|
Elbow X-ray (3 or more views, both sides)
|
$424.20 |
$424.20 |
$424.20 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$282.00 |
$282.00 |
$282.00 |
$87.49
|
|
Electrolyte panel
|
$119.40 |
$119.40 |
$119.40 |
$79.30
|
|
Electron microscopy diagnostic
|
$799.20 |
$799.20 |
$799.20 |
$1,011.98
|
|
Elotuzumab 300 mg intravenous solution
|
$18.00 |
$18.00 |
$18.00 |
$5,761.81
|
|
Embolization s&i
|
$4,752.00 |
$4,752.00 |
$4,752.00 |
$3,215.00
|
|
Embo or occlude vascular hemorrhage s&i
|
$12,721.80 |
$12,721.80 |
$12,721.80 |
$14,586.00
|
|
Encephalitis, california igg/igm
|
$128.40 |
$128.40 |
$128.40 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$128.40 |
$128.40 |
$128.40 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$128.40 |
$128.40 |
$128.40 |
$54.99
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$18,493.20 |
$18,493.20 |
$18,493.20 |
$5,515.40
|
|
Endo cholangiopancreatograph
|
$3,237.00 |
$3,237.00 |
$3,237.00 |
$4,233.50
|
|
Endo cholangiopancreatograph
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$4,350.00
|
|
Endoscopy swallow (fees) vid
|
$1,726.80 |
$1,726.80 |
$1,726.80 |
$402.35
|
|
Endovenous mchnchem 1st vein
|
$4,885.80 |
$4,885.80 |
$4,885.80 |
$4,904.40
|
|
Endovenous mchnchem add-on
|
$834.60 |
$834.60 |
$834.60 |
$2,203.63
|
|
Endovenous rf abl vein addl
|
$3,672.00 |
$3,672.00 |
$3,672.00 |
$3,156.02
|
|
Endoven ther chem adhes 1st 36482
|
$6,790.80 |
$6,790.80 |
$6,790.80 |
$6,366.08
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$67.20 |
$67.20 |
$67.20 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$84.00 |
$84.00 |
$84.00 |
$112.79
|
|
Entamoeba histolytica ag eia - sendout
|
$126.00 |
$126.00 |
$126.00 |
$56.89
|
|
Enzyme histochemistry
|
$532.20 |
$532.20 |
$532.20 |
$455.91
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$521.60 |
$521.60 |
$521.60 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$1.20 |
$1.20 |
$1.20 |
$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
|
$121.60 |
$121.60 |
$121.60 |
$1,329.09
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$288.80 |
$288.80 |
$288.80 |
$129.30
|
|
Epstein barr early antigen antibody
|
$99.00 |
$99.00 |
$99.00 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$128.40 |
$128.40 |
$128.40 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$128.40 |
$128.40 |
$128.40 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$188.80 |
$188.80 |
$188.80 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,637.20 |
$3,637.20 |
$3,637.20 |
$3,838.45
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$5,390.40
|
|
Ercp ea duct/ampulla dilate
|
$3,339.60 |
$3,339.60 |
$3,339.60 |
$4,199.25
|
|
Ercp remove duct calculi 43264
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$4,060.00
|
|
Ercp remove forgn body duct 43275
|
$6,680.40 |
$6,680.40 |
$6,680.40 |
$2,859.02
|
|
Ercp stent exchange w/dilate
|
$6,680.40 |
$6,680.40 |
$6,680.40 |
$5,718.03
|
|
Ercp w/specimen collection
|
$2,862.00 |
$2,862.00 |
$2,862.00 |
$4,494.90
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$346.80 |
$346.80 |
$346.80 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$284.00 |
$284.00 |
$284.00 |
$232.12
|
|
ER Visit (level 1, minor)
|
$260.40 |
$260.40 |
$260.40 |
$252.60
|
|
ER Visit (level 2)
|
$384.00 |
$384.00 |
$384.00 |
$463.00
|
|
ER Visit (level 3)
|
$535.80 |
$535.80 |
$535.80 |
$812.18
|
|
ER Visit (level 4)
|
$705.60 |
$705.60 |
$705.60 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,151.40 |
$1,151.40 |
$1,151.40 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$46.00 |
$46.00 |
$46.00 |
$223.99
|
|
Esd endoscopy or colonoscopy
|
$4,282.20 |
$4,282.20 |
$4,282.20 |
$4,440.75
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$25.20 |
$25.20 |
$25.20 |
$516.71
|
|
Esophagoscopy/flex/diagnostic 43200
|
$2,365.80 |
$2,365.80 |
$2,365.80 |
$1,296.00
|
|
Esoph egd dilation <30 mm
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$134.40 |
$134.40 |
$134.40 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$162.00 |
$162.00 |
$162.00 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$183.60 |
$183.60 |
$183.60 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$242.40 |
$242.40 |
$242.40 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$413.40 |
$413.40 |
$413.40 |
$290.68
|
|
Estradiol total
|
$325.20 |
$325.20 |
$325.20 |
$152.10
|
|
Estradiol valerate 10 mg inj
|
$28.80 |
$28.80 |
$28.80 |
$57.35
|
|
Estrogens total-sendout
|
$189.00 |
$189.00 |
$189.00 |
$97.50
|
|
Ethylene glycol -sendout
|
$158.40 |
$158.40 |
$158.40 |
$86.04
|
|
Etoposide 20 mg/ml intravenous solution
|
$604.80 |
$604.80 |
$604.80 |
$235.20
|
|
Euflexxa inj per dose
|
$2,044.20 |
$2,044.20 |
$2,044.20 |
$510.68
|
|
Euglobulin lysis
|
$90.60 |
$90.60 |
$90.60 |
$63.84
|
|
Eval/fit voice prosthesis iii, st
|
$868.20 |
$868.20 |
$868.20 |
$359.50
|
|
Event monitor
|
$505.80 |
$505.80 |
$505.80 |
$231.00
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,925.60 |
$2,925.60 |
$2,925.60 |
$2,443.20
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$3,844.20 |
$3,844.20 |
$3,844.20 |
$2,306.25
|
|
Exchange biliary drg cath
|
$2,685.00 |
$2,685.00 |
$2,685.00 |
$3,856.84
|
|
Exchange drainage catheter
|
$4,536.00 |
$4,536.00 |
$4,536.00 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$3,190.80 |
$3,190.80 |
$3,190.80 |
$2,958.80
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,829.60 |
$2,829.60 |
$2,829.60 |
$2,064.75
|
|
Exemestane, 25 mg
|
$60.60 |
$60.60 |
$60.60 |
$43.20
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,529.00 |
$2,529.00 |
$2,529.00 |
$4,101.67
|
|
Explore limb vessels 35860
|
$3,349.20 |
$3,349.20 |
$3,349.20 |
$4,341.66
|
|
Explore/treat wrist joint
|
$4,492.80 |
$4,492.80 |
$4,492.80 |
$4,499.12
|
|
External chromosome analysis 20-25 cells
|
$1,295.40 |
$1,295.40 |
$1,295.40 |
$415.01
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$192.60 |
$192.60 |
$192.60 |
$63.70
|
|
External recharg sys intern
|
$3,688.20 |
$3,688.20 |
$3,688.20 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,345.80 |
$1,345.80 |
$1,345.80 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$114.60 |
$114.60 |
$114.60 |
$109.00
|
|
Eye implant band 40
|
$97.20 |
$97.20 |
$97.20 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$424.20 |
$424.20 |
$424.20 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$3,154.20 |
$3,154.20 |
$3,154.20 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,836.20 |
$2,836.20 |
$2,836.20 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$6,049.20 |
$6,049.20 |
$6,049.20 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$424.20 |
$424.20 |
$424.20 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$424.20 |
$424.20 |
$424.20 |
$381.75
|
|
Factor ix
|
$272.40 |
$272.40 |
$272.40 |
$162.50
|
|
Factor ix alprolix recomb
|
$19.80 |
$19.80 |
$19.80 |
$9.46
|
|
Factor viii
|
$272.40 |
$272.40 |
$272.40 |
$148.00
|
|
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
|
$46.20 |
$46.20 |
$46.20 |
$36.00
|
|
#fecal-sodium
|
$267.00 |
$267.00 |
$267.00 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$125.40 |
$125.40 |
$125.40 |
$66.43
|
|
Fem/popl revasc w/stent
|
$34,884.00 |
$34,884.00 |
$34,884.00 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$364.20 |
$364.20 |
$364.20 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4.60 |
$4.60 |
$4.60 |
$2,590.25
|
|
Ferritin
|
$103.20 |
$103.20 |
$103.20 |
$102.48
|
