|
Encephalitis, st louis igg/igm
|
$36.45 |
$36.45 |
$36.45 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$39.30 |
$39.30 |
$39.30 |
$50.70
|
|
Endo cath bile duct s&i
|
$218.25 |
$218.25 |
$218.25 |
$612.37
|
|
Endo cath panc duct s&i
|
$255.45 |
$255.45 |
$255.45 |
$645.00
|
|
Endoluminl ivus oct c 1st
|
$460.32 |
$460.32 |
$460.32 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$359.10 |
$359.10 |
$359.10 |
$2,367.97
|
|
Endovasc rpr a-biiliac endogft 34705
|
$4,587.60 |
$4,587.60 |
$4,587.60 |
$10,604.25
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$1,526.98 |
$1,526.98 |
$1,526.98 |
$121.63
|
|
Ep & ablate supravent arrhyt
|
$7,908.45 |
$7,908.45 |
$7,908.45 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$9,490.20 |
$9,490.20 |
$9,490.20 |
$30,975.00
|
|
Epidural/lumbar/sacral/ea add level64484
|
$110.55 |
$110.55 |
$110.55 |
$1,182.00
|
|
Ep induct arrhy by elect pacing
|
$1,198.80 |
$1,198.80 |
$1,198.80 |
$2,753.40
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$5.85 |
$5.85 |
$5.85 |
$450.94
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$11.22 |
$11.22 |
$11.22 |
$195.23
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$382.79 |
$382.79 |
$382.79 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$7,419.72 |
$7,419.72 |
$7,419.72 |
$950.55
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$5.85 |
$5.85 |
$5.85 |
$136.00
|
|
Epstein barr early antigen antibody
|
$21.75 |
$21.75 |
$21.75 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$28.65 |
$28.65 |
$28.65 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$32.10 |
$32.10 |
$32.10 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$17.18 |
$17.18 |
$17.18 |
$363.57
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$5,726.86 |
$5,726.86 |
$5,726.86 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$319.16 |
$319.16 |
$319.16 |
$943.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$421.63 |
$421.63 |
$421.63 |
$364.08
|
|
ER Visit (level 1, minor)
|
$97.65 |
$97.65 |
$97.65 |
$276.70
|
|
ER Visit (level 2)
|
$174.45 |
$174.45 |
$174.45 |
$487.50
|
|
ER Visit (level 3)
|
$306.90 |
$306.90 |
$306.90 |
$850.50
|
|
ER Visit (level 4)
|
$481.35 |
$481.35 |
$481.35 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$697.50 |
$697.50 |
$697.50 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$315.41 |
$315.41 |
$315.41 |
$260.24
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,623.02 |
$1,623.02 |
$1,623.02 |
$540.00
|
|
Established Patient Office Visit (level 1)
|
$43.00 |
$43.00 |
$43.00 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$57.53 |
$57.53 |
$57.53 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$66.87 |
$66.87 |
$66.87 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$83.39 |
$83.39 |
$83.39 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$253.49 |
$253.49 |
$253.49 |
$287.10
|
|
Estradiol total
|
$105.60 |
$105.60 |
$105.60 |
$153.00
|
|
Estrogens total-sendout
|
$89.25 |
$89.25 |
$89.25 |
$89.25
|
|
Ethylene glycol -sendout
|
$78.00 |
$78.00 |
$78.00 |
$75.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$75.81 |
$75.81 |
$75.81 |
$213.17
|
|
Etoposide 50 mg cap
|
$184.44 |
$184.44 |
$184.44 |
$196.27
|
|
Eval/fit voice prosthesis iii, st
|
$80.10 |
$80.10 |
$80.10 |
$370.41
|
|
Evaluation heart device
|
$877.91 |
$877.91 |
$877.91 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$98.70 |
$98.70 |
$98.70 |
$347.75
|
|
Evasc rpr a-ao ndgft 34701
|
$648.60 |
$648.60 |
$648.60 |
$6,020.00
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$834.75 |
$834.75 |
$834.75 |
$4,537.60
|
|
Evasc rpr a-unilac ndgft 34703
|
$696.30 |
$696.30 |
$696.30 |
$7,465.20
|
|
Evasc rpr a-unilac ndgft rpt
|
$834.75 |
$834.75 |
$834.75 |
$9,282.60
|
|
Evoked potentials upper limbs
|
$93.75 |
$93.75 |
$93.75 |
$908.54
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$297.75 |
$297.75 |
$297.75 |
$1,372.15
|
|
Exc excsv skin forearm/hand
|
$889.20 |
$889.20 |
$889.20 |
$3,167.89
|
|
Exchange biliary drg cath
|
$2,089.05 |
$2,089.05 |
$2,089.05 |
$4,176.15
|
|
Exchange nephrostomy cath
|
$1,446.75 |
$1,446.75 |
$1,446.75 |
$3,097.16
|
|
Exercise w/hemodynamic meas
|
$113.40 |
$113.40 |
$113.40 |
$971.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,551.50 |
$2,551.50 |
$2,551.50 |
$2,647.92
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,473.04 |
$3,473.04 |
$3,473.04 |
$3,473.04
|
|
External chromosome analysis 20-25 cells
|
$64.65 |
$64.65 |
$64.65 |
$389.35
|
|
External newborn metabolic screening panel
|
$11.10 |
$11.10 |
$11.10 |
$114.75
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$182.55 |
$182.55 |
$182.55 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$68.10 |
$68.10 |
$68.10 |
$102.78
|
|
Eye implant band 40
|
$32,751.50 |
$32,751.50 |
$32,751.50 |
$125.00
|
|
F-18 fdg pet diag
|
$177.00 |
$177.00 |
$177.00 |
$602.25
|
|
Facial bones <3
|
$153.45 |
$153.45 |
$153.45 |
$248.60
|
|
Factor ix
|
$73.80 |
$73.80 |
$73.80 |
$131.30
|
|
Factor viii
|
$92.64 |
$92.64 |
$92.64 |
$144.30
|
|
Factor viii recomb novoeight
|
$16,750.76 |
$16,750.76 |
$16,750.76 |
$1.38
|
|
Fallopian tube recnl
|
$442.35 |
$442.35 |
$442.35 |
$3,624.75
|
|
Fat/lipids feces qualitative
|
$11.40 |
$11.40 |
$11.40 |
$34.56
|
|
Fatty acids nonesterified
|
$8.85 |
$8.85 |
$8.85 |
$57.60
|
|
#fecal-sodium
|
$14.25 |
$14.25 |
$14.25 |
$37.50
|
|
Fem/popl revasc w/stent
|
$8,402.25 |
$8,402.25 |
$8,402.25 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$87.20 |
$87.20 |
$87.20 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$263.68 |
$263.68 |
$263.68 |
$2,027.60
|
|
Ferritin
|
$75.75 |
$75.75 |
$75.75 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,776.61 |
$1,776.61 |
$1,776.61 |
$1,776.61
|
|
Fetal fibronectin
|
$106.80 |
$106.80 |
$106.80 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$22.95 |
$22.95 |
$22.95 |
$88.80
|
|
Fetal non stress test
|
$113.87 |
$113.87 |
$113.87 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$46.65 |
$46.65 |
$46.65 |
$112.80
|
|
Fibrin degradation products
|
$49.19 |
$49.19 |
$49.19 |
$62.40
|
|
Fibrinogen activity
|
$58.80 |
$58.80 |
$58.80 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$31.20 |
$31.20 |
$31.20 |
$56.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,520.04 |
$1,520.04 |
$1,520.04 |
$460.87
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,665.80 |
$1,665.80 |
$1,665.80 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,904.31 |
$1,904.31 |
$1,904.31 |
$973.70
|
|
Filter spider fx 3mmx320cm
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$6,152.59
|
|
Filter vena cava fem denali
|
$7,869.02 |
$7,869.02 |
$7,869.02 |
$3,467.25
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$678.75 |
$678.75 |
$678.75 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$442.05 |
$442.05 |
$442.05 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$357.90 |
$357.90 |
$357.90 |
$806.40
|
|
Flebogamma injection
|
$36.75 |
$36.75 |
$36.75 |
$2,827.01
|
|
Flecainide (tambocor)-sendout
|
$53.25 |
$53.25 |
$53.25 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$92.55 |
$92.55 |
$92.55 |
$546.86
|
|
Flow cytometry interp 16 or more
|
$44.85 |
$44.85 |
$44.85 |
$208.80
|
|
Flow cytometry marker each additional
|
$35.10 |
$35.10 |
$35.10 |
$103.00
|
|
Flow cytometry one marker technical component
|
$166.35 |
$166.35 |
$166.35 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$74.07 |
$74.07 |
$74.07 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$1,061.43 |
$1,061.43 |
$1,061.43 |
$601.96
|
|
Fluidotherapy charges pt
|
$41.85 |
$41.85 |
$41.85 |
$95.00
|
|
Fluorescent antibody titer dna
|
$24.15 |
$24.15 |
$24.15 |
$123.65
|
