|
Entamoeba histolytica ag eia - sendout
|
$35.00 |
$35.00 |
$35.00 |
$55.00
|
|
Enzyme histochemistry
|
$265.00 |
$265.00 |
$265.00 |
$456.30
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$30.97 |
$30.97 |
$30.97 |
$873.58
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$62.25 |
$62.25 |
$62.25 |
$129.30
|
|
Epstein barr early antigen antibody
|
$37.50 |
$37.50 |
$37.50 |
$59.08
|
|
Epstein barr nuclear antigen antibody
|
$47.50 |
$47.50 |
$47.50 |
$78.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$80.00 |
$80.00 |
$80.00 |
$94.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$18.06 |
$18.06 |
$18.06 |
$425.08
|
|
Ercp biliary & pancreas
|
$610.00 |
$610.00 |
$610.00 |
$950.40
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$47.16 |
$47.16 |
$47.16 |
$216.41
|
|
ER Visit (level 1, minor)
|
$335.00 |
$335.00 |
$335.00 |
$258.38
|
|
ER Visit (level 2)
|
$470.00 |
$470.00 |
$470.00 |
$469.39
|
|
ER Visit (level 3)
|
$940.00 |
$940.00 |
$940.00 |
$821.34
|
|
ER Visit (level 4)
|
$780.00 |
$780.00 |
$780.00 |
$1,304.40
|
|
ER Visit (level 5, high severity)
|
$1,135.00 |
$1,135.00 |
$1,135.00 |
$1,837.55
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$203.20 |
$203.20 |
$203.20 |
$223.99
|
|
Esophagus motility study
|
$1,895.00 |
$1,895.00 |
$1,895.00 |
$1,274.00
|
|
Esophgl motil w/stim/perfus
|
$1,630.00 |
$1,630.00 |
$1,630.00 |
$1,341.75
|
|
Established Patient Office Visit (level 1)
|
$82.50 |
$82.50 |
$82.50 |
$118.95
|
|
Established Patient Office Visit (level 2)
|
$107.50 |
$107.50 |
$107.50 |
$133.38
|
|
Established Patient Office Visit (level 3)
|
$125.00 |
$125.00 |
$125.00 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$345.00 |
$345.00 |
$345.00 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$212.50 |
$212.50 |
$212.50 |
$280.50
|
|
Estradiol total
|
$122.50 |
$122.50 |
$122.50 |
$142.20
|
|
Ethylene glycol -sendout
|
$112.50 |
$112.50 |
$112.50 |
$79.50
|
|
Eval aud funcj ea addl 15
|
$67.50 |
$67.50 |
$67.50 |
$69.75
|
|
Eval/fit voice prosthesis iii, st
|
$350.00 |
$350.00 |
$350.00 |
$360.80
|
|
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
|
|
Evasc rpr a-ao ndgft 34701
|
$25,620.00 |
$25,620.00 |
$25,620.00 |
$5,230.40
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$25,620.00 |
$25,620.00 |
$25,620.00 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$18,785.00 |
$18,785.00 |
$18,785.00 |
$9,850.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$18,920.00 |
$18,920.00 |
$18,920.00 |
$5,608.35
|
|
Evasc rpr a-unilac ndgft rpt
|
$18,920.00 |
$18,920.00 |
$18,920.00 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$5,550.00 |
$5,550.00 |
$5,550.00 |
$7,150.44
|
|
Evasc rpr ilio-iliac rpt
|
$6,540.00 |
$6,540.00 |
$6,540.00 |
$8,996.13
|
|
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
|
|
Evoked potential visual not glaucoma
|
$730.00 |
$730.00 |
$730.00 |
$812.40
|
|
Exam plvc w/anes othr thn lcl
|
$3,235.00 |
$3,235.00 |
$3,235.00 |
$3,762.53
|
|
Exchange biliary drg cath
|
$6,220.00 |
$6,220.00 |
$6,220.00 |
$4,070.00
|
|
Exchange drainage catheter
|
$1,585.00 |
$1,585.00 |
$1,585.00 |
$2,234.01
|
|
Exchange nephrostomy cath
|
$6,010.00 |
$6,010.00 |
$6,010.00 |
$2,958.80
|
|
Exercise tst brncspsm w/ecg
|
$187.50 |
$187.50 |
$187.50 |
$304.50
|
|
Exercise tst brncspsm wo ecg
|
$112.50 |
$112.50 |
$112.50 |
$120.01
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$4,135.20
|
|
External chromosome analysis 20-25 cells
|
$427.50 |
$427.50 |
$427.50 |
$370.50
|
|
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 |
$387.00
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$55.00 |
$55.00 |
$55.00 |
$102.40
|
|
F-18 fdg pet diag
|
$1,680.01 |
$1,680.01 |
$1,680.01 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$5,145.00 |
$5,145.00 |
$5,145.00 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$735.00 |
$735.00 |
$735.00 |
$910.43
|
|
Facial bones <3
|
$272.50 |
$272.50 |
$272.50 |
$252.60
|
|
Factor ix
|
$170.00 |
$170.00 |
$170.00 |
$139.75
|
|
Factor viii
|
$170.00 |
$170.00 |
$170.00 |
$129.60
|
|
Fancc gene
|
$155.00 |
$155.00 |
$155.00 |
$147.31
|
|
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
|
$9,610.00 |
$9,610.00 |
$9,610.00 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$43.02 |
$43.02 |
$43.02 |
$101.40
|
|
Fern test
|
$22.50 |
$22.50 |
$22.50 |
$37.03
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3.98 |
$3.98 |
$3.98 |
$2,511.19
|
|
Ferritin
|
$90.00 |
$90.00 |
$90.00 |
$97.20
|
|
Fetal biophys profile w/nst 76818
|
$580.00 |
$580.00 |
$580.00 |
$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 |
$352.20
|
|
Fetal hemoglobin (kleihauer betke)
|
$122.50 |
$122.50 |
$122.50 |
$96.20
|
|
Fetal hemoglobin rosette
|
$62.50 |
$62.50 |
$62.50 |
$67.20
|
|
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 |
$112.89
|
|
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
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1.36 |
$1.36 |
$1.36 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$7,130.56
|
|
Filter vena cava fem denali
|
$6,822.02 |
$6,822.02 |
$6,822.02 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$910.00 |
$910.00 |
$910.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$685.00 |
$685.00 |
$685.00 |
$685.00
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$277.50 |
$277.50 |
$277.50 |
$266.70
|
|
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
|
$377.50 |
$377.50 |
$377.50 |
$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 |
$97.07
|
|
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 |
$504.46
|
|
Fluoroguide needle placement
|
$460.00 |
$460.00 |
$460.00 |
$500.40
|
|
Fluoroscopy up to 1 hour
|
$460.00 |
$460.00 |
$460.00 |
$489.84
|
