|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$442.44 |
$442.44 |
$442.44 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$59.85 |
$59.85 |
$59.85 |
$65.40
|
|
Doppler echo complete
|
$156.18 |
$156.18 |
$156.18 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$2,386.97 |
$2,386.97 |
$2,386.97 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$222.30 |
$222.30 |
$222.30 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$205.39 |
$205.39 |
$205.39 |
$471.17
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$219.60 |
$219.60 |
$219.60 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,098.56 |
$1,098.56 |
$1,098.56 |
$1,718.24
|
|
Dpyd gene common variants
|
$80.94 |
$80.94 |
$80.94 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$170.81 |
$170.81 |
$170.81 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$170.81 |
$170.81 |
$170.81 |
$914.34
|
|
Drainage external ear simple 69000
|
$170.81 |
$170.81 |
$170.81 |
$789.60
|
|
Drainage mouth roof lesion
|
$101.46 |
$101.46 |
$101.46 |
$390.39
|
|
Drainage of arm bursa 23931
|
$692.74 |
$692.74 |
$692.74 |
$2,197.48
|
|
Drainage of eye
|
$1,331.14 |
$1,331.14 |
$1,331.14 |
$2,360.00
|
|
Drainage of kidney lesion
|
$485.07 |
$485.07 |
$485.07 |
$1,506.00
|
|
Drainage of mouth lesion
|
$1,562.94 |
$1,562.94 |
$1,562.94 |
$3,544.29
|
|
Drainage of nose lesion int 30000
|
$83.41 |
$83.41 |
$83.41 |
$491.40
|
|
Drainage of nose lesion sept 30020
|
$101.46 |
$101.46 |
$101.46 |
$781.44
|
|
Drain blood from under nail 11740
|
$31.92 |
$31.92 |
$31.92 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$697.11 |
$697.11 |
$697.11 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$697.11 |
$697.11 |
$697.11 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$345.80 |
$345.80 |
$345.80 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$75.81 |
$75.81 |
$75.81 |
$419.00
|
|
Drain thigh/knee lesion 27301
|
$559.17 |
$559.17 |
$559.17 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$74.86 |
$74.86 |
$74.86 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$58.71 |
$58.71 |
$58.71 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$87.40 |
$87.40 |
$87.40 |
$523.00
|
|
Drng of eyelid abscess 67700
|
$83.03 |
$83.03 |
$83.03 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$382.28 |
$382.28 |
$382.28 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$130.15 |
$130.15 |
$130.15 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$410.02 |
$410.02 |
$410.02 |
$1,917.33
|
|
Drng salivary gland simple 42300
|
$452.77 |
$452.77 |
$452.77 |
$2,133.48
|
|
Dronabinol 2.5mg oral
|
$43.13 |
$43.13 |
$43.13 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$24.76 |
$24.76 |
$24.76 |
$31.07
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$6.27 |
$6.27 |
$6.27 |
$127.14
|
|
Drug admin & hemodynmic meas
|
$98.99 |
$98.99 |
$98.99 |
$569.75
|
|
Drug assay caffeine
|
$26.41 |
$26.41 |
$26.41 |
$83.40
|
|
Drug assay rufinamide
|
$14.63 |
$14.63 |
$14.63 |
$85.80
|
|
Drug assay vedolizumab
|
$26.79 |
$26.79 |
$26.79 |
$152.79
|
|
Drug assay voriconazole
|
$122.17 |
$122.17 |
$122.17 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$11.78 |
$11.78 |
$11.78 |
$66.43
|
|
Drug of abuse screen urine
|
$10.64 |
$10.64 |
$10.64 |
$63.75
|
|
Drug test def 1-7 classes
|
$53.01 |
$53.01 |
$53.01 |
$250.52
|
|
Drug test prsmv instrmnt
|
$13.87 |
$13.87 |
$13.87 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$56.24 |
$56.24 |
$56.24 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$1,052.41 |
$1,052.41 |
$1,052.41 |
$3,020.80
|
|
Ductogram sgl duct
|
$105.83 |
$105.83 |
$105.83 |
$463.10
|
|
Duplex scan unilateral study 93986
|
$112.10 |
$112.10 |
$112.10 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$194.37 |
$194.37 |
$194.37 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$222.30 |
$222.30 |
$222.30 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$209.19 |
$209.19 |
$209.19 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$42.75 |
$42.75 |
$42.75 |
$392.60
|
|
Ear irrigation 69209
|
$18.62 |
$18.62 |
$18.62 |
$149.76
|
|
Ecg 12 lead tracing only
|
$63.27 |
$63.27 |
$63.27 |
$226.50
|
|
Ecg external < 48 hours recording
|
$166.63 |
$166.63 |
$166.63 |
$462.00
|
|
Echocardiogram (Heart Ultrasound)
|
$415.15 |
$415.15 |
$415.15 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$133.57 |
$133.57 |
$133.57 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$509.58 |
$509.58 |
$509.58 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$195.70 |
$195.70 |
$195.70 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$424.27 |
$424.27 |
$424.27 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$103.36 |
$103.36 |
$103.36 |
$362.50
|
|
Echograp trans r pros study
|
$74.86 |
$74.86 |
$74.86 |
$459.40
|
|
Echo guidance radiotherapy
|
$31.35 |
$31.35 |
$31.35 |
$812.00
|
|
Echo guide for artery repair
|
$103.74 |
$103.74 |
$103.74 |
$664.00
|
|
Echo stress
|
$342.00 |
$342.00 |
$342.00 |
$1,592.05
|
|
Echo tee guidance
|
$539.41 |
$539.41 |
$539.41 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$374.68 |
$374.68 |
$374.68 |
$1,849.50
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$260.87 |
$260.87 |
$260.87 |
$985.15
|
|
Edetate calcium disodium inj
|
$16,478.34 |
$16,478.34 |
$16,478.34 |
$8,569.35
|
|
Eeg 41-60 minutes 95812-26
|
$143.26 |
$143.26 |
$143.26 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$117.99 |
$117.99 |
$117.99 |
$1,000.42
|
|
Eeg monitor/record/awake/drowsy 95816
|
$102.60 |
$102.60 |
$102.60 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$143.26 |
$143.26 |
$143.26 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$117.99 |
$117.99 |
$117.99 |
$907.80
|
|
Eeg recording awake and asleep
|
$117.99 |
$117.99 |
$117.99 |
$931.20
|
|
E equine encephalitis igg
|
$6.65 |
$6.65 |
$6.65 |
$49.92
|
|
Egd guide wire insertion
|
$157.51 |
$157.51 |
$157.51 |
$1,664.00
|
|
Egfr gene com variants
|
$171.19 |
$171.19 |
$171.19 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$21.47 |
$21.47 |
$21.47 |
$93.00
|
|
Elec analys infus pump w/reprog 62368
|
$127.30 |
$127.30 |
$127.30 |
$616.11
|
|
Electrolyte panel
|
$23.56 |
$23.56 |
$23.56 |
$84.24
|
|
Electron microscopy diagnostic
|
$208.81 |
$208.81 |
$208.81 |
$983.41
|
|
Electrophysiologic study
|
$2,420.98 |
$2,420.98 |
$2,420.98 |
$6,758.40
|
|
Electrophysiology evaluation
|
$2,039.08 |
$2,039.08 |
$2,039.08 |
$8,979.45
|
|
Electrophysiology evaluation
|
$2,330.35 |
$2,330.35 |
$2,330.35 |
$10,233.60
|
|
Electrophysiology evaluation
|
$416.86 |
$416.86 |
$416.86 |
$6,760.00
|
|
Electrophysiology evaluation
|
$416.86 |
$416.86 |
$416.86 |
$5,854.80
|
|
Electrophysiology evaluation
|
$688.94 |
$688.94 |
$688.94 |
$2,451.90
|
|
Electrophysiology evaluation
|
$688.94 |
$688.94 |
$688.94 |
$2,821.00
|
|
Electrophys map 3d add-on
|
$416.86 |
$416.86 |
$416.86 |
$5,881.00
|
|
Embolization s&i
|
$341.05 |
$341.05 |
$341.05 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$4,717.32 |
$4,717.32 |
$4,717.32 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$4,544.04 |
$4,544.04 |
$4,544.04 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$4,544.04 |
$4,544.04 |
$4,544.04 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$4,717.32 |
$4,717.32 |
$4,717.32 |
$14,586.00
|
|
Emb without cervical dilation 58100
|
$80.75 |
$80.75 |
$80.75 |
$370.50
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$168.15 |
$168.15 |
$168.15 |
$375.20
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$233.89 |
$233.89 |
$233.89 |
$464.00
|
|
Emg needle test 1-extremity
|
$121.22 |
$121.22 |
$121.22 |
$334.34
|