|
Endo, single, pulmonary
|
$8,253.75 |
$8,253.75 |
$8,253.75 |
$1,046.66
|
|
Endoskel knee-shin mnl lock
|
$1,113.22 |
$1,113.22 |
$1,113.22 |
$1,097.21
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$290.42 |
$290.42 |
$290.42 |
$109.71
|
|
Eo, adj lock joint prefab ot
|
$1,092.64 |
$1,092.64 |
$1,092.64 |
$456.96
|
|
Eo elas w/metal jnts pre ots
|
$311.96 |
$311.96 |
$311.96 |
$145.60
|
|
Epilepsy gen seq alys panel
|
$3,856.50 |
$3,856.50 |
$3,856.50 |
$3,142.35
|
|
Epinephrine 1 mg/ml im kit - adult
|
$186.73 |
$186.73 |
$186.73 |
$25.30
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$48.00 |
$48.00 |
$48.00 |
$34.13
|
|
Epoetin alfa, 100 units esrd
|
$1,058.31 |
$1,058.31 |
$1,058.31 |
$4.82
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$436.79 |
$436.79 |
$436.79 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$196.97 |
$196.97 |
$196.97 |
$1,289.71
|
|
Epstein barr early antigen antibody
|
$219.60 |
$219.60 |
$219.60 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$219.60 |
$219.60 |
$219.60 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$76.50 |
$76.50 |
$76.50 |
$91.00
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$6,345.00 |
$6,345.00 |
$6,345.00 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$191.57 |
$191.57 |
$191.57 |
$222.98
|
|
ER Visit (level 1, minor)
|
$167.70 |
$167.70 |
$167.70 |
$246.24
|
|
ER Visit (level 2)
|
$825.60 |
$825.60 |
$825.60 |
$452.20
|
|
ER Visit (level 3)
|
$1,014.60 |
$1,014.60 |
$1,014.60 |
$770.04
|
|
ER Visit (level 4)
|
$1,534.20 |
$1,534.20 |
$1,534.20 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$2,010.90 |
$2,010.90 |
$2,010.90 |
$1,820.02
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$1,624.01 |
$1,624.01 |
$1,624.01 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,746.32 |
$1,746.32 |
$1,746.32 |
$553.88
|
|
Esophagoscopy flex biopsy
|
$726.00 |
$726.00 |
$726.00 |
$2,132.00
|
|
Esophagoscopy flex remove fb
|
$726.00 |
$726.00 |
$726.00 |
$2,099.70
|
|
Esoph egd dilation <30 mm
|
$6,067.30 |
$6,067.30 |
$6,067.30 |
$2,656.80
|
|
Estradiol total
|
$429.60 |
$429.60 |
$429.60 |
$146.50
|
|
Estrogens total-sendout
|
$46.20 |
$46.20 |
$46.20 |
$96.20
|
|
Etoposide 20 mg/ml intravenous solution
|
$171.00 |
$171.00 |
$171.00 |
$235.20
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$106.80 |
$106.80 |
$106.80 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$123.60 |
$123.60 |
$123.60 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$183.90 |
$183.90 |
$183.90 |
$312.00
|
|
Event monitor
|
$483.30 |
$483.30 |
$483.30 |
$242.65
|
|
Ewhfo w/joint(s) cf
|
$2,966.53 |
$2,966.53 |
$2,966.53 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$1,711.03 |
$1,711.03 |
$1,711.03 |
$907.92
|
|
Exc benign tal 0.5 < cm 11400
|
$270.60 |
$270.60 |
$270.60 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$270.60 |
$270.60 |
$270.60 |
$914.34
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$554.40 |
$554.40 |
$554.40 |
$1,372.15
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$155.70 |
$155.70 |
$155.70 |
$765.50
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$1,076.70 |
$1,076.70 |
$1,076.70 |
$3,386.84
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$5,804.25 |
$5,804.25 |
$5,804.25 |
$4,048.38
|
|
Exploration of toe joint
|
$597.90 |
$597.90 |
$597.90 |
$1,893.86
|
|
Explore penetrating wnd/extremity 20103
|
$625.20 |
$625.20 |
$625.20 |
$1,788.80
|
|
Explore/treat finger joint
|
$597.90 |
$597.90 |
$597.90 |
$2,146.20
|
|
Extended steel shank
|
$123.78 |
$123.78 |
$123.78 |
$122.00
|
|
Extension per extension per
|
$136.40 |
$136.40 |
$136.40 |
$143.44
|
|
External chromosome analysis 20-25 cells
|
$264.00 |
$264.00 |
$264.00 |
$384.15
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$20.70 |
$20.70 |
$20.70 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$262.50 |
$262.50 |
$262.50 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$206.70 |
$206.70 |
$206.70 |
$108.60
|
|
Eye implant band 40
|
$3,794.81 |
$3,794.81 |
$3,794.81 |
$6,394.52
|
|
F-18 fdg pet diag
|
$644.18 |
$644.18 |
$644.18 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$6,000.54 |
$6,000.54 |
$6,000.54 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$361,069.80 |
$361,069.80 |
$361,069.80 |
$940.00
|
|
Facial bones <3
|
$625.80 |
$625.80 |
$625.80 |
$252.60
|
|
Factor ix
|
$74.40 |
$74.40 |
$74.40 |
$156.13
|
|
Factor viii
|
$158.10 |
$158.10 |
$158.10 |
$133.81
|
|
Family therapy without pt 50min 90846
|
$368.10 |
$368.10 |
$368.10 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$368.10 |
$368.10 |
$368.10 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$48.00 |
$48.00 |
$48.00 |
$22.20
|
|
Fat/lipids feces qualitative
|
$16.80 |
$16.80 |
$16.80 |
$38.35
|
|
Fatty acids nonesterified
|
$300.00 |
$300.00 |
$300.00 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$1,135.82 |
$1,135.82 |
$1,135.82 |
$956.25
|
|
#fecal-sodium
|
$17.10 |
$17.10 |
$17.10 |
$37.50
|
|
Femoral lgth sock fx or equa
|
$129.53 |
$129.53 |
$129.53 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$101.40
|
|
Ferritin
|
$454.50 |
$454.50 |
$454.50 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$873.68 |
$873.68 |
$873.68 |
$1,776.61
|
|
Fetal chrmoml microdeltj
|
$347.40 |
$347.40 |
$347.40 |
$834.96
|
|
Fetal chrom aneuploidy gsa panel
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,206.81
|
|
Fetal fibronectin
|
$279.60 |
$279.60 |
$279.60 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$66.90 |
$66.90 |
$66.90 |
$105.12
|
|
Fibrin degradation d dimer quantitative
|
$292.50 |
$292.50 |
$292.50 |
$117.70
|
|
Fibrinogen activity
|
$277.20 |
$277.20 |
$277.20 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$25.50 |
$25.50 |
$25.50 |
$64.05
|
|
Fibrinolytic plasminogen
|
$241.50 |
$241.50 |
$241.50 |
$107.50
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$2,976.21 |
$2,976.21 |
$2,976.21 |
$595.48
|
|
Filter spider fx 3mmx320cm
|
$39,837.66 |
$39,837.66 |
$39,837.66 |
$7,160.28
|
|
Filter vena cava fem denali
|
$5,514.04 |
$5,514.04 |
$5,514.04 |
$3,718.18
|
|
Finger joint sz00 swanson w/grommets
|
$6,105.16 |
$6,105.16 |
$6,105.16 |
$4,584.72
|
|
Flex thermoplastic collar mo
|
$413.49 |
$413.49 |
$413.49 |
$187.60
|
|
Florbetaben f18 diagnostic
|
$7,140.00 |
$7,140.00 |
$7,140.00 |
$4,339.98
|
|
Flow cytometry marker each additional
|
$57.60 |
$57.60 |
$57.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$107.10 |
$107.10 |
$107.10 |
$284.40
|
|
Floweramniopatch, per sq cm
|
$6,814.14 |
$6,814.14 |
$6,814.14 |
$6,814.14
|
|
Flt3 gene
|
$302.40 |
$302.40 |
$302.40 |
$355.00
|
|
Flt3 gene analysis
|
$151.50 |
$151.50 |
$151.50 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$122.31 |
$122.31 |
$122.31 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$481.07 |
$481.07 |
$481.07 |
$493.35
|
|
Fluid pressure muscle 20950
|
$270.60 |
$270.60 |
$270.60 |
$768.94
|
|
Fluorescent antibody titer dna
|
$50.10 |
$50.10 |
$50.10 |
$122.82
|
|
Fluoroestradiol f 18
|
$9,691.50 |
$9,691.50 |
$9,691.50 |
$1,491.00
|
|
Fluoroscopy up to 1 hour
|
$384.90 |
$384.90 |
$384.90 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$267.30 |
$267.30 |
$267.30 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$87.88 |
$87.88 |
$87.88 |
$72.52
|
|
Flutemetamol f18 diagnostic
|
$166,320.00 |
$166,320.00 |
$166,320.00 |
$5,215.08
|
|
Folic acid
|
$286.20 |
$286.20 |
$286.20 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$54.75
|
|
Fomepizole 1 gram/ml intravenous solution
|
$6,301.42 |
$6,301.42 |
$6,301.42 |
$2,581.14
|
|
Fo nontorsion joint cf
|
$482.66 |
$482.66 |
$482.66 |
$217.50
|
