|
Eo elas w/metal jnts pre ots
|
$1,253.00 |
$1,253.00 |
$1,253.00 |
$145.60
|
|
Ep & ablate supravent arrhyt
|
$154,614.05 |
$154,614.05 |
$154,614.05 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$123,422.63 |
$123,422.63 |
$123,422.63 |
$28,199.40
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$14,666.15 |
$14,666.15 |
$14,666.15 |
$248.81
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$654.08 |
$654.08 |
$654.08 |
$129.30
|
|
Epstein barr early antigen antibody
|
$1,912.46 |
$1,912.46 |
$1,912.46 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$460.08 |
$460.08 |
$460.08 |
$78.65
|
|
Ercp biliary & pancreas
|
$5,842.03 |
$5,842.03 |
$5,842.03 |
$967.04
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$10,006.09 |
$10,006.09 |
$10,006.09 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$646.01 |
$646.01 |
$646.01 |
$222.98
|
|
Esoph balloon distension tst
|
$1,303.99 |
$1,303.99 |
$1,303.99 |
$1,040.00
|
|
Esoph imped function test
|
$2,389.27 |
$2,389.27 |
$2,389.27 |
$597.03
|
|
Esoph imped funct test > 1hr
|
$4,311.12 |
$4,311.12 |
$4,311.12 |
$1,089.15
|
|
Established Patient Office Visit (level 1)
|
$45.95 |
$45.95 |
$45.95 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$183.01 |
$183.01 |
$183.01 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$342.64 |
$342.64 |
$342.64 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$506.70 |
$506.70 |
$506.70 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$745.64 |
$745.64 |
$745.64 |
$280.33
|
|
Estradiol total
|
$646.05 |
$646.05 |
$646.05 |
$146.50
|
|
Estradiol valerate 10 mg inj
|
$317.78 |
$317.78 |
$317.78 |
$57.35
|
|
Estrogens total-sendout
|
$1,655.97 |
$1,655.97 |
$1,655.97 |
$96.20
|
|
Ethanolamine oleate 100 mg
|
$3,093.99 |
$3,093.99 |
$3,093.99 |
$751.36
|
|
Ethylene glycol -sendout
|
$577.11 |
$577.11 |
$577.11 |
$89.40
|
|
Etoposide 50 mg cap
|
$950.84 |
$950.84 |
$950.84 |
$135.02
|
|
Euglobulin lysis
|
$900.93 |
$900.93 |
$900.93 |
$56.70
|
|
Evaluation heart device
|
$1,735.54 |
$1,735.54 |
$1,735.54 |
$2,368.17
|
|
Evasc rpr a-ao ndgft 34701
|
$15,557.54 |
$15,557.54 |
$15,557.54 |
$5,230.40
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$15,557.54 |
$15,557.54 |
$15,557.54 |
$4,670.40
|
|
Evasc rpr a-biiliac ndgft rptr
|
$15,557.54 |
$15,557.54 |
$15,557.54 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$23,336.30 |
$23,336.30 |
$23,336.30 |
$4,846.34
|
|
Evasc rpr a-unilac ndgft 34703
|
$15,557.54 |
$15,557.54 |
$15,557.54 |
$5,578.73
|
|
Evasc rpr a-unilac ndgft rpt
|
$15,557.54 |
$15,557.54 |
$15,557.54 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$15,557.54 |
$15,557.54 |
$15,557.54 |
$6,931.00
|
|
Evasc rpr ilio-iliac rpt
|
$15,557.54 |
$15,557.54 |
$15,557.54 |
$8,996.13
|
|
Exchange biliary drg cath
|
$16,406.04 |
$16,406.04 |
$16,406.04 |
$3,909.56
|
|
Exchange drainage catheter
|
$11,452.83 |
$11,452.83 |
$11,452.83 |
$2,205.50
|
|
Expose endoprosth brachial 34834
|
$9,346.26 |
$9,346.26 |
$9,346.26 |
$1,560.90
|
|
External newborn metabolic screening panel
|
$178.93 |
$178.93 |
$178.93 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$3,579.66 |
$3,579.66 |
$3,579.66 |
$454.20
|
|
Factor ix
|
$2,148.12 |
$2,148.12 |
$2,148.12 |
$156.13
|
|
Factor ix complex
|
$66.74 |
$66.74 |
$66.74 |
$5.91
|
|
Factor ix recombinant nos
|
$8,373.89 |
$8,373.89 |
$8,373.89 |
$4.65
|
|
Factor viii
|
$2,148.12 |
$2,148.12 |
$2,148.12 |
$133.81
|
|
Fat/lipids feces qualitative
|
$1,064.43 |
$1,064.43 |
$1,064.43 |
$38.35
|
|
Fatty acids nonesterified
|
$142.67 |
$142.67 |
$142.67 |
$64.28
|
|
Felbamate (felbatol(r)) - sendout
|
$1,383.44 |
$1,383.44 |
$1,383.44 |
$65.00
|
|
Femoral endovas graft add-on 34813
|
$8,791.63 |
$8,791.63 |
$8,791.63 |
$951.36
|
|
Fem/popl revasc w/stent
|
$53,352.20 |
$53,352.20 |
$53,352.20 |
$16,843.00
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,301.86 |
$1,301.86 |
$1,301.86 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$631.57 |
$631.57 |
$631.57 |
$535.37
|
|
Fetal chrom aneuploidy gsa panel
|
$3,853.07 |
$3,853.07 |
$3,853.07 |
$1,206.81
|
|
Fetal fibronectin
|
$1,670.40 |
$1,670.40 |
$1,670.40 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$687.72 |
$687.72 |
$687.72 |
$105.12
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$139.47 |
$139.47 |
$139.47 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$828.78 |
$828.78 |
$828.78 |
$72.80
|
|
Fibrinolytic plasminogen
|
$846.42 |
$846.42 |
$846.42 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$617.20 |
$617.20 |
$617.20 |
$65.00
|
|
Filters elec/combo vad, rep
|
$550.00 |
$550.00 |
$550.00 |
$36.40
|
|
Finasteride, 5 mg
|
$7.71 |
$7.71 |
$7.71 |
$7.71
|
|
Fix g/colon tube w/device
|
$5,965.16 |
$5,965.16 |
$5,965.16 |
$1,183.00
|
|
Flebogamma injection
|
$17,742.69 |
$17,742.69 |
$17,742.69 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$509.78 |
$509.78 |
$509.78 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$1,684.87 |
$1,684.87 |
$1,684.87 |
$511.92
|
|
Floxuridine injection
|
$1,834.42 |
$1,834.42 |
$1,834.42 |
$5,929.92
|
|
Fludarabine 50 mg intravenous solution
|
$4,896.06 |
$4,896.06 |
$4,896.06 |
$493.35
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$231.44 |
$231.44 |
$231.44 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$249.16 |
$249.16 |
$249.16 |
$72.52
|
|
Foam drsg <=16 sq in without bdr
|
$372.00 |
$372.00 |
$372.00 |
$21.74
|
|
Folic acid
|
$1,187.87 |
$1,187.87 |
$1,187.87 |
$101.50
|
|
Fomepizole 1 gram/ml intravenous solution
|
$33,654.77 |
$33,654.77 |
$33,654.77 |
$2,581.14
|
|
Fondaparinux sodium
|
$264.55 |
$264.55 |
$264.55 |
$185.12
|
|
Foot insert plastazote or eq
|
$2,413.00 |
$2,413.00 |
$2,413.00 |
$365.48
|
|
Foot longitudinal arch suppo
|
$1,154.00 |
$1,154.00 |
$1,154.00 |
$295.47
|
|
Foot longitud/metatarsal sup
|
$2,441.00 |
$2,441.00 |
$2,441.00 |
$221.20
|
|
Formoterol fumarate, inh
|
$53.18 |
$53.18 |
$53.18 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$3,585.99 |
$3,585.99 |
$3,585.99 |
$457.50
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$607.09 |
$607.09 |
$607.09 |
$156.60
|
|
Fr frz plasma donor retested
|
$849.23 |
$849.23 |
$849.23 |
$130.00
|
|
Fructosamine glycated protein
|
$679.70 |
$679.70 |
$679.70 |
$60.75
|
|
Ft insert ucb berkeley shell
|
$3,305.00 |
$3,305.00 |
$3,305.00 |
$743.29
|
|
Ga-67 gallium 0.1 mci
|
$4,105.94 |
$4,105.94 |
$4,105.94 |
$118.56
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$3,230.18 |
$3,230.18 |
$3,230.18 |
$250.83
|
|
Galac-1-phosphate uridyltran - sendout
|
$1,878.18 |
$1,878.18 |
$1,878.18 |
$96.94
|
|
Galactose transferase test
|
$1,495.67 |
$1,495.67 |
$1,495.67 |
$31.35
|
|
Gammaglobulin ige
|
$957.02 |
$957.02 |
$957.02 |
$83.85
|
|
Gamunex-c/gammaked
|
$4,435.73 |
$4,435.73 |
$4,435.73 |
$7,634.20
|
|
Gastric analy w/ph ea spec
|
$1,542.17 |
$1,542.17 |
$1,542.17 |
$31.80
|
|
Gastroesophageal reflux test
|
$4,311.12 |
$4,311.12 |
$4,311.12 |
$1,321.45
|
|
Gated heart multiple
|
$7,136.66 |
$7,136.66 |
$7,136.66 |
$1,400.64
|
|
Genetic tstg severe inh cond
|
$13,423.64 |
$13,423.64 |
$13,423.64 |
$3,978.65
|
|
G-esoph reflx tst w/electrod
|
$3,319.14 |
$3,319.14 |
$3,319.14 |
$1,418.18
|
|
Ghs abscess postoperative iandd complex
|
$15,299.05 |
$15,299.05 |
$15,299.05 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$509.78 |
$509.78 |
$509.78 |
$42.72
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,974.99 |
$1,974.99 |
$1,974.99 |
$371.84
|
|
Ghs diphtheria toxoid ab igg
|
$298.18 |
$298.18 |
$298.18 |
$62.05
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,233.35 |
$2,233.35 |
$2,233.35 |
$1,432.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,329.70 |
$1,329.70 |
$1,329.70 |
$593.91
|
|
Ghs fat & muscle
|
$841.62 |
$841.62 |
$841.62 |
$38.08
|
|
Ghs fish cytogen
|
$609.17 |
$609.17 |
$609.17 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$1,139.78 |
$1,139.78 |
$1,139.78 |
$223.00
|
