|
Dronabinol 2.5mg oral
|
$6.84 |
$6.84 |
$6.84 |
$6.84
|
|
Droperidol 2.5 mg/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$9,216.00 |
$9,216.00 |
$9,216.00 |
$1,998.60
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$53.27 |
$53.27 |
$53.27 |
$94.65
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$289.05 |
$289.05 |
$289.05 |
$189.68
|
|
Drsg surg adh 11x11 3/4 occl drap wnd 28x30
|
$19.10 |
$19.10 |
$19.10 |
$19.10
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$409.86 |
$409.86 |
$409.86 |
$7,465.97
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$3.11 |
$3.11 |
$3.11 |
$3.11
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$400.98 |
$400.98 |
$400.98 |
$381.35
|
|
Drug admin & hemodynmic meas
|
$1,087.65 |
$1,087.65 |
$1,087.65 |
$568.64
|
|
Drug assay caffeine
|
$99.15 |
$99.15 |
$99.15 |
$81.61
|
|
Drug assay voriconazole
|
$130.20 |
$130.20 |
$130.20 |
$96.75
|
|
Drug test def 15-21 classes
|
$442.80 |
$442.80 |
$442.80 |
$274.26
|
|
Drug test def 1-7 classes
|
$396.00 |
$396.00 |
$396.00 |
$263.86
|
|
Drug test def 8-14 classes
|
$405.90 |
$405.90 |
$405.90 |
$282.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$411.00 |
$411.00 |
$411.00 |
$278.85
|
|
Drvvt confirm - quest
|
$98.85 |
$98.85 |
$98.85 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$3,138.15 |
$3,138.15 |
$3,138.15 |
$3,091.94
|
|
Ductogram sgl duct
|
$646.65 |
$646.65 |
$646.65 |
$452.50
|
|
Dup scan/hemodialysis access 93990
|
$652.20 |
$652.20 |
$652.20 |
$499.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,063.20 |
$1,063.20 |
$1,063.20 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$985.20 |
$985.20 |
$985.20 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$95.40 |
$95.40 |
$95.40 |
$11,009.65
|
|
Durvalumab 50 mg/ml intravenous solution
|
$7,973.90 |
$7,973.90 |
$7,973.90 |
$7,619.12
|
|
Dx bronchoscope/brush 31623
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,447.43
|
|
Dx bronchoscope/wash 31622
|
$2,137.05 |
$2,137.05 |
$2,137.05 |
$2,447.43
|
|
Ear irrigation 69209
|
$111.30 |
$111.30 |
$111.30 |
$150.00
|
|
Ecallantide injection
|
$32,909.78 |
$32,909.78 |
$32,909.78 |
$13,353.39
|
|
Ecg 12 lead tracing only
|
$205.35 |
$205.35 |
$205.35 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$164.55 |
$164.55 |
$164.55 |
$134.30
|
|
Echocardiogram (Heart Ultrasound)
|
$1,859.40 |
$1,859.40 |
$1,859.40 |
$2,038.40
|
|
Echocardiography doppler color flow mapping
|
$756.00 |
$756.00 |
$756.00 |
$501.81
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,859.40 |
$1,859.40 |
$1,859.40 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited
|
$488.55 |
$488.55 |
$488.55 |
$701.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,375.05 |
$1,375.05 |
$1,375.05 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$466.80 |
$466.80 |
$466.80 |
$356.40
|
|
Echo exam of eye
|
$460.50 |
$460.50 |
$460.50 |
$168.00
|
|
Echo exam uterus 76831-
|
$993.45 |
$993.45 |
$993.45 |
$561.00
|
|
Echo guide for artery repair
|
$610.80 |
$610.80 |
$610.80 |
$660.00
|
|
Echo stress
|
$2,122.65 |
$2,122.65 |
$2,122.65 |
$1,586.90
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,998.60 |
$1,998.60 |
$1,998.60 |
$1,875.00
|
|
Echo transesophageal
|
$1,998.60 |
$1,998.60 |
$1,998.60 |
$1,559.35
|
|
Echo transthoracic
|
$1,332.45 |
$1,332.45 |
$1,332.45 |
$1,361.75
|
|
Echo transthoracic
|
$1,332.45 |
$1,332.45 |
$1,332.45 |
$950.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$379.20 |
$379.20 |
$379.20 |
$982.15
|
|
Eculizumab injection
|
$12,915.54 |
$12,915.54 |
$12,915.54 |
$17,991.28
|
|
Eeg 41-60 minutes 95812-26
|
$2,239.80 |
$2,239.80 |
$2,239.80 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$1,000.42
|
|
Eeg during surgery
|
$467.85 |
$467.85 |
$467.85 |
$749.00
|
|
Eeg monitor/record/awake/drowsy 95816
|
$914.10 |
$914.10 |
$914.10 |
$859.80
|
|
Eeg over 1 hour 95813 - 26
|
$2,239.80 |
$2,239.80 |
$2,239.80 |
$1,168.86
|
|
Eeg/record in coma or sleep only 95822
|
$1,317.15 |
$1,317.15 |
$1,317.15 |
$930.80
|
|
Eeg recording awake and asleep
|
$914.10 |
$914.10 |
$914.10 |
$937.95
|
|
Eeg without vid 2-12hr cont mntr
|
$462.30 |
$462.30 |
$462.30 |
$759.21
|
|
Eeg without vid 2-12 hr unmntr
|
$554.70 |
$554.70 |
$554.70 |
$593.91
|
|
Eeg without vid ea 12-26hr cont
|
$886.80 |
$886.80 |
$886.80 |
$1,456.65
|
|
Eeg without vid ea 12-26hr intmt
|
$886.80 |
$886.80 |
$886.80 |
$1,368.85
|
|
Eeg wo vid 2-12hr intmt mntr
|
$462.30 |
$462.30 |
$462.30 |
$673.20
|
|
Eeg wo vid ea 12-26hr unmntr
|
$886.80 |
$886.80 |
$886.80 |
$1,284.80
|
|
E equine encephalitis igg
|
$116.40 |
$116.40 |
$116.40 |
$48.73
|
|
Egd balloon dil esoph30 mm/>
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd control bleeding any
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,553.75
|
|
Egd dilate stricture
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,455.50
|
|
Egd endo mucosal resection
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,430.40
|
|
Egd endoscopic stent place
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$4,224.57
|
|
Egd guide wire insertion
|
$731.70 |
$731.70 |
$731.70 |
$1,664.00
|
|
Egd injection varices
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd lesion ablation
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,354.48
|
|
Egd remove foreign body
|
$731.70 |
$731.70 |
$731.70 |
$1,519.29
|
|
Egd remove lesion snare
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,366.43
|
|
Egd Ultrasound exam duodenum/jejunum
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,600.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,912.00
|
|
Egd varices ligation
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd w/transmural drain cyst
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$4,379.25
|
|
Egfr gene com variants
|
$1,543.20 |
$1,543.20 |
$1,543.20 |
$599.95
|
|
Electrd sq emblem s-icd
|
$18,003.00 |
$18,003.00 |
$18,003.00 |
$10,160.27
|
|
Electrolyte panel
|
$193.35 |
$193.35 |
$193.35 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,102.50 |
$1,102.50 |
$1,102.50 |
$960.00
|
|
Electrophysiology evaluation
|
$6,281.55 |
$6,281.55 |
$6,281.55 |
$10,233.60
|
|
Electrophysiology evaluation
|
$4,394.70 |
$4,394.70 |
$4,394.70 |
$6,760.00
|
|
Electrophysiology evaluation
|
$7,396.05 |
$7,396.05 |
$7,396.05 |
$5,957.60
|
|
Electrophysiology evaluation
|
$2,334.60 |
$2,334.60 |
$2,334.60 |
$2,559.70
|
|
Electrophysiology evaluation
|
$3,037.65 |
$3,037.65 |
$3,037.65 |
$2,821.00
|
|
Electrophys map 3d add-on
|
$7,294.35 |
$7,294.35 |
$7,294.35 |
$5,881.00
|
|
Elosulfase alfa, injection
|
$2,760.12 |
$2,760.12 |
$2,760.12 |
$2,635.83
|
|
Elotuzumab 300 mg intravenous solution
|
$4,330.84 |
$4,330.84 |
$4,330.84 |
$5,523.02
|
|
Embolization s&i
|
$1,130.85 |
$1,130.85 |
$1,130.85 |
$3,160.96
|
|
Embo or occlude vascular arterial s&i
|
$11,865.60 |
$11,865.60 |
$11,865.60 |
$15,839.57
|
|
Embo or occlude vascular hemorrhage s&i
|
$11,865.60 |
$11,865.60 |
$11,865.60 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$11,865.60 |
$11,865.60 |
$11,865.60 |
$14,633.25
|
|
Embo or occlude vascular venous s&i
|
$11,497.65 |
$11,497.65 |
$11,497.65 |
$14,586.00
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$508.20 |
$508.20 |
$508.20 |
$375.20
|
|
Encephalitis, california igg/igm
|
$116.40 |
$116.40 |
$116.40 |
$50.40
|
|
Encephalitis, st louis igg/igm
|
$116.40 |
$116.40 |
$116.40 |
$47.40
|
|
Encephalitis, western equine igg/igm
|
$116.40 |
$116.40 |
$116.40 |
$53.10
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$9,208.95 |
$9,208.95 |
$9,208.95 |
$5,339.00
|
