|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$22.63 |
$22.63 |
$22.63 |
$222.98
|
|
ER Visit (level 1, minor)
|
$204.00 |
$204.00 |
$204.00 |
$246.24
|
|
ER Visit (level 2)
|
$387.50 |
$387.50 |
$387.50 |
$452.20
|
|
ER Visit (level 3)
|
$583.50 |
$583.50 |
$583.50 |
$770.04
|
|
ER Visit (level 4)
|
$948.50 |
$948.50 |
$948.50 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,754.00 |
$1,754.00 |
$1,754.00 |
$1,820.02
|
|
Esoph egd dilation <30 mm
|
$6,625.00 |
$6,625.00 |
$6,625.00 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$126.50 |
$126.50 |
$126.50 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$126.50 |
$126.50 |
$126.50 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$126.50 |
$126.50 |
$126.50 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$126.50 |
$126.50 |
$126.50 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$126.50 |
$126.50 |
$126.50 |
$280.33
|
|
Estradiol total
|
$141.50 |
$141.50 |
$141.50 |
$146.50
|
|
Ethylene glycol -sendout
|
$7.00 |
$7.00 |
$7.00 |
$89.40
|
|
Etonogestrel implant system
|
$1,242.50 |
$1,242.50 |
$1,242.50 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$29.88 |
$29.88 |
$29.88 |
$235.20
|
|
Euflexxa inj per dose
|
$120.50 |
$120.50 |
$120.50 |
$587.51
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$447.00 |
$447.00 |
$447.00 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$361.50 |
$361.50 |
$361.50 |
$311.50
|
|
Evasc rpr a-iliac ndgft 34717
|
$3,233.00 |
$3,233.00 |
$3,233.00 |
$4,846.34
|
|
Event monitor
|
$83.50 |
$83.50 |
$83.50 |
$242.65
|
|
Evoked oa emissions ltd
|
$527.50 |
$527.50 |
$527.50 |
$234.32
|
|
Exam of vagina w/scope 57420
|
$207.00 |
$207.00 |
$207.00 |
$486.03
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$24,794.50 |
$24,794.50 |
$24,794.50 |
$2,244.20
|
|
Exc benign tal 0.5 < cm 11400
|
$1,658.50 |
$1,658.50 |
$1,658.50 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$7,010.50 |
$7,010.50 |
$7,010.50 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$814.00 |
$814.00 |
$814.00 |
$1,135.40
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,508.50 |
$1,508.50 |
$1,508.50 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,933.00 |
$2,933.00 |
$2,933.00 |
$2,166.78
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$799.00 |
$799.00 |
$799.00 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$5,786.33 |
$5,786.33 |
$5,786.33 |
$1,247.50
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$814.00 |
$814.00 |
$814.00 |
$973.71
|
|
Exchange nephrostomy cath
|
$2,658.50 |
$2,658.50 |
$2,658.50 |
$2,958.80
|
|
Excise lip or cheek fold
|
$3,668.00 |
$3,668.00 |
$3,668.00 |
$1,855.10
|
|
Excise pharynx lesion
|
$167.50 |
$167.50 |
$167.50 |
$3,837.72
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$814.00 |
$814.00 |
$814.00 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$5,642.50 |
$5,642.50 |
$5,642.50 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,436.50 |
$1,436.50 |
$1,436.50 |
$1,012.86
|
|
Excision of penis lesion(s) 54060
|
$3,419.83 |
$3,419.83 |
$3,419.83 |
$2,479.33
|
|
Excision tongue lesion without closure 41110
|
$196.50 |
$196.50 |
$196.50 |
$3,786.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$5,504.34 |
$5,504.34 |
$5,504.34 |
$3,650.40
|
|
Exc malig feenl 1.1-2 11642
|
$1,463.00 |
$1,463.00 |
$1,463.00 |
$1,082.00
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$814.00 |
$814.00 |
$814.00 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$1,397.50 |
$1,397.50 |
$1,397.50 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$868.50 |
$868.50 |
$868.50 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,397.50 |
$1,397.50 |
$1,397.50 |
$1,131.50
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$814.00 |
$814.00 |
$814.00 |
$1,294.80
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$1,641.50 |
$1,641.50 |
$1,641.50 |
$1,274.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$10,487.67 |
$10,487.67 |
$10,487.67 |
$3,322.80
|
|
Exercise tst brncspsm w/ecg
|
$356.00 |
$356.00 |
$356.00 |
$318.50
|
|
Exploration maxillary sinus
|
$5,129.67 |
$5,129.67 |
$5,129.67 |
$4,341.97
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$10,430.50 |
$10,430.50 |
$10,430.50 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$10,259.50 |
$10,259.50 |
$10,259.50 |
$2,734.20
|
|
External chromosome analysis 20-25 cells
|
$613.50 |
$613.50 |
$613.50 |
$384.15
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$565.50 |
$565.50 |
$565.50 |
$454.20
|
|
Extnd color vision xm
|
$67.00 |
$67.00 |
$67.00 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$108.60
|
|
F-18 fdg pet diag
|
$113.00 |
$113.00 |
$113.00 |
$551.72
|
|
Facial bones <3
|
$187.00 |
$187.00 |
$187.00 |
$252.60
|
|
Factor ix
|
$106.50 |
$106.50 |
$106.50 |
$156.13
|
|
Factor viii
|
$87.50 |
$87.50 |
$87.50 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$1.25 |
$1.25 |
$1.25 |
$22.20
|
|
Fat/lipids feces qualitative
|
$41.00 |
$41.00 |
$41.00 |
$38.35
|
|
Fatty acids nonesterified
|
$116.00 |
$116.00 |
$116.00 |
$64.28
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$10.50 |
$10.50 |
$10.50 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,252.75 |
$2,252.75 |
$2,252.75 |
$2,590.25
|
|
Ferritin
|
$74.00 |
$74.00 |
$74.00 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$487.85 |
$487.85 |
$487.85 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$164.00 |
$164.00 |
$164.00 |
$535.37
|
|
Fetal contract stress test 59020 - 26
|
$394.00 |
$394.00 |
$394.00 |
$475.50
|
|
Fetal fibronectin
|
$327.50 |
$327.50 |
$327.50 |
$373.41
|
|
Fetal hemoglobin rosette
|
$41.50 |
$41.50 |
$41.50 |
$67.20
|
|
Fetal non stress test
|
$515.50 |
$515.50 |
$515.50 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$80.00 |
$80.00 |
$80.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$57.50 |
$57.50 |
$57.50 |
$117.70
|
|
Fibrinogen activity
|
$44.00 |
$44.00 |
$44.00 |
$83.50
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1.50 |
$1.50 |
$1.50 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$1,245.50 |
$1,245.50 |
$1,245.50 |
$7,160.28
|
|
Filter vena cava fem denali
|
$1,722.50 |
$1,722.50 |
$1,722.50 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$323.50 |
$323.50 |
$323.50 |
$823.90
|
|
Flexible Sigmoidoscopy
|
$1,833.00 |
$1,833.00 |
$1,833.00 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$60.50 |
$60.50 |
$60.50 |
$97.50
|
|
Flow cytometry one marker technical component
|
$723.00 |
$723.00 |
$723.00 |
$284.40
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$8.55 |
$8.55 |
$8.55 |
$64.22
|
|
Fluidotherapy charges pt
|
$57.50 |
$57.50 |
$57.50 |
$91.00
|
|
Fluocinol acet intravit imp
|
$1,090.50 |
$1,090.50 |
$1,090.50 |
$14,359.80
|
|
Fluorescent antibody titer dna
|
$95.00 |
$95.00 |
$95.00 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$239.00 |
$239.00 |
$239.00 |
$496.03
|
|
Fluoroguide needle placement
|
$239.00 |
$239.00 |
$239.00 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$583.00 |
$583.00 |
$583.00 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$67.57 |
$67.57 |
$67.57 |
$94.86
|
|
Fna bx w/ct gdn 1st les
|
$1,436.50 |
$1,436.50 |
$1,436.50 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$989.50 |
$989.50 |
$989.50 |
$833.25
|
|
Folic acid
|
$110.50 |
$110.50 |
$110.50 |
$101.50
|
|
Foot X-ray
|
$202.50 |
$202.50 |
$202.50 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$22.53 |
$22.53 |
$22.53 |
$457.50
|
|
Foscarnet sodium injection
|
$59.00 |
$59.00 |
$59.00 |
$879.58
|
|
Fragmenting of kidney stone
|
$13,712.50 |
$13,712.50 |
$13,712.50 |
$10,057.42
|
|
Frenectomy 41115
|
$178.50 |
$178.50 |
$178.50 |
$1,752.89
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$924.50 |
$924.50 |
$924.50 |
$151.58
|
