|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$100.08 |
$100.08 |
$100.08 |
$209.23
|
|
Cytopath smear other source
|
$159.84 |
$159.84 |
$159.84 |
$88.13
|
|
Cytp urine 3-5 probes cmptr
|
$301.68 |
$301.68 |
$301.68 |
$690.00
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.10 |
$0.10 |
$0.10 |
$168.53
|
|
Dch glucoscan
|
$12.96 |
$12.96 |
$12.96 |
$28.10
|
|
Dch validity tests
|
$32.40 |
$32.40 |
$32.40 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$91.44 |
$91.44 |
$91.44 |
$43.60
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,621.44 |
$1,621.44 |
$1,621.44 |
$1,160.00
|
|
Decalcification
|
$53.28 |
$53.28 |
$53.28 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$716.40 |
$716.40 |
$716.40 |
$543.00
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$87.78 |
$87.78 |
$87.78 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$826.56 |
$826.56 |
$826.56 |
$408.10
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$39.60 |
$39.60 |
$39.60 |
$45.40
|
|
Dextrose 5 % IV bolus
|
$39.60 |
$39.60 |
$39.60 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$182.16 |
$182.16 |
$182.16 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$146.88 |
$146.88 |
$146.88 |
$79.20
|
|
Diagnostic Mammogram (both breasts)
|
$474.48 |
$474.48 |
$474.48 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$375.84 |
$375.84 |
$375.84 |
$301.55
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$21.42 |
$21.42 |
$21.42 |
$74.76
|
|
Dicyclomine injection
|
$42.84 |
$42.84 |
$42.84 |
$153.29
|
|
Diffusing capacity
|
$216.72 |
$216.72 |
$216.72 |
$332.00
|
|
Digoxin total therapeutic drug level
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$102.00
|
|
Diltiazem 5 mg/ml intravenous solution
|
$25.20 |
$25.20 |
$25.20 |
$47.94
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$25.20 |
$25.20 |
$25.20 |
$17.75
|
|
Disaccharidases
|
$321.12 |
$321.12 |
$321.12 |
$216.00
|
|
Dna antibody native/double stranded
|
$77.04 |
$77.04 |
$77.04 |
$97.50
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$108.00 |
$108.00 |
$108.00 |
$65.40
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$337.68 |
$337.68 |
$337.68 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$241.92 |
$241.92 |
$241.92 |
$471.17
|
|
Drain blood from under nail 11740
|
$241.92 |
$241.92 |
$241.92 |
$170.50
|
|
Drain cath image guided visceral pq
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$2,850.35
|
|
Drain finger abscess;simple 26010
|
$429.12 |
$429.12 |
$429.12 |
$419.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$429.12 |
$429.12 |
$429.12 |
$344.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$25.20 |
$25.20 |
$25.20 |
$31.07
|
|
Drug assay posaconazole
|
$235.44 |
$235.44 |
$235.44 |
$96.75
|
|
Drug test def 1-7 classes
|
$345.60 |
$345.60 |
$345.60 |
$250.52
|
|
Drug test def 22+ classes
|
$673.20 |
$673.20 |
$673.20 |
$423.00
|
|
Drug test prsmv instrmnt
|
$128.16 |
$128.16 |
$128.16 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$202.32 |
$202.32 |
$202.32 |
$278.85
|
|
Drvvt confirm - quest
|
$172.08 |
$172.08 |
$172.08 |
$109.20
|
|
Dup scan/hemodialysis access 93990
|
$229.68 |
$229.68 |
$229.68 |
$489.72
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,419.84 |
$1,419.84 |
$1,419.84 |
$887.25
|
|
Ecg 12 lead tracing only
|
$263.52 |
$263.52 |
$263.52 |
$226.50
|
|
Ecg external < 48 hours recording
|
$1,416.24 |
$1,416.24 |
$1,416.24 |
$462.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,625.12 |
$2,625.12 |
$2,625.12 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$592.56 |
$592.56 |
$592.56 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,789.20 |
$1,789.20 |
$1,789.20 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$522.00 |
$522.00 |
$522.00 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$803.52 |
$803.52 |
$803.52 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$383.76 |
$383.76 |
$383.76 |
$362.50
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$610.56 |
$610.56 |
$610.56 |
$985.15
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$37.44 |
$37.44 |
$37.44 |
$87.84
|
|
Eeg monitor/record/awake/drowsy 95816
|
$819.36 |
$819.36 |
$819.36 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,704.96 |
$1,704.96 |
$1,704.96 |
$1,102.05
|
|
Eeg recording awake and asleep
|
$1,195.92 |
$1,195.92 |
$1,195.92 |
$931.20
|
|
EKG tracing for initial prev
|
$282.96 |
$282.96 |
$282.96 |
$81.76
|
|
Electrical stimulation/unattended 97014
|
$128.88 |
$128.88 |
$128.88 |
$79.20
|
|
Electrolyte panel
|
$179.28 |
$179.28 |
$179.28 |
$84.24
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$278.64 |
$278.64 |
$278.64 |
$375.20
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$347.04 |
$347.04 |
$347.04 |
$464.00
|
|
Emg needle test 1-extremity
|
$278.64 |
$278.64 |
$278.64 |
$334.34
|
|
Emg needle test 4-extremities
|
$381.60 |
$381.60 |
$381.60 |
$547.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$25.20 |
$25.20 |
$25.20 |
$109.71
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$25.20 |
$25.20 |
$25.20 |
$37.86
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$25.20 |
$25.20 |
$25.20 |
$34.13
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$19.07 |
$19.07 |
$19.07 |
$809.08
|
|
Epstein barr early antigen antibody
|
$40.32 |
$40.32 |
$40.32 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$40.32 |
$40.32 |
$40.32 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$40.32 |
$40.32 |
$40.32 |
$91.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$120.06 |
$120.06 |
$120.06 |
$222.98
|
|
ER Visit (level 1, minor)
|
$207.36 |
$207.36 |
$207.36 |
$246.24
|
|
ER Visit (level 2)
|
$297.36 |
$297.36 |
$297.36 |
$452.20
|
|
ER Visit (level 3)
|
$598.32 |
$598.32 |
$598.32 |
$770.04
|
|
ER Visit (level 4)
|
$714.24 |
$714.24 |
$714.24 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,076.40 |
$1,076.40 |
$1,076.40 |
$1,820.02
|
|
Estradiol total
|
$288.72 |
$288.72 |
$288.72 |
$146.50
|
|
Estrogens total-sendout
|
$298.80 |
$298.80 |
$298.80 |
$96.20
|
|
Evaluation psychiatric diagnostic
|
$347.04 |
$347.04 |
$347.04 |
$312.00
|
|
Event monitor
|
$631.44 |
$631.44 |
$631.44 |
$242.65
|
|
Exc abdl tum deep 5 cm/>
|
$6,181.92 |
$6,181.92 |
$6,181.92 |
$3,370.52
|
|
Exc arm/elbo les sc >=3cm 24071
|
$6,427.44 |
$6,427.44 |
$6,427.44 |
$4,078.80
|
|
Exc benign tal 0.5 < cm 11400
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$827.40
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$863.28 |
$863.28 |
$863.28 |
$1,012.86
|
|
External chromosome analysis 20-25 cells
|
$750.24 |
$750.24 |
$750.24 |
$384.15
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$30.96 |
$30.96 |
$30.96 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$570.96 |
$570.96 |
$570.96 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$136.80 |
$136.80 |
$136.80 |
$108.60
|
|
Facial bones <3
|
$399.60 |
$399.60 |
$399.60 |
$252.60
|
|
Factor ix
|
$162.00 |
$162.00 |
$162.00 |
$156.13
|
|
Factor viii
|
$204.48 |
$204.48 |
$204.48 |
$133.81
|
|
Fat/lipids feces qualitative
|
$146.88 |
$146.88 |
$146.88 |
$38.35
|
|
#fecal-sodium
|
$154.08 |
$154.08 |
$154.08 |
$37.50
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3.54 |
$3.54 |
$3.54 |
$2,590.25
|
|
Ferritin
|
$209.52 |
$209.52 |
$209.52 |
$100.94
|
|
#_fet/norfentcnfrmur
|
$147.60 |
$147.60 |
$147.60 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$60.48 |
$60.48 |
$60.48 |
$117.70
|
|
Fibrin degradation products
|
$144.00 |
$144.00 |
$144.00 |
$62.64
|
|
Fibrinogen activity
|
$110.16 |
$110.16 |
$110.16 |
$83.50
|
|
Fl exam g/colon tube w contrast
|
$564.48 |
$564.48 |
$564.48 |
$511.92
|
|
Flow cytometry interp 16 or more
|
$307.44 |
$307.44 |
$307.44 |
$204.00
|
