|
Established Patient Office Visit (level 5)
|
$267.33 |
$267.33 |
$267.33 |
$287.10
|
|
Estradiol total
|
$67.26 |
$67.26 |
$67.26 |
$153.00
|
|
Ethylene glycol -sendout
|
$18.81 |
$18.81 |
$18.81 |
$75.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$2.43 |
$2.43 |
$2.43 |
$213.17
|
|
Eval/fit voice prosthesis iii, st
|
$153.33 |
$153.33 |
$153.33 |
$370.41
|
|
Evaluation heart device
|
$1,812.60 |
$1,812.60 |
$1,812.60 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$226.86 |
$226.86 |
$226.86 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$837.90 |
$837.90 |
$837.90 |
$320.00
|
|
Evasc prlng admn rx agnt add
|
$2,712.63 |
$2,712.63 |
$2,712.63 |
$3,484.88
|
|
Evasc rpr a-ao ndgft 34701
|
$9,484.80 |
$9,484.80 |
$9,484.80 |
$6,020.00
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$10,906.95 |
$10,906.95 |
$10,906.95 |
$4,537.60
|
|
Evasc rpr ilio-iliac ndgft
|
$6,820.62 |
$6,820.62 |
$6,820.62 |
$8,412.85
|
|
Event monitor
|
$197.79 |
$197.79 |
$197.79 |
$242.12
|
|
Evoked potentials auditory screening automated analysis
|
$265.05 |
$265.05 |
$265.05 |
$283.62
|
|
Evoked potential visual not glaucoma
|
$518.70 |
$518.70 |
$518.70 |
$829.44
|
|
Exam pelvic add-on
|
$84.93 |
$84.93 |
$84.93 |
$41.60
|
|
Exchange biliary drg cath
|
$5,029.68 |
$5,029.68 |
$5,029.68 |
$4,176.15
|
|
Exchange drainage catheter
|
$3,097.95 |
$3,097.95 |
$3,097.95 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$2,921.25 |
$2,921.25 |
$2,921.25 |
$3,097.16
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$1,156.82 |
$1,156.82 |
$1,156.82 |
$2,647.92
|
|
External chromosome analysis 20-25 cells
|
$373.35 |
$373.35 |
$373.35 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$257.07 |
$257.07 |
$257.07 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$45.03 |
$45.03 |
$45.03 |
$102.78
|
|
F-18 fdg pet diag
|
$981.54 |
$981.54 |
$981.54 |
$602.25
|
|
Facial bones <3
|
$50.73 |
$50.73 |
$50.73 |
$248.60
|
|
Factor ix
|
$46.17 |
$46.17 |
$46.17 |
$131.30
|
|
Factor viii
|
$21.09 |
$21.09 |
$21.09 |
$144.30
|
|
Family therapy without pt 50min 90846
|
$725.04 |
$725.04 |
$725.04 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$725.04 |
$725.04 |
$725.04 |
$239.20
|
|
Fat/lipids feces qualitative
|
$13.68 |
$13.68 |
$13.68 |
$34.56
|
|
Fatty acids nonesterified
|
$26.79 |
$26.79 |
$26.79 |
$57.60
|
|
#fecal-sodium
|
$19.38 |
$19.38 |
$19.38 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$27.36 |
$27.36 |
$27.36 |
$66.43
|
|
Fem/popl revasc w/stent
|
$26,157.30 |
$26,157.30 |
$26,157.30 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$2.51 |
$2.51 |
$2.51 |
$120.15
|
|
Fern test
|
$11.97 |
$11.97 |
$11.97 |
$17.72
|
|
Ferritin
|
$38.76 |
$38.76 |
$38.76 |
$103.68
|
|
Fetal chrom aneuploidy gsa panel
|
$879.51 |
$879.51 |
$879.51 |
$1,217.45
|
|
Fetal fibronectin
|
$152.76 |
$152.76 |
$152.76 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$18.24 |
$18.24 |
$18.24 |
$88.80
|
|
Fetal hemoglobin rosette
|
$17.10 |
$17.10 |
$17.10 |
$76.70
|
|
#_fet/norfentcnfrmur
|
$43.89 |
$43.89 |
$43.89 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$27.93 |
$27.93 |
$27.93 |
$112.80
|
|
Fibrin degradation products
|
$18.24 |
$18.24 |
$18.24 |
$62.40
|
|
Fibrinogen activity
|
$28.50 |
$28.50 |
$28.50 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$17.67 |
$17.67 |
$17.67 |
$66.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$39.33 |
$39.33 |
$39.33 |
$59.89
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1.44 |
$1.44 |
$1.44 |
$460.87
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1.27 |
$1.27 |
$1.27 |
$973.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$779.76 |
$779.76 |
$779.76 |
$806.40
|
|
Finger joint sz00 swanson w/grommets
|
$751.46 |
$751.46 |
$751.46 |
$3,605.86
|
|
Fix g/colon tube w/device
|
$1,703.73 |
$1,703.73 |
$1,703.73 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$45.03 |
$45.03 |
$45.03 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$824.22 |
$824.22 |
$824.22 |
$546.86
|
|
Flow cytometry marker each additional
|
$80.37 |
$80.37 |
$80.37 |
$103.00
|
|
Flow cytometry one marker technical component
|
$88.35 |
$88.35 |
$88.35 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$16.93 |
$16.93 |
$16.93 |
$86.42
|
|
Fluidotherapy charges pt
|
$41.04 |
$41.04 |
$41.04 |
$95.00
|
|
Fluorescent antibody titer dna
|
$79.23 |
$79.23 |
$79.23 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$172.71 |
$172.71 |
$172.71 |
$507.00
|
|
Fluoroguide needle placement
|
$111.72 |
$111.72 |
$111.72 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$140.22 |
$140.22 |
$140.22 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$8.23 |
$8.23 |
$8.23 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$46.43 |
$46.43 |
$46.43 |
$142.87
|
|
Flutemetamol f18 diagnostic
|
$4,560.00 |
$4,560.00 |
$4,560.00 |
$2,892.40
|
|
Fna bx w/ct gdn 1st les
|
$1,393.08 |
$1,393.08 |
$1,393.08 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$696.54 |
$696.54 |
$696.54 |
$775.14
|
|
Fna bx w/mr gdn ea addl
|
$551.76 |
$551.76 |
$551.76 |
$612.30
|
|
Folic acid
|
$41.61 |
$41.61 |
$41.61 |
$90.60
|
|
Follow-up angiography
|
$1,818.30 |
$1,818.30 |
$1,818.30 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$18.40 |
$18.40 |
$18.40 |
$2,860.43
|
|
Fondaparinux sodium
|
$3.92 |
$3.92 |
$3.92 |
$176.81
|
|
Foot X-ray
|
$103.74 |
$103.74 |
$103.74 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$0.83 |
$0.83 |
$0.83 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$28.18 |
$28.18 |
$28.18 |
$107.31
|
|
Fracture assessment via dxa
|
$73.53 |
$73.53 |
$73.53 |
$146.80
|
|
Fresh frozen plasma thawing ea un
|
$92.91 |
$92.91 |
$92.91 |
$123.90
|
|
Fructosamine glycated protein
|
$41.04 |
$41.04 |
$41.04 |
$60.42
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$2.67 |
$2.67 |
$2.67 |
$26.40
|
|
Ga-68 gallium 68 dotatate
|
$101.46 |
$101.46 |
$101.46 |
$119.90
|
|
Gammaglobulin iga
|
$23.37 |
$23.37 |
$23.37 |
$75.30
|
|
Gammaglobulin ige
|
$38.76 |
$38.76 |
$38.76 |
$85.00
|
|
Gamma glutamyltransferase
|
$23.94 |
$23.94 |
$23.94 |
$55.28
|
|
Gemcitabine 1 gram intravenous solution
|
$23.14 |
$23.14 |
$23.14 |
$252.84
|
|
General health panel
|
$91.77 |
$91.77 |
$91.77 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$11.79 |
$11.79 |
$11.79 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$39.90 |
$39.90 |
$39.90 |
$119.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$155.04 |
$155.04 |
$155.04 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$174.99 |
$174.99 |
$174.99 |
$382.20
|
|
Ghs antibodies (torch) igm
|
$31.35 |
$31.35 |
$31.35 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$245.10 |
$245.10 |
$245.10 |
$344.48
|
|
Ghs chemo IV push, ea addtl
|
$287.85 |
$287.85 |
$287.85 |
$291.60
|
|
Ghs community re-entry 15 minutes
|
$78.09 |
$78.09 |
$78.09 |
$89.28
|
|
Ghs diphtheria toxoid ab igg
|
$37.62 |
$37.62 |
$37.62 |
$72.05
|
|
Ghs flow volume loop
|
$308.37 |
$308.37 |
$308.37 |
$309.12
|
|
Ghs histoplasma antigen
|
$58.14 |
$58.14 |
$58.14 |
$137.80
|
|
Ghs HIV antibody
|
$33.06 |
$33.06 |
$33.06 |
$91.00
|
|
Ghs i and d perirectal abscess 46040
|
$670.89 |
$670.89 |
$670.89 |
$3,034.00
|
|
Ghs inf midline insertion
|
$2,533.65 |
$2,533.65 |
$2,533.65 |
$1,234.20
|
|
Ghs inhibitor screen
|
$17.10 |
$17.10 |
$17.10 |
$143.32
|
