|
Eptifibatide 0.75 mg/ml intravenous solution
|
$656.17 |
$656.17 |
$656.17 |
$62.40
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$6,549.04 |
$6,549.04 |
$6,549.04 |
$3,590.11
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$607.18 |
$607.18 |
$607.18 |
$138.28
|
|
ER Visit (level 1, minor)
|
$277.55 |
$277.55 |
$277.55 |
$270.00
|
|
ER Visit (level 2)
|
$470.60 |
$470.60 |
$470.60 |
$469.39
|
|
ER Visit (level 3)
|
$781.95 |
$781.95 |
$781.95 |
$821.52
|
|
ER Visit (level 4)
|
$1,398.67 |
$1,398.67 |
$1,398.67 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$3,294.21 |
$3,294.21 |
$3,294.21 |
$1,900.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$15.40 |
$15.40 |
$15.40 |
$406.83
|
|
Established Patient Office Visit (level 1)
|
$112.45 |
$112.45 |
$112.45 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$157.95 |
$157.95 |
$157.95 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$179.40 |
$179.40 |
$179.40 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$193.70 |
$193.70 |
$193.70 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$251.55 |
$251.55 |
$251.55 |
$270.09
|
|
Estradiol total
|
$124.15 |
$124.15 |
$124.15 |
$142.20
|
|
Estrogens total-sendout
|
$137.15 |
$137.15 |
$137.15 |
$111.00
|
|
Ethylene glycol -sendout
|
$103.35 |
$103.35 |
$103.35 |
$81.25
|
|
Eval/fit voice prosthesis iii, st
|
$226.20 |
$226.20 |
$226.20 |
$384.94
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$144.95 |
$144.95 |
$144.95 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$430.30 |
$430.30 |
$430.30 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$401.70 |
$401.70 |
$401.70 |
$325.65
|
|
Event monitor
|
$296.40 |
$296.40 |
$296.40 |
$228.60
|
|
Excision olecranon bursa
|
$843.05 |
$843.05 |
$843.05 |
$1,736.00
|
|
Explore penetrating wnd/extremity 20103
|
$1,183.65 |
$1,183.65 |
$1,183.65 |
$1,908.09
|
|
External chromosome analysis 20-25 cells
|
$328.25 |
$328.25 |
$328.25 |
$457.50
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$356.85 |
$356.85 |
$356.85 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$94.25 |
$94.25 |
$94.25 |
$102.50
|
|
Facial bones <3
|
$216.45 |
$216.45 |
$216.45 |
$216.45
|
|
Factor ix
|
$130.65 |
$130.65 |
$130.65 |
$139.75
|
|
Factor viii
|
$128.05 |
$128.05 |
$128.05 |
$152.50
|
|
Family therapy without pt 50min 90846
|
$294.45 |
$294.45 |
$294.45 |
$230.40
|
|
Family therapy with patient 50 min 90847
|
$222.95 |
$222.95 |
$222.95 |
$224.80
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Fat/lipids feces qualitative
|
$39.00 |
$39.00 |
$39.00 |
$43.66
|
|
Fatty acids nonesterified
|
$82.55 |
$82.55 |
$82.55 |
$64.28
|
|
#fecal-sodium
|
$40.30 |
$40.30 |
$40.30 |
$40.30
|
|
Felbamate (felbatol(r)) - sendout
|
$117.65 |
$117.65 |
$117.65 |
$83.85
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$215.69 |
$215.69 |
$215.69 |
$48.88
|
|
Ferritin
|
$86.45 |
$86.45 |
$86.45 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,231.75 |
$3,231.75 |
$3,231.75 |
$2,289.60
|
|
Fetal chrom aneuploidy gsa panel
|
$1,217.45 |
$1,217.45 |
$1,217.45 |
$1,231.20
|
|
Fetal fibronectin
|
$346.45 |
$346.45 |
$346.45 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$106.60 |
$106.60 |
$106.60 |
$59.85
|
|
Fetal hemoglobin rosette
|
$63.05 |
$63.05 |
$63.05 |
$48.35
|
|
Fibrin degradation d dimer quantitative
|
$126.10 |
$126.10 |
$126.10 |
$87.60
|
|
Fibrinogen activity
|
$84.50 |
$84.50 |
$84.50 |
$61.80
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$52.00 |
$52.00 |
$52.00 |
$69.55
|
|
Fibrinolytic antiplasmin
|
$68.90 |
$68.90 |
$68.90 |
$68.40
|
|
Fibrinolytic plasminogen
|
$72.15 |
$72.15 |
$72.15 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$79.95 |
$79.95 |
$79.95 |
$70.80
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,554.44 |
$1,554.44 |
$1,554.44 |
$1,223.60
|
|
Finasteride, 5 mg
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Fine needle asp without image guide 10021
|
$239.20 |
$239.20 |
$239.20 |
$547.53
|
|
Fixation of knee joint
|
$512.85 |
$512.85 |
$512.85 |
$1,858.61
|
|
Flecainide (tambocor)-sendout
|
$128.05 |
$128.05 |
$128.05 |
$86.40
|
|
Flow cytometry marker each additional
|
$77.35 |
$77.35 |
$77.35 |
$103.00
|
|
Flow cytometry one marker technical component
|
$203.45 |
$203.45 |
$203.45 |
$304.43
|
|
#flow interp 9 - 15 markers
|
$202.15 |
$202.15 |
$202.15 |
$202.15
|
|
Flt3 gene
|
$392.60 |
$392.60 |
$392.60 |
$355.00
|
|
Flt3 gene analysis
|
$461.50 |
$461.50 |
$461.50 |
$262.80
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$81.81 |
$81.81 |
$81.81 |
$48.56
|
|
Fluorescent antibody titer dna
|
$141.70 |
$141.70 |
$141.70 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$497.25 |
$497.25 |
$497.25 |
$497.25
|
|
Fluoroguide needle placement
|
$431.60 |
$431.60 |
$431.60 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$448.50 |
$448.50 |
$448.50 |
$474.50
|
|
Folic acid
|
$83.85 |
$83.85 |
$83.85 |
$85.50
|
|
Foot X-ray
|
$499.85 |
$499.85 |
$499.85 |
$339.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$530.63 |
$530.63 |
$530.63 |
$66.38
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$235.30 |
$235.30 |
$235.30 |
$217.30
|
|
Fructosamine glycated protein
|
$55.90 |
$55.90 |
$55.90 |
$69.55
|
|
Ftl cgen abnor four anal
|
$200.85 |
$200.85 |
$200.85 |
$267.15
|
|
Furosemide 10 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$393.70 |
$393.70 |
$393.70 |
$15.60
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$621.01 |
$621.01 |
$621.01 |
$90.60
|
|
Gammaglobulin iga
|
$98.80 |
$98.80 |
$98.80 |
$78.60
|
|
Gammaglobulin ige
|
$94.90 |
$94.90 |
$94.90 |
$87.10
|
|
Gamma glutamyltransferase
|
$61.75 |
$61.75 |
$61.75 |
$54.60
|
|
Gastric emptying imag study
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$1,270.00
|
|
Gastric emptying imag study
|
$1,463.15 |
$1,463.15 |
$1,463.15 |
$1,665.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$30.76 |
$30.76 |
$30.76 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$74.10 |
$74.10 |
$74.10 |
$114.00
|
|
Ghs abscess perianal iandd
|
$458.25 |
$458.25 |
$458.25 |
$1,512.80
|
|
Ghs acetylcholinesterase, rbc
|
$55.90 |
$55.90 |
$55.90 |
$44.20
|
|
Ghs antibodies (torch) igm
|
$81.90 |
$81.90 |
$81.90 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$354.25 |
$354.25 |
$354.25 |
$333.18
|
|
Ghs bleeding time (ivy)
|
$68.25 |
$68.25 |
$68.25 |
$55.90
|
|
Ghs change cysto/gastrost
|
$370.50 |
$370.50 |
$370.50 |
$727.35
|
|
Ghs chemo IV push, ea addtl
|
$253.50 |
$253.50 |
$253.50 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$115.05 |
$115.05 |
$115.05 |
$135.85
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$625.30 |
$625.30 |
$625.30 |
$540.80
|
|
Ghs closed reduction ankle dislocation
|
$906.75 |
$906.75 |
$906.75 |
$720.00
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,094.60 |
$1,094.60 |
$1,094.60 |
$1,655.78
|
|
Ghs closed tx tibial fracture w/manip
|
$1,270.75 |
$1,270.75 |
$1,270.75 |
$2,275.20
|
|
Ghs clsd red med malleolus fx without manip
|
$589.55 |
$589.55 |
$589.55 |
$581.60
|
|
Ghs clsd red med malleolus fx w manip
|
$1,119.95 |
$1,119.95 |
$1,119.95 |
$2,347.20
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$2,418.00
|
|
Ghs cl tx knee disl; wo anesth
|
$807.95 |
$807.95 |
$807.95 |
$750.17
|
|
Ghs cl tx metacarpophal disloc without anes
|
$544.70 |
$544.70 |
$544.70 |
$544.70
|
|
Ghs conjunctiva foreign body-superf bil
|
$105.95 |
$105.95 |
$105.95 |
$278.00
|
|
Ghs corneal fb without slit lamp bilat
|
$206.05 |
$206.05 |
$206.05 |
$422.25
|
