|
Dx bronchoscope/wash 31622
|
$1,860.63 |
$1,860.63 |
$1,860.63 |
$2,512.54
|
|
Ecg 12 lead tracing only
|
$106.86 |
$106.86 |
$106.86 |
$222.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$106.85 |
$106.85 |
$106.85 |
$129.83
|
|
Ecg external < 48 hours recording
|
$395.99 |
$395.99 |
$395.99 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$589.04 |
$589.04 |
$589.04 |
$541.73
|
|
Echocardiogram (Heart Ultrasound)
|
$1,221.23 |
$1,221.23 |
$1,221.23 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$336.15 |
$336.15 |
$336.15 |
$450.40
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,376.90 |
$1,376.90 |
$1,376.90 |
$1,899.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$489.71 |
$489.71 |
$489.71 |
$720.60
|
|
Echo exam uterus 76831-
|
$361.50 |
$361.50 |
$361.50 |
$497.93
|
|
Echograp trans r pros study
|
$253.65 |
$253.65 |
$253.65 |
$406.33
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,149.95 |
$1,149.95 |
$1,149.95 |
$1,946.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$859.97 |
$859.97 |
$859.97 |
$997.40
|
|
Eeg 41-60 minutes 95812-26
|
$507.59 |
$507.59 |
$507.59 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$495.47 |
$495.47 |
$495.47 |
$970.07
|
|
Eeg monitor/record/awake/drowsy 95816
|
$297.48 |
$297.48 |
$297.48 |
$835.00
|
|
Eeg/record in coma or sleep only 95822
|
$342.33 |
$342.33 |
$342.33 |
$892.52
|
|
Eeg recording awake and asleep
|
$356.55 |
$356.55 |
$356.55 |
$937.95
|
|
Egd balloon dil esoph30 mm/>
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,099.70
|
|
Egd control bleeding any
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,476.20
|
|
Egd dilate stricture
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,394.60
|
|
Egd endo mucosal resection
|
$2,186.31 |
$2,186.31 |
$2,186.31 |
$2,234.01
|
|
Egd endoscopic stent place
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,379.25
|
|
Egd guide wire insertion
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,247.13
|
|
Egd injection varices
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,101.52
|
|
Egd/insert intraluminal tube/cath 43241
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,105.22
|
|
Egd lesion ablation
|
$2,354.48 |
$2,354.48 |
$2,354.48 |
$2,608.80
|
|
Egd remove foreign body
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,588.55
|
|
Egd remove lesion snare
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,200.46
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,234.01
|
|
Egd Ultrasound exam duodenum/jejunum
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,101.52
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,200.46
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,234.01
|
|
Egd Ultrasound transmural injxn/mark
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,200.46
|
|
Egd varices ligation
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,234.01
|
|
Egfr gene com variants
|
$1,092.32 |
$1,092.32 |
$1,092.32 |
$619.04
|
|
Electrolyte panel
|
$56.25 |
$56.25 |
$56.25 |
$68.56
|
|
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
|
|
Endoscopic Ultrasound exam esoph
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,234.01
|
|
Endoscopy of bowel pouch 44385
|
$1,261.32 |
$1,261.32 |
$1,261.32 |
$1,278.72
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$3.23 |
$3.23 |
$3.23 |
$43.20
|
|
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 bil/panc duct; each stent plcmt 43274
|
$5,718.03 |
$5,718.03 |
$5,718.03 |
$5,054.40
|
|
Ercp ea duct/ampulla dilate
|
$5,718.03 |
$5,718.03 |
$5,718.03 |
$4,199.25
|
|
Ercp lesion ablate w/dilate 43278
|
$5,718.03 |
$5,718.03 |
$5,718.03 |
$5,301.42
|
|
Ercp lithotripsy calculi
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$3,955.50
|
|
Ercp remove forgn body duct 43275
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$2,720.00
|
|
Ercp stent exchange w/dilate
|
$5,718.03 |
$5,718.03 |
$5,718.03 |
$5,718.03
|
|
Ercp w/specimen collection
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,277.25
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$107.46 |
$107.46 |
$107.46 |
$138.28
|
|
ER Visit (level 1, minor)
|
$207.69 |
$207.69 |
$207.69 |
$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)
|
$960.02 |
$960.02 |
$960.02 |
$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 ultrasound exam
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,200.46
|
|
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 balloon distension tst
|
$484.85 |
$484.85 |
$484.85 |
$780.00
|
|
Esoph egd dilation <30 mm
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,638.57
|
|
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
|
|
Ethylene glycol -sendout
|
$185.01 |
$185.01 |
$185.01 |
$81.25
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$235.55 |
$235.55 |
$235.55 |
$219.60
|
|
Event monitor
|
$200.19 |
$200.19 |
$200.19 |
$228.60
|
|
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
|
|
Facial bones <3
|
$110.36 |
$110.36 |
$110.36 |
$216.45
|
|
Factor ix
|
$165.96 |
$165.96 |
$165.96 |
$139.75
|
|
Factor viii
|
$165.96 |
$165.96 |
$165.96 |
$152.50
|
|
Fat/lipids feces qualitative
|
$71.66 |
$71.66 |
$71.66 |
$43.66
|
|
#fecal-sodium
|
$70.52 |
$70.52 |
$70.52 |
$40.30
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$6.12 |
$6.12 |
$6.12 |
$48.88
|
|
Ferritin
|
$44.07 |
$44.07 |
$44.07 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$5.04 |
$5.04 |
$5.04 |
$2,289.60
|
|
Fetal biophys profile w/nst 76818
|
$323.75 |
$323.75 |
$323.75 |
$525.33
|
|
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
|
|
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 asp without image guide 10021
|
$194.52 |
$194.52 |
$194.52 |
$547.53
|