|
Diltiazem 5 mg/ml intravenous solution
|
$130.00 |
$130.00 |
$130.00 |
$46.56
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$39.20 |
$39.20 |
$39.20 |
$18.35
|
|
Disability dlco
|
$299.20 |
$299.20 |
$299.20 |
$292.03
|
|
Dna antibody native/double stranded
|
$57.60 |
$57.60 |
$57.60 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$443.00 |
$443.00 |
$443.00 |
$98.29
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$130.80 |
$130.80 |
$130.80 |
$67.28
|
|
Doppler echo complete
|
$1,340.80 |
$1,340.80 |
$1,340.80 |
$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
|
$162.80 |
$162.80 |
$162.80 |
$84.80
|
|
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
|
$520.80 |
$520.80 |
$520.80 |
$352.00
|
|
Drng of eyelid abscess 67700
|
$914.40 |
$914.40 |
$914.40 |
$655.72
|
|
Droperidol 2.5 mg/ml injection solution
|
$129.60 |
$129.60 |
$129.60 |
$31.26
|
|
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
|
$82.40 |
$82.40 |
$82.40 |
$96.75
|
|
Drug test def 1-7 classes
|
$316.80 |
$316.80 |
$316.80 |
$263.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$172.00 |
$172.00 |
$172.00 |
$280.95
|
|
Drvvt confirm - quest
|
$120.80 |
$120.80 |
$120.80 |
$109.20
|
|
Duplex scan bilateral study 93985
|
$665.60 |
$665.60 |
$665.60 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$665.60 |
$665.60 |
$665.60 |
$375.60
|
|
Dup scan/hemodialysis access 93990
|
$665.60 |
$665.60 |
$665.60 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,488.80 |
$1,488.80 |
$1,488.80 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,064.80 |
$1,064.80 |
$1,064.80 |
$903.50
|
|
Dxa bone density axl vrt fx
|
$501.60 |
$501.60 |
$501.60 |
$410.25
|
|
Dx bronchoscope/brush 31623
|
$3,598.40 |
$3,598.40 |
$3,598.40 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$3,598.40 |
$3,598.40 |
$3,598.40 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$3,598.40 |
$3,598.40 |
$3,598.40 |
$2,322.60
|
|
Ear irrigation 69209
|
$277.60 |
$277.60 |
$277.60 |
$150.00
|
|
Ecg 12 lead tracing only
|
$314.40 |
$314.40 |
$314.40 |
$226.50
|
|
Echocardiogram (Heart Ultrasound)
|
$3,730.40 |
$3,730.40 |
$3,730.40 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$1,276.80 |
$1,276.80 |
$1,276.80 |
$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 guide for artery repair
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$687.35
|
|
Echo stress
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$1,606.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,646.40 |
$3,646.40 |
$3,646.40 |
$1,889.20
|
|
Echo transesophageal intraop
|
$3,743.20 |
$3,743.20 |
$3,743.20 |
$1,578.00
|
|
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 monitor/record/awake/drowsy 95816
|
$956.80 |
$956.80 |
$956.80 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$604.00 |
$604.00 |
$604.00 |
$1,100.40
|
|
Eeg recording awake and asleep
|
$1,076.80 |
$1,076.80 |
$1,076.80 |
$929.00
|
|
Ehrlicha chaffeensis amp prb
|
$162.40 |
$162.40 |
$162.40 |
$93.00
|
|
Electrical stimulation/unattended 97014
|
$142.40 |
$142.40 |
$142.40 |
$81.00
|
|
Electroacous eval hear aid/biaural 92595
|
$165.60 |
$165.60 |
$165.60 |
$97.50
|
|
Electrolyte panel
|
$29.60 |
$29.60 |
$29.60 |
$78.65
|
|
Electron microscopy diagnostic
|
$604.00 |
$604.00 |
$604.00 |
$1,006.20
|
|
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
|
$36,448.00 |
$36,448.00 |
$36,448.00 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$6,191.20 |
$6,191.20 |
$6,191.20 |
$14,633.25
|
|
Embo or occlude vascular venous s&i
|
$20,976.00 |
$20,976.00 |
$20,976.00 |
$14,743.50
|
|
Emb without cervical dilation 58100
|
$529.60 |
$529.60 |
$529.60 |
$373.60
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$3,156.00 |
$3,156.00 |
$3,156.00 |
$5,372.80
|
|
Endoscopy swallow (fees) vid
|
$278.40 |
$278.40 |
$278.40 |
$402.35
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$210.40 |
$210.40 |
$210.40 |
$116.08
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$133.80 |
$133.80 |
$133.80 |
$36.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$1,285.40 |
$1,285.40 |
$1,285.40 |
$25.61
|
|
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
|
$1,118.80 |
$1,118.80 |
$1,118.80 |
$856.06
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,939.80 |
$1,939.80 |
$1,939.80 |
$1,329.09
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$720.40 |
$720.40 |
$720.40 |
$129.30
|
|
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
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$295.80 |
$295.80 |
$295.80 |
$227.20
|
|
ER Visit (level 1, minor)
|
$511.20 |
$511.20 |
$511.20 |
$252.35
|
|
ER Visit (level 2)
|
$668.00 |
$668.00 |
$668.00 |
$463.00
|
|
ER Visit (level 3)
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$793.20
|
|
ER Visit (level 4)
|
$1,810.40 |
$1,810.40 |
$1,810.40 |
$1,277.65
|
|
ER Visit (level 5, high severity)
|
$1,844.80 |
$1,844.80 |
$1,844.80 |
$1,844.80
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$703.20 |
$703.20 |
$703.20 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,156.60 |
$1,156.60 |
$1,156.60 |
$521.65
|
|
Established Patient Office Visit (level 1)
|
$526.40 |
$526.40 |
$526.40 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$675.20 |
$675.20 |
$675.20 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$445.60 |
$445.60 |
$445.60 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$814.40 |
$814.40 |
$814.40 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$1,076.00 |
$1,076.00 |
$1,076.00 |
$287.10
|
|
Estradiol total
|
$116.80 |
$116.80 |
$116.80 |
$149.43
|
|
Estrogens total-sendout
|
$90.40 |
$90.40 |
$90.40 |
$96.63
|
|
Ethylene glycol -sendout
|
$62.40 |
$62.40 |
$62.40 |
$85.00
|
|
Etonogestrel implant system
|
$4,771.20 |
$4,771.20 |
$4,771.20 |
$2,071.74
|
|
Evaluation of speech fluency 92521
|
$400.80 |
$400.80 |
$400.80 |
$307.75
|
|
Evoked auditory tst complete
|
$302.40 |
$302.40 |
$302.40 |
$344.98
|
|
Evoked oa emissions ltd
|
$151.20 |
$151.20 |
$151.20 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$94.40 |
$94.40 |
$94.40 |
$259.20
|
|
Exchange biliary drg cath
|
$6,028.00 |
$6,028.00 |
$6,028.00 |
$3,797.76
|
|
Exchange drainage catheter
|
$2,845.60 |
$2,845.60 |
$2,845.60 |
$2,191.20
|
|
Exchange nephrostomy cath
|
$3,552.80 |
$3,552.80 |
$3,552.80 |
$2,958.80
|
|
External chromosome analysis 20-25 cells
|
$601.60 |
$601.60 |
$601.60 |
$403.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$604.00 |
$604.00 |
$604.00 |
$445.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$75.20 |
$75.20 |
$75.20 |
$109.00
|
