|
Diabetes (HbA1c) Test
|
$214.04 |
$214.04 |
$214.04 |
$78.03
|
|
Diagnostic digital breast tomosynthesis bil
|
$304.42 |
$304.42 |
$304.42 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$211.42 |
$211.42 |
$211.42 |
$75.93
|
|
Diagnostic Mammogram (both breasts)
|
$611.52 |
$611.52 |
$611.52 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$514.69 |
$514.69 |
$514.69 |
$301.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$520.29 |
$520.29 |
$520.29 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$209.13 |
$209.13 |
$209.13 |
$72.34
|
|
Dicyclomine injection
|
$858.23 |
$858.23 |
$858.23 |
$211.81
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$90.68 |
$90.68 |
$90.68 |
$69.79
|
|
Digoxin total therapeutic drug level
|
$206.14 |
$206.14 |
$206.14 |
$102.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$66.97 |
$66.97 |
$66.97 |
$26.87
|
|
Dna antibody native/double stranded
|
$485.67 |
$485.67 |
$485.67 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$1,955.55 |
$1,955.55 |
$1,955.55 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$640.12 |
$640.12 |
$640.12 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$565.88 |
$565.88 |
$565.88 |
$84.30
|
|
Doppler echo complete
|
$2,529.51 |
$2,529.51 |
$2,529.51 |
$608.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,803.88 |
$1,803.88 |
$1,803.88 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,151.55 |
$1,151.55 |
$1,151.55 |
$482.03
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$36,249.72 |
$36,249.72 |
$36,249.72 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$184.09 |
$184.09 |
$184.09 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$6,554.72 |
$6,554.72 |
$6,554.72 |
$2,417.38
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$3,913.04 |
$3,913.04 |
$3,913.04 |
$820.50
|
|
Drainage external ear simple 69000
|
$1,193.03 |
$1,193.03 |
$1,193.03 |
$809.25
|
|
Drainage mouth roof lesion
|
$1,568.48 |
$1,568.48 |
$1,568.48 |
$474.39
|
|
Drainage of mouth lesion
|
$8,563.63 |
$8,563.63 |
$8,563.63 |
$2,320.03
|
|
Drainage of mouth lesion
|
$17,073.21 |
$17,073.21 |
$17,073.21 |
$3,986.00
|
|
Drain blood from under nail 11740
|
$535.05 |
$535.05 |
$535.05 |
$190.33
|
|
Drain finger abscess;simple 26010
|
$1,320.44 |
$1,320.44 |
$1,320.44 |
$492.81
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$966.22 |
$966.22 |
$966.22 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$913.36 |
$913.36 |
$913.36 |
$554.40
|
|
Drng of eyelid abscess 67700
|
$1,704.61 |
$1,704.61 |
$1,704.61 |
$747.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$109.23 |
$109.23 |
$109.23 |
$39.60
|
|
Drug of abuse screen urine
|
$230.06 |
$230.06 |
$230.06 |
$63.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,212.28 |
$1,212.28 |
$1,212.28 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$6,101.93 |
$6,101.93 |
$6,101.93 |
$3,390.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,947.92 |
$1,947.92 |
$1,947.92 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$39,799.55 |
$39,799.55 |
$39,799.55 |
$10,021.12
|
|
Ear irrigation 69209
|
$470.17 |
$470.17 |
$470.17 |
$165.42
|
|
Ecg 12 lead tracing only
|
$827.70 |
$827.70 |
$827.70 |
$245.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$4,812.94 |
$4,812.94 |
$4,812.94 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$2,393.65 |
$2,393.65 |
$2,393.65 |
$162.78
|
|
Echocardiogram (Heart Ultrasound)
|
$6,553.69 |
$6,553.69 |
$6,553.69 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$599.11 |
$599.11 |
$599.11 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$3,031.96 |
$3,031.96 |
$3,031.96 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$1,296.96 |
$1,296.96 |
$1,296.96 |
$353.46
|
|
Echo tee guidance
|
$7,086.91 |
$7,086.91 |
$7,086.91 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$6,343.96 |
$6,343.96 |
$6,343.96 |
$1,871.10
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,616.23 |
$2,616.23 |
$2,616.23 |
$861.12
|
|
Ehrlicha chaffeensis amp prb
|
$110.40 |
$110.40 |
$110.40 |
$105.00
|
|
Electrical stimulation/unattended 97014
|
$421.78 |
$421.78 |
$421.78 |
$81.75
|
|
Electrolyte panel
|
$365.78 |
$365.78 |
$365.78 |
$86.33
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$767.70 |
$767.70 |
$767.70 |
$121.63
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,037.52 |
$1,037.52 |
$1,037.52 |
$1,182.00
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$2,376.48 |
$2,376.48 |
$2,376.48 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$4,621.49 |
$4,621.49 |
$4,621.49 |
$950.55
|
|
Epstein barr early antigen antibody
|
$279.95 |
$279.95 |
$279.95 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$309.57 |
$309.57 |
$309.57 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$252.45 |
$252.45 |
$252.45 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,289.12 |
$1,289.12 |
$1,289.12 |
$363.57
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$26,971.61 |
$26,971.61 |
$26,971.61 |
$6,313.52
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$5,759.69 |
$5,759.69 |
$5,759.69 |
$3,855.08
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$798.85 |
$798.85 |
$798.85 |
$364.08
|
|
ER Visit (level 1, minor)
|
$663.73 |
$663.73 |
$663.73 |
$276.70
|
|
ER Visit (level 2)
|
$847.04 |
$847.04 |
$847.04 |
$487.50
|
|
ER Visit (level 3)
|
$1,455.46 |
$1,455.46 |
$1,455.46 |
$850.50
|
|
ER Visit (level 4)
|
$2,305.97 |
$2,305.97 |
$2,305.97 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$3,661.21 |
$3,661.21 |
$3,661.21 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$820.68 |
$820.68 |
$820.68 |
$260.24
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$2,441.58 |
$2,441.58 |
$2,441.58 |
$671.00
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,773.66 |
$1,773.66 |
$1,773.66 |
$540.00
|
|
Established Patient Office Visit (level 1)
|
$497.88 |
$497.88 |
$497.88 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$584.14 |
$584.14 |
$584.14 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$823.76 |
$823.76 |
$823.76 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$1,093.37 |
$1,093.37 |
$1,093.37 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$1,209.25 |
$1,209.25 |
$1,209.25 |
$287.10
|
|
Estradiol total
|
$439.44 |
$439.44 |
$439.44 |
$153.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$278.54 |
$278.54 |
$278.54 |
$213.17
|
|
Euflexxa inj per dose
|
$2,420.51 |
$2,420.51 |
$2,420.51 |
$727.80
|
|
Ext ecg>48hr<7d scan a/r
|
$892.27 |
$892.27 |
$892.27 |
$251.71
|
|
Ext ecg>7d<15d scan a/r
|
$892.27 |
$892.27 |
$892.27 |
$262.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$418.93 |
$418.93 |
$418.93 |
$102.78
|
|
Facial bones <3
|
$333.85 |
$333.85 |
$333.85 |
$248.60
|
|
Factor ix
|
$656.71 |
$656.71 |
$656.71 |
$131.30
|
|
Factor viii
|
$656.71 |
$656.71 |
$656.71 |
$144.30
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$69.67 |
$69.67 |
$69.67 |
$27.81
|
|
Fat/lipids feces qualitative
|
$164.82 |
$164.82 |
$164.82 |
$34.56
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$410.94 |
$410.94 |
$410.94 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$959.89 |
$959.89 |
$959.89 |
$2,027.60
|
|
Ferritin
|
$223.59 |
$223.59 |
$223.59 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$6,805.59 |
$6,805.59 |
$6,805.59 |
$1,776.61
|
|
Fibrin degradation d dimer quantitative
|
$388.28 |
$388.28 |
$388.28 |
$112.80
|
|
Fibrinogen activity
|
$204.65 |
$204.65 |
$204.65 |
$82.38
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$7,389.11 |
$7,389.11 |
$7,389.11 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$3,096.43 |
$3,096.43 |
$3,096.43 |
$973.70
|
|
Fl exam g/colon tube w contrast
|
$910.89 |
$910.89 |
$910.89 |
$546.86
|
|
Flow cytometry interp 16 or more
|
$148.58 |
$148.58 |
$148.58 |
$208.80
|
|
Flow cytometry marker each additional
|
$493.60 |
$493.60 |
$493.60 |
$103.00
|
|
Flow cytometry one marker technical component
|
$1,020.67 |
$1,020.67 |
$1,020.67 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$263.01 |
$263.01 |
$263.01 |
$86.42
|
|
Fluorescent antibody titer dna
|
$380.62 |
$380.62 |
$380.62 |
$123.65
|