|
Dch validity tests
|
$633.56 |
$633.56 |
$633.56 |
$25.00
|
|
Debridement (>20 cm) charge pt
|
$3,553.77 |
$3,553.77 |
$3,553.77 |
$262.60
|
|
Degarelix 120 mg subcutaneous solution
|
$2,355.00 |
$2,355.00 |
$2,355.00 |
$1,963.06
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$674.82 |
$674.82 |
$674.82 |
$184.60
|
|
Desmopressin 4 mcg/ml injection solution
|
$680.00 |
$680.00 |
$680.00 |
$163.62
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$408.62 |
$408.62 |
$408.62 |
$225.60
|
|
Dextran 40 infusion
|
$200.00 |
$200.00 |
$200.00 |
$173.97
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$62.00 |
$62.00 |
$62.00 |
$43.65
|
|
Dextrose 5 % IV bolus
|
$125.00 |
$125.00 |
$125.00 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$242.00 |
$242.00 |
$242.00 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$242.00 |
$242.00 |
$242.00 |
$79.30
|
|
Diagnostic Mammogram (both breasts)
|
$777.30 |
$777.30 |
$777.30 |
$421.20
|
|
Diathermy eg microwave
|
$492.47 |
$492.47 |
$492.47 |
$13.60
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$70.40 |
$70.40 |
$70.40 |
$70.99
|
|
Dicyclomine injection
|
$456.00 |
$456.00 |
$456.00 |
$210.00
|
|
Diffusing capacity
|
$1,996.50 |
$1,996.50 |
$1,996.50 |
$357.60
|
|
Digital analysis of eeg
|
$4,579.79 |
$4,579.79 |
$4,579.79 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$36.00 |
$36.00 |
$36.00 |
$56.30
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,725.00 |
$4,725.00 |
$4,725.00 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$533.73 |
$533.73 |
$533.73 |
$99.35
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$637.00 |
$637.00 |
$637.00 |
$308.90
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$3.00 |
$3.00 |
$3.00 |
$2.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$36.00 |
$36.00 |
$36.00 |
$23.22
|
|
Disability dlco
|
$2,160.21 |
$2,160.21 |
$2,160.21 |
$302.90
|
|
Dna antibody native/double stranded
|
$247.00 |
$247.00 |
$247.00 |
$101.40
|
|
Dna probe chlamydia
|
$222.00 |
$222.00 |
$222.00 |
$82.20
|
|
Dna probe gc
|
$222.00 |
$222.00 |
$222.00 |
$88.67
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$9,569.00 |
$9,569.00 |
$9,569.00 |
$712.02
|
|
Dolasetron mesylate oral
|
$719.00 |
$719.00 |
$719.00 |
$910.67
|
|
Doppler echo complete
|
$3,226.16 |
$3,226.16 |
$3,226.16 |
$644.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$7,091.57 |
$7,091.57 |
$7,091.57 |
$686.60
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$244.00 |
$244.00 |
$244.00 |
$244.00
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$6,158.00 |
$6,158.00 |
$6,158.00 |
$2,469.31
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$244.00 |
$244.00 |
$244.00 |
$93.12
|
|
Droperidol 2.5 mg/ml injection solution
|
$52.00 |
$52.00 |
$52.00 |
$35.62
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$853.47 |
$853.47 |
$853.47 |
$213.07
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$6,179.60 |
$6,179.60 |
$6,179.60 |
$327.39
|
|
Drug of abuse screen urine
|
$1,484.07 |
$1,484.07 |
$1,484.07 |
$63.75
|
|
Drug test prsmv instrmnt
|
$1,509.35 |
$1,509.35 |
$1,509.35 |
$80.80
|
|
Duplex scan bilateral study 93985
|
$6,060.04 |
$6,060.04 |
$6,060.04 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$3,411.35 |
$3,411.35 |
$3,411.35 |
$392.15
|
|
Dup scan/hemodialysis access 93990
|
$3,411.35 |
$3,411.35 |
$3,411.35 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$6,287.64 |
$6,287.64 |
$6,287.64 |
$750.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$4,441.55 |
$4,441.55 |
$4,441.55 |
$886.60
|
|
Ecg/1-3 leads/tracing only 93041
|
$682.89 |
$682.89 |
$682.89 |
$129.83
|
|
Echocardiogram (Heart Ultrasound)
|
$10,061.00 |
$10,061.00 |
$10,061.00 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$2,132.72 |
$2,132.72 |
$2,132.72 |
$463.45
|
|
Echocardiography transthoracic 2d followup/limited
|
$2,072.70 |
$2,072.70 |
$2,072.70 |
$773.30
|
|
Echo exam of fetal heart
|
$3,838.60 |
$3,838.60 |
$3,838.60 |
$855.38
|
|
Echo exam of fetal heart
|
$2,567.50 |
$2,567.50 |
$2,567.50 |
$431.41
|
|
Echo exam uterus 76831-
|
$5,603.51 |
$5,603.51 |
$5,603.51 |
$552.03
|
|
Echograp trans r pros study
|
$1,661.09 |
$1,661.09 |
$1,661.09 |
$458.25
|
|
Echo guidance radiotherapy
|
$5,683.37 |
$5,683.37 |
$5,683.37 |
$774.80
|
|
Echo guide for amniocentesis
|
$5,895.00 |
$5,895.00 |
$5,895.00 |
$377.11
|
|
Echo guide for artery repair
|
$7,066.28 |
$7,066.28 |
$7,066.28 |
$677.60
|
|
Echo guide villus sampling
|
$1,582.56 |
$1,582.56 |
$1,582.56 |
$355.80
|
|
Echo stress
|
$15,396.34 |
$15,396.34 |
$15,396.34 |
$1,607.45
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$9,162.95 |
$9,162.95 |
$9,162.95 |
$1,025.40
|
|
Eeg 41-60 minutes 95812-26
|
$8,272.66 |
$8,272.66 |
$8,272.66 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$7,835.81 |
$7,835.81 |
$7,835.81 |
$1,048.30
|
|
Eeg during surgery
|
$9,620.44 |
$9,620.44 |
$9,620.44 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$7,330.54 |
$7,330.54 |
$7,330.54 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$9,217.19 |
$9,217.19 |
$9,217.19 |
$1,086.80
|
|
Eeg/record in coma or sleep only 95822
|
$7,835.81 |
$7,835.81 |
$7,835.81 |
$924.30
|
|
Eeg recording awake and asleep
|
$7,835.81 |
$7,835.81 |
$7,835.81 |
$1,030.27
|
|
Egfr gene com variants
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$646.75
|
|
Electroconvulsive therapy 90870
|
$2,786.00 |
$2,786.00 |
$2,786.00 |
$1,130.00
|
|
Electrolyte panel
|
$970.30 |
$970.30 |
$970.30 |
$88.20
|
|
Electron microscopy diagnostic
|
$857.00 |
$857.00 |
$857.00 |
$1,006.20
|
|
Electrophysiologic study
|
$6,816.01 |
$6,816.01 |
$6,816.01 |
$6,758.40
|
|
Electrophysiology evaluation
|
$37,276.77 |
$37,276.77 |
$37,276.77 |
$9,067.30
|
|
Electrophysiology evaluation
|
$37,276.77 |
$37,276.77 |
$37,276.77 |
$11,630.85
|
|
Electrophysiology evaluation
|
$6,816.01 |
$6,816.01 |
$6,816.01 |
$8,393.40
|
|
Electrophysiology evaluation
|
$6,816.01 |
$6,816.01 |
$6,816.01 |
$6,516.00
|
|
Electrophysiology evaluation
|
$19,793.61 |
$19,793.61 |
$19,793.61 |
$2,845.10
|
|
Electrophysiology evaluation
|
$6,816.01 |
$6,816.01 |
$6,816.01 |
$2,630.40
|
|
Electrophys map 3d add-on
|
$6,816.01 |
$6,816.01 |
$6,816.01 |
$6,534.00
|
|
Embolization s&i
|
$43,328.04 |
$43,328.04 |
$43,328.04 |
$2,869.75
|
|
Endo cath bile duct s&i
|
$5,173.60 |
$5,173.60 |
$5,173.60 |
$569.40
|
|
Endo cath panc duct s&i
|
$5,173.60 |
$5,173.60 |
$5,173.60 |
$637.65
|
|
Entamoeba histolytica ag eia - sendout
|
$55.00 |
$55.00 |
$55.00 |
$66.60
|
|
Ep & ablate supravent arrhyt
|
$37,276.77 |
$37,276.77 |
$37,276.77 |
$29,766.10
|
|
Ep induct arrhy by elect pacing
|
$15,228.03 |
$15,228.03 |
$15,228.03 |
$2,753.40
|
|
Epinephrine 1 mg/ml im kit - adult
|
$32.00 |
$32.00 |
$32.00 |
$25.61
|
|
Epstein barr early antigen antibody
|
$181.00 |
$181.00 |
$181.00 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$181.00 |
$181.00 |
$181.00 |
$81.81
|
|
Ercp biliary & pancreas
|
$5,173.60 |
$5,173.60 |
$5,173.60 |
$929.40
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$1,031.00 |
$1,031.00 |
$1,031.00 |
$323.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$537.00 |
$537.00 |
$537.00 |
$240.87
|
|
Esophageal dilat s&i
|
$5,684.70 |
$5,684.70 |
$5,684.70 |
$525.00
|
|
Esophagus motility study
|
$5,711.90 |
$5,711.90 |
$5,711.90 |
$1,289.20
|
|
Esoph balloon distension tst
|
$3,135.99 |
$3,135.99 |
$3,135.99 |
$780.00
|
|
Esoph imped function test
|
$666.47 |
$666.47 |
$666.47 |
$597.03
|
|
Estradiol total
|
$242.00 |
$242.00 |
$242.00 |
$153.00
|
|
Etanercept injection
|
$2,247.00 |
$2,247.00 |
$2,247.00 |
$1,561.32
|
|
Ethanolamine oleate 100 mg
|
$473.00 |
$473.00 |
$473.00 |
$1,011.00
|
|
Ethylene glycol -sendout
|
$17.00 |
$17.00 |
$17.00 |
$77.40
|
|
Evaluation of speech fluency 92521
|
$1,677.06 |
$1,677.06 |
$1,677.06 |
$350.00
|
|
Evaluation psychiatric diagnostic
|
$700.00 |
$700.00 |
$700.00 |
$324.00
|
|
Evoked oa emissions ltd
|
$420.00 |
$420.00 |
$420.00 |
$240.53
|
