|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$5,452.92 |
$5,452.92 |
$5,452.92 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$93.92 |
$93.92 |
$93.92 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$54.15 |
$54.15 |
$54.15 |
$56.89
|
|
Entamoeb hist dispr ag ia
|
$109.20 |
$109.20 |
$109.20 |
$72.00
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$30,598.85 |
$30,598.85 |
$30,598.85 |
$30,598.85
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$491.04 |
$491.04 |
$491.04 |
$248.81
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$873.58 |
$873.58 |
$873.58 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$2,116.62 |
$2,116.62 |
$2,116.62 |
$1,289.71
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$121.99 |
$121.99 |
$121.99 |
$129.30
|
|
Epstein barr early antigen antibody
|
$43.65 |
$43.65 |
$43.65 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$43.65 |
$43.65 |
$43.65 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$110.55 |
$110.55 |
$110.55 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,077.29 |
$1,077.29 |
$1,077.29 |
$393.98
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$5,054.40
|
|
Ercp ea duct/ampulla dilate
|
$2,282.85 |
$2,282.85 |
$2,282.85 |
$4,157.89
|
|
Ercp lithotripsy calculi
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$2,282.85 |
$2,282.85 |
$2,282.85 |
$3,986.00
|
|
Ercp remove forgn body duct 43275
|
$2,144.25 |
$2,144.25 |
$2,144.25 |
$2,859.02
|
|
Ercp w/specimen collection
|
$4,494.90 |
$4,494.90 |
$4,494.90 |
$4,494.90
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$277.91 |
$277.91 |
$277.91 |
$222.98
|
|
ER Visit (level 1, minor)
|
$184.50 |
$184.50 |
$184.50 |
$246.24
|
|
ER Visit (level 2)
|
$298.65 |
$298.65 |
$298.65 |
$452.20
|
|
ER Visit (level 3)
|
$579.15 |
$579.15 |
$579.15 |
$770.04
|
|
ER Visit (level 4)
|
$845.10 |
$845.10 |
$845.10 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$1,820.02
|
|
Erwinaze injection
|
$9.00 |
$9.00 |
$9.00 |
$6,423.46
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$182.60 |
$182.60 |
$182.60 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$279.72 |
$279.72 |
$279.72 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$997.76 |
$997.76 |
$997.76 |
$553.88
|
|
Esophagoscopy/flex/diagnostic 43200
|
$1,824.75 |
$1,824.75 |
$1,824.75 |
$1,296.00
|
|
Esophagoscopy lesion ablate
|
$2,282.85 |
$2,282.85 |
$2,282.85 |
$4,502.13
|
|
Esoph egd dilation <30 mm
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$387.00 |
$387.00 |
$387.00 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$508.20 |
$508.20 |
$508.20 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$710.40 |
$710.40 |
$710.40 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$872.85 |
$872.85 |
$872.85 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$1,074.90 |
$1,074.90 |
$1,074.90 |
$280.33
|
|
Estradiol total
|
$30.90 |
$30.90 |
$30.90 |
$146.50
|
|
Estradiol valerate 10 mg inj
|
$57.35 |
$57.35 |
$57.35 |
$57.35
|
|
Etanercept injection
|
$3,172.86 |
$3,172.86 |
$3,172.86 |
$3,172.86
|
|
Ethanolamine oleate 100 mg
|
$713.40 |
$713.40 |
$713.40 |
$751.36
|
|
Ethylene glycol -sendout
|
$138.00 |
$138.00 |
$138.00 |
$89.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$367.96 |
$367.96 |
$367.96 |
$235.20
|
|
Etoposide 50 mg cap
|
$90.40 |
$90.40 |
$90.40 |
$135.02
|
|
Euflexxa inj per dose
|
$778.96 |
$778.96 |
$778.96 |
$587.51
|
|
Eval/fit voice prosthesis iii, st
|
$345.75 |
$345.75 |
$345.75 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$492.45 |
$492.45 |
$492.45 |
$219.60
|
|
Evoked potentials upper limbs
|
$812.40 |
$812.40 |
$812.40 |
$908.54
|
|
Exc benign tal 0.5 < cm 11400
|
$827.40 |
$827.40 |
$827.40 |
$827.40
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$827.40 |
$827.40 |
$827.40 |
$1,372.15
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$827.40 |
$827.40 |
$827.40 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,896.60 |
$1,896.60 |
$1,896.60 |
$2,865.00
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$1,813.35 |
$1,813.35 |
$1,813.35 |
$3,386.84
|
|
Exc thrombosed hemorrhoid 46320
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
$2,099.00
|
|
Exercise tst brncspsm w/ecg
|
$324.00 |
$324.00 |
$324.00 |
$318.50
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$60.27 |
$60.27 |
$60.27 |
$2,470.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$5,520.00 |
$5,520.00 |
$5,520.00 |
$4,048.38
|
|
Explore wound abdomen 20102
|
$1,681.65 |
$1,681.65 |
$1,681.65 |
$2,568.80
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$4,662.30 |
$4,662.30 |
$4,662.30 |
$3,623.43
|
|
Extension drainage tubing
|
$27.60 |
$27.60 |
$27.60 |
$27.60
|
|
External chromosome analysis 20-25 cells
|
$263.25 |
$263.25 |
$263.25 |
$384.15
|
|
External newborn metabolic screening panel
|
$176.10 |
$176.10 |
$176.10 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$241.91 |
$241.91 |
$241.91 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$177.37 |
$177.37 |
$177.37 |
$108.60
|
|
F-18 fdg pet diag
|
$427.05 |
$427.05 |
$427.05 |
$551.72
|
|
Facial bones <3
|
$252.60 |
$252.60 |
$252.60 |
$252.60
|
|
Factor ix
|
$269.55 |
$269.55 |
$269.55 |
$156.13
|
|
Factor ix complex
|
$3.70 |
$3.70 |
$3.70 |
$5.91
|
|
Factor ix non-recombinant
|
$4.63 |
$4.63 |
$4.63 |
$4.63
|
|
Factor ix recombinant nos
|
$4.65 |
$4.65 |
$4.65 |
$4.65
|
|
Factor viii
|
$252.75 |
$252.75 |
$252.75 |
$133.81
|
|
Factor viii
|
$4.38 |
$4.38 |
$4.38 |
$5.02
|
|
Factor viii nuwiq recomb 1iu
|
$5.20 |
$5.20 |
$5.20 |
$5.20
|
|
Factor viii recombinant nos
|
$5.20 |
$5.20 |
$5.20 |
$6.56
|
|
Factor viii recomb novoeight
|
$5.91 |
$5.91 |
$5.91 |
$7.39
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$5,349.71 |
$5,349.71 |
$5,349.71 |
$5,800.72
|
|
Fat/lipids feces qualitative
|
$52.20 |
$52.20 |
$52.20 |
$38.35
|
|
Fatty acids nonesterified
|
$129.15 |
$129.15 |
$129.15 |
$64.28
|
|
#fecal-sodium
|
$108.30 |
$108.30 |
$108.30 |
$37.50
|
|
Femoral lgth sock fx or equa
|
$126.42 |
$126.42 |
$126.42 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$101.40 |
$101.40 |
$101.40 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,748.37 |
$2,748.37 |
$2,748.37 |
$2,590.25
|
|
Ferritin
|
$76.65 |
$76.65 |
$76.65 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,363.39 |
$2,363.39 |
$2,363.39 |
$1,776.61
|
|
Fetal aneuploidy trisom risk
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$1,077.00
|
|
Fetal biophys profile w/nst 76818
|
$381.75 |
$381.75 |
$381.75 |
$535.37
|
|
Fetal chrom aneuploidy gsa panel
|
$870.00 |
$870.00 |
$870.00 |
$1,206.81
|
|
Fetal fibronectin
|
$547.65 |
$547.65 |
$547.65 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$335.40 |
$335.40 |
$335.40 |
$105.12
|
|
Fetal hemoglobin rosette
|
$102.00 |
$102.00 |
$102.00 |
$67.20
|
|
Fetal non stress test
|
$337.50 |
$337.50 |
$337.50 |
$463.03
|
|
Fibrin degradation d dimer quantitative
|
$407.55 |
$407.55 |
$407.55 |
$117.70
|
|
Fibrin degradation products
|
$279.90 |
$279.90 |
$279.90 |
$62.64
|
|
Fibrinogen activity
|
$246.00 |
$246.00 |
$246.00 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$64.05 |
$64.05 |
$64.05 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$84.03 |
$84.03 |
$84.03 |
$72.80
|
|
Fibrinolytic plasminogen
|
$156.15 |
$156.15 |
$156.15 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$48.90 |
$48.90 |
$48.90 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$756.87 |
$756.87 |
$756.87 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,052.24 |
$1,052.24 |
$1,052.24 |
$1,096.24
|
