|
Epstein barr nuclear antigen antibody
|
$36.02 |
$36.02 |
$36.02 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$43.37 |
$43.37 |
$43.37 |
$95.04
|
|
Ercp biliary & pancreas
|
$861.53 |
$861.53 |
$861.53 |
$943.50
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,128.38 |
$1,128.38 |
$1,128.38 |
$3,855.08
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$111.36 |
$111.36 |
$111.36 |
$364.08
|
|
ER Visit (level 1, minor)
|
$276.85 |
$276.85 |
$276.85 |
$276.70
|
|
ER Visit (level 2)
|
$520.80 |
$520.80 |
$520.80 |
$487.50
|
|
ER Visit (level 3)
|
$846.30 |
$846.30 |
$846.30 |
$850.50
|
|
ER Visit (level 4)
|
$1,269.45 |
$1,269.45 |
$1,269.45 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$1,627.50 |
$1,627.50 |
$1,627.50 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$78.65 |
$78.65 |
$78.65 |
$260.24
|
|
Establish access to aorta
|
$244.44 |
$244.44 |
$244.44 |
$1,280.06
|
|
Establish access to artery
|
$113.40 |
$113.40 |
$113.40 |
$1,145.65
|
|
Established Patient Office Visit (level 1)
|
$85.33 |
$85.33 |
$85.33 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$113.17 |
$113.17 |
$113.17 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$142.09 |
$142.09 |
$142.09 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$163.87 |
$163.87 |
$163.87 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$190.64 |
$190.64 |
$190.64 |
$287.10
|
|
Estradiol total
|
$67.55 |
$67.55 |
$67.55 |
$153.00
|
|
Estrogens total-sendout
|
$44.73 |
$44.73 |
$44.73 |
$89.25
|
|
Ethylene glycol -sendout
|
$5.04 |
$5.04 |
$5.04 |
$75.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$14.98 |
$14.98 |
$14.98 |
$213.17
|
|
Euglobulin lysis
|
$41.58 |
$41.58 |
$41.58 |
$39.75
|
|
Eval/fit voice prosthesis iii, st
|
$89.95 |
$89.95 |
$89.95 |
$370.41
|
|
Evaluation of speech fluency 92521
|
$78.75 |
$78.75 |
$78.75 |
$347.75
|
|
Event monitor
|
$97.65 |
$97.65 |
$97.65 |
$242.12
|
|
Exercise w/hemodynamic meas
|
$630.32 |
$630.32 |
$630.32 |
$971.00
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,499.00 |
$2,499.00 |
$2,499.00 |
$3,473.04
|
|
External chromosome analysis 20-25 cells
|
$160.02 |
$160.02 |
$160.02 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$562.59 |
$562.59 |
$562.59 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$107.80 |
$107.80 |
$107.80 |
$102.78
|
|
F-18 fdg pet diag
|
$433.65 |
$433.65 |
$433.65 |
$602.25
|
|
Facial bones <3
|
$292.95 |
$292.95 |
$292.95 |
$248.60
|
|
Factor ix
|
$168.21 |
$168.21 |
$168.21 |
$131.30
|
|
Factor viii
|
$183.75 |
$183.75 |
$183.75 |
$144.30
|
|
Fat/lipids feces qualitative
|
$12.95 |
$12.95 |
$12.95 |
$34.56
|
|
Fem/popl revasc w/stent
|
$9,181.20 |
$9,181.20 |
$9,181.20 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$56.97 |
$56.97 |
$56.97 |
$120.15
|
|
Fern test
|
$9.80 |
$9.80 |
$9.80 |
$17.72
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,058.80 |
$1,058.80 |
$1,058.80 |
$2,027.60
|
|
Ferritin
|
$77.35 |
$77.35 |
$77.35 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,073.16 |
$1,073.16 |
$1,073.16 |
$1,776.61
|
|
Fetal fibronectin
|
$185.15 |
$185.15 |
$185.15 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$48.83 |
$48.83 |
$48.83 |
$88.80
|
|
Fetal hemoglobin rosette
|
$53.98 |
$53.98 |
$53.98 |
$76.70
|
|
#_fet/norfentcnfrmur
|
$0.63 |
$0.63 |
$0.63 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$91.00 |
$91.00 |
$91.00 |
$112.80
|
|
Fibrin degradation products
|
$67.55 |
$67.55 |
$67.55 |
$62.40
|
|
Fibrinogen activity
|
$85.63 |
$85.63 |
$85.63 |
$82.38
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$303.58 |
$303.58 |
$303.58 |
$460.87
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$380.32 |
$380.32 |
$380.32 |
$973.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$621.18 |
$621.18 |
$621.18 |
$806.40
|
|
Fl exam g/colon tube w contrast
|
$188.20 |
$188.20 |
$188.20 |
$546.86
|
|
Flow cytometry marker each additional
|
$37.11 |
$37.11 |
$37.11 |
$103.00
|
|
Flow cytometry one marker technical component
|
$410.78 |
$410.78 |
$410.78 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$70.39 |
$70.39 |
$70.39 |
$86.42
|
|
Fluidotherapy charges pt
|
$34.65 |
$34.65 |
$34.65 |
$95.00
|
|
Fluorescent antibody titer dna
|
$28.35 |
$28.35 |
$28.35 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$754.60 |
$754.60 |
$754.60 |
$507.00
|
|
Fluoroguide needle placement
|
$227.85 |
$227.85 |
$227.85 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$605.84 |
$605.84 |
$605.84 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$59.69 |
$59.69 |
$59.69 |
$107.46
|
|
Fmri brain by tech
|
$1,207.40 |
$1,207.40 |
$1,207.40 |
$1,486.75
|
|
Folic acid
|
$59.15 |
$59.15 |
$59.15 |
$90.60
|
|
Fomepizole 1 gram/ml intravenous solution
|
$882.49 |
$882.49 |
$882.49 |
$2,860.43
|
|
Fondaparinux sodium
|
$148.47 |
$148.47 |
$148.47 |
$176.81
|
|
Foot X-ray
|
$563.15 |
$563.15 |
$563.15 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$77.46 |
$77.46 |
$77.46 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$25.96 |
$25.96 |
$25.96 |
$107.31
|
|
Fragmenting of kidney stone
|
$7,302.75 |
$7,302.75 |
$7,302.75 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$89.25 |
$89.25 |
$89.25 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$107.80 |
$107.80 |
$107.80 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$53.20 |
$53.20 |
$53.20 |
$123.90
|
|
Furosemide 10 mg/ml injection solution
|
$11.80 |
$11.80 |
$11.80 |
$27.69
|
|
Ga-67 gallium 0.1 mci
|
$266.49 |
$266.49 |
$266.49 |
$163.80
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$5.12 |
$5.12 |
$5.12 |
$138.37
|
|
Gammaglobulin iga
|
$44.80 |
$44.80 |
$44.80 |
$75.30
|
|
Gammaglobulin ige
|
$48.13 |
$48.13 |
$48.13 |
$85.00
|
|
Gamma glutamyltransferase
|
$51.45 |
$51.45 |
$51.45 |
$55.28
|
|
Gemcitabine 1 gram intravenous solution
|
$20.61 |
$20.61 |
$20.61 |
$252.84
|
|
Generator barostim neo2 2014
|
$31,653.69 |
$31,653.69 |
$31,653.69 |
$54,121.91
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$23.60 |
$23.60 |
$23.60 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$80.33 |
$80.33 |
$80.33 |
$119.00
|
|
Ghs abscess postoperative iandd complex
|
$330.75 |
$330.75 |
$330.75 |
$3,776.00
|
|
Ghs antibodies (torch) igm
|
$22.40 |
$22.40 |
$22.40 |
$73.70
|
|
Ghs central line insert < age 5, failed
|
$421.16 |
$421.16 |
$421.16 |
$2,676.75
|
|
Ghs chemo >8 hrs
|
$509.25 |
$509.25 |
$509.25 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$280.35 |
$280.35 |
$280.35 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$269.85 |
$269.85 |
$269.85 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$55.13 |
$55.13 |
$55.13 |
$134.55
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,503.60 |
$1,503.60 |
$1,503.60 |
$2,973.33
|
|
Ghs community re-entry 15 minutes
|
$30.24 |
$30.24 |
$30.24 |
$89.28
|
|
Ghs cricothyroidotomy
|
$469.35 |
$469.35 |
$469.35 |
$1,207.80
|
|
Ghs diphtheria toxoid ab igg
|
$21.62 |
$21.62 |
$21.62 |
$72.05
|
|
Ghs fish cytogen
|
$286.65 |
$286.65 |
$286.65 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$72.77 |
$72.77 |
$72.77 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$182.70 |
$182.70 |
$182.70 |
$403.20
|
|
Ghs histoplasma antigen
|
$66.47 |
$66.47 |
$66.47 |
$137.80
|
|
Ghs inf midline insertion
|
$871.29 |
$871.29 |
$871.29 |
$1,234.20
|
|
Ghs init tx 1st degree burn
|
$150.89 |
$150.89 |
$150.89 |
$300.30
|
