|
Diag laparo separate proc 49320
|
$590.52 |
$590.52 |
$590.52 |
$5,855.00
|
|
Diagnostic anoscopy spx 46600
|
$305.52 |
$305.52 |
$305.52 |
$245.35
|
|
Diagnostic laryngoscopy 31575
|
$274.17 |
$274.17 |
$274.17 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$725.61 |
$725.61 |
$725.61 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$581.40 |
$581.40 |
$581.40 |
$301.55
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$27.99 |
$27.99 |
$27.99 |
$73.22
|
|
Dicyclomine injection
|
$153.53 |
$153.53 |
$153.53 |
$205.57
|
|
Diffusing capacity
|
$208.05 |
$208.05 |
$208.05 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$8.55 |
$8.55 |
$8.55 |
$56.70
|
|
Digoxin total therapeutic drug level
|
$76.38 |
$76.38 |
$76.38 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$248.66 |
$248.66 |
$248.66 |
$321.30
|
|
Dilate esophagus 1/mult pass
|
$117.99 |
$117.99 |
$117.99 |
$1,484.17
|
|
Dilate urethra stricture
|
$283.29 |
$283.29 |
$283.29 |
$514.79
|
|
Dimethyl sulfoxide 50% 50 ml
|
$864.69 |
$864.69 |
$864.69 |
$1,155.52
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$7.33 |
$7.33 |
$7.33 |
$25.12
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$71.82 |
$71.82 |
$71.82 |
$106.59
|
|
Disability dlco
|
$182.40 |
$182.40 |
$182.40 |
$307.58
|
|
Disaccharidases
|
$224.58 |
$224.58 |
$224.58 |
$223.80
|
|
Dna antibody native/double stranded
|
$49.59 |
$49.59 |
$49.59 |
$102.60
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$2.10 |
$2.10 |
$2.10 |
$712.02
|
|
Dolasetron mesylate
|
$11.97 |
$11.97 |
$11.97 |
$76.59
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$3.35 |
$3.35 |
$3.35 |
$77.41
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$776.34 |
$776.34 |
$776.34 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$420.09 |
$420.09 |
$420.09 |
$482.03
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$5.13 |
$5.13 |
$5.13 |
$338.12
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$618.61 |
$618.61 |
$618.61 |
$2,469.31
|
|
Dpyd gene common variants
|
$373.35 |
$373.35 |
$373.35 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,189.02 |
$1,189.02 |
$1,189.02 |
$820.50
|
|
Drain blood from under nail 11740
|
$128.25 |
$128.25 |
$128.25 |
$190.33
|
|
Drain finger abscess;simple 26010
|
$305.52 |
$305.52 |
$305.52 |
$492.81
|
|
Drain lower leg lesion 27603
|
$547.77 |
$547.77 |
$547.77 |
$3,631.18
|
|
Drain thigh/knee lesion 27301
|
$526.68 |
$526.68 |
$526.68 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$343.14 |
$343.14 |
$343.14 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$305.52 |
$305.52 |
$305.52 |
$365.60
|
|
Drug assay posaconazole
|
$135.66 |
$135.66 |
$135.66 |
$96.39
|
|
Drug assay voriconazole
|
$241.68 |
$241.68 |
$241.68 |
$96.75
|
|
Drug of abuse screen urine
|
$78.66 |
$78.66 |
$78.66 |
$63.75
|
|
Drug test def 1-7 classes
|
$243.96 |
$243.96 |
$243.96 |
$263.25
|
|
Drug test def 8-14 classes
|
$267.90 |
$267.90 |
$267.90 |
$186.00
|
|
Drug test prsmv instrmnt
|
$52.44 |
$52.44 |
$52.44 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$262.20 |
$262.20 |
$262.20 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$3,439.95 |
$3,439.95 |
$3,439.95 |
$3,390.00
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$586.53 |
$586.53 |
$586.53 |
$603.20
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$799.71 |
$799.71 |
$799.71 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,584.60 |
$1,584.60 |
$1,584.60 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$137.19 |
$137.19 |
$137.19 |
$11,632.92
|
|
Dx bronchoscope/brush 31623
|
$2,910.42 |
$2,910.42 |
$2,910.42 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$2,910.42 |
$2,910.42 |
$2,910.42 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,988.16 |
$1,988.16 |
$1,988.16 |
$2,587.60
|
|
Ear irrigation 69209
|
$124.26 |
$124.26 |
$124.26 |
$165.42
|
|
Ecg 12 lead tracing only
|
$177.27 |
$177.27 |
$177.27 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$117.99 |
$117.99 |
$117.99 |
$129.83
|
|
Ecg external < 48 hours recording
|
$204.06 |
$204.06 |
$204.06 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$507.30 |
$507.30 |
$507.30 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,877.01 |
$1,877.01 |
$1,877.01 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$290.70 |
$290.70 |
$290.70 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$844.17 |
$844.17 |
$844.17 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$349.41 |
$349.41 |
$349.41 |
$353.46
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,594.86 |
$1,594.86 |
$1,594.86 |
$1,014.01
|
|
Eeg 41-60 minutes 95812-26
|
$747.84 |
$747.84 |
$747.84 |
$956.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$872.10 |
$872.10 |
$872.10 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$889.20 |
$889.20 |
$889.20 |
$1,119.54
|
|
Eeg recording awake and asleep
|
$1,035.69 |
$1,035.69 |
$1,035.69 |
$1,030.27
|
|
Egd control bleeding any
|
$177.84 |
$177.84 |
$177.84 |
$2,553.75
|
|
Egd dilate stricture
|
$108.30 |
$108.30 |
$108.30 |
$2,638.57
|
|
Egd esophagogastrc fndoplsty
|
$2,219.01 |
$2,219.01 |
$2,219.01 |
$9,562.50
|
|
Egd flx trnsorl rmvl balo
|
$722.76 |
$722.76 |
$722.76 |
$1,104.13
|
|
Egd guide wire insertion
|
$149.91 |
$149.91 |
$149.91 |
$2,250.00
|
|
Egd lesion ablation
|
$222.87 |
$222.87 |
$222.87 |
$2,805.40
|
|
Egd remove foreign body
|
$183.54 |
$183.54 |
$183.54 |
$1,588.55
|
|
Egd remove lesion snare
|
$170.43 |
$170.43 |
$170.43 |
$2,506.40
|
|
Egd varices ligation
|
$366.51 |
$366.51 |
$366.51 |
$2,576.75
|
|
EKG tracing for initial prev
|
$177.27 |
$177.27 |
$177.27 |
$56.65
|
|
Elect analysis of infusion pump 62367
|
$575.13 |
$575.13 |
$575.13 |
$535.43
|
|
Electrical stimulation/unattended 97014
|
$54.72 |
$54.72 |
$54.72 |
$81.75
|
|
Electrolyte panel
|
$53.01 |
$53.01 |
$53.01 |
$86.33
|
|
Emb without cervical dilation 58100
|
$350.55 |
$350.55 |
$350.55 |
$397.66
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$362.52 |
$362.52 |
$362.52 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$424.08 |
$424.08 |
$424.08 |
$487.20
|
|
Emg needle test 1-extremity
|
$242.25 |
$242.25 |
$242.25 |
$342.24
|
|
Emg needle test 4-extremities
|
$465.69 |
$465.69 |
$465.69 |
$570.50
|
|
Endo cath panc duct s&i
|
$413.25 |
$413.25 |
$413.25 |
$645.00
|
|
Endocerv curettage w/scope 57456
|
$430.92 |
$430.92 |
$430.92 |
$515.50
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$61.15 |
$61.15 |
$61.15 |
$11,414.06
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$5.47 |
$5.47 |
$5.47 |
$115.05
|
|
Entamoeba histolytica ag eia - sendout
|
$26.22 |
$26.22 |
$26.22 |
$66.47
|
|
Enterectomy small intestine single 44120
|
$2,399.13 |
$2,399.13 |
$2,399.13 |
$3,002.40
|
|
Epidural/lumbar/sacral/ea add level64484
|
$408.69 |
$408.69 |
$408.69 |
$1,182.00
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$21.45 |
$21.45 |
$21.45 |
$957.58
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$13.11 |
$13.11 |
$13.11 |
$1,048.72
|
|
Epstein barr early antigen antibody
|
$66.12 |
$66.12 |
$66.12 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$57.00 |
$57.00 |
$57.00 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$64.41 |
$64.41 |
$64.41 |
$95.04
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$133.39 |
$133.39 |
$133.39 |
$282.06
|
|
ER Visit (level 1, minor)
|
$117.42 |
$117.42 |
$117.42 |
$276.70
|
|
ER Visit (level 2)
|
$262.77 |
$262.77 |
$262.77 |
$487.50
|
|
ER Visit (level 3)
|
$411.54 |
$411.54 |
$411.54 |
$850.50
|
|
ER Visit (level 4)
|
$675.45 |
$675.45 |
$675.45 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$1,957.38 |
$1,957.38 |
$1,957.38 |
$2,007.00
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$25.14 |
$25.14 |
$25.14 |
$504.11
|
