|
Deferoxamine 500 mg solution for injection
|
$295.84 |
$295.84 |
$295.84 |
$95.85
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$694.89 |
$694.89 |
$694.89 |
$185.17
|
|
Design mlc device for imrt
|
$11,321.08 |
$11,321.08 |
$11,321.08 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$616.97 |
$616.97 |
$616.97 |
$89.78
|
|
Device intraute mirena
|
$6,411.74 |
$6,411.74 |
$6,411.74 |
$2,125.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$33.58 |
$33.58 |
$33.58 |
$45.40
|
|
Dextrose 5 % IV bolus
|
$342.73 |
$342.73 |
$342.73 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$409.00 |
$409.00 |
$409.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$190.00 |
$190.00 |
$190.00 |
$79.20
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$156.77 |
$156.77 |
$156.77 |
$74.76
|
|
Dicyclomine injection
|
$562.52 |
$562.52 |
$562.52 |
$153.29
|
|
Diffusing capacity
|
$1,540.42 |
$1,540.42 |
$1,540.42 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$36.69 |
$36.69 |
$36.69 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$13,273.69 |
$13,273.69 |
$13,273.69 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$481.00 |
$481.00 |
$481.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$451.14 |
$451.14 |
$451.14 |
$297.86
|
|
Diltiazem 5 mg/ml intravenous solution
|
$17.05 |
$17.05 |
$17.05 |
$47.94
|
|
Dimethyl sulfoxide 50% 50 ml
|
$802.58 |
$802.58 |
$802.58 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$76.08 |
$76.08 |
$76.08 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$211.93 |
$211.93 |
$211.93 |
$17.75
|
|
Disability dlco
|
$820.19 |
$820.19 |
$820.19 |
$282.40
|
|
Disaccharidases
|
$99.00 |
$99.00 |
$99.00 |
$216.00
|
|
Dna antibody native/double stranded
|
$662.00 |
$662.00 |
$662.00 |
$97.50
|
|
Doppler echo complete
|
$2,522.34 |
$2,522.34 |
$2,522.34 |
$540.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$2,391.85 |
$2,391.85 |
$2,391.85 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$488.07 |
$488.07 |
$488.07 |
$471.17
|
|
Dornase alfa non-comp unit
|
$733.83 |
$733.83 |
$733.83 |
$446.75
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$125.57 |
$125.57 |
$125.57 |
$84.80
|
|
Drain ostomy pouch w/flange
|
$31.00 |
$31.00 |
$31.00 |
$8.80
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$1,389.00 |
$1,389.00 |
$1,389.00 |
$8,131.20
|
|
Droperidol 2.5 mg/ml injection solution
|
$52.09 |
$52.09 |
$52.09 |
$31.07
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$222.00 |
$222.00 |
$222.00 |
$1,575.70
|
|
Drug assay caffeine
|
$229.00 |
$229.00 |
$229.00 |
$83.40
|
|
Drug assay voriconazole
|
$293.89 |
$293.89 |
$293.89 |
$96.75
|
|
Drug test def 1-7 classes
|
$916.00 |
$916.00 |
$916.00 |
$250.52
|
|
Ductogram sgl duct
|
$2,616.24 |
$2,616.24 |
$2,616.24 |
$463.10
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,794.12 |
$1,794.12 |
$1,794.12 |
$745.00
|
|
Dxa bone density axl vrt fx
|
$1,665.68 |
$1,665.68 |
$1,665.68 |
$392.60
|
|
Ecg 12 lead tracing only
|
$919.45 |
$919.45 |
$919.45 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$615.08 |
$615.08 |
$615.08 |
$135.80
|
|
Ecg external < 48 hours recording
|
$1,204.48 |
$1,204.48 |
$1,204.48 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,723.15 |
$1,723.15 |
$1,723.15 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$7,892.54 |
$7,892.54 |
$7,892.54 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$568.20 |
$568.20 |
$568.20 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,653.14 |
$1,653.14 |
$1,653.14 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$2,522.34 |
$2,522.34 |
$2,522.34 |
$362.50
|
|
Echo exam uterus 76831-
|
$2,182.18 |
$2,182.18 |
$2,182.18 |
$523.71
|
|
Echo stress
|
$5,988.20 |
$5,988.20 |
$5,988.20 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$7,586.79 |
$7,586.79 |
$7,586.79 |
$1,849.50
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$4,771.76 |
$4,771.76 |
$4,771.76 |
$985.15
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$3,214.86 |
$3,214.86 |
$3,214.86 |
$1,000.42
|
|
Eeg monitor/record/awake/drowsy 95816
|
$3,214.86 |
$3,214.86 |
$3,214.86 |
$835.00
|
|
Eeg/record in coma or sleep only 95822
|
$3,114.10 |
$3,114.10 |
$3,114.10 |
$907.80
|
|
Eeg recording awake and asleep
|
$3,214.86 |
$3,214.86 |
$3,214.86 |
$931.20
|
|
E equine encephalitis igg
|
$60.00 |
$60.00 |
$60.00 |
$49.92
|
|
Egfr gene com variants
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$1,985.95 |
$1,985.95 |
$1,985.95 |
$93.00
|
|
Electrolyte panel
|
$870.00 |
$870.00 |
$870.00 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,677.00 |
$1,677.00 |
$1,677.00 |
$983.41
|
|
Electrophysiology evaluation
|
$29,301.22 |
$29,301.22 |
$29,301.22 |
$8,979.45
|
|
Electrophysiology evaluation
|
$26,879.29 |
$26,879.29 |
$26,879.29 |
$6,760.00
|
|
Electrophysiology evaluation
|
$8,351.18 |
$8,351.18 |
$8,351.18 |
$2,451.90
|
|
Electrophys map 3d add-on
|
$37,163.22 |
$37,163.22 |
$37,163.22 |
$5,881.00
|
|
Embolization s&i
|
$13,029.50 |
$13,029.50 |
$13,029.50 |
$3,199.00
|
|
Encephalitis, california igg/igm
|
$59.52 |
$59.52 |
$59.52 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$60.00 |
$60.00 |
$60.00 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$59.52 |
$59.52 |
$59.52 |
$53.10
|
|
Endoscopy swallow (fees) vid
|
$238.48 |
$238.48 |
$238.48 |
$402.35
|
|
Ep induct arrhy by elect pacing
|
$32,397.95 |
$32,397.95 |
$32,397.95 |
$2,635.75
|
|
Epstein barr early antigen antibody
|
$48.18 |
$48.18 |
$48.18 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$159.55 |
$159.55 |
$159.55 |
$78.65
|
|
Ercp biliary & pancreas
|
$4,456.22 |
$4,456.22 |
$4,456.22 |
$967.04
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$184.80 |
$184.80 |
$184.80 |
$222.98
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$589.14 |
$589.14 |
$589.14 |
$223.99
|
|
Estradiol total
|
$197.00 |
$197.00 |
$197.00 |
$146.50
|
|
Estrogens total-sendout
|
$1,975.00 |
$1,975.00 |
$1,975.00 |
$96.20
|
|
Ethanolamine oleate 100 mg
|
$875.55 |
$875.55 |
$875.55 |
$751.36
|
|
Ethylene glycol -sendout
|
$537.00 |
$537.00 |
$537.00 |
$89.40
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$388.00 |
$388.00 |
$388.00 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$852.99 |
$852.99 |
$852.99 |
$311.50
|
|
External chromosome analysis 20-25 cells
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$384.15
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$90.00 |
$90.00 |
$90.00 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$454.20
|
|
F-18 florbetapir less than or equal to 10 mci
|
$8,778.48 |
$8,778.48 |
$8,778.48 |
$4,960.80
|
|
Factor ix
|
$836.00 |
$836.00 |
$836.00 |
$156.13
|
|
Factor ix recombinant nos
|
$8,690.22 |
$8,690.22 |
$8,690.22 |
$4.65
|
|
Factor viii
|
$443.00 |
$443.00 |
$443.00 |
$133.81
|
|
Fat/lipids feces qualitative
|
$214.00 |
$214.00 |
$214.00 |
$38.35
|
|
Fatty acids nonesterified
|
$247.72 |
$247.72 |
$247.72 |
$64.28
|
|
#fecal-sodium
|
$1,325.00 |
$1,325.00 |
$1,325.00 |
$37.50
|
|
Ferritin
|
$343.00 |
$343.00 |
$343.00 |
$100.94
|
|
Fetal fibronectin
|
$721.00 |
$721.00 |
$721.00 |
$373.41
|
|
Fetal hemoglobin rosette
|
$577.30 |
$577.30 |
$577.30 |
$67.20
|
|
#_fet/norfentcnfrmur
|
$256.25 |
$256.25 |
$256.25 |
$95.68
|
|
Fibrin degradation products
|
$696.95 |
$696.95 |
$696.95 |
$62.64
|
|
Fibrinogen activity
|
$616.00 |
$616.00 |
$616.00 |
$83.50
|
|
Finasteride, 5 mg
|
$39.98 |
$39.98 |
$39.98 |
$7.71
|
|
Flow cytometry marker each additional
|
$147.00 |
$147.00 |
$147.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$241.00 |
$241.00 |
$241.00 |
$284.40
|
|
Fluoroguide for spine inject 77003-26
|
$1,698.00 |
$1,698.00 |
$1,698.00 |
$496.03
|
