|
Cyclic citrullinated peptide antibody
|
$115.02 |
$115.02 |
$115.02 |
$85.03
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$428.09 |
$428.09 |
$428.09 |
$150.79
|
|
Cyclosporine 2 hour
|
$155.25 |
$155.25 |
$155.25 |
$119.40
|
|
Cyp2c9 gene com variants
|
$424.33 |
$424.33 |
$424.33 |
$275.10
|
|
Cystatin c
|
$72.14 |
$72.14 |
$72.14 |
$82.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,783.19 |
$1,783.19 |
$1,783.19 |
$527.50
|
|
Cytogenetics 25-99
|
$196.40 |
$196.40 |
$196.40 |
$180.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$128.90 |
$128.90 |
$128.90 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$148.88 |
$148.88 |
$148.88 |
$101.94
|
|
Cytopathology cellular enhancement technique non-gyn
|
$93.20 |
$93.20 |
$93.20 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$1,263.82 |
$1,263.82 |
$1,263.82 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$1,116.77 |
$1,116.77 |
$1,116.77 |
$122.40
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$289.66 |
$289.66 |
$289.66 |
$75.60
|
|
Cytopath smear other source
|
$553.39 |
$553.39 |
$553.39 |
$85.80
|
|
Cytopath smear oth prep screen & interp
|
$554.63 |
$554.63 |
$554.63 |
$95.00
|
|
Cytotoxic antibody screening
|
$255.58 |
$255.58 |
$255.58 |
$157.60
|
|
Dactinomycin 0.5 mg intravenous solution
|
$5,278.25 |
$5,278.25 |
$5,278.25 |
$2,281.50
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$943.14 |
$943.14 |
$943.14 |
$194.08
|
|
Dch glucoscan
|
$23.38 |
$23.38 |
$23.38 |
$23.25
|
|
Decalcification
|
$803.03 |
$803.03 |
$803.03 |
$75.38
|
|
Decitabine 50 mg intravenous solution
|
$11,101.72 |
$11,101.72 |
$11,101.72 |
$1,026.60
|
|
Degarelix 120 mg subcutaneous solution
|
$2,979.95 |
$2,979.95 |
$2,979.95 |
$1,963.06
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$8,286.15 |
$8,286.15 |
$8,286.15 |
$7,737.00
|
|
Developmental screen/score/document 96110
|
$678.92 |
$678.92 |
$678.92 |
$136.64
|
|
Device intraute mirena
|
$4,470.20 |
$4,470.20 |
$4,470.20 |
$2,289.60
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$2,446.68 |
$2,446.68 |
$2,446.68 |
$465.34
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$652.63 |
$652.63 |
$652.63 |
$68.25
|
|
Dextrose 5 % IV bolus
|
$1,094.22 |
$1,094.22 |
$1,094.22 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$198.40 |
$198.40 |
$198.40 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$983.07 |
$983.07 |
$983.07 |
$78.03
|
|
Diab manage trn ind/group
|
$147.13 |
$147.13 |
$147.13 |
$49.50
|
|
Diagnostic radio unlisted proc
|
$6,735.69 |
$6,735.69 |
$6,735.69 |
$236.93
|
|
Diatrizoate meglumine 18 % urethral solution
|
$359.82 |
$359.82 |
$359.82 |
$122.25
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$121.36 |
$121.36 |
$121.36 |
$67.89
|
|
Dicyclomine injection
|
$200.73 |
$200.73 |
$200.73 |
$210.00
|
|
Diffusing capacity
|
$2,560.36 |
$2,560.36 |
$2,560.36 |
$357.50
|
|
Digoxin immune fab 40 mg intravenous solution
|
$10,649.28 |
$10,649.28 |
$10,649.28 |
$9,684.65
|
|
Digoxin total therapeutic drug level
|
$847.53 |
$847.53 |
$847.53 |
$99.35
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$341.78 |
$341.78 |
$341.78 |
$308.90
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.77 |
$9.77 |
$9.77 |
$22.58
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$389.24 |
$389.24 |
$389.24 |
$100.80
|
|
Disability dlco
|
$2,504.06 |
$2,504.06 |
$2,504.06 |
$302.40
|
|
Dna antibody native/double stranded
|
$121.39 |
$121.39 |
$121.39 |
$101.40
|
|
Dna gardnerella
|
$92.93 |
$92.93 |
$92.93 |
$66.05
|
|
Dna trichomonas
|
$92.93 |
$92.93 |
$92.93 |
$68.50
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$2,929.71 |
$2,929.71 |
$2,929.71 |
$681.20
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,841.90 |
$1,841.90 |
$1,841.90 |
$490.82
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$7,641.66 |
$7,641.66 |
$7,641.66 |
$2,469.31
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$163.84 |
$163.84 |
$163.84 |
$89.34
|
|
Dronabinol 2.5mg oral
|
$54.25 |
$54.25 |
$54.25 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$56.15 |
$56.15 |
$56.15 |
$33.99
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$56.00 |
$56.00 |
$56.00 |
$189.68
|
|
Drug assay caffeine
|
$178.74 |
$178.74 |
$178.74 |
$86.45
|
|
Drug assay posaconazole
|
$125.66 |
$125.66 |
$125.66 |
$96.39
|
|
Drug of abuse screen urine
|
$68.04 |
$68.04 |
$68.04 |
$63.75
|
|
Drug test def 1-7 classes
|
$703.89 |
$703.89 |
$703.89 |
$263.86
|
|
Drug test prsmv instrmnt
|
$2,586.76 |
$2,586.76 |
$2,586.76 |
$78.65
|
|
Drvvt confirm - quest
|
$161.62 |
$161.62 |
$161.62 |
$102.30
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$5,442.77 |
$5,442.77 |
$5,442.77 |
$885.60
|
|
Ecg/1-3 leads/tracing only 93041
|
$120.47 |
$120.47 |
$120.47 |
$129.83
|
|
Echocardiogram (Heart Ultrasound)
|
$11,522.72 |
$11,522.72 |
$11,522.72 |
$2,049.45
|
|
Echocardiography transthoracic 2d followup/limited
|
$6,541.71 |
$6,541.71 |
$6,541.71 |
$773.30
|
|
Echo guide for artery repair
|
$2,587.63 |
$2,587.63 |
$2,587.63 |
$676.80
|
|
Echo stress
|
$11,226.28 |
$11,226.28 |
$11,226.28 |
$1,607.45
|
|
Echo tee guidance
|
$968.94 |
$968.94 |
$968.94 |
$2,007.00
|
|
Eeg 41-60 minutes 95812-26
|
$2,378.54 |
$2,378.54 |
$2,378.54 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$2,730.29 |
$2,730.29 |
$2,730.29 |
$1,048.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,818.50 |
$1,818.50 |
$1,818.50 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$2,378.54 |
$2,378.54 |
$2,378.54 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$2,378.54 |
$2,378.54 |
$2,378.54 |
$911.00
|
|
Eeg recording awake and asleep
|
$4,514.40 |
$4,514.40 |
$4,514.40 |
$1,030.27
|
|
E equine encephalitis igg
|
$169.18 |
$169.18 |
$169.18 |
$48.73
|
|
Egfr gene com variants
|
$1,504.28 |
$1,504.28 |
$1,504.28 |
$646.75
|
|
Ehrlicha chaffeensis amp prb
|
$162.65 |
$162.65 |
$162.65 |
$105.00
|
|
Elec stim unattend for press
|
$615.30 |
$615.30 |
$615.30 |
$42.90
|
|
Electrolyte panel
|
$2,048.71 |
$2,048.71 |
$2,048.71 |
$86.33
|
|
Electrophysiology evaluation
|
$45,204.37 |
$45,204.37 |
$45,204.37 |
$8,979.45
|
|
Electrophysiology evaluation
|
$45,204.37 |
$45,204.37 |
$45,204.37 |
$11,542.01
|
|
Electrophysiology evaluation
|
$8,673.97 |
$8,673.97 |
$8,673.97 |
$8,393.40
|
|
Electrophysiology evaluation
|
$8,673.97 |
$8,673.97 |
$8,673.97 |
$6,516.00
|
|
Electrophys map 3d add-on
|
$8,673.91 |
$8,673.91 |
$8,673.91 |
$6,534.00
|
|
Embolization s&i
|
$31,547.66 |
$31,547.66 |
$31,547.66 |
$2,745.08
|
|
Endoscopy swallow (fees) vid
|
$1,015.80 |
$1,015.80 |
$1,015.80 |
$420.00
|
|
Entamoeba histolytica ag eia - sendout
|
$174.37 |
$174.37 |
$174.37 |
$66.60
|
|
Ep & ablate supravent arrhyt
|
$89,969.67 |
$89,969.67 |
$89,969.67 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$89,969.67 |
$89,969.67 |
$89,969.67 |
$30,975.00
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$89.46 |
$89.46 |
$89.46 |
$59.36
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$364.56 |
$364.56 |
$364.56 |
$195.23
|
|
Epstein barr nuclear antigen antibody
|
$135.27 |
$135.27 |
$135.27 |
$82.55
|
|
Ercp biliary & pancreas
|
$8,770.41 |
$8,770.41 |
$8,770.41 |
$922.35
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$5,468.40 |
$5,468.40 |
$5,468.40 |
$2,528.17
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$592.41 |
$592.41 |
$592.41 |
$364.08
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$532.46 |
$532.46 |
$532.46 |
$232.84
|
|
Established Patient Office Visit (level 1)
|
$144.85 |
$144.85 |
$144.85 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$887.45 |
$887.45 |
$887.45 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$1,720.29 |
$1,720.29 |
$1,720.29 |
$186.04
|
|
Established Patient Office Visit (level 4)
|
$2,711.61 |
$2,711.61 |
$2,711.61 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$3,214.75 |
$3,214.75 |
$3,214.75 |
$280.50
|
|
Estradiol total
|
$185.65 |
$185.65 |
$185.65 |
$147.79
|
|
Estradiol valerate 10 mg inj
|
$93.31 |
$93.31 |
$93.31 |
$51.40
|
