|
Cytarabine 20 mg/ml injection solution
|
$67.00 |
$67.00 |
$67.00 |
$66.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$123.98 |
$123.98 |
$123.98 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$7.56 |
$7.56 |
$7.56 |
$101.94
|
|
Cytomegalovirus dfa
|
$318.51 |
$318.51 |
$318.51 |
$51.20
|
|
Cytopath c/v index add-on
|
$185.01 |
$185.01 |
$185.01 |
$29.60
|
|
Cytopathology cellular enhancement technique non-gyn
|
$196.99 |
$196.99 |
$196.99 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$485.82 |
$485.82 |
$485.82 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$830.54 |
$830.54 |
$830.54 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$830.54 |
$830.54 |
$830.54 |
$122.40
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$1,276.43 |
$1,276.43 |
$1,276.43 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$830.54 |
$830.54 |
$830.54 |
$203.08
|
|
Cytopath smear oth prep screen & interp
|
$324.76 |
$324.76 |
$324.76 |
$95.00
|
|
Cytp urine 3-5 probes cmptr
|
$897.84 |
$897.84 |
$897.84 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$176.00 |
$176.00 |
$176.00 |
$61.64
|
|
Decalcification
|
$545.71 |
$545.71 |
$545.71 |
$75.38
|
|
Deferoxamine 500 mg solution for injection
|
$317.00 |
$317.00 |
$317.00 |
$112.87
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$7,737.00 |
$7,737.00 |
$7,737.00 |
$7,737.00
|
|
Dextran 40 infusion
|
$490.00 |
$490.00 |
$490.00 |
$173.97
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$88.00 |
$88.00 |
$88.00 |
$68.25
|
|
Dextrose 5 % IV bolus
|
$125.73 |
$125.73 |
$125.73 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$218.04 |
$218.04 |
$218.04 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$649.53 |
$649.53 |
$649.53 |
$78.03
|
|
Diab manage trn ind/group
|
$189.92 |
$189.92 |
$189.92 |
$49.50
|
|
Diagnostic Mammogram (both breasts)
|
$1,203.22 |
$1,203.22 |
$1,203.22 |
$403.32
|
|
Dialysis one evaluation
|
$1,818.63 |
$1,818.63 |
$1,818.63 |
$827.97
|
|
Diatrizoate meglumine 18 % urethral solution
|
$3.00 |
$3.00 |
$3.00 |
$122.25
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$80.00 |
$80.00 |
$80.00 |
$67.89
|
|
Dicyclomine injection
|
$472.00 |
$472.00 |
$472.00 |
$210.00
|
|
Diffusing capacity
|
$938.36 |
$938.36 |
$938.36 |
$357.50
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$24.00 |
$24.00 |
$24.00 |
$53.00
|
|
Digoxin immune fab 40 mg intravenous solution
|
$12,865.00 |
$12,865.00 |
$12,865.00 |
$9,684.65
|
|
Digoxin total therapeutic drug level
|
$878.46 |
$878.46 |
$878.46 |
$99.35
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.22 |
$0.22 |
$0.22 |
$1.62
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$45.00 |
$45.00 |
$45.00 |
$22.58
|
|
Disability dlco
|
$766.66 |
$766.66 |
$766.66 |
$302.40
|
|
Dna antibody native/double stranded
|
$74.81 |
$74.81 |
$74.81 |
$101.40
|
|
Dornase alfa non-comp unit
|
$592.00 |
$592.00 |
$592.00 |
$500.29
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$803.00 |
$803.00 |
$803.00 |
$232.80
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$260.00 |
$260.00 |
$260.00 |
$89.34
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$9,390.80 |
$9,390.80 |
$9,390.80 |
$2,458.05
|
|
Dronabinol 2.5mg oral
|
$77.00 |
$77.00 |
$77.00 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$24.00 |
$24.00 |
$24.00 |
$33.99
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$853.47 |
$853.47 |
$853.47 |
$189.68
|
|
Drug assay voriconazole
|
$83.40 |
$83.40 |
$83.40 |
$96.75
|
|
Drug test def 1-7 classes
|
$2,614.08 |
$2,614.08 |
$2,614.08 |
$263.86
|
|
Drug test prsmv instrmnt
|
$1,490.72 |
$1,490.72 |
$1,490.72 |
$78.65
|
|
Duplex scan bilateral study 93985
|
$21,009.10 |
$21,009.10 |
$21,009.10 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$8,253.72 |
$8,253.72 |
$8,253.72 |
$392.15
|
|
Ecg 12 lead tracing only
|
$1,868.24 |
$1,868.24 |
$1,868.24 |
$243.61
|
|
Ecg/1-3 leads/tracing only 93041
|
$827.64 |
$827.64 |
$827.64 |
$129.83
|
|
Ecg external < 48 hours recording
|
$1,830.73 |
$1,830.73 |
$1,830.73 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$463.43 |
$463.43 |
$463.43 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$7,823.62 |
$7,823.62 |
$7,823.62 |
$2,049.45
|
|
Echocardiography transthoracic 2d followup/limited
|
$4,127.43 |
$4,127.43 |
$4,127.43 |
$773.30
|
|
Echo guide for amniocentesis
|
$4,746.35 |
$4,746.35 |
$4,746.35 |
$377.11
|
|
Echo tee guidance
|
$24,505.04 |
$24,505.04 |
$24,505.04 |
$2,007.00
|
|
Echo transesophageal intraop
|
$10,928.84 |
$10,928.84 |
$10,928.84 |
$1,571.70
|
|
Eeg during surgery
|
$3,997.84 |
$3,997.84 |
$3,997.84 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,998.92 |
$1,998.92 |
$1,998.92 |
$861.12
|
|
Ehrlicha chaffeensis amp prb
|
$1,466.48 |
$1,466.48 |
$1,466.48 |
$105.00
|
|
Electrolyte panel
|
$4,143.40 |
$4,143.40 |
$4,143.40 |
$86.33
|
|
Electron microscopy diagnostic
|
$3,433.98 |
$3,433.98 |
$3,433.98 |
$1,006.20
|
|
Electrophysiologic study
|
$26,842.28 |
$26,842.28 |
$26,842.28 |
$6,758.40
|
|
Electrophysiology evaluation
|
$91,775.11 |
$91,775.11 |
$91,775.11 |
$8,979.45
|
|
Electrophysiology evaluation
|
$101,290.43 |
$101,290.43 |
$101,290.43 |
$11,542.01
|
|
Electrophysiology evaluation
|
$26,842.28 |
$26,842.28 |
$26,842.28 |
$8,393.40
|
|
Electrophysiology evaluation
|
$26,842.28 |
$26,842.28 |
$26,842.28 |
$6,516.00
|
|
Electrophysiology evaluation
|
$12,561.98 |
$12,561.98 |
$12,561.98 |
$2,845.10
|
|
Electrophysiology evaluation
|
$10,132.90 |
$10,132.90 |
$10,132.90 |
$2,630.40
|
|
Electrophysiology evaluation
|
$10,132.90 |
$10,132.90 |
$10,132.90 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$32,212.86 |
$32,212.86 |
$32,212.86 |
$6,534.00
|
|
Embolization s&i
|
$41,259.96 |
$41,259.96 |
$41,259.96 |
$2,745.08
|
|
Endo cath bile duct s&i
|
$3,180.85 |
$3,180.85 |
$3,180.85 |
$545.37
|
|
Endo cath panc duct s&i
|
$3,357.85 |
$3,357.85 |
$3,357.85 |
$637.65
|
|
Ep & ablate supravent arrhyt
|
$134,916.82 |
$134,916.82 |
$134,916.82 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$134,916.82 |
$134,916.82 |
$134,916.82 |
$30,975.00
|
|
Ep induct arrhy by elect pacing
|
$6,452.69 |
$6,452.69 |
$6,452.69 |
$2,753.40
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$61.00 |
$61.00 |
$61.00 |
$59.36
|
|
Epinephrine 1 mg/ml im kit - adult
|
$6.10 |
$6.10 |
$6.10 |
$25.61
|
|
Epstein barr early antigen antibody
|
$194.54 |
$194.54 |
$194.54 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$194.54 |
$194.54 |
$194.54 |
$82.55
|
|
Ercp biliary & pancreas
|
$11,781.97 |
$11,781.97 |
$11,781.97 |
$922.35
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$996.00 |
$996.00 |
$996.00 |
$364.08
|
|
ER Visit (level 1, minor)
|
$2,279.77 |
$2,279.77 |
$2,279.77 |
$271.88
|
|
ER Visit (level 2)
|
$3,564.00 |
$3,564.00 |
$3,564.00 |
$481.37
|
|
ER Visit (level 3)
|
$4,779.72 |
$4,779.72 |
$4,779.72 |
$850.50
|
|
ER Visit (level 4)
|
$5,157.11 |
$5,157.11 |
$5,157.11 |
$1,334.25
|
|
ER Visit (level 5, high severity)
|
$6,000.59 |
$6,000.59 |
$6,000.59 |
$1,930.40
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$263.00 |
$263.00 |
$263.00 |
$232.84
|
|
Esophageal dilat s&i
|
$3,826.00 |
$3,826.00 |
$3,826.00 |
$525.00
|
|
Esoph balloon distension tst
|
$10,391.68 |
$10,391.68 |
$10,391.68 |
$780.00
|
|
Estradiol total
|
$162.47 |
$162.47 |
$162.47 |
$147.79
|
|
Estradiol valerate 10 mg inj
|
$388.00 |
$388.00 |
$388.00 |
$51.40
|
|
Estrogens total-sendout
|
$7.31 |
$7.31 |
$7.31 |
$89.25
|
|
Ethanolamine oleate 100 mg
|
$1,761.00 |
$1,761.00 |
$1,761.00 |
$933.59
|
|
Ethylene glycol -sendout
|
$12.36 |
$12.36 |
$12.36 |
$78.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$1,331.00 |
$1,331.00 |
$1,331.00 |
$219.60
|
|
Evaluation heart device
|
$9,165.27 |
$9,165.27 |
$9,165.27 |
$2,384.20
|
|
Evaluation of speech fluency 92521
|
$1,176.12 |
$1,176.12 |
$1,176.12 |
$347.75
|
|
F-18 fdg pet diag
|
$3,179.76 |
$3,179.76 |
$3,179.76 |
$609.85
|
