|
Dilate esophagus 1/mult pass
|
$895.29 |
$895.29 |
$895.29 |
$1,349.05
|
|
Dilation of rectal stricture 45910
|
$2,659.16 |
$2,659.16 |
$2,659.16 |
$1,364.66
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,493.66 |
$1,493.66 |
$1,493.66 |
$1,001.55
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$4.64 |
$4.64 |
$4.64 |
$9.29
|
|
Disability dlco
|
$194.73 |
$194.73 |
$194.73 |
$289.08
|
|
Disaccharidases
|
$247.73 |
$247.73 |
$247.73 |
$224.58
|
|
Dna antibody native/double stranded
|
$36.84 |
$36.84 |
$36.84 |
$101.40
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$16.53 |
$16.53 |
$16.53 |
$95.06
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$2.97 |
$2.97 |
$2.97 |
$60.21
|
|
Doppler echo complete
|
$689.00 |
$689.00 |
$689.00 |
$517.94
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$272.96 |
$272.96 |
$272.96 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$303.71 |
$303.71 |
$303.71 |
$463.20
|
|
Drainage of kidney lesion
|
$1,179.68 |
$1,179.68 |
$1,179.68 |
$1,578.89
|
|
Drainage of rectal abscess
|
$1,636.65 |
$1,636.65 |
$1,636.65 |
$2,299.90
|
|
Drain cath image guided visceral pq
|
$1,587.32 |
$1,587.32 |
$1,587.32 |
$2,999.34
|
|
Droperidol 2.5 mg/ml injection solution
|
$22.86 |
$22.86 |
$22.86 |
$32.82
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$323.00 |
$323.00 |
$323.00 |
$448.16
|
|
Drug assay voriconazole
|
$466.46 |
$466.46 |
$466.46 |
$96.75
|
|
Drug test def 15-21 classes
|
$96.39 |
$96.39 |
$96.39 |
$198.74
|
|
Drug test def 1-7 classes
|
$416.19 |
$416.19 |
$416.19 |
$316.80
|
|
Drug test def 8-14 classes
|
$48.93 |
$48.93 |
$48.93 |
$249.10
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$495.36 |
$495.36 |
$495.36 |
$278.85
|
|
Drvvt confirm - quest
|
$101.66 |
$101.66 |
$101.66 |
$108.55
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$293.79 |
$293.79 |
$293.79 |
$740.80
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$570.89 |
$570.89 |
$570.89 |
$852.57
|
|
Dx bronchoscope/brush 31623
|
$1,739.00 |
$1,739.00 |
$1,739.00 |
$2,283.00
|
|
Dx bronchoscope/lavage 31624
|
$1,739.00 |
$1,739.00 |
$1,739.00 |
$2,858.00
|
|
Dx bronchoscope/wash 31622
|
$1,739.00 |
$1,739.00 |
$1,739.00 |
$2,512.54
|
|
Ecg 12 lead tracing only
|
$106.86 |
$106.86 |
$106.86 |
$222.30
|
|
Ecg external < 48 hours recording
|
$395.99 |
$395.99 |
$395.99 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$588.86 |
$588.86 |
$588.86 |
$541.73
|
|
Echocardiogram (Heart Ultrasound)
|
$1,221.23 |
$1,221.23 |
$1,221.23 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$336.15 |
$336.15 |
$336.15 |
$450.40
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,376.90 |
$1,376.90 |
$1,376.90 |
$1,899.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$489.71 |
$489.71 |
$489.71 |
$720.60
|
|
Echo exam uterus 76831-
|
$361.50 |
$361.50 |
$361.50 |
$497.93
|
|
Echograp trans r pros study
|
$241.58 |
$241.58 |
$241.58 |
$406.33
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,149.95 |
$1,149.95 |
$1,149.95 |
$1,946.10
|
|
Echo transesophageal intraop
|
$1,149.95 |
$1,149.95 |
$1,149.95 |
$1,571.70
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$859.97 |
$859.97 |
$859.97 |
$997.40
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$495.47 |
$495.47 |
$495.47 |
$970.07
|
|
Eeg recording awake and asleep
|
$305.15 |
$305.15 |
$305.15 |
$937.95
|
|
Egd control bleeding any
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,476.20
|
|
Egd dilate stricture
|
$1,103.97 |
$1,103.97 |
$1,103.97 |
$2,394.60
|
|
Egd endoscopic stent place
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,379.25
|
|
Egd guide wire insertion
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,247.13
|
|
Egd injection varices
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,101.52
|
|
Egd/insert intraluminal tube/cath 43241
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,105.22
|
|
Egd remove foreign body
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,588.55
|
|
Egd remove lesion snare
|
$1,103.97 |
$1,103.97 |
$1,103.97 |
$2,200.46
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,234.01
|
|
Egd Ultrasound exam duodenum/jejunum
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,101.52
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,234.01
|
|
Egd varices ligation
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,234.01
|
|
Egd w/transmural drain cyst
|
$1,086.02 |
$1,086.02 |
$1,086.02 |
$1,099.37
|
|
Egfr gene com variants
|
$1,092.32 |
$1,092.32 |
$1,092.32 |
$619.04
|
|
Electrolyte panel
|
$56.25 |
$56.25 |
$56.25 |
$68.56
|
|
Endo cath bile duct s&i
|
$84.90 |
$84.90 |
$84.90 |
$525.00
|
|
Endo cath panc duct s&i
|
$71.51 |
$71.51 |
$71.51 |
$634.40
|
|
Endo cholangiopancreatograph
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,144.80
|
|
Endo cholangiopancreatograph
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,157.89
|
|
Endoscopic pancreatoscopy
|
$5,581.82 |
$5,581.82 |
$5,581.82 |
$2,117.25
|
|
Endoscopy swallow (fees) vid
|
$185.87 |
$185.87 |
$185.87 |
$457.50
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$3.23 |
$3.23 |
$3.23 |
$43.20
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$23.72 |
$23.72 |
$23.72 |
$336.66
|
|
Epstein barr early antigen antibody
|
$275.22 |
$275.22 |
$275.22 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$61.97 |
$61.97 |
$61.97 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$53.03 |
$53.03 |
$53.03 |
$112.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$16.13 |
$16.13 |
$16.13 |
$62.40
|
|
Ercp biliary & pancreas
|
$142.73 |
$142.73 |
$142.73 |
$885.80
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$5,718.02 |
$5,718.02 |
$5,718.02 |
$5,054.40
|
|
Ercp ea duct/ampulla dilate
|
$5,718.02 |
$5,718.02 |
$5,718.02 |
$4,199.25
|
|
Ercp lesion ablate w/dilate 43278
|
$5,718.02 |
$5,718.02 |
$5,718.02 |
$5,301.42
|
|
Ercp lithotripsy calculi
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$3,955.50
|
|
Ercp remove forgn body duct 43275
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$2,720.00
|
|
Ercp stent exchange w/dilate
|
$5,718.02 |
$5,718.02 |
$5,718.02 |
$5,718.03
|
|
Ercp w/specimen collection
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,277.25
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$107.46 |
$107.46 |
$107.46 |
$138.28
|
|
ER Visit (level 1, minor)
|
$207.68 |
$207.68 |
$207.68 |
$270.00
|
|
ER Visit (level 2)
|
$573.00 |
$573.00 |
$573.00 |
$469.39
|
|
ER Visit (level 3)
|
$735.00 |
$735.00 |
$735.00 |
$821.52
|
|
ER Visit (level 4)
|
$945.00 |
$945.00 |
$945.00 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$960.02 |
$960.02 |
$960.02 |
$1,900.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1.58 |
$1.58 |
$1.58 |
$406.83
|
|
Esophagus motility study
|
$546.59 |
$546.59 |
$546.59 |
$1,257.17
|
|
Esoph egd dilation <30 mm
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,638.57
|
|
Estradiol total
|
$94.50 |
$94.50 |
$94.50 |
$142.20
|
|
Estrogens total-sendout
|
$120.93 |
$120.93 |
$120.93 |
$111.00
|
|
Ethylene glycol -sendout
|
$185.01 |
$185.01 |
$185.01 |
$81.25
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$235.55 |
$235.55 |
$235.55 |
$219.60
|
|
Exchange nephrostomy cath
|
$1,334.97 |
$1,334.97 |
$1,334.97 |
$2,752.00
|
|
Excise lip or cheek fold
|
$1,088.09 |
$1,088.09 |
$1,088.09 |
$1,640.99
|
|
Excision of anal lesion(s)
|
$2,624.61 |
$2,624.61 |
$2,624.61 |
$3,190.50
|
|
External chromosome analysis 20-25 cells
|
$657.29 |
$657.29 |
$657.29 |
$457.50
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$471.15 |
$471.15 |
$471.15 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$109.17 |
$109.17 |
$109.17 |
$102.50
|
|
Facial bones <3
|
$105.11 |
$105.11 |
$105.11 |
$216.45
|
|
Factor ix
|
$165.96 |
$165.96 |
$165.96 |
$139.75
|
|
Factor viii
|
$165.96 |
$165.96 |
$165.96 |
$152.50
|