|
Encephalitis, western equine igg/igm
|
$1,213.72 |
$1,213.72 |
$1,213.72 |
$50.70
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$14,416.65 |
$14,416.65 |
$14,416.65 |
$5,160.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$14,416.65 |
$14,416.65 |
$14,416.65 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$1,368.99 |
$1,368.99 |
$1,368.99 |
$578.01
|
|
Endoluminl ivus oct c 1st
|
$7,711.41 |
$7,711.41 |
$7,711.41 |
$3,325.80
|
|
Endoluminl ivus oct c ea
|
$5,954.34 |
$5,954.34 |
$5,954.34 |
$2,270.17
|
|
Endoscopy swallow (fees) vid
|
$337.17 |
$337.17 |
$337.17 |
$419.65
|
|
Endovenous mchnchem 1st vein
|
$8,073.40 |
$8,073.40 |
$8,073.40 |
$5,134.35
|
|
Endovenous mchnchem add-on
|
$4,036.54 |
$4,036.54 |
$4,036.54 |
$2,203.63
|
|
Endoven ther chem adhes 1st 36482
|
$12,790.84 |
$12,790.84 |
$12,790.84 |
$6,459.57
|
|
Endoven ther chem adhes sbsq 36483
|
$10,232.66 |
$10,232.66 |
$10,232.66 |
$3,986.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$258.53 |
$258.53 |
$258.53 |
$119.84
|
|
Entamoeba histolytica ag eia - sendout
|
$91.40 |
$91.40 |
$91.40 |
$66.47
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$779.13 |
$779.13 |
$779.13 |
$884.44
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,819.74 |
$1,819.74 |
$1,819.74 |
$823.43
|
|
Epstein barr early antigen antibody
|
$299.37 |
$299.37 |
$299.37 |
$71.64
|
|
Epstein barr nuclear antigen antibody
|
$321.98 |
$321.98 |
$321.98 |
$79.50
|
|
Epstein barr viral capsid antigen antibody igm
|
$262.57 |
$262.57 |
$262.57 |
$90.40
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$427.26 |
$427.26 |
$427.26 |
$393.98
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$10,576.90 |
$10,576.90 |
$10,576.90 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$1,368.99 |
$1,368.99 |
$1,368.99 |
$929.40
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,632.94 |
$1,632.94 |
$1,632.94 |
$3,078.07
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$268.61 |
$268.61 |
$268.61 |
$364.08
|
|
ER Visit (level 1, minor)
|
$409.49 |
$409.49 |
$409.49 |
$280.50
|
|
ER Visit (level 2)
|
$873.97 |
$873.97 |
$873.97 |
$487.50
|
|
ER Visit (level 3)
|
$1,470.35 |
$1,470.35 |
$1,470.35 |
$850.50
|
|
ER Visit (level 4)
|
$2,386.19 |
$2,386.19 |
$2,386.19 |
$1,360.50
|
|
ER Visit (level 5, high severity)
|
$3,127.54 |
$3,127.54 |
$3,127.54 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$437.42 |
$437.42 |
$437.42 |
$250.66
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$1,288.06 |
$1,288.06 |
$1,288.06 |
$755.59
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$937.54 |
$937.54 |
$937.54 |
$553.88
|
|
Established Patient Office Visit (level 1)
|
$256.64 |
$256.64 |
$256.64 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$314.35 |
$314.35 |
$314.35 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$361.22 |
$361.22 |
$361.22 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$439.04 |
$439.04 |
$439.04 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$450.00 |
$450.00 |
$450.00 |
$287.10
|
|
Estradiol total
|
$424.92 |
$424.92 |
$424.92 |
$147.79
|
|
Ethylene glycol -sendout
|
$175.68 |
$175.68 |
$175.68 |
$77.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$110.15 |
$110.15 |
$110.15 |
$213.17
|
|
Euflexxa inj per dose
|
$957.36 |
$957.36 |
$957.36 |
$727.80
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$336.11 |
$336.11 |
$336.11 |
$216.60
|
|
Evaluation heart device
|
$7,418.86 |
$7,418.86 |
$7,418.86 |
$2,523.52
|
|
Evaluation psychiatric diagnostic
|
$640.48 |
$640.48 |
$640.48 |
$324.00
|
|
Evoked oa emissions ltd
|
$224.84 |
$224.84 |
$224.84 |
$252.08
|
|
Evoked potentials auditory screening automated analysis
|
$1,141.22 |
$1,141.22 |
$1,141.22 |
$283.62
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,325.66 |
$1,325.66 |
$1,325.66 |
$818.53
|
|
Exchange biliary drg cath
|
$9,834.24 |
$9,834.24 |
$9,834.24 |
$4,176.15
|
|
Exchange drainage catheter
|
$6,018.82 |
$6,018.82 |
$6,018.82 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$7,207.55 |
$7,207.55 |
$7,207.55 |
$3,131.93
|
|
Exercise w/hemodynamic meas
|
$2,362.26 |
$2,362.26 |
$2,362.26 |
$705.25
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$418.44 |
$418.44 |
$418.44 |
$452.81
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$654.07 |
$654.07 |
$654.07 |
$102.50
|
|
Facial bones <3
|
$601.90 |
$601.90 |
$601.90 |
$241.75
|
|
Factor ix
|
$463.13 |
$463.13 |
$463.13 |
$138.60
|
|
Factor viii
|
$413.71 |
$413.71 |
$413.71 |
$138.60
|
|
Family therapy with patient 50 min 90847
|
$1,170.17 |
$1,170.17 |
$1,170.17 |
$239.20
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$32.44 |
$32.44 |
$32.44 |
$23.13
|
|
Fat/lipids feces qualitative
|
$133.68 |
$133.68 |
$133.68 |
$37.39
|
|
Fatty acids nonesterified
|
$647.96 |
$647.96 |
$647.96 |
$56.70
|
|
#fecal-sodium
|
$78.76 |
$78.76 |
$78.76 |
$37.50
|
|
Fem/popl revasc w/stent
|
$33,743.92 |
$33,743.92 |
$33,743.92 |
$18,697.29
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$143.08 |
$143.08 |
$143.08 |
$116.20
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$320.72 |
$320.72 |
$320.72 |
$1,741.41
|
|
Ferritin
|
$227.41 |
$227.41 |
$227.41 |
$103.95
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,441.19 |
$2,441.19 |
$2,441.19 |
$1,934.11
|
|
Fetal biophys profile w/nst 76818
|
$1,124.45 |
$1,124.45 |
$1,124.45 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$2,232.43 |
$2,232.43 |
$2,232.43 |
$1,231.20
|
|
Fetal contract stress test 59020 - 26
|
$1,115.52 |
$1,115.52 |
$1,115.52 |
$555.60
|
|
Fetal hemoglobin (kleihauer betke)
|
$174.25 |
$174.25 |
$174.25 |
$87.55
|
|
Fetal hemoglobin rosette
|
$167.70 |
$167.70 |
$167.70 |
$78.00
|
|
Fetal non stress test
|
$1,106.08 |
$1,106.08 |
$1,106.08 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$333.24 |
$333.24 |
$333.24 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$304.31 |
$304.31 |
$304.31 |
$112.80
|
|
Fibrin degradation products
|
$199.70 |
$199.70 |
$199.70 |
$59.43
|
|
Fibrinogen activity
|
$187.83 |
$187.83 |
$187.83 |
$82.38
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$188.83 |
$188.83 |
$188.83 |
$60.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2,904.14 |
$2,904.14 |
$2,904.14 |
$1,411.44
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,222.19 |
$1,222.19 |
$1,222.19 |
$973.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,128.80 |
$1,128.80 |
$1,128.80 |
$785.65
|
|
Fine needle asp without image guide 10021
|
$2,366.75 |
$2,366.75 |
$2,366.75 |
$547.53
|
|
Flecainide (tambocor)-sendout
|
$179.34 |
$179.34 |
$179.34 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$1,253.36 |
$1,253.36 |
$1,253.36 |
$555.00
|
|
Flow cytometry interp 16 or more
|
$360.20 |
$360.20 |
$360.20 |
$208.80
|
|
Flow cytometry marker each additional
|
$587.36 |
$587.36 |
$587.36 |
$102.00
|
|
Flow cytometry one marker technical component
|
$977.50 |
$977.50 |
$977.50 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$203.24 |
$203.24 |
$203.24 |
$194.04
|
|
Flt3 gene analysis
|
$816.67 |
$816.67 |
$816.67 |
$222.40
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$145.12 |
$145.12 |
$145.12 |
$84.72
|
|
Fluorescent antibody titer dna
|
$589.97 |
$589.97 |
$589.97 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$646.74 |
$646.74 |
$646.74 |
$507.00
|
|
Fluoroguide needle placement
|
$1,015.93 |
$1,015.93 |
$1,015.93 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$912.94 |
$912.94 |
$912.94 |
$492.75
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$317.93 |
$317.93 |
$317.93 |
$105.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$68.23 |
$68.23 |
$68.23 |
$148.04
|
|
Fna bx w/ct gdn 1st les
|
$2,257.61 |
$2,257.61 |
$2,257.61 |
$1,496.88
|
|
Folic acid
|
$210.03 |
$210.03 |
$210.03 |
$87.75
|
|
Folic acid 5 mg/ml injection solution
|
$29.50 |
$29.50 |
$29.50 |
$50.70
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,076.23 |
$2,076.23 |
$2,076.23 |
$2,960.39
|
|
Fondaparinux sodium
|
$118.57 |
$118.57 |
$118.57 |
$172.35
|
|
Foot X-ray
|
$613.26 |
$613.26 |
$613.26 |
$364.00
|