|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$38.38 |
$41.81 |
$797.62 |
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$0.18 |
$80.15 |
$95.72 |
|
|
Doppler echo complete
|
$161.41 |
$245.67 |
$647.03 |
|
|
Doppler intravascular pressure flow initial vessel
|
$573.62 |
$986.46 |
$4,027.81 |
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$193.07 |
$304.42 |
$1,293.31 |
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$161.95 |
$236.16 |
$851.08 |
|
|
Doripenem 50 mg/ml inj 10 ml
|
$2.68 |
$2.68 |
$2.68 |
|
|
Dornhoffer fixed part w/window
|
$38,128.57 |
$59,569.09 |
$110,597.02 |
|
|
Dorsi & plantar flex ass/res
|
$671.56 |
$671.56 |
$671.56 |
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$0.08 |
$59.21 |
$87.91 |
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$3,109.48 |
$3,109.48 |
$4,635.87 |
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$44.32 |
$60.77 |
$66.20 |
|
|
Dpyd gene common variants
|
$56.48 |
$183.77 |
$718.26 |
|
|
Drainage lymph node lesion 38300
|
$749.74 |
$1,258.77 |
$1,779.65 |
|
|
Drainage of arm bursa 23931
|
$237.44 |
$237.44 |
$237.44 |
|
|
Drainage of bladder abscess
|
$1,389.80 |
$1,389.80 |
$1,534.07 |
|
|
Drainage of kidney lesion
|
$290.51 |
$541.27 |
$2,120.64 |
|
|
Drainage of pelvis lesion 26990
|
$2,121.26 |
$2,121.26 |
$2,310.97 |
|
|
Drainage of prostate abscess
|
$1,747.85 |
$1,747.85 |
$1,747.85 |
|
|
Drainage of rectal abscess
|
$422.94 |
$422.94 |
$422.94 |
|
|
Drain bladder by trocar/cath
|
$274.29 |
$615.26 |
$3,387.68 |
|
|
Drain blood from under nail 11740
|
$48.69 |
$48.69 |
$467.46 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$901.97 |
$995.60 |
$2,380.99 |
|
|
Drain cath image guided visceral pq
|
$577.61 |
$794.02 |
$3,147.57 |
|
|
Drain cerebro spinal fluid 62272
|
$53.67 |
$363.20 |
$1,210.95 |
|
|
Drain finger abscess;simple 26010
|
$169.09 |
$169.09 |
$663.35 |
|
|
Drain lower leg lesion 27603
|
$608.44 |
$2,561.85 |
$4,784.77 |
|
|
Drain neck/chest lesion 21501
|
$398.47 |
$398.47 |
$761.30 |
|
|
Drain open lung lesion 32200
|
$1,738.51 |
$1,738.51 |
$1,738.51 |
|
|
Drain shoulder bursa 23031
|
$720.67 |
$1,164.45 |
$1,467.89 |
|
|
Drain thigh/knee lesion 27301
|
$790.23 |
$927.87 |
$3,782.81 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$107.75 |
$117.39 |
$737.55 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$53.67 |
$160.13 |
$609.19 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$340.65 |
$340.65 |
$340.65 |
|
|
Dressing change not for burn w/anes 15852
|
$70.49 |
$70.49 |
$70.49 |
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$6,551.30 |
$8,648.63 |
$9,422.08 |
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$1,406.84 |
$1,406.84 |
$1,406.84 |
|
|
Drill hole implt ventricular cath/device 61107
|
$477.85 |
$477.85 |
$2,330.20 |
|
|
Drng of eyelid abscess 67700
|
$209.12 |
$209.12 |
$209.12 |
|
|
Drng of finger abscess comp 26011
|
$289.38 |
$289.38 |
$289.38 |
|
|
Drng of hydrocele 55000
|
$278.02 |
$306.88 |
$337.59 |
|
|
Drng of scrotum abscess 55100
|
$204.41 |
$204.41 |
$356.16 |
|
|
Drng open retroperitoneal abscess 49060
|
$1,556.72 |
$1,556.72 |
$1,556.72 |
|
|
Drng peritoneal abscess open 49020
|
$2,243.07 |
$2,243.07 |
$2,824.19 |
|
|
Dronabinol 2.5mg oral
|
$11.13 |
$11.13 |
$11.13 |
|
|
Droperidol 2.5 mg/ml injection solution
|
$0.08 |
$13.29 |
$70.49 |
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$270.68 |
$2,520.08 |
$7,247.26 |
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$267.02 |
$811.80 |
$884.40 |
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$205.14 |
$478.97 |
$521.80 |
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$216.48 |
$235.84 |
$341.51 |
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$3,934.04 |
$3,934.04 |
$4,285.86 |
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$89.96 |
$119.00 |
$29,737.02 |
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$36.59 |
$36.59 |
$36.59 |
|
|
Drug admin & hemodynmic meas
|
$414.12 |
$578.59 |
$922.28 |
|
|
Drug assay caffeine
|
$9.74 |
$18.79 |
$241.15 |
|
|
Drug assay posaconazole
|
$9.91 |
$19.59 |
$243.34 |
|
|
Drug assay rufinamide
|
$17.55 |
$18.49 |
$89.77 |
|
|
Drug assay vedolizumab
|
$47.55 |
$52.62 |
$304.99 |
|
|
Drug assay voriconazole
|
$10.67 |
$20.32 |
$157.31 |
|
|
Drug asy hydroxychloroquine
|
$24.44 |
$45.98 |
$163.25 |
|
|
Drug of abuse screen urine
|
$5.38 |
$10.37 |
$287.16 |
|
|
Drug screening tapentadol
|
$4.70 |
$8.85 |
$31.42 |
|
|
Drug screen quant tiagabine
|
$130.60 |
$130.60 |
$130.60 |
|
|
Drug test def 15-21 classes
|
$59.32 |
$179.54 |
$213.05 |
|
|
Drug test def 1-7 classes
|
$117.25 |
$246.00 |
$356.91 |
|
|
Drug test def 22+ classes
|
$182.06 |
$243.05 |
$335.02 |
|
|
Drug test prsmv instrmnt
|
$24.44 |
$29.17 |
$33.84 |
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$37.72 |
$74.53 |
$502.50 |
|
|
Drvvt confirm - quest
|
$9.99 |
$10.31 |
$125.40 |
|
|
Dstrj nulyt agt gnclr nrv
|
$238.19 |
$1,690.48 |
$2,923.45 |
|
|
Dstr mal les s/n/h/f/g >4.0
|
$292.35 |
$292.35 |
$292.35 |
|
|
Ductogram sgl duct
|
$151.81 |
$212.83 |
$689.32 |
|
|
Duodenal motility study
|
$760.14 |
$760.14 |
$760.14 |
|
|
Duplex scan bilateral study 93985
|
$270.50 |
$311.49 |
$379.33 |
|
|
Duplex scan unilateral study 93986
|
$185.72 |
$189.48 |
$213.86 |
|
|
Dup scan/hemodialysis access 93990
|
$93.15 |
$183.06 |
$443.12 |
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$173.13 |
$247.40 |
$731.62 |
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$300.91 |
$442.02 |
$1,685.83 |
|
|
Duragen 1x1 5ea/bx
|
$367.77 |
$400.66 |
$2,293.15 |
|
|
Durvalumab 50 mg/ml intravenous solution
|
$6,523.04 |
$6,523.04 |
$6,523.04 |
|
|
Dxa bone density axl vrt fx
|
$93.18 |
$100.67 |
$229.97 |
|
|
Dx aly aud oi snd prcsr 1st
|
$168.00 |
$168.00 |
$275.27 |
|
|
Dx aly aud oi snd prcsr each
|
$42.00 |
$42.00 |
$68.63 |
|
|
Dx bronchoscope/brush 31623
|
$1,929.49 |
$1,929.49 |
$2,372.18 |
|
|
Dx bronchoscope/lavage 31624
|
$2,372.92 |
$2,444.04 |
$2,637.04 |
|
|
Dx bronchoscope/wash 31622
|
$2,108.64 |
$2,108.64 |
$2,514.64 |
|
|
Dx gastr intub w/asp spec
|
$192.38 |
$209.58 |
$468.72 |
|
|
Dynamic cavernosometry
|
$792.98 |
$795.56 |
$914.38 |
|
|
Ear irrigation 69209
|
$495.66 |
$495.66 |
$495.66 |
|
|
Ecg/1-3 leads/interp & report only 93042
|
$11.88 |
$11.88 |
$11.88 |
|
|
Ecg/1-3 leads/tracing only 93041
|
$17.38 |
$46.00 |
$146.48 |
|
|
Ecg < 30 days transmission & analysis
|
$165.82 |
$198.26 |
$344.85 |
|
|
Ecg external < 48 hours recording
|
$28.94 |
$112.55 |
$269.45 |
|
|
Ecg external < 48 hours scanning analysis w/report
|
$92.11 |
$174.46 |
$560.02 |
|
|
Ecg external > 48 hours up to 7 days recording
|
$70.29 |
$73.01 |
$77.96 |
|
|
Ecg external >7 days up to 15 days recording
|
$77.96 |
$77.96 |
$77.96 |
|
|
Ecg/review interpret only
|
$37.85 |
$37.85 |
$37.85 |
|
|
Echocardiogram (Heart Ultrasound)
|
$471.33 |
$658.79 |
$2,545.81 |
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$170.56 |
$254.12 |
$776.88 |
|
|
Echocardiography doppler color flow mapping
|
$90.69 |
$150.06 |
$343.80 |
|
