|
Endoscopy swallow (fees) vid
|
$54.81 |
$54.81 |
$54.81 |
$402.35
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$911.52 |
$911.52 |
$911.52 |
$10,962.88
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$12.69 |
$12.69 |
$12.69 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$215.46 |
$215.46 |
$215.46 |
$66.47
|
|
Enzyme histochemistry
|
$148.23 |
$148.23 |
$148.23 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$11,512.71 |
$11,512.71 |
$11,512.71 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$9,910.98 |
$9,910.98 |
$9,910.98 |
$30,975.00
|
|
Epidural/lumbar/sacral/ea add level64484
|
$682.02 |
$682.02 |
$682.02 |
$1,182.00
|
|
Ep induct arrhy by elect pacing
|
$1,063.26 |
$1,063.26 |
$1,063.26 |
$2,753.40
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$34.47 |
$34.47 |
$34.47 |
$195.23
|
|
Epoetin alfa, 100 units esrd
|
$1.62 |
$1.62 |
$1.62 |
$41.32
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$219.24 |
$219.24 |
$219.24 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$125.10 |
$125.10 |
$125.10 |
$950.55
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$178.29 |
$178.29 |
$178.29 |
$136.00
|
|
Epstein barr early antigen antibody
|
$71.64 |
$71.64 |
$71.64 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$81.81 |
$81.81 |
$81.81 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$219.51 |
$219.51 |
$219.51 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$20.70 |
$20.70 |
$20.70 |
$363.57
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$712.89 |
$712.89 |
$712.89 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$184.50 |
$184.50 |
$184.50 |
$943.50
|
|
Ercp w/specimen collection
|
$21,191.67 |
$21,191.67 |
$21,191.67 |
$4,440.54
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$137.61 |
$137.61 |
$137.61 |
$3,855.08
|
|
ER Visit (level 1, minor)
|
$282.33 |
$282.33 |
$282.33 |
$276.70
|
|
ER Visit (level 2)
|
$548.37 |
$548.37 |
$548.37 |
$487.50
|
|
ER Visit (level 3)
|
$731.43 |
$731.43 |
$731.43 |
$850.50
|
|
ER Visit (level 4)
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$601.11 |
$601.11 |
$601.11 |
$260.24
|
|
Esophageal dilat s&i
|
$420.66 |
$420.66 |
$420.66 |
$525.00
|
|
Esophageal recording
|
$7,178.13 |
$7,178.13 |
$7,178.13 |
$1,963.00
|
|
Esophageal recording
|
$8,397.90 |
$8,397.90 |
$8,397.90 |
$1,963.00
|
|
Esophagus motility study
|
$1,623.42 |
$1,623.42 |
$1,623.42 |
$1,289.20
|
|
Esophgl motil w/stim/perfus
|
$1,461.51 |
$1,461.51 |
$1,461.51 |
$1,075.06
|
|
Esoph imped function test
|
$331.38 |
$331.38 |
$331.38 |
$597.03
|
|
Establish access to artery
|
$190.98 |
$190.98 |
$190.98 |
$1,145.65
|
|
Estradiol total
|
$573.30 |
$573.30 |
$573.30 |
$153.00
|
|
Estradiol valerate 10 mg inj
|
$107.10 |
$107.10 |
$107.10 |
$63.50
|
|
Etanercept injection
|
$231.03 |
$231.03 |
$231.03 |
$1,801.20
|
|
Ethylene glycol -sendout
|
$77.40 |
$77.40 |
$77.40 |
$75.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$148.77 |
$148.77 |
$148.77 |
$213.17
|
|
Etoposide 50 mg cap
|
$107.10 |
$107.10 |
$107.10 |
$196.27
|
|
Euglobulin lysis
|
$110.52 |
$110.52 |
$110.52 |
$39.75
|
|
Eval/fit voice prosthesis iii, st
|
$251.19 |
$251.19 |
$251.19 |
$370.41
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$109.62 |
$109.62 |
$109.62 |
$219.60
|
|
Evaluation heart device
|
$1,433.43 |
$1,433.43 |
$1,433.43 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$265.50 |
$265.50 |
$265.50 |
$347.75
|
|
Event monitor
|
$168.66 |
$168.66 |
$168.66 |
$242.12
|
|
Evoked auditory tst complete
|
$67.50 |
$67.50 |
$67.50 |
$368.50
|
|
Evoked oa emissions ltd
|
$91.89 |
$91.89 |
$91.89 |
$273.00
|
|
Evoked potentials upper limbs
|
$229.77 |
$229.77 |
$229.77 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$539.91 |
$539.91 |
$539.91 |
$829.44
|
|
Exchange blood transfusion newborn 36450
|
$324.90 |
$324.90 |
$324.90 |
$517.34
|
|
Exchange drainage catheter
|
$1,414.62 |
$1,414.62 |
$1,414.62 |
$2,256.80
|
|
Exercise tst brncspsm w/ecg
|
$157.41 |
$157.41 |
$157.41 |
$337.50
|
|
Ext ecg>48hr<7d scan a/r
|
$168.66 |
$168.66 |
$168.66 |
$251.71
|
|
Ext ecg>7d<15d scan a/r
|
$168.66 |
$168.66 |
$168.66 |
$262.20
|
|
External chromosome analysis 20-25 cells
|
$969.39 |
$969.39 |
$969.39 |
$389.35
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$100.80 |
$100.80 |
$100.80 |
$61.32
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$605.52 |
$605.52 |
$605.52 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$157.95 |
$157.95 |
$157.95 |
$102.78
|
|
Facial bones <3
|
$206.64 |
$206.64 |
$206.64 |
$248.60
|
|
Factor ix
|
$237.69 |
$237.69 |
$237.69 |
$131.30
|
|
Factor ix alprolix recomb
|
$1.98 |
$1.98 |
$1.98 |
$3.59
|
|
Factor ix complex
|
$1.35 |
$1.35 |
$1.35 |
$3.23
|
|
Factor ix idelvion inj
|
$2.07 |
$2.07 |
$2.07 |
$5.05
|
|
Factor ix non-recombinant
|
$1.35 |
$1.35 |
$1.35 |
$1.41
|
|
Factor ix recomb gly rebinyn
|
$1.89 |
$1.89 |
$1.89 |
$4.57
|
|
Factor ix recombinant nos
|
$1.44 |
$1.44 |
$1.44 |
$3.04
|
|
Factor viii
|
$135.63 |
$135.63 |
$135.63 |
$144.30
|
|
Factor viii
|
$1.35 |
$1.35 |
$1.35 |
$1.61
|
|
Factor viii fc fusion recomb
|
$10,982.61 |
$10,982.61 |
$10,982.61 |
$2.42
|
|
Factor viii nuwiq recomb 1iu
|
$0.81 |
$0.81 |
$0.81 |
$1.24
|
|
Factor viii pegylated recomb
|
$0.99 |
$0.99 |
$0.99 |
$2.10
|
|
Factor viii recombinant nos
|
$1.35 |
$1.35 |
$1.35 |
$4.68
|
|
Factor viii recomb novoeight
|
$0.90 |
$0.90 |
$0.90 |
$1.38
|
|
Fallopian tube recnl
|
$2,719.98 |
$2,719.98 |
$2,719.98 |
$3,624.75
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$1,006.74 |
$1,006.74 |
$1,006.74 |
$7,077.64
|
|
Fat/lipids feces qualitative
|
$155.70 |
$155.70 |
$155.70 |
$34.56
|
|
Fatty acids nonesterified
|
$61.02 |
$61.02 |
$61.02 |
$57.60
|
|
#fecal-sodium
|
$37.53 |
$37.53 |
$37.53 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$29.52 |
$29.52 |
$29.52 |
$66.43
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$102.69 |
$102.69 |
$102.69 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,583.01 |
$1,583.01 |
$1,583.01 |
$2,027.60
|
|
Ferritin
|
$118.89 |
$118.89 |
$118.89 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$515.70 |
$515.70 |
$515.70 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$844.29 |
$844.29 |
$844.29 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$327.33 |
$327.33 |
$327.33 |
$540.54
|
|
Fetal fibronectin
|
$373.41 |
$373.41 |
$373.41 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$152.01 |
$152.01 |
$152.01 |
$88.80
|
|
Fetal hemoglobin rosette
|
$42.39 |
$42.39 |
$42.39 |
$76.70
|
|
Fetal non stress test
|
$200.43 |
$200.43 |
$200.43 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$102.96 |
$102.96 |
$102.96 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$91.62 |
$91.62 |
$91.62 |
$112.80
|
|
Fibrinogen activity
|
$128.34 |
$128.34 |
$128.34 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$92.88 |
$92.88 |
$92.88 |
$66.00
|
|
Fibrinolytic plasminogen
|
$584.19 |
$584.19 |
$584.19 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$121.32 |
$121.32 |
$121.32 |
$59.89
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$404.91 |
$404.91 |
$404.91 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$118.53 |
$118.53 |
$118.53 |
$973.70
|
|
Finger joint sz00 swanson w/grommets
|
$6,964.83 |
$6,964.83 |
$6,964.83 |
$3,605.86
|
