|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$457.54 |
$457.54 |
$457.54 |
$521.65
|
|
Esophageal dilat s&i
|
$444.76 |
$444.76 |
$444.76 |
$550.00
|
|
Esophageal motility
|
$490.47 |
$490.47 |
$490.47 |
$655.45
|
|
Esophagoscopy balloon <30mm
|
$642.07 |
$642.07 |
$642.07 |
$2,361.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$667.99 |
$667.99 |
$667.99 |
$1,259.70
|
|
Esophagoscopy flex remove fb
|
$716.01 |
$716.01 |
$716.01 |
$2,065.80
|
|
Esophagus motility study
|
$618.35 |
$618.35 |
$618.35 |
$1,257.17
|
|
Esoph egd dilation <30 mm
|
$2,004.17 |
$2,004.17 |
$2,004.17 |
$2,638.57
|
|
Esoph imped function test
|
$430.18 |
$430.18 |
$430.18 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$426.27 |
$426.27 |
$426.27 |
$1,089.15
|
|
Establish access to aorta
|
$556.57 |
$556.57 |
$556.57 |
$1,191.04
|
|
Established Patient Office Visit (level 1)
|
$70.93 |
$70.93 |
$70.93 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$98.55 |
$98.55 |
$98.55 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$135.89 |
$135.89 |
$135.89 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$162.57 |
$162.57 |
$162.57 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$222.51 |
$222.51 |
$222.51 |
$287.10
|
|
Estradiol total
|
$139.02 |
$139.02 |
$139.02 |
$149.43
|
|
Estradiol valerate 10 mg inj
|
$112.79 |
$112.79 |
$112.79 |
$57.35
|
|
Ethanolamine oleate 100 mg
|
$1,604.94 |
$1,604.94 |
$1,604.94 |
$875.55
|
|
Ethylene glycol -sendout
|
$41.05 |
$41.05 |
$41.05 |
$85.00
|
|
Etonogestrel implant system
|
$1,485.96 |
$1,485.96 |
$1,485.96 |
$2,071.74
|
|
Etoposide 20 mg/ml intravenous solution
|
$6,542.84 |
$6,542.84 |
$6,542.84 |
$235.20
|
|
Euglobulin lysis
|
$95.45 |
$95.45 |
$95.45 |
$63.84
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$127.04 |
$127.04 |
$127.04 |
$211.12
|
|
Evasc prlng admn rx agnt 1st
|
$2,348.08 |
$2,348.08 |
$2,348.08 |
$3,885.63
|
|
Evasc prlng admn rx agnt add
|
$946.24 |
$946.24 |
$946.24 |
$2,765.60
|
|
Evasc rpr ilio-iliac ndgft
|
$5,121.28 |
$5,121.28 |
$5,121.28 |
$7,150.44
|
|
Evasc rpr ilio-iliac rpt
|
$5,121.28 |
$5,121.28 |
$5,121.28 |
$8,996.13
|
|
Evoked potentials upper limbs
|
$381.59 |
$381.59 |
$381.59 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$340.48 |
$340.48 |
$340.48 |
$812.40
|
|
Evok oa screening qual
|
$78.60 |
$78.60 |
$78.60 |
$109.13
|
|
Exc bartholins gland/cyst
|
$1,534.76 |
$1,534.76 |
$1,534.76 |
$3,781.65
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$791.76 |
$791.76 |
$791.76 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$281.85 |
$281.85 |
$281.85 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$281.85 |
$281.85 |
$281.85 |
$923.06
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$449.02 |
$449.02 |
$449.02 |
$1,467.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$843.18 |
$843.18 |
$843.18 |
$2,121.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$1,141.58 |
$1,141.58 |
$1,141.58 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$269.92 |
$269.92 |
$269.92 |
$770.70
|
|
Exchange biliary drg cath
|
$1,427.38 |
$1,427.38 |
$1,427.38 |
$3,797.76
|
|
Exchange blood transfusion newborn 36450
|
$399.56 |
$399.56 |
$399.56 |
$566.55
|
|
Exchange drainage catheter
|
$1,359.49 |
$1,359.49 |
$1,359.49 |
$2,191.20
|
|
Excise mandible lesion
|
$2,512.16 |
$2,512.16 |
$2,512.16 |
$3,589.62
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$666.30 |
$666.30 |
$666.30 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$308.79 |
$308.79 |
$308.79 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,694.65 |
$1,694.65 |
$1,694.65 |
$2,641.65
|
|
Exc thrombosed hemorrhoid 46320
|
$947.49 |
$947.49 |
$947.49 |
$2,106.15
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$949.40 |
$949.40 |
$949.40 |
$1,949.90
|
|
Exercise w/hemodynamic meas
|
$299.75 |
$299.75 |
$299.75 |
$901.60
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$4,555.60 |
$4,555.60 |
$4,555.60 |
$4,136.83
|
|
Explore chest vessels 35820
|
$1,055.85 |
$1,055.85 |
$1,055.85 |
$3,891.00
|
|
Explore penetrating wnd/extremity 20103
|
$993.00 |
$993.00 |
$993.00 |
$1,788.80
|
|
Explore/repair chest 32110
|
$1,376.63 |
$1,376.63 |
$1,376.63 |
$3,698.00
|
|
Explore wound abdomen 20102
|
$1,016.15 |
$1,016.15 |
$1,016.15 |
$2,699.50
|
|
Explore woundchest 20101
|
$1,515.10 |
$1,515.10 |
$1,515.10 |
$2,195.00
|
|
Explore wound neck 20100
|
$598.30 |
$598.30 |
$598.30 |
$1,185.00
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$1,493.86 |
$1,493.86 |
$1,493.86 |
$3,623.43
|
|
External chromosome analysis 20-25 cells
|
$374.40 |
$374.40 |
$374.40 |
$403.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$444.00 |
$444.00 |
$444.00 |
$445.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$89.09 |
$89.09 |
$89.09 |
$109.00
|
|
F-18 fdg pet diag
|
$510.81 |
$510.81 |
$510.81 |
$551.72
|
|
Facial bones <3
|
$205.26 |
$205.26 |
$205.26 |
$252.60
|
|
Factor ix
|
$182.06 |
$182.06 |
$182.06 |
$154.50
|
|
Factor ix recombinant nos
|
$2.74 |
$2.74 |
$2.74 |
$4.65
|
|
Factor viii
|
$206.55 |
$206.55 |
$206.55 |
$144.82
|
|
Factor viii
|
$4,620.03 |
$4,620.03 |
$4,620.03 |
$4.85
|
|
Factor viii recombinant nos
|
$2.64 |
$2.64 |
$2.64 |
$5.40
|
|
Fallopian tube recnl
|
$1,152.64 |
$1,152.64 |
$1,152.64 |
$3,624.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$177.10 |
$177.10 |
$177.10 |
$22.23
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$23,108.70 |
$23,108.70 |
$23,108.70 |
$5,894.50
|
|
Fancc gene
|
$92.27 |
$92.27 |
$92.27 |
$140.00
|
|
Fat/lipids feces qualitative
|
$23.15 |
$23.15 |
$23.15 |
$36.00
|
|
Fatty acids nonesterified
|
$303.14 |
$303.14 |
$303.14 |
$64.28
|
|
#fecal-sodium
|
$33.54 |
$33.54 |
$33.54 |
$37.50
|
|
Feeding tube reposition
|
$444.76 |
$444.76 |
$444.76 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$94.12 |
$94.12 |
$94.12 |
$61.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$985.25 |
$985.25 |
$985.25 |
$101.40
|
|
Ferritin
|
$68.02 |
$68.02 |
$68.02 |
$102.07
|
|
Ferumoxytol, esrd use
|
$652.96 |
$652.96 |
$652.96 |
$0.50
|
|
Fetal biophys profile w/nst 76818
|
$388.94 |
$388.94 |
$388.94 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$724.55 |
$724.55 |
$724.55 |
$879.51
|
|
Fetal chrom aneuploidy gsa panel
|
$595.53 |
$595.53 |
$595.53 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$285.46 |
$285.46 |
$285.46 |
$475.50
|
|
Fetal fibronectin
|
$320.25 |
$320.25 |
$320.25 |
$387.60
|
|
Fetal fluid drainage w/us
|
$239.63 |
$239.63 |
$239.63 |
$612.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$71.00 |
$71.00 |
$71.00 |
$104.00
|
|
Fetal hemoglobin rosette
|
$17.39 |
$17.39 |
$17.39 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$72.04 |
$72.04 |
$72.04 |
$67.00
|
|
Fetal monitor/interpret only
|
$103.29 |
$103.29 |
$103.29 |
$102.40
|
|
Fetal non stress test
|
$285.46 |
$285.46 |
$285.46 |
$478.50
|
|
Fetal shunt placement w/us
|
$239.63 |
$239.63 |
$239.63 |
$754.00
|
|
Fibrin degradation d dimer quantitative
|
$110.23 |
$110.23 |
$110.23 |
$120.05
|
|
Fibrin degradation products
|
$98.11 |
$98.11 |
$98.11 |
$74.25
|
|
Fibrinogen activity
|
$40.22 |
$40.22 |
$40.22 |
$85.86
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$38.01 |
$38.01 |
$38.01 |
$61.02
|
|
Fibrinolytic plasminogen
|
$57.35 |
$57.35 |
$57.35 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$114.46 |
$114.46 |
$114.46 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$26,031.93 |
$26,031.93 |
$26,031.93 |
$582.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2,063.33 |
$2,063.33 |
$2,063.33 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,045.38 |
$2,045.38 |
$2,045.38 |
$891.02
|