|
Epstein barr viral capsid antigen antibody igm
|
$80.00 |
$80.00 |
$80.00 |
$94.50
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$50.23 |
$50.23 |
$50.23 |
$4,086.74
|
|
Ercp biliary & pancreas
|
$610.00 |
$610.00 |
$610.00 |
$951.20
|
|
ER Visit (level 1, minor)
|
$200.00 |
$200.00 |
$200.00 |
$259.74
|
|
ER Visit (level 2)
|
$257.50 |
$257.50 |
$257.50 |
$469.39
|
|
ER Visit (level 3)
|
$435.00 |
$435.00 |
$435.00 |
$821.52
|
|
ER Visit (level 4)
|
$750.00 |
$750.00 |
$750.00 |
$1,310.03
|
|
ER Visit (level 5, high severity)
|
$970.00 |
$970.00 |
$970.00 |
$1,837.55
|
|
Esophageal dilat s&i
|
$480.00 |
$480.00 |
$480.00 |
$534.60
|
|
Establish access to aorta
|
$695.00 |
$695.00 |
$695.00 |
$1,280.06
|
|
Established Patient Office Visit (level 1)
|
$132.50 |
$132.50 |
$132.50 |
$118.95
|
|
Established Patient Office Visit (level 2)
|
$162.50 |
$162.50 |
$162.50 |
$133.38
|
|
Established Patient Office Visit (level 3)
|
$225.00 |
$225.00 |
$225.00 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$325.00 |
$325.00 |
$325.00 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$365.00 |
$365.00 |
$365.00 |
$280.50
|
|
Estradiol total
|
$122.50 |
$122.50 |
$122.50 |
$142.20
|
|
Ethylene glycol -sendout
|
$112.50 |
$112.50 |
$112.50 |
$81.25
|
|
Eval/fit voice prosthesis iii, st
|
$350.00 |
$350.00 |
$350.00 |
$361.02
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$392.50 |
$392.50 |
$392.50 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$227.50 |
$227.50 |
$227.50 |
$322.08
|
|
Event monitor
|
$210.00 |
$210.00 |
$210.00 |
$242.65
|
|
Evoked oa emissions ltd
|
$115.00 |
$115.00 |
$115.00 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$85.00 |
$85.00 |
$85.00 |
$265.05
|
|
Evoked potentials upper limbs
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$908.54
|
|
Exam plvc w/anes othr thn lcl
|
$3,235.00 |
$3,235.00 |
$3,235.00 |
$3,762.53
|
|
Exchange biliary drg cath
|
$3,960.00 |
$3,960.00 |
$3,960.00 |
$4,070.00
|
|
Exchange drainage catheter
|
$1,585.00 |
$1,585.00 |
$1,585.00 |
$2,234.01
|
|
Exchange nephrostomy cath
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$2,958.80
|
|
External chromosome analysis 20-25 cells
|
$427.50 |
$427.50 |
$427.50 |
$373.35
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$52.50 |
$52.50 |
$52.50 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$317.50 |
$317.50 |
$317.50 |
$393.00
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$70.00 |
$70.00 |
$70.00 |
$102.40
|
|
Extrnl counterpulse, per tx
|
$255.00 |
$255.00 |
$255.00 |
$371.00
|
|
F-18 fdg pet diag
|
$1,680.01 |
$1,680.01 |
$1,680.01 |
$551.72
|
|
Facial bones <3
|
$272.50 |
$272.50 |
$272.50 |
$252.60
|
|
Factor ix
|
$170.00 |
$170.00 |
$170.00 |
$143.00
|
|
Factor viii
|
$170.00 |
$170.00 |
$170.00 |
$130.80
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$65.44 |
$65.44 |
$65.44 |
$5,508.16
|
|
Fatty acids nonesterified
|
$60.00 |
$60.00 |
$60.00 |
$60.00
|
|
#fecal-sodium
|
$25.00 |
$25.00 |
$25.00 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$110.00 |
$110.00 |
$110.00 |
$57.40
|
|
Fem/popl revasc w/stent
|
$20,400.00 |
$20,400.00 |
$20,400.00 |
$16,843.00
|
|
Feno poc
|
$97.50 |
$97.50 |
$97.50 |
$97.18
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$5.81 |
$5.81 |
$5.81 |
$2,511.19
|
|
Ferritin
|
$90.00 |
$90.00 |
$90.00 |
$97.29
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$5.97 |
$5.97 |
$5.97 |
$1,939.14
|
|
Fetal biophys profile w/nst 76818
|
$590.00 |
$590.00 |
$590.00 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$462.50 |
$462.50 |
$462.50 |
$1,122.87
|
|
Fetal contract stress test 59020 - 26
|
$477.50 |
$477.50 |
$477.50 |
$477.50
|
|
Fetal fibronectin
|
$320.00 |
$320.00 |
$320.00 |
$352.80
|
|
Fetal hemoglobin (kleihauer betke)
|
$122.50 |
$122.50 |
$122.50 |
$97.50
|
|
Fetal hemoglobin rosette
|
$62.50 |
$62.50 |
$62.50 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$62.50 |
$62.50 |
$62.50 |
$69.60
|
|
Fetal non stress test
|
$275.00 |
$275.00 |
$275.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$65.00 |
$65.00 |
$65.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$60.00 |
$60.00 |
$60.00 |
$113.40
|
|
Fibrin degradation products
|
$52.50 |
$52.50 |
$52.50 |
$61.80
|
|
Fibrin degrade semiquant
|
$75.00 |
$75.00 |
$75.00 |
$78.09
|
|
Fibrinogen activity
|
$65.00 |
$65.00 |
$65.00 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$47.50 |
$47.50 |
$47.50 |
$63.94
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$122.50 |
$122.50 |
$122.50 |
$64.96
|
|
Filter spider fx 3mmx320cm
|
$3,485.00 |
$3,485.00 |
$3,485.00 |
$7,130.56
|
|
Filter vena cava fem denali
|
$3,860.00 |
$3,860.00 |
$3,860.00 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$840.00 |
$840.00 |
$840.00 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$482.50 |
$482.50 |
$482.50 |
$533.50
|
|
Fix g/colon tube w/device
|
$665.00 |
$665.00 |
$665.00 |
$1,188.80
|
|
Flecainide (tambocor)-sendout
|
$90.00 |
$90.00 |
$90.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$615.00 |
$615.00 |
$615.00 |
$528.62
|
|
Flow cytometry marker each additional
|
$97.50 |
$97.50 |
$97.50 |
$97.50
|
|
Flow cytometry one marker technical component
|
$195.00 |
$195.00 |
$195.00 |
$270.75
|
|
Flt3 gene
|
$367.50 |
$367.50 |
$367.50 |
$355.00
|
|
Flt3 gene analysis
|
$185.00 |
$185.00 |
$185.00 |
$208.20
|
|
Fluidotherapy charges pt
|
$102.50 |
$102.50 |
$102.50 |
$98.40
|
|
Fluorescent antibody titer dna
|
$307.50 |
$307.50 |
$307.50 |
$123.00
|
|
Fluoroestradiol f 18
|
$960.00 |
$960.00 |
$960.00 |
$997.10
|
|
Fluoroguide for spine inject 77003-26
|
$460.00 |
$460.00 |
$460.00 |
$504.80
|
|
Fluoroguide needle placement
|
$460.00 |
$460.00 |
$460.00 |
$502.04
|
|
Fluoroscopy up to 1 hour
|
$460.00 |
$460.00 |
$460.00 |
$489.84
|
|
Fna bx w/ct gdn 1st les
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$1,427.65
|
|
Fna bx w/ct gdn ea addl
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$794.80
|
|
Foam drg >16<=48 sq in w/bdr
|
$14.87 |
$14.87 |
$14.87 |
$62.09
|
|
Foam drg >16<=48 sq in without b
|
$11.45 |
$11.45 |
$11.45 |
$41.14
|
|
Foam drg <=16 sq in w/border
|
$49.74 |
$49.74 |
$49.74 |
$19.10
|
|
Foam drsg <=16 sq in without bdr
|
$25.91 |
$25.91 |
$25.91 |
$21.74
|
|
Folic acid
|
$137.50 |
$137.50 |
$137.50 |
$95.22
|
|
Follow-up angiography
|
$590.00 |
$590.00 |
$590.00 |
$1,939.14
|
|
Fo nontorsion joint cf
|
$145.00 |
$145.00 |
$145.00 |
$213.69
|
|
Foot arch support remov prem
|
$55.00 |
$55.00 |
$55.00 |
$111.56
|
|
Foot longitudinal arch suppo
|
$127.50 |
$127.50 |
$127.50 |
$329.48
|
|
Foot longitud/metatarsal sup
|
$145.00 |
$145.00 |
$145.00 |
$221.20
|
|
Foot X-ray
|
$620.00 |
$620.00 |
$620.00 |
$364.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$5.20 |
$5.20 |
$5.20 |
$490.67
|
|
Fracture assessment via dxa
|
$235.00 |
$235.00 |
$235.00 |
$170.40
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$115.00 |
$115.00 |
$115.00 |
$157.20
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$97.50 |
$97.50 |
$97.50 |
$157.30
|
|
Fructosamine glycated protein
|
$67.50 |
$67.50 |
$67.50 |
$56.40
|
|
Ftl cgen abnor four anal
|
$295.00 |
$295.00 |
$295.00 |
$210.60
|
|
Ftl cgen abnor two proteins
|
$110.00 |
$110.00 |
$110.00 |
$109.20
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$16.93 |
$16.93 |
$16.93 |
$20.55
|
|
Ga-67 gallium 0.1 mci
|
$67.50 |
$67.50 |
$67.50 |
$125.70
|
