|
Embo or occlude vascular venous s&i
|
$3,259.31 |
$3,259.31 |
$3,259.31 |
$14,586.00
|
|
Endo cath bile duct s&i
|
$161.82 |
$161.82 |
$161.82 |
$694.06
|
|
Endo cath panc duct s&i
|
$89.03 |
$89.03 |
$89.03 |
$672.43
|
|
Endoluminl ivus oct c 1st
|
$336.98 |
$336.98 |
$336.98 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$168.20 |
$168.20 |
$168.20 |
$2,203.49
|
|
Endoscopy swallow (fees) vid
|
$84.39 |
$84.39 |
$84.39 |
$402.35
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$4,164.29 |
$4,164.29 |
$4,164.29 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$53.90 |
$53.90 |
$53.90 |
$109.71
|
|
Enzyme histochemistry
|
$98.60 |
$98.60 |
$98.60 |
$471.60
|
|
Ep & ablate supravent arrhyt
|
$4,576.49 |
$4,576.49 |
$4,576.49 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$4,576.49 |
$4,576.49 |
$4,576.49 |
$28,199.40
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$16,287.81 |
$16,287.81 |
$16,287.81 |
$30,598.85
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$462.09 |
$462.09 |
$462.09 |
$248.81
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$436.05 |
$436.05 |
$436.05 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,056.51 |
$1,056.51 |
$1,056.51 |
$1,289.71
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$105.95 |
$105.95 |
$105.95 |
$129.30
|
|
Epstein barr nuclear antigen antibody
|
$12.47 |
$12.47 |
$12.47 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$12.47 |
$12.47 |
$12.47 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$213.68 |
$213.68 |
$213.68 |
$393.98
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$1,980.68 |
$1,980.68 |
$1,980.68 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$161.82 |
$161.82 |
$161.82 |
$967.04
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,393.53 |
$1,393.53 |
$1,393.53 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$233.78 |
$233.78 |
$233.78 |
$222.98
|
|
ER Visit (level 1, minor)
|
$94.25 |
$94.25 |
$94.25 |
$246.24
|
|
ER Visit (level 2)
|
$169.94 |
$169.94 |
$169.94 |
$452.20
|
|
ER Visit (level 3)
|
$217.50 |
$217.50 |
$217.50 |
$770.04
|
|
ER Visit (level 4)
|
$290.00 |
$290.00 |
$290.00 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$331.76 |
$331.76 |
$331.76 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$195.23 |
$195.23 |
$195.23 |
$223.99
|
|
Established Patient Office Visit (level 1)
|
$52.78 |
$52.78 |
$52.78 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$26.68 |
$26.68 |
$26.68 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$31.32 |
$31.32 |
$31.32 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$35.38 |
$35.38 |
$35.38 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$44.66 |
$44.66 |
$44.66 |
$280.33
|
|
Estradiol total
|
$77.14 |
$77.14 |
$77.14 |
$146.50
|
|
Estradiol valerate 10 mg inj
|
$315.08 |
$315.08 |
$315.08 |
$57.35
|
|
Ethanolamine oleate 100 mg
|
$498.01 |
$498.01 |
$498.01 |
$751.36
|
|
Etoposide 20 mg/ml intravenous solution
|
$139.30 |
$139.30 |
$139.30 |
$235.20
|
|
Euflexxa inj per dose
|
$125.50 |
$125.50 |
$125.50 |
$587.51
|
|
Eval/fit voice prosthesis iii, st
|
$82.36 |
$82.36 |
$82.36 |
$356.00
|
|
Evaluation of speech fluency 92521
|
$52.78 |
$52.78 |
$52.78 |
$311.50
|
|
Ewho w/joint(s) cf
|
$265.93 |
$265.93 |
$265.93 |
$907.92
|
|
Exchange drainage catheter
|
$484.30 |
$484.30 |
$484.30 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$2,361.76 |
$2,361.76 |
$2,361.76 |
$2,958.80
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,545.25 |
$3,545.25 |
$3,545.25 |
$4,048.38
|
|
External chromosome analysis 20-25 cells
|
$104.11 |
$104.11 |
$104.11 |
$384.15
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$105.56 |
$105.56 |
$105.56 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$15.95 |
$15.95 |
$15.95 |
$108.60
|
|
F-18 fdg pet diag
|
$99.45 |
$99.45 |
$99.45 |
$551.72
|
|
F-18 sodium fluoride
|
$99.45 |
$99.45 |
$99.45 |
$392.60
|
|
Facial bones <3
|
$46.98 |
$46.98 |
$46.98 |
$252.60
|
|
Factor ix
|
$48.43 |
$48.43 |
$48.43 |
$156.13
|
|
Factor ix complex
|
$1.53 |
$1.53 |
$1.53 |
$5.91
|
|
Factor ix recombinant nos
|
$3.54 |
$3.54 |
$3.54 |
$4.65
|
|
Factor viii
|
$38.57 |
$38.57 |
$38.57 |
$133.81
|
|
Factor viii recombinant nos
|
$4.11 |
$4.11 |
$4.11 |
$6.56
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$3,050.42 |
$3,050.42 |
$3,050.42 |
$5,800.72
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,516.03 |
$1,516.03 |
$1,516.03 |
$2,590.25
|
|
Ferritin
|
$39.73 |
$39.73 |
$39.73 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,951.87 |
$1,951.87 |
$1,951.87 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$140.36 |
$140.36 |
$140.36 |
$535.37
|
|
Fetal contract stress test 59020 - 26
|
$94.25 |
$94.25 |
$94.25 |
$475.50
|
|
Fetal fibronectin
|
$188.21 |
$188.21 |
$188.21 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$40.02 |
$40.02 |
$40.02 |
$105.12
|
|
Fetal hemoglobin rosette
|
$19.43 |
$19.43 |
$19.43 |
$67.20
|
|
Fetal non stress test
|
$89.90 |
$89.90 |
$89.90 |
$463.03
|
|
Fibrin degradation d dimer quantitative
|
$43.50 |
$43.50 |
$43.50 |
$117.70
|
|
Fibrinogen activity
|
$24.94 |
$24.94 |
$24.94 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$24.36 |
$24.36 |
$24.36 |
$64.05
|
|
Fibrinolytic plasminogen
|
$92.80 |
$92.80 |
$92.80 |
$107.50
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$346.31 |
$346.31 |
$346.31 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$525.22 |
$525.22 |
$525.22 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$433.86 |
$433.86 |
$433.86 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$1,493.50 |
$1,493.50 |
$1,493.50 |
$7,160.28
|
|
Filter vena cava fem denali
|
$2,428.75 |
$2,428.75 |
$2,428.75 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$568.40 |
$568.40 |
$568.40 |
$823.90
|
|
Fix g/colon tube w/device
|
$407.74 |
$407.74 |
$407.74 |
$1,183.00
|
|
Flebogamma injection
|
$3,277.73 |
$3,277.73 |
$3,277.73 |
$3,438.30
|
|
Fl exam g/colon tube w contrast
|
$106.14 |
$106.14 |
$106.14 |
$511.92
|
|
Flow cytometry marker each additional
|
$20.30 |
$20.30 |
$20.30 |
$97.50
|
|
Flow cytometry one marker technical component
|
$93.67 |
$93.67 |
$93.67 |
$284.40
|
|
Floxuridine injection
|
$4,127.88 |
$4,127.88 |
$4,127.88 |
$5,929.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$28.45 |
$28.45 |
$28.45 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$214.96 |
$214.96 |
$214.96 |
$493.35
|
|
Fluidotherapy charges pt
|
$24.94 |
$24.94 |
$24.94 |
$91.00
|
|
Fluoroguide for spine inject 77003-26
|
$59.45 |
$59.45 |
$59.45 |
$496.03
|
|
Fluoroguide needle placement
|
$59.45 |
$59.45 |
$59.45 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$106.14 |
$106.14 |
$106.14 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$59.55 |
$59.55 |
$59.55 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$26.27 |
$26.27 |
$26.27 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$839.55 |
$839.55 |
$839.55 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$839.55 |
$839.55 |
$839.55 |
$833.25
|
|
Folic acid
|
$42.92 |
$42.92 |
$42.92 |
$101.50
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,711.38 |
$1,711.38 |
$1,711.38 |
$2,581.14
|
|
Fondaparinux sodium
|
$111.84 |
$111.84 |
$111.84 |
$185.12
|
|
Fo nontorsion joint cf
|
$74.24 |
$74.24 |
$74.24 |
$217.50
|
|
Foot X-ray
|
$127.02 |
$127.02 |
$127.02 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$264.58 |
$264.58 |
$264.58 |
$457.50
|
|
Foscarnet sodium injection
|
$975.28 |
$975.28 |
$975.28 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$204.30 |
$204.30 |
$204.30 |
$106.10
|