|
Digoxin immune fab 40 mg intravenous solution
|
$12,845.70 |
$12,845.70 |
$12,845.70 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$1,849.00 |
$1,849.00 |
$1,849.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$344.40 |
$344.40 |
$344.40 |
$334.68
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$4.20 |
$4.20 |
$4.20 |
$26.87
|
|
Disability dlco
|
$436.08 |
$436.08 |
$436.08 |
$307.58
|
|
Discography cerv/thor spine
|
$9,863.55 |
$9,863.55 |
$9,863.55 |
$2,404.00
|
|
Dna probe chlamydia
|
$8.80 |
$8.80 |
$8.80 |
$82.20
|
|
Dna probe gc
|
$8.80 |
$8.80 |
$8.80 |
$88.67
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$795.90 |
$795.90 |
$795.90 |
$712.02
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,091.05 |
$1,091.05 |
$1,091.05 |
$482.03
|
|
Dornase alfa non-comp unit
|
$543.00 |
$543.00 |
$543.00 |
$479.80
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$50.40 |
$50.40 |
$50.40 |
$299.52
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$50.96 |
$50.96 |
$50.96 |
$99.99
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$13,748.82 |
$13,748.82 |
$13,748.82 |
$9,390.80
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$6,179.60 |
$6,179.60 |
$6,179.60 |
$318.13
|
|
Drug assay caffeine
|
$116.42 |
$116.42 |
$116.42 |
$81.61
|
|
Drug assay voriconazole
|
$64.00 |
$64.00 |
$64.00 |
$96.75
|
|
Drug of abuse screen urine
|
$100.00 |
$100.00 |
$100.00 |
$63.75
|
|
Drug test def 1-7 classes
|
$1,928.93 |
$1,928.93 |
$1,928.93 |
$250.52
|
|
Drug test prsmv instrmnt
|
$95.00 |
$95.00 |
$95.00 |
$83.20
|
|
Drvvt confirm - quest
|
$31.88 |
$31.88 |
$31.88 |
$101.66
|
|
Dup scan/hemodialysis access 93990
|
$1,423.10 |
$1,423.10 |
$1,423.10 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$2,182.09 |
$2,182.09 |
$2,182.09 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,308.11 |
$1,308.11 |
$1,308.11 |
$903.00
|
|
Echocardiogram (Heart Ultrasound)
|
$20,744.98 |
$20,744.98 |
$20,744.98 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$3,082.51 |
$3,082.51 |
$3,082.51 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$3,082.51 |
$3,082.51 |
$3,082.51 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$3,082.51 |
$3,082.51 |
$3,082.51 |
$353.46
|
|
Echo exam of fetal heart
|
$3,427.70 |
$3,427.70 |
$3,427.70 |
$855.38
|
|
Echo exam of fetal heart
|
$1,372.66 |
$1,372.66 |
$1,372.66 |
$503.80
|
|
Echo exam of fetal heart
|
$3,427.70 |
$3,427.70 |
$3,427.70 |
$431.41
|
|
Echo exam of fetal heart
|
$1,372.66 |
$1,372.66 |
$1,372.66 |
$323.40
|
|
Echo exam uterus 76831-
|
$6,530.71 |
$6,530.71 |
$6,530.71 |
$547.20
|
|
Echograp trans r pros study
|
$2,907.66 |
$2,907.66 |
$2,907.66 |
$459.40
|
|
Echo guide for heart biopsy
|
$3,427.70 |
$3,427.70 |
$3,427.70 |
$455.26
|
|
Echo stress
|
$26,171.28 |
$26,171.28 |
$26,171.28 |
$1,582.75
|
|
Echo transesophageal
|
$12,365.50 |
$12,365.50 |
$12,365.50 |
$572.25
|
|
Echo transthoracic
|
$6,184.52 |
$6,184.52 |
$6,184.52 |
$1,492.50
|
|
Echo transthoracic
|
$3,082.51 |
$3,082.51 |
$3,082.51 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$13,077.66 |
$13,077.66 |
$13,077.66 |
$1,014.01
|
|
Eeg 41-60 minutes 95812-26
|
$1,357.72 |
$1,357.72 |
$1,357.72 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$692.97 |
$692.97 |
$692.97 |
$1,049.59
|
|
Eeg during surgery
|
$2,064.79 |
$2,064.79 |
$2,064.79 |
$775.45
|
|
Eeg monitoring/giving drugs
|
$718.38 |
$718.38 |
$718.38 |
$797.51
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,357.72 |
$1,357.72 |
$1,357.72 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,357.72 |
$1,357.72 |
$1,357.72 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$1,357.72 |
$1,357.72 |
$1,357.72 |
$936.00
|
|
Eeg recording awake and asleep
|
$1,357.72 |
$1,357.72 |
$1,357.72 |
$1,030.27
|
|
Electrocorticography durng sx
|
$718.38 |
$718.38 |
$718.38 |
$1,660.52
|
|
Electrode stimulation brain
|
$1,536.95 |
$1,536.95 |
$1,536.95 |
$1,180.80
|
|
Electrolyte panel
|
$2,076.64 |
$2,076.64 |
$2,076.64 |
$86.33
|
|
Electron microscopy diagnostic
|
$572.00 |
$572.00 |
$572.00 |
$966.69
|
|
Electrophysiologic study
|
$10,437.22 |
$10,437.22 |
$10,437.22 |
$6,758.40
|
|
Electrophysiology evaluation
|
$52,200.35 |
$52,200.35 |
$52,200.35 |
$11,175.42
|
|
Electrophysiology evaluation
|
$40,142.70 |
$40,142.70 |
$40,142.70 |
$7,769.30
|
|
Electrophysiology evaluation
|
$34,959.68 |
$34,959.68 |
$34,959.68 |
$6,516.00
|
|
Electrophysiology evaluation
|
$11,137.52 |
$11,137.52 |
$11,137.52 |
$2,845.10
|
|
Electrophysiology evaluation
|
$11,137.52 |
$11,137.52 |
$11,137.52 |
$2,803.20
|
|
Electrophys map 3d add-on
|
$33,021.70 |
$33,021.70 |
$33,021.70 |
$6,534.00
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$641.12 |
$641.12 |
$641.12 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$641.12 |
$641.12 |
$641.12 |
$487.20
|
|
Emg cranial nerve bilateral
|
$641.12 |
$641.12 |
$641.12 |
$518.00
|
|
Emg needle test 1-extremity
|
$636.80 |
$636.80 |
$636.80 |
$342.24
|
|
Emg needle test 4-extremities
|
$641.12 |
$641.12 |
$641.12 |
$570.50
|
|
Endoscopy swallow (fees) vid
|
$1,524.60 |
$1,524.60 |
$1,524.60 |
$402.35
|
|
Entamoeba histolytica ag eia - sendout
|
$37.00 |
$37.00 |
$37.00 |
$66.47
|
|
Ep & ablate supravent arrhyt
|
$125,277.19 |
$125,277.19 |
$125,277.19 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$193,258.55 |
$193,258.55 |
$193,258.55 |
$30,975.00
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$58.60 |
$58.60 |
$58.60 |
$46.16
|
|
Epstein barr nuclear antigen antibody
|
$16.50 |
$16.50 |
$16.50 |
$81.81
|
|
Ercp biliary & pancreas
|
$8,885.29 |
$8,885.29 |
$8,885.29 |
$943.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$642.60 |
$642.60 |
$642.60 |
$364.08
|
|
ER Visit (level 1, minor)
|
$1,709.13 |
$1,709.13 |
$1,709.13 |
$276.70
|
|
ER Visit (level 2)
|
$2,012.75 |
$2,012.75 |
$2,012.75 |
$487.50
|
|
ER Visit (level 3)
|
$3,329.35 |
$3,329.35 |
$3,329.35 |
$850.50
|
|
ER Visit (level 4)
|
$4,832.29 |
$4,832.29 |
$4,832.29 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$12,512.65 |
$12,512.65 |
$12,512.65 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$263.55 |
$263.55 |
$263.55 |
$260.24
|
|
Esophageal dilat s&i
|
$3,644.29 |
$3,644.29 |
$3,644.29 |
$525.00
|
|
Established Patient Office Visit (level 5)
|
$634.24 |
$634.24 |
$634.24 |
$287.10
|
|
Estrogens total-sendout
|
$38.50 |
$38.50 |
$38.50 |
$89.25
|
|
Ethanolamine oleate 100 mg
|
$810.60 |
$810.60 |
$810.60 |
$1,046.87
|
|
Ethylene glycol -sendout
|
$12.36 |
$12.36 |
$12.36 |
$75.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$38.85 |
$38.85 |
$38.85 |
$213.17
|
|
Etoposide 50 mg cap
|
$487.20 |
$487.20 |
$487.20 |
$196.27
|
|
Evaluation heart device
|
$11,137.52 |
$11,137.52 |
$11,137.52 |
$2,368.17
|
|
Evoked potentials upper limbs
|
$1,739.35 |
$1,739.35 |
$1,739.35 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,494.98 |
$1,494.98 |
$1,494.98 |
$829.44
|
|
External chromosome analysis 20-25 cells
|
$191.40 |
$191.40 |
$191.40 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$96.00 |
$96.00 |
$96.00 |
$458.73
|
|
F-18 fdg pet diag
|
$2,584.20 |
$2,584.20 |
$2,584.20 |
$602.25
|
|
Factor ix complex
|
$4.20 |
$4.20 |
$4.20 |
$3.23
|
|
Factor viii
|
$2.10 |
$2.10 |
$2.10 |
$1.61
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$4.32 |
$4.32 |
$4.32 |
$27.81
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$431.39 |
$431.39 |
$431.39 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$1,340.99 |
$1,340.99 |
$1,340.99 |
$541.74
|
|
Fetal hemoglobin rosette
|
$1,214.71 |
$1,214.71 |
$1,214.71 |
$76.70
|
|
Fibrin degradation d dimer quantitative
|
$2,332.10 |
$2,332.10 |
$2,332.10 |
$112.80
|
|
Fibrinogen activity
|
$1,317.23 |
$1,317.23 |
$1,317.23 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$60.50 |
$60.50 |
$60.50 |
$56.00
|
