|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$144.95 |
$144.95 |
$144.95 |
$84.80
|
|
Dpyd gene common variants
|
$861.90 |
$861.90 |
$861.90 |
$423.60
|
|
Drain ostomy pouch w/flange
|
$3.00 |
$3.00 |
$3.00 |
$8.80
|
|
Droperidol 2.5 mg/ml injection solution
|
$99.55 |
$99.55 |
$99.55 |
$31.26
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$20.00 |
$20.00 |
$20.00 |
$58.20
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$100.80 |
$100.80 |
$100.80 |
$8,040.27
|
|
Drug assay caffeine
|
$82.04 |
$82.04 |
$82.04 |
$81.61
|
|
Drug assay voriconazole
|
$270.38 |
$270.38 |
$270.38 |
$96.75
|
|
Drug screen quant tiagabine
|
$201.48 |
$201.48 |
$201.48 |
$107.59
|
|
Drug test def 15-21 classes
|
$22.36 |
$22.36 |
$22.36 |
$316.00
|
|
Drug test def 1-7 classes
|
$67.07 |
$67.07 |
$67.07 |
$263.25
|
|
Drug test def 22+ classes
|
$22.36 |
$22.36 |
$22.36 |
$423.00
|
|
Drug test def 8-14 classes
|
$22.36 |
$22.36 |
$22.36 |
$289.80
|
|
Drug test prsmv instrmnt
|
$961.37 |
$961.37 |
$961.37 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$861.83 |
$861.83 |
$861.83 |
$280.95
|
|
Drvvt confirm - quest
|
$307.02 |
$307.02 |
$307.02 |
$109.20
|
|
Ductogram sgl duct
|
$3,941.02 |
$3,941.02 |
$3,941.02 |
$469.44
|
|
Dup scan/hemodialysis access 93990
|
$617.32 |
$617.32 |
$617.32 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$712.67 |
$712.67 |
$712.67 |
$745.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$14,447.65 |
$14,447.65 |
$14,447.65 |
$7,973.90
|
|
Ecallantide injection
|
$13,834.26 |
$13,834.26 |
$13,834.26 |
$13,353.39
|
|
Ecg 12 lead tracing only
|
$1,555.17 |
$1,555.17 |
$1,555.17 |
$226.50
|
|
Ecg external < 48 hours recording
|
$665.39 |
$665.39 |
$665.39 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$5,609.96 |
$5,609.96 |
$5,609.96 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$240.62 |
$240.62 |
$240.62 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$240.62 |
$240.62 |
$240.62 |
$161.85
|
|
Echo exam uterus 76831-
|
$915.49 |
$915.49 |
$915.49 |
$552.50
|
|
Echo guide for artery repair
|
$10,498.60 |
$10,498.60 |
$10,498.60 |
$687.35
|
|
Echo transthoracic
|
$6,760.23 |
$6,760.23 |
$6,760.23 |
$1,361.75
|
|
Edetate calcium disodium inj
|
$18,849.11 |
$18,849.11 |
$18,849.11 |
$8,672.81
|
|
Eeg 41-60 minutes 95812-26
|
$3,343.63 |
$3,343.63 |
$3,343.63 |
$923.88
|
|
Eeg during surgery
|
$7,320.91 |
$7,320.91 |
$7,320.91 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$5,979.57 |
$5,979.57 |
$5,979.57 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$3,340.11 |
$3,340.11 |
$3,340.11 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$5,539.51 |
$5,539.51 |
$5,539.51 |
$865.00
|
|
Eeg recording awake and asleep
|
$5,979.57 |
$5,979.57 |
$5,979.57 |
$929.00
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,144.03 |
$1,144.03 |
$1,144.03 |
$704.79
|
|
Egfr gene com variants
|
$949.89 |
$949.89 |
$949.89 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$491.24 |
$491.24 |
$491.24 |
$93.00
|
|
Electrolyte panel
|
$836.45 |
$836.45 |
$836.45 |
$78.65
|
|
Electron microscopy diagnostic
|
$4,315.63 |
$4,315.63 |
$4,315.63 |
$1,006.20
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$1,764.98 |
$1,764.98 |
$1,764.98 |
$377.36
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$1,835.57 |
$1,835.57 |
$1,835.57 |
$487.20
|
|
Emg needle test 1-extremity
|
$1,672.99 |
$1,672.99 |
$1,672.99 |
$342.24
|
|
Emg needle test 4-extremities
|
$1,903.03 |
$1,903.03 |
$1,903.03 |
$590.00
|
|
Emg thor paraspinal without t1/t2
|
$1,212.76 |
$1,212.76 |
$1,212.76 |
$308.80
|
|
Endo cath bile duct s&i
|
$4,804.84 |
$4,804.84 |
$4,804.84 |
$694.06
|
|
Endo cath panc duct s&i
|
$4,804.84 |
$4,804.84 |
$4,804.84 |
$672.43
|
|
Entamoeba histolytica ag eia - sendout
|
$527.70 |
$527.70 |
$527.70 |
$56.89
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$99.96 |
$99.96 |
$99.96 |
$253.77
|
|
Epstein barr early antigen antibody
|
$911.48 |
$911.48 |
$911.48 |
$60.00
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$52.32 |
$52.32 |
$52.32 |
$3,788.80
|
|
Ercp biliary & pancreas
|
$5,287.30 |
$5,287.30 |
$5,287.30 |
$951.20
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$490.40 |
$490.40 |
$490.40 |
$227.20
|
|
ER Visit (level 2)
|
$1,636.81 |
$1,636.81 |
$1,636.81 |
$463.00
|
|
ER Visit (level 3)
|
$2,730.20 |
$2,730.20 |
$2,730.20 |
$793.20
|
|
ER Visit (level 4)
|
$4,370.12 |
$4,370.12 |
$4,370.12 |
$1,277.65
|
|
ER Visit (level 5, high severity)
|
$5,896.44 |
$5,896.44 |
$5,896.44 |
$1,844.80
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$90.50 |
$90.50 |
$90.50 |
$223.99
|
|
Esophagus motility study
|
$2,140.95 |
$2,140.95 |
$2,140.95 |
$1,257.17
|
|
Esoph imped function test
|
$1,195.99 |
$1,195.99 |
$1,195.99 |
$603.00
|
|
Estradiol total
|
$650.52 |
$650.52 |
$650.52 |
$149.43
|
|
Estrogens total-sendout
|
$1,170.55 |
$1,170.55 |
$1,170.55 |
$96.63
|
|
Ethylene glycol -sendout
|
$239.35 |
$239.35 |
$239.35 |
$85.00
|
|
Euglobulin lysis
|
$174.61 |
$174.61 |
$174.61 |
$63.84
|
|
Eval/fit voice prosthesis iii, st
|
$781.02 |
$781.02 |
$781.02 |
$356.00
|
|
Evoked potentials upper limbs
|
$5,534.27 |
$5,534.27 |
$5,534.27 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$5,336.94 |
$5,336.94 |
$5,336.94 |
$812.40
|
|
Exome sequence analysis
|
$7,656.53 |
$7,656.53 |
$7,656.53 |
$5,258.00
|
|
Exome sequence analysis
|
$846.53 |
$846.53 |
$846.53 |
$12,000.00
|
|
External chromosome analysis 20-25 cells
|
$1,262.65 |
$1,262.65 |
$1,262.65 |
$403.00
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$218.16 |
$218.16 |
$218.16 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,279.90 |
$1,279.90 |
$1,279.90 |
$445.60
|
|
Factor ix
|
$224.50 |
$224.50 |
$224.50 |
$154.50
|
|
Factor ix recombinant nos
|
$1,043.94 |
$1,043.94 |
$1,043.94 |
$4.65
|
|
Factor viii
|
$546.88 |
$546.88 |
$546.88 |
$144.82
|
|
Factor viii
|
$2.77 |
$2.77 |
$2.77 |
$4.85
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$90.50 |
$90.50 |
$90.50 |
$22.23
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$9,271.12 |
$9,271.12 |
$9,271.12 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$225.37 |
$225.37 |
$225.37 |
$36.00
|
|
Feeding tube reposition
|
$3,999.72 |
$3,999.72 |
$3,999.72 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$107.46 |
$107.46 |
$107.46 |
$61.00
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,779.86 |
$3,779.86 |
$3,779.86 |
$2,590.25
|
|
Ferritin
|
$782.90 |
$782.90 |
$782.90 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$933.80 |
$933.80 |
$933.80 |
$1,636.50
|
|
Ferumoxytol, esrd use
|
$933.80 |
$933.80 |
$933.80 |
$0.50
|
|
Fetal fibronectin
|
$1,182.05 |
$1,182.05 |
$1,182.05 |
$387.60
|
|
Fetal hemoglobin rosette
|
$380.43 |
$380.43 |
$380.43 |
$67.20
|
|
Fetal non stress test
|
$2,227.94 |
$2,227.94 |
$2,227.94 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$164.13 |
$164.13 |
$164.13 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$842.41 |
$842.41 |
$842.41 |
$120.05
|
|
Fibrin degradation products
|
$502.74 |
$502.74 |
$502.74 |
$74.25
|
|
Fibrin degrade semiquant
|
$591.02 |
$591.02 |
$591.02 |
$78.80
|
|
Fibrinogen activity
|
$318.55 |
$318.55 |
$318.55 |
$85.86
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$450.94 |
$450.94 |
$450.94 |
$66.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,741.07 |
$1,741.07 |
$1,741.07 |
$891.02
|
|
Flecainide (tambocor)-sendout
|
$729.18 |
$729.18 |
$729.18 |
$65.24
|
|
Flt3 gene analysis
|
$1,420.18 |
$1,420.18 |
$1,420.18 |
$215.20
|
|
Fludarabine 50 mg intravenous solution
|
$948.25 |
$948.25 |
$948.25 |
$493.35
|
|
Fluoro polarize fetal lung
|
$1,160.95 |
$1,160.95 |
$1,160.95 |
$153.92
|
