|
Electrophys map 3d add-on
|
$4,119.36 |
$4,119.36 |
$4,119.36 |
$6,534.00
|
|
Embolization s&i
|
$1,636.73 |
$1,636.73 |
$1,636.73 |
$2,869.75
|
|
Embo or occlude vascular arterial s&i
|
$7,822.04 |
$7,822.04 |
$7,822.04 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$7,822.04 |
$7,822.04 |
$7,822.04 |
$15,266.94
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$7,822.04 |
$7,822.04 |
$7,822.04 |
$16,381.78
|
|
Embo or occlude vascular venous s&i
|
$7,822.04 |
$7,822.04 |
$7,822.04 |
$15,873.70
|
|
Endo cholangiopancreatograph
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,144.80
|
|
Endo cholangiopancreatograph
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,157.89
|
|
Endoluminl ivus oct c 1st
|
$4,264.38 |
$4,264.38 |
$4,264.38 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$4,264.38 |
$4,264.38 |
$4,264.38 |
$2,466.77
|
|
Endoscopic pancreatoscopy
|
$5,581.82 |
$5,581.82 |
$5,581.82 |
$2,117.25
|
|
Endoscopic Ultrasound exam esoph
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,234.01
|
|
Endoscopy bowel pouch/biop
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,308.00
|
|
Endoscopy of bowel pouch 44385
|
$1,261.32 |
$1,261.32 |
$1,261.32 |
$1,278.72
|
|
Endoscopy swallow (fees) vid
|
$185.87 |
$185.87 |
$185.87 |
$457.50
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$3.23 |
$3.23 |
$3.23 |
$43.20
|
|
Ep & ablate supravent arrhyt
|
$16,992.75 |
$16,992.75 |
$16,992.75 |
$30,975.00
|
|
Ep & ablate ventric tachy
|
$25,231.50 |
$25,231.50 |
$25,231.50 |
$30,975.00
|
|
Ep induct arrhy by elect pacing
|
$1,029.87 |
$1,029.87 |
$1,029.87 |
$2,753.40
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$23.72 |
$23.72 |
$23.72 |
$336.66
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$33.69 |
$33.69 |
$33.69 |
$178.29
|
|
Epstein barr early antigen antibody
|
$275.22 |
$275.22 |
$275.22 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$61.97 |
$61.97 |
$61.97 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$53.03 |
$53.03 |
$53.03 |
$112.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$16.13 |
$16.13 |
$16.13 |
$62.40
|
|
Ercp biliary & pancreas
|
$142.73 |
$142.73 |
$142.73 |
$885.80
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$5,718.02 |
$5,718.02 |
$5,718.02 |
$5,054.40
|
|
Ercp ea duct/ampulla dilate
|
$5,718.02 |
$5,718.02 |
$5,718.02 |
$4,199.25
|
|
Ercp lesion ablate w/dilate 43278
|
$5,718.02 |
$5,718.02 |
$5,718.02 |
$5,301.42
|
|
Ercp lithotripsy calculi
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$3,495.50 |
$3,495.50 |
$3,495.50 |
$3,955.50
|
|
Ercp remove forgn body duct 43275
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$2,720.00
|
|
Ercp sphincter pressure meas
|
$2,209.31 |
$2,209.31 |
$2,209.31 |
$2,178.16
|
|
Ercp stent exchange w/dilate
|
$5,718.02 |
$5,718.02 |
$5,718.02 |
$5,718.03
|
|
Ercp w/specimen collection
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,277.25
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$303.03 |
$303.03 |
$303.03 |
$296.58
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$107.46 |
$107.46 |
$107.46 |
$138.28
|
|
ER Visit (level 1, minor)
|
$207.68 |
$207.68 |
$207.68 |
$270.00
|
|
ER Visit (level 2)
|
$573.00 |
$573.00 |
$573.00 |
$469.39
|
|
ER Visit (level 3)
|
$735.00 |
$735.00 |
$735.00 |
$821.52
|
|
ER Visit (level 4)
|
$945.00 |
$945.00 |
$945.00 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$960.00 |
$960.00 |
$960.00 |
$1,900.20
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$195.33 |
$195.33 |
$195.33 |
$195.33
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1.58 |
$1.58 |
$1.58 |
$406.83
|
|
Esophagosc dilate balloon 30
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,099.70
|
|
Esophagoscop stent placement
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$6,594.64
|
|
Esophagoscop ultrasound exam
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,200.46
|
|
Esophagoscopy balloon <30mm
|
$1,045.10 |
$1,045.10 |
$1,045.10 |
$2,460.00
|
|
Esophagoscopy control bleed
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,099.70
|
|
Esophagoscopy flex biopsy
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,099.70
|
|
Esophagoscopy/flex/diagnostic 43200
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,048.28
|
|
Esophagoscopy flex remove fb
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,101.52
|
|
Esophagoscopy w/us needle bx
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,200.46
|
|
Esophagus motility study
|
$546.59 |
$546.59 |
$546.59 |
$1,257.17
|
|
Esoph egd dilation <30 mm
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,638.57
|
|
Esoph endoscopy dilation
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,178.16
|
|
Esoph scope w/submucous inj
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,101.52
|
|
Estradiol total
|
$94.50 |
$94.50 |
$94.50 |
$142.20
|
|
Estrogens total-sendout
|
$120.93 |
$120.93 |
$120.93 |
$111.00
|
|
Ethanolamine oleate 100 mg
|
$1,032.48 |
$1,032.48 |
$1,032.48 |
$1,597.69
|
|
Ethylene glycol -sendout
|
$185.01 |
$185.01 |
$185.01 |
$81.25
|
|
Etoposide 50 mg cap
|
$78.35 |
$78.35 |
$78.35 |
$110.87
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$235.55 |
$235.55 |
$235.55 |
$219.60
|
|
Exchange biliary drg cath
|
$1,803.96 |
$1,803.96 |
$1,803.96 |
$4,143.00
|
|
Exchange blood transfusion newborn 36450
|
$376.20 |
$376.20 |
$376.20 |
$485.65
|
|
Exchange drainage catheter
|
$1,611.89 |
$1,611.89 |
$1,611.89 |
$2,178.16
|
|
Exchange nephrostomy cath
|
$1,428.38 |
$1,428.38 |
$1,428.38 |
$2,752.00
|
|
Excise lip or cheek fold
|
$1,088.09 |
$1,088.09 |
$1,088.09 |
$1,640.99
|
|
Exercise w/hemodynamic meas
|
$130.67 |
$130.67 |
$130.67 |
$1,117.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$3,141.89 |
$3,141.89 |
$3,141.89 |
$2,941.80
|
|
External chromosome analysis 20-25 cells
|
$657.29 |
$657.29 |
$657.29 |
$457.50
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$49.31 |
$49.31 |
$49.31 |
$69.55
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$471.15 |
$471.15 |
$471.15 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$109.17 |
$109.17 |
$109.17 |
$102.50
|
|
Factor ix
|
$165.96 |
$165.96 |
$165.96 |
$139.75
|
|
Factor ix complex
|
$2.97 |
$2.97 |
$2.97 |
$3.23
|
|
Factor ix recombinant nos
|
$3.77 |
$3.77 |
$3.77 |
$1.88
|
|
Factor viii
|
$165.96 |
$165.96 |
$165.96 |
$152.50
|
|
Factor viii recombinant nos
|
$4.08 |
$4.08 |
$4.08 |
$3.30
|
|
Fat/lipids feces qualitative
|
$71.66 |
$71.66 |
$71.66 |
$43.66
|
|
#fecal-sodium
|
$70.52 |
$70.52 |
$70.52 |
$40.30
|
|
Fem/popl revasc w/stent
|
$22,285.22 |
$22,285.22 |
$22,285.22 |
$21,553.12
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$6.12 |
$6.12 |
$6.12 |
$48.88
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4.26 |
$4.26 |
$4.26 |
$2,131.58
|
|
Ferritin
|
$44.07 |
$44.07 |
$44.07 |
$86.45
|
|
Fetal biophys profile w/nst 76818
|
$308.31 |
$308.31 |
$308.31 |
$525.33
|
|
Fetal contract stress test 59020 - 26
|
$248.30 |
$248.30 |
$248.30 |
$555.60
|
|
Fetal fibronectin
|
$273.95 |
$273.95 |
$273.95 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$58.34 |
$58.34 |
$58.34 |
$59.85
|
|
Fetal hemoglobin rosette
|
$48.35 |
$48.35 |
$48.35 |
$48.35
|
|
Fetal non stress test
|
$512.03 |
$512.03 |
$512.03 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$52.41 |
$52.41 |
$52.41 |
$87.60
|
|
Fibrin degradation products
|
$111.41 |
$111.41 |
$111.41 |
$56.16
|
|
Fibrinogen activity
|
$48.21 |
$48.21 |
$48.21 |
$61.80
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$20.51 |
$20.51 |
$20.51 |
$69.55
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2.39 |
$2.39 |
$2.39 |
$1,223.60
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,267.59 |
$1,267.59 |
$1,267.59 |
$738.00
|
|
Fine needle asp without image guide 10021
|
$194.52 |
$194.52 |
$194.52 |
$547.53
|
|
Flecainide (tambocor)-sendout
|
$14.79 |
$14.79 |
$14.79 |
$86.40
|
|
Fl exam g/colon tube w contrast
|
$307.08 |
$307.08 |
$307.08 |
$522.75
|
