|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$16.93 |
$16.93 |
$16.93 |
$547.14
|
|
Esophageal dilat s&i
|
$290.07 |
$290.07 |
$290.07 |
$529.03
|
|
Esophagosc dilate balloon 30
|
$816.75 |
$816.75 |
$816.75 |
$2,244.82
|
|
Esophagoscop stent placement
|
$1,908.06 |
$1,908.06 |
$1,908.06 |
$6,588.93
|
|
Esophagoscopy balloon <30mm
|
$1,732.17 |
$1,732.17 |
$1,732.17 |
$2,460.00
|
|
Esophagoscopy flex biopsy
|
$1,014.42 |
$1,014.42 |
$1,014.42 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$474.54 |
$474.54 |
$474.54 |
$1,296.00
|
|
Esophagoscopy flex remove fb
|
$1,126.95 |
$1,126.95 |
$1,126.95 |
$2,109.53
|
|
Esophagoscopy lesion ablate
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$4,214.73
|
|
Esophagoscopy retro balloon
|
$814.77 |
$814.77 |
$814.77 |
$2,638.57
|
|
Esophagus motility study
|
$3,406.26 |
$3,406.26 |
$3,406.26 |
$1,257.17
|
|
Esoph egd dilation <30 mm
|
$495.66 |
$495.66 |
$495.66 |
$2,638.57
|
|
Esoph endoscopy dilation
|
$756.03 |
$756.03 |
$756.03 |
$2,221.83
|
|
Esoph imped function test
|
$1,653.96 |
$1,653.96 |
$1,653.96 |
$597.03
|
|
Esoph imped funct test > 1hr
|
$1,653.96 |
$1,653.96 |
$1,653.96 |
$986.40
|
|
Esoph scope w/submucous inj
|
$1,142.79 |
$1,142.79 |
$1,142.79 |
$2,590.33
|
|
Establish access to artery
|
$233.31 |
$233.31 |
$233.31 |
$1,145.65
|
|
Established Patient Office Visit (level 1)
|
$214.17 |
$214.17 |
$214.17 |
$118.95
|
|
Established Patient Office Visit (level 2)
|
$310.53 |
$310.53 |
$310.53 |
$133.38
|
|
Established Patient Office Visit (level 3)
|
$448.47 |
$448.47 |
$448.47 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$506.22 |
$506.22 |
$506.22 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$565.29 |
$565.29 |
$565.29 |
$280.50
|
|
Estradiol total
|
$208.23 |
$208.23 |
$208.23 |
$141.12
|
|
Ethylene glycol -sendout
|
$72.27 |
$72.27 |
$72.27 |
$79.50
|
|
Etoposide 20 mg/ml intravenous solution
|
$34.60 |
$34.60 |
$34.60 |
$235.20
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$220.11 |
$220.11 |
$220.11 |
$215.55
|
|
Evaluation of speech fluency 92521
|
$211.86 |
$211.86 |
$211.86 |
$322.08
|
|
Evasc rpr a-ao ndgft 34701
|
$5,284.62 |
$5,284.62 |
$5,284.62 |
$5,230.40
|
|
Evasc rpr a-biiliac ndgft rptr
|
$6,770.28 |
$6,770.28 |
$6,770.28 |
$9,850.00
|
|
Evasc rpr a-iliac ndgft 34717
|
$1,122.66 |
$1,122.66 |
$1,122.66 |
$4,846.34
|
|
Evasc rpr a-unilac ndgft 34703
|
$5,608.35 |
$5,608.35 |
$5,608.35 |
$5,608.35
|
|
Evasc rpr a-unilac ndgft rpt
|
$8,983.92 |
$8,983.92 |
$8,983.92 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$5,319.93 |
$5,319.93 |
$5,319.93 |
$7,150.44
|
|
Event monitor
|
$72.60 |
$72.60 |
$72.60 |
$242.65
|
|
Evoked potentials upper limbs
|
$694.98 |
$694.98 |
$694.98 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$764.28 |
$764.28 |
$764.28 |
$812.40
|
|
Exam of vagina w/scope 57420
|
$280.17 |
$280.17 |
$280.17 |
$535.00
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$2,776.62 |
$2,776.62 |
$2,776.62 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$729.96 |
$729.96 |
$729.96 |
$832.60
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,332.87 |
$1,332.87 |
$1,332.87 |
$1,248.00
|
|
Exchange biliary drg cath
|
$1,261.26 |
$1,261.26 |
$1,261.26 |
$4,019.60
|
|
Exchange blood transfusion newborn 36450
|
$641.52 |
$641.52 |
$641.52 |
$554.45
|
|
Exchange drainage catheter
|
$2,548.26 |
$2,548.26 |
$2,548.26 |
$2,234.01
|
|
Exchange nephrostomy cath
|
$4,657.95 |
$4,657.95 |
$4,657.95 |
$2,958.80
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$710.16 |
$710.16 |
$710.16 |
$3,370.52
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,294.26 |
$1,294.26 |
$1,294.26 |
$1,935.36
|
|
Exc thrombosed hemorrhoid 46320
|
$137.61 |
$137.61 |
$137.61 |
$2,099.00
|
|
Explore penetrating wnd/extremity 20103
|
$3,163.71 |
$3,163.71 |
$3,163.71 |
$1,794.93
|
|
Explore wound abdomen 20102
|
$2,474.01 |
$2,474.01 |
$2,474.01 |
$2,784.80
|
|
Explore woundchest 20101
|
$2,254.56 |
$2,254.56 |
$2,254.56 |
$2,254.56
|
|
External cannula declotting
|
$461.34 |
$461.34 |
$461.34 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$1,348.38 |
$1,348.38 |
$1,348.38 |
$373.35
|
|
External newborn metabolic screening panel
|
$32.34 |
$32.34 |
$32.34 |
$109.13
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,364.55 |
$1,364.55 |
$1,364.55 |
$387.00
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$132.99 |
$132.99 |
$132.99 |
$102.40
|
|
F-18 fdg pet diag
|
$2,231.13 |
$2,231.13 |
$2,231.13 |
$551.72
|
|
Facial bones <3
|
$880.44 |
$880.44 |
$880.44 |
$252.60
|
|
Factor ix
|
$94.71 |
$94.71 |
$94.71 |
$139.15
|
|
Factor viii
|
$93.72 |
$93.72 |
$93.72 |
$128.40
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$4.65 |
$4.65 |
$4.65 |
$22.23
|
|
Fat/lipids feces qualitative
|
$38.94 |
$38.94 |
$38.94 |
$36.50
|
|
#fecal-sodium
|
$19.14 |
$19.14 |
$19.14 |
$37.50
|
|
Fees w/laryngeal sense test
|
$222.75 |
$222.75 |
$222.75 |
$471.00
|
|
Fem/popl revasc w/stent
|
$4,030.95 |
$4,030.95 |
$4,030.95 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$533.45 |
$533.45 |
$533.45 |
$101.40
|
|
Ferritin
|
$179.85 |
$179.85 |
$179.85 |
$97.20
|
|
Fetal biophys profile w/nst 76818
|
$632.61 |
$632.61 |
$632.61 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$441.54 |
$441.54 |
$441.54 |
$477.50
|
|
Fetal fibronectin
|
$448.14 |
$448.14 |
$448.14 |
$352.20
|
|
Fetal hemoglobin (kleihauer betke)
|
$211.20 |
$211.20 |
$211.20 |
$96.20
|
|
Fetal hemoglobin rosette
|
$70.62 |
$70.62 |
$70.62 |
$67.20
|
|
Fetal non stress test
|
$1,237.17 |
$1,237.17 |
$1,237.17 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$18.48 |
$18.48 |
$18.48 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$210.21 |
$210.21 |
$210.21 |
$112.84
|
|
Fibrin degradation products
|
$191.40 |
$191.40 |
$191.40 |
$59.24
|
|
Fibrinogen activity
|
$151.14 |
$151.14 |
$151.14 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$131.34 |
$131.34 |
$131.34 |
$63.94
|
|
Fibrinolytic plasminogen
|
$38.61 |
$38.61 |
$38.61 |
$94.36
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$484.44 |
$484.44 |
$484.44 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$459.03 |
$459.03 |
$459.03 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$467.28 |
$467.28 |
$467.28 |
$833.25
|
|
Fine needle asp without image guide 10021
|
$760.65 |
$760.65 |
$760.65 |
$533.50
|
|
Fix g/colon tube w/device
|
$591.69 |
$591.69 |
$591.69 |
$1,188.80
|
|
Fl exam g/colon tube w contrast
|
$627.99 |
$627.99 |
$627.99 |
$528.62
|
|
Flexible Sigmoidoscopy
|
$596.31 |
$596.31 |
$596.31 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$65.01 |
$65.01 |
$65.01 |
$97.50
|
|
Flow cytometry one marker technical component
|
$441.87 |
$441.87 |
$441.87 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$123.19 |
$123.19 |
$123.19 |
$70.32
|
|
Fluidotherapy charges pt
|
$124.74 |
$124.74 |
$124.74 |
$97.07
|
|
Fluorescent antibody titer dna
|
$86.79 |
$86.79 |
$86.79 |
$123.00
|
|
Fluoroguide for spine inject 77003-26
|
$534.60 |
$534.60 |
$534.60 |
$504.46
|
|
Fluoroguide needle placement
|
$401.61 |
$401.61 |
$401.61 |
$500.40
|
|
Fluoro polarize fetal lung
|
$234.30 |
$234.30 |
$234.30 |
$127.20
|
|
Fluoroscopy up to 1 hour
|
$542.19 |
$542.19 |
$542.19 |
$489.84
|
|
Fna bx w/ct gdn 1st les
|
$622.71 |
$622.71 |
$622.71 |
$1,427.65
|
|
Fna bx w/ct gdn ea addl
|
$550.77 |
$550.77 |
$550.77 |
$794.80
|
|
Folic acid
|
$203.28 |
$203.28 |
$203.28 |
$94.25
|
|
Folic acid 5 mg/ml injection solution
|
$28.12 |
$28.12 |
$28.12 |
$56.48
|
|
Follow-up angiography
|
$939.18 |
$939.18 |
$939.18 |
$1,939.14
|
|
Fondaparinux sodium
|
$801.48 |
$801.48 |
$801.48 |
$186.20
|
