|
Dilat xst trc new access rcs
|
$1,821.74 |
$1,821.74 |
$3,359.38 |
$4,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$13.29 |
$13.29 |
$13.29 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$10.83 |
$10.83 |
$10.83 |
$98.15
|
|
Disability dlco
|
$103.68 |
$103.68 |
$110.95 |
$293.76
|
|
Disaccharidases
|
$60.09 |
$60.09 |
$330.33 |
$230.40
|
|
Discography cerv/thor spine
|
$1,055.54 |
$1,055.54 |
$1,055.54 |
$2,565.00
|
|
Dissolve clot heart vessel
|
$526.69 |
$526.69 |
$526.69 |
$1,579.93
|
|
Dmpk gene detc abnor allele
|
$134.81 |
$134.81 |
$134.81 |
$313.60
|
|
Dna antibody native/double stranded
|
$9.11 |
$9.11 |
$19.19 |
$100.00
|
|
Dna gardnerella
|
$9.94 |
$9.94 |
$9.94 |
$61.83
|
|
Dna trichomonas
|
$9.94 |
$9.94 |
$9.94 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$86.10 |
$86.10 |
$86.10 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$38.38 |
$38.38 |
$38.38 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$86.10 |
$86.10 |
$86.10 |
$65.40
|
|
Doppler echo complete
|
$257.32 |
$257.32 |
$323.74 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$2,191.62 |
$2,191.62 |
$2,191.62 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$295.45 |
$295.45 |
$343.48 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$191.88 |
$191.88 |
$293.76 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$48,354.26 |
$48,354.26 |
$65,701.20 |
$34,278.00
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$80.69 |
$80.69 |
$80.69 |
$450.14
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$60.77 |
$60.77 |
$60.77 |
$89.34
|
|
Dpyd gene common variants
|
$149.21 |
$149.21 |
$172.02 |
$423.60
|
|
Drainage lymph node lesion 38300
|
$1,211.42 |
$1,211.42 |
$1,211.42 |
$3,088.80
|
|
Drainage of kidney lesion
|
$469.40 |
$469.40 |
$469.40 |
$1,506.00
|
|
Drainage of pelvis lesion 26990
|
$2,121.26 |
$2,121.26 |
$2,121.26 |
$3,863.70
|
|
Drain bladder by trocar/cath
|
$274.29 |
$274.29 |
$552.29 |
$1,203.94
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$958.15 |
$958.15 |
$958.15 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$577.61 |
$577.61 |
$688.60 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$314.98 |
$314.98 |
$314.98 |
$1,044.00
|
|
Drain lower leg lesion 27603
|
$2,561.85 |
$2,561.85 |
$2,561.85 |
$3,994.09
|
|
Drain shoulder bursa 23031
|
$1,164.45 |
$1,164.45 |
$1,164.45 |
$3,322.80
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$107.75 |
$107.75 |
$107.75 |
$397.65
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$8,648.63 |
$8,648.63 |
$8,648.63 |
$3,789.86
|
|
Droperidol 2.5 mg/ml injection solution
|
$13.29 |
$13.29 |
$13.29 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,779.50 |
$2,779.50 |
$6,652.34 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$811.80 |
$811.80 |
$811.80 |
$119.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$478.97 |
$478.97 |
$478.97 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$216.48 |
$216.48 |
$216.48 |
$193.15
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$3,934.04 |
$3,934.04 |
$3,934.04 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$126.60 |
$126.60 |
$27,295.92 |
$7,465.97
|
|
Drug assay caffeine
|
$19.26 |
$19.26 |
$37.96 |
$80.00
|
|
Drug assay posaconazole
|
$19.59 |
$19.59 |
$26.68 |
$96.75
|
|
Drug assay vedolizumab
|
$52.62 |
$52.62 |
$279.95 |
$154.00
|
|
Drug assay voriconazole
|
$21.08 |
$21.08 |
$26.68 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$48.31 |
$48.31 |
$48.31 |
$66.43
|
|
Drug of abuse screen urine
|
$10.62 |
$10.62 |
$12.55 |
$67.89
|
|
Drug screening tapentadol
|
$9.30 |
$9.30 |
$9.30 |
$47.03
|
|
Drug test def 15-21 classes
|
$195.57 |
$195.57 |
$195.57 |
$322.50
|
|
Drug test def 1-7 classes
|
$246.00 |
$246.00 |
$246.00 |
$263.25
|
|
Drug test def 22+ classes
|
$243.05 |
$243.05 |
$243.05 |
$426.24
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$74.53 |
$74.53 |
$461.25 |
$278.85
|
|
Ductogram sgl duct
|
$237.30 |
$237.30 |
$237.30 |
$469.80
|
|
Dup scan/hemodialysis access 93990
|
$195.57 |
$195.57 |
$206.55 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$312.38 |
$312.38 |
$312.38 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$521.48 |
$521.48 |
$758.91 |
$904.78
|
|
Duragen 1x1 5ea/bx
|
$367.77 |
$367.77 |
$367.77 |
$10,564.87
|
|
Dx gastr intub w/asp spec
|
$192.38 |
$192.38 |
$192.38 |
$441.60
|
|
Dynamic cavernosometry
|
$792.98 |
$792.98 |
$792.98 |
$3,442.40
|
|
Ecg/1-3 leads/tracing only 93041
|
$41.60 |
$41.60 |
$41.60 |
$132.08
|
|
Ecg external < 48 hours recording
|
$100.86 |
$100.86 |
$146.48 |
$467.40
|
|
Echocardiogram (Heart Ultrasound)
|
$755.20 |
$755.20 |
$1,008.36 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$291.31 |
$291.31 |
$302.83 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$172.02 |
$172.02 |
$211.07 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$944.14 |
$944.14 |
$1,008.36 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$302.83 |
$302.83 |
$364.34 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$162.15 |
$162.15 |
$162.15 |
$371.25
|
|
Echo exam of fetal heart
|
$499.97 |
$499.97 |
$499.97 |
$904.80
|
|
Echo exam of fetal heart
|
$238.05 |
$238.05 |
$238.05 |
$538.27
|
|
Echo exam of fetal heart
|
$265.73 |
$265.73 |
$265.73 |
$431.41
|
|
Echo exam of fetal heart
|
$208.64 |
$208.64 |
$208.64 |
$318.34
|
|
Echo exam uterus 76831-
|
$84.63 |
$84.63 |
$238.05 |
$561.00
|
|
Echograp trans r pros study
|
$182.69 |
$182.69 |
$524.97 |
$468.00
|
|
Echo guidance radiotherapy
|
$402.05 |
$402.05 |
$402.05 |
$812.00
|
|
Echo guide for amniocentesis
|
$122.48 |
$122.48 |
$294.96 |
$455.57
|
|
Echo guide for artery repair
|
$216.60 |
$216.60 |
$222.39 |
$696.30
|
|
Echo guide for heart biopsy
|
$196.87 |
$196.87 |
$196.87 |
$666.40
|
|
Echo guide for transfusion
|
$215.21 |
$215.21 |
$215.21 |
$332.39
|
|
Echo guide ova aspiration
|
$94.11 |
$94.11 |
$94.11 |
$174.20
|
|
Echo stress
|
$553.57 |
$553.57 |
$553.57 |
$1,609.44
|
|
Echo tee guidance
|
$837.63 |
$837.63 |
$837.63 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$706.69 |
$706.69 |
$873.30 |
$1,913.60
|
|
Echo transesophageal
|
$664.39 |
$664.39 |
$664.39 |
$602.00
|
|
Echo transesophageal
|
$628.04 |
$628.04 |
$628.04 |
$1,650.00
|
|
Echo transesophageal intraop
|
$404.43 |
$404.43 |
$404.43 |
$1,578.00
|
|
Echo transthoracic
|
$415.74 |
$415.74 |
$571.33 |
$1,361.75
|
|
Echo transthoracic
|
$303.43 |
$303.43 |
$303.43 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$390.29 |
$390.29 |
$390.29 |
$1,033.00
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$1,390.64 |
$1,390.64 |
$1,390.64 |
$3,099.00
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$160.64 |
$160.64 |
$160.64 |
$1,948.20
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$1,863.95 |
$1,863.95 |
$1,863.95 |
$2,055.20
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$192.87 |
$192.87 |
$192.87 |
$1,083.00
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$192.87 |
$192.87 |
$192.87 |
$970.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$192.87 |
$192.87 |
$192.87 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$192.87 |
$192.87 |
$192.87 |
$2,660.16
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$176.39 |
$176.39 |
$176.39 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$176.39 |
$176.39 |
$176.39 |
$1,282.40
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$1,331.36 |
$1,331.36 |
$1,331.36 |
$667.20
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$203.45 |
$203.45 |
$203.45 |
$520.80
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$223.86 |
$223.86 |
$223.86 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$203.45 |
$203.45 |
$203.45 |
$1,660.50
|
