|
Digoxin immune fab 40 mg intravenous solution
|
$13,725.30 |
$13,725.30 |
$13,725.30 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$141.00 |
$141.00 |
$141.00 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$358.75 |
$358.75 |
$358.75 |
$297.86
|
|
Dilator fascial 10fx20cm
|
$423.05 |
$423.05 |
$423.05 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$8.85 |
$8.85 |
$8.85 |
$45.60
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$5.40 |
$5.40 |
$5.40 |
$18.32
|
|
Disability dlco
|
$581.00 |
$581.00 |
$581.00 |
$293.76
|
|
Dna antibody native/double stranded
|
$156.00 |
$156.00 |
$156.00 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$135.00 |
$135.00 |
$135.00 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$2,567.60 |
$2,567.60 |
$2,567.60 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$35.90 |
$35.90 |
$35.90 |
$65.40
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$905.00 |
$905.00 |
$905.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$684.00 |
$684.00 |
$684.00 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$31,736.18 |
$31,736.18 |
$31,736.18 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$36,812.65 |
$36,812.65 |
$36,812.65 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$1,578.20 |
$1,578.20 |
$1,578.20 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$7,093.75 |
$7,093.75 |
$7,093.75 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$28.30 |
$28.30 |
$28.30 |
$89.34
|
|
Dpyd gene common variants
|
$524.00 |
$524.00 |
$524.00 |
$423.60
|
|
Drain chst dry seal exp thorastat
|
$212.98 |
$212.98 |
$212.98 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$1,706.00 |
$1,706.00 |
$1,706.00 |
$428.40
|
|
Drain lower leg lesion 27603
|
$1,744.00 |
$1,744.00 |
$1,744.00 |
$3,994.09
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$1,504.70 |
$1,504.70 |
$1,504.70 |
$3,789.86
|
|
Droperidol 2.5 mg/ml injection solution
|
$32.80 |
$32.80 |
$32.80 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$5,886.99 |
$5,886.99 |
$5,886.99 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$241.26 |
$241.26 |
$241.26 |
$119.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$53.60 |
$53.60 |
$53.60 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$64.30 |
$64.30 |
$64.30 |
$193.15
|
|
Drsg sht 5.625x4.625in std
|
$123.24 |
$123.24 |
$123.24 |
$123.24
|
|
Drsg surg adh 11x11 3/4 occl drap wnd 28x30
|
$0.73 |
$0.73 |
$0.73 |
$19.10
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$146.06 |
$146.06 |
$146.06 |
$94.94
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$72.19 |
$72.19 |
$72.19 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$9,582.38 |
$9,582.38 |
$9,582.38 |
$7,465.97
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$25.75 |
$25.75 |
$25.75 |
$1.00
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$381.35 |
$381.35 |
$381.35 |
$376.50
|
|
Drug assay rufinamide
|
$132.00 |
$132.00 |
$132.00 |
$87.10
|
|
Drug assay vedolizumab
|
$390.00 |
$390.00 |
$390.00 |
$154.00
|
|
Drug assay voriconazole
|
$187.00 |
$187.00 |
$187.00 |
$96.75
|
|
Drug of abuse screen urine
|
$168.00 |
$168.00 |
$168.00 |
$67.89
|
|
Drug test def 1-7 classes
|
$223.00 |
$223.00 |
$223.00 |
$263.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$211.00 |
$211.00 |
$211.00 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$6,407.00 |
$6,407.00 |
$6,407.00 |
$2,980.00
|
|
Duragen 1x1 5ea/bx
|
$2,313.19 |
$2,313.19 |
$2,313.19 |
$10,564.87
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$264.34 |
$264.34 |
$264.34 |
$16,549.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$13,206.10 |
$13,206.10 |
$13,206.10 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$345.00 |
$345.00 |
$345.00 |
$401.20
|
|
Ear irrigation 69209
|
$108.00 |
$108.00 |
$108.00 |
$154.70
|
|
Ecg/1-3 leads/interp & report only 93042
|
$22.00 |
$22.00 |
$22.00 |
$16.00
|
|
Ecg < 30 days transmission & analysis
|
$735.00 |
$735.00 |
$735.00 |
$412.88
|
|
Ecg external < 48 hours recording
|
$694.00 |
$694.00 |
$694.00 |
$467.40
|
|
Ecg external > 48 hours up to 7 days recording
|
$338.00 |
$338.00 |
$338.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$705.00 |
$705.00 |
$705.00 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,350.00 |
$2,350.00 |
$2,350.00 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$525.00 |
$525.00 |
$525.00 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,990.00 |
$2,990.00 |
$2,990.00 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$450.00 |
$450.00 |
$450.00 |
$371.25
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$18,199.20 |
$18,199.20 |
$18,199.20 |
$19,540.29
|
|
Eeg recording awake and asleep
|
$627.00 |
$627.00 |
$627.00 |
$931.20
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$18,942.60 |
$18,942.60 |
$18,942.60 |
$13,130.61
|
|
EKG (Electrocardiogram)
|
$125.00 |
$125.00 |
$125.00 |
$89.60
|
|
EKG for initial prevent exam g0403
|
$49.00 |
$49.00 |
$49.00 |
$37.60
|
|
EKG (Tracing Only)
|
$803.00 |
$803.00 |
$803.00 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$365.00 |
$365.00 |
$365.00 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$504.00 |
$504.00 |
$504.00 |
$364.20
|
|
Electrd sq emblem s-icd
|
$11,345.95 |
$11,345.95 |
$11,345.95 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$125.00 |
$125.00 |
$125.00 |
$87.49
|
|
Electrolyte panel
|
$550.00 |
$550.00 |
$550.00 |
$79.30
|
|
Elotuzumab 300 mg intravenous solution
|
$9,470.30 |
$9,470.30 |
$9,470.30 |
$5,761.81
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$42,858.30 |
$42,858.30 |
$42,858.30 |
$14,606.11
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$12,640.50 |
$12,640.50 |
$12,640.50 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$73.35 |
$73.35 |
$73.35 |
$112.79
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$50,429.90 |
$50,429.90 |
$50,429.90 |
$30,598.85
|
|
Epidural/lumbar/sacral/ea add level64484
|
$5,418.00 |
$5,418.00 |
$5,418.00 |
$1,182.00
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$58.00 |
$58.00 |
$58.00 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$50.40 |
$50.40 |
$50.40 |
$31.76
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$50.40 |
$50.40 |
$50.40 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$35.20 |
$35.20 |
$35.20 |
$33.60
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$1,405.00 |
$1,405.00 |
$1,405.00 |
$256.27
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$2,079.00 |
$2,079.00 |
$2,079.00 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$4,916.35 |
$4,916.35 |
$4,916.35 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$145.00 |
$145.00 |
$145.00 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$166.00 |
$166.00 |
$166.00 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$186.00 |
$186.00 |
$186.00 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$209.50 |
$209.50 |
$209.50 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$10,020.45 |
$10,020.45 |
$10,020.45 |
$3,838.45
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$7,050.00 |
$7,050.00 |
$7,050.00 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$92.00 |
$92.00 |
$92.00 |
$232.12
|
|
ER Visit (level 1, minor)
|
$525.00 |
$525.00 |
$525.00 |
$252.60
|
|
ER Visit (level 2)
|
$1,031.00 |
$1,031.00 |
$1,031.00 |
$463.00
|
|
ER Visit (level 3)
|
$927.00 |
$927.00 |
$927.00 |
$812.18
|
|
ER Visit (level 4)
|
$3,303.00 |
$3,303.00 |
$3,303.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$7,519.00 |
$7,519.00 |
$7,519.00 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$908.50 |
$908.50 |
$908.50 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$427.50 |
$427.50 |
$427.50 |
$516.71
|
|
Esophagoscopy flex biopsy
|
$374.00 |
$374.00 |
$374.00 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$333.00 |
$333.00 |
$333.00 |
$1,296.00
|
|
Esoph egd dilation <30 mm
|
$5,522.81 |
$5,522.81 |
$5,522.81 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$54.00 |
$54.00 |
$54.00 |
$122.20
|