|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$12.00 |
$12.00 |
$12.00 |
$516.71
|
|
Esophageal dilat s&i
|
$974.40 |
$974.40 |
$974.40 |
$551.20
|
|
Esophageal motility
|
$807.00 |
$807.00 |
$807.00 |
$655.45
|
|
Esophagosc flex trnsn biopsy
|
$2,776.80 |
$2,776.80 |
$2,776.80 |
$1,768.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$2,337.60 |
$2,337.60 |
$2,337.60 |
$1,296.00
|
|
Esophagoscopy flex dx brush
|
$3,381.60 |
$3,381.60 |
$3,381.60 |
$1,879.00
|
|
Esophagus motility study
|
$3,304.20 |
$3,304.20 |
$3,304.20 |
$1,257.17
|
|
Esoph egd dilation <30 mm
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$2,656.80
|
|
Establish access to aorta
|
$5,883.60 |
$5,883.60 |
$5,883.60 |
$1,273.00
|
|
Established Patient Office Visit (level 1)
|
$118.20 |
$118.20 |
$118.20 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$138.60 |
$138.60 |
$138.60 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$156.60 |
$156.60 |
$156.60 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$178.20 |
$178.20 |
$178.20 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$205.80 |
$205.80 |
$205.80 |
$290.68
|
|
Estradiol total
|
$340.20 |
$340.20 |
$340.20 |
$152.10
|
|
Estrogens total-sendout
|
$300.60 |
$300.60 |
$300.60 |
$97.50
|
|
Ethanolamine oleate 100 mg
|
$1,057.80 |
$1,057.80 |
$1,057.80 |
$824.88
|
|
Ethylene glycol -sendout
|
$771.60 |
$771.60 |
$771.60 |
$86.04
|
|
Etoposide 20 mg/ml intravenous solution
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$235.20
|
|
Euglobulin lysis
|
$102.00 |
$102.00 |
$102.00 |
$63.84
|
|
Eval aud funcj ea addl 15
|
$204.60 |
$204.60 |
$204.60 |
$69.60
|
|
Eval aud rehab status/first hr 92626
|
$876.60 |
$876.60 |
$876.60 |
$329.59
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$939.60 |
$939.60 |
$939.60 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$508.80 |
$508.80 |
$508.80 |
$302.50
|
|
Evasc prlng admn rx agnt 1st
|
$4,462.80 |
$4,462.80 |
$4,462.80 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$1,522.20 |
$1,522.20 |
$1,522.20 |
$2,803.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$9,750.60 |
$9,750.60 |
$9,750.60 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$5,013.60 |
$5,013.60 |
$5,013.60 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$5,013.60 |
$5,013.60 |
$5,013.60 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$5,013.60 |
$5,013.60 |
$5,013.60 |
$8,565.60
|
|
Evasc rpr a-unilac ndgft 34703
|
$13,111.80 |
$13,111.80 |
$13,111.80 |
$5,741.00
|
|
Evasc rpr a-unilac ndgft rpt
|
$13,111.80 |
$13,111.80 |
$13,111.80 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$10,086.60 |
$10,086.60 |
$10,086.60 |
$7,060.51
|
|
Event monitor
|
$526.80 |
$526.80 |
$526.80 |
$231.00
|
|
Evoked auditory tst complete
|
$201.60 |
$201.60 |
$201.60 |
$357.41
|
|
Evoked oa emissions ltd
|
$119.40 |
$119.40 |
$119.40 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$576.00 |
$576.00 |
$576.00 |
$261.30
|
|
Evoked potentials upper limbs
|
$473.40 |
$473.40 |
$473.40 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$814.61
|
|
Evok oa screening qual
|
$33.00 |
$33.00 |
$33.00 |
$109.13
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$3,131.40 |
$3,131.40 |
$3,131.40 |
$2,443.20
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$3,636.00 |
$3,636.00 |
$3,636.00 |
$779.35
|
|
Exchange biliary drg cath
|
$3,045.00 |
$3,045.00 |
$3,045.00 |
$3,856.84
|
|
Exchange drainage catheter
|
$6,211.80 |
$6,211.80 |
$6,211.80 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$3,019.80 |
$3,019.80 |
$3,019.80 |
$2,958.80
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$3,165.00 |
$3,165.00 |
$3,165.00 |
$1,072.24
|
|
Exc prtl bn phlnx toe
|
$9,552.00 |
$9,552.00 |
$9,552.00 |
$3,839.54
|
|
Exemestane, 25 mg
|
$60.60 |
$60.60 |
$60.60 |
$43.20
|
|
Exome sequence analysis
|
$7,800.00 |
$7,800.00 |
$7,800.00 |
$5,258.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$3,432.00 |
$3,432.00 |
$3,432.00 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,733.80 |
$3,733.80 |
$3,733.80 |
$4,101.67
|
|
Exploration of knee joint
|
$5,799.00 |
$5,799.00 |
$5,799.00 |
$4,192.86
|
|
Explore penetrating wnd/extremity 20103
|
$2,038.20 |
$2,038.20 |
$2,038.20 |
$1,788.80
|
|
Explore/treat wrist joint
|
$4,809.60 |
$4,809.60 |
$4,809.60 |
$4,499.12
|
|
Ext ecg>48hr<7d scan a/r
|
$220.20 |
$220.20 |
$220.20 |
$241.92
|
|
Ext ecg>7d<15d rec scan a/r
|
$426.60 |
$426.60 |
$426.60 |
$789.60
|
|
Ext ecg>7d<15d scan a/r
|
$220.20 |
$220.20 |
$220.20 |
$345.60
|
|
External chromosome analysis 20-25 cells
|
$1,789.80 |
$1,789.80 |
$1,789.80 |
$415.01
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$939.60 |
$939.60 |
$939.60 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$165.60 |
$165.60 |
$165.60 |
$109.00
|
|
Extrnl counterpulse, per tx
|
$543.60 |
$543.60 |
$543.60 |
$431.60
|
|
Eye Socket (Orbit) X-ray
|
$340.20 |
$340.20 |
$340.20 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,052.60 |
$2,052.60 |
$2,052.60 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,464.60 |
$1,464.60 |
$1,464.60 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,415.00 |
$2,415.00 |
$2,415.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$340.20 |
$340.20 |
$340.20 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$394.20 |
$394.20 |
$394.20 |
$381.75
|
|
Factor ix
|
$192.00 |
$192.00 |
$192.00 |
$162.50
|
|
Factor ix complex
|
$8.40 |
$8.40 |
$8.40 |
$4.68
|
|
Factor viii
|
$297.00 |
$297.00 |
$297.00 |
$148.00
|
|
Factor viii fc fusion recomb
|
$6.00 |
$6.00 |
$6.00 |
$8.28
|
|
Factor viii recombinant nos
|
$14.40 |
$14.40 |
$14.40 |
$5.20
|
|
Factor viii recomb novoeight
|
$4.00 |
$4.00 |
$4.00 |
$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
|
$57.00 |
$57.00 |
$57.00 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$34.20 |
$34.20 |
$34.20 |
$36.00
|
|
Fatty acids nonesterified
|
$180.00 |
$180.00 |
$180.00 |
$72.15
|
|
Felbamate (felbatol(r)) - sendout
|
$304.80 |
$304.80 |
$304.80 |
$66.43
|
|
Fem/popl revasc w/stent
|
$33,906.00 |
$33,906.00 |
$33,906.00 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$270.60 |
$270.60 |
$270.60 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$5.80 |
$5.80 |
$5.80 |
$2,590.25
|
|
Ferritin
|
$201.60 |
$201.60 |
$201.60 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$6.20 |
$6.20 |
$6.20 |
$1,636.50
|
|
Fetal aneuploidy trisom risk
|
$2,112.60 |
$2,112.60 |
$2,112.60 |
$1,077.00
|
|
Fetal chrom aneuploidy gsa panel
|
$3,787.80 |
$3,787.80 |
$3,787.80 |
$1,166.15
|
|
Fetal fibronectin
|
$245.40 |
$245.40 |
$245.40 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$114.60 |
$114.60 |
$114.60 |
$102.00
|
|
Fetal hemoglobin rosette
|
$141.00 |
$141.00 |
$141.00 |
$67.20
|
|
Fetal non stress test
|
$846.00 |
$846.00 |
$846.00 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$123.60 |
$123.60 |
$123.60 |
$120.64
|
|
Fibrin degradation products
|
$147.60 |
$147.60 |
$147.60 |
$75.02
|
|
Fibrin degrade semiquant
|
$178.20 |
$178.20 |
$178.20 |
$84.50
|
|
Fibrinogen activity
|
$141.60 |
$141.60 |
$141.60 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$197.40 |
$197.40 |
$197.40 |
$61.00
|
|
Fibrinolytic plasminogen
|
$193.80 |
$193.80 |
$193.80 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$103.80 |
$103.80 |
$103.80 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1.60 |
$1.60 |
$1.60 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,561.80 |
$1,561.80 |
$1,561.80 |
$1,197.83
|
