|
Echocardiogram (Heart Ultrasound)
|
$3,666.40 |
$3,666.40 |
$3,666.40 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$199.20 |
$199.20 |
$199.20 |
$499.20
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,844.00 |
$1,844.00 |
$1,844.00 |
$711.00
|
|
Echocardiograpy doppler follow up/limited study
|
$602.40 |
$602.40 |
$602.40 |
$371.25
|
|
Echo exam of fetal heart
|
$1,072.80 |
$1,072.80 |
$1,072.80 |
$904.80
|
|
Echo exam of fetal heart
|
$1,026.40 |
$1,026.40 |
$1,026.40 |
$538.27
|
|
Echo exam of fetal heart
|
$501.60 |
$501.60 |
$501.60 |
$431.41
|
|
Echo guide for amniocentesis
|
$559.20 |
$559.20 |
$559.20 |
$446.60
|
|
Echo stress
|
$2,720.00 |
$2,720.00 |
$2,720.00 |
$1,606.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,645.60 |
$3,645.60 |
$3,645.60 |
$1,889.20
|
|
Echo transthoracic
|
$2,035.20 |
$2,035.20 |
$2,035.20 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$1,022.30
|
|
Eeg 41-60 minutes 95812-26
|
$826.40 |
$826.40 |
$826.40 |
$923.88
|
|
Eeg monitor/record/awake/drowsy 95816
|
$749.60 |
$749.60 |
$749.60 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$871.20 |
$871.20 |
$871.20 |
$1,100.40
|
|
Eeg recording awake and asleep
|
$838.40 |
$838.40 |
$838.40 |
$929.00
|
|
Ehrlicha chaffeensis amp prb
|
$162.40 |
$162.40 |
$162.40 |
$93.00
|
|
Electrical stimulation/unattended 97014
|
$142.40 |
$142.40 |
$142.40 |
$81.00
|
|
Electrolyte panel
|
$34.40 |
$34.40 |
$34.40 |
$78.65
|
|
Electron microscopy diagnostic
|
$652.80 |
$652.80 |
$652.80 |
$1,006.20
|
|
Endo, single, pulmonary
|
$2,626.42 |
$2,626.42 |
$2,626.42 |
$993.30
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$1,011.40 |
$1,011.40 |
$1,011.40 |
$116.08
|
|
Enzyme histochemistry
|
$252.80 |
$252.80 |
$252.80 |
$455.91
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$110.80 |
$110.80 |
$110.80 |
$36.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$1,179.80 |
$1,179.80 |
$1,179.80 |
$25.61
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$106.80 |
$106.80 |
$106.80 |
$31.80
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$2,534.20 |
$2,534.20 |
$2,534.20 |
$856.06
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$967.20 |
$967.20 |
$967.20 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$55.20 |
$55.20 |
$55.20 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$63.20 |
$63.20 |
$63.20 |
$76.70
|
|
Epstein barr viral capsid antigen antibody igm
|
$76.00 |
$76.00 |
$76.00 |
$85.15
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$636.00 |
$636.00 |
$636.00 |
$425.12
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$244.60 |
$244.60 |
$244.60 |
$227.20
|
|
ER Visit (level 1, minor)
|
$511.20 |
$511.20 |
$511.20 |
$252.35
|
|
ER Visit (level 2)
|
$781.60 |
$781.60 |
$781.60 |
$463.00
|
|
ER Visit (level 3)
|
$1,740.80 |
$1,740.80 |
$1,740.80 |
$793.20
|
|
ER Visit (level 4)
|
$2,678.40 |
$2,678.40 |
$2,678.40 |
$1,277.65
|
|
ER Visit (level 5, high severity)
|
$2,981.60 |
$2,981.60 |
$2,981.60 |
$1,844.80
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$581.60 |
$581.60 |
$581.60 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$674.20 |
$674.20 |
$674.20 |
$521.65
|
|
Established Patient Office Visit (level 1)
|
$480.80 |
$480.80 |
$480.80 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$576.80 |
$576.80 |
$576.80 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$672.80 |
$672.80 |
$672.80 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$769.60 |
$769.60 |
$769.60 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$865.60 |
$865.60 |
$865.60 |
$287.10
|
|
Estradiol total
|
$114.40 |
$114.40 |
$114.40 |
$149.43
|
|
Estrogens total-sendout
|
$90.40 |
$90.40 |
$90.40 |
$96.63
|
|
Ethylene glycol -sendout
|
$62.40 |
$62.40 |
$62.40 |
$85.00
|
|
Etonogestrel implant system
|
$4,917.00 |
$4,917.00 |
$4,917.00 |
$2,071.74
|
|
Etoposide 20 mg/ml intravenous solution
|
$254.80 |
$254.80 |
$254.80 |
$235.20
|
|
Eval/fit voice prosthesis iii, st
|
$373.60 |
$373.60 |
$373.60 |
$356.00
|
|
Evoked potentials auditory screening automated analysis
|
$281.60 |
$281.60 |
$281.60 |
$259.20
|
|
Exchange biliary drg cath
|
$6,028.00 |
$6,028.00 |
$6,028.00 |
$3,797.76
|
|
Exchange nephrostomy cath
|
$3,552.80 |
$3,552.80 |
$3,552.80 |
$2,958.80
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$604.00 |
$604.00 |
$604.00 |
$445.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$75.20 |
$75.20 |
$75.20 |
$109.00
|
|
F-18 fdg pet diag
|
$835.20 |
$835.20 |
$835.20 |
$551.72
|
|
Facial bones <3
|
$224.00 |
$224.00 |
$224.00 |
$252.60
|
|
Factor ix
|
$111.20 |
$111.20 |
$111.20 |
$154.50
|
|
Factor ix recombinant nos
|
$3,950.80 |
$3,950.80 |
$3,950.80 |
$4.65
|
|
Factor viii
|
$100.80 |
$100.80 |
$100.80 |
$144.82
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$28.60 |
$28.60 |
$28.60 |
$22.23
|
|
Fat/lipids feces qualitative
|
$21.60 |
$21.60 |
$21.60 |
$36.00
|
|
Fatty acids nonesterified
|
$78.40 |
$78.40 |
$78.40 |
$64.28
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$305.40 |
$305.40 |
$305.40 |
$101.40
|
|
Ferritin
|
$40.00 |
$40.00 |
$40.00 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$4,458.40 |
$4,458.40 |
$4,458.40 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$556.80 |
$556.80 |
$556.80 |
$541.74
|
|
Fetal hemoglobin (kleihauer betke)
|
$52.00 |
$52.00 |
$52.00 |
$104.00
|
|
Fetal hemoglobin rosette
|
$52.00 |
$52.00 |
$52.00 |
$67.20
|
|
Fetal non stress test
|
$490.40 |
$490.40 |
$490.40 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$50.40 |
$50.40 |
$50.40 |
$120.05
|
|
Fibrin degradation products
|
$36.00 |
$36.00 |
$36.00 |
$74.25
|
|
Fibrinogen activity
|
$44.00 |
$44.00 |
$44.00 |
$85.86
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$968.00 |
$968.00 |
$968.00 |
$823.90
|
|
Flecainide (tambocor)-sendout
|
$76.00 |
$76.00 |
$76.00 |
$65.24
|
|
Fl exam g/colon tube w contrast
|
$435.20 |
$435.20 |
$435.20 |
$523.95
|
|
Flow cytometry marker each additional
|
$129.60 |
$129.60 |
$129.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$134.40 |
$134.40 |
$134.40 |
$276.60
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$80.20 |
$80.20 |
$80.20 |
$64.15
|
|
Fluorescent antibody titer dna
|
$49.60 |
$49.60 |
$49.60 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$641.60 |
$641.60 |
$641.60 |
$495.95
|
|
Fluoroguide needle placement
|
$641.60 |
$641.60 |
$641.60 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$534.40 |
$534.40 |
$534.40 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$140.20 |
$140.20 |
$140.20 |
$107.00
|
|
Fna bx w/ct gdn 1st les
|
$968.00 |
$968.00 |
$968.00 |
$1,427.65
|
|
Folic acid
|
$45.00 |
$45.00 |
$45.00 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$185.80 |
$185.80 |
$185.80 |
$50.70
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,584.20 |
$4,584.20 |
$4,584.20 |
$2,481.61
|
|
Fondaparinux sodium
|
$144.80 |
$144.80 |
$144.80 |
$186.87
|
|
Foot X-ray
|
$290.40 |
$290.40 |
$290.40 |
$352.08
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$2,203.00 |
$2,203.00 |
$2,203.00 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$115.20 |
$115.20 |
$115.20 |
$106.25
|
|
Fracture assessment via dxa
|
$208.80 |
$208.80 |
$208.80 |
$175.50
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$358.40 |
$358.40 |
$358.40 |
$164.16
|
|
Fructosamine glycated protein
|
$69.60 |
$69.60 |
$69.60 |
$61.75
|
|
Ftl cgen abnor four anal
|
$639.20 |
$639.20 |
$639.20 |
$205.80
|
|
Furosemide 10 mg/ml injection solution
|
$44.00 |
$44.00 |
$44.00 |
$19.53
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.60 |
$1.60 |
$1.60 |
$107.11
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$50.40 |
$50.40 |
$50.40 |
$249.80
|
