|
Egd/remov tum/polyp/hot bx forcep 43250
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,244.82
|
|
Egd varices ligation
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,244.82
|
|
Egfr gene com variants
|
$539.40 |
$539.40 |
$539.40 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$317.40 |
$317.40 |
$317.40 |
$93.00
|
|
EKG (Tracing Only)
|
$189.60 |
$189.60 |
$189.60 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$321.00 |
$321.00 |
$321.00 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$431.40 |
$431.40 |
$431.40 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$616.00
|
|
Electrolyte panel
|
$70.20 |
$70.20 |
$70.20 |
$79.30
|
|
Elotuzumab 300 mg intravenous solution
|
$18.00 |
$18.00 |
$18.00 |
$5,761.81
|
|
Emg cranial nerve bilateral
|
$1,587.60 |
$1,587.60 |
$1,587.60 |
$529.10
|
|
Encephalitis, california igg/igm
|
$122.40 |
$122.40 |
$122.40 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$122.40 |
$122.40 |
$122.40 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$122.40 |
$122.40 |
$122.40 |
$54.99
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$14,836.80 |
$14,836.80 |
$14,836.80 |
$4,888.00
|
|
Endo cath bile duct s&i
|
$519.60 |
$519.60 |
$519.60 |
$714.24
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,419.20 |
$2,419.20 |
$2,419.20 |
$2,787.20
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$67.20 |
$67.20 |
$67.20 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$81.60 |
$81.60 |
$81.60 |
$112.79
|
|
Entamoeba histolytica ag eia - sendout
|
$108.60 |
$108.60 |
$108.60 |
$56.89
|
|
Enzyme histochemistry
|
$456.60 |
$456.60 |
$456.60 |
$455.91
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$102.00 |
$102.00 |
$102.00 |
$30,598.85
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,861.80 |
$1,861.80 |
$1,861.80 |
$1,182.00
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$106.40 |
$106.40 |
$106.40 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$1.80 |
$1.80 |
$1.80 |
$33.60
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$918.00 |
$918.00 |
$918.00 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$120.80 |
$120.80 |
$120.80 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$239.40 |
$239.40 |
$239.40 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$154.80 |
$154.80 |
$154.80 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$154.80 |
$154.80 |
$154.80 |
$85.50
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,637.20 |
$3,637.20 |
$3,637.20 |
$3,838.45
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$345.00 |
$345.00 |
$345.00 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$217.60 |
$217.60 |
$217.60 |
$232.12
|
|
ER Visit (level 1, minor)
|
$144.00 |
$144.00 |
$144.00 |
$252.60
|
|
ER Visit (level 2)
|
$235.80 |
$235.80 |
$235.80 |
$463.00
|
|
ER Visit (level 3)
|
$385.80 |
$385.80 |
$385.80 |
$812.18
|
|
ER Visit (level 4)
|
$570.00 |
$570.00 |
$570.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$215.20 |
$215.20 |
$215.20 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$13.00 |
$13.00 |
$13.00 |
$516.71
|
|
Esophagoscopy balloon <30mm
|
$1,571.40 |
$1,571.40 |
$1,571.40 |
$2,460.00
|
|
Esophagoscopy flex biopsy
|
$1,706.40 |
$1,706.40 |
$1,706.40 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$2,565.60 |
$2,565.60 |
$2,565.60 |
$1,296.00
|
|
Esoph egd dilation <30 mm
|
$3,496.20 |
$3,496.20 |
$3,496.20 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$1,235.40 |
$1,235.40 |
$1,235.40 |
$2,221.83
|
|
Established Patient Office Visit (level 1)
|
$141.00 |
$141.00 |
$141.00 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$189.00 |
$189.00 |
$189.00 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$216.00 |
$216.00 |
$216.00 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$250.80 |
$250.80 |
$250.80 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$268.80 |
$268.80 |
$268.80 |
$290.68
|
|
Estradiol total
|
$265.80 |
$265.80 |
$265.80 |
$152.10
|
|
Estradiol valerate 10 mg inj
|
$51.40 |
$51.40 |
$51.40 |
$57.35
|
|
Estrogens total-sendout
|
$168.00 |
$168.00 |
$168.00 |
$97.50
|
|
Ethylene glycol -sendout
|
$201.00 |
$201.00 |
$201.00 |
$86.04
|
|
Etonogestrel implant system
|
$3,852.80 |
$3,852.80 |
$3,852.80 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$41.40 |
$41.40 |
$41.40 |
$235.20
|
|
Euflexxa inj per dose
|
$746.40 |
$746.40 |
$746.40 |
$510.68
|
|
Evaluation of speech fluency 92521
|
$404.40 |
$404.40 |
$404.40 |
$302.50
|
|
Event monitor
|
$463.20 |
$463.20 |
$463.20 |
$231.00
|
|
Evoked oa emissions ltd
|
$145.80 |
$145.80 |
$145.80 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$1,386.60 |
$1,386.60 |
$1,386.60 |
$261.30
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,502.60 |
$2,502.60 |
$2,502.60 |
$2,443.20
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$969.60
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$779.35
|
|
Exchange nephrostomy cath
|
$2,664.00 |
$2,664.00 |
$2,664.00 |
$2,958.80
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,089.20 |
$2,089.20 |
$2,089.20 |
$2,421.09
|
|
Exploration of knee joint
|
$4,599.60 |
$4,599.60 |
$4,599.60 |
$4,192.86
|
|
Explore/treat wrist joint
|
$3,843.00 |
$3,843.00 |
$3,843.00 |
$4,499.12
|
|
Ext ecg>48hr<7d scan a/r
|
$223.20 |
$223.20 |
$223.20 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$223.20 |
$223.20 |
$223.20 |
$345.60
|
|
External chromosome analysis 20-25 cells
|
$867.60 |
$867.60 |
$867.60 |
$415.01
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$192.00 |
$192.00 |
$192.00 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$901.80 |
$901.80 |
$901.80 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$108.60 |
$108.60 |
$108.60 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$622.80 |
$622.80 |
$622.80 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,196.00 |
$2,196.00 |
$2,196.00 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,834.20 |
$1,834.20 |
$1,834.20 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,576.80 |
$1,576.80 |
$1,576.80 |
$1,320.00
|
|
F-18 fdg pet diag
|
$963.00 |
$963.00 |
$963.00 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,192.80 |
$4,192.80 |
$4,192.80 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,470.80 |
$2,470.80 |
$2,470.80 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$189.00 |
$189.00 |
$189.00 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$622.80 |
$622.80 |
$622.80 |
$381.75
|
|
Factor ix
|
$171.60 |
$171.60 |
$171.60 |
$162.50
|
|
Factor ix recombinant nos
|
$11.40 |
$11.40 |
$11.40 |
$4.65
|
|
Factor viii
|
$235.20 |
$235.20 |
$235.20 |
$148.00
|
|
Factor viii recombinant nos
|
$2.40 |
$2.40 |
$2.40 |
$5.20
|
|
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
|
$55.20 |
$55.20 |
$55.20 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$30.60 |
$30.60 |
$30.60 |
$36.00
|
|
#fecal-sodium
|
$58.20 |
$58.20 |
$58.20 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$112.80 |
$112.80 |
$112.80 |
$66.43
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$143.40 |
$143.40 |
$143.40 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4.20 |
$4.20 |
$4.20 |
$2,590.25
|
|
Ferritin
|
$80.40 |
$80.40 |
$80.40 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$14.40 |
$14.40 |
$14.40 |
$1,636.50
|
|
Fetal aneuploidy trisom risk
|
$2,112.60 |
$2,112.60 |
$2,112.60 |
$1,077.00
|
|
Fetal chrom aneuploidy gsa panel
|
$3,621.60 |
$3,621.60 |
$3,621.60 |
$1,166.15
|
|
Fetal fibronectin
|
$276.00 |
$276.00 |
$276.00 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$240.00 |
$240.00 |
$240.00 |
$102.00
|
