|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$7,392.60 |
$7,392.60 |
$7,392.60 |
$6,324.98
|
|
Destroy internal hemorrhoids destroy 46930
|
$384.60 |
$384.60 |
$384.60 |
$1,344.85
|
|
Destruction benign lesions < 14 lesions
|
$58.20 |
$58.20 |
$58.20 |
$235.13
|
|
Device intraute mirena
|
$3,258.00 |
$3,258.00 |
$3,258.00 |
$2,125.00
|
|
Dexamethasone 4 mg tablet
|
$4.20 |
$4.20 |
$4.20 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$18.00 |
$18.00 |
$18.00 |
$21.17
|
|
Dhea-s (dehydroepiand sulfate)
|
$281.40 |
$281.40 |
$281.40 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$75.00 |
$75.00 |
$75.00 |
$79.20
|
|
Diag laparo separate proc 49320
|
$1,051.80 |
$1,051.80 |
$1,051.80 |
$6,904.15
|
|
Diagnostic anoscopy spx 46600
|
$87.00 |
$87.00 |
$87.00 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$90.60 |
$90.60 |
$90.60 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$129.00 |
$129.00 |
$129.00 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$647.40 |
$647.40 |
$647.40 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$647.40 |
$647.40 |
$647.40 |
$301.55
|
|
Dialysis one evaluation
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$919.55
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$91.80 |
$91.80 |
$91.80 |
$74.76
|
|
Dicyclomine injection
|
$268.20 |
$268.20 |
$268.20 |
$153.29
|
|
Diffusing capacity
|
$275.40 |
$275.40 |
$275.40 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$19.20 |
$19.20 |
$19.20 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$12,133.20 |
$12,133.20 |
$12,133.20 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$183.60 |
$183.60 |
$183.60 |
$102.00
|
|
Dilate esophagus 1/mult pass
|
$246.60 |
$246.60 |
$246.60 |
$1,484.17
|
|
Dilation of anal sphincter
|
$200.40 |
$200.40 |
$200.40 |
$1,969.12
|
|
Diltiazem 5 mg/ml intravenous solution
|
$22.20 |
$22.20 |
$22.20 |
$47.94
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$4.80 |
$4.80 |
$4.80 |
$17.75
|
|
Disaccharidases
|
$315.00 |
$315.00 |
$315.00 |
$216.00
|
|
Dna antibody native/double stranded
|
$120.60 |
$120.60 |
$120.60 |
$97.50
|
|
Dna gardnerella
|
$34.20 |
$34.20 |
$34.20 |
$62.50
|
|
Dna trichomonas
|
$34.20 |
$34.20 |
$34.20 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$42.60 |
$42.60 |
$42.60 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,834.20 |
$1,834.20 |
$1,834.20 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$65.40 |
$65.40 |
$65.40 |
$65.40
|
|
Doppler echo complete
|
$57.00 |
$57.00 |
$57.00 |
$540.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$288.00 |
$288.00 |
$288.00 |
$471.17
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$96.60 |
$96.60 |
$96.60 |
$84.80
|
|
Dpyd gene common variants
|
$382.80 |
$382.80 |
$382.80 |
$380.50
|
|
Drainage external ear simple 69000
|
$864.00 |
$864.00 |
$864.00 |
$789.60
|
|
Drainage lymph node lesion 38305
|
$753.00 |
$753.00 |
$753.00 |
$3,170.64
|
|
Drain blood from under nail 11740
|
$126.00 |
$126.00 |
$126.00 |
$170.50
|
|
Drain finger abscess;simple 26010
|
$278.40 |
$278.40 |
$278.40 |
$419.00
|
|
Drain lower leg lesion 27603
|
$792.60 |
$792.60 |
$792.60 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$578.40 |
$578.40 |
$578.40 |
$3,339.00
|
|
Drain shoulder lesion
|
$437.40 |
$437.40 |
$437.40 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$234.00 |
$234.00 |
$234.00 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$199.20 |
$199.20 |
$199.20 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$426.60 |
$426.60 |
$426.60 |
$523.00
|
|
Drng of finger abscess comp 26011
|
$2,150.40 |
$2,150.40 |
$2,150.40 |
$1,943.50
|
|
Drng peritoneal abscess open 49020
|
$1,641.60 |
$1,641.60 |
$1,641.60 |
$2,520.00
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$193.15 |
$193.15 |
$193.15 |
$289.05
|
|
Drug test def 15-21 classes
|
$146.40 |
$146.40 |
$146.40 |
$263.25
|
|
Drug test def 1-7 classes
|
$203.40 |
$203.40 |
$203.40 |
$250.52
|
|
Drug test def 8-14 classes
|
$156.60 |
$156.60 |
$156.60 |
$282.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$220.80 |
$220.80 |
$220.80 |
$278.85
|
|
Drvvt confirm - quest
|
$198.00 |
$198.00 |
$198.00 |
$109.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$732.00 |
$732.00 |
$732.00 |
$887.25
|
|
Durvalumab 50 mg/ml intravenous solution
|
$11,861.40 |
$11,861.40 |
$11,861.40 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$544.20 |
$544.20 |
$544.20 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$399.00 |
$399.00 |
$399.00 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$516.00 |
$516.00 |
$516.00 |
$2,322.60
|
|
Ear and throat examination
|
$175.20 |
$175.20 |
$175.20 |
$602.63
|
|
Ear irrigation 69209
|
$211.80 |
$211.80 |
$211.80 |
$149.76
|
|
Ecg 12 lead tracing only
|
$246.60 |
$246.60 |
$246.60 |
$226.50
|
|
Ecg external < 48 hours recording
|
$127.20 |
$127.20 |
$127.20 |
$462.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$51.60 |
$51.60 |
$51.60 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$82.20 |
$82.20 |
$82.20 |
$161.85
|
|
Ecg/review interpret only
|
$42.00 |
$42.00 |
$42.00 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$2,738.40 |
$2,738.40 |
$2,738.40 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$27.00 |
$27.00 |
$27.00 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$762.60 |
$762.60 |
$762.60 |
$703.25
|
|
Echograp trans r pros study
|
$192.00 |
$192.00 |
$192.00 |
$459.40
|
|
Echo stress
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,782.00 |
$1,782.00 |
$1,782.00 |
$1,849.50
|
|
Eeg recording awake and asleep
|
$475.80 |
$475.80 |
$475.80 |
$931.20
|
|
Egd balloon dil esoph30 mm/>
|
$570.00 |
$570.00 |
$570.00 |
$2,244.82
|
|
Egd control bleeding any
|
$711.00 |
$711.00 |
$711.00 |
$2,553.75
|
|
Egd dilate stricture
|
$607.20 |
$607.20 |
$607.20 |
$2,244.82
|
|
Egd guide wire insertion
|
$549.00 |
$549.00 |
$549.00 |
$1,664.00
|
|
Egd remove lesion snare
|
$669.60 |
$669.60 |
$669.60 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$658.80 |
$658.80 |
$658.80 |
$2,244.82
|
|
Egd varices ligation
|
$679.20 |
$679.20 |
$679.20 |
$2,244.82
|
|
EKG (Electrocardiogram)
|
$143.40 |
$143.40 |
$143.40 |
$89.60
|
|
Electrical stimulation/unattended 97014
|
$246.60 |
$246.60 |
$246.60 |
$79.20
|
|
Electrolyte panel
|
$105.60 |
$105.60 |
$105.60 |
$84.24
|
|
Elotuzumab 300 mg intravenous solution
|
$8,256.00 |
$8,256.00 |
$8,256.00 |
$5,523.02
|
|
Endoscopy maxillary sinus
|
$1,114.20 |
$1,114.20 |
$1,114.20 |
$7,307.50
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$601.80 |
$601.80 |
$601.80 |
$2,756.52
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$373.20 |
$373.20 |
$373.20 |
$109.71
|
|
Enterectomy small intestine addl 44121
|
$652.80 |
$652.80 |
$652.80 |
$518.10
|
|
Enterectomy small intestine single 44120
|
$2,025.60 |
$2,025.60 |
$2,025.60 |
$2,170.64
|
|
Enteroenterostomy fusion 44130
|
$2,021.40 |
$2,021.40 |
$2,021.40 |
$2,464.80
|
|
Enterorrhaphy 1perforation 44602
|
$1,472.40 |
$1,472.40 |
$1,472.40 |
$2,650.80
|
|
Enterostomy/cecostomy tube open 44300
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$1,741.60
|
|
Epilepsy gen seq alys panel
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$3,142.35
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$54.90 |
$54.90 |
$54.90 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$897.90 |
$897.90 |
$897.90 |
$393.15
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$45.00 |
$45.00 |
$45.00 |
$34.13
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,471.20 |
$1,471.20 |
$1,471.20 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$3,430.80 |
$3,430.80 |
$3,430.80 |
$1,289.71
|
