|
Drain blood from under nail 11740
|
$169.60 |
$169.60 |
$169.60 |
$182.40
|
|
Drain finger abscess;simple 26010
|
$450.40 |
$450.40 |
$450.40 |
$428.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$374.40 |
$374.40 |
$374.40 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$322.40 |
$322.40 |
$322.40 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$540.80 |
$540.80 |
$540.80 |
$541.00
|
|
Drng of eyelid abscess 67700
|
$494.40 |
$494.40 |
$494.40 |
$655.72
|
|
Droperidol 2.5 mg/ml injection solution
|
$65.79 |
$65.79 |
$65.79 |
$31.25
|
|
Drug assay rufinamide
|
$84.00 |
$84.00 |
$84.00 |
$87.10
|
|
Drug assay voriconazole
|
$71.20 |
$71.20 |
$71.20 |
$96.75
|
|
Drug of abuse screen urine
|
$58.40 |
$58.40 |
$58.40 |
$67.89
|
|
Drug test prsmv instrmnt
|
$53.60 |
$53.60 |
$53.60 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$211.20 |
$211.20 |
$211.20 |
$278.85
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$914.40 |
$914.40 |
$914.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$904.78
|
|
Ecg external < 48 hours recording
|
$452.80 |
$452.80 |
$452.80 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$627.20 |
$627.20 |
$627.20 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$185.60 |
$185.60 |
$185.60 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$225.60 |
$225.60 |
$225.60 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,140.80 |
$2,140.80 |
$2,140.80 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$964.80 |
$964.80 |
$964.80 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$617.60 |
$617.60 |
$617.60 |
$511.55
|
|
Echocardiograpy doppler follow up/limited study
|
$495.20 |
$495.20 |
$495.20 |
$371.25
|
|
Echo stress
|
$2,113.60 |
$2,113.60 |
$2,113.60 |
$1,609.44
|
|
Echo transthoracic
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,572.00 |
$1,572.00 |
$1,572.00 |
$1,033.00
|
|
EKG (Tracing Only)
|
$243.20 |
$243.20 |
$243.20 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$239.20 |
$239.20 |
$239.20 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$272.00 |
$272.00 |
$272.00 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$106.40 |
$106.40 |
$106.40 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$92.00 |
$92.00 |
$92.00 |
$81.75
|
|
Electrolyte panel
|
$44.80 |
$44.80 |
$44.80 |
$79.30
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$68.17 |
$68.17 |
$68.17 |
$112.79
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$68.51 |
$68.51 |
$68.51 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$70.40 |
$70.40 |
$70.40 |
$31.76
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$61.15 |
$61.15 |
$61.15 |
$33.60
|
|
Epstein barr nuclear antigen antibody
|
$80.80 |
$80.80 |
$80.80 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$68.80 |
$68.80 |
$68.80 |
$85.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$79.30 |
$79.30 |
$79.30 |
$232.12
|
|
ER Visit (level 1, minor)
|
$251.20 |
$251.20 |
$251.20 |
$252.60
|
|
ER Visit (level 2)
|
$494.40 |
$494.40 |
$494.40 |
$463.00
|
|
ER Visit (level 3)
|
$840.80 |
$840.80 |
$840.80 |
$812.18
|
|
ER Visit (level 4)
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,930.40 |
$1,930.40 |
$1,930.40 |
$1,871.60
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$301.28 |
$301.28 |
$301.28 |
$516.71
|
|
Esophageal motility
|
$1,008.80 |
$1,008.80 |
$1,008.80 |
$655.45
|
|
Established Patient Office Visit (level 1)
|
$160.00 |
$160.00 |
$160.00 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$105.60 |
$105.60 |
$105.60 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$131.20 |
$131.20 |
$131.20 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$158.40 |
$158.40 |
$158.40 |
$239.25
|
|
Estradiol total
|
$137.60 |
$137.60 |
$137.60 |
$152.10
|
|
Estrogens total-sendout
|
$52.80 |
$52.80 |
$52.80 |
$97.50
|
|
Evaluation of speech fluency 92521
|
$355.20 |
$355.20 |
$355.20 |
$302.50
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$479.20 |
$479.20 |
$479.20 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$100.00 |
$100.00 |
$100.00 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$363.20 |
$363.20 |
$363.20 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,475.20 |
$2,475.20 |
$2,475.20 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,138.40 |
$2,138.40 |
$2,138.40 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,682.40 |
$1,682.40 |
$1,682.40 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,122.40 |
$4,122.40 |
$4,122.40 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,892.80 |
$2,892.80 |
$2,892.80 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$250.40 |
$250.40 |
$250.40 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$345.60 |
$345.60 |
$345.60 |
$381.75
|
|
Factor ix
|
$133.60 |
$133.60 |
$133.60 |
$162.50
|
|
Factor viii
|
$125.60 |
$125.60 |
$125.60 |
$148.00
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$60.52 |
$60.52 |
$60.52 |
$22.20
|
|
Fat/lipids feces qualitative
|
$61.60 |
$61.60 |
$61.60 |
$36.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$62.25 |
$62.25 |
$62.25 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,420.68 |
$1,420.68 |
$1,420.68 |
$2,590.25
|
|
Ferritin
|
$66.40 |
$66.40 |
$66.40 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$489.22 |
$489.22 |
$489.22 |
$1,636.50
|
|
Fetal fibronectin
|
$337.60 |
$337.60 |
$337.60 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$91.20 |
$91.20 |
$91.20 |
$102.00
|
|
Fetal non stress test
|
$508.80 |
$508.80 |
$508.80 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$80.00 |
$80.00 |
$80.00 |
$120.64
|
|
Fibrin degrade semiquant
|
$119.20 |
$119.20 |
$119.20 |
$84.50
|
|
Fibrinogen activity
|
$48.00 |
$48.00 |
$48.00 |
$87.00
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$374.79 |
$374.79 |
$374.79 |
$891.02
|
|
Finger X-ray (both hands)
|
$231.20 |
$231.20 |
$231.20 |
$241.50
|
|
Flow cytometry marker each additional
|
$141.60 |
$141.60 |
$141.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$224.80 |
$224.80 |
$224.80 |
$285.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$79.89 |
$79.89 |
$79.89 |
$64.22
|
|
Fluidotherapy charges pt
|
$111.20 |
$111.20 |
$111.20 |
$101.40
|
|
Folic acid
|
$71.20 |
$71.20 |
$71.20 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$60.13 |
$60.13 |
$60.13 |
$45.00
|
|
Fondaparinux sodium
|
$66.33 |
$66.33 |
$66.33 |
$186.20
|
|
Foot X-ray
|
$252.00 |
$252.00 |
$252.00 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$231.20 |
$231.20 |
$231.20 |
$290.40
|
|
Forearm X-ray (both sides)
|
$279.20 |
$279.20 |
$279.20 |
$324.00
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$71.24 |
$71.24 |
$71.24 |
$103.62
|
|
_fragile x methylation-sendout
|
$120.80 |
$120.80 |
$120.80 |
$183.74
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$304.00 |
$304.00 |
$304.00 |
$164.84
|
|
Fructosamine glycated protein
|
$51.20 |
$51.20 |
$51.20 |
$63.50
|
|
Furosemide 10 mg/ml injection solution
|
$60.27 |
$60.27 |
$60.27 |
$19.53
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$60.00 |
$60.00 |
$60.00 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$120.00 |
$120.00 |
$120.00 |
$120.00
|
|
Galactose transferase test
|
$36.00 |
$36.00 |
$36.00 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$2,037.60 |
$2,037.60 |
$2,037.60 |
$1,615.00
|
|
Gammaglobulin iga
|
$45.60 |
$45.60 |
$45.60 |
$69.60
|
|
Gammaglobulin ige
|
$80.00 |
$80.00 |
$80.00 |
$83.85
|
