|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,439.88 |
$1,439.88 |
$1,439.88 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$185.56 |
$185.56 |
$200.18 |
$222.98
|
|
ER Visit (level 1, minor)
|
$68.40 |
$68.40 |
$68.40 |
$246.24
|
|
ER Visit (level 2)
|
$94.35 |
$94.35 |
$94.35 |
$452.20
|
|
ER Visit (level 3)
|
$204.75 |
$204.75 |
$204.75 |
$770.04
|
|
ER Visit (level 4)
|
$300.30 |
$300.30 |
$300.30 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$456.15 |
$456.15 |
$456.15 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$146.68 |
$146.68 |
$150.09 |
$223.99
|
|
Esophageal dilat s&i
|
$85.80 |
$85.80 |
$85.80 |
$581.10
|
|
Esophagus motility study
|
$227.25 |
$227.25 |
$227.25 |
$1,289.20
|
|
Established Patient Office Visit (level 1)
|
$18.90 |
$18.90 |
$18.90 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$22.35 |
$22.35 |
$22.35 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$36.30 |
$36.30 |
$36.30 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$41.70 |
$41.70 |
$41.70 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$46.20 |
$46.20 |
$46.20 |
$280.33
|
|
Estradiol total
|
$49.05 |
$49.05 |
$49.05 |
$146.50
|
|
Estrogens total-sendout
|
$38.10 |
$38.10 |
$38.10 |
$96.20
|
|
Ethylene glycol -sendout
|
$25.05 |
$25.05 |
$25.05 |
$89.40
|
|
Etonogestrel implant system
|
$852.14 |
$852.14 |
$852.14 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$98.68 |
$98.68 |
$98.68 |
$235.20
|
|
Etoposide 50 mg cap
|
$12.72 |
$12.72 |
$12.72 |
$135.02
|
|
Euglobulin lysis
|
$17.85 |
$17.85 |
$17.85 |
$56.70
|
|
Eval/fit voice prosthesis iii, st
|
$124.05 |
$124.05 |
$124.05 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$112.80 |
$112.80 |
$112.80 |
$219.60
|
|
Evaluation heart device
|
$513.90 |
$513.90 |
$513.90 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$110.10 |
$110.10 |
$110.10 |
$311.50
|
|
Evasc prlng admn rx agnt 1st
|
$1,558.80 |
$1,558.80 |
$1,558.80 |
$3,822.00
|
|
Evasc prlng admn rx agnt add
|
$623.55 |
$623.55 |
$623.55 |
$2,734.40
|
|
Event monitor
|
$247.50 |
$247.50 |
$247.50 |
$242.65
|
|
Evoked oa emissions ltd
|
$23.70 |
$23.70 |
$23.70 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$66.30 |
$66.30 |
$66.30 |
$249.71
|
|
Evoked potentials upper limbs
|
$365.55 |
$365.55 |
$365.55 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$107.70 |
$107.70 |
$107.70 |
$814.61
|
|
Ewhfo w/joint(s) cf
|
$676.50 |
$676.50 |
$676.50 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$163.20 |
$163.20 |
$163.20 |
$907.92
|
|
Exam of vagina w/scope 57420
|
$61.65 |
$61.65 |
$61.65 |
$486.03
|
|
Exc benign tal 0.5 < cm 11400
|
$176.40 |
$176.40 |
$176.40 |
$827.40
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$38.55 |
$38.55 |
$38.55 |
$1,372.15
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$183.75 |
$183.75 |
$183.75 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$222.30 |
$222.30 |
$222.30 |
$1,247.50
|
|
Exchange biliary drg cath
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$3,909.56
|
|
Exchange blood transfusion newborn 36450
|
$119.40 |
$119.40 |
$119.40 |
$554.45
|
|
Exchange drainage catheter
|
$848.10 |
$848.10 |
$848.10 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$516.00 |
$516.00 |
$516.00 |
$2,958.80
|
|
Exc hidradenitis peri/umb int 11470
|
$516.90 |
$516.90 |
$516.90 |
$3,386.84
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$293.70 |
$293.70 |
$293.70 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$202.05 |
$202.05 |
$202.05 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$268.95 |
$268.95 |
$268.95 |
$2,865.00
|
|
Exc malig feenl 1.1-2 11642
|
$294.75 |
$294.75 |
$294.75 |
$1,082.00
|
|
Exc malig tal 0.6-1.0cm 11601
|
$135.60 |
$135.60 |
$135.60 |
$832.60
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$164.10 |
$164.10 |
$164.10 |
$1,131.50
|
|
Exc thrombosed hemorrhoid 46320
|
$674.70 |
$674.70 |
$674.70 |
$2,099.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$613.05 |
$613.05 |
$613.05 |
$1,917.33
|
|
Exercise tst brncspsm w/ecg
|
$60.15 |
$60.15 |
$60.15 |
$318.50
|
|
Explore penetrating wnd/extremity 20103
|
$222.45 |
$222.45 |
$222.45 |
$1,788.80
|
|
External chromosome analysis 20-25 cells
|
$218.25 |
$218.25 |
$218.25 |
$384.15
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$91.65 |
$91.65 |
$91.65 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$221.10 |
$221.10 |
$221.10 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$31.50 |
$31.50 |
$31.50 |
$108.60
|
|
F-18 fdg pet diag
|
$198.45 |
$198.45 |
$198.45 |
$551.72
|
|
F-18 fluciclovine per mci
|
$902.25 |
$902.25 |
$902.25 |
$940.00
|
|
F-18 sodium fluoride
|
$94.80 |
$94.80 |
$94.80 |
$392.60
|
|
F9 full gene sequence
|
$471.45 |
$471.45 |
$471.45 |
$1,200.00
|
|
Facial bones <3
|
$65.85 |
$65.85 |
$65.85 |
$252.60
|
|
Factor ix
|
$33.45 |
$33.45 |
$33.45 |
$156.13
|
|
Factor ix recombinant nos
|
$4,683.24 |
$4,683.24 |
$4,683.24 |
$4.65
|
|
Factor viii
|
$31.50 |
$31.50 |
$31.50 |
$133.81
|
|
Family therapy without pt 50min 90846
|
$76.80 |
$76.80 |
$76.80 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$81.45 |
$81.45 |
$81.45 |
$230.36
|
|
Fat/lipids feces qualitative
|
$9.00 |
$9.00 |
$9.00 |
$38.35
|
|
Fatty acids nonesterified
|
$23.25 |
$23.25 |
$23.25 |
$64.28
|
|
#fecal-sodium
|
$8.70 |
$8.70 |
$8.70 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$24.00 |
$24.00 |
$24.00 |
$65.00
|
|
Fem/popl revasc w/stent
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$44.02 |
$44.02 |
$44.02 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,782.71 |
$2,782.71 |
$2,782.71 |
$2,590.25
|
|
Ferritin
|
$23.85 |
$23.85 |
$23.85 |
$100.94
|
|
Fetal biophys profile w/nst 76818
|
$101.55 |
$101.55 |
$101.55 |
$535.37
|
|
Fetal contract stress test 59020 - 26
|
$215.25 |
$215.25 |
$215.25 |
$475.50
|
|
Fetal fibronectin
|
$112.80 |
$112.80 |
$112.80 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$13.50 |
$13.50 |
$13.50 |
$105.12
|
|
Fetal hemoglobin rosette
|
$11.70 |
$11.70 |
$11.70 |
$67.20
|
|
Fetal non stress test
|
$37.20 |
$37.20 |
$37.20 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$13.35 |
$13.35 |
$13.35 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$17.85 |
$17.85 |
$17.85 |
$117.70
|
|
Fibrin degradation products
|
$12.15 |
$12.15 |
$12.15 |
$62.64
|
|
Fibrinogen activity
|
$15.00 |
$15.00 |
$15.00 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$7.50 |
$7.50 |
$7.50 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$4.35 |
$4.35 |
$4.35 |
$72.80
|
|
Fibrinolytic plasminogen
|
$28.95 |
$28.95 |
$28.95 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$10.80 |
$10.80 |
$10.80 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$315.85 |
$315.85 |
$315.85 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$369.46 |
$369.46 |
$791.40 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$633.12 |
$633.12 |
$633.12 |
$869.18
|
|
Fine needle asp without image guide 10021
|
$136.65 |
$136.65 |
$136.65 |
$503.76
|
|
Fix g/colon tube w/device
|
$280.35 |
$280.35 |
$280.35 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$24.00 |
$24.00 |
$24.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$228.45 |
$228.45 |
$228.45 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$393.75 |
$393.75 |
$393.75 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$61.80 |
$61.80 |
$61.80 |
$97.50
|
