|
Esophagoscopy/flex/diagnostic 43200
|
$1,509.00 |
$1,509.00 |
$1,509.00 |
$1,296.00
|
|
Esophagoscopy flex remove fb
|
$2,361.00 |
$2,361.00 |
$2,361.00 |
$2,089.60
|
|
Esophagus motility study
|
$972.00 |
$972.00 |
$972.00 |
$1,257.17
|
|
Esoph imped function test
|
$603.00 |
$603.00 |
$603.00 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$1,121.40 |
$1,121.40 |
$1,121.40 |
$1,121.40
|
|
Establish access to aorta
|
$2,670.60 |
$2,670.60 |
$2,670.60 |
$1,273.00
|
|
Establish access to artery
|
$1,699.20 |
$1,699.20 |
$1,699.20 |
$1,145.65
|
|
Estradiol total
|
$142.20 |
$142.20 |
$142.20 |
$152.10
|
|
Estrogens total-sendout
|
$110.40 |
$110.40 |
$110.40 |
$97.50
|
|
Ethylene glycol -sendout
|
$28.80 |
$28.80 |
$28.80 |
$86.04
|
|
Etonogestrel implant system
|
$693.60 |
$693.60 |
$693.60 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$102.00 |
$102.00 |
$102.00 |
$235.20
|
|
Etoposide 50 mg cap
|
$45.00 |
$45.00 |
$45.00 |
$135.02
|
|
Euglobulin lysis
|
$30.60 |
$30.60 |
$30.60 |
$63.84
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$496.80 |
$496.80 |
$496.80 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$508.20 |
$508.20 |
$508.20 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$358.20 |
$358.20 |
$358.20 |
$318.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$17,281.80 |
$17,281.80 |
$17,281.80 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$7,465.20 |
$7,465.20 |
$7,465.20 |
$5,403.50
|
|
Evasc rpr a-biiliac ndgft rptr
|
$8,133.60 |
$8,133.60 |
$8,133.60 |
$8,565.60
|
|
Evasc rpr a-unilac ndgft 34703
|
$7,465.20 |
$7,465.20 |
$7,465.20 |
$5,741.00
|
|
Evasc rpr ilio-iliac ndgft
|
$7,465.20 |
$7,465.20 |
$7,465.20 |
$7,060.51
|
|
Event monitor
|
$130.80 |
$130.80 |
$130.80 |
$231.00
|
|
Evoked potentials upper limbs
|
$339.00 |
$339.00 |
$339.00 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$572.40 |
$572.40 |
$572.40 |
$814.61
|
|
Exam of vagina w/scope 57420
|
$615.60 |
$615.60 |
$615.60 |
$486.03
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$2,443.20
|
|
Exc benign feenlm >4.0cm 11446
|
$3,515.40 |
$3,515.40 |
$3,515.40 |
$3,386.84
|
|
Exc benign tal 0.5 < cm 11400
|
$1,341.60 |
$1,341.60 |
$1,341.60 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$2,069.20
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$969.00 |
$969.00 |
$969.00 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,651.80 |
$1,651.80 |
$1,651.80 |
$1,314.67
|
|
Exchange biliary drg cath
|
$7,502.40 |
$7,502.40 |
$7,502.40 |
$3,856.84
|
|
Exchange drainage catheter
|
$6,913.20 |
$6,913.20 |
$6,913.20 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$2,685.60 |
$2,685.60 |
$2,685.60 |
$2,958.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$914.34
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$2,865.00
|
|
Exc thrombosed hemorrhoid 46320
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$2,175.36
|
|
Exercise tst brncspsm w/ecg
|
$275.40 |
$275.40 |
$275.40 |
$335.52
|
|
Exercise tst brncspsm wo ecg
|
$112.80 |
$112.80 |
$112.80 |
$129.92
|
|
Exercise w/hemodynamic meas
|
$2,715.00 |
$2,715.00 |
$2,715.00 |
$901.60
|
|
Explore penetrating wnd/extremity 20103
|
$5,344.20 |
$5,344.20 |
$5,344.20 |
$1,788.80
|
|
Explore/repair chest 32110
|
$7,908.00 |
$7,908.00 |
$7,908.00 |
$3,698.00
|
|
Explore/treat finger joint
|
$4,131.00 |
$4,131.00 |
$4,131.00 |
$2,480.83
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$3,623.43
|
|
Extended steel shank
|
$205.20 |
$205.20 |
$205.20 |
$111.44
|
|
External chromosome analysis 20-25 cells
|
$1,033.80 |
$1,033.80 |
$1,033.80 |
$415.01
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,028.40 |
$1,028.40 |
$1,028.40 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$100.20 |
$100.20 |
$100.20 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$262.80 |
$262.80 |
$262.80 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$796.80 |
$796.80 |
$796.80 |
$1,320.00
|
|
F-18 fdg pet diag
|
$537.60 |
$537.60 |
$537.60 |
$551.72
|
|
F-18 fluciclovine per mci
|
$1,588.80 |
$1,588.80 |
$1,588.80 |
$1,042.30
|
|
F-18 sodium fluoride
|
$640.80 |
$640.80 |
$640.80 |
$492.56
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$188.40 |
$188.40 |
$188.40 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$262.80 |
$262.80 |
$262.80 |
$381.75
|
|
Factor ix
|
$96.60 |
$96.60 |
$96.60 |
$162.50
|
|
Factor ix recombinant nos
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$4.65
|
|
Factor viii
|
$91.20 |
$91.20 |
$91.20 |
$148.00
|
|
Factor viii recombinant nos
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$5.20
|
|
Factor viii recomb novoeight
|
$2,592.00 |
$2,592.00 |
$2,592.00 |
$7.21
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$1,620.60 |
$1,620.60 |
$1,620.60 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$25.80 |
$25.80 |
$25.80 |
$36.00
|
|
Fatty acids nonesterified
|
$94.80 |
$94.80 |
$94.80 |
$72.15
|
|
#fecal-sodium
|
$24.60 |
$24.60 |
$24.60 |
$37.53
|
|
Feeding tube reposition
|
$447.60 |
$447.60 |
$447.60 |
$520.00
|
|
Fem/popl revasc w/stent
|
$17,281.80 |
$17,281.80 |
$17,281.80 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$35.40 |
$35.40 |
$35.40 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$58.80 |
$58.80 |
$58.80 |
$2,590.25
|
|
Ferritin
|
$68.40 |
$68.40 |
$68.40 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$42.00 |
$42.00 |
$42.00 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$394.20 |
$394.20 |
$394.20 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$1,644.00 |
$1,644.00 |
$1,644.00 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$555.60 |
$555.60 |
$555.60 |
$477.50
|
|
Fetal cord puncture prenatal
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$751.20
|
|
Fetal fibronectin
|
$326.40 |
$326.40 |
$326.40 |
$389.95
|
|
Fetal fluid drainage w/us
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$612.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$40.20 |
$40.20 |
$40.20 |
$102.00
|
|
Fetal hemoglobin rosette
|
$48.00 |
$48.00 |
$48.00 |
$67.20
|
|
Fetal non stress test
|
$752.40 |
$752.40 |
$752.40 |
$478.50
|
|
Fetal shunt placement w/us
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$754.00
|
|
Fibrin degradation d dimer quantitative
|
$51.60 |
$51.60 |
$51.60 |
$120.64
|
|
Fibrin degradation products
|
$34.20 |
$34.20 |
$34.20 |
$75.02
|
|
Fibrin degrade semiquant
|
$34.80 |
$34.80 |
$34.80 |
$84.50
|
|
Fibrinogen activity
|
$49.20 |
$49.20 |
$49.20 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$33.00 |
$33.00 |
$33.00 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$40.20 |
$40.20 |
$40.20 |
$72.80
|
|
Fibrinolytic plasminogen
|
$87.00 |
$87.00 |
$87.00 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$33.00 |
$33.00 |
$33.00 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$262.80 |
$262.80 |
$262.80 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$188.40 |
$188.40 |
$188.40 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$328.80 |
$328.80 |
$328.80 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$6,785.40 |
$6,785.40 |
$6,785.40 |
$7,358.16
|
