|
Declotting thrombolytic agent implanted vas access device 36
|
$767.40 |
$767.40 |
$767.40 |
$482.35
|
|
Demonstrate use home inr mon
|
$407.40 |
$407.40 |
$407.40 |
$340.79
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$178.20 |
$178.20 |
$178.20 |
$165.60
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,681.80 |
$4,681.80 |
$4,681.80 |
$4,681.80
|
|
Desmopressin 4 mcg/ml injection solution
|
$20.43 |
$20.43 |
$20.43 |
$37.26
|
|
Detect agnt mult dna direc
|
$270.60 |
$270.60 |
$270.60 |
$115.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$254.40 |
$254.40 |
$254.40 |
$220.43
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$112.07 |
$112.07 |
$112.07 |
$8.23
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$4,745.71 |
$4,745.71 |
$4,745.71 |
$465.34
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$78.83 |
$78.83 |
$78.83 |
$37.50
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$78.65 |
$78.65 |
$78.65 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$49.75 |
$49.75 |
$49.75 |
$48.56
|
|
Dextrose 5 % IV bolus
|
$78.86 |
$78.86 |
$78.86 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$588.00 |
$588.00 |
$588.00 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$135.00 |
$135.00 |
$135.00 |
$70.00
|
|
Diagnostic digital breast tomosynthesis bil
|
$53.40 |
$53.40 |
$53.40 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$53.40 |
$53.40 |
$53.40 |
$75.93
|
|
Diagnostic Mammogram (both breasts)
|
$361.80 |
$361.80 |
$361.80 |
$381.60
|
|
Diagnostic Mammogram (one breast)
|
$261.60 |
$261.60 |
$261.60 |
$276.60
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$80.83 |
$80.83 |
$80.83 |
$42.12
|
|
Dicyclomine injection
|
$193.54 |
$193.54 |
$193.54 |
$153.53
|
|
Diffusing capacity
|
$386.40 |
$386.40 |
$386.40 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$41.63 |
$41.63 |
$41.63 |
$29.85
|
|
Digoxin immune fab 40 mg intravenous solution
|
$6,815.78 |
$6,815.78 |
$6,815.78 |
$6,815.78
|
|
Digoxin total therapeutic drug level
|
$255.60 |
$255.60 |
$255.60 |
$92.95
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$308.90 |
$308.90 |
$308.90 |
$297.86
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,001.55 |
$1,001.55 |
$1,001.55 |
$1,001.55
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$38.75 |
$38.75 |
$38.75 |
$9.29
|
|
Disability dlco
|
$647.40 |
$647.40 |
$647.40 |
$289.08
|
|
Disaccharidases
|
$439.80 |
$439.80 |
$439.80 |
$224.58
|
|
Dna antibody native/double stranded
|
$288.60 |
$288.60 |
$288.60 |
$101.40
|
|
Dna gardnerella
|
$137.40 |
$137.40 |
$137.40 |
$67.68
|
|
Dna probe chlamydia
|
$270.00 |
$270.00 |
$270.00 |
$98.40
|
|
Dna trichomonas
|
$141.60 |
$141.60 |
$141.60 |
$69.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$65.84 |
$65.84 |
$65.84 |
$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
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$517.94
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,270.80 |
$1,270.80 |
$1,270.80 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$724.80 |
$724.80 |
$724.80 |
$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)
|
$190.78 |
$190.78 |
$190.78 |
$97.83
|
|
Droperidol 2.5 mg/ml injection solution
|
$40.32 |
$40.32 |
$40.32 |
$32.82
|
|
Drug assay caffeine
|
$358.80 |
$358.80 |
$358.80 |
$89.17
|
|
Drug of abuse screen urine
|
$141.60 |
$141.60 |
$141.60 |
$58.50
|
|
Drug test def 1-7 classes
|
$393.00 |
$393.00 |
$393.00 |
$316.80
|
|
Drug test def 8-14 classes
|
$393.00 |
$393.00 |
$393.00 |
$249.10
|
|
Drug test prsmv instrmnt
|
$141.60 |
$141.60 |
$141.60 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$207.00 |
$207.00 |
$207.00 |
$278.85
|
|
Drvvt confirm - quest
|
$318.60 |
$318.60 |
$318.60 |
$108.55
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,662.60 |
$1,662.60 |
$1,662.60 |
$852.57
|
|
Ear irrigation 69209
|
$183.00 |
$183.00 |
$183.00 |
$152.50
|
|
Ecg 12 lead tracing only
|
$325.80 |
$325.80 |
$325.80 |
$222.30
|
|
Ecg external < 48 hours recording
|
$1,221.60 |
$1,221.60 |
$1,221.60 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,099.20 |
$1,099.20 |
$1,099.20 |
$541.73
|
|
Ecg external > 48 hours up to 7 days recording
|
$571.80 |
$571.80 |
$571.80 |
$180.00
|
|
Ecg external >7 days up to 15 days recording
|
$1,143.60 |
$1,143.60 |
$1,143.60 |
$213.20
|
|
Echocardiogram (Heart Ultrasound)
|
$2,893.80 |
$2,893.80 |
$2,893.80 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$873.60 |
$873.60 |
$873.60 |
$450.40
|
|
Echocardiography transthoracic 2d followup/limited
|
$925.20 |
$925.20 |
$925.20 |
$720.60
|
|
Echocardiograpy doppler follow up/limited study
|
$557.40 |
$557.40 |
$557.40 |
$348.80
|
|
Echo guide for amniocentesis
|
$807.00 |
$807.00 |
$807.00 |
$355.17
|
|
Echo transthoracic
|
$1,719.60 |
$1,719.60 |
$1,719.60 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,570.20 |
$1,570.20 |
$1,570.20 |
$997.40
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,058.40 |
$1,058.40 |
$1,058.40 |
$835.00
|
|
Eeg without vid ea 12-26hr cont
|
$3,587.40 |
$3,587.40 |
$3,587.40 |
$1,584.70
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$22.76 |
$22.76 |
$22.76 |
$49.52
|
|
Egfr gene com variants
|
$399.60 |
$399.60 |
$399.60 |
$619.04
|
|
Electrical stimulation/unattended 97014
|
$95.40 |
$95.40 |
$95.40 |
$79.20
|
|
Electrolyte panel
|
$208.80 |
$208.80 |
$208.80 |
$68.56
|
|
Electron microscopy diagnostic
|
$1,907.40 |
$1,907.40 |
$1,907.40 |
$1,107.84
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$43.20 |
$43.20 |
$43.20 |
$43.20
|
|
Entamoeba histolytica ag eia - sendout
|
$126.60 |
$126.60 |
$126.60 |
$68.90
|
|
Epidrm agrft t/a/l 1st 100
|
$4,566.60 |
$4,566.60 |
$4,566.60 |
$2,710.80
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$195.23 |
$195.23 |
$195.23 |
$161.59
|
|
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
|
$182.13 |
$182.13 |
$182.13 |
$178.29
|
|
Epstein barr early antigen antibody
|
$225.60 |
$225.60 |
$225.60 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$206.40 |
$206.40 |
$206.40 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$280.80 |
$280.80 |
$280.80 |
$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
|
|
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)
|
$132.60 |
$132.60 |
$132.60 |
$270.00
|
|
ER Visit (level 2)
|
$277.80 |
$277.80 |
$277.80 |
$469.39
|
|
ER Visit (level 3)
|
$816.60 |
$816.60 |
$816.60 |
$821.52
|
|
ER Visit (level 4)
|
$1,674.00 |
$1,674.00 |
$1,674.00 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$2,304.00 |
$2,304.00 |
$2,304.00 |
$1,900.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$45.48 |
$45.48 |
$45.48 |
$406.83
|
|
Established Patient Office Visit (level 1)
|
$246.00 |
$246.00 |
$246.00 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$270.00 |
$270.00 |
$270.00 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$335.40 |
$335.40 |
$335.40 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$399.60 |
$399.60 |
$399.60 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$618.00 |
$618.00 |
$618.00 |
$270.09
|
|
Estradiol total
|
$544.80 |
$544.80 |
$544.80 |
$142.20
|
|
Estrogens total-sendout
|
$314.40 |
$314.40 |
$314.40 |
$111.00
|
|
Ethylene glycol -sendout
|
$294.00 |
$294.00 |
$294.00 |
$81.25
|
|
Etoposide 20 mg/ml intravenous solution
|
$1.82 |
$1.82 |
$1.82 |
$20.35
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$234.00 |
$234.00 |
$234.00 |
$219.60
|