|
Eeg phy/qhp>36<60 hr without vid
|
$1,762.20 |
$1,762.20 |
$1,762.20 |
$1,456.00
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$586.80 |
$586.80 |
$586.80 |
$660.00
|
|
Eeg recording awake and asleep
|
$584.40 |
$584.40 |
$584.40 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$589.20 |
$589.20 |
$589.20 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$586.20 |
$586.20 |
$586.20 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$586.80 |
$586.80 |
$586.80 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$1,632.95
|
|
E equine encephalitis igg
|
$122.40 |
$122.40 |
$122.40 |
$51.84
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$67.20 |
$67.20 |
$67.20 |
$13,130.61
|
|
Egd control bleeding any
|
$2,132.40 |
$2,132.40 |
$2,132.40 |
$2,553.75
|
|
Egd lesion ablation
|
$2,448.60 |
$2,448.60 |
$2,448.60 |
$2,354.48
|
|
Egd remove foreign body
|
$2,132.40 |
$2,132.40 |
$2,132.40 |
$1,571.40
|
|
Egd remove lesion snare
|
$2,132.40 |
$2,132.40 |
$2,132.40 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$4,283.40 |
$4,283.40 |
$4,283.40 |
$2,244.82
|
|
Ehrlicha chaffeensis amp prb
|
$189.00 |
$189.00 |
$189.00 |
$93.00
|
|
EKG (Tracing Only)
|
$147.60 |
$147.60 |
$147.60 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$105.00 |
$105.00 |
$105.00 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$129.60 |
$129.60 |
$129.60 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$76.20 |
$76.20 |
$76.20 |
$87.49
|
|
Electrolyte panel
|
$51.00 |
$51.00 |
$51.00 |
$79.30
|
|
Electron microscopy diagnostic
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$1,011.98
|
|
Emb without cervical dilation 58100
|
$2,193.00 |
$2,193.00 |
$2,193.00 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$464.40 |
$464.40 |
$464.40 |
$394.80
|
|
Emg cranial nerve bilateral
|
$496.80 |
$496.80 |
$496.80 |
$529.10
|
|
Emg thor paraspinal without t1/t2
|
$152.40 |
$152.40 |
$152.40 |
$309.83
|
|
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
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$67.20 |
$67.20 |
$67.20 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$77.00 |
$77.00 |
$77.00 |
$112.79
|
|
Enzyme histochemistry
|
$573.60 |
$573.60 |
$573.60 |
$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
|
$1,897.80 |
$1,897.80 |
$1,897.80 |
$1,182.00
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$106.40 |
$106.40 |
$106.40 |
$507.10
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$2,236.20 |
$2,236.20 |
$2,236.20 |
$3,778.57
|
|
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
|
$111.20 |
$111.20 |
$111.20 |
$1,329.09
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$389.40 |
$389.40 |
$389.40 |
$129.30
|
|
Epstein barr early antigen antibody
|
$76.20 |
$76.20 |
$76.20 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$102.00 |
$102.00 |
$102.00 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$105.00 |
$105.00 |
$105.00 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$88.80 |
$88.80 |
$88.80 |
$427.26
|
|
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
|
$345.60 |
$345.60 |
$345.60 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$227.20 |
$227.20 |
$227.20 |
$232.12
|
|
ER Visit (level 1, minor)
|
$213.00 |
$213.00 |
$213.00 |
$252.60
|
|
ER Visit (level 2)
|
$265.20 |
$265.20 |
$265.20 |
$463.00
|
|
ER Visit (level 3)
|
$336.60 |
$336.60 |
$336.60 |
$812.18
|
|
ER Visit (level 4)
|
$570.00 |
$570.00 |
$570.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$703.20 |
$703.20 |
$703.20 |
$1,871.60
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$9.60 |
$9.60 |
$9.60 |
$516.71
|
|
Esoph egd dilation <30 mm
|
$2,132.40 |
$2,132.40 |
$2,132.40 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$129.60 |
$129.60 |
$129.60 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$145.80 |
$145.80 |
$145.80 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$186.60 |
$186.60 |
$186.60 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$201.60 |
$201.60 |
$201.60 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$291.00 |
$291.00 |
$291.00 |
$290.68
|
|
Estradiol total
|
$137.40 |
$137.40 |
$137.40 |
$152.10
|
|
Estrogens total-sendout
|
$292.80 |
$292.80 |
$292.80 |
$97.50
|
|
Ethylene glycol -sendout
|
$104.40 |
$104.40 |
$104.40 |
$86.04
|
|
Etonogestrel implant system
|
$3,428.00 |
$3,428.00 |
$3,428.00 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$1,867.20 |
$1,867.20 |
$1,867.20 |
$235.20
|
|
Euglobulin lysis
|
$61.80 |
$61.80 |
$61.80 |
$63.84
|
|
Evaluation of speech fluency 92521
|
$404.40 |
$404.40 |
$404.40 |
$302.50
|
|
Event monitor
|
$228.60 |
$228.60 |
$228.60 |
$231.00
|
|
Evoked potentials upper limbs
|
$490.20 |
$490.20 |
$490.20 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$699.00 |
$699.00 |
$699.00 |
$814.61
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$3,430.80 |
$3,430.80 |
$3,430.80 |
$2,443.20
|
|
Exchange biliary drg cath
|
$3,855.00 |
$3,855.00 |
$3,855.00 |
$3,856.84
|
|
Exchange drainage catheter
|
$4,902.00 |
$4,902.00 |
$4,902.00 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$2,643.00 |
$2,643.00 |
$2,643.00 |
$2,958.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$5,481.60 |
$5,481.60 |
$5,481.60 |
$3,386.84
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,237.00 |
$3,237.00 |
$3,237.00 |
$4,101.67
|
|
Explore penetrating wnd/extremity 20103
|
$2,678.40 |
$2,678.40 |
$2,678.40 |
$1,788.80
|
|
Explore/treat wrist joint
|
$5,268.60 |
$5,268.60 |
$5,268.60 |
$4,499.12
|
|
Ext ecg>48hr<7d scan a/r
|
$246.60 |
$246.60 |
$246.60 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$240.00 |
$240.00 |
$240.00 |
$345.60
|
|
External chromosome analysis 20-25 cells
|
$1,124.40 |
$1,124.40 |
$1,124.40 |
$415.01
|
|
External ocular photography
|
$91.20 |
$91.20 |
$91.20 |
$86.03
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,167.00 |
$1,167.00 |
$1,167.00 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$89.40 |
$89.40 |
$89.40 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$194.40 |
$194.40 |
$194.40 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$1,320.00
|
|
F-18 fdg pet diag
|
$1,007.40 |
$1,007.40 |
$1,007.40 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,815.40 |
$3,815.40 |
$3,815.40 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,205.00 |
$2,205.00 |
$2,205.00 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$288.60 |
$288.60 |
$288.60 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$194.40 |
$194.40 |
$194.40 |
$381.75
|
|
Factor ix
|
$112.80 |
$112.80 |
$112.80 |
$162.50
|
|
Factor ix complex
|
$8.40 |
$8.40 |
$8.40 |
$4.68
|
|
Factor viii
|
$112.80 |
$112.80 |
$112.80 |
$148.00
|
|
Factor viii recombinant nos
|
$4.80 |
$4.80 |
$4.80 |
$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
|
$30.00 |
$30.00 |
$30.00 |
$36.00
|
|
Fatty acids nonesterified
|
$171.60 |
$171.60 |
$171.60 |
$72.15
|
