|
Debridement (>20 cm) charge pt
|
$1,799.00 |
$1,799.00 |
$1,799.00 |
$262.60
|
|
Decalcification
|
$285.00 |
$285.00 |
$285.00 |
$75.38
|
|
Deferoxamine 500 mg solution for injection
|
$351.00 |
$351.00 |
$351.00 |
$112.87
|
|
Depo-estradiol cypionate inj
|
$84.00 |
$84.00 |
$84.00 |
$87.27
|
|
Design mlc device for imrt
|
$1,873.00 |
$1,873.00 |
$1,873.00 |
$1,641.90
|
|
Desmopressin 4 mcg/ml injection solution
|
$509.00 |
$509.00 |
$509.00 |
$172.46
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$1,207.00 |
$1,207.00 |
$1,207.00 |
$222.30
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$2,307.00 |
$2,307.00 |
$2,307.00 |
$465.34
|
|
Dextran 40 infusion
|
$356.00 |
$356.00 |
$356.00 |
$173.97
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$322.00 |
$322.00 |
$322.00 |
$43.65
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$360.00 |
$360.00 |
$360.00 |
$68.25
|
|
Dextrose 5 % IV bolus
|
$199.00 |
$199.00 |
$199.00 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$123.00 |
$123.00 |
$123.00 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$273.00 |
$273.00 |
$273.00 |
$78.03
|
|
Diab manage trn ind/group
|
$103.00 |
$103.00 |
$103.00 |
$49.50
|
|
Diagnostic Mammogram (both breasts)
|
$659.00 |
$659.00 |
$659.00 |
$403.32
|
|
Diatrizoate meglumine 18 % urethral solution
|
$324.00 |
$324.00 |
$324.00 |
$122.25
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$116.00 |
$116.00 |
$116.00 |
$67.89
|
|
Dicyclomine injection
|
$440.00 |
$440.00 |
$440.00 |
$210.00
|
|
Diffusing capacity
|
$2,358.00 |
$2,358.00 |
$2,358.00 |
$357.50
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$53.00 |
$53.00 |
$53.00 |
$53.00
|
|
Digoxin immune fab 40 mg intravenous solution
|
$19,572.00 |
$19,572.00 |
$19,572.00 |
$9,684.65
|
|
Digoxin total therapeutic drug level
|
$242.00 |
$242.00 |
$242.00 |
$99.35
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$868.00 |
$868.00 |
$868.00 |
$308.90
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,286.00 |
$1,286.00 |
$1,286.00 |
$1,001.55
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$53.00 |
$53.00 |
$53.00 |
$22.58
|
|
Disability dlco
|
$2,880.00 |
$2,880.00 |
$2,880.00 |
$302.40
|
|
Disaccharidases
|
$107.00 |
$107.00 |
$107.00 |
$224.58
|
|
Dna antibody native/double stranded
|
$259.00 |
$259.00 |
$259.00 |
$101.40
|
|
Doppler echo complete
|
$4,035.00 |
$4,035.00 |
$4,035.00 |
$644.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$3,789.00 |
$3,789.00 |
$3,789.00 |
$681.20
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,427.00 |
$1,427.00 |
$1,427.00 |
$490.82
|
|
Dornase alfa non-comp unit
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$500.29
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$3,261.00 |
$3,261.00 |
$3,261.00 |
$2,469.31
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$378.00 |
$378.00 |
$378.00 |
$89.34
|
|
Droperidol 2.5 mg/ml injection solution
|
$53.00 |
$53.00 |
$53.00 |
$33.99
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$789.00 |
$789.00 |
$789.00 |
$189.68
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$5,705.00 |
$5,705.00 |
$5,705.00 |
$327.39
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$12,250.00 |
$12,250.00 |
$12,250.00 |
$127.14
|
|
Drug assay voriconazole
|
$76.00 |
$76.00 |
$76.00 |
$96.75
|
|
Drug test def 1-7 classes
|
$1,426.00 |
$1,426.00 |
$1,426.00 |
$263.86
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,182.00 |
$1,182.00 |
$1,182.00 |
$278.85
|
|
Dup scan/hemodialysis access 93990
|
$1,929.00 |
$1,929.00 |
$1,929.00 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$885.60
|
|
Durvalumab 50 mg/ml intravenous solution
|
$9,300.00 |
$9,300.00 |
$9,300.00 |
$6,529.68
|
|
Ecg 12 lead tracing only
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$243.61
|
|
Ecg/1-3 leads/tracing only 93041
|
$122.00 |
$122.00 |
$122.00 |
$129.83
|
|
Echocardiogram (Heart Ultrasound)
|
$5,845.00 |
$5,845.00 |
$5,845.00 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$3,030.00 |
$3,030.00 |
$3,030.00 |
$461.61
|
|
Echocardiography transthoracic 2d followup/limited
|
$3,030.00 |
$3,030.00 |
$3,030.00 |
$773.30
|
|
Echocardiograpy doppler follow up/limited study
|
$3,030.00 |
$3,030.00 |
$3,030.00 |
$354.90
|
|
Echo guide for artery repair
|
$819.00 |
$819.00 |
$819.00 |
$676.80
|
|
Echo stress
|
$17,972.00 |
$17,972.00 |
$17,972.00 |
$1,607.45
|
|
Echo tee guidance
|
$5,348.00 |
$5,348.00 |
$5,348.00 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$25,777.00 |
$25,777.00 |
$25,777.00 |
$1,938.95
|
|
Echo transesophageal
|
$4,037.00 |
$4,037.00 |
$4,037.00 |
$913.33
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$22,449.00 |
$22,449.00 |
$22,449.00 |
$17,641.10
|
|
Eeg 41-60 minutes 95812-26
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,048.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$3,109.00 |
$3,109.00 |
$3,109.00 |
$911.00
|
|
Eeg recording awake and asleep
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$1,030.27
|
|
E equine encephalitis igg
|
$77.00 |
$77.00 |
$77.00 |
$48.73
|
|
Egfr gene com variants
|
$1,058.00 |
$1,058.00 |
$1,058.00 |
$646.75
|
|
Electroconvulsive therapy 90870
|
$2,393.00 |
$2,393.00 |
$2,393.00 |
$1,130.00
|
|
Electrolyte panel
|
$353.00 |
$353.00 |
$353.00 |
$86.33
|
|
Electrophysiologic study
|
$11,671.00 |
$11,671.00 |
$11,671.00 |
$6,758.40
|
|
Electrophysiology evaluation
|
$45,901.00 |
$45,901.00 |
$45,901.00 |
$8,979.45
|
|
Electrophysiology evaluation
|
$45,681.00 |
$45,681.00 |
$45,681.00 |
$11,542.01
|
|
Electrophysiology evaluation
|
$40,633.00 |
$40,633.00 |
$40,633.00 |
$6,516.00
|
|
Electrophysiology evaluation
|
$11,918.00 |
$11,918.00 |
$11,918.00 |
$2,630.40
|
|
Electrophys map 3d add-on
|
$40,061.00 |
$40,061.00 |
$40,061.00 |
$6,534.00
|
|
Embolization s&i
|
$15,752.00 |
$15,752.00 |
$15,752.00 |
$2,745.08
|
|
Encephalitis, california igg/igm
|
$77.00 |
$77.00 |
$77.00 |
$48.57
|
|
Encephalitis, st louis igg/igm
|
$111.00 |
$111.00 |
$111.00 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$77.00 |
$77.00 |
$77.00 |
$50.35
|
|
Endo cath bile duct s&i
|
$2,921.00 |
$2,921.00 |
$2,921.00 |
$545.37
|
|
Endo cath panc duct s&i
|
$2,688.00 |
$2,688.00 |
$2,688.00 |
$637.65
|
|
Endoscopy swallow (fees) vid
|
$386.00 |
$386.00 |
$386.00 |
$420.00
|
|
Ep & ablate supravent arrhyt
|
$104,062.00 |
$104,062.00 |
$104,062.00 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$104,062.00 |
$104,062.00 |
$104,062.00 |
$30,975.00
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$55.83 |
$55.83 |
$55.83 |
$59.36
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$20.63 |
$20.63 |
$20.63 |
$46.16
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$6,761.00 |
$6,761.00 |
$6,761.00 |
$195.23
|
|
Epstein barr early antigen antibody
|
$92.00 |
$92.00 |
$92.00 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$85.00 |
$85.00 |
$85.00 |
$82.55
|
|
Ercp biliary & pancreas
|
$2,688.00 |
$2,688.00 |
$2,688.00 |
$922.35
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$877.00 |
$877.00 |
$877.00 |
$364.08
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$390.00 |
$390.00 |
$390.00 |
$232.84
|
|
Esophageal dilat s&i
|
$3,919.00 |
$3,919.00 |
$3,919.00 |
$525.00
|
|
Esophagus motility study
|
$2,322.00 |
$2,322.00 |
$2,322.00 |
$1,274.00
|
|
Estradiol total
|
$153.00 |
$153.00 |
$153.00 |
$147.79
|
|
Estrogens total-sendout
|
$187.00 |
$187.00 |
$187.00 |
$89.25
|
|
Ethanolamine oleate 100 mg
|
$2,993.00 |
$2,993.00 |
$2,993.00 |
$933.59
|
|
Ethylene glycol -sendout
|
$242.00 |
$242.00 |
$242.00 |
$78.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$579.00 |
$579.00 |
$579.00 |
$219.60
|
|
Evaluation heart device
|
$25,394.00 |
$25,394.00 |
$25,394.00 |
$2,384.20
|
|
Evaluation of speech fluency 92521
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$347.75
|
|
Evoked potentials upper limbs
|
$2,017.00 |
$2,017.00 |
$2,017.00 |
$908.54
|
