|
Diazepam 5 mg/ml injection solution (wrapper)
|
$136.60 |
$136.60 |
$136.60 |
$77.25
|
|
Dicyclomine injection
|
$202.80 |
$202.80 |
$202.80 |
$150.91
|
|
Diffusing capacity
|
$901.60 |
$901.60 |
$901.60 |
$335.20
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$34.00 |
$34.00 |
$34.00 |
$65.84
|
|
Digoxin total therapeutic drug level
|
$55.20 |
$55.20 |
$55.20 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$437.80 |
$437.80 |
$437.80 |
$297.86
|
|
Diltiazem 5 mg/ml intravenous solution
|
$111.40 |
$111.40 |
$111.40 |
$46.56
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$23.60 |
$23.60 |
$23.60 |
$18.35
|
|
Disability dlco
|
$885.60 |
$885.60 |
$885.60 |
$292.03
|
|
Disaccharidases
|
$92.00 |
$92.00 |
$92.00 |
$224.31
|
|
Dna antibody native/double stranded
|
$57.60 |
$57.60 |
$57.60 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$348.80 |
$348.80 |
$348.80 |
$98.29
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$114.60 |
$114.60 |
$114.60 |
$67.28
|
|
Doppler echo complete
|
$568.00 |
$568.00 |
$568.00 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,152.80 |
$1,152.80 |
$1,152.80 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$514.40 |
$514.40 |
$514.40 |
$473.76
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$142.60 |
$142.60 |
$142.60 |
$84.80
|
|
Dpyd gene common variants
|
$360.80 |
$360.80 |
$360.80 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$496.80 |
$496.80 |
$496.80 |
$794.82
|
|
Drainage external ear complex 69005
|
$2,546.40 |
$2,546.40 |
$2,546.40 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$700.80 |
$700.80 |
$700.80 |
$779.45
|
|
Drainage of kidney lesion
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,506.00
|
|
Drain blood from under nail 11740
|
$284.00 |
$284.00 |
$284.00 |
$177.04
|
|
Drain cath image guided visceral pq
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$2,885.30
|
|
Drain finger abscess;simple 26010
|
$525.60 |
$525.60 |
$525.60 |
$428.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$685.60 |
$685.60 |
$685.60 |
$352.00
|
|
Drng of scrotum abscess 55100
|
$4,390.40 |
$4,390.40 |
$4,390.40 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$113.60 |
$113.60 |
$113.60 |
$31.26
|
|
Drug assay posaconazole
|
$104.00 |
$104.00 |
$104.00 |
$96.75
|
|
Drug assay rufinamide
|
$83.20 |
$83.20 |
$83.20 |
$85.80
|
|
Drug assay vedolizumab
|
$144.80 |
$144.80 |
$144.80 |
$157.00
|
|
Drug assay voriconazole
|
$104.00 |
$104.00 |
$104.00 |
$96.75
|
|
Drug test def 1-7 classes
|
$524.00 |
$524.00 |
$524.00 |
$263.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$258.40 |
$258.40 |
$258.40 |
$280.95
|
|
Drvvt confirm - quest
|
$136.00 |
$136.00 |
$136.00 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$3,328.80 |
$3,328.80 |
$3,328.80 |
$2,967.48
|
|
Dup scan/hemodialysis access 93990
|
$480.00 |
$480.00 |
$480.00 |
$486.02
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,835.20 |
$1,835.20 |
$1,835.20 |
$903.50
|
|
Dxa bone density axl vrt fx
|
$501.60 |
$501.60 |
$501.60 |
$410.25
|
|
Dx bronchoscope/lavage 31624
|
$1,983.20 |
$1,983.20 |
$1,983.20 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$6,220.80 |
$6,220.80 |
$6,220.80 |
$2,322.60
|
|
Ear irrigation 69209
|
$225.60 |
$225.60 |
$225.60 |
$150.00
|
|
Ecg 12 lead tracing only
|
$276.80 |
$276.80 |
$276.80 |
$226.50
|
|
Ecg external < 48 hours recording
|
$753.60 |
$753.60 |
$753.60 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,004.80 |
$1,004.80 |
$1,004.80 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$546.40 |
$546.40 |
$546.40 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$546.40 |
$546.40 |
$546.40 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$3,730.40 |
$3,730.40 |
$3,730.40 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$556.00 |
$556.00 |
$556.00 |
$499.20
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$711.00
|
|
Echocardiograpy doppler follow up/limited study
|
$568.00 |
$568.00 |
$568.00 |
$371.25
|
|
Echo exam of fetal heart
|
$888.00 |
$888.00 |
$888.00 |
$904.80
|
|
Echo exam of fetal heart
|
$970.40 |
$970.40 |
$970.40 |
$538.27
|
|
Echo exam of fetal heart
|
$853.60 |
$853.60 |
$853.60 |
$431.41
|
|
Echo exam of fetal heart
|
$501.60 |
$501.60 |
$501.60 |
$319.00
|
|
Echo exam uterus 76831-
|
$446.40 |
$446.40 |
$446.40 |
$552.50
|
|
Echo guide for amniocentesis
|
$559.20 |
$559.20 |
$559.20 |
$446.60
|
|
Echo stress
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$1,606.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$4,019.20 |
$4,019.20 |
$4,019.20 |
$1,889.20
|
|
Echo transthoracic
|
$2,035.20 |
$2,035.20 |
$2,035.20 |
$1,361.75
|
|
Echo transthoracic
|
$1,244.00 |
$1,244.00 |
$1,244.00 |
$1,010.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$2,407.20 |
$2,407.20 |
$2,407.20 |
$1,022.30
|
|
Eeg 41-60 minutes 95812-26
|
$826.40 |
$826.40 |
$826.40 |
$923.88
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,268.00 |
$1,268.00 |
$1,268.00 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,654.40 |
$1,654.40 |
$1,654.40 |
$1,100.40
|
|
Eeg recording awake and asleep
|
$1,268.00 |
$1,268.00 |
$1,268.00 |
$929.00
|
|
Eeg without vid 2-12 hr unmntr
|
$2,904.00 |
$2,904.00 |
$2,904.00 |
$681.02
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,904.00 |
$2,904.00 |
$2,904.00 |
$1,591.10
|
|
Ehrlicha chaffeensis amp prb
|
$162.40 |
$162.40 |
$162.40 |
$93.00
|
|
Elec analys infus pump w/reprog 62368
|
$418.40 |
$418.40 |
$418.40 |
$606.10
|
|
Elect analysis of infusion pump 62367
|
$400.00 |
$400.00 |
$400.00 |
$551.20
|
|
Electrical stimulation/unattended 97014
|
$184.80 |
$184.80 |
$184.80 |
$81.00
|
|
Electrolyte panel
|
$29.60 |
$29.60 |
$29.60 |
$78.65
|
|
Electron microscopy diagnostic
|
$628.00 |
$628.00 |
$628.00 |
$1,006.20
|
|
Electrophysiology evaluation
|
$9,696.80 |
$9,696.80 |
$9,696.80 |
$10,593.00
|
|
Electrophysiology evaluation
|
$8,600.00 |
$8,600.00 |
$8,600.00 |
$5,854.80
|
|
Embo or occlude vascular arterial s&i
|
$29,632.80 |
$29,632.80 |
$29,632.80 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$33,797.60 |
$33,797.60 |
$33,797.60 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$6,191.20 |
$6,191.20 |
$6,191.20 |
$14,633.25
|
|
Emb without cervical dilation 58100
|
$529.60 |
$529.60 |
$529.60 |
$373.60
|
|
Endoluminl ivus oct c 1st
|
$3,145.60 |
$3,145.60 |
$3,145.60 |
$3,290.30
|
|
Endoscopic injection/implant
|
$4,883.20 |
$4,883.20 |
$4,883.20 |
$4,846.99
|
|
Endo, single, pulmonary
|
$543.20 |
$543.20 |
$543.20 |
$993.30
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$962.80 |
$962.80 |
$962.80 |
$116.08
|
|
Enzyme histochemistry
|
$324.80 |
$324.80 |
$324.80 |
$455.91
|
|
Ep & ablate supravent arrhyt
|
$47,574.40 |
$47,574.40 |
$47,574.40 |
$26,232.69
|
|
Epidural/lumbar/sacral/ea add level64484
|
$2,314.40 |
$2,314.40 |
$2,314.40 |
$1,170.60
|
|
Epinephrine 1 mg/ml im kit - adult
|
$1,052.40 |
$1,052.40 |
$1,052.40 |
$25.61
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$235.40 |
$235.40 |
$235.40 |
$507.10
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$4,389.60 |
$4,389.60 |
$4,389.60 |
$3,762.53
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$2,260.80 |
$2,260.80 |
$2,260.80 |
$856.06
|
|
Epstein barr early antigen antibody
|
$55.20 |
$55.20 |
$55.20 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$63.20 |
$63.20 |
$63.20 |
$76.70
|
|
Epstein barr viral capsid antigen antibody igm
|
$76.00 |
$76.00 |
$76.00 |
$85.15
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$810.00 |
$810.00 |
$810.00 |
$425.12
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$100.60 |
$100.60 |
$100.60 |
$227.20
|
|
ER Visit (level 1, minor)
|
$511.20 |
$511.20 |
$511.20 |
$252.35
|
|
ER Visit (level 2)
|
$923.20 |
$923.20 |
$923.20 |
$463.00
|
|
ER Visit (level 3)
|
$1,638.40 |
$1,638.40 |
$1,638.40 |
$793.20
|
|
ER Visit (level 4)
|
$2,381.60 |
$2,381.60 |
$2,381.60 |
$1,277.65
|
