|
Digoxin immune fab 40 mg intravenous solution
|
$13,092.57 |
$13,092.57 |
$13,092.57 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$168.75 |
$168.75 |
$168.75 |
$102.07
|
|
Dilate esophagus 1/mult pass
|
$510.15 |
$510.15 |
$510.15 |
$1,548.00
|
|
Dilation of cervical canal 57800
|
$4,340.80 |
$4,340.80 |
$4,340.80 |
$4,446.00
|
|
Dilator fascial 10fx20cm
|
$67.95 |
$67.95 |
$67.95 |
$402.10
|
|
Dimethyl sulfoxide 50% 50 ml
|
$2,585.80 |
$2,585.80 |
$2,585.80 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.04 |
$0.04 |
$0.04 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$36.57 |
$36.57 |
$36.57 |
$18.32
|
|
Disability dlco
|
$249.70 |
$249.70 |
$249.70 |
$293.76
|
|
Disaccharidases
|
$123.70 |
$123.70 |
$123.70 |
$230.40
|
|
Dna antibody native/double stranded
|
$172.70 |
$172.70 |
$172.70 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$83.35 |
$83.35 |
$83.35 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$967.38 |
$967.38 |
$967.38 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$173.13 |
$173.13 |
$173.13 |
$65.40
|
|
Doppler echo complete
|
$643.75 |
$643.75 |
$643.75 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$52.95 |
$52.95 |
$52.95 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$29.10 |
$29.10 |
$29.10 |
$481.65
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$31,045.17 |
$31,045.17 |
$31,045.17 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$157.94 |
$157.94 |
$157.94 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,594.53 |
$1,594.53 |
$1,594.53 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$210.48 |
$210.48 |
$210.48 |
$89.34
|
|
Dpyd gene common variants
|
$1,076.30 |
$1,076.30 |
$1,076.30 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$472.40 |
$472.40 |
$472.40 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$334.65 |
$334.65 |
$334.65 |
$964.00
|
|
Drainage external ear simple 69000
|
$286.10 |
$286.10 |
$286.10 |
$790.40
|
|
Drainage lymph node lesion 38300
|
$3,920.40 |
$3,920.40 |
$3,920.40 |
$3,088.80
|
|
Drainage mouth roof lesion
|
$257.80 |
$257.80 |
$257.80 |
$405.60
|
|
Drainage of arm bursa 23931
|
$2,377.90 |
$2,377.90 |
$2,377.90 |
$2,271.01
|
|
Drainage of mouth lesion
|
$661.35 |
$661.35 |
$661.35 |
$905.30
|
|
Drainage of mouth lesion
|
$7,732.15 |
$7,732.15 |
$7,732.15 |
$6,781.90
|
|
Drainage of nose lesion int 30000
|
$270.00 |
$270.00 |
$270.00 |
$548.00
|
|
Drainage of pelvis bursa
|
$2,077.25 |
$2,077.25 |
$2,077.25 |
$2,840.80
|
|
Drain blood from under nail 11740
|
$128.25 |
$128.25 |
$128.25 |
$182.40
|
|
Drain cerebro spinal fluid 62272
|
$573.60 |
$573.60 |
$573.60 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$545.25 |
$545.25 |
$545.25 |
$428.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$315.85 |
$315.85 |
$315.85 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$175.50 |
$175.50 |
$175.50 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$390.05 |
$390.05 |
$390.05 |
$541.00
|
|
Drng of eyelid abscess 67700
|
$613.05 |
$613.05 |
$613.05 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,222.30 |
$2,222.30 |
$2,222.30 |
$2,079.50
|
|
Drng of mouth lesion 40801
|
$764.30 |
$764.30 |
$764.30 |
$1,350.97
|
|
Drng of scrotum abscess 55100
|
$396.80 |
$396.80 |
$396.80 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$2,010.10 |
$2,010.10 |
$2,010.10 |
$2,039.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$129.15 |
$129.15 |
$129.15 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$277.17 |
$277.17 |
$277.17 |
$1,818.32
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$2,812.27 |
$2,812.27 |
$2,812.27 |
$7,465.97
|
|
Drug assay posaconazole
|
$153.75 |
$153.75 |
$153.75 |
$96.75
|
|
Drug assay voriconazole
|
$153.75 |
$153.75 |
$153.75 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$557.60 |
$557.60 |
$557.60 |
$66.43
|
|
Drug of abuse screen urine
|
$15.00 |
$15.00 |
$15.00 |
$67.89
|
|
Drug test prsmv instrmnt
|
$125.55 |
$125.55 |
$125.55 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$315.15 |
$315.15 |
$315.15 |
$278.85
|
|
Durvalumab 50 mg/ml intravenous solution
|
$11,082.75 |
$11,082.75 |
$11,082.75 |
$8,445.90
|
|
Ear irrigation 69209
|
$30.40 |
$30.40 |
$30.40 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$70.20 |
$70.20 |
$70.20 |
$132.08
|
|
Ecg external < 48 hours recording
|
$734.25 |
$734.25 |
$734.25 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,275.45 |
$1,275.45 |
$1,275.45 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$173.40 |
$173.40 |
$173.40 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$173.40 |
$173.40 |
$173.40 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,494.20 |
$2,494.20 |
$2,494.20 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$620.85 |
$620.85 |
$620.85 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$743.70 |
$743.70 |
$743.70 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,727.70 |
$2,727.70 |
$2,727.70 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$620.85 |
$620.85 |
$620.85 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$313.10 |
$313.10 |
$313.10 |
$371.25
|
|
Echo exam of eye
|
$114.00 |
$114.00 |
$114.00 |
$143.75
|
|
Echo exam of eye
|
$140.00 |
$140.00 |
$140.00 |
$172.00
|
|
Echo exam of eye thickness
|
$28.00 |
$28.00 |
$28.00 |
$40.30
|
|
Echo guide for amniocentesis
|
$384.65 |
$384.65 |
$384.65 |
$455.57
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,235.80 |
$2,235.80 |
$2,235.80 |
$1,913.60
|
|
Echo transthoracic
|
$3,397.20 |
$3,397.20 |
$3,397.20 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,116.25 |
$1,116.25 |
$1,116.25 |
$1,033.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$17,169.82 |
$17,169.82 |
$17,169.82 |
$19,540.29
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$156.55 |
$156.55 |
$156.55 |
$94.32
|
|
E equine encephalitis igg
|
$127.20 |
$127.20 |
$127.20 |
$51.84
|
|
Ehrlicha chaffeensis amp prb
|
$130.95 |
$130.95 |
$130.95 |
$93.00
|
|
EKG (Tracing Only)
|
$342.85 |
$342.85 |
$342.85 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$473.75 |
$473.75 |
$473.75 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$473.75 |
$473.75 |
$473.75 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$85.00 |
$85.00 |
$85.00 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$62.05 |
$62.05 |
$62.05 |
$81.75
|
|
Electrolyte panel
|
$117.40 |
$117.40 |
$117.40 |
$79.30
|
|
Electron microscopy diagnostic
|
$974.55 |
$974.55 |
$974.55 |
$1,011.98
|
|
Encephalitis, california igg/igm
|
$127.20 |
$127.20 |
$127.20 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$127.20 |
$127.20 |
$127.20 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$127.20 |
$127.20 |
$127.20 |
$54.99
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$11,090.78 |
$11,090.78 |
$11,090.78 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$6.10 |
$6.10 |
$6.10 |
$112.79
|
|
Enzyme histochemistry
|
$3,107.00 |
$3,107.00 |
$3,107.00 |
$455.91
|
|
Epidrm agrft t/a/l 1st 100
|
$1,760.90 |
$1,760.90 |
$1,760.90 |
$2,703.50
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$533.10 |
$533.10 |
$533.10 |
$3,778.57
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,563.35 |
$1,563.35 |
$1,563.35 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$2,164.52 |
$2,164.52 |
$2,164.52 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$167.35 |
$167.35 |
$167.35 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$178.15 |
$178.15 |
$178.15 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$174.80 |
$174.80 |
$174.80 |
$85.50
|
|
ER Visit (level 1, minor)
|
$276.70 |
$276.70 |
$276.70 |
$252.60
|
|
ER Visit (level 2)
|
$488.60 |
$488.60 |
$488.60 |
$463.00
|
|
ER Visit (level 3)
|
$758.60 |
$758.60 |
$758.60 |
$812.18
|
|
ER Visit (level 4)
|
$1,210.65 |
$1,210.65 |
$1,210.65 |
$1,291.00
|