|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$101.04 |
$101.04 |
$101.04 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$472.96 |
$472.96 |
$472.96 |
$131.40
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$104.59 |
$104.59 |
$104.59 |
$60.21
|
|
Doppler echo complete
|
$720.00 |
$720.00 |
$720.00 |
$517.94
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,071.60 |
$1,071.60 |
$1,071.60 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$686.40 |
$686.40 |
$686.40 |
$463.20
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$17,344.68 |
$17,344.68 |
$17,344.68 |
$326.36
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$1,988.63 |
$1,988.63 |
$1,988.63 |
$97.83
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$99.43 |
$99.43 |
$99.43 |
$715.22
|
|
Drainage lymph node lesion 38300
|
$3,882.00 |
$3,882.00 |
$3,882.00 |
$1,779.65
|
|
Drainage of kidney lesion
|
$1,619.40 |
$1,619.40 |
$1,619.40 |
$1,578.89
|
|
Drain cath image guided visceral pq
|
$3,448.80 |
$3,448.80 |
$3,448.80 |
$2,999.34
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$4,069.80 |
$4,069.80 |
$4,069.80 |
$5,715.36
|
|
Drng ovary abscess perqt 58822
|
$4,839.60 |
$4,839.60 |
$4,839.60 |
$3,547.20
|
|
Dronabinol 2.5mg oral
|
$20.03 |
$20.03 |
$20.03 |
$3.39
|
|
Droperidol 2.5 mg/ml injection solution
|
$40.32 |
$40.32 |
$40.32 |
$32.82
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$3,376.20 |
$3,376.20 |
$3,376.20 |
$12,735.45
|
|
Drug of abuse screen urine
|
$354.00 |
$354.00 |
$354.00 |
$58.50
|
|
Drug test def 1-7 classes
|
$378.60 |
$378.60 |
$378.60 |
$316.80
|
|
Drug test def 8-14 classes
|
$378.60 |
$378.60 |
$378.60 |
$249.10
|
|
Drug test prsmv instrmnt
|
$354.00 |
$354.00 |
$354.00 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$354.00 |
$354.00 |
$354.00 |
$278.85
|
|
Drvvt confirm - quest
|
$288.00 |
$288.00 |
$288.00 |
$108.55
|
|
Ductogram sgl duct
|
$258.00 |
$258.00 |
$258.00 |
$346.42
|
|
Duplex scan bilateral study 93985
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$600.60 |
$600.60 |
$600.60 |
$357.60
|
|
Dup scan/hemodialysis access 93990
|
$787.80 |
$787.80 |
$787.80 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,493.40 |
$1,493.40 |
$1,493.40 |
$852.57
|
|
Dxa bone density axl vrt fx
|
$466.80 |
$466.80 |
$466.80 |
$365.14
|
|
Dx aly aud oi snd prcsr 1st
|
$98.40 |
$98.40 |
$98.40 |
$184.26
|
|
Ear irrigation 69209
|
$175.80 |
$175.80 |
$175.80 |
$152.50
|
|
Ecg 12 lead tracing only
|
$301.20 |
$301.20 |
$301.20 |
$222.30
|
|
Ecg external < 48 hours recording
|
$816.00 |
$816.00 |
$816.00 |
$461.76
|
|
Ecg external > 48 hours up to 7 days recording
|
$384.00 |
$384.00 |
$384.00 |
$180.00
|
|
Ecg external >7 days up to 15 days recording
|
$766.20 |
$766.20 |
$766.20 |
$213.20
|
|
Echocardiogram (Heart Ultrasound)
|
$2,352.00 |
$2,352.00 |
$2,352.00 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$606.60 |
$606.60 |
$606.60 |
$450.40
|
|
Echocardiography transthoracic 2d followup/limited
|
$720.60 |
$720.60 |
$720.60 |
$720.60
|
|
Echocardiograpy doppler follow up/limited study
|
$356.40 |
$356.40 |
$356.40 |
$348.80
|
|
Echo exam of eye
|
$164.40 |
$164.40 |
$164.40 |
$119.66
|
|
Echo exam of fetal heart
|
$324.60 |
$324.60 |
$324.60 |
$855.38
|
|
Echo guide for amniocentesis
|
$257.40 |
$257.40 |
$257.40 |
$355.17
|
|
Echo guide for artery repair
|
$324.60 |
$324.60 |
$324.60 |
$687.35
|
|
Echo transthoracic
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$1,361.75
|
|
Echo transthoracic
|
$643.20 |
$643.20 |
$643.20 |
$765.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$942.00 |
$942.00 |
$942.00 |
$997.40
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$33.92 |
$33.92 |
$33.92 |
$17,051.72
|
|
Electrical stimulation/unattended 97014
|
$105.60 |
$105.60 |
$105.60 |
$79.20
|
|
Electroacous eval hear aid/biaural 92595
|
$135.60 |
$135.60 |
$135.60 |
$97.50
|
|
Electrocochleography
|
$139.20 |
$139.20 |
$139.20 |
$286.00
|
|
Electroconvulsive therapy 90870
|
$1,636.20 |
$1,636.20 |
$1,636.20 |
$1,052.70
|
|
Electrolyte panel
|
$208.80 |
$208.80 |
$208.80 |
$68.56
|
|
Electron microscopy diagnostic
|
$1,818.60 |
$1,818.60 |
$1,818.60 |
$1,107.84
|
|
Elotuzumab 300 mg intravenous solution
|
$12.05 |
$12.05 |
$12.05 |
$7,188.13
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$1,344.60 |
$1,344.60 |
$1,344.60 |
$447.50
|
|
Emg cranial nerve bilateral
|
$633.60 |
$633.60 |
$633.60 |
$494.13
|
|
Endo cath bile duct s&i
|
$258.00 |
$258.00 |
$258.00 |
$525.00
|
|
Endo cath panc duct s&i
|
$258.00 |
$258.00 |
$258.00 |
$634.40
|
|
Endoscopy swallow (fees) vid
|
$332.40 |
$332.40 |
$332.40 |
$457.50
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$234.90 |
$234.90 |
$234.90 |
$67.20
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$203.03 |
$203.03 |
$203.03 |
$43.20
|
|
Entamoeba histolytica ag eia - sendout
|
$112.80 |
$112.80 |
$112.80 |
$68.90
|
|
Enzyme histochemistry
|
$309.00 |
$309.00 |
$309.00 |
$506.35
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$4,847.57 |
$4,847.57 |
$4,847.57 |
$161.59
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,074.20 |
$1,074.20 |
$1,074.20 |
$336.66
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,519.32 |
$1,519.32 |
$1,519.32 |
$379.58
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$273.34 |
$273.34 |
$273.34 |
$178.29
|
|
Epstein barr early antigen antibody
|
$142.80 |
$142.80 |
$142.80 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$120.60 |
$120.60 |
$120.60 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$231.00 |
$231.00 |
$231.00 |
$112.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$15.59 |
$15.59 |
$15.59 |
$62.40
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,178.18 |
$3,178.18 |
$3,178.18 |
$3,590.11
|
|
Ercp biliary & pancreas
|
$258.00 |
$258.00 |
$258.00 |
$885.80
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$296.58 |
$296.58 |
$296.58 |
$296.58
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$364.08 |
$364.08 |
$364.08 |
$138.28
|
|
ER Visit (level 1, minor)
|
$345.60 |
$345.60 |
$345.60 |
$270.00
|
|
ER Visit (level 2)
|
$525.00 |
$525.00 |
$525.00 |
$469.39
|
|
ER Visit (level 3)
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$821.52
|
|
ER Visit (level 4)
|
$2,568.00 |
$2,568.00 |
$2,568.00 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$3,146.40 |
$3,146.40 |
$3,146.40 |
$1,900.20
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$272.94 |
$272.94 |
$272.94 |
$195.33
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$562.34 |
$562.34 |
$562.34 |
$406.83
|
|
Established Patient Office Visit (level 1)
|
$216.00 |
$216.00 |
$216.00 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$250.80 |
$250.80 |
$250.80 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$333.60 |
$333.60 |
$333.60 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$400.20 |
$400.20 |
$400.20 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$613.80 |
$613.80 |
$613.80 |
$270.09
|
|
Estradiol total
|
$490.80 |
$490.80 |
$490.80 |
$142.20
|
|
Estradiol valerate 10 mg inj
|
$192.96 |
$192.96 |
$192.96 |
$137.64
|
|
Estrogens total-sendout
|
$252.00 |
$252.00 |
$252.00 |
$111.00
|
|
Ethylene glycol -sendout
|
$266.40 |
$266.40 |
$266.40 |
$81.25
|
|
Etoposide 20 mg/ml intravenous solution
|
$1.82 |
$1.82 |
$1.82 |
$20.35
|
|
Etoposide 50 mg cap
|
$46.45 |
$46.45 |
$46.45 |
$110.87
|
|
Euglobulin lysis
|
$198.60 |
$198.60 |
$198.60 |
$37.70
|
|
Eval aud rehab status/first hr 92626
|
$285.60 |
$285.60 |
$285.60 |
$266.00
|
|
Eval/fit voice prosthesis iii, st
|
$308.40 |
$308.40 |
$308.40 |
$384.94
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$219.60 |
$219.60 |
$219.60 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$157.20 |
$157.20 |
$157.20 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$560.40 |
$560.40 |
$560.40 |
$325.65
|
|
Event monitor
|
$562.20 |
$562.20 |
$562.20 |
$228.60
|