|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$420.25 |
$420.25 |
$420.25 |
$521.65
|
|
Esophageal dilat s&i
|
$408.50 |
$408.50 |
$408.50 |
$550.00
|
|
Esophageal motility
|
$450.49 |
$450.49 |
$450.49 |
$655.45
|
|
Esophagoscopy balloon <30mm
|
$589.73 |
$589.73 |
$589.73 |
$2,361.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$613.54 |
$613.54 |
$613.54 |
$1,259.70
|
|
Esophagoscopy flex remove fb
|
$657.65 |
$657.65 |
$657.65 |
$2,065.80
|
|
Esophagus motility study
|
$567.94 |
$567.94 |
$567.94 |
$1,257.17
|
|
Esoph egd dilation <30 mm
|
$1,840.79 |
$1,840.79 |
$1,840.79 |
$2,638.57
|
|
Esoph imped function test
|
$395.12 |
$395.12 |
$395.12 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$391.52 |
$391.52 |
$391.52 |
$1,089.15
|
|
Establish access to aorta
|
$511.20 |
$511.20 |
$511.20 |
$1,191.04
|
|
Established Patient Office Visit (level 1)
|
$65.15 |
$65.15 |
$65.15 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$90.51 |
$90.51 |
$90.51 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$124.81 |
$124.81 |
$124.81 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$149.31 |
$149.31 |
$149.31 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$204.37 |
$204.37 |
$204.37 |
$287.10
|
|
Estradiol total
|
$127.69 |
$127.69 |
$127.69 |
$149.43
|
|
Estradiol valerate 10 mg inj
|
$103.60 |
$103.60 |
$103.60 |
$57.35
|
|
Ethanolamine oleate 100 mg
|
$1,474.11 |
$1,474.11 |
$1,474.11 |
$875.55
|
|
Ethylene glycol -sendout
|
$37.70 |
$37.70 |
$37.70 |
$85.00
|
|
Etonogestrel implant system
|
$1,364.83 |
$1,364.83 |
$1,364.83 |
$2,071.74
|
|
Etoposide 20 mg/ml intravenous solution
|
$6,009.48 |
$6,009.48 |
$6,009.48 |
$235.20
|
|
Euglobulin lysis
|
$87.67 |
$87.67 |
$87.67 |
$63.84
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$116.68 |
$116.68 |
$116.68 |
$211.12
|
|
Evasc prlng admn rx agnt 1st
|
$2,156.67 |
$2,156.67 |
$2,156.67 |
$3,885.63
|
|
Evasc prlng admn rx agnt add
|
$869.11 |
$869.11 |
$869.11 |
$2,765.60
|
|
Evasc rpr ilio-iliac ndgft
|
$4,703.81 |
$4,703.81 |
$4,703.81 |
$7,150.44
|
|
Evasc rpr ilio-iliac rpt
|
$4,703.81 |
$4,703.81 |
$4,703.81 |
$8,996.13
|
|
Evoked potentials upper limbs
|
$350.49 |
$350.49 |
$350.49 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$312.73 |
$312.73 |
$312.73 |
$812.40
|
|
Evok oa screening qual
|
$72.19 |
$72.19 |
$72.19 |
$109.13
|
|
Exc bartholins gland/cyst
|
$1,409.65 |
$1,409.65 |
$1,409.65 |
$3,781.65
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$727.22 |
$727.22 |
$727.22 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$258.88 |
$258.88 |
$258.88 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$258.88 |
$258.88 |
$258.88 |
$923.06
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$412.42 |
$412.42 |
$412.42 |
$1,467.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$774.45 |
$774.45 |
$774.45 |
$2,121.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$1,048.52 |
$1,048.52 |
$1,048.52 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$247.92 |
$247.92 |
$247.92 |
$770.70
|
|
Exchange biliary drg cath
|
$1,311.02 |
$1,311.02 |
$1,311.02 |
$3,797.76
|
|
Exchange blood transfusion newborn 36450
|
$366.99 |
$366.99 |
$366.99 |
$566.55
|
|
Exchange drainage catheter
|
$1,248.66 |
$1,248.66 |
$1,248.66 |
$2,191.20
|
|
Excise mandible lesion
|
$2,307.37 |
$2,307.37 |
$2,307.37 |
$3,589.62
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$611.98 |
$611.98 |
$611.98 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$283.62 |
$283.62 |
$283.62 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,556.51 |
$1,556.51 |
$1,556.51 |
$2,641.65
|
|
Exc thrombosed hemorrhoid 46320
|
$870.25 |
$870.25 |
$870.25 |
$2,106.15
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$872.01 |
$872.01 |
$872.01 |
$1,949.90
|
|
Exercise w/hemodynamic meas
|
$275.31 |
$275.31 |
$275.31 |
$901.60
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$4,184.23 |
$4,184.23 |
$4,184.23 |
$4,136.83
|
|
Explore chest vessels 35820
|
$969.78 |
$969.78 |
$969.78 |
$3,891.00
|
|
Explore penetrating wnd/extremity 20103
|
$912.05 |
$912.05 |
$912.05 |
$1,788.80
|
|
Explore/repair chest 32110
|
$1,264.41 |
$1,264.41 |
$1,264.41 |
$3,698.00
|
|
Explore wound abdomen 20102
|
$933.31 |
$933.31 |
$933.31 |
$2,699.50
|
|
Explore woundchest 20101
|
$1,391.59 |
$1,391.59 |
$1,391.59 |
$2,195.00
|
|
Explore wound neck 20100
|
$549.52 |
$549.52 |
$549.52 |
$1,185.00
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$1,372.08 |
$1,372.08 |
$1,372.08 |
$3,623.43
|
|
External chromosome analysis 20-25 cells
|
$343.88 |
$343.88 |
$343.88 |
$403.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$407.81 |
$407.81 |
$407.81 |
$445.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$81.83 |
$81.83 |
$81.83 |
$109.00
|
|
F-18 fdg pet diag
|
$469.17 |
$469.17 |
$469.17 |
$551.72
|
|
Facial bones <3
|
$188.53 |
$188.53 |
$188.53 |
$252.60
|
|
Factor ix
|
$167.22 |
$167.22 |
$167.22 |
$154.50
|
|
Factor ix recombinant nos
|
$2.51 |
$2.51 |
$2.51 |
$4.65
|
|
Factor viii
|
$189.71 |
$189.71 |
$189.71 |
$144.82
|
|
Factor viii
|
$4,243.41 |
$4,243.41 |
$4,243.41 |
$4.85
|
|
Factor viii recombinant nos
|
$2.43 |
$2.43 |
$2.43 |
$5.40
|
|
Fallopian tube recnl
|
$1,058.68 |
$1,058.68 |
$1,058.68 |
$3,624.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$162.66 |
$162.66 |
$162.66 |
$22.23
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$21,224.92 |
$21,224.92 |
$21,224.92 |
$5,894.50
|
|
Fancc gene
|
$84.75 |
$84.75 |
$84.75 |
$140.00
|
|
Fat/lipids feces qualitative
|
$21.26 |
$21.26 |
$21.26 |
$36.00
|
|
Fatty acids nonesterified
|
$278.43 |
$278.43 |
$278.43 |
$64.28
|
|
#fecal-sodium
|
$30.81 |
$30.81 |
$30.81 |
$37.50
|
|
Feeding tube reposition
|
$408.50 |
$408.50 |
$408.50 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$86.45 |
$86.45 |
$86.45 |
$61.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$904.94 |
$904.94 |
$904.94 |
$101.40
|
|
Ferritin
|
$62.48 |
$62.48 |
$62.48 |
$102.07
|
|
Ferumoxytol, esrd use
|
$599.73 |
$599.73 |
$599.73 |
$0.50
|
|
Fetal biophys profile w/nst 76818
|
$357.24 |
$357.24 |
$357.24 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$665.49 |
$665.49 |
$665.49 |
$879.51
|
|
Fetal chrom aneuploidy gsa panel
|
$546.98 |
$546.98 |
$546.98 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$262.19 |
$262.19 |
$262.19 |
$475.50
|
|
Fetal fibronectin
|
$294.14 |
$294.14 |
$294.14 |
$387.60
|
|
Fetal fluid drainage w/us
|
$220.10 |
$220.10 |
$220.10 |
$612.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$65.22 |
$65.22 |
$65.22 |
$104.00
|
|
Fetal hemoglobin rosette
|
$15.97 |
$15.97 |
$15.97 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$66.16 |
$66.16 |
$66.16 |
$67.00
|
|
Fetal monitor/interpret only
|
$94.87 |
$94.87 |
$94.87 |
$102.40
|
|
Fetal non stress test
|
$262.19 |
$262.19 |
$262.19 |
$478.50
|
|
Fetal shunt placement w/us
|
$220.10 |
$220.10 |
$220.10 |
$754.00
|
|
Fibrin degradation d dimer quantitative
|
$101.25 |
$101.25 |
$101.25 |
$120.05
|
|
Fibrin degradation products
|
$90.11 |
$90.11 |
$90.11 |
$74.25
|
|
Fibrinogen activity
|
$36.94 |
$36.94 |
$36.94 |
$85.86
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$34.91 |
$34.91 |
$34.91 |
$61.02
|
|
Fibrinolytic plasminogen
|
$52.68 |
$52.68 |
$52.68 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$105.13 |
$105.13 |
$105.13 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$23,909.86 |
$23,909.86 |
$23,909.86 |
$582.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,895.13 |
$1,895.13 |
$1,895.13 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,878.64 |
$1,878.64 |
$1,878.64 |
$891.02
|
