|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$21.00 |
$21.00 |
$21.00 |
$31.80
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,025.79 |
$1,025.79 |
$1,025.79 |
$823.91
|
|
Epstein barr early antigen antibody
|
$88.80 |
$88.80 |
$88.80 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$96.60 |
$96.60 |
$96.60 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$109.20 |
$109.20 |
$109.20 |
$89.60
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$322.65 |
$322.65 |
$322.65 |
$404.57
|
|
Ercp biliary & pancreas
|
$1,489.20 |
$1,489.20 |
$1,489.20 |
$967.04
|
|
Ercp remove forgn body duct 43275
|
$12,675.41 |
$12,675.41 |
$12,675.41 |
$2,724.48
|
|
ER Visit (level 1, minor)
|
$432.00 |
$432.00 |
$432.00 |
$246.54
|
|
ER Visit (level 2)
|
$748.20 |
$748.20 |
$748.20 |
$452.20
|
|
ER Visit (level 3)
|
$1,115.40 |
$1,115.40 |
$1,115.40 |
$770.04
|
|
ER Visit (level 4)
|
$2,041.80 |
$2,041.80 |
$2,041.80 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$2,585.40 |
$2,585.40 |
$2,585.40 |
$1,828.80
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$786.85 |
$786.85 |
$786.85 |
$222.16
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$928.52 |
$928.52 |
$928.52 |
$528.36
|
|
Esophagoscopy flex biopsy
|
$2,419.80 |
$2,419.80 |
$2,419.80 |
$2,101.52
|
|
Esophagoscopy/flex/diagnostic 43200
|
$10,610.68 |
$10,610.68 |
$10,610.68 |
$1,263.27
|
|
Esophagoscopy flex remove fb
|
$2,418.00 |
$2,418.00 |
$2,418.00 |
$2,086.80
|
|
Esoph egd dilation <30 mm
|
$10,818.62 |
$10,818.62 |
$10,818.62 |
$2,638.57
|
|
Established Patient Office Visit (level 1)
|
$132.60 |
$132.60 |
$132.60 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$156.60 |
$156.60 |
$156.60 |
$135.20
|
|
Established Patient Office Visit (level 3)
|
$172.20 |
$172.20 |
$172.20 |
$178.20
|
|
Established Patient Office Visit (level 4)
|
$281.40 |
$281.40 |
$281.40 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$264.60 |
$264.60 |
$264.60 |
$275.50
|
|
Estradiol total
|
$157.80 |
$157.80 |
$157.80 |
$151.80
|
|
Estrogens total-sendout
|
$123.00 |
$123.00 |
$123.00 |
$97.06
|
|
Etoposide 20 mg/ml intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$235.20
|
|
Eval/fit voice prosthesis iii, st
|
$304.80 |
$304.80 |
$304.80 |
$350.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$365.40 |
$365.40 |
$365.40 |
$212.40
|
|
Evaluation of speech fluency 92521
|
$200.40 |
$200.40 |
$200.40 |
$310.20
|
|
Event monitor
|
$186.60 |
$186.60 |
$186.60 |
$242.12
|
|
Evoked oa emissions ltd
|
$253.80 |
$253.80 |
$253.80 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$67.80 |
$67.80 |
$67.80 |
$259.60
|
|
Ewhfo w/joint(s) cf
|
$5,160.93 |
$5,160.93 |
$5,160.93 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$2,976.71 |
$2,976.71 |
$2,976.71 |
$1,079.00
|
|
Exc back tum deep 5 cm/>
|
$8,931.35 |
$8,931.35 |
$8,931.35 |
$3,805.88
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$12,301.36 |
$12,301.36 |
$12,301.36 |
$2,244.20
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$8,874.49 |
$8,874.49 |
$8,874.49 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$901.80 |
$901.80 |
$901.80 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$901.80 |
$901.80 |
$901.80 |
$923.06
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$3,065.40 |
$3,065.40 |
$3,065.40 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$10,179.58 |
$10,179.58 |
$10,179.58 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$518.40 |
$518.40 |
$518.40 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$15,300.34 |
$15,300.34 |
$15,300.34 |
$1,244.03
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$75,090.36 |
$75,090.36 |
$75,090.36 |
$7,807.24
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$98,851.88 |
$98,851.88 |
$98,851.88 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$9,137.48 |
$9,137.48 |
$9,137.48 |
$3,628.50
|
|
Exchange nephrostomy cath
|
$3,437.40 |
$3,437.40 |
$3,437.40 |
$2,955.48
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$15,801.06 |
$15,801.06 |
$15,801.06 |
$3,398.50
|
|
Excise foot tendon sheath
|
$39,833.80 |
$39,833.80 |
$39,833.80 |
$3,839.54
|
|
Excise intrspinl lesion lmbr
|
$26,015.20 |
$26,015.20 |
$26,015.20 |
$5,339.00
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$18,755.36 |
$18,755.36 |
$18,755.36 |
$2,623.00
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$15,801.06 |
$15,801.06 |
$15,801.06 |
$1,995.00
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$15,801.06 |
$15,801.06 |
$15,801.06 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$17,455.30 |
$17,455.30 |
$17,455.30 |
$2,760.60
|
|
Excision lesion mouth roof
|
$13,118.71 |
$13,118.71 |
$13,118.71 |
$3,837.72
|
|
Excision of anal lesion(s)
|
$9,878.65 |
$9,878.65 |
$9,878.65 |
$3,816.64
|
|
Excision of neck cyst confined 42810
|
$19,531.57 |
$19,531.57 |
$19,531.57 |
$3,986.00
|
|
Excision of penis lesion(s) 54060
|
$14,793.20 |
$14,793.20 |
$14,793.20 |
$2,479.33
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$13,863.61 |
$13,863.61 |
$13,863.61 |
$3,650.40
|
|
Excis partial tal calc
|
$40,790.73 |
$40,790.73 |
$40,790.73 |
$3,591.33
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$40,790.73 |
$40,790.73 |
$40,790.73 |
$2,296.00
|
|
Exc neck tum deep < 5 cm
|
$8,565.01 |
$8,565.01 |
$8,565.01 |
$3,501.81
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$448.80 |
$448.80 |
$448.80 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$62,716.55 |
$62,716.55 |
$62,716.55 |
$3,752.25
|
|
Exc rect tum transanal full
|
$11,672.09 |
$11,672.09 |
$11,672.09 |
$3,245.23
|
|
Exc rect tum transanal part
|
$11,331.42 |
$11,331.42 |
$11,331.42 |
$3,245.23
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$53,733.97 |
$53,733.97 |
$53,733.97 |
$2,310.40
|
|
Exc thigh/knee tum deep <5cm
|
$5,649.60 |
$5,649.60 |
$5,649.60 |
$3,167.89
|
|
Exc vagina lesion 57135
|
$9,690.86 |
$9,690.86 |
$9,690.86 |
$4,232.80
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$10,097.76 |
$10,097.76 |
$10,097.76 |
$4,101.67
|
|
Exploration maxillary sinus
|
$31,835.57 |
$31,835.57 |
$31,835.57 |
$4,341.97
|
|
Exploration of toe joint
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,893.86
|
|
Explore parathyroid glands
|
$36,532.38 |
$36,532.38 |
$36,532.38 |
$6,966.64
|
|
Explore penetrating wnd/extremity 20103
|
$2,083.80 |
$2,083.80 |
$2,083.80 |
$1,788.80
|
|
Explore/treat finger joint
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$2,146.20
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$14,397.66 |
$14,397.66 |
$14,397.66 |
$2,734.20
|
|
Extended steel shank
|
$215.34 |
$215.34 |
$215.34 |
$111.44
|
|
Extension per extension per
|
$237.30 |
$237.30 |
$237.30 |
$134.44
|
|
External chromosome analysis 20-25 cells
|
$578.40 |
$578.40 |
$578.40 |
$393.60
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$305.40 |
$305.40 |
$305.40 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$545.40 |
$545.40 |
$545.40 |
$431.40
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$126.00 |
$126.00 |
$126.00 |
$109.18
|
|
Eye implant band 40
|
$6,601.90 |
$6,601.90 |
$6,601.90 |
$7,410.03
|
|
F-18 fdg pet diag
|
$200.40 |
$200.40 |
$200.40 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$6,857.76 |
$6,857.76 |
$6,857.76 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$813.60 |
$813.60 |
$813.60 |
$989.72
|
|
Facial bones <3
|
$401.40 |
$401.40 |
$401.40 |
$252.60
|
|
Factor ix
|
$202.80 |
$202.80 |
$202.80 |
$160.14
|
|
Factor viii
|
$315.00 |
$315.00 |
$315.00 |
$138.45
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$21.00 |
$21.00 |
$21.00 |
$22.20
|
|
Fancc gene
|
$112.80 |
$112.80 |
$112.80 |
$147.31
|
|
Fat/lipids feces qualitative
|
$45.60 |
$45.60 |
$45.60 |
$37.44
|
|
Fatty acids nonesterified
|
$600.00 |
$600.00 |
$600.00 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$1,976.01 |
$1,976.01 |
$1,976.01 |
$956.25
|
|
#fecal-sodium
|
$28.20 |
$28.20 |
$28.20 |
$37.96
|
|
Felbamate (felbatol(r)) - sendout
|
$68.40 |
$68.40 |
$68.40 |
$58.20
|
|
Femoral lgth sock fx or equa
|
$225.35 |
$225.35 |
$225.35 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$32.27 |
$32.27 |
$32.27 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$6,847.57 |
$6,847.57 |
$6,847.57 |
$2,515.99
|