|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$643.47 |
$643.47 |
$643.47 |
$521.65
|
|
Esophageal dilat s&i
|
$625.48 |
$625.48 |
$625.48 |
$550.00
|
|
Esophageal motility
|
$689.77 |
$689.77 |
$689.77 |
$655.45
|
|
Esophagoscopy balloon <30mm
|
$902.97 |
$902.97 |
$902.97 |
$2,361.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$939.43 |
$939.43 |
$939.43 |
$1,259.70
|
|
Esophagoscopy flex remove fb
|
$1,006.97 |
$1,006.97 |
$1,006.97 |
$2,065.80
|
|
Esophagus motility study
|
$869.61 |
$869.61 |
$869.61 |
$1,257.17
|
|
Esoph egd dilation <30 mm
|
$2,818.58 |
$2,818.58 |
$2,818.58 |
$2,638.57
|
|
Esoph imped function test
|
$604.99 |
$604.99 |
$604.99 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$599.49 |
$599.49 |
$599.49 |
$1,089.15
|
|
Establish access to aorta
|
$782.74 |
$782.74 |
$782.74 |
$1,191.04
|
|
Established Patient Office Visit (level 1)
|
$99.75 |
$99.75 |
$99.75 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$138.59 |
$138.59 |
$138.59 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$191.11 |
$191.11 |
$191.11 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$228.62 |
$228.62 |
$228.62 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$312.92 |
$312.92 |
$312.92 |
$287.10
|
|
Estradiol total
|
$195.51 |
$195.51 |
$195.51 |
$149.43
|
|
Estradiol valerate 10 mg inj
|
$158.63 |
$158.63 |
$158.63 |
$57.35
|
|
Ethanolamine oleate 100 mg
|
$2,257.12 |
$2,257.12 |
$2,257.12 |
$875.55
|
|
Ethylene glycol -sendout
|
$57.72 |
$57.72 |
$57.72 |
$85.00
|
|
Etonogestrel implant system
|
$2,089.79 |
$2,089.79 |
$2,089.79 |
$2,071.74
|
|
Etoposide 20 mg/ml intravenous solution
|
$9,201.58 |
$9,201.58 |
$9,201.58 |
$235.20
|
|
Euglobulin lysis
|
$134.23 |
$134.23 |
$134.23 |
$63.84
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$178.66 |
$178.66 |
$178.66 |
$211.12
|
|
Evasc prlng admn rx agnt 1st
|
$3,302.24 |
$3,302.24 |
$3,302.24 |
$3,885.63
|
|
Evasc prlng admn rx agnt add
|
$1,330.76 |
$1,330.76 |
$1,330.76 |
$2,765.60
|
|
Evasc rpr ilio-iliac ndgft
|
$7,202.36 |
$7,202.36 |
$7,202.36 |
$7,150.44
|
|
Evasc rpr ilio-iliac rpt
|
$7,202.36 |
$7,202.36 |
$7,202.36 |
$8,996.13
|
|
Evoked potentials upper limbs
|
$536.65 |
$536.65 |
$536.65 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$478.84 |
$478.84 |
$478.84 |
$812.40
|
|
Evok oa screening qual
|
$110.54 |
$110.54 |
$110.54 |
$109.13
|
|
Exc bartholins gland/cyst
|
$2,158.42 |
$2,158.42 |
$2,158.42 |
$3,781.65
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$396.38 |
$396.38 |
$396.38 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$396.38 |
$396.38 |
$396.38 |
$923.06
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$631.48 |
$631.48 |
$631.48 |
$1,467.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,185.81 |
$1,185.81 |
$1,185.81 |
$2,121.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$1,605.47 |
$1,605.47 |
$1,605.47 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$379.60 |
$379.60 |
$379.60 |
$770.70
|
|
Exchange biliary drg cath
|
$2,007.41 |
$2,007.41 |
$2,007.41 |
$3,797.76
|
|
Exchange blood transfusion newborn 36450
|
$561.93 |
$561.93 |
$561.93 |
$566.55
|
|
Exchange drainage catheter
|
$1,911.92 |
$1,911.92 |
$1,911.92 |
$2,191.20
|
|
Excise mandible lesion
|
$3,533.00 |
$3,533.00 |
$3,533.00 |
$3,589.62
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$937.05 |
$937.05 |
$937.05 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$434.26 |
$434.26 |
$434.26 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,383.28 |
$2,383.28 |
$2,383.28 |
$2,641.65
|
|
Exc thrombosed hemorrhoid 46320
|
$1,332.51 |
$1,332.51 |
$1,332.51 |
$2,106.15
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$1,335.20 |
$1,335.20 |
$1,335.20 |
$1,949.90
|
|
Exercise w/hemodynamic meas
|
$421.55 |
$421.55 |
$421.55 |
$901.60
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$6,406.80 |
$6,406.80 |
$6,406.80 |
$4,136.83
|
|
Explore chest vessels 35820
|
$1,484.91 |
$1,484.91 |
$1,484.91 |
$3,891.00
|
|
Explore penetrating wnd/extremity 20103
|
$1,396.51 |
$1,396.51 |
$1,396.51 |
$1,788.80
|
|
Explore/repair chest 32110
|
$1,936.04 |
$1,936.04 |
$1,936.04 |
$3,698.00
|
|
Explore wound abdomen 20102
|
$1,429.07 |
$1,429.07 |
$1,429.07 |
$2,699.50
|
|
Explore woundchest 20101
|
$2,130.77 |
$2,130.77 |
$2,130.77 |
$2,195.00
|
|
Explore wound neck 20100
|
$841.42 |
$841.42 |
$841.42 |
$1,185.00
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$2,100.90 |
$2,100.90 |
$2,100.90 |
$3,623.43
|
|
External chromosome analysis 20-25 cells
|
$526.54 |
$526.54 |
$526.54 |
$403.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$624.42 |
$624.42 |
$624.42 |
$445.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$125.29 |
$125.29 |
$125.29 |
$109.00
|
|
F-18 fdg pet diag
|
$718.39 |
$718.39 |
$718.39 |
$551.72
|
|
Facial bones <3
|
$288.67 |
$288.67 |
$288.67 |
$252.60
|
|
Factor ix
|
$256.04 |
$256.04 |
$256.04 |
$154.50
|
|
Factor ix recombinant nos
|
$3.84 |
$3.84 |
$3.84 |
$4.65
|
|
Factor viii
|
$290.48 |
$290.48 |
$290.48 |
$144.82
|
|
Factor viii
|
$6,497.42 |
$6,497.42 |
$6,497.42 |
$4.85
|
|
Factor viii recombinant nos
|
$3.71 |
$3.71 |
$3.71 |
$5.40
|
|
Fallopian tube recnl
|
$1,621.02 |
$1,621.02 |
$1,621.02 |
$3,624.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$249.06 |
$249.06 |
$249.06 |
$22.23
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$32,499.13 |
$32,499.13 |
$32,499.13 |
$5,894.50
|
|
Fancc gene
|
$129.76 |
$129.76 |
$129.76 |
$140.00
|
|
Fat/lipids feces qualitative
|
$32.55 |
$32.55 |
$32.55 |
$36.00
|
|
Fatty acids nonesterified
|
$426.33 |
$426.33 |
$426.33 |
$64.28
|
|
#fecal-sodium
|
$47.17 |
$47.17 |
$47.17 |
$37.50
|
|
Feeding tube reposition
|
$625.48 |
$625.48 |
$625.48 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$132.37 |
$132.37 |
$132.37 |
$61.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$1,385.62 |
$1,385.62 |
$1,385.62 |
$101.40
|
|
Ferritin
|
$95.66 |
$95.66 |
$95.66 |
$102.07
|
|
Ferumoxytol, esrd use
|
$918.30 |
$918.30 |
$918.30 |
$0.50
|
|
Fetal biophys profile w/nst 76818
|
$546.99 |
$546.99 |
$546.99 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$1,018.98 |
$1,018.98 |
$1,018.98 |
$879.51
|
|
Fetal chrom aneuploidy gsa panel
|
$837.52 |
$837.52 |
$837.52 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$401.46 |
$401.46 |
$401.46 |
$475.50
|
|
Fetal fibronectin
|
$450.38 |
$450.38 |
$450.38 |
$387.60
|
|
Fetal fluid drainage w/us
|
$337.01 |
$337.01 |
$337.01 |
$612.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$99.86 |
$99.86 |
$99.86 |
$104.00
|
|
Fetal hemoglobin rosette
|
$24.46 |
$24.46 |
$24.46 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$101.31 |
$101.31 |
$101.31 |
$67.00
|
|
Fetal monitor/interpret only
|
$145.26 |
$145.26 |
$145.26 |
$102.40
|
|
Fetal non stress test
|
$401.46 |
$401.46 |
$401.46 |
$478.50
|
|
Fetal shunt placement w/us
|
$337.01 |
$337.01 |
$337.01 |
$754.00
|
|
Fibrin degradation d dimer quantitative
|
$155.02 |
$155.02 |
$155.02 |
$120.05
|
|
Fibrin degradation products
|
$137.97 |
$137.97 |
$137.97 |
$74.25
|
|
Fibrinogen activity
|
$56.56 |
$56.56 |
$56.56 |
$85.86
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$53.45 |
$53.45 |
$53.45 |
$61.02
|
|
Fibrinolytic plasminogen
|
$80.66 |
$80.66 |
$80.66 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$160.97 |
$160.97 |
$160.97 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$36,610.24 |
$36,610.24 |
$36,610.24 |
$582.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2,901.78 |
$2,901.78 |
$2,901.78 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,876.53 |
$2,876.53 |
$2,876.53 |
$891.02
|
