|
Diffusing capacity
|
$292.50 |
$292.50 |
$292.50 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$7.15 |
$7.15 |
$7.15 |
$29.85
|
|
Digoxin total therapeutic drug level
|
$113.75 |
$113.75 |
$113.75 |
$92.95
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$158.68 |
$158.68 |
$158.68 |
$297.86
|
|
Dimethyl sulfoxide 50% 50 ml
|
$2,205.67 |
$2,205.67 |
$2,205.67 |
$1,001.55
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$9.29
|
|
Disaccharidases
|
$19.50 |
$19.50 |
$19.50 |
$224.58
|
|
Dna antibody native/double stranded
|
$120.90 |
$120.90 |
$120.90 |
$101.40
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$120.90 |
$120.90 |
$120.90 |
$95.06
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$43.08 |
$43.08 |
$43.08 |
$60.21
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$354.25 |
$354.25 |
$354.25 |
$463.20
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$50.39 |
$50.39 |
$50.39 |
$81.30
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$386.10 |
$386.10 |
$386.10 |
$800.00
|
|
Drainage external ear complex 69005
|
$525.20 |
$525.20 |
$525.20 |
$3,016.11
|
|
Drainage external ear simple 69000
|
$340.60 |
$340.60 |
$340.60 |
$800.00
|
|
Drainage mouth roof lesion
|
$310.70 |
$310.70 |
$310.70 |
$408.80
|
|
Drainage of arm bursa 23931
|
$2,437.50 |
$2,437.50 |
$2,437.50 |
$2,437.50
|
|
Drainage of mouth lesion
|
$602.55 |
$602.55 |
$602.55 |
$3,723.23
|
|
Drain blood from under nail 11740
|
$80.60 |
$80.60 |
$80.60 |
$173.21
|
|
Drain finger abscess;simple 26010
|
$485.55 |
$485.55 |
$485.55 |
$451.20
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$256.75 |
$256.75 |
$256.75 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$173.55 |
$173.55 |
$173.55 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$385.45 |
$385.45 |
$385.45 |
$515.00
|
|
Drng of eyelid abscess 67700
|
$411.45 |
$411.45 |
$411.45 |
$718.05
|
|
Drng of finger abscess comp 26011
|
$868.40 |
$868.40 |
$868.40 |
$1,908.09
|
|
Drng of scrotum abscess 55100
|
$616.85 |
$616.85 |
$616.85 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$32.13 |
$32.13 |
$32.13 |
$32.82
|
|
Drug assay caffeine
|
$110.50 |
$110.50 |
$110.50 |
$89.17
|
|
Drug assay posaconazole
|
$132.60 |
$132.60 |
$132.60 |
$96.75
|
|
Drug assay voriconazole
|
$104.65 |
$104.65 |
$104.65 |
$96.75
|
|
Drug of abuse screen urine
|
$102.05 |
$102.05 |
$102.05 |
$58.50
|
|
Drug test prsmv instrmnt
|
$89.05 |
$89.05 |
$89.05 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$230.10 |
$230.10 |
$230.10 |
$278.85
|
|
Drvvt confirm - quest
|
$101.40 |
$101.40 |
$101.40 |
$108.55
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$812.50 |
$812.50 |
$812.50 |
$852.57
|
|
Ear irrigation 69209
|
$113.10 |
$113.10 |
$113.10 |
$152.50
|
|
Ecg 12 lead tracing only
|
$187.20 |
$187.20 |
$187.20 |
$222.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$130.65 |
$130.65 |
$130.65 |
$129.83
|
|
Ecg external < 48 hours recording
|
$399.75 |
$399.75 |
$399.75 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$473.85 |
$473.85 |
$473.85 |
$541.73
|
|
Ecg external > 48 hours up to 7 days recording
|
$382.85 |
$382.85 |
$382.85 |
$180.00
|
|
Ecg external >7 days up to 15 days recording
|
$382.85 |
$382.85 |
$382.85 |
$213.20
|
|
Echocardiogram (Heart Ultrasound)
|
$1,480.05 |
$1,480.05 |
$1,480.05 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$511.55 |
$511.55 |
$511.55 |
$450.40
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,125.50 |
$2,125.50 |
$2,125.50 |
$1,899.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$417.95 |
$417.95 |
$417.95 |
$720.60
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,295.45 |
$1,295.45 |
$1,295.45 |
$840.00
|
|
Echocardiograpy doppler follow up/limited study
|
$272.35 |
$272.35 |
$272.35 |
$348.80
|
|
Echo exam uterus 76831-
|
$399.75 |
$399.75 |
$399.75 |
$497.93
|
|
Echo guide for amniocentesis
|
$350.35 |
$350.35 |
$350.35 |
$355.17
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$982.15 |
$982.15 |
$982.15 |
$997.40
|
|
E coli 0157 ag ia
|
$72.15 |
$72.15 |
$72.15 |
$32.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$14,211.61 |
$14,211.61 |
$14,211.61 |
$17,051.72
|
|
E equine encephalitis igg
|
$49.40 |
$49.40 |
$49.40 |
$49.92
|
|
Egd guide wire insertion
|
$3,118.80 |
$3,118.80 |
$3,118.80 |
$1,247.13
|
|
Egfr gene com variants
|
$588.90 |
$588.90 |
$588.90 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$161.20 |
$161.20 |
$161.20 |
$112.50
|
|
Electrical stimulation/unattended 97014
|
$73.45 |
$73.45 |
$73.45 |
$79.20
|
|
Electrolyte panel
|
$113.10 |
$113.10 |
$113.10 |
$68.56
|
|
Electron microscopy diagnostic
|
$658.45 |
$658.45 |
$658.45 |
$1,107.84
|
|
Encephalitis, california igg/igm
|
$49.40 |
$49.40 |
$49.40 |
$49.92
|
|
Encephalitis, st louis igg/igm
|
$52.00 |
$52.00 |
$52.00 |
$55.75
|
|
Encephalitis, western equine igg/igm
|
$49.40 |
$49.40 |
$49.40 |
$55.25
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$51.67 |
$51.67 |
$51.67 |
$43.20
|
|
Enzyme histochemistry
|
$202.15 |
$202.15 |
$202.15 |
$506.35
|
|
Epstein barr early antigen antibody
|
$87.10 |
$87.10 |
$87.10 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$72.80 |
$72.80 |
$72.80 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$99.45 |
$99.45 |
$99.45 |
$112.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$419.52 |
$419.52 |
$419.52 |
$138.28
|
|
ER Visit (level 1, minor)
|
$371.80 |
$371.80 |
$371.80 |
$270.00
|
|
ER Visit (level 2)
|
$592.15 |
$592.15 |
$592.15 |
$469.39
|
|
ER Visit (level 3)
|
$1,041.30 |
$1,041.30 |
$1,041.30 |
$821.52
|
|
ER Visit (level 4)
|
$1,915.72 |
$1,915.72 |
$1,915.72 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$3,898.70 |
$3,898.70 |
$3,898.70 |
$1,900.20
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$597.06 |
$597.06 |
$597.06 |
$195.33
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,051.53 |
$1,051.53 |
$1,051.53 |
$406.83
|
|
Esoph egd dilation <30 mm
|
$3,158.51 |
$3,158.51 |
$3,158.51 |
$2,638.57
|
|
Established Patient Office Visit (level 1)
|
$101.40 |
$101.40 |
$101.40 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$139.10 |
$139.10 |
$139.10 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$165.75 |
$165.75 |
$165.75 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$177.45 |
$177.45 |
$177.45 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$243.75 |
$243.75 |
$243.75 |
$270.09
|
|
Estradiol total
|
$196.30 |
$196.30 |
$196.30 |
$142.20
|
|
Estrogens total-sendout
|
$115.05 |
$115.05 |
$115.05 |
$111.00
|
|
Ethylene glycol -sendout
|
$99.45 |
$99.45 |
$99.45 |
$81.25
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$147.55 |
$147.55 |
$147.55 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$410.80 |
$410.80 |
$410.80 |
$347.75
|
|
Event monitor
|
$261.95 |
$261.95 |
$261.95 |
$228.60
|
|
Exc back les sbq <3 cm 21930
|
$3,170.05 |
$3,170.05 |
$3,170.05 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$195.00 |
$195.00 |
$195.00 |
$805.70
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$344.50 |
$344.50 |
$344.50 |
$1,855.89
|
|
Exc thrombosed hemorrhoid 46320
|
$332.15 |
$332.15 |
$332.15 |
$2,481.60
|
|
Explore penetrating wnd/extremity 20103
|
$1,013.35 |
$1,013.35 |
$1,013.35 |
$1,908.09
|
|
Explore/treat finger joint
|
$1,073.80 |
$1,073.80 |
$1,073.80 |
$2,211.05
|
|
Explore wound abdomen 20102
|
$988.65 |
$988.65 |
$988.65 |
$2,837.09
|
|
Ext ecg>48hr<7d scan a/r
|
$707.20 |
$707.20 |
$707.20 |
$238.50
|
|
Ext ecg>7d<15d scan a/r
|
$707.20 |
$707.20 |
$707.20 |
$238.50
|
|
External chromosome analysis 20-25 cells
|
$370.50 |
$370.50 |
$370.50 |
$457.50
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$360.10 |
$360.10 |
$360.10 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$119.60 |
$119.60 |
$119.60 |
$102.50
|