|
Digoxin total therapeutic drug level
|
$173.24 |
$173.24 |
$173.24 |
$102.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$23.60 |
$23.60 |
$23.60 |
$25.12
|
|
Disability dlco
|
$343.25 |
$343.25 |
$343.25 |
$302.40
|
|
Disaccharidases
|
$438.86 |
$438.86 |
$438.86 |
$224.31
|
|
Dna antibody native/double stranded
|
$127.67 |
$127.67 |
$127.67 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$319.30 |
$319.30 |
$319.30 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$669.79 |
$669.79 |
$669.79 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$116.65 |
$116.65 |
$116.65 |
$78.39
|
|
Doppler echo complete
|
$1,186.20 |
$1,186.20 |
$1,186.20 |
$616.87
|
|
Doppler intravascular pressure flow initial vessel
|
$3,027.78 |
$3,027.78 |
$3,027.78 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,530.07 |
$1,530.07 |
$1,530.07 |
$697.23
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,473.78 |
$1,473.78 |
$1,473.78 |
$495.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$36,702.82 |
$36,702.82 |
$36,702.82 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$186.58 |
$186.58 |
$186.58 |
$269.37
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$6,892.63 |
$6,892.63 |
$6,892.63 |
$2,469.31
|
|
Drainage external ear complex 69005
|
$4,752.85 |
$4,752.85 |
$4,752.85 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$759.19 |
$759.19 |
$759.19 |
$809.25
|
|
Drainage mouth roof lesion
|
$714.65 |
$714.65 |
$714.65 |
$473.20
|
|
Drainage of arm bursa 23931
|
$4,752.85 |
$4,752.85 |
$4,752.85 |
$2,362.62
|
|
Drain blood from under nail 11740
|
$110.09 |
$110.09 |
$110.09 |
$190.33
|
|
Drain cath image guided visceral pq
|
$4,940.23 |
$4,940.23 |
$4,940.23 |
$3,032.97
|
|
Drain finger abscess;simple 26010
|
$606.60 |
$606.60 |
$606.60 |
$492.81
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$567.25 |
$567.25 |
$567.25 |
$411.16
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$462.35 |
$462.35 |
$462.35 |
$365.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$1,489.11 |
$1,489.11 |
$1,489.11 |
$5,307.40
|
|
Drng of eyelid abscess 67700
|
$883.63 |
$883.63 |
$883.63 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,402.85 |
$1,402.85 |
$1,402.85 |
$1,972.80
|
|
Drng of scrotum abscess 55100
|
$4,752.85 |
$4,752.85 |
$4,752.85 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$33.02 |
$33.02 |
$33.02 |
$39.31
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1,756.52 |
$1,756.52 |
$1,756.52 |
$10,375.97
|
|
Drug assay vedolizumab
|
$106.31 |
$106.31 |
$106.31 |
$169.26
|
|
Drug assay voriconazole
|
$83.20 |
$83.20 |
$83.20 |
$96.75
|
|
Drug of abuse screen urine
|
$861.97 |
$861.97 |
$861.97 |
$63.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,370.12 |
$1,370.12 |
$1,370.12 |
$278.85
|
|
Duplex scan unilateral study 93986
|
$1,429.11 |
$1,429.11 |
$1,429.11 |
$383.40
|
|
Dup scan/hemodialysis access 93990
|
$947.87 |
$947.87 |
$947.87 |
$499.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$2,443.49 |
$2,443.49 |
$2,443.49 |
$759.85
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,923.13 |
$1,923.13 |
$1,923.13 |
$890.55
|
|
Durvalumab 50 mg/ml intravenous solution
|
$40,297.30 |
$40,297.30 |
$40,297.30 |
$8,935.63
|
|
Dxa bone density axl vrt fx
|
$550.85 |
$550.85 |
$550.85 |
$377.65
|
|
Dx bronchoscope/lavage 31624
|
$5,053.86 |
$5,053.86 |
$5,053.86 |
$2,671.50
|
|
Ear irrigation 69209
|
$390.54 |
$390.54 |
$390.54 |
$161.40
|
|
Ecg 12 lead tracing only
|
$608.13 |
$608.13 |
$608.13 |
$245.30
|
|
Ecg external < 48 hours recording
|
$569.33 |
$569.33 |
$569.33 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$2,021.39 |
$2,021.39 |
$2,021.39 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$3,827.72 |
$3,827.72 |
$3,827.72 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$966.55 |
$966.55 |
$966.55 |
$462.80
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,448.80 |
$1,448.80 |
$1,448.80 |
$736.80
|
|
Echocardiograpy doppler follow up/limited study
|
$418.90 |
$418.90 |
$418.90 |
$354.90
|
|
Echograp trans r pros study
|
$1,621.69 |
$1,621.69 |
$1,621.69 |
$458.25
|
|
Echo stress
|
$1,673.89 |
$1,673.89 |
$1,673.89 |
$1,586.90
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,821.60 |
$3,821.60 |
$3,821.60 |
$1,875.00
|
|
Echo transthoracic
|
$1,798.35 |
$1,798.35 |
$1,798.35 |
$1,475.25
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,826.91 |
$1,826.91 |
$1,826.91 |
$1,014.01
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,461.39 |
$2,461.39 |
$2,461.39 |
$861.12
|
|
Eeg/record in coma or sleep only 95822
|
$2,773.51 |
$2,773.51 |
$2,773.51 |
$936.00
|
|
Eeg recording awake and asleep
|
$2,773.51 |
$2,773.51 |
$2,773.51 |
$1,030.27
|
|
E equine encephalitis igg
|
$53.14 |
$53.14 |
$53.14 |
$48.73
|
|
Egfr gene com variants
|
$1,065.18 |
$1,065.18 |
$1,065.18 |
$615.57
|
|
Ehrlicha chaffeensis amp prb
|
$123.34 |
$123.34 |
$123.34 |
$105.00
|
|
Electrical stimulation/unattended 97014
|
$95.56 |
$95.56 |
$95.56 |
$82.20
|
|
Electrolyte panel
|
$177.54 |
$177.54 |
$177.54 |
$86.58
|
|
Electron microscopy diagnostic
|
$983.41 |
$983.41 |
$983.41 |
$983.41
|
|
Electrophysiology evaluation
|
$5,244.29 |
$5,244.29 |
$5,244.29 |
$2,845.10
|
|
Embo or occlude vascular arterial s&i
|
$35,711.98 |
$35,711.98 |
$35,711.98 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$35,711.95 |
$35,711.95 |
$35,711.95 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$35,547.94 |
$35,547.94 |
$35,547.94 |
$15,290.85
|
|
Encephalitis, california igg/igm
|
$35.71 |
$35.71 |
$35.71 |
$46.50
|
|
Encephalitis, st louis igg/igm
|
$72.91 |
$72.91 |
$72.91 |
$47.40
|
|
Encephalitis, western equine igg/igm
|
$35.71 |
$35.71 |
$35.71 |
$50.70
|
|
Endo cath bile duct s&i
|
$2,955.28 |
$2,955.28 |
$2,955.28 |
$578.01
|
|
Endo cath panc duct s&i
|
$4,299.34 |
$4,299.34 |
$4,299.34 |
$645.00
|
|
Endoluminl ivus oct c 1st
|
$3,886.26 |
$3,886.26 |
$3,886.26 |
$3,325.80
|
|
Endoluminl ivus oct c ea
|
$2,792.41 |
$2,792.41 |
$2,792.41 |
$2,270.17
|
|
Endoscopy swallow (fees) vid
|
$254.69 |
$254.69 |
$254.69 |
$419.65
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$162.49 |
$162.49 |
$162.49 |
$119.84
|
|
Enzyme histochemistry
|
$48.06 |
$48.06 |
$48.06 |
$460.32
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$484.00 |
$484.00 |
$484.00 |
$884.44
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,114.10 |
$1,114.10 |
$1,114.10 |
$823.43
|
|
Epstein barr early antigen antibody
|
$16.61 |
$16.61 |
$16.61 |
$71.64
|
|
Epstein barr nuclear antigen antibody
|
$18.77 |
$18.77 |
$18.77 |
$79.50
|
|
Epstein barr viral capsid antigen antibody igm
|
$63.00 |
$63.00 |
$63.00 |
$90.40
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$266.69 |
$266.69 |
$266.69 |
$393.98
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$6,461.39 |
$6,461.39 |
$6,461.39 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$4,284.77 |
$4,284.77 |
$4,284.77 |
$929.40
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$6,056.10 |
$6,056.10 |
$6,056.10 |
$3,078.07
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$168.71 |
$168.71 |
$168.71 |
$364.08
|
|
ER Visit (level 1, minor)
|
$353.03 |
$353.03 |
$353.03 |
$280.50
|
|
ER Visit (level 2)
|
$922.55 |
$922.55 |
$922.55 |
$487.50
|
|
ER Visit (level 3)
|
$1,287.48 |
$1,287.48 |
$1,287.48 |
$850.50
|
|
ER Visit (level 4)
|
$1,962.66 |
$1,962.66 |
$1,962.66 |
$1,360.50
|
|
ER Visit (level 5, high severity)
|
$3,902.44 |
$3,902.44 |
$3,902.44 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$214.57 |
$214.57 |
$214.57 |
$250.66
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$615.89 |
$615.89 |
$615.89 |
$755.59
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$450.52 |
$450.52 |
$450.52 |
$553.88
|
|
Esophageal dilat s&i
|
$769.38 |
$769.38 |
$769.38 |
$525.00
|
|
Established Patient Office Visit (level 1)
|
$151.77 |
$151.77 |
$151.77 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$300.76 |
$300.76 |
$300.76 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$360.83 |
$360.83 |
$360.83 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$499.53 |
$499.53 |
$499.53 |
$233.60
|