|
EKG (Tracing Only)
|
$273.60 |
$273.60 |
$273.60 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$352.80 |
$352.80 |
$352.80 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$420.80 |
$420.80 |
$420.80 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$104.00 |
$104.00 |
$104.00 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$88.80 |
$88.80 |
$88.80 |
$81.75
|
|
Electrolyte panel
|
$132.00 |
$132.00 |
$132.00 |
$79.30
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$4,836.79 |
$4,836.79 |
$4,836.79 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$72.05 |
$72.05 |
$72.05 |
$112.79
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$68.52 |
$68.52 |
$68.52 |
$37.86
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$66.56 |
$66.56 |
$66.56 |
$33.60
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$588.00 |
$588.00 |
$588.00 |
$1,329.09
|
|
Epstein barr nuclear antigen antibody
|
$174.40 |
$174.40 |
$174.40 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$148.80 |
$148.80 |
$148.80 |
$85.50
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,688.18 |
$2,688.18 |
$2,688.18 |
$3,838.45
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$199.46 |
$199.46 |
$199.46 |
$232.12
|
|
ER Visit (level 1, minor)
|
$291.20 |
$291.20 |
$291.20 |
$252.60
|
|
ER Visit (level 2)
|
$503.20 |
$503.20 |
$503.20 |
$463.00
|
|
ER Visit (level 3)
|
$808.00 |
$808.00 |
$808.00 |
$812.18
|
|
ER Visit (level 4)
|
$1,204.00 |
$1,204.00 |
$1,204.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,805.60 |
$1,805.60 |
$1,805.60 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$103.77 |
$103.77 |
$103.77 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$271.64 |
$271.64 |
$271.64 |
$516.71
|
|
Established Patient Office Visit (level 1)
|
$242.40 |
$242.40 |
$242.40 |
$122.20
|
|
Estradiol total
|
$196.00 |
$196.00 |
$196.00 |
$152.10
|
|
Estrogens total-sendout
|
$52.80 |
$52.80 |
$52.80 |
$97.50
|
|
Etonogestrel implant system
|
$1,773.03 |
$1,773.03 |
$1,773.03 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$292.92 |
$292.92 |
$292.92 |
$235.20
|
|
Eval/fit voice prosthesis iii, st
|
$497.60 |
$497.60 |
$497.60 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$314.40 |
$314.40 |
$314.40 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$382.40 |
$382.40 |
$382.40 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$185.60 |
$185.60 |
$185.60 |
$318.24
|
|
Event monitor
|
$304.80 |
$304.80 |
$304.80 |
$231.00
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$625.60 |
$625.60 |
$625.60 |
$914.34
|
|
Exercise tst brncspsm w/ecg
|
$243.20 |
$243.20 |
$243.20 |
$335.52
|
|
Explore penetrating wnd/extremity 20103
|
$2,150.40 |
$2,150.40 |
$2,150.40 |
$1,788.80
|
|
External chromosome analysis 20-25 cells
|
$429.60 |
$429.60 |
$429.60 |
$415.01
|
|
External newborn metabolic screening panel
|
$211.20 |
$211.20 |
$211.20 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$581.60 |
$581.60 |
$581.60 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$127.20 |
$127.20 |
$127.20 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$501.60 |
$501.60 |
$501.60 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,619.20 |
$2,619.20 |
$2,619.20 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,397.60 |
$2,397.60 |
$2,397.60 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$2,057.60 |
$2,057.60 |
$2,057.60 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,215.20 |
$4,215.20 |
$4,215.20 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,019.20 |
$3,019.20 |
$3,019.20 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$339.20 |
$339.20 |
$339.20 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$528.00 |
$528.00 |
$528.00 |
$381.75
|
|
Factor ix
|
$282.40 |
$282.40 |
$282.40 |
$162.50
|
|
Factor viii
|
$172.00 |
$172.00 |
$172.00 |
$148.00
|
|
Family therapy with patient 50 min 90847
|
$320.80 |
$320.80 |
$320.80 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$108.49 |
$108.49 |
$108.49 |
$22.20
|
|
Fat/lipids feces qualitative
|
$107.20 |
$107.20 |
$107.20 |
$36.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$61.45 |
$61.45 |
$61.45 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,219.42 |
$1,219.42 |
$1,219.42 |
$2,590.25
|
|
Ferritin
|
$172.80 |
$172.80 |
$172.80 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,288.08 |
$1,288.08 |
$1,288.08 |
$1,636.50
|
|
Fetal fibronectin
|
$615.20 |
$615.20 |
$615.20 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$153.60 |
$153.60 |
$153.60 |
$102.00
|
|
Fetal hemoglobin rosette
|
$67.20 |
$67.20 |
$67.20 |
$67.20
|
|
Fetal non stress test
|
$529.60 |
$529.60 |
$529.60 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$196.00 |
$196.00 |
$196.00 |
$120.64
|
|
Fibrinogen activity
|
$48.00 |
$48.00 |
$48.00 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$86.40 |
$86.40 |
$86.40 |
$61.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$854.12 |
$854.12 |
$854.12 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$395.62 |
$395.62 |
$395.62 |
$891.02
|
|
Filter vena cava fem denali
|
$2,826.40 |
$2,826.40 |
$2,826.40 |
$3,718.18
|
|
Fine needle asp without image guide 10021
|
$694.40 |
$694.40 |
$694.40 |
$504.45
|
|
Finger X-ray (both hands)
|
$278.40 |
$278.40 |
$278.40 |
$241.50
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$5,920.00 |
$5,920.00 |
$5,920.00 |
$4,499.12
|
|
Flow cytometry marker each additional
|
$112.80 |
$112.80 |
$112.80 |
$97.50
|
|
Flow cytometry one marker technical component
|
$353.60 |
$353.60 |
$353.60 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$229.60 |
$229.60 |
$229.60 |
$172.50
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$138.52 |
$138.52 |
$138.52 |
$64.22
|
|
Fluidotherapy charges pt
|
$154.40 |
$154.40 |
$154.40 |
$101.40
|
|
Fluorescent antibody titer dna
|
$111.20 |
$111.20 |
$111.20 |
$123.65
|
|
Fluoroguide needle placement
|
$700.80 |
$700.80 |
$700.80 |
$497.92
|
|
Fluoro polarize fetal lung
|
$451.20 |
$451.20 |
$451.20 |
$153.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$598.40 |
$598.40 |
$598.40 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$277.20 |
$277.20 |
$277.20 |
$107.00
|
|
Folic acid
|
$112.00 |
$112.00 |
$112.00 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$60.09 |
$60.09 |
$60.09 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$950.40 |
$950.40 |
$950.40 |
$2,511.73
|
|
Foot X-ray
|
$384.80 |
$384.80 |
$384.80 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$340.80 |
$340.80 |
$340.80 |
$290.40
|
|
Forearm X-ray (both sides)
|
$363.20 |
$363.20 |
$363.20 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$556.76 |
$556.76 |
$556.76 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$77.85 |
$77.85 |
$77.85 |
$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
|
$317.60 |
$317.60 |
$317.60 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$153.60 |
$153.60 |
$153.60 |
$131.25
|
|
Fructosamine glycated protein
|
$51.20 |
$51.20 |
$51.20 |
$63.50
|
|
Ftl cgen abnor four anal
|
$371.20 |
$371.20 |
$371.20 |
$211.83
|
|
Full Spine X-ray (Scoliosis Survey)
|
$576.00 |
$576.00 |
$576.00 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$61.46 |
$61.46 |
$61.46 |
$19.53
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$60.00 |
$60.00 |
$60.00 |
$108.40
|
|
Galactose transferase test
|
$32.00 |
$32.00 |
$32.00 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,758.40 |
$1,758.40 |
$1,758.40 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$2,114.40 |
$2,114.40 |
$2,114.40 |
$1,615.00
|
|
Gammaglobulin iga
|
$116.00 |
$116.00 |
$116.00 |
$69.60
|
|
Gammaglobulin ige
|
$120.00 |
$120.00 |
$120.00 |
$83.85
|
