|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$4.51 |
$4.51 |
$4.51 |
$25.12
|
|
Disability dlco
|
$192.96 |
$192.96 |
$192.96 |
$302.40
|
|
Disaccharidases
|
$176.85 |
$176.85 |
$176.85 |
$224.31
|
|
Dna antibody native/double stranded
|
$144.36 |
$144.36 |
$144.36 |
$102.60
|
|
Dna gardnerella
|
$67.68 |
$67.68 |
$67.68 |
$66.05
|
|
Dna probe chlamydia
|
$27.72 |
$27.72 |
$27.72 |
$82.20
|
|
Dna probe gc
|
$225.09 |
$225.09 |
$225.09 |
$88.67
|
|
Dna trichomonas
|
$42.84 |
$42.84 |
$42.84 |
$67.73
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$147.33 |
$147.33 |
$147.33 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$131.40 |
$131.40 |
$131.40 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$5.06 |
$5.06 |
$5.06 |
$78.39
|
|
Doppler echo complete
|
$395.91 |
$395.91 |
$395.91 |
$616.87
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$471.42 |
$471.42 |
$471.42 |
$697.23
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$187.47 |
$187.47 |
$187.47 |
$495.00
|
|
Dornhoffer fixed part w/window
|
$72,859.32 |
$72,859.32 |
$72,859.32 |
$28,335.38
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$22.68 |
$22.68 |
$22.68 |
$269.37
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,155.32 |
$2,155.32 |
$2,155.32 |
$2,595.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$136.17 |
$136.17 |
$136.17 |
$411.16
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$75.87 |
$75.87 |
$75.87 |
$365.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$162.00 |
$162.00 |
$162.00 |
$532.80
|
|
Dronabinol 2.5mg oral
|
$1.53 |
$1.53 |
$1.53 |
$10.17
|
|
Drug assay caffeine
|
$203.94 |
$203.94 |
$203.94 |
$83.40
|
|
Drug assay posaconazole
|
$89.64 |
$89.64 |
$89.64 |
$96.39
|
|
Drug assay rufinamide
|
$133.20 |
$133.20 |
$133.20 |
$94.25
|
|
Drug assay voriconazole
|
$61.02 |
$61.02 |
$61.02 |
$96.75
|
|
Drug of abuse screen urine
|
$21.33 |
$21.33 |
$21.33 |
$63.75
|
|
Drug screen quant tiagabine
|
$118.26 |
$118.26 |
$118.26 |
$90.75
|
|
Drug test def 1-7 classes
|
$541.08 |
$541.08 |
$541.08 |
$263.86
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$536.13 |
$536.13 |
$536.13 |
$278.85
|
|
Drvvt confirm - quest
|
$143.10 |
$143.10 |
$143.10 |
$101.66
|
|
Duplex scan bilateral study 93985
|
$387.72 |
$387.72 |
$387.72 |
$660.32
|
|
Duplex scan unilateral study 93986
|
$183.78 |
$183.78 |
$183.78 |
$383.40
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$585.27 |
$585.27 |
$585.27 |
$759.85
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$792.00 |
$792.00 |
$792.00 |
$890.55
|
|
Durvalumab 50 mg/ml intravenous solution
|
$6,529.68 |
$6,529.68 |
$6,529.68 |
$8,935.63
|
|
Dxa bone density axl vrt fx
|
$171.09 |
$171.09 |
$171.09 |
$377.65
|
|
Ecallantide injection
|
$6,745.86 |
$6,745.86 |
$6,745.86 |
$6,132.60
|
|
Ecg 12 lead tracing only
|
$242.91 |
$242.91 |
$242.91 |
$245.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$73.98 |
$73.98 |
$73.98 |
$129.83
|
|
Ecg external < 48 hours recording
|
$189.63 |
$189.63 |
$189.63 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$411.57 |
$411.57 |
$411.57 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,202.22 |
$1,202.22 |
$1,202.22 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$461.61 |
$461.61 |
$461.61 |
$462.80
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,202.22 |
$1,202.22 |
$1,202.22 |
$2,013.55
|
|
Echocardiography transthoracic 2d followup/limited
|
$888.66 |
$888.66 |
$888.66 |
$736.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$544.23 |
$544.23 |
$544.23 |
$715.26
|
|
Echo guide for artery repair
|
$181.80 |
$181.80 |
$181.80 |
$680.28
|
|
Echo stress
|
$564.39 |
$564.39 |
$564.39 |
$1,586.90
|
|
Echo tee probe placement image acquisition interpretation & report
|
$708.39 |
$708.39 |
$708.39 |
$1,875.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$587.97 |
$587.97 |
$587.97 |
$1,014.01
|
|
E equine encephalitis igg
|
$63.45 |
$63.45 |
$63.45 |
$48.73
|
|
Egfr gene com variants
|
$558.63 |
$558.63 |
$558.63 |
$615.57
|
|
Elec stim unattend for press
|
$39.78 |
$39.78 |
$39.78 |
$43.59
|
|
Electrolyte panel
|
$126.09 |
$126.09 |
$126.09 |
$86.58
|
|
Electron microscopy diagnostic
|
$1,076.22 |
$1,076.22 |
$1,076.22 |
$983.41
|
|
Elotuzumab 300 mg intravenous solution
|
$4,699.17 |
$4,699.17 |
$4,699.17 |
$8,255.77
|
|
Encephalitis, california igg/igm
|
$63.45 |
$63.45 |
$63.45 |
$46.50
|
|
Encephalitis, st louis igg/igm
|
$63.45 |
$63.45 |
$63.45 |
$47.40
|
|
Encephalitis, western equine igg/igm
|
$63.45 |
$63.45 |
$63.45 |
$50.70
|
|
Endoscopy swallow (fees) vid
|
$50.76 |
$50.76 |
$50.76 |
$419.65
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$911.52 |
$911.52 |
$911.52 |
$9,592.21
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$13.95 |
$13.95 |
$13.95 |
$119.84
|
|
Enzyme histochemistry
|
$162.54 |
$162.54 |
$162.54 |
$460.32
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$34.47 |
$34.47 |
$34.47 |
$195.23
|
|
Epoetin alfa, 100 units esrd
|
$2.43 |
$2.43 |
$2.43 |
$41.32
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$219.24 |
$219.24 |
$219.24 |
$884.44
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$94.40 |
$94.40 |
$94.40 |
$823.43
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$151.65 |
$151.65 |
$151.65 |
$136.00
|
|
Epstein barr early antigen antibody
|
$147.15 |
$147.15 |
$147.15 |
$71.64
|
|
Epstein barr nuclear antigen antibody
|
$172.08 |
$172.08 |
$172.08 |
$79.50
|
|
Epstein barr viral capsid antigen antibody igm
|
$203.94 |
$203.94 |
$203.94 |
$90.40
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$712.89 |
$712.89 |
$712.89 |
$6,313.52
|
|
ER Visit (level 1, minor)
|
$224.82 |
$224.82 |
$224.82 |
$280.50
|
|
ER Visit (level 2)
|
$342.54 |
$342.54 |
$342.54 |
$487.50
|
|
ER Visit (level 3)
|
$821.52 |
$821.52 |
$821.52 |
$850.50
|
|
ER Visit (level 4)
|
$1,498.23 |
$1,498.23 |
$1,498.23 |
$1,360.50
|
|
ER Visit (level 5, high severity)
|
$2,210.94 |
$2,210.94 |
$2,210.94 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$601.11 |
$601.11 |
$601.11 |
$250.66
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$55.98 |
$55.98 |
$55.98 |
$553.88
|
|
Esophagus motility study
|
$1,053.90 |
$1,053.90 |
$1,053.90 |
$1,274.00
|
|
Esophgl motil w/stim/perfus
|
$1,401.48 |
$1,401.48 |
$1,401.48 |
$1,075.06
|
|
Estradiol total
|
$273.60 |
$273.60 |
$273.60 |
$147.79
|
|
Etanercept injection
|
$231.03 |
$231.03 |
$231.03 |
$1,710.79
|
|
Ethylene glycol -sendout
|
$102.78 |
$102.78 |
$102.78 |
$77.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$163.62 |
$163.62 |
$163.62 |
$213.17
|
|
Euglobulin lysis
|
$102.60 |
$102.60 |
$102.60 |
$39.75
|
|
Eval/fit voice prosthesis iii, st
|
$196.47 |
$196.47 |
$196.47 |
$363.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$133.83 |
$133.83 |
$133.83 |
$216.60
|
|
Evaluation of speech fluency 92521
|
$374.76 |
$374.76 |
$374.76 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$159.93 |
$159.93 |
$159.93 |
$324.00
|
|
Event monitor
|
$165.60 |
$165.60 |
$165.60 |
$249.60
|
|
Evoked oa emissions ltd
|
$73.17 |
$73.17 |
$73.17 |
$252.08
|
|
Exercise tst brncspsm w/ecg
|
$141.66 |
$141.66 |
$141.66 |
$318.50
|
|
Ext ecg>48hr<7d scan a/r
|
$165.60 |
$165.60 |
$165.60 |
$251.71
|
|
Ext ecg>7d<15d scan a/r
|
$165.60 |
$165.60 |
$165.60 |
$268.80
|
|
External chromosome analysis 20-25 cells
|
$321.57 |
$321.57 |
$321.57 |
$376.35
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$133.38 |
$133.38 |
$133.38 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$345.24 |
$345.24 |
$345.24 |
$452.81
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$68.22 |
$68.22 |
$68.22 |
$102.50
|
|
Facial bones <3
|
$153.36 |
$153.36 |
$153.36 |
$241.75
|