|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$433.58 |
$433.58 |
$433.58 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,004.82 |
$1,004.82 |
$1,004.82 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$72.51 |
$72.51 |
$72.51 |
$89.34
|
|
Drainage external ear simple 69000
|
$779.20 |
$779.20 |
$779.20 |
$790.40
|
|
Drain finger abscess;simple 26010
|
$394.40 |
$394.40 |
$394.40 |
$428.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$314.40 |
$314.40 |
$314.40 |
$349.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$66.75 |
$66.75 |
$66.75 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,118.40 |
$1,118.40 |
$1,118.40 |
$1,818.32
|
|
Drug of abuse screen urine
|
$62.40 |
$62.40 |
$62.40 |
$67.89
|
|
Drug test prsmv instrmnt
|
$61.60 |
$61.60 |
$61.60 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$205.60 |
$205.60 |
$205.60 |
$278.85
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$974.40 |
$974.40 |
$974.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,203.20 |
$1,203.20 |
$1,203.20 |
$904.78
|
|
Duragen 1x1 5ea/bx
|
$60.80 |
$60.80 |
$60.80 |
$10,564.87
|
|
Durvalumab 50 mg/ml intravenous solution
|
$4,495.55 |
$4,495.55 |
$4,495.55 |
$8,445.90
|
|
Ear irrigation 69209
|
$176.80 |
$176.80 |
$176.80 |
$154.70
|
|
Ecg external < 48 hours recording
|
$512.80 |
$512.80 |
$512.80 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$671.20 |
$671.20 |
$671.20 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$182.40 |
$182.40 |
$182.40 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$224.00 |
$224.00 |
$224.00 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,258.40 |
$2,258.40 |
$2,258.40 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$979.20 |
$979.20 |
$979.20 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$638.40 |
$638.40 |
$638.40 |
$511.55
|
|
Echocardiograpy doppler follow up/limited study
|
$342.40 |
$342.40 |
$342.40 |
$371.25
|
|
Echo stress
|
$2,052.80 |
$2,052.80 |
$2,052.80 |
$1,609.44
|
|
Echo transthoracic
|
$2,082.40 |
$2,082.40 |
$2,082.40 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,604.80 |
$1,604.80 |
$1,604.80 |
$1,033.00
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$81.60 |
$81.60 |
$81.60 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$1,256.80 |
$1,256.80 |
$1,256.80 |
$934.05
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,126.40 |
$1,126.40 |
$1,126.40 |
$835.00
|
|
Eeg recording awake and asleep
|
$1,259.20 |
$1,259.20 |
$1,259.20 |
$931.20
|
|
EKG (Tracing Only)
|
$180.80 |
$180.80 |
$180.80 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$184.00 |
$184.00 |
$184.00 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$216.00 |
$216.00 |
$216.00 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$69.60 |
$69.60 |
$69.60 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$62.40 |
$62.40 |
$62.40 |
$81.75
|
|
Electrolyte panel
|
$48.00 |
$48.00 |
$48.00 |
$79.30
|
|
Elotuzumab 300 mg intravenous solution
|
$3,538.64 |
$3,538.64 |
$3,538.64 |
$5,761.81
|
|
Endoscopy swallow (fees) vid
|
$513.60 |
$513.60 |
$513.60 |
$402.35
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$84.64 |
$84.64 |
$84.64 |
$112.79
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$68.67 |
$68.67 |
$68.67 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$62.12 |
$62.12 |
$62.12 |
$31.76
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$62.01 |
$62.01 |
$62.01 |
$33.60
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$332.16 |
$332.16 |
$332.16 |
$865.80
|
|
Epstein barr nuclear antigen antibody
|
$84.80 |
$84.80 |
$84.80 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$76.00 |
$76.00 |
$76.00 |
$85.50
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,264.64 |
$2,264.64 |
$2,264.64 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$79.64 |
$79.64 |
$79.64 |
$232.12
|
|
ER Visit (level 1, minor)
|
$230.40 |
$230.40 |
$230.40 |
$252.60
|
|
ER Visit (level 2)
|
$430.40 |
$430.40 |
$430.40 |
$463.00
|
|
ER Visit (level 3)
|
$658.40 |
$658.40 |
$658.40 |
$812.18
|
|
ER Visit (level 4)
|
$1,190.40 |
$1,190.40 |
$1,190.40 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,766.40 |
$1,766.40 |
$1,766.40 |
$1,871.60
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$64.59 |
$64.59 |
$64.59 |
$516.71
|
|
Established Patient Office Visit (level 1)
|
$135.20 |
$135.20 |
$135.20 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$156.80 |
$156.80 |
$156.80 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$205.60 |
$205.60 |
$205.60 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$273.60 |
$273.60 |
$273.60 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$350.40 |
$350.40 |
$350.40 |
$290.68
|
|
Estradiol total
|
$146.40 |
$146.40 |
$146.40 |
$152.10
|
|
Estrogens total-sendout
|
$52.80 |
$52.80 |
$52.80 |
$97.50
|
|
Ethylene glycol -sendout
|
$200.00 |
$200.00 |
$200.00 |
$86.04
|
|
Etonogestrel implant system
|
$990.92 |
$990.92 |
$990.92 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$445.24 |
$445.24 |
$445.24 |
$235.20
|
|
Eval/fit voice prosthesis iii, st
|
$450.40 |
$450.40 |
$450.40 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$273.60 |
$273.60 |
$273.60 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$391.20 |
$391.20 |
$391.20 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$390.40 |
$390.40 |
$390.40 |
$318.24
|
|
Event monitor
|
$305.60 |
$305.60 |
$305.60 |
$231.00
|
|
Evoked oa emissions ltd
|
$151.20 |
$151.20 |
$151.20 |
$244.00
|
|
Exercise tst brncspsm w/ecg
|
$377.60 |
$377.60 |
$377.60 |
$335.52
|
|
External newborn metabolic screening panel
|
$235.20 |
$235.20 |
$235.20 |
$109.76
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$104.80 |
$104.80 |
$104.80 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$272.80 |
$272.80 |
$272.80 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$3,217.60 |
$3,217.60 |
$3,217.60 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$3,057.60 |
$3,057.60 |
$3,057.60 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$2,380.00 |
$2,380.00 |
$2,380.00 |
$1,320.00
|
|
F-18 fdg pet diag
|
$371.20 |
$371.20 |
$371.20 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,256.80 |
$4,256.80 |
$4,256.80 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,072.80 |
$3,072.80 |
$3,072.80 |
$1,883.25
|
|
Facial Bones X-ray (complete)
|
$268.80 |
$268.80 |
$268.80 |
$381.75
|
|
Factor viii
|
$129.60 |
$129.60 |
$129.60 |
$148.00
|
|
Factor viii recombinant nos
|
$60.93 |
$60.93 |
$60.93 |
$5.20
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$153.88 |
$153.88 |
$153.88 |
$22.20
|
|
Fat/lipids feces qualitative
|
$72.80 |
$72.80 |
$72.80 |
$36.00
|
|
#fecal-sodium
|
$50.40 |
$50.40 |
$50.40 |
$37.53
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$125.99 |
$125.99 |
$125.99 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,755.77 |
$1,755.77 |
$1,755.77 |
$2,590.25
|
|
Ferritin
|
$73.60 |
$73.60 |
$73.60 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$348.87 |
$348.87 |
$348.87 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$689.60 |
$689.60 |
$689.60 |
$541.74
|
|
Fetal fibronectin
|
$372.00 |
$372.00 |
$372.00 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$80.00 |
$80.00 |
$80.00 |
$102.00
|
|
Fetal hemoglobin rosette
|
$26.40 |
$26.40 |
$26.40 |
$67.20
|
|
Fetal non stress test
|
$394.40 |
$394.40 |
$394.40 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$88.80 |
$88.80 |
$88.80 |
$120.64
|
|
Fibrinogen activity
|
$48.00 |
$48.00 |
$48.00 |
$87.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$494.40 |
$494.40 |
$494.40 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$391.25 |
$391.25 |
$391.25 |
$891.02
|
|
Filter vena cava fem denali
|
$2,397.60 |
$2,397.60 |
$2,397.60 |
$3,718.18
|