|
Drainage external ear simple 69000
|
$565.76 |
$565.76 |
$565.76 |
$812.80
|
|
Drainage of mouth lesion
|
$16,752.58 |
$16,752.58 |
$16,752.58 |
$3,837.72
|
|
Drainage of mouth lesion
|
$2,935.92 |
$2,935.92 |
$2,935.92 |
$1,022.40
|
|
Drain blood from under nail 11740
|
$257.18 |
$257.18 |
$257.18 |
$182.95
|
|
Drain finger abscess;simple 26010
|
$1,295.65 |
$1,295.65 |
$1,295.65 |
$490.80
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$751.19 |
$751.19 |
$751.19 |
$355.80
|
|
Drng of eyelid abscess 67700
|
$1,672.59 |
$1,672.59 |
$1,672.59 |
$747.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$45.09 |
$45.09 |
$45.09 |
$33.99
|
|
Drug of abuse screen urine
|
$225.74 |
$225.74 |
$225.74 |
$63.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,170.94 |
$1,170.94 |
$1,170.94 |
$278.85
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$2,124.64 |
$2,124.64 |
$2,124.64 |
$885.60
|
|
Durvalumab 50 mg/ml intravenous solution
|
$13,536.49 |
$13,536.49 |
$13,536.49 |
$6,529.68
|
|
Ear irrigation 69209
|
$461.34 |
$461.34 |
$461.34 |
$154.70
|
|
Ecg 12 lead tracing only
|
$423.07 |
$423.07 |
$423.07 |
$243.61
|
|
Echocardiogram (Heart Ultrasound)
|
$3,328.88 |
$3,328.88 |
$3,328.88 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$649.89 |
$649.89 |
$649.89 |
$461.61
|
|
Echocardiography transthoracic 2d followup/limited
|
$974.85 |
$974.85 |
$974.85 |
$773.30
|
|
Echo tee probe placement image acquisition interpretation & report
|
$6,224.83 |
$6,224.83 |
$6,224.83 |
$1,938.95
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,158.35 |
$1,158.35 |
$1,158.35 |
$861.12
|
|
Electrolyte panel
|
$218.99 |
$218.99 |
$218.99 |
$86.33
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$258.53 |
$258.53 |
$258.53 |
$109.71
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$779.13 |
$779.13 |
$779.13 |
$824.16
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,819.74 |
$1,819.74 |
$1,819.74 |
$726.28
|
|
Epstein barr early antigen antibody
|
$299.37 |
$299.37 |
$299.37 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$216.36 |
$216.36 |
$216.36 |
$82.55
|
|
Epstein barr viral capsid antigen antibody igm
|
$236.46 |
$236.46 |
$236.46 |
$96.00
|
|
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
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,632.94 |
$1,632.94 |
$1,632.94 |
$2,528.17
|
|
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 |
$271.88
|
|
ER Visit (level 2)
|
$873.97 |
$873.97 |
$873.97 |
$481.37
|
|
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 |
$1,334.25
|
|
ER Visit (level 5, high severity)
|
$3,127.54 |
$3,127.54 |
$3,127.54 |
$1,930.40
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$437.42 |
$437.42 |
$437.42 |
$232.84
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$1,288.06 |
$1,288.06 |
$1,288.06 |
$1,138.94
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$937.54 |
$937.54 |
$937.54 |
$562.34
|
|
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 |
$186.04
|
|
Established Patient Office Visit (level 4)
|
$439.04 |
$439.04 |
$439.04 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$450.00 |
$450.00 |
$450.00 |
$280.50
|
|
Estradiol total
|
$450.96 |
$450.96 |
$450.96 |
$147.79
|
|
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 |
$219.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$435.73 |
$435.73 |
$435.73 |
$102.50
|
|
Facial bones <3
|
$601.90 |
$601.90 |
$601.90 |
$241.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$32.44 |
$32.44 |
$32.44 |
$22.20
|
|
Fat/lipids feces qualitative
|
$133.68 |
$133.68 |
$133.68 |
$37.40
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$143.08 |
$143.08 |
$143.08 |
$102.69
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$320.72 |
$320.72 |
$320.72 |
$1,475.61
|
|
Ferritin
|
$85.92 |
$85.92 |
$85.92 |
$103.40
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,441.19 |
$2,441.19 |
$2,441.19 |
$2,232.93
|
|
Fibrin degradation d dimer quantitative
|
$304.31 |
$304.31 |
$304.31 |
$111.55
|
|
Fibrinogen activity
|
$187.83 |
$187.83 |
$187.83 |
$80.83
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2,904.14 |
$2,904.14 |
$2,904.14 |
$1,295.37
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,222.19 |
$1,222.19 |
$1,222.19 |
$998.68
|
|
Fl exam g/colon tube w contrast
|
$1,253.36 |
$1,253.36 |
$1,253.36 |
$546.86
|
|
Flow cytometry interp 16 or more
|
$360.20 |
$360.20 |
$360.20 |
$208.80
|
|
Flow cytometry marker each additional
|
$425.72 |
$425.72 |
$425.72 |
$102.00
|
|
Flow cytometry one marker technical component
|
$964.99 |
$964.99 |
$964.99 |
$298.04
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$145.12 |
$145.12 |
$145.12 |
$79.71
|
|
Fluorescent antibody titer dna
|
$395.88 |
$395.88 |
$395.88 |
$128.05
|
|
Fluoroguide needle placement
|
$680.87 |
$680.87 |
$680.87 |
$536.26
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$317.93 |
$317.93 |
$317.93 |
$97.74
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$68.23 |
$68.23 |
$68.23 |
$171.99
|
|
Folic acid
|
$210.03 |
$210.03 |
$210.03 |
$87.50
|
|
Folic acid 5 mg/ml injection solution
|
$29.50 |
$29.50 |
$29.50 |
$48.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,076.23 |
$2,076.23 |
$2,076.23 |
$3,035.46
|
|
Fondaparinux sodium
|
$118.57 |
$118.57 |
$118.57 |
$154.14
|
|
Foot X-ray
|
$613.26 |
$613.26 |
$613.26 |
$360.00
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$174.66 |
$174.66 |
$174.66 |
$94.85
|
|
Fructosamine glycated protein
|
$277.78 |
$277.78 |
$277.78 |
$64.20
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$102.03 |
$102.03 |
$102.03 |
$26.40
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$233.48 |
$233.48 |
$233.48 |
$177.43
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$386.61 |
$386.61 |
$386.61 |
$144.98
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$551.33 |
$551.33 |
$551.33 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$705.38 |
$705.38 |
$705.38 |
$210.50
|
|
Gammaglobulin iga
|
$505.14 |
$505.14 |
$505.14 |
$76.59
|
|
Gammaglobulin ige
|
$265.41 |
$265.41 |
$265.41 |
$85.00
|
|
Gamma glutamyltransferase
|
$128.99 |
$128.99 |
$128.99 |
$55.28
|
|
Gamunex-c/gammaked
|
$15,365.19 |
$15,365.19 |
$15,365.19 |
$7,372.04
|
|
Gemcitabine 1 gram intravenous solution
|
$142.21 |
$142.21 |
$142.21 |
$240.65
|
|
General health panel
|
$531.10 |
$531.10 |
$531.10 |
$280.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$121.92 |
$121.92 |
$121.92 |
$44.63
|
|
Ghs abscess perianal iandd
|
$5,016.20 |
$5,016.20 |
$5,016.20 |
$1,528.00
|
|
Ghs antibodies (torch) igm
|
$115.73 |
$115.73 |
$115.73 |
$77.60
|
|
Ghs bladder cath - complex-foley
|
$1,655.93 |
$1,655.93 |
$1,655.93 |
$344.00
|
|
Ghs change cysto/gastrost
|
$559.69 |
$559.69 |
$559.69 |
$652.60
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$1,683.61 |
$1,683.61 |
$1,683.61 |
$595.20
|
|
Ghs closed reduction ankle dislocation
|
$1,849.58 |
$1,849.58 |
$1,849.58 |
$732.75
|
|
Ghs conjunctiva foreign body-superf bil
|
$774.66 |
$774.66 |
$774.66 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$1,557.44 |
$1,557.44 |
$1,557.44 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$937.25 |
$937.25 |
$937.25 |
$365.43
|
|
Ghs dislocation elbow closed treatment
|
$1,849.58 |
$1,849.58 |
$1,849.58 |
$687.73
|
|
Ghs excision ingrown nail
|
$810.79 |
$810.79 |
$810.79 |
$460.80
|
|
Ghs eyelid foreign body-embedded - bil
|
$726.11 |
$726.11 |
$726.11 |
$539.85
|
|
Ghs fb removal - non-incisional
|
$9,504.60 |
$9,504.60 |
$9,504.60 |
$1,793.38
|