|
Dimethyl sulfoxide 50% 50 ml
|
$515.85 |
$515.85 |
$515.85 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.20 |
$1.20 |
$1.20 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$62.48 |
$62.48 |
$62.48 |
$18.32
|
|
Disability dlco
|
$280.00 |
$280.00 |
$280.00 |
$293.76
|
|
Dna antibody native/double stranded
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$132.43 |
$132.43 |
$132.43 |
$95.06
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$130.23 |
$130.23 |
$130.23 |
$65.40
|
|
Doppler echo complete
|
$760.80 |
$760.80 |
$760.80 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$648.00 |
$648.00 |
$648.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$540.80 |
$540.80 |
$540.80 |
$481.65
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$73.86 |
$73.86 |
$73.86 |
$89.34
|
|
Drain blood from under nail 11740
|
$235.20 |
$235.20 |
$235.20 |
$182.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$440.80 |
$440.80 |
$440.80 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$587.20 |
$587.20 |
$587.20 |
$541.00
|
|
Drng of scrotum abscess 55100
|
$2,328.00 |
$2,328.00 |
$2,328.00 |
$1,997.89
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$4,756.80 |
$4,756.80 |
$4,756.80 |
$1,800.00
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$250.40 |
$250.40 |
$250.40 |
$53.60
|
|
Drug assay vedolizumab
|
$196.00 |
$196.00 |
$196.00 |
$154.00
|
|
Drug of abuse screen urine
|
$58.40 |
$58.40 |
$58.40 |
$67.89
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$320.00 |
$320.00 |
$320.00 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$815.20 |
$815.20 |
$815.20 |
$691.08
|
|
Dup scan/hemodialysis access 93990
|
$940.00 |
$940.00 |
$940.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$961.60 |
$961.60 |
$961.60 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,303.20 |
$1,303.20 |
$1,303.20 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$4,392.00 |
$4,392.00 |
$4,392.00 |
$8,445.90
|
|
Ear irrigation 69209
|
$264.00 |
$264.00 |
$264.00 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$153.60 |
$153.60 |
$153.60 |
$132.08
|
|
Ecg external < 48 hours recording
|
$708.80 |
$708.80 |
$708.80 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$826.40 |
$826.40 |
$826.40 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$181.60 |
$181.60 |
$181.60 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$230.40 |
$230.40 |
$230.40 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,481.60 |
$2,481.60 |
$2,481.60 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$1,002.40 |
$1,002.40 |
$1,002.40 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$684.80 |
$684.80 |
$684.80 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,664.80 |
$2,664.80 |
$2,664.80 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,104.80 |
$1,104.80 |
$1,104.80 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$434.40 |
$434.40 |
$434.40 |
$371.25
|
|
Echo stress
|
$2,165.60 |
$2,165.60 |
$2,165.60 |
$1,609.44
|
|
Echo transthoracic
|
$2,382.40 |
$2,382.40 |
$2,382.40 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,879.20 |
$1,879.20 |
$1,879.20 |
$1,033.00
|
|
Eeg 41-60 minutes 95812-26
|
$1,262.40 |
$1,262.40 |
$1,262.40 |
$934.05
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,134.40 |
$1,134.40 |
$1,134.40 |
$835.00
|
|
Eeg recording awake and asleep
|
$1,224.80 |
$1,224.80 |
$1,224.80 |
$931.20
|
|
EKG tracing for initial prev
|
$169.60 |
$169.60 |
$169.60 |
$81.76
|
|
EKG (Tracing Only)
|
$265.60 |
$265.60 |
$265.60 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$329.60 |
$329.60 |
$329.60 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$368.80 |
$368.80 |
$368.80 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$118.40 |
$118.40 |
$118.40 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$97.60 |
$97.60 |
$97.60 |
$81.75
|
|
Electrolyte panel
|
$109.60 |
$109.60 |
$109.60 |
$79.30
|
|
Emb without cervical dilation 58100
|
$385.60 |
$385.60 |
$385.60 |
$373.60
|
|
Endoven ther chem adhes 1st 36482
|
$8,712.00 |
$8,712.00 |
$8,712.00 |
$6,366.08
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$97.04 |
$97.04 |
$97.04 |
$112.79
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$67.19 |
$67.19 |
$67.19 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$70.60 |
$70.60 |
$70.60 |
$31.76
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$316.42 |
$316.42 |
$316.42 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$97.08 |
$97.08 |
$97.08 |
$33.60
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$588.00 |
$588.00 |
$588.00 |
$1,329.09
|
|
Epoetin beta esrd use
|
$860.00 |
$860.00 |
$860.00 |
$983.20
|
|
Epoetin beta non esrd
|
$860.00 |
$860.00 |
$860.00 |
$1,010.84
|
|
Epstein barr viral capsid antigen antibody igm
|
$96.80 |
$96.80 |
$96.80 |
$85.50
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,688.18 |
$2,688.18 |
$2,688.18 |
$3,838.45
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$194.61 |
$194.61 |
$194.61 |
$232.12
|
|
ER Visit (level 1, minor)
|
$296.80 |
$296.80 |
$296.80 |
$252.60
|
|
ER Visit (level 2)
|
$504.80 |
$504.80 |
$504.80 |
$463.00
|
|
ER Visit (level 3)
|
$836.00 |
$836.00 |
$836.00 |
$812.18
|
|
ER Visit (level 4)
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,670.40 |
$1,670.40 |
$1,670.40 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$103.77 |
$103.77 |
$103.77 |
$223.99
|
|
Established Patient Office Visit (level 1)
|
$241.60 |
$241.60 |
$241.60 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$123.20 |
$123.20 |
$123.20 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$153.60 |
$153.60 |
$153.60 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$192.00 |
$192.00 |
$192.00 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$240.80 |
$240.80 |
$240.80 |
$290.68
|
|
Estradiol total
|
$186.40 |
$186.40 |
$186.40 |
$152.10
|
|
Estrogens total-sendout
|
$52.80 |
$52.80 |
$52.80 |
$97.50
|
|
Etonogestrel implant system
|
$1,839.43 |
$1,839.43 |
$1,839.43 |
$2,081.30
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$361.60 |
$361.60 |
$361.60 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$297.60 |
$297.60 |
$297.60 |
$302.50
|
|
Exc abd les sc 3 cm/>
|
$5,467.20 |
$5,467.20 |
$5,467.20 |
$3,994.09
|
|
Exc arm/elbo les sc >=3cm 24071
|
$5,296.80 |
$5,296.80 |
$5,296.80 |
$4,529.20
|
|
Exc back tum deep 5 cm/>
|
$6,620.00 |
$6,620.00 |
$6,620.00 |
$3,994.09
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$3,394.40 |
$3,394.40 |
$3,394.40 |
$2,306.25
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,568.80 |
$1,568.80 |
$1,568.80 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$2,087.20 |
$2,087.20 |
$2,087.20 |
$1,152.96
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$2,014.40 |
$2,014.40 |
$2,014.40 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$3,230.40 |
$3,230.40 |
$3,230.40 |
$2,271.01
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,284.80 |
$1,284.80 |
$1,284.80 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$2,555.20 |
$2,555.20 |
$2,555.20 |
$1,314.67
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$2,025.60 |
$2,025.60 |
$2,025.60 |
$999.50
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$4,466.40 |
$4,466.40 |
$4,466.40 |
$3,484.00
|
|
Excise/repair mouth lesion
|
$3,997.60 |
$3,997.60 |
$3,997.60 |
$1,915.20
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,532.80 |
$1,532.80 |
$1,532.80 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,710.40 |
$2,710.40 |
$2,710.40 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$4,267.20 |
$4,267.20 |
$4,267.20 |
$2,865.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$5,951.20 |
$5,951.20 |
$5,951.20 |
$4,420.32
|
|
Exc malig feenl <0.5cm 11640
|
$2,043.20 |
$2,043.20 |
$2,043.20 |
$1,186.00
|
|
Exc malig feenl 1.1-2 11642
|
$2,523.20 |
$2,523.20 |
$2,523.20 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$3,450.40 |
$3,450.40 |
$3,450.40 |
$2,070.30
|