|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$13,529.72 |
$13,529.72 |
$13,529.72 |
$23,126.24
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$295.82 |
$295.82 |
$295.82 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,724.53 |
$2,724.53 |
$2,724.53 |
$1,718.24
|
|
Dpyd gene common variants
|
$277.20 |
$277.20 |
$277.20 |
$386.12
|
|
Drainage of kidney lesion
|
$884.40 |
$884.40 |
$884.40 |
$1,546.28
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$875.16 |
$875.16 |
$875.16 |
$2,556.00
|
|
Drain cath image guided visceral pq
|
$899.58 |
$899.58 |
$899.58 |
$2,885.30
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,612.68 |
$1,612.68 |
$1,612.68 |
$1,940.41
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$7,184.64 |
$7,184.64 |
$7,184.64 |
$7,868.14
|
|
Drug test def 1-7 classes
|
$79.86 |
$79.86 |
$79.86 |
$263.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$118.80 |
$118.80 |
$118.80 |
$278.85
|
|
Drvvt confirm - quest
|
$66.99 |
$66.99 |
$66.99 |
$109.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$274.23 |
$274.23 |
$274.23 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$4,829.95 |
$4,829.95 |
$4,829.95 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$182.82 |
$182.82 |
$182.82 |
$400.40
|
|
Ecg 12 lead tracing only
|
$51.81 |
$51.81 |
$51.81 |
$226.50
|
|
Ecg external < 48 hours scanning analysis w/report
|
$114.51 |
$114.51 |
$114.51 |
$541.73
|
|
Echocardiogram (Heart Ultrasound)
|
$412.17 |
$412.17 |
$412.17 |
$2,020.00
|
|
Echocardiography doppler color flow mapping
|
$76.56 |
$76.56 |
$76.56 |
$480.00
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$412.17 |
$412.17 |
$412.17 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$259.05 |
$259.05 |
$259.05 |
$708.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$259.05 |
$259.05 |
$259.05 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$38.28 |
$38.28 |
$38.28 |
$366.50
|
|
Echo exam of fetal heart
|
$93.39 |
$93.39 |
$93.39 |
$431.41
|
|
Echo guide for amniocentesis
|
$133.65 |
$133.65 |
$133.65 |
$464.80
|
|
Echo stress
|
$29.55 |
$29.55 |
$29.55 |
$1,607.45
|
|
Echo tee probe placement image acquisition interpretation & report
|
$396.33 |
$396.33 |
$396.33 |
$1,885.56
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$259.05 |
$259.05 |
$259.05 |
$1,000.95
|
|
E coli 0157 ag ia
|
$37.95 |
$37.95 |
$37.95 |
$72.15
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$7,336.03 |
$7,336.03 |
$7,336.03 |
$18,384.12
|
|
Eeg monitor/record/awake/drowsy 95816
|
$198.33 |
$198.33 |
$198.33 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$264.33 |
$264.33 |
$264.33 |
$1,100.40
|
|
Eeg recording awake and asleep
|
$224.07 |
$224.07 |
$224.07 |
$931.45
|
|
E equine encephalitis igg
|
$8.58 |
$8.58 |
$8.58 |
$53.30
|
|
Elec analys infus pump w/reprog 62368
|
$616.11 |
$616.11 |
$616.11 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$616.11 |
$616.11 |
$616.11 |
$551.50
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$616.11 |
$616.11 |
$616.11 |
$618.80
|
|
Electrolyte panel
|
$21.45 |
$21.45 |
$21.45 |
$81.09
|
|
Elisa hiv-1/hiv-2 screen
|
$58.74 |
$58.74 |
$58.74 |
$27.00
|
|
Elotuzumab 300 mg intravenous solution
|
$3,480.60 |
$3,480.60 |
$3,480.60 |
$5,523.02
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$16,066.72 |
$16,066.72 |
$16,066.72 |
$16,066.72
|
|
Encephalitis, california igg/igm
|
$11.88 |
$11.88 |
$11.88 |
$58.00
|
|
Encephalitis, st louis igg/igm
|
$11.88 |
$11.88 |
$11.88 |
$50.35
|
|
Encephalitis, western equine igg/igm
|
$8.58 |
$8.58 |
$8.58 |
$55.20
|
|
Endo cath bile duct s&i
|
$184.14 |
$184.14 |
$184.14 |
$694.06
|
|
Endo cath panc duct s&i
|
$101.31 |
$101.31 |
$101.31 |
$672.43
|
|
Endoscopy swallow (fees) vid
|
$96.03 |
$96.03 |
$96.03 |
$402.35
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$4,738.67 |
$4,738.67 |
$4,738.67 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$61.33 |
$61.33 |
$61.33 |
$109.71
|
|
Enzyme histochemistry
|
$112.20 |
$112.20 |
$112.20 |
$456.30
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$18,534.40 |
$18,534.40 |
$18,534.40 |
$30,598.85
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$525.83 |
$525.83 |
$525.83 |
$256.27
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$496.19 |
$496.19 |
$496.19 |
$824.16
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,202.24 |
$1,202.24 |
$1,202.24 |
$1,273.20
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$120.56 |
$120.56 |
$120.56 |
$129.30
|
|
Epstein barr nuclear antigen antibody
|
$14.19 |
$14.19 |
$14.19 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$14.19 |
$14.19 |
$14.19 |
$89.70
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$243.16 |
$243.16 |
$243.16 |
$404.57
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,253.88 |
$2,253.88 |
$2,253.88 |
$3,788.80
|
|
Ercp biliary & pancreas
|
$184.14 |
$184.14 |
$184.14 |
$967.04
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,585.74 |
$1,585.74 |
$1,585.74 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$266.03 |
$266.03 |
$266.03 |
$232.12
|
|
ER Visit (level 1, minor)
|
$107.25 |
$107.25 |
$107.25 |
$247.00
|
|
ER Visit (level 2)
|
$193.38 |
$193.38 |
$193.38 |
$453.75
|
|
ER Visit (level 3)
|
$247.50 |
$247.50 |
$247.50 |
$770.04
|
|
ER Visit (level 4)
|
$330.00 |
$330.00 |
$330.00 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$377.52 |
$377.52 |
$377.52 |
$1,828.80
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$222.16 |
$222.16 |
$222.16 |
$222.16
|
|
Established Patient Office Visit (level 1)
|
$25.74 |
$25.74 |
$25.74 |
$120.90
|
|
Established Patient Office Visit (level 2)
|
$30.36 |
$30.36 |
$30.36 |
$134.30
|
|
Established Patient Office Visit (level 3)
|
$35.64 |
$35.64 |
$35.64 |
$179.40
|
|
Established Patient Office Visit (level 4)
|
$40.26 |
$40.26 |
$40.26 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$50.82 |
$50.82 |
$50.82 |
$279.72
|
|
Estradiol total
|
$87.78 |
$87.78 |
$87.78 |
$153.00
|
|
Estradiol valerate 10 mg inj
|
$358.54 |
$358.54 |
$358.54 |
$57.35
|
|
Ethanolamine oleate 100 mg
|
$566.71 |
$566.71 |
$566.71 |
$786.05
|
|
Etoposide 20 mg/ml intravenous solution
|
$158.51 |
$158.51 |
$158.51 |
$235.20
|
|
Euflexxa inj per dose
|
$142.81 |
$142.81 |
$142.81 |
$512.27
|
|
Eval/fit voice prosthesis iii, st
|
$93.72 |
$93.72 |
$93.72 |
$350.00
|
|
Evaluation of speech fluency 92521
|
$60.06 |
$60.06 |
$60.06 |
$315.36
|
|
Ewho w/joint(s) cf
|
$302.61 |
$302.61 |
$302.61 |
$1,079.00
|
|
Exchange drainage catheter
|
$551.10 |
$551.10 |
$551.10 |
$2,219.76
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,338.05 |
$2,338.05 |
$2,338.05 |
$4,048.38
|
|
External chromosome analysis 20-25 cells
|
$118.47 |
$118.47 |
$118.47 |
$394.55
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$120.12 |
$120.12 |
$120.12 |
$431.95
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$18.15 |
$18.15 |
$18.15 |
$111.17
|
|
Facial bones <3
|
$53.46 |
$53.46 |
$53.46 |
$252.60
|
|
Factor ix
|
$55.11 |
$55.11 |
$55.11 |
$162.00
|
|
Factor ix complex
|
$1.74 |
$1.74 |
$1.74 |
$5.91
|
|
Factor ix recombinant nos
|
$4.03 |
$4.03 |
$4.03 |
$4.65
|
|
Factor viii
|
$43.89 |
$43.89 |
$43.89 |
$138.60
|
|
Factor viii recombinant nos
|
$4.67 |
$4.67 |
$4.67 |
$6.56
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$3,471.17 |
$3,471.17 |
$3,471.17 |
$5,508.16
|
|
Felbamate (felbatol(r)) - sendout
|
$29.70 |
$29.70 |
$29.70 |
$58.20
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,725.14 |
$1,725.14 |
$1,725.14 |
$2,515.99
|
|
Ferritin
|
$45.21 |
$45.21 |
$45.21 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,221.10 |
$2,221.10 |
$2,221.10 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$159.72 |
$159.72 |
$159.72 |
$541.74
|
|
Fetal hemoglobin (kleihauer betke)
|
$45.54 |
$45.54 |
$45.54 |
$106.00
|
|
Fetal hemoglobin rosette
|
$22.11 |
$22.11 |
$22.11 |
$67.20
|