|
Diabetes (HbA1c) Test
|
$229.51 |
$229.51 |
$229.51 |
$78.03
|
|
Diagnostic Mammogram (both breasts)
|
$546.94 |
$546.94 |
$546.94 |
$424.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$1,058.86 |
$1,058.86 |
$1,058.86 |
$7,145.00
|
|
Dialysis one evaluation
|
$4,301.57 |
$4,301.57 |
$4,301.57 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$165.72 |
$165.72 |
$165.72 |
$100.03
|
|
Dicyclomine injection
|
$549.27 |
$549.27 |
$549.27 |
$211.81
|
|
Diffusing capacity
|
$468.36 |
$468.36 |
$468.36 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$858.92 |
$858.92 |
$858.92 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$5,446.00 |
$5,446.00 |
$5,446.00 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$179.72 |
$179.72 |
$179.72 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$5,446.00 |
$5,446.00 |
$5,446.00 |
$334.68
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,551.34 |
$1,551.34 |
$1,551.34 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$3,103.45 |
$3,103.45 |
$3,103.45 |
$6,280.95
|
|
Dilator fascial 10fx20cm
|
$969.39 |
$969.39 |
$969.39 |
$305.68
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$47.46 |
$47.46 |
$47.46 |
$26.87
|
|
Disability dlco
|
$414.68 |
$414.68 |
$414.68 |
$307.58
|
|
Disaccharidases
|
$260.63 |
$260.63 |
$260.63 |
$223.80
|
|
Dmd dup/delet analysis
|
$404.03 |
$404.03 |
$404.03 |
$385.02
|
|
Dna antibody native/double stranded
|
$7.78 |
$7.78 |
$7.78 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$469.14 |
$469.14 |
$469.14 |
$101.04
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$102.70 |
$102.70 |
$102.70 |
$84.30
|
|
Doppler echo complete
|
$353.99 |
$353.99 |
$353.99 |
$608.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$364.11 |
$364.11 |
$364.11 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$233.40 |
$233.40 |
$233.40 |
$482.03
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$167.27 |
$167.27 |
$167.27 |
$99.99
|
|
Dpyd gene common variants
|
$188.28 |
$188.28 |
$188.28 |
$380.50
|
|
Drainage of kidney lesion
|
$1,782.40 |
$1,782.40 |
$1,782.40 |
$1,706.65
|
|
Drain cath image guided visceral pq
|
$7,262.63 |
$7,262.63 |
$7,262.63 |
$3,073.90
|
|
Drill hole implt ventricular cath/device 61107
|
$2,005.69 |
$2,005.69 |
$2,005.69 |
$1,594.26
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,262.70 |
$1,262.70 |
$1,262.70 |
$1,778.40
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$6,118.20 |
$6,118.20 |
$6,118.20 |
$318.13
|
|
Drug assay caffeine
|
$27.56 |
$27.56 |
$27.56 |
$81.61
|
|
Drug assay posaconazole
|
$44.35 |
$44.35 |
$44.35 |
$96.39
|
|
Drug assay vedolizumab
|
$110.68 |
$110.68 |
$110.68 |
$164.16
|
|
Drug assay voriconazole
|
$41.24 |
$41.24 |
$41.24 |
$96.75
|
|
Drug of abuse screen urine
|
$9.81 |
$9.81 |
$9.81 |
$63.75
|
|
Drug test def 15-21 classes
|
$77.80 |
$77.80 |
$77.80 |
$144.42
|
|
Drug test def 1-7 classes
|
$332.67 |
$332.67 |
$332.67 |
$250.52
|
|
Drug test def 22+ classes
|
$140.04 |
$140.04 |
$140.04 |
$246.92
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$375.78 |
$375.78 |
$375.78 |
$278.85
|
|
Drvvt confirm - quest
|
$83.40 |
$83.40 |
$83.40 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$2,979.74 |
$2,979.74 |
$2,979.74 |
$3,390.00
|
|
Duplex scan bilateral study 93985
|
$475.36 |
$475.36 |
$475.36 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$228.74 |
$228.74 |
$228.74 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$508.82 |
$508.82 |
$508.82 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$457.47 |
$457.47 |
$457.47 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,182.56 |
$1,182.56 |
$1,182.56 |
$903.00
|
|
Dx bronchoscope/brush 31623
|
$1,529.55 |
$1,529.55 |
$1,529.55 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,529.55 |
$1,529.55 |
$1,529.55 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$2,203.30 |
$2,203.30 |
$2,203.30 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$689.31 |
$689.31 |
$689.31 |
$368.50
|
|
Ecg 12 lead tracing only
|
$441.91 |
$441.91 |
$441.91 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$133.82 |
$133.82 |
$133.82 |
$129.83
|
|
Ecg external < 48 hours recording
|
$254.41 |
$254.41 |
$254.41 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$374.22 |
$374.22 |
$374.22 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$140.82 |
$140.82 |
$140.82 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$140.82 |
$140.82 |
$140.82 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,773.07 |
$1,773.07 |
$1,773.07 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$276.97 |
$276.97 |
$276.97 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,720.16 |
$1,720.16 |
$1,720.16 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$438.02 |
$438.02 |
$438.02 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$781.12 |
$781.12 |
$781.12 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$182.06 |
$182.06 |
$182.06 |
$353.46
|
|
Echo exam of fetal heart
|
$828.57 |
$828.57 |
$828.57 |
$855.38
|
|
Echo exam of fetal heart
|
$394.45 |
$394.45 |
$394.45 |
$503.80
|
|
Echo exam of fetal heart
|
$186.72 |
$186.72 |
$186.72 |
$431.41
|
|
Echo exam of fetal heart
|
$186.72 |
$186.72 |
$186.72 |
$323.40
|
|
Echo stress
|
$753.11 |
$753.11 |
$753.11 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,803.41 |
$1,803.41 |
$1,803.41 |
$1,871.10
|
|
Echo transthoracic
|
$1,078.31 |
$1,078.31 |
$1,078.31 |
$1,492.50
|
|
Echo transthoracic
|
$753.11 |
$753.11 |
$753.11 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,022.30 |
$1,022.30 |
$1,022.30 |
$1,014.01
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$4,563.75 |
$4,563.75 |
$4,563.75 |
$4,324.50
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$130.71 |
$130.71 |
$130.71 |
$81.90
|
|
Eeg during surgery
|
$1,212.13 |
$1,212.13 |
$1,212.13 |
$775.45
|
|
E equine encephalitis igg
|
$13.50 |
$13.50 |
$13.50 |
$48.73
|
|
Egfr gene com variants
|
$245.07 |
$245.07 |
$245.07 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$31.12 |
$31.12 |
$31.12 |
$105.00
|
|
Electrd sq emblem s-icd
|
$13,450.85 |
$13,450.85 |
$13,450.85 |
$9,175.83
|
|
Electrode stimulation brain
|
$1,918.55 |
$1,918.55 |
$1,918.55 |
$1,180.80
|
|
Electrolyte panel
|
$144.71 |
$144.71 |
$144.71 |
$86.33
|
|
Electron microscopy diagnostic
|
$1,156.74 |
$1,156.74 |
$1,156.74 |
$966.69
|
|
Embolization s&i
|
$5,215.72 |
$5,215.72 |
$5,215.72 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$18,595.76 |
$18,595.76 |
$18,595.76 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$17,242.82 |
$17,242.82 |
$17,242.82 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$18,457.28 |
$18,457.28 |
$18,457.28 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$17,242.82 |
$17,242.82 |
$17,242.82 |
$15,038.25
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$495.59 |
$495.59 |
$495.59 |
$434.00
|
|
Emg cranial nerve bilateral
|
$551.61 |
$551.61 |
$551.61 |
$518.00
|
|
Emg needle test 4-extremities
|
$729.77 |
$729.77 |
$729.77 |
$570.50
|
|
Encephalitis, california igg/igm
|
$13.50 |
$13.50 |
$13.50 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$13.50 |
$13.50 |
$13.50 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$13.50 |
$13.50 |
$13.50 |
$50.70
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$812.24 |
$812.24 |
$812.24 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$15.22 |
$15.22 |
$15.22 |
$66.47
|
|
Enzyme histochemistry
|
$436.93 |
$436.93 |
$436.93 |
$460.32
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$3,152.46 |
$3,152.46 |
$3,152.46 |
$3,762.53
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$2,884.05 |
$2,884.05 |
$2,884.05 |
$918.00
|
|
Epstein barr early antigen antibody
|
$5.26 |
$5.26 |
$5.26 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$6.23 |
$6.23 |
$6.23 |
$81.81
|