|
Dress/debride pt-thick burn/<5% bs 16020
|
$273.65 |
$273.65 |
$273.65 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$349.05 |
$349.05 |
$349.05 |
$515.00
|
|
Drng of finger abscess comp 26011
|
$681.85 |
$681.85 |
$681.85 |
$1,908.09
|
|
Drng of scrotum abscess 55100
|
$476.45 |
$476.45 |
$476.45 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$42.35 |
$42.35 |
$42.35 |
$32.82
|
|
Drug assay caffeine
|
$105.30 |
$105.30 |
$105.30 |
$89.17
|
|
Drug assay posaconazole
|
$130.00 |
$130.00 |
$130.00 |
$96.75
|
|
Drug assay voriconazole
|
$102.70 |
$102.70 |
$102.70 |
$96.75
|
|
Drug test prsmv instrmnt
|
$76.05 |
$76.05 |
$76.05 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$260.65 |
$260.65 |
$260.65 |
$278.85
|
|
Drvvt confirm - quest
|
$99.45 |
$99.45 |
$99.45 |
$108.55
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$887.25 |
$887.25 |
$887.25 |
$852.57
|
|
Ear irrigation 69209
|
$144.95 |
$144.95 |
$144.95 |
$152.50
|
|
Ecg 12 lead tracing only
|
$112.45 |
$112.45 |
$112.45 |
$222.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$69.55 |
$69.55 |
$69.55 |
$129.83
|
|
Ecg external < 48 hours recording
|
$302.25 |
$302.25 |
$302.25 |
$461.76
|
|
Echocardiogram (Heart Ultrasound)
|
$1,245.40 |
$1,245.40 |
$1,245.40 |
$2,021.12
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,242.15 |
$1,242.15 |
$1,242.15 |
$997.40
|
|
E equine encephalitis igg
|
$49.40 |
$49.40 |
$49.40 |
$49.92
|
|
Egfr gene com variants
|
$646.75 |
$646.75 |
$646.75 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$139.10 |
$139.10 |
$139.10 |
$112.50
|
|
Electrical stimulation/unattended 97014
|
$65.00 |
$65.00 |
$65.00 |
$79.20
|
|
Electrolyte panel
|
$79.30 |
$79.30 |
$79.30 |
$68.56
|
|
Encephalitis, california igg/igm
|
$49.40 |
$49.40 |
$49.40 |
$49.92
|
|
Encephalitis, st louis igg/igm
|
$51.35 |
$51.35 |
$51.35 |
$55.75
|
|
Encephalitis, western equine igg/igm
|
$50.70 |
$50.70 |
$50.70 |
$55.25
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$46.11 |
$46.11 |
$46.11 |
$43.20
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$66.06 |
$66.06 |
$66.06 |
$66.06
|
|
Epinephrine 1 mg/ml im kit - adult
|
$10.76 |
$10.76 |
$10.76 |
$10.76
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$781.71 |
$781.71 |
$781.71 |
$379.58
|
|
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
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$607.18 |
$607.18 |
$607.18 |
$138.28
|
|
ER Visit (level 1, minor)
|
$276.25 |
$276.25 |
$276.25 |
$270.00
|
|
ER Visit (level 2)
|
$473.20 |
$473.20 |
$473.20 |
$469.39
|
|
ER Visit (level 3)
|
$849.55 |
$849.55 |
$849.55 |
$821.52
|
|
ER Visit (level 4)
|
$1,396.15 |
$1,396.15 |
$1,396.15 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$3,220.75 |
$3,220.75 |
$3,220.75 |
$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)
|
$97.50 |
$97.50 |
$97.50 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$120.25 |
$120.25 |
$120.25 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$161.85 |
$161.85 |
$161.85 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$188.50 |
$188.50 |
$188.50 |
$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
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$581.75 |
$581.75 |
$581.75 |
$3,285.96
|
|
Explore penetrating wnd/extremity 20103
|
$1,183.65 |
$1,183.65 |
$1,183.65 |
$1,908.09
|
|
External chromosome analysis 20-25 cells
|
$329.55 |
$329.55 |
$329.55 |
$457.50
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$370.50 |
$370.50 |
$370.50 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$94.90 |
$94.90 |
$94.90 |
$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
|
|
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
|
$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
|
$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
|
|
Fibrin degradation d dimer quantitative
|
$128.05 |
$128.05 |
$128.05 |
$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
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,466.39 |
$1,466.39 |
$1,466.39 |
$1,223.60
|
|
Finasteride, 5 mg
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Flecainide (tambocor)-sendout
|
$128.05 |
$128.05 |
$128.05 |
$86.40
|
|
Flow cytometry marker each additional
|
$78.00 |
$78.00 |
$78.00 |
$103.00
|
|
Flow cytometry one marker technical component
|
$210.60 |
$210.60 |
$210.60 |
$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
|
|
Fluidotherapy charges pt
|
$89.05 |
$89.05 |
$89.05 |
$101.40
|
|
Fluorescent antibody titer dna
|
$147.55 |
$147.55 |
$147.55 |
$123.65
|
|
Folic acid
|
$87.10 |
$87.10 |
$87.10 |
$85.50
|
|
Foot X-ray
|
$537.55 |
$537.55 |
$537.55 |
$339.50
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$198.90 |
$198.90 |
$198.90 |
$572.30
|
|
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
|
$213.20 |
$213.20 |
$213.20 |
$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
|
$14.95 |
$14.95 |
$14.95 |
$25.00
|
