|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$42,349.10 |
$42,349.10 |
$42,349.10 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$29,852.26 |
$29,852.26 |
$29,852.26 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$317.40 |
$317.40 |
$317.40 |
$569.75
|
|
Drug assay caffeine
|
$306.60 |
$306.60 |
$306.60 |
$83.40
|
|
Drug assay posaconazole
|
$71.40 |
$71.40 |
$71.40 |
$96.75
|
|
Drug assay rufinamide
|
$140.40 |
$140.40 |
$140.40 |
$85.80
|
|
Drug assay vedolizumab
|
$165.60 |
$165.60 |
$165.60 |
$152.79
|
|
Drug assay voriconazole
|
$67.80 |
$67.80 |
$67.80 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$270.00 |
$270.00 |
$270.00 |
$66.43
|
|
Drug of abuse screen urine
|
$126.60 |
$126.60 |
$126.60 |
$63.75
|
|
Drug screen quant tiagabine
|
$279.00 |
$279.00 |
$279.00 |
$114.62
|
|
Drug test def 1-7 classes
|
$440.40 |
$440.40 |
$440.40 |
$250.52
|
|
Drug test def 8-14 classes
|
$259.20 |
$259.20 |
$259.20 |
$282.00
|
|
Drug test prsmv instrmnt
|
$481.80 |
$481.80 |
$481.80 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$439.20 |
$439.20 |
$439.20 |
$278.85
|
|
Drvvt confirm - quest
|
$247.20 |
$247.20 |
$247.20 |
$109.20
|
|
Duragen 1x1 5ea/bx
|
$20,678.62 |
$20,678.62 |
$20,678.62 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$13,322.04 |
$13,322.04 |
$13,322.04 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$582.00 |
$582.00 |
$582.00 |
$392.60
|
|
Ear irrigation 69209
|
$121.80 |
$121.80 |
$121.80 |
$149.76
|
|
Echocardiogram (Heart Ultrasound)
|
$2,783.40 |
$2,783.40 |
$2,783.40 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$983.40 |
$983.40 |
$983.40 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,170.40 |
$3,170.40 |
$3,170.40 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$469.80 |
$469.80 |
$469.80 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$639.60 |
$639.60 |
$639.60 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$983.40 |
$983.40 |
$983.40 |
$362.50
|
|
Echo guide for amniocentesis
|
$819.00 |
$819.00 |
$819.00 |
$456.30
|
|
Echo stress
|
$1,991.40 |
$1,991.40 |
$1,991.40 |
$1,592.05
|
|
Echo tee guidance
|
$2,078.40 |
$2,078.40 |
$2,078.40 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,559.60 |
$2,559.60 |
$2,559.60 |
$1,849.50
|
|
Echo transthoracic
|
$484.20 |
$484.20 |
$484.20 |
$1,361.75
|
|
Echo transthoracic
|
$873.60 |
$873.60 |
$873.60 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$2,323.80 |
$2,323.80 |
$2,323.80 |
$985.15
|
|
E equine encephalitis igg
|
$156.00 |
$156.00 |
$156.00 |
$49.92
|
|
Egd guide wire insertion
|
$8,506.44 |
$8,506.44 |
$8,506.44 |
$1,664.00
|
|
Egd remove foreign body
|
$1,570.80 |
$1,570.80 |
$1,570.80 |
$1,505.50
|
|
Egfr gene com variants
|
$850.80 |
$850.80 |
$850.80 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$92.40 |
$92.40 |
$92.40 |
$93.00
|
|
Electrd sq emblem s-icd
|
$16,435.51 |
$16,435.51 |
$16,435.51 |
$10,243.24
|
|
Electrical stimulation/unattended 97014
|
$48.00 |
$48.00 |
$48.00 |
$79.20
|
|
Electrolyte panel
|
$115.80 |
$115.80 |
$115.80 |
$84.24
|
|
Electron microscopy diagnostic
|
$943.20 |
$943.20 |
$943.20 |
$983.41
|
|
Electrophysiologic study
|
$11,691.60 |
$11,691.60 |
$11,691.60 |
$6,758.40
|
|
Electrophysiology evaluation
|
$6,448.80 |
$6,448.80 |
$6,448.80 |
$5,854.80
|
|
Elotuzumab 300 mg intravenous solution
|
$9,600.30 |
$9,600.30 |
$9,600.30 |
$5,523.02
|
|
Embo or occlude vascular arterial s&i
|
$15,624.60 |
$15,624.60 |
$15,624.60 |
$15,768.75
|
|
Encephalitis, california igg/igm
|
$156.00 |
$156.00 |
$156.00 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$156.00 |
$156.00 |
$156.00 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$156.00 |
$156.00 |
$156.00 |
$53.10
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$6,313.80 |
$6,313.80 |
$6,313.80 |
$5,372.80
|
|
Endo ak/hip alignable system
|
$1,354.33 |
$1,354.33 |
$1,354.33 |
$1,165.55
|
|
Endo below knee alignable sy
|
$1,052.58 |
$1,052.58 |
$1,052.58 |
$611.88
|
|
Endo bk ultra-light material
|
$1,280.35 |
$1,280.35 |
$1,280.35 |
$1,012.80
|
|
Endo cath bile duct s&i
|
$513.60 |
$513.60 |
$513.60 |
$694.06
|
|
Endo knee-shin frct swg & st
|
$1,442.91 |
$1,442.91 |
$1,442.91 |
$1,241.78
|
|
Endo knee-shin mnl lck ultra
|
$1,861.57 |
$1,861.57 |
$1,861.57 |
$1,602.08
|
|
Endoluminl ivus oct c 1st
|
$12,426.00 |
$12,426.00 |
$12,426.00 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$1,970.40 |
$1,970.40 |
$1,970.40 |
$2,203.49
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,514.60 |
$2,514.60 |
$2,514.60 |
$2,756.52
|
|
Endo, single, pulmonary
|
$9,452.71 |
$9,452.71 |
$9,452.71 |
$1,046.66
|
|
Endoskel knee-shin mnl lock
|
$1,274.93 |
$1,274.93 |
$1,274.93 |
$1,097.21
|
|
Endovenous rf abl vein addl
|
$5,262.00 |
$5,262.00 |
$5,262.00 |
$3,226.73
|
|
Endoven ther chem adhes 1st 36482
|
$6,247.20 |
$6,247.20 |
$6,247.20 |
$5,988.54
|
|
Endoven ther chem adhes sbsq 36483
|
$428.40 |
$428.40 |
$428.40 |
$3,130.60
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$13,070.28 |
$13,070.28 |
$13,070.28 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$55.92 |
$55.92 |
$55.92 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$100.80 |
$100.80 |
$100.80 |
$56.89
|
|
Enzyme cell activity ra
|
$291.60 |
$291.60 |
$291.60 |
$197.60
|
|
Enzyme histochemistry
|
$1,348.20 |
$1,348.20 |
$1,348.20 |
$471.60
|
|
Eo, adj lock joint prefab ot
|
$1,251.35 |
$1,251.35 |
$1,251.35 |
$456.96
|
|
Eo elas w/metal jnts pre ots
|
$593.66 |
$593.66 |
$593.66 |
$145.60
|
|
Epilepsy gen seq alys panel
|
$1,951.80 |
$1,951.80 |
$1,951.80 |
$3,142.35
|
|
Epinephrine 1 mg/ml im kit - adult
|
$51.54 |
$51.54 |
$51.54 |
$25.30
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$9.00 |
$9.00 |
$9.00 |
$34.13
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,323.60 |
$1,323.60 |
$1,323.60 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$3,207.00 |
$3,207.00 |
$3,207.00 |
$1,289.71
|
|
Epstein barr early antigen antibody
|
$108.60 |
$108.60 |
$108.60 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$109.20 |
$109.20 |
$109.20 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$128.40 |
$128.40 |
$128.40 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$393.98
|
|
Ercp biliary & pancreas
|
$771.00 |
$771.00 |
$771.00 |
$967.04
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$4,373.82 |
$4,373.82 |
$4,373.82 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$53.16 |
$53.16 |
$53.16 |
$222.98
|
|
ER Visit (level 1, minor)
|
$105.60 |
$105.60 |
$105.60 |
$246.24
|
|
ER Visit (level 2)
|
$220.80 |
$220.80 |
$220.80 |
$452.20
|
|
ER Visit (level 3)
|
$577.20 |
$577.20 |
$577.20 |
$770.04
|
|
ER Visit (level 4)
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,303.20 |
$1,303.20 |
$1,303.20 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$411.54 |
$411.54 |
$411.54 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$485.64 |
$485.64 |
$485.64 |
$553.88
|
|
Esophageal recording
|
$6,439.20 |
$6,439.20 |
$6,439.20 |
$2,112.54
|
|
Esophagoscopy flex biopsy
|
$1,462.20 |
$1,462.20 |
$1,462.20 |
$2,132.00
|
|
Esophagoscopy flex remove fb
|
$2,085.60 |
$2,085.60 |
$2,085.60 |
$2,099.70
|
|
Esoph egd dilation <30 mm
|
$9,811.93 |
$9,811.93 |
$9,811.93 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$109.80 |
$109.80 |
$109.80 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$113.40 |
$113.40 |
$113.40 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$116.40 |
$116.40 |
$116.40 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$121.20 |
$121.20 |
$121.20 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$126.00 |
$126.00 |
$126.00 |
$280.33
|
|
Estradiol total
|
$145.20 |
$145.20 |
$145.20 |
$146.50
|
