|
Dilator fascial 10fx20cm
|
$461.60 |
$461.60 |
$521.80 |
$402.10
|
|
Dilat xst trc new access rcs
|
$3,659.81 |
$3,659.81 |
$3,659.81 |
$4,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$14.48 |
$14.48 |
$14.48 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$11.80 |
$11.80 |
$11.80 |
$98.15
|
|
Disability dlco
|
$120.87 |
$120.87 |
$120.87 |
$293.76
|
|
Disaccharidases
|
$70.95 |
$70.95 |
$359.88 |
$230.40
|
|
Dissolve clot heart vessel
|
$573.79 |
$573.79 |
$573.79 |
$1,579.93
|
|
Dmpk gene detc abnor allele
|
$146.87 |
$146.87 |
$146.87 |
$313.60
|
|
Dna antibody native/double stranded
|
$20.91 |
$20.91 |
$21.51 |
$100.00
|
|
Dna gardnerella
|
$20.50 |
$20.50 |
$20.50 |
$61.83
|
|
Dna trichomonas
|
$20.50 |
$20.50 |
$20.50 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$93.80 |
$93.80 |
$93.80 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$41.81 |
$41.81 |
$41.81 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$93.80 |
$93.80 |
$93.80 |
$65.40
|
|
Doppler echo complete
|
$280.33 |
$280.33 |
$282.41 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$962.40 |
$962.40 |
$2,387.62 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$321.87 |
$321.87 |
$352.91 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$209.04 |
$209.04 |
$301.82 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$52,678.62 |
$52,678.62 |
$61,978.13 |
$34,278.00
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$87.91 |
$87.91 |
$87.91 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$4,635.87 |
$4,635.87 |
$4,635.87 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$66.20 |
$66.20 |
$66.20 |
$89.34
|
|
Dpyd gene common variants
|
$187.40 |
$187.40 |
$257.12 |
$423.60
|
|
Drainage lymph node lesion 38300
|
$1,779.65 |
$1,779.65 |
$1,779.65 |
$3,088.80
|
|
Drainage of kidney lesion
|
$689.58 |
$689.58 |
$689.58 |
$1,506.00
|
|
Drainage of pelvis lesion 26990
|
$2,310.97 |
$2,310.97 |
$2,310.97 |
$3,863.70
|
|
Drain bladder by trocar/cath
|
$298.82 |
$298.82 |
$811.35 |
$1,203.94
|
|
Drain cath image guided visceral pq
|
$629.27 |
$629.27 |
$1,011.59 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$462.73 |
$462.73 |
$462.73 |
$1,044.00
|
|
Drain lower leg lesion 27603
|
$2,790.96 |
$2,790.96 |
$2,790.96 |
$3,994.09
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$117.39 |
$117.39 |
$117.39 |
$397.65
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$9,422.08 |
$9,422.08 |
$9,422.08 |
$3,789.86
|
|
Droperidol 2.5 mg/ml injection solution
|
$14.48 |
$14.48 |
$14.48 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,622.00 |
$2,622.00 |
$7,247.26 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$884.40 |
$884.40 |
$884.40 |
$119.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$521.80 |
$521.80 |
$521.80 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$235.84 |
$235.84 |
$235.84 |
$193.15
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$4,285.86 |
$4,285.86 |
$4,285.86 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$119.43 |
$119.43 |
$29,737.02 |
$7,465.97
|
|
Drug admin & hemodynmic meas
|
$587.40 |
$587.40 |
$587.40 |
$569.75
|
|
Drug assay caffeine
|
$22.74 |
$22.74 |
$41.35 |
$80.00
|
|
Drug assay posaconazole
|
$23.13 |
$23.13 |
$29.07 |
$96.75
|
|
Drug assay vedolizumab
|
$304.99 |
$304.99 |
$304.99 |
$154.00
|
|
Drug assay voriconazole
|
$24.89 |
$24.89 |
$29.07 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$57.04 |
$57.04 |
$57.04 |
$66.43
|
|
Drug of abuse screen urine
|
$12.54 |
$12.54 |
$13.67 |
$67.89
|
|
Drug screening tapentadol
|
$10.98 |
$10.98 |
$10.98 |
$47.03
|
|
Drug test def 15-21 classes
|
$213.05 |
$213.05 |
$213.05 |
$322.50
|
|
Drug test def 1-7 classes
|
$268.00 |
$268.00 |
$268.00 |
$263.25
|
|
Drug test def 22+ classes
|
$264.79 |
$264.79 |
$264.79 |
$426.24
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$88.00 |
$88.00 |
$502.50 |
$278.85
|
|
Dup scan/hemodialysis access 93990
|
$212.22 |
$212.22 |
$213.06 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$320.95 |
$320.95 |
$320.95 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$535.79 |
$535.79 |
$826.78 |
$904.78
|
|
Duragen 1x1 5ea/bx
|
$400.66 |
$400.66 |
$400.66 |
$10,564.87
|
|
Dx gastr intub w/asp spec
|
$209.58 |
$209.58 |
$209.58 |
$441.60
|
|
Ecg/1-3 leads/tracing only 93041
|
$49.20 |
$49.20 |
$49.20 |
$132.08
|
|
Ecg external < 48 hours recording
|
$109.88 |
$109.88 |
$128.56 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$176.36 |
$176.36 |
$176.36 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$658.79 |
$658.79 |
$1,098.54 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$254.12 |
$254.12 |
$329.91 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$150.06 |
$150.06 |
$229.95 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$823.61 |
$823.61 |
$1,098.54 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$317.83 |
$317.83 |
$329.91 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$141.45 |
$141.45 |
$141.45 |
$371.25
|
|
Echo exam uterus 76831-
|
$92.20 |
$92.20 |
$269.70 |
$561.00
|
|
Echograp trans r pros study
|
$571.92 |
$571.92 |
$571.92 |
$468.00
|
|
Echo guide for amniocentesis
|
$138.77 |
$138.77 |
$321.34 |
$455.57
|
|
Echo guide for artery repair
|
$242.28 |
$242.28 |
$245.39 |
$696.30
|
|
Echo stress
|
$482.90 |
$482.90 |
$482.90 |
$1,609.44
|
|
Echo tee guidance
|
$912.54 |
$912.54 |
$912.54 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$616.48 |
$616.48 |
$951.40 |
$1,913.60
|
|
Echo transesophageal
|
$579.58 |
$579.58 |
$579.58 |
$602.00
|
|
Echo transesophageal
|
$684.21 |
$684.21 |
$684.21 |
$1,650.00
|
|
Echo transesophageal intraop
|
$440.60 |
$440.60 |
$440.60 |
$1,578.00
|
|
Echo transthoracic
|
$452.92 |
$452.92 |
$498.40 |
$1,361.75
|
|
Echo transthoracic
|
$264.70 |
$264.70 |
$264.70 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$340.46 |
$340.46 |
$340.46 |
$1,033.00
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$1,515.01 |
$1,515.01 |
$1,515.01 |
$3,099.00
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$175.01 |
$175.01 |
$175.01 |
$1,948.20
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$2,030.64 |
$2,030.64 |
$2,030.64 |
$2,055.20
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$210.12 |
$210.12 |
$210.12 |
$1,083.00
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$210.12 |
$210.12 |
$210.12 |
$970.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$210.12 |
$210.12 |
$210.12 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$210.12 |
$210.12 |
$210.12 |
$2,660.16
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$192.16 |
$192.16 |
$192.16 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$192.16 |
$192.16 |
$192.16 |
$1,282.40
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$1,450.42 |
$1,450.42 |
$1,450.42 |
$667.20
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$221.64 |
$221.64 |
$221.64 |
$520.80
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$243.88 |
$243.88 |
$243.88 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$221.64 |
$221.64 |
$221.64 |
$1,660.50
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$1,740.40 |
$1,740.40 |
$1,740.40 |
$1,220.80
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$1,740.40 |
$1,740.40 |
$1,740.40 |
$1,097.40
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$2,030.64 |
$2,030.64 |
$2,030.64 |
$576.80
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$175.01 |
$175.01 |
$175.01 |
$520.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$1,740.40 |
$1,740.40 |
$1,740.40 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$175.01 |
$175.01 |
$175.01 |
$1,518.60
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$7,342.40 |
$7,342.40 |
$7,342.40 |
$19,540.29
|
|
Eeg 41-60 minutes 95812-26
|
$229.14 |
$229.14 |
$535.73 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$220.30 |
$220.30 |
$392.95 |
$994.15
|