|
Encephalitis, western equine igg/igm
|
$122.40 |
$122.40 |
$122.40 |
$54.99
|
|
Endo cath bile duct s&i
|
$287.40 |
$287.40 |
$287.40 |
$714.24
|
|
Endo cath panc duct s&i
|
$287.40 |
$287.40 |
$287.40 |
$672.43
|
|
Endo cholangiopancreatograph
|
$2,626.80 |
$2,626.80 |
$2,626.80 |
$4,233.50
|
|
Endo cholangiopancreatograph
|
$2,311.20 |
$2,311.20 |
$2,311.20 |
$4,350.00
|
|
Endoluminl ivus oct c 1st
|
$748.80 |
$748.80 |
$748.80 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$346.80 |
$346.80 |
$346.80 |
$2,158.95
|
|
Endoscopy bowel pouch/biop
|
$809.40 |
$809.40 |
$809.40 |
$2,184.00
|
|
Endovasc rpr a-biiliac endogft 34705
|
$11,745.60 |
$11,745.60 |
$11,745.60 |
$9,122.40
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$16.00 |
$16.00 |
$16.00 |
$112.79
|
|
Entamoeba histolytica ag eia - sendout
|
$106.20 |
$106.20 |
$106.20 |
$56.89
|
|
Enzyme cell activity ra
|
$186.00 |
$186.00 |
$186.00 |
$197.60
|
|
Enzyme histochemistry
|
$456.60 |
$456.60 |
$456.60 |
$455.91
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$0.80 |
$0.80 |
$0.80 |
$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
|
$89.40 |
$89.40 |
$89.40 |
$1,329.09
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$197.60 |
$197.60 |
$197.60 |
$129.30
|
|
Epstein barr early antigen antibody
|
$75.00 |
$75.00 |
$75.00 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$70.80 |
$70.80 |
$70.80 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$80.40 |
$80.40 |
$80.40 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$98.40 |
$98.40 |
$98.40 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,637.20 |
$3,637.20 |
$3,637.20 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$287.40 |
$287.40 |
$287.40 |
$967.04
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$2,754.00 |
$2,754.00 |
$2,754.00 |
$5,390.40
|
|
Ercp ea duct/ampulla dilate
|
$2,650.80 |
$2,650.80 |
$2,650.80 |
$4,199.25
|
|
Ercp lithotripsy calculi
|
$2,490.00 |
$2,490.00 |
$2,490.00 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$2,311.20 |
$2,311.20 |
$2,311.20 |
$4,060.00
|
|
Ercp remove forgn body duct 43275
|
$2,626.80 |
$2,626.80 |
$2,626.80 |
$2,859.02
|
|
Ercp stent exchange w/dilate
|
$2,478.00 |
$2,478.00 |
$2,478.00 |
$5,718.03
|
|
Ercp w/specimen collection
|
$2,725.20 |
$2,725.20 |
$2,725.20 |
$4,494.90
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$70.40 |
$70.40 |
$70.40 |
$232.12
|
|
ER Visit (level 1, minor)
|
$57.60 |
$57.60 |
$57.60 |
$252.60
|
|
ER Visit (level 2)
|
$226.20 |
$226.20 |
$226.20 |
$463.00
|
|
ER Visit (level 3)
|
$385.80 |
$385.80 |
$385.80 |
$812.18
|
|
ER Visit (level 4)
|
$605.40 |
$605.40 |
$605.40 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$888.60 |
$888.60 |
$888.60 |
$1,871.60
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$11.80 |
$11.80 |
$11.80 |
$516.71
|
|
Esophageal motility
|
$774.00 |
$774.00 |
$774.00 |
$655.45
|
|
Esophagosc dilate balloon 30
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$2,244.82
|
|
Esophagoscopy flex remove fb
|
$1,897.20 |
$1,897.20 |
$1,897.20 |
$2,089.60
|
|
Esoph egd dilation <30 mm
|
$3,496.20 |
$3,496.20 |
$3,496.20 |
$2,656.80
|
|
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
|
$85.20 |
$85.20 |
$85.20 |
$152.10
|
|
Estrogens total-sendout
|
$85.20 |
$85.20 |
$85.20 |
$97.50
|
|
Ethylene glycol -sendout
|
$201.00 |
$201.00 |
$201.00 |
$86.04
|
|
Euflexxa inj per dose
|
$1,538.40 |
$1,538.40 |
$1,538.40 |
$510.68
|
|
Evaluation of speech fluency 92521
|
$463.20 |
$463.20 |
$463.20 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$254.40 |
$254.40 |
$254.40 |
$318.24
|
|
Evasc rpr a-biiliac ndgft rptr
|
$11,745.60 |
$11,745.60 |
$11,745.60 |
$8,565.60
|
|
Evasc rpr a-unilac ndgft 34703
|
$11,238.00 |
$11,238.00 |
$11,238.00 |
$5,741.00
|
|
Event monitor
|
$237.60 |
$237.60 |
$237.60 |
$231.00
|
|
Evoked potentials upper limbs
|
$561.00 |
$561.00 |
$561.00 |
$908.54
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$3,037.20 |
$3,037.20 |
$3,037.20 |
$2,443.20
|
|
Exchange biliary drg cath
|
$2,373.00 |
$2,373.00 |
$2,373.00 |
$3,856.84
|
|
Exchange nephrostomy cath
|
$2,341.20 |
$2,341.20 |
$2,341.20 |
$2,958.80
|
|
Exc thrombosed hemorrhoid 46320
|
$2,635.80 |
$2,635.80 |
$2,635.80 |
$2,175.36
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,524.20 |
$2,524.20 |
$2,524.20 |
$2,421.09
|
|
Exploration of knee joint
|
$4,599.60 |
$4,599.60 |
$4,599.60 |
$4,192.86
|
|
Explore penetrating wnd/extremity 20103
|
$1,741.20 |
$1,741.20 |
$1,741.20 |
$1,788.80
|
|
Explore/treat finger joint
|
$4,533.00 |
$4,533.00 |
$4,533.00 |
$2,480.83
|
|
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 rec scan a/r
|
$1,439.40 |
$1,439.40 |
$1,439.40 |
$789.60
|
|
Ext ecg>7d<15d scan a/r
|
$223.20 |
$223.20 |
$223.20 |
$345.60
|
|
External chromosome analysis 20-25 cells
|
$391.80 |
$391.80 |
$391.80 |
$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
|
$860.40 |
$860.40 |
$860.40 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$74.40 |
$74.40 |
$74.40 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$215.40 |
$215.40 |
$215.40 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$823.20 |
$823.20 |
$823.20 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$733.80 |
$733.80 |
$733.80 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$632.40 |
$632.40 |
$632.40 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$1,564.80 |
$1,564.80 |
$1,564.80 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,096.20 |
$1,096.20 |
$1,096.20 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$226.80 |
$226.80 |
$226.80 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$320.40 |
$320.40 |
$320.40 |
$381.75
|
|
Factor ix
|
$84.60 |
$84.60 |
$84.60 |
$162.50
|
|
Factor viii
|
$47.40 |
$47.40 |
$47.40 |
$148.00
|
|
Family therapy without pt 50min 90846
|
$67.20 |
$67.20 |
$67.20 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$67.20 |
$67.20 |
$67.20 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.40 |
$0.40 |
$0.40 |
$22.20
|
|
Fat/lipids feces qualitative
|
$16.80 |
$16.80 |
$16.80 |
$36.00
|
|
#fecal-sodium
|
$43.80 |
$43.80 |
$43.80 |
$37.53
|
|
Fem/popl revasc w/stent
|
$17,020.20 |
$17,020.20 |
$17,020.20 |
$16,129.60
|
|
Feno poc
|
$192.00 |
$192.00 |
$192.00 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$125.40 |
$125.40 |
$125.40 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4.40 |
$4.40 |
$4.40 |
$2,590.25
|
|
Ferritin
|
$47.40 |
$47.40 |
$47.40 |
$102.48
|
|
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 hemoglobin (kleihauer betke)
|
$228.60 |
$228.60 |
$228.60 |
$102.00
|
|
Fibrin degradation d dimer quantitative
|
$47.40 |
$47.40 |
$47.40 |
$120.64
|
|
Fibrin degradation products
|
$54.60 |
$54.60 |
$54.60 |
$75.02
|
|
Fibrinogen activity
|
$47.40 |
$47.40 |
$47.40 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$180.60 |
$180.60 |
$180.60 |
$61.00
|
