
|
$1,086.14 |
$1,086.14 |
$1,086.14 |
$1,270.95
|
|
External cannula declotting
|
$791.25 |
$791.25 |
$791.25 |
$1,471.82
|
|
External chromosome analysis 20-25 cells
|
$272.41 |
$272.41 |
$272.41 |
$457.50
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$16.65 |
$16.65 |
$16.65 |
$69.55
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$280.09 |
$280.09 |
$280.09 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$76.50 |
$76.50 |
$76.50 |
$102.50
|
|
F-18 fdg pet diag
|
$609.85 |
$609.85 |
$609.85 |
$750.58
|
|
F-18 florbetapir less than or equal to 10 mci
|
$5,863.67 |
$5,863.67 |
$5,863.67 |
$5,224.83
|
|
Facial bones <3
|
$60.03 |
$60.03 |
$60.03 |
$216.45
|
|
Factor ix
|
$104.16 |
$104.16 |
$104.16 |
$139.75
|
|
Factor ix complex
|
$9.25 |
$9.25 |
$9.25 |
$3.23
|
|
Factor ix recombinant nos
|
$21.16 |
$21.16 |
$21.16 |
$1.88
|
|
Factor viii
|
$117.57 |
$117.57 |
$117.57 |
$152.50
|
|
Factor viii
|
$1.61 |
$1.61 |
$1.61 |
$1.35
|
|
Factor viii recombinant nos
|
$9.25 |
$9.25 |
$9.25 |
$3.30
|
|
Factor xiii anti-hem factor
|
$23.98 |
$23.98 |
$23.98 |
$14.73
|
|
Fat/lipids feces qualitative
|
$50.04 |
$50.04 |
$50.04 |
$43.66
|
|
Fatty acids nonesterified
|
$43.85 |
$43.85 |
$43.85 |
$64.28
|
|
#fecal-sodium
|
$101.84 |
$101.84 |
$101.84 |
$40.30
|
|
Felbamate (felbatol(r)) - sendout
|
$50.69 |
$50.69 |
$50.69 |
$83.85
|
|
Fem/popl revasc w/stent
|
$28,500.73 |
$28,500.73 |
$28,500.73 |
$21,553.12
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$96.11 |
$96.11 |
$96.11 |
$48.88
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$10.34 |
$10.34 |
$10.34 |
$2,131.58
|
|
Ferritin
|
$44.40 |
$44.40 |
$44.40 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$9.71 |
$9.71 |
$9.71 |
$2,289.60
|
|
Fetal contract stress test 59020 - 26
|
$101.47 |
$101.47 |
$101.47 |
$555.60
|
|
Fetal fibronectin
|
$214.97 |
$214.97 |
$214.97 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$46.99 |
$46.99 |
$46.99 |
$59.85
|
|
Fetal hemoglobin rosette
|
$45.79 |
$45.79 |
$45.79 |
$48.35
|
|
Fetal lung maturity assess lam body dnst
|
$62.90 |
$62.90 |
$62.90 |
$64.28
|
|
Fetal non stress test
|
$76.68 |
$76.68 |
$76.68 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$58.28 |
$58.28 |
$58.28 |
$87.60
|
|
Fibrinogen activity
|
$31.17 |
$31.17 |
$31.17 |
$61.80
|
|
Fibrinolytic antiplasmin
|
$93.24 |
$93.24 |
$93.24 |
$68.40
|
