|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$622.02 |
$622.02 |
$622.02 |
$220.43
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$29.54 |
$29.54 |
$29.54 |
$26.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$105.89 |
$105.89 |
$105.89 |
$57.07
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$105.89 |
$105.89 |
$105.89 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$33.91 |
$33.91 |
$33.91 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$105.89 |
$105.89 |
$105.89 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$57.91 |
$57.91 |
$57.91 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$141.34 |
$141.34 |
$141.34 |
$78.40
|
|
Diab manage trn ind/group
|
$40.51 |
$40.51 |
$40.51 |
$49.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$254.15 |
$254.15 |
$254.15 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$254.15 |
$254.15 |
$254.15 |
$75.93
|
|
Diagnostic Mammogram (both breasts)
|
$647.27 |
$647.27 |
$647.27 |
$421.26
|
|
Diagnostic Mammogram (one breast)
|
$448.22 |
$448.22 |
$448.22 |
$297.05
|
|
Diatrizoate meglumine 18 % urethral solution
|
$191.62 |
$191.62 |
$191.62 |
$101.58
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$60.54 |
$60.54 |
$60.54 |
$72.34
|
|
Dicyclomine injection
|
$239.31 |
$239.31 |
$239.31 |
$211.68
|
|
Diffusing capacity
|
$547.14 |
$547.14 |
$547.14 |
$360.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$28.73 |
$28.73 |
$28.73 |
$66.86
|
|
Digoxin total therapeutic drug level
|
$111.45 |
$111.45 |
$111.45 |
$102.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$22.00 |
$22.00 |
$22.00 |
$25.12
|
|
Disaccharidases
|
$93.43 |
$93.43 |
$93.43 |
$224.31
|
|
Dna antibody native/double stranded
|
$121.59 |
$121.59 |
$121.59 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$374.03 |
$374.03 |
$374.03 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$944.35 |
$944.35 |
$944.35 |
$771.27
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$133.16 |
$133.16 |
$133.16 |
$79.61
|
|
Doppler echo complete
|
$734.50 |
$734.50 |
$734.50 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$3,601.62 |
$3,601.62 |
$3,601.62 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$759.84 |
$759.84 |
$759.84 |
$697.66
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$479.73 |
$479.73 |
$479.73 |
$495.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$59,708.09 |
$59,708.09 |
$59,708.09 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$279.10 |
$279.10 |
$279.10 |
$279.10
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$11,167.50 |
$11,167.50 |
$11,167.50 |
$2,469.31
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$2,417.36 |
$2,417.36 |
$2,417.36 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$2,417.36 |
$2,417.36 |
$2,417.36 |
$895.20
|
|
Drainage of arm bursa 23931
|
$5,465.78 |
$5,465.78 |
$5,465.78 |
$2,347.56
|
|
Drainage of kidney lesion
|
$3,623.09 |
$3,623.09 |
$3,623.09 |
$1,619.40
|
|
Drainage of mouth lesion
|
$5,254.86 |
$5,254.86 |
$5,254.86 |
$2,270.40
|
|
Drainage of nose lesion sept 30020
|
$1,756.90 |
$1,756.90 |
$1,756.90 |
$755.95
|
|
Drain blood from under nail 11740
|
$194.19 |
$194.19 |
$194.19 |
$190.33
|
|
Drain cath image guided visceral pq
|
$1,244.63 |
$1,244.63 |
$1,244.63 |
$3,073.90
|
|
Drain finger abscess;simple 26010
|
$697.59 |
$697.59 |
$697.59 |
$492.81
|
|
Drain thigh/knee lesion 27301
|
$6,858.32 |
$6,858.32 |
$6,858.32 |
$3,606.86
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$1,245.71 |
$1,245.71 |
$1,245.71 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$626.59 |
$626.59 |
$626.59 |
$365.00
|
|
Drng of finger abscess comp 26011
|
$5,465.78 |
$5,465.78 |
$5,465.78 |
$1,999.20
|
|
Drng of scrotum abscess 55100
|
$5,465.78 |
$5,465.78 |
$5,465.78 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$33.99 |
$33.99 |
$33.99 |
$39.60
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1,580.88 |
$1,580.88 |
$1,580.88 |
$12,735.45
|
|
Drug assay caffeine
|
$89.50 |
$89.50 |
$89.50 |
$83.85
|
|
Drug of abuse screen urine
|
$47.92 |
$47.92 |
$47.92 |
$63.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,052.77 |
$1,052.77 |
$1,052.77 |
$280.11
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,343.07 |
$1,343.07 |
$1,343.07 |
$890.55
|
|
Durvalumab 50 mg/ml intravenous solution
|
$65,557.50 |
$65,557.50 |
$65,557.50 |
$9,080.81
|
|
Dx bronchoscope/lavage 31624
|
$4,548.47 |
$4,548.47 |
$4,548.47 |
$2,672.16
|
|
Ear irrigation 69209
|
$404.71 |
$404.71 |
$404.71 |
$161.40
|
|
Ecg 12 lead tracing only
|
$307.46 |
$307.46 |
$307.46 |
$245.30
|
|
Echocardiogram (Heart Ultrasound)
|
$3,524.36 |
$3,524.36 |
$3,524.36 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$647.14 |
$647.14 |
$647.14 |
$463.45
|
|
Echocardiography transthoracic 2d followup/limited
|
$883.79 |
$883.79 |
$883.79 |
$720.60
|
|
Echocardiograpy doppler follow up/limited study
|
$345.95 |
$345.95 |
$345.95 |
$353.46
|
|
Echograp trans r pros study
|
$1,711.36 |
$1,711.36 |
$1,711.36 |
$459.40
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,975.98 |
$1,975.98 |
$1,975.98 |
$1,851.45
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,109.08 |
$1,109.08 |
$1,109.08 |
$1,011.36
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,179.66 |
$1,179.66 |
$1,179.66 |
$861.12
|
|
Eeg recording awake and asleep
|
$1,179.66 |
$1,179.66 |
$1,179.66 |
$1,030.27
|
|
Ehrlicha chaffeensis amp prb
|
$114.80 |
$114.80 |
$114.80 |
$105.00
|
|
Electrical stimulation/unattended 97014
|
$67.55 |
$67.55 |
$67.55 |
$82.20
|
|
Electrolyte panel
|
$53.49 |
$53.49 |
$53.49 |
$88.20
|
|
Electron microscopy diagnostic
|
$609.70 |
$609.70 |
$609.70 |
$981.50
|
|
Electrophysiology evaluation
|
$3,872.27 |
$3,872.27 |
$3,872.27 |
$2,845.10
|
|
Embo or occlude vascular arterial s&i
|
$20,036.14 |
$20,036.14 |
$20,036.14 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$30,438.17 |
$30,438.17 |
$30,438.17 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$39,396.02 |
$39,396.02 |
$39,396.02 |
$15,290.85
|
|
Embo or occlude vascular venous s&i
|
$20,036.14 |
$20,036.14 |
$20,036.14 |
$15,038.25
|
|
Endo cath bile duct s&i
|
$2,212.27 |
$2,212.27 |
$2,212.27 |
$583.55
|
|
Endo cath panc duct s&i
|
$2,261.71 |
$2,261.71 |
$2,261.71 |
$645.00
|
|
Endoluminl ivus oct c 1st
|
$3,202.19 |
$3,202.19 |
$3,202.19 |
$3,316.48
|
|
Endoluminl ivus oct c ea
|
$3,632.00 |
$3,632.00 |
$3,632.00 |
$2,294.50
|
|
Endoscopy swallow (fees) vid
|
$180.00 |
$180.00 |
$180.00 |
$414.06
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$214.40 |
$214.40 |
$214.40 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$25.21 |
$25.21 |
$25.21 |
$66.47
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$657.10 |
$657.10 |
$657.10 |
$884.44
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,495.84 |
$1,495.84 |
$1,495.84 |
$823.43
|
|
Epstein barr early antigen antibody
|
$37.97 |
$37.97 |
$37.97 |
$71.64
|
|
Epstein barr nuclear antigen antibody
|
$44.26 |
$44.26 |
$44.26 |
$80.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$60.00 |
$60.00 |
$60.00 |
$92.40
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$357.88 |
$357.88 |
$357.88 |
$393.98
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$8,718.56 |
$8,718.56 |
$8,718.56 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$2,079.35 |
$2,079.35 |
$2,079.35 |
$943.50
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$9,809.81 |
$9,809.81 |
$9,809.81 |
$3,109.44
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$222.98 |
$222.98 |
$222.98 |
$364.08
|
|
ER Visit (level 1, minor)
|
$529.60 |
$529.60 |
$529.60 |
$277.55
|
|
ER Visit (level 2)
|
$841.68 |
$841.68 |
$841.68 |
$488.80
|
|
ER Visit (level 3)
|
$1,428.20 |
$1,428.20 |
$1,428.20 |
$850.50
|
|
ER Visit (level 4)
|
$2,469.48 |
$2,469.48 |
$2,469.48 |
$1,360.50
|
|
ER Visit (level 5, high severity)
|
$4,868.04 |
$4,868.04 |
$4,868.04 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$297.07 |
$297.07 |
$297.07 |
$253.52
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$864.72 |
$864.72 |
$864.72 |
$671.00
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$630.81 |
$630.81 |
$630.81 |
$553.88
|
|
Established Patient Office Visit (level 1)
|
$197.87 |
$197.87 |
$197.87 |
$122.20
|