|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$213.84 |
$213.84 |
$213.84 |
$84.80
|
|
Drain ostomy pouch w/flange
|
$22.00 |
$22.00 |
$22.00 |
$8.80
|
|
Droperidol 2.5 mg/ml injection solution
|
$96.52 |
$96.52 |
$96.52 |
$31.07
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$278.00 |
$278.00 |
$278.00 |
$127.14
|
|
Drug assay caffeine
|
$559.01 |
$559.01 |
$559.01 |
$83.40
|
|
Drug assay voriconazole
|
$744.19 |
$744.19 |
$744.19 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$71.83 |
$71.83 |
$71.83 |
$66.43
|
|
Drvvt confirm - quest
|
$1,248.34 |
$1,248.34 |
$1,248.34 |
$109.20
|
|
Ductogram sgl duct
|
$1,577.38 |
$1,577.38 |
$1,577.38 |
$463.10
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$2,096.36 |
$2,096.36 |
$2,096.36 |
$745.00
|
|
Dxa bone density axl vrt fx
|
$588.95 |
$588.95 |
$588.95 |
$392.60
|
|
Ecg 12 lead tracing only
|
$1,318.27 |
$1,318.27 |
$1,318.27 |
$226.50
|
|
Echocardiogram (Heart Ultrasound)
|
$9,013.53 |
$9,013.53 |
$9,013.53 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$1,540.32 |
$1,540.32 |
$1,540.32 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$8,861.30 |
$8,861.30 |
$8,861.30 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$2,928.39 |
$2,928.39 |
$2,928.39 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$6,427.62 |
$6,427.62 |
$6,427.62 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$2,189.06 |
$2,189.06 |
$2,189.06 |
$362.50
|
|
Echo exam uterus 76831-
|
$1,889.08 |
$1,889.08 |
$1,889.08 |
$523.71
|
|
Echo guide for amniocentesis
|
$2,604.65 |
$2,604.65 |
$2,604.65 |
$456.30
|
|
Echo stress
|
$8,493.43 |
$8,493.43 |
$8,493.43 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$6,996.63 |
$6,996.63 |
$6,996.63 |
$1,849.50
|
|
Echo transthoracic
|
$7,277.50 |
$7,277.50 |
$7,277.50 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$6,050.69 |
$6,050.69 |
$6,050.69 |
$985.15
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$3,493.89 |
$3,493.89 |
$3,493.89 |
$1,000.42
|
|
Eeg monitor/record/awake/drowsy 95816
|
$3,636.55 |
$3,636.55 |
$3,636.55 |
$835.00
|
|
Eeg/record in coma or sleep only 95822
|
$4,255.23 |
$4,255.23 |
$4,255.23 |
$907.80
|
|
Eeg recording awake and asleep
|
$3,347.11 |
$3,347.11 |
$3,347.11 |
$931.20
|
|
Eeg without vid 2-12 hr unmntr
|
$7,279.96 |
$7,279.96 |
$7,279.96 |
$601.30
|
|
Eeg without vid ea 12-26hr cont
|
$10,256.70 |
$10,256.70 |
$10,256.70 |
$1,460.20
|
|
Ehrlicha chaffeensis amp prb
|
$3,331.71 |
$3,331.71 |
$3,331.71 |
$93.00
|
|
Elec stim unattend for press
|
$461.63 |
$461.63 |
$461.63 |
$83.20
|
|
Electron microscopy diagnostic
|
$10,860.75 |
$10,860.75 |
$10,860.75 |
$983.41
|
|
Electrophysiology evaluation
|
$38,150.70 |
$38,150.70 |
$38,150.70 |
$8,979.45
|
|
Electrophysiology evaluation
|
$40,675.00 |
$40,675.00 |
$40,675.00 |
$10,233.60
|
|
Electrophysiology evaluation
|
$10,727.78 |
$10,727.78 |
$10,727.78 |
$6,760.00
|
|
Electrophysiology evaluation
|
$10,727.78 |
$10,727.78 |
$10,727.78 |
$5,854.80
|
|
Electrophysiology evaluation
|
$5,532.41 |
$5,532.41 |
$5,532.41 |
$2,451.90
|
|
Electrophysiology evaluation
|
$424.03 |
$424.03 |
$424.03 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$18,963.91 |
$18,963.91 |
$18,963.91 |
$5,881.00
|
|
Entamoeba histolytica ag eia - sendout
|
$1,039.12 |
$1,039.12 |
$1,039.12 |
$56.89
|
|
Eo elas w/metal jnts pre ots
|
$367.50 |
$367.50 |
$367.50 |
$145.60
|
|
Ep & ablate supravent arrhyt
|
$79,746.24 |
$79,746.24 |
$79,746.24 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$111,643.31 |
$111,643.31 |
$111,643.31 |
$28,199.40
|
|
Ep induct arrhy by elect pacing
|
$5,555.99 |
$5,555.99 |
$5,555.99 |
$2,635.75
|
|
Epoetin alfa, 100 units esrd
|
$1,401.43 |
$1,401.43 |
$1,401.43 |
$4.82
|
|
Epstein barr early antigen antibody
|
$752.76 |
$752.76 |
$752.76 |
$60.48
|
|
Ercp biliary & pancreas
|
$3,640.03 |
$3,640.03 |
$3,640.03 |
$967.04
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$1,264.80 |
$1,264.80 |
$1,264.80 |
$222.98
|
|
Estradiol total
|
$2,296.03 |
$2,296.03 |
$2,296.03 |
$146.50
|
|
Estrogens total-sendout
|
$1,886.21 |
$1,886.21 |
$1,886.21 |
$96.20
|
|
Ethanolamine oleate 100 mg
|
$3,080.62 |
$3,080.62 |
$3,080.62 |
$751.36
|
|
Ethylene glycol -sendout
|
$937.96 |
$937.96 |
$937.96 |
$89.40
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$339.52 |
$339.52 |
$339.52 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$446.11 |
$446.11 |
$446.11 |
$311.50
|
|
Exchange biliary drg cath
|
$12,689.60 |
$12,689.60 |
$12,689.60 |
$3,909.56
|
|
External chromosome analysis 20-25 cells
|
$1,262.05 |
$1,262.05 |
$1,262.05 |
$384.15
|
|
External newborn metabolic screening panel
|
$514.42 |
$514.42 |
$514.42 |
$109.76
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$41.88 |
$41.88 |
$41.88 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$3,575.21 |
$3,575.21 |
$3,575.21 |
$454.20
|
|
Factor ix
|
$1,303.20 |
$1,303.20 |
$1,303.20 |
$156.13
|
|
Factor ix recombinant nos
|
$9,247.80 |
$9,247.80 |
$9,247.80 |
$4.65
|
|
Factor viii
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$10.18 |
$10.18 |
$10.18 |
$22.20
|
|
Fat/lipids feces qualitative
|
$483.56 |
$483.56 |
$483.56 |
$38.35
|
|
Fetal chrom aneuploidy gsa panel
|
$17,653.14 |
$17,653.14 |
$17,653.14 |
$1,206.81
|
|
Fetal fibronectin
|
$2,436.63 |
$2,436.63 |
$2,436.63 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$1,978.81 |
$1,978.81 |
$1,978.81 |
$105.12
|
|
Fetal hemoglobin rosette
|
$586.43 |
$586.43 |
$586.43 |
$67.20
|
|
Fetal non stress test
|
$860.23 |
$860.23 |
$860.23 |
$463.03
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$144.02 |
$144.02 |
$144.02 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$483.56 |
$483.56 |
$483.56 |
$72.80
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$1,073.43 |
$1,073.43 |
$1,073.43 |
$65.00
|
|
Filters elec/combo vad, rep
|
$255.00 |
$255.00 |
$255.00 |
$36.40
|
|
Finasteride, 5 mg
|
$27.23 |
$27.23 |
$27.23 |
$7.71
|
|
Flex thermoplastic collar mo
|
$329.00 |
$329.00 |
$329.00 |
$187.60
|
|
Flow cytometry marker each additional
|
$166.34 |
$166.34 |
$166.34 |
$97.50
|
|
Flow cytometry one marker technical component
|
$490.42 |
$490.42 |
$490.42 |
$284.40
|
|
Fluoro polarize fetal lung
|
$1,138.58 |
$1,138.58 |
$1,138.58 |
$153.92
|
|
Folic acid
|
$535.00 |
$535.00 |
$535.00 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$72.33 |
$72.33 |
$72.33 |
$54.75
|
|
Follow-up angiography
|
$3,542.44 |
$3,542.44 |
$3,542.44 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$25,949.02 |
$25,949.02 |
$25,949.02 |
$2,581.14
|
|
Foot arch support remov prem
|
$1,411.00 |
$1,411.00 |
$1,411.00 |
$106.20
|
|
Foot drp splt w/exp heel lg
|
$704.00 |
$704.00 |
$704.00 |
$143.87
|
|
Foot longitudinal arch suppo
|
$772.00 |
$772.00 |
$772.00 |
$295.47
|
|
Foot plate molded stirrup at
|
$773.00 |
$773.00 |
$773.00 |
$714.12
|
|
Formoterol fumarate, inh
|
$46.68 |
$46.68 |
$46.68 |
$59.40
|
|
Fractionation ketosteroids
|
$1,999.38 |
$1,999.38 |
$1,999.38 |
$135.95
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$313.95 |
$313.95 |
$313.95 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$497.50 |
$497.50 |
$497.50 |
$122.00
|
|
Fructosamine glycated protein
|
$274.36 |
$274.36 |
$274.36 |
$60.75
|
|
Ga-67 gallium 0.1 mci
|
$1,603.07 |
$1,603.07 |
$1,603.07 |
$118.56
|
|
Galac-1-phosphate uridyltran - sendout
|
$1,347.78 |
$1,347.78 |
$1,347.78 |
$96.94
|
|
Gammaglobulin ige
|
$483.56 |
$483.56 |
$483.56 |
$83.85
|
|
Gastric analy w/ph ea spec
|
$217.77 |
$217.77 |
$217.77 |
$31.80
|
|
Gastric mucosa imaging
|
$4,036.95 |
$4,036.95 |
$4,036.95 |
$555.20
|
|
Gastrin test
|
$5,142.47 |
$5,142.47 |
$5,142.47 |
$61.80
|
|
Gated heart multiple
|
$12,125.79 |
$12,125.79 |
$12,125.79 |
$1,400.64
|
|
General health panel
|
$3,366.01 |
$3,366.01 |
$3,366.01 |
$275.00
|
