|
Ercp bil/panc duct; each stent plcmt 43274
|
$3,517.80 |
$3,517.80 |
$3,517.80 |
$5,390.40
|
|
Ercp ea duct/ampulla dilate
|
$3,517.80 |
$3,517.80 |
$3,517.80 |
$4,199.25
|
|
Ercp lithotripsy calculi
|
$3,517.80 |
$3,517.80 |
$3,517.80 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$3,517.80 |
$3,517.80 |
$3,517.80 |
$4,060.00
|
|
Ercp remove forgn body duct 43275
|
$3,517.80 |
$3,517.80 |
$3,517.80 |
$2,859.02
|
|
Ercp stent exchange w/dilate
|
$3,517.80 |
$3,517.80 |
$3,517.80 |
$5,718.03
|
|
Ercp w/specimen collection
|
$3,517.80 |
$3,517.80 |
$3,517.80 |
$4,494.90
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$188.80 |
$188.80 |
$188.80 |
$232.12
|
|
ER Visit (level 1, minor)
|
$374.40 |
$374.40 |
$374.40 |
$252.60
|
|
ER Visit (level 2)
|
$496.20 |
$496.20 |
$496.20 |
$463.00
|
|
ER Visit (level 3)
|
$709.20 |
$709.20 |
$709.20 |
$812.18
|
|
ER Visit (level 4)
|
$1,012.20 |
$1,012.20 |
$1,012.20 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,449.00 |
$1,449.00 |
$1,449.00 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$208.80 |
$208.80 |
$208.80 |
$223.99
|
|
Esd endoscopy or colonoscopy
|
$3,517.80 |
$3,517.80 |
$3,517.80 |
$4,440.75
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$11.60 |
$11.60 |
$11.60 |
$516.71
|
|
Esophagoscopy balloon <30mm
|
$2,802.60 |
$2,802.60 |
$2,802.60 |
$2,460.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$2,769.00 |
$2,769.00 |
$2,769.00 |
$1,296.00
|
|
Esophagoscopy flex remove fb
|
$2,695.20 |
$2,695.20 |
$2,695.20 |
$2,089.60
|
|
Esophagus motility study
|
$931.20 |
$931.20 |
$931.20 |
$1,257.17
|
|
Esoph egd dilation <30 mm
|
$2,695.20 |
$2,695.20 |
$2,695.20 |
$2,656.80
|
|
Esoph imped function test
|
$496.80 |
$496.80 |
$496.80 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$897.60 |
$897.60 |
$897.60 |
$1,121.40
|
|
Established Patient Office Visit (level 1)
|
$174.60 |
$174.60 |
$174.60 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$207.00 |
$207.00 |
$207.00 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$230.40 |
$230.40 |
$230.40 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$274.20 |
$274.20 |
$274.20 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$343.80 |
$343.80 |
$343.80 |
$290.68
|
|
Estradiol total
|
$251.40 |
$251.40 |
$251.40 |
$152.10
|
|
Estrogens total-sendout
|
$111.00 |
$111.00 |
$111.00 |
$97.50
|
|
Ethylene glycol -sendout
|
$196.20 |
$196.20 |
$196.20 |
$86.04
|
|
Etonogestrel implant system
|
$2,906.40 |
$2,906.40 |
$2,906.40 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$252.60 |
$252.60 |
$252.60 |
$235.20
|
|
Eval/fit voice prosthesis iii, st
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$223.80 |
$223.80 |
$223.80 |
$213.15
|
|
Evasc repair of iliac artery; endograft 34718
|
$10,843.20 |
$10,843.20 |
$10,843.20 |
$6,311.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$6,034.20 |
$6,034.20 |
$6,034.20 |
$8,565.60
|
|
Evasc rpr a-unilac ndgft 34703
|
$4,950.60 |
$4,950.60 |
$4,950.60 |
$5,741.00
|
|
Evasc rpr a-unilac ndgft rpt
|
$9,282.60 |
$9,282.60 |
$9,282.60 |
$5,902.40
|
|
Event monitor
|
$601.20 |
$601.20 |
$601.20 |
$231.00
|
|
Evoked potentials upper limbs
|
$516.00 |
$516.00 |
$516.00 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$516.00 |
$516.00 |
$516.00 |
$814.61
|
|
Exam of vagina w/scope 57420
|
$81.00 |
$81.00 |
$81.00 |
$486.03
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$3,505.20 |
$3,505.20 |
$3,505.20 |
$2,443.20
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$4,530.60 |
$4,530.60 |
$4,530.60 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$2,157.60 |
$2,157.60 |
$2,157.60 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$286.80 |
$286.80 |
$286.80 |
$969.60
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$286.80 |
$286.80 |
$286.80 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$526.20 |
$526.20 |
$526.20 |
$2,271.01
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$286.80 |
$286.80 |
$286.80 |
$779.35
|
|
Exchange biliary drg cath
|
$2,273.40 |
$2,273.40 |
$2,273.40 |
$3,856.84
|
|
Exchange drainage catheter
|
$4,895.40 |
$4,895.40 |
$4,895.40 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$2,290.80 |
$2,290.80 |
$2,290.80 |
$2,958.80
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$3,515.40 |
$3,515.40 |
$3,515.40 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$286.80 |
$286.80 |
$286.80 |
$1,072.24
|
|
Exc malig feenl 1.1-2 11642
|
$4,494.00 |
$4,494.00 |
$4,494.00 |
$1,082.00
|
|
Exc malig snhfg 0.5cm or less 11620
|
$3,378.00 |
$3,378.00 |
$3,378.00 |
$1,377.57
|
|
Exc thrombosed hemorrhoid 46320
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$2,175.36
|
|
Exc vagina lesion 57135
|
$4,522.80 |
$4,522.80 |
$4,522.80 |
$4,292.17
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,472.60 |
$2,472.60 |
$2,472.60 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$4,798.80 |
$4,798.80 |
$4,798.80 |
$4,101.67
|
|
Explore penetrating wnd/extremity 20103
|
$3,792.60 |
$3,792.60 |
$3,792.60 |
$1,788.80
|
|
Explore/repair chest 32110
|
$16,003.80 |
$16,003.80 |
$16,003.80 |
$3,698.00
|
|
Explore/treat wrist joint
|
$5,383.80 |
$5,383.80 |
$5,383.80 |
$4,499.12
|
|
Expose endoprosth brachial 34834
|
$3,380.40 |
$3,380.40 |
$3,380.40 |
$1,888.20
|
|
Ext ecg>48hr<7d scan a/r
|
$282.00 |
$282.00 |
$282.00 |
$241.92
|
|
External chromosome analysis 20-25 cells
|
$942.60 |
$942.60 |
$942.60 |
$415.01
|
|
External recharg sys intern
|
$3,349.80 |
$3,349.80 |
$3,349.80 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$621.60 |
$621.60 |
$621.60 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$96.00 |
$96.00 |
$96.00 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$111.00 |
$111.00 |
$111.00 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,759.80 |
$1,759.80 |
$1,759.80 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,468.80 |
$1,468.80 |
$1,468.80 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,320.00
|
|
F-18 fdg pet diag
|
$2,190.60 |
$2,190.60 |
$2,190.60 |
$551.72
|
|
F-18 sodium fluoride
|
$2,190.60 |
$2,190.60 |
$2,190.60 |
$492.56
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,699.20 |
$1,699.20 |
$1,699.20 |
$1,883.25
|
|
Facial Bones X-ray (complete)
|
$295.20 |
$295.20 |
$295.20 |
$381.75
|
|
Factor ix
|
$338.40 |
$338.40 |
$338.40 |
$162.50
|
|
Factor viii
|
$124.80 |
$124.80 |
$124.80 |
$148.00
|
|
Factor viii recombinant nos
|
$6.00 |
$6.00 |
$6.00 |
$5.20
|
|
Factor viii recomb novoeight
|
$3.40 |
$3.40 |
$3.40 |
$7.21
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.40 |
$0.40 |
$0.40 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$52.80 |
$52.80 |
$52.80 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$27.00 |
$27.00 |
$27.00 |
$36.00
|
|
Fatty acids nonesterified
|
$153.60 |
$153.60 |
$153.60 |
$72.15
|
|
#fecal-sodium
|
$82.80 |
$82.80 |
$82.80 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$178.80 |
$178.80 |
$178.80 |
$66.43
|
|
Fem/popl revasc w/stent
|
$34,982.40 |
$34,982.40 |
$34,982.40 |
$16,129.60
|
|
Feno poc
|
$226.20 |
$226.20 |
$226.20 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$143.40 |
$143.40 |
$143.40 |
$101.40
|
|
Fern test
|
$83.40 |
$83.40 |
$83.40 |
$37.03
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4.40 |
$4.40 |
$4.40 |
$2,590.25
|
|
Ferritin
|
$150.60 |
$150.60 |
$150.60 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$5.80 |
$5.80 |
$5.80 |
$1,636.50
|
|
Fetal aneuploidy trisom risk
|
$2,092.80 |
$2,092.80 |
$2,092.80 |
$1,077.00
|
|
Fetal chrom aneuploidy gsa panel
|
$3,388.80 |
$3,388.80 |
$3,388.80 |
$1,166.15
|
|
Fetal fibronectin
|
$461.40 |
$461.40 |
$461.40 |
$389.95
|
