|
Drainage external ear simple 69000
|
$467.40 |
$467.40 |
$467.40 |
$789.60
|
|
Drainage mouth roof lesion
|
$150.00 |
$150.00 |
$150.00 |
$390.39
|
|
Drainage of arm bursa 23931
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$2,197.48
|
|
Drainage of mouth lesion
|
$916.80 |
$916.80 |
$916.80 |
$962.40
|
|
Drainage of rectal abscess
|
$846.60 |
$846.60 |
$846.60 |
$2,111.46
|
|
Drain blood from under nail 11740
|
$211.80 |
$211.80 |
$211.80 |
$170.50
|
|
Drain cerebro spinal fluid 62272
|
$1,159.80 |
$1,159.80 |
$1,159.80 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$337.80 |
$337.80 |
$337.80 |
$419.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$130.20 |
$130.20 |
$130.20 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$307.80 |
$307.80 |
$307.80 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$268.80 |
$268.80 |
$268.80 |
$523.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$49,103.17 |
$49,103.17 |
$49,103.17 |
$8,131.20
|
|
Drng of eyelid abscess 67700
|
$465.60 |
$465.60 |
$465.60 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$1,917.33
|
|
Dronabinol 2.5mg oral
|
$27.28 |
$27.28 |
$27.28 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$4.94 |
$4.94 |
$4.94 |
$31.07
|
|
Drop lock knee
|
$309.11 |
$309.11 |
$309.11 |
$204.95
|
|
Drop lock retainer each
|
$105.76 |
$105.76 |
$105.76 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$10,290.54 |
$10,290.54 |
$10,290.54 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$6,822.43 |
$6,822.43 |
$6,822.43 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$27,606.35 |
$27,606.35 |
$27,606.35 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$6,451.66 |
$6,451.66 |
$6,451.66 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$38,593.48 |
$38,593.48 |
$38,593.48 |
$171.12
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$54,968.58 |
$54,968.58 |
$54,968.58 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$38,747.84 |
$38,747.84 |
$38,747.84 |
$400.98
|
|
Drug assay caffeine
|
$128.40 |
$128.40 |
$128.40 |
$83.40
|
|
Drug assay rufinamide
|
$59.40 |
$59.40 |
$59.40 |
$85.80
|
|
Drug assay vedolizumab
|
$397.20 |
$397.20 |
$397.20 |
$152.79
|
|
Drug assay voriconazole
|
$78.00 |
$78.00 |
$78.00 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$121.80 |
$121.80 |
$121.80 |
$66.43
|
|
Drug test def 1-7 classes
|
$519.00 |
$519.00 |
$519.00 |
$250.52
|
|
Drug test prsmv instrmnt
|
$42.60 |
$42.60 |
$42.60 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$206.40 |
$206.40 |
$206.40 |
$278.85
|
|
Drvvt confirm - quest
|
$66.60 |
$66.60 |
$66.60 |
$109.20
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$286.20 |
$286.20 |
$286.20 |
$745.00
|
|
Duragen 1x1 5ea/bx
|
$26,840.58 |
$26,840.58 |
$26,840.58 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$7,730.39 |
$7,730.39 |
$7,730.39 |
$7,973.90
|
|
Dx bronchoscope/wash 31622
|
$3,172.80 |
$3,172.80 |
$3,172.80 |
$2,322.60
|
|
Ear irrigation 69209
|
$114.60 |
$114.60 |
$114.60 |
$149.76
|
|
Ecg 12 lead tracing only
|
$57.00 |
$57.00 |
$57.00 |
$226.50
|
|
Ecg < 30 days transmission & analysis
|
$378.00 |
$378.00 |
$378.00 |
$487.60
|
|
Ecg external < 48 hours recording
|
$836.40 |
$836.40 |
$836.40 |
$462.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$67.80 |
$67.80 |
$67.80 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$103.20 |
$103.20 |
$103.20 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$976.80 |
$976.80 |
$976.80 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$553.80 |
$553.80 |
$553.80 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,839.00 |
$1,839.00 |
$1,839.00 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$471.60 |
$471.60 |
$471.60 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$228.60 |
$228.60 |
$228.60 |
$362.50
|
|
Echo stress
|
$905.40 |
$905.40 |
$905.40 |
$1,592.05
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$10,567.25 |
$10,567.25 |
$10,567.25 |
$18,199.20
|
|
E equine encephalitis igg
|
$124.20 |
$124.20 |
$124.20 |
$49.92
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$10,028.42 |
$10,028.42 |
$10,028.42 |
$12,999.80
|
|
Egd remove foreign body
|
$594.60 |
$594.60 |
$594.60 |
$1,505.50
|
|
Egd remove lesion snare
|
$3,567.40 |
$3,567.40 |
$3,567.40 |
$2,597.25
|
|
Electrd sq emblem s-icd
|
$21,333.08 |
$21,333.08 |
$21,333.08 |
$10,243.24
|
|
Electrolyte panel
|
$28.80 |
$28.80 |
$28.80 |
$84.24
|
|
Elotuzumab 300 mg intravenous solution
|
$5,570.75 |
$5,570.75 |
$5,570.75 |
$5,523.02
|
|
Encephalitis, california igg/igm
|
$130.20 |
$130.20 |
$130.20 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$130.20 |
$130.20 |
$130.20 |
$48.57
|
|
Endo ak/hip alignable system
|
$1,757.90 |
$1,757.90 |
$1,757.90 |
$1,165.55
|
|
Endo below knee alignable sy
|
$1,208.47 |
$1,208.47 |
$1,208.47 |
$611.88
|
|
Endo bk ultra-light material
|
$1,661.88 |
$1,661.88 |
$1,661.88 |
$1,012.80
|
|
Endo knee-shin frct swg & st
|
$1,872.88 |
$1,872.88 |
$1,872.88 |
$1,241.78
|
|
Endo knee-shin mnl lck ultra
|
$2,416.30 |
$2,416.30 |
$2,416.30 |
$1,602.08
|
|
Endoscopy swallow (fees) vid
|
$380.40 |
$380.40 |
$380.40 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$1,151.40 |
$1,151.40 |
$1,151.40 |
$2,756.52
|
|
Endo, single, pulmonary
|
$12,269.49 |
$12,269.49 |
$12,269.49 |
$1,046.66
|
|
Endoskel knee-shin mnl lock
|
$1,654.84 |
$1,654.84 |
$1,654.84 |
$1,097.21
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$45.25 |
$45.25 |
$45.25 |
$109.71
|
|
Eo, adj lock joint prefab ot
|
$1,624.24 |
$1,624.24 |
$1,624.24 |
$456.96
|
|
Eo elas w/metal jnts pre ots
|
$463.75 |
$463.75 |
$463.75 |
$145.60
|
|
Epilepsy gen seq alys panel
|
$7,345.80 |
$7,345.80 |
$7,345.80 |
$3,142.35
|
|
Epinephrine 1 mg/ml im kit - adult
|
$612.00 |
$612.00 |
$612.00 |
$25.30
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$4.80 |
$4.80 |
$4.80 |
$34.13
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$714.74 |
$714.74 |
$714.74 |
$809.08
|
|
Epstein barr early antigen antibody
|
$52.20 |
$52.20 |
$52.20 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$57.00 |
$57.00 |
$57.00 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$69.60 |
$69.60 |
$69.60 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$281.52 |
$281.52 |
$281.52 |
$393.98
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,142.91 |
$3,142.91 |
$3,142.91 |
$3,838.45
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,538.00 |
$2,538.00 |
$2,538.00 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$57.81 |
$57.81 |
$57.81 |
$222.98
|
|
ER Visit (level 1, minor)
|
$116.40 |
$116.40 |
$116.40 |
$246.24
|
|
ER Visit (level 2)
|
$294.60 |
$294.60 |
$294.60 |
$452.20
|
|
ER Visit (level 3)
|
$486.60 |
$486.60 |
$486.60 |
$770.04
|
|
ER Visit (level 4)
|
$857.40 |
$857.40 |
$857.40 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,330.80 |
$1,330.80 |
$1,330.80 |
$1,820.02
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$487.56 |
$487.56 |
$487.56 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$4.80 |
$4.80 |
$4.80 |
$553.88
|
|
Esophagoscopy flex biopsy
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$2,132.00
|
|
Esophagoscopy flex remove fb
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$2,099.70
|
|
Established Patient Office Visit (level 1)
|
$174.60 |
$174.60 |
$174.60 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$174.60 |
$174.60 |
$174.60 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$174.60 |
$174.60 |
$174.60 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$174.60 |
$174.60 |
$174.60 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$235.20 |
$235.20 |
$235.20 |
$280.33
|
|
Estradiol total
|
$109.20 |
$109.20 |
$109.20 |
$146.50
|
|
Estrogens total-sendout
|
$85.20 |
$85.20 |
$85.20 |
$96.20
|