|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$40,007.10 |
$40,007.10 |
$40,007.10 |
$33,181.17
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$203.32 |
$203.32 |
$3,317.00 |
$297.33
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$7,534.05 |
$7,534.05 |
$7,534.05 |
$2,469.31
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$517.00 |
$517.00 |
$517.00 |
$100.10
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$4,434.08 |
$4,434.08 |
$4,434.08 |
$820.50
|
|
Drainage external ear complex 69005
|
$4,990.49 |
$4,990.49 |
$4,990.49 |
$2,924.22
|
|
Drainage external ear simple 69000
|
$2,009.62 |
$2,009.62 |
$2,009.62 |
$800.00
|
|
Drainage mouth roof lesion
|
$3,202.70 |
$3,202.70 |
$3,202.70 |
$473.20
|
|
Drainage of kidney lesion
|
$3,299.02 |
$3,299.02 |
$3,299.02 |
$1,619.40
|
|
Drainage of mouth lesion
|
$4,051.74 |
$4,051.74 |
$4,051.74 |
$2,320.03
|
|
Drainage of mouth lesion
|
$9,840.15 |
$9,840.15 |
$9,840.15 |
$3,971.40
|
|
Drainage of mouth lesion
|
$6,921.73 |
$6,921.73 |
$6,921.73 |
$1,022.40
|
|
Drainage of rectal abscess
|
$15,258.34 |
$15,258.34 |
$15,258.34 |
$2,299.90
|
|
Drain blood from under nail 11740
|
$359.47 |
$359.47 |
$359.47 |
$190.33
|
|
Drain cath image guided visceral pq
|
$13,009.98 |
$13,009.98 |
$13,009.98 |
$3,073.90
|
|
Drain finger abscess;simple 26010
|
$2,671.28 |
$2,671.28 |
$2,671.28 |
$492.81
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$1,253.44 |
$1,253.44 |
$1,253.44 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$630.47 |
$630.47 |
$630.47 |
$365.00
|
|
Drng of eyelid abscess 67700
|
$3,918.42 |
$3,918.42 |
$3,918.42 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$20,622.36 |
$20,622.36 |
$20,622.36 |
$2,006.25
|
|
Drng of scrotum abscess 55100
|
$20,622.36 |
$20,622.36 |
$20,622.36 |
$2,056.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$76.35 |
$76.35 |
$76.35 |
$39.60
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$100.69 |
$100.69 |
$1,595.00 |
$382.24
|
|
Drug admin & hemodynmic meas
|
$321.39 |
$321.39 |
$3,808.00 |
$528.50
|
|
Drug assay caffeine
|
$12.70 |
$12.70 |
$12.70 |
$82.60
|
|
Drug assay vedolizumab
|
$139.73 |
$139.73 |
$139.73 |
$167.14
|
|
Drug assay voriconazole
|
$343.72 |
$343.72 |
$343.72 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$55.92 |
$55.92 |
$55.92 |
$83.85
|
|
Drug of abuse screen urine
|
$159.76 |
$159.76 |
$159.76 |
$63.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,297.53 |
$1,297.53 |
$1,297.53 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$883.00 |
$883.00 |
$883.00 |
$660.32
|
|
Duplex scan unilateral study 93986
|
$403.00 |
$403.00 |
$1,467.07 |
$392.15
|
|
Dup scan/hemodialysis access 93990
|
$1,025.79 |
$1,025.79 |
$1,401.00 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$759.85
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$3,075.90 |
$3,075.90 |
$5,112.00 |
$890.55
|
|
Durvalumab 50 mg/ml intravenous solution
|
$43,925.32 |
$43,925.32 |
$43,925.32 |
$9,177.15
|
|
Dxa bone density axl vrt fx
|
$703.00 |
$703.00 |
$1,467.07 |
$374.00
|
|
Ear irrigation 69209
|
$840.59 |
$840.59 |
$840.59 |
$165.42
|
|
Ecg 12 lead tracing only
|
$557.48 |
$557.48 |
$557.48 |
$245.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$873.00 |
$873.00 |
$873.00 |
$129.83
|
|
Ecg external < 48 hours recording
|
$1,311.00 |
$1,311.00 |
$1,539.69 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,539.69 |
$1,539.69 |
$4,855.00 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$824.28 |
$824.28 |
$824.28 |
$161.00
|
|
Ecg external >7 days up to 15 days recording
|
$824.28 |
$824.28 |
$824.28 |
$194.01
|
|
Echocardiogram (Heart Ultrasound)
|
$3,582.66 |
$3,582.66 |
$5,737.00 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$618.94 |
$618.94 |
$4,090.00 |
$463.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$3,090.93 |
$3,090.93 |
$3,547.00 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$672.82 |
$672.82 |
$672.82 |
$353.46
|
|
Echo exam of fetal heart
|
$1,467.07 |
$1,467.07 |
$1,467.07 |
$431.41
|
|
Echo guide for amniocentesis
|
$2,883.00 |
$2,883.00 |
$2,883.00 |
$378.24
|
|
Echo guide for artery repair
|
$2,096.00 |
$2,096.00 |
$2,096.00 |
$680.28
|
|
Echo stress
|
$2,655.00 |
$2,655.00 |
$6,159.38 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$6,467.35 |
$6,467.35 |
$6,467.35 |
$1,854.44
|
|
Echo transesophageal
|
$11,181.00 |
$11,181.00 |
$11,181.00 |
$913.33
|
|
Echo transthoracic
|
$3,770.00 |
$3,770.00 |
$6,467.35 |
$1,475.25
|
|
Echo transthoracic
|
$6,915.00 |
$6,915.00 |
$6,915.00 |
$945.32
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$2,009.13 |
$2,009.13 |
$2,655.00 |
$1,011.36
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$5,383.00 |
$5,383.00 |
$5,383.00 |
$1,048.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$3,878.11 |
$3,878.11 |
$4,604.00 |
$861.12
|
|
Eeg/record in coma or sleep only 95822
|
$4,058.00 |
$4,058.00 |
$4,058.00 |
$936.00
|
|
Eeg recording awake and asleep
|
$3,951.11 |
$3,951.11 |
$4,303.00 |
$1,030.27
|
|
E equine encephalitis igg
|
$145.43 |
$145.43 |
$145.43 |
$48.73
|
|
Egfr gene com variants
|
$299.00 |
$299.00 |
$3,578.49 |
$615.57
|
|
Ehrlicha chaffeensis amp prb
|
$126.12 |
$126.12 |
$126.12 |
$105.00
|
|
EKG tracing for initial prev
|
$374.64 |
$374.64 |
$374.64 |
$56.65
|
|
Electrical stimulation/unattended 97014
|
$405.94 |
$405.94 |
$405.94 |
$81.75
|
|
Electrolyte panel
|
$259.40 |
$259.40 |
$276.00 |
$86.33
|
|
Electron microscopy diagnostic
|
$2,288.26 |
$2,288.26 |
$2,288.26 |
$966.69
|
|
Electrophysiology evaluation
|
$13,191.89 |
$13,191.89 |
$13,191.89 |
$8,979.45
|
|
Electrophysiology evaluation
|
$13,543.43 |
$13,543.43 |
$13,543.43 |
$11,155.51
|
|
Electrophysiology evaluation
|
$8,916.22 |
$8,916.22 |
$8,916.22 |
$7,769.30
|
|
Electrophysiology evaluation
|
$5,118.07 |
$5,118.07 |
$8,182.00 |
$2,845.10
|
|
Electrophysiology evaluation
|
$11,007.00 |
$11,007.00 |
$11,007.00 |
$2,783.20
|
|
Electrophys map 3d add-on
|
$9,112.65 |
$9,112.65 |
$9,112.65 |
$6,418.44
|
|
Embo or occlude vascular arterial s&i
|
$88,558.58 |
$88,558.58 |
$88,558.58 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$21,067.92 |
$21,067.92 |
$21,067.92 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$23,647.30 |
$23,647.30 |
$23,647.30 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$53,763.20 |
$53,763.20 |
$53,763.20 |
$15,038.25
|
|
Emb without cervical dilation 58100
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
$397.66
|
|
Encephalitis, california igg/igm
|
$35.35 |
$35.35 |
$145.43 |
$46.50
|
|
Encephalitis, st louis igg/igm
|
$145.43 |
$145.43 |
$145.43 |
$47.80
|
|
Encephalitis, western equine igg/igm
|
$145.43 |
$145.43 |
$145.43 |
$50.70
|
|
Endo cath bile duct s&i
|
$2,051.00 |
$2,051.00 |
$2,928.65 |
$606.01
|
|
Endo cath panc duct s&i
|
$7,029.00 |
$7,029.00 |
$7,029.00 |
$645.00
|
|
Endocerv curettage w/scope 57456
|
$3,782.98 |
$3,782.98 |
$3,782.98 |
$515.50
|
|
Endoluminl ivus oct c 1st
|
$7,494.09 |
$7,494.09 |
$7,494.09 |
$3,325.80
|
|
Endoluminl ivus oct c ea
|
$5,312.16 |
$5,312.16 |
$5,312.16 |
$2,296.00
|
|
Endoscopy swallow (fees) vid
|
$755.42 |
$755.42 |
$755.42 |
$405.95
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$523.68 |
$523.68 |
$523.68 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$150.71 |
$150.71 |
$150.71 |
$66.47
|
|
Enzyme histochemistry
|
$2,519.00 |
$2,519.00 |
$8,457.14 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$49,227.36 |
$49,227.36 |
$49,227.36 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$56,272.84 |
$56,272.84 |
$56,272.84 |
$30,473.30
|
|
Ep induct arrhy by elect pacing
|
$10,005.00 |
$10,005.00 |
$10,005.00 |
$2,753.40
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,610.62 |
$1,610.62 |
$1,610.62 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$185.00 |
$185.00 |
$3,525.75 |
$840.03
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$628.80 |
$628.80 |
$628.80 |
$136.00
|
|
Epstein barr early antigen antibody
|
$67.25 |
$67.25 |
$67.25 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$72.77 |
$72.77 |
$72.77 |
$82.40
|
|
Epstein barr viral capsid antigen antibody igm
|
$199.99 |
$199.99 |
$199.99 |
$93.75
|
