|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$37.50 |
$37.50 |
$37.50 |
$37.50
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$37.50 |
$37.50 |
$37.50 |
$68.25
|
|
Dextrose 5 % IV bolus
|
$37.50 |
$37.50 |
$37.50 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$110.50 |
$110.50 |
$110.50 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$46.15 |
$46.15 |
$46.15 |
$70.00
|
|
Diathermy eg microwave
|
$34.45 |
$34.45 |
$34.45 |
$17.37
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$13.00 |
$13.00 |
$13.00 |
$42.12
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$7.15 |
$7.15 |
$7.15 |
$29.85
|
|
Digoxin total therapeutic drug level
|
$75.40 |
$75.40 |
$75.40 |
$92.95
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.29 |
$9.29 |
$9.29 |
$9.29
|
|
Dna antibody native/double stranded
|
$121.55 |
$121.55 |
$121.55 |
$101.40
|
|
Dna gardnerella
|
$39.00 |
$39.00 |
$39.00 |
$67.68
|
|
Dna probe chlamydia
|
$59.80 |
$59.80 |
$59.80 |
$98.40
|
|
Dna probe gc
|
$96.20 |
$96.20 |
$96.20 |
$88.67
|
|
Dna trichomonas
|
$39.00 |
$39.00 |
$39.00 |
$69.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$69.47 |
$69.47 |
$69.47 |
$95.06
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$60.98 |
$60.98 |
$60.98 |
$60.21
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$81.30 |
$81.30 |
$81.30 |
$81.30
|
|
Drainage of urethra abscess 53060
|
$749.45 |
$749.45 |
$749.45 |
$2,267.41
|
|
Drain blood from under nail 11740
|
$68.90 |
$68.90 |
$68.90 |
$173.21
|
|
Drain finger abscess;simple 26010
|
$442.00 |
$442.00 |
$442.00 |
$451.20
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$260.00 |
$260.00 |
$260.00 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$229.45 |
$229.45 |
$229.45 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$298.35 |
$298.35 |
$298.35 |
$515.00
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$14.30 |
$14.30 |
$14.30 |
$57.00
|
|
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 test prsmv instrmnt
|
$83.20 |
$83.20 |
$83.20 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$236.60 |
$236.60 |
$236.60 |
$278.85
|
|
Drvvt confirm - quest
|
$112.45 |
$112.45 |
$112.45 |
$108.55
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$716.95 |
$716.95 |
$716.95 |
$852.57
|
|
Ear irrigation 69209
|
$104.00 |
$104.00 |
$104.00 |
$152.50
|
|
Ecg 12 lead tracing only
|
$195.00 |
$195.00 |
$195.00 |
$222.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$130.65 |
$130.65 |
$130.65 |
$129.83
|
|
Ecg external < 48 hours recording
|
$323.70 |
$323.70 |
$323.70 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$331.50 |
$331.50 |
$331.50 |
$541.73
|
|
Echocardiogram (Heart Ultrasound)
|
$1,645.80 |
$1,645.80 |
$1,645.80 |
$2,021.12
|
|
Echocardiography transthoracic 2d followup/limited
|
$737.10 |
$737.10 |
$737.10 |
$720.60
|
|
E equine encephalitis igg
|
$53.30 |
$53.30 |
$53.30 |
$49.92
|
|
Egd guide wire insertion
|
$456.30 |
$456.30 |
$456.30 |
$1,247.13
|
|
Egd remove foreign body
|
$576.55 |
$576.55 |
$576.55 |
$1,588.55
|
|
Egd remove lesion snare
|
$625.95 |
$625.95 |
$625.95 |
$2,200.46
|
|
Egfr gene com variants
|
$672.10 |
$672.10 |
$672.10 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$255.45 |
$255.45 |
$255.45 |
$112.50
|
|
Electrical stimulation/unattended 97014
|
$65.65 |
$65.65 |
$65.65 |
$79.20
|
|
Electrolyte panel
|
$100.75 |
$100.75 |
$100.75 |
$68.56
|
|
Electron microscopy diagnostic
|
$585.00 |
$585.00 |
$585.00 |
$1,107.84
|
|
Encephalitis, california igg/igm
|
$42.90 |
$42.90 |
$42.90 |
$49.92
|
|
Encephalitis, st louis igg/igm
|
$42.90 |
$42.90 |
$42.90 |
$55.75
|
|
Encephalitis, western equine igg/igm
|
$42.90 |
$42.90 |
$42.90 |
$55.25
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$25.97 |
$25.97 |
$25.97 |
$43.20
|
|
Enzyme histochemistry
|
$247.00 |
$247.00 |
$247.00 |
$506.35
|
|
Epstein barr early antigen antibody
|
$88.40 |
$88.40 |
$88.40 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$68.90 |
$68.90 |
$68.90 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$74.75 |
$74.75 |
$74.75 |
$112.50
|
|
ER Visit (level 1, minor)
|
$312.00 |
$312.00 |
$312.00 |
$270.00
|
|
ER Visit (level 2)
|
$465.40 |
$465.40 |
$465.40 |
$469.39
|
|
ER Visit (level 3)
|
$991.57 |
$991.57 |
$991.57 |
$821.52
|
|
ER Visit (level 4)
|
$1,320.15 |
$1,320.15 |
$1,320.15 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$3,905.88 |
$3,905.88 |
$3,905.88 |
$1,900.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,074.14 |
$1,074.14 |
$1,074.14 |
$406.83
|
|
Esophagus motility study
|
$1,274.00 |
$1,274.00 |
$1,274.00 |
$1,257.17
|
|
Esoph egd dilation <30 mm
|
$572.65 |
$572.65 |
$572.65 |
$2,638.57
|
|
Established Patient Office Visit (level 1)
|
$118.30 |
$118.30 |
$118.30 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$142.35 |
$142.35 |
$142.35 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$167.05 |
$167.05 |
$167.05 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$187.85 |
$187.85 |
$187.85 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$222.95 |
$222.95 |
$222.95 |
$270.09
|
|
Estradiol total
|
$157.30 |
$157.30 |
$157.30 |
$142.20
|
|
Estrogens total-sendout
|
$81.25 |
$81.25 |
$81.25 |
$111.00
|
|
Ethylene glycol -sendout
|
$81.25 |
$81.25 |
$81.25 |
$81.25
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$187.20 |
$187.20 |
$187.20 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$416.00 |
$416.00 |
$416.00 |
$347.75
|
|
Exc back les sbq <3 cm 21930
|
$833.95 |
$833.95 |
$833.95 |
$2,271.01
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$459.55 |
$459.55 |
$459.55 |
$1,908.09
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$237.90 |
$237.90 |
$237.90 |
$828.59
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$356.20 |
$356.20 |
$356.20 |
$973.71
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$244.40 |
$244.40 |
$244.40 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$360.10 |
$360.10 |
$360.10 |
$1,228.50
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$395.20 |
$395.20 |
$395.20 |
$973.71
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$316.55 |
$316.55 |
$316.55 |
$765.00
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$331.50 |
$331.50 |
$331.50 |
$1,855.89
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$295.75 |
$295.75 |
$295.75 |
$973.71
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$589.55 |
$589.55 |
$589.55 |
$2,925.00
|
|
Excision of anal lesion(s)
|
$403.65 |
$403.65 |
$403.65 |
$3,190.50
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$385.45 |
$385.45 |
$385.45 |
$932.35
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$516.10 |
$516.10 |
$516.10 |
$1,322.10
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$508.30 |
$508.30 |
$508.30 |
$3,285.96
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$886.60 |
$886.60 |
$886.60 |
$3,994.09
|
|
Exc thrombosed hemorrhoid 46320
|
$332.15 |
$332.15 |
$332.15 |
$2,481.60
|
|
External chromosome analysis 20-25 cells
|
$389.35 |
$389.35 |
$389.35 |
$457.50
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$363.35 |
$363.35 |
$363.35 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$135.85 |
$135.85 |
$135.85 |
$102.50
|
|
Facial bones <3
|
$203.45 |
$203.45 |
$203.45 |
$216.45
|
|
Factor ix
|
$102.05 |
$102.05 |
$102.05 |
$139.75
|
|
Factor viii
|
$102.05 |
$102.05 |
$102.05 |
$152.50
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Fat/lipids feces qualitative
|
$72.15 |
$72.15 |
$72.15 |
$43.66
|
|
Fatty acids nonesterified
|
$39.65 |
$39.65 |
$39.65 |
$64.28
|
