|
Device intraute mirena
|
$6,718.48 |
$6,718.48 |
$6,718.48 |
$2,289.60
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$626.75 |
$626.75 |
$626.75 |
$465.34
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$628.39 |
$628.39 |
$628.39 |
$43.65
|
|
Dextrose 5 % IV bolus
|
$219.69 |
$219.69 |
$219.69 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$17.54 |
$17.54 |
$17.54 |
$107.50
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$110.67 |
$110.67 |
$110.67 |
$67.89
|
|
Dicyclomine injection
|
$392.81 |
$392.81 |
$392.81 |
$210.00
|
|
Diffusing capacity
|
$1,918.04 |
$1,918.04 |
$1,918.04 |
$357.50
|
|
Digoxin immune fab 40 mg intravenous solution
|
$14,652.96 |
$14,652.96 |
$14,652.96 |
$9,684.65
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$246.26 |
$246.26 |
$246.26 |
$308.90
|
|
Dimenhydrinate injection
|
$6.30 |
$6.30 |
$6.30 |
$24.68
|
|
Dimethyl sulfoxide 50% 50 ml
|
$2,787.49 |
$2,787.49 |
$2,787.49 |
$1,001.55
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$132.31 |
$132.31 |
$132.31 |
$22.58
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$78.34 |
$78.34 |
$78.34 |
$100.80
|
|
Disability dlco
|
$1,709.36 |
$1,709.36 |
$1,709.36 |
$302.40
|
|
Disaccharidases
|
$106.07 |
$106.07 |
$106.07 |
$224.58
|
|
Dna gardnerella
|
$94.41 |
$94.41 |
$94.41 |
$66.05
|
|
Dna trichomonas
|
$94.41 |
$94.41 |
$94.41 |
$68.50
|
|
Docetaxel (docivyx), 1 mg
|
$110.50 |
$110.50 |
$110.50 |
$50.99
|
|
Doppler echo complete
|
$5,189.84 |
$5,189.84 |
$5,189.84 |
$644.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,557.64 |
$1,557.64 |
$1,557.64 |
$490.82
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$400.40 |
$400.40 |
$400.40 |
$89.34
|
|
Dronabinol 2.5mg oral
|
$64.10 |
$64.10 |
$64.10 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$248.45 |
$248.45 |
$248.45 |
$33.99
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$189.68
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$280.18
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$127.14
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$448.16
|
|
Drug assay caffeine
|
$24.70 |
$24.70 |
$24.70 |
$86.45
|
|
Drug assay posaconazole
|
$127.66 |
$127.66 |
$127.66 |
$96.39
|
|
Drug assay voriconazole
|
$127.66 |
$127.66 |
$127.66 |
$96.75
|
|
Drug of abuse screen urine
|
$540.00 |
$540.00 |
$540.00 |
$63.75
|
|
Drug test prsmv instrmnt
|
$2,649.76 |
$2,649.76 |
$2,649.76 |
$78.65
|
|
Drvvt confirm - quest
|
$3.45 |
$3.45 |
$3.45 |
$102.30
|
|
Duplex scan bilateral study 93985
|
$1,156.31 |
$1,156.31 |
$1,156.31 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$547.11 |
$547.11 |
$547.11 |
$392.15
|
|
Ecallantide injection
|
$30,213.18 |
$30,213.18 |
$30,213.18 |
$6,132.60
|
|
Echocardiogram (Heart Ultrasound)
|
$18,777.15 |
$18,777.15 |
$18,777.15 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$3,741.57 |
$3,741.57 |
$3,741.57 |
$461.61
|
|
Echocardiography transthoracic 2d followup/limited
|
$6,236.48 |
$6,236.48 |
$6,236.48 |
$773.30
|
|
Echocardiograpy doppler follow up/limited study
|
$3,741.57 |
$3,741.57 |
$3,741.57 |
$354.90
|
|
Echo guide for artery repair
|
$3,462.22 |
$3,462.22 |
$3,462.22 |
$676.80
|
|
Echo stress
|
$6,419.96 |
$6,419.96 |
$6,419.96 |
$1,607.45
|
|
Echo tee probe placement image acquisition interpretation & report
|
$21,032.63 |
$21,032.63 |
$21,032.63 |
$1,938.95
|
|
Echo transthoracic
|
$6,137.64 |
$6,137.64 |
$6,137.64 |
$944.14
|
|
Edetate calcium disodium inj
|
$774.12 |
$774.12 |
$774.12 |
$6,086.32
|
|
Eeg 41-60 minutes 95812-26
|
$2,011.51 |
$2,011.51 |
$2,011.51 |
$934.05
|
|
Eeg monitoring/function test
|
$8,143.10 |
$8,143.10 |
$8,143.10 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$5,951.43 |
$5,951.43 |
$5,951.43 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,431.71 |
$1,431.71 |
$1,431.71 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$1,089.90 |
$1,089.90 |
$1,089.90 |
$911.00
|
|
Eeg recording awake and asleep
|
$5,951.43 |
$5,951.43 |
$5,951.43 |
$1,030.27
|
|
Egfr gene com variants
|
$1,528.38 |
$1,528.38 |
$1,528.38 |
$646.75
|
|
Ehrlicha chaffeensis amp prb
|
$165.23 |
$165.23 |
$165.23 |
$105.00
|
|
Electron microscopy diagnostic
|
$668.77 |
$668.77 |
$668.77 |
$1,006.20
|
|
Electrophysiology evaluation
|
$24,792.71 |
$24,792.71 |
$24,792.71 |
$11,542.01
|
|
Electrophysiology evaluation
|
$10,124.92 |
$10,124.92 |
$10,124.92 |
$8,393.40
|
|
Electrophysiology evaluation
|
$20,628.63 |
$20,628.63 |
$20,628.63 |
$2,845.10
|
|
Electrophysiology evaluation
|
$6,555.55 |
$6,555.55 |
$6,555.55 |
$2,630.40
|
|
Electrophys map 3d add-on
|
$10,124.92 |
$10,124.92 |
$10,124.92 |
$6,534.00
|
|
Endo cath bile duct s&i
|
$4,330.68 |
$4,330.68 |
$4,330.68 |
$545.37
|
|
Endoscopy swallow (fees) vid
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$420.00
|
|
Ep & ablate supravent arrhyt
|
$104,777.66 |
$104,777.66 |
$104,777.66 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$104,777.66 |
$104,777.66 |
$104,777.66 |
$30,975.00
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$55.62 |
$55.62 |
$55.62 |
$59.36
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$1,589.33 |
$1,589.33 |
$1,589.33 |
$195.23
|
|
Epstein barr nuclear antigen antibody
|
$7.35 |
$7.35 |
$7.35 |
$82.55
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$609.22 |
$609.22 |
$609.22 |
$364.08
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$299.95 |
$299.95 |
$299.95 |
$232.84
|
|
Esophageal motility
|
$5,457.71 |
$5,457.71 |
$5,457.71 |
$549.70
|
|
Esoph balloon distension tst
|
$9,335.78 |
$9,335.78 |
$9,335.78 |
$780.00
|
|
Esoph imped function test
|
$1,220.89 |
$1,220.89 |
$1,220.89 |
$597.03
|
|
Estradiol total
|
$21.19 |
$21.19 |
$21.19 |
$147.79
|
|
Estrogens total-sendout
|
$8.24 |
$8.24 |
$8.24 |
$89.25
|
|
Ethanolamine oleate 100 mg
|
$1,093.52 |
$1,093.52 |
$1,093.52 |
$933.59
|
|
Ethylene glycol -sendout
|
$16.05 |
$16.05 |
$16.05 |
$78.00
|
|
External chromosome analysis 20-25 cells
|
$999.44 |
$999.44 |
$999.44 |
$389.35
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$550.93 |
$550.93 |
$550.93 |
$64.90
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$111.36 |
$111.36 |
$111.36 |
$466.15
|
|
Factor ix complex
|
$4.38 |
$4.38 |
$4.38 |
$3.23
|
|
Factor xiii anti-hem factor
|
$8.77 |
$8.77 |
$8.77 |
$10.78
|
|
Family therapy with patient 50 min 90847
|
$762.20 |
$762.20 |
$762.20 |
$230.36
|
|
#fecal-sodium
|
$29.12 |
$29.12 |
$29.12 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$87.77 |
$87.77 |
$87.77 |
$66.43
|
|
Ferumoxytol, esrd use
|
$581.28 |
$581.28 |
$581.28 |
$0.34
|
|
Fetal biophys profile w/nst 76818
|
$1,571.22 |
$1,571.22 |
$1,571.22 |
$541.74
|
|
Fetal lung maturity assess lam body dnst
|
$48.27 |
$48.27 |
$48.27 |
$64.28
|
|
Fetal non stress test
|
$1,998.50 |
$1,998.50 |
$1,998.50 |
$500.57
|
|
#_fet/norfentcnfrmur
|
$30.61 |
$30.61 |
$30.61 |
$120.85
|
|
Fibrin degradation products
|
$33.52 |
$33.52 |
$33.52 |
$63.90
|
|
Fibrin degrade semiquant
|
$58.53 |
$58.53 |
$58.53 |
$90.35
|
|
Fibrinolytic antiplasmin
|
$58.86 |
$58.86 |
$58.86 |
$56.00
|
|
Fibrinolytic plasminogen
|
$29.43 |
$29.43 |
$29.43 |
$112.02
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$23.54 |
$23.54 |
$23.54 |
$59.89
|
|
Flecainide (tambocor)-sendout
|
$87.77 |
$87.77 |
$87.77 |
$66.43
|
|
Fludarabine 50 mg intravenous solution
|
$341.86 |
$341.86 |
$341.86 |
$592.00
|
|
Fluidotherapy charges pt
|
$816.86 |
$816.86 |
$816.86 |
$101.40
|
|
Fluocinolone acetonide implt
|
$83,383.73 |
$83,383.73 |
$83,383.73 |
$34,587.60
|
|
Folic acid 5 mg/ml injection solution
|
$0.39 |
$0.39 |
$0.39 |
$48.78
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$88.18 |
$88.18 |
$88.18 |
$462.82
|
