|
Epstein barr early antigen antibody
|
$91.65 |
$91.65 |
$91.65 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$76.70 |
$76.70 |
$76.70 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$93.60 |
$93.60 |
$93.60 |
$112.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$437.45 |
$437.45 |
$437.45 |
$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)
|
$302.25 |
$302.25 |
$302.25 |
$270.00
|
|
ER Visit (level 2)
|
$475.15 |
$475.15 |
$475.15 |
$469.39
|
|
ER Visit (level 3)
|
$1,031.06 |
$1,031.06 |
$1,031.06 |
$821.52
|
|
ER Visit (level 4)
|
$1,652.49 |
$1,652.49 |
$1,652.49 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$3,879.64 |
$3,879.64 |
$3,879.64 |
$1,900.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$406.83 |
$406.83 |
$406.83 |
$406.83
|
|
Established Patient Office Visit (level 1)
|
$104.00 |
$104.00 |
$104.00 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$136.50 |
$136.50 |
$136.50 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$208.65 |
$208.65 |
$208.65 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$239.85 |
$239.85 |
$239.85 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$243.10 |
$243.10 |
$243.10 |
$270.09
|
|
Estradiol total
|
$122.20 |
$122.20 |
$122.20 |
$142.20
|
|
Estrogens total-sendout
|
$137.15 |
$137.15 |
$137.15 |
$111.00
|
|
Ethylene glycol -sendout
|
$103.35 |
$103.35 |
$103.35 |
$81.25
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$145.60 |
$145.60 |
$145.60 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$430.30 |
$430.30 |
$430.30 |
$347.75
|
|
Event monitor
|
$254.15 |
$254.15 |
$254.15 |
$228.60
|
|
Exc arm/elbo les sc <3cm 24075
|
$2,413.45 |
$2,413.45 |
$2,413.45 |
$1,908.09
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$364.65 |
$364.65 |
$364.65 |
$1,228.50
|
|
Exercise tst brncspsm w/ecg
|
$232.70 |
$232.70 |
$232.70 |
$297.73
|
|
External chromosome analysis 20-25 cells
|
$329.55 |
$329.55 |
$329.55 |
$457.50
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$59.80 |
$59.80 |
$59.80 |
$69.55
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$358.15 |
$358.15 |
$358.15 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$93.60 |
$93.60 |
$93.60 |
$102.50
|
|
Facial bones <3
|
$213.20 |
$213.20 |
$213.20 |
$216.45
|
|
Factor ix
|
$131.30 |
$131.30 |
$131.30 |
$139.75
|
|
Factor viii
|
$128.70 |
$128.70 |
$128.70 |
$152.50
|
|
Family therapy without pt 50min 90846
|
$294.45 |
$294.45 |
$294.45 |
$230.40
|
|
Family therapy with patient 50 min 90847
|
$330.85 |
$330.85 |
$330.85 |
$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)
|
$23.73 |
$23.73 |
$23.73 |
$48.88
|
|
Ferritin
|
$81.90 |
$81.90 |
$81.90 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$5,221.50 |
$5,221.50 |
$5,221.50 |
$2,289.60
|
|
Fetal chrom aneuploidy gsa panel
|
$1,217.45 |
$1,217.45 |
$1,217.45 |
$1,231.20
|
|
Fetal fibronectin
|
$348.40 |
$348.40 |
$348.40 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$107.90 |
$107.90 |
$107.90 |
$59.85
|
|
Fetal hemoglobin rosette
|
$63.05 |
$63.05 |
$63.05 |
$48.35
|
|
Fetal lung maturity assess lam body dnst
|
$70.20 |
$70.20 |
$70.20 |
$64.28
|
|
Fibrin degradation d dimer quantitative
|
$126.10 |
$126.10 |
$126.10 |
$87.60
|
|
Fibrin degrade semiquant
|
$84.50 |
$84.50 |
$84.50 |
$88.00
|
|
Fibrinogen activity
|
$76.70 |
$76.70 |
$76.70 |
$61.80
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$52.00 |
$52.00 |
$52.00 |
$69.55
|
|
Fibrinolytic antiplasmin
|
$61.75 |
$61.75 |
$61.75 |
$68.40
|
|
Fibrinolytic plasminogen
|
$126.75 |
$126.75 |
$126.75 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$80.60 |
$80.60 |
$80.60 |
$70.80
|
|
Finasteride, 5 mg
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Flecainide (tambocor)-sendout
|
$128.05 |
$128.05 |
$128.05 |
$86.40
|
|
Flow cytometry interp 16 or more
|
$292.50 |
$292.50 |
$292.50 |
$208.80
|
|
Flow cytometry marker each additional
|
$78.00 |
$78.00 |
$78.00 |
$103.00
|
|
Flow cytometry one marker technical component
|
$204.10 |
$204.10 |
$204.10 |
$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
|
$463.45 |
$463.45 |
$463.45 |
$262.80
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$81.81 |
$81.81 |
$81.81 |
$48.56
|
|
Fluidotherapy charges pt
|
$89.05 |
$89.05 |
$89.05 |
$101.40
|
|
Fluorescent antibody titer dna
|
$143.65 |
$143.65 |
$143.65 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$497.25 |
$497.25 |
$497.25 |
$497.25
|
|
Fluoroscopy up to 1 hour
|
$448.50 |
$448.50 |
$448.50 |
$474.50
|
|
Folic acid
|
$84.50 |
$84.50 |
$84.50 |
$85.50
|
|
Foot X-ray
|
$542.10 |
$542.10 |
$542.10 |
$339.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$94.05 |
$94.05 |
$94.05 |
$66.38
|
|
_fragile x methylation-sendout
|
$222.95 |
$222.95 |
$222.95 |
$175.75
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$271.70 |
$271.70 |
$271.70 |
$186.55
|
|
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
|
|
Galac-1-phosphate uridyltran - sendout
|
$150.80 |
$150.80 |
$150.80 |
$85.50
|
|
Galactose transferase test
|
$14.30 |
$14.30 |
$14.30 |
$25.00
|
|
Gammaglobulin iga
|
$96.20 |
$96.20 |
$96.20 |
$78.60
|
|
Gammaglobulin ige
|
$86.45 |
$86.45 |
$86.45 |
$87.10
|
|
Gamma glutamyltransferase
|
$55.90 |
$55.90 |
$55.90 |
$54.60
|
|
Gba gene
|
$248.30 |
$248.30 |
$248.30 |
$140.00
|
|
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
|
$389.35 |
$389.35 |
$389.35 |
$1,512.80
|
|
Ghs acetylcholinesterase, rbc
|
$55.90 |
$55.90 |
$55.90 |
$44.20
|
|
Ghs alpha thalasemia, 7 deletions
|
$203.45 |
$203.45 |
$203.45 |
$437.58
|
|
Ghs antibodies (torch) igm
|
$83.20 |
$83.20 |
$83.20 |
$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
|
$314.60 |
$314.60 |
$314.60 |
$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
|
$778.70 |
$778.70 |
$778.70 |
$720.00
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$930.80 |
$930.80 |
$930.80 |
$1,655.78
|
|
Ghs cl tx metacarpophal disloc without anes
|
$485.55 |
$485.55 |
$485.55 |
$544.70
|
|
Ghs conjunctiva foreign body-embed bil
|
$137.15 |
$137.15 |
$137.15 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$105.95 |
$105.95 |
$105.95 |
$278.00
|
