|
Doppler upper/lower extremity arteries limited bilateral
|
$341.28 |
$341.28 |
$341.28 |
$482.03
|
|
Dornase alfa non-comp unit
|
$466.14 |
$466.14 |
$466.14 |
$479.80
|
|
Dornhoffer fixed part w/window
|
$34,910.88 |
$34,910.88 |
$34,910.88 |
$28,091.95
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$398.25 |
$398.25 |
$398.25 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$557.80 |
$557.80 |
$557.80 |
$2,417.38
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$87.58 |
$87.58 |
$87.58 |
$99.99
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$668.64 |
$668.64 |
$668.64 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$581.28 |
$581.28 |
$581.28 |
$900.80
|
|
Drainage external ear complex 69005
|
$2,160.48 |
$2,160.48 |
$2,160.48 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$668.64 |
$668.64 |
$668.64 |
$809.25
|
|
Drainage lymph node lesion 38300
|
$3,648.96 |
$3,648.96 |
$3,648.96 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$355.20 |
$355.20 |
$355.20 |
$474.39
|
|
Drainage of arm bursa 23931
|
$3,091.20 |
$3,091.20 |
$3,091.20 |
$2,419.30
|
|
Drainage of eye
|
$3,639.84 |
$3,639.84 |
$3,639.84 |
$2,503.62
|
|
Drainage of kidney lesion
|
$668.64 |
$668.64 |
$668.64 |
$1,706.65
|
|
Drainage of mouth lesion
|
$355.20 |
$355.20 |
$355.20 |
$455.56
|
|
Drainage of mouth lesion
|
$2,122.56 |
$2,122.56 |
$2,122.56 |
$2,320.03
|
|
Drainage of mouth lesion
|
$2,889.12 |
$2,889.12 |
$2,889.12 |
$3,986.00
|
|
Drainage of mouth lesion
|
$1,255.68 |
$1,255.68 |
$1,255.68 |
$799.40
|
|
Drainage of mouth lesion
|
$4,121.76 |
$4,121.76 |
$4,121.76 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$355.20 |
$355.20 |
$355.20 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,255.68 |
$1,255.68 |
$1,255.68 |
$755.95
|
|
Drainage of pelvis lesion 26990
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$3,969.00
|
|
Drainage of rectal abscess
|
$996.96 |
$996.96 |
$996.96 |
$2,299.90
|
|
Drainage of salivary gland
|
$4,121.76 |
$4,121.76 |
$4,121.76 |
$3,837.72
|
|
Drainage of salivary gland
|
$1,255.68 |
$1,255.68 |
$1,255.68 |
$629.60
|
|
Drainage of urethra abscess 53060
|
$2,423.52 |
$2,423.52 |
$2,423.52 |
$2,459.34
|
|
Drain bladder by trocar/cath
|
$571.68 |
$571.68 |
$571.68 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$150.24 |
$150.24 |
$150.24 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$3,613.44 |
$3,613.44 |
$3,613.44 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$4,609.92 |
$4,609.92 |
$4,609.92 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$939.84 |
$939.84 |
$939.84 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$329.28 |
$329.28 |
$329.28 |
$492.81
|
|
Drain lower leg bursa
|
$5,214.24 |
$5,214.24 |
$5,214.24 |
$3,839.54
|
|
Drain lower leg lesion 27603
|
$3,648.96 |
$3,648.96 |
$3,648.96 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$3,648.96 |
$3,648.96 |
$3,648.96 |
$3,386.84
|
|
Drain penis lesion
|
$2,484.96 |
$2,484.96 |
$2,484.96 |
$2,005.32
|
|
Drain shoulder lesion
|
$4,196.16 |
$4,196.16 |
$4,196.16 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$5,811.84 |
$5,811.84 |
$5,811.84 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$298.08 |
$298.08 |
$298.08 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$298.08 |
$298.08 |
$298.08 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$331.20 |
$331.20 |
$331.20 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$790.56 |
$790.56 |
$790.56 |
$790.56
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$19,729.13 |
$19,729.13 |
$19,729.13 |
$9,390.80
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$5,169.12 |
$5,169.12 |
$5,169.12 |
$1,667.40
|
|
Drill hole implt ventricular cath/device 61107
|
$5,944.32 |
$5,944.32 |
$5,944.32 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$460.80 |
$460.80 |
$460.80 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$2,160.48 |
$2,160.48 |
$2,160.48 |
$2,048.00
|
|
Drng of mouth lesion 40801
|
$1,255.68 |
$1,255.68 |
$1,255.68 |
$1,145.97
|
|
Drng of pelvic abscess transrectal 45000
|
$2,174.88 |
$2,174.88 |
$2,174.88 |
$1,614.45
|
|
Drng of scrotum abscess 55100
|
$1,804.32 |
$1,804.32 |
$1,804.32 |
$2,069.60
|
|
Drng salivary gland simple 42300
|
$2,437.92 |
$2,437.92 |
$2,437.92 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$1,255.68 |
$1,255.68 |
$1,255.68 |
$602.63
|
|
Droperidol 2.5 mg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$39.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$5,566.97 |
$5,566.97 |
$5,566.97 |
$1,778.40
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$4,827.61 |
$4,827.61 |
$4,827.61 |
$3,374.24
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$752.96 |
$752.96 |
$752.96 |
$468.29
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$9,437.85 |
$9,437.85 |
$9,437.85 |
$6,581.45
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$36,942.07 |
$36,942.07 |
$36,942.07 |
$18,384.03
|
|
Drug admin & hemodynmic meas
|
$328.80 |
$328.80 |
$328.80 |
$528.50
|
|
Drug assay voriconazole
|
$76.32 |
$76.32 |
$76.32 |
$96.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$204.81 |
$204.81 |
$204.81 |
$278.85
|
|
Drvvt confirm - quest
|
$3.31 |
$3.31 |
$3.31 |
$101.66
|
|
Ductogram sgl duct
|
$355.20 |
$355.20 |
$355.20 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$277.92 |
$277.92 |
$277.92 |
$673.00
|
|
Dup scan/hemodialysis access 93990
|
$244.32 |
$244.32 |
$244.32 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$371.52 |
$371.52 |
$371.52 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$2,237.76 |
$2,237.76 |
$2,237.76 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$18,873.69 |
$18,873.69 |
$18,873.69 |
$14,438.37
|
|
Durvalumab 50 mg/ml intravenous solution
|
$6,461.06 |
$6,461.06 |
$6,461.06 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$338.88 |
$338.88 |
$338.88 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$981.12 |
$981.12 |
$981.12 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$981.12 |
$981.12 |
$981.12 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$981.12 |
$981.12 |
$981.12 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$398.88 |
$398.88 |
$398.88 |
$368.50
|
|
Dx gastr intub w/asp specs
|
$299.04 |
$299.04 |
$299.04 |
$204.96
|
|
Dx laryngoscopy newborn
|
$242.88 |
$242.88 |
$242.88 |
$619.08
|
|
Dx laryngoscopy w/oper scope
|
$2,060.64 |
$2,060.64 |
$2,060.64 |
$2,040.67
|
|
Ear irrigation 69209
|
$93.60 |
$93.60 |
$93.60 |
$165.42
|
|
Ecg 12 lead tracing only
|
$170.88 |
$170.88 |
$170.88 |
$245.00
|
|
Ecg external < 48 hours recording
|
$443.52 |
$443.52 |
$443.52 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$222.72 |
$222.72 |
$222.72 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,576.80 |
$1,576.80 |
$1,576.80 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$385.44 |
$385.44 |
$385.44 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$599.04 |
$599.04 |
$599.04 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$646.56 |
$646.56 |
$646.56 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$264.48 |
$264.48 |
$264.48 |
$353.46
|
|
Echo exam of fetal heart
|
$481.44 |
$481.44 |
$481.44 |
$855.38
|
|
Echo exam of fetal heart
|
$384.48 |
$384.48 |
$384.48 |
$503.80
|
|
Echo exam of fetal heart
|
$440.16 |
$440.16 |
$440.16 |
$431.41
|
|
Echo exam of fetal heart
|
$335.04 |
$335.04 |
$335.04 |
$323.40
|
|
Echo exam uterus 76831-
|
$1,787.52 |
$1,787.52 |
$1,787.52 |
$547.20
|
|
Echograp trans r pros study
|
$983.04 |
$983.04 |
$983.04 |
$459.40
|
|
Echo guidance radiotherapy
|
$2,388.48 |
$2,388.48 |
$2,388.48 |
$774.80
|
|
Echo guide for amniocentesis
|
$378.24 |
$378.24 |
$378.24 |
$384.65
|
|
Echo guide for artery repair
|
$1,637.76 |
$1,637.76 |
$1,637.76 |
$680.28
|
|
Echo guide villus sampling
|
$209.28 |
$209.28 |
$209.28 |
$355.80
|
|
Echo stress
|
$1,251.84 |
$1,251.84 |
$1,251.84 |
$1,582.75
|
|
Echo tee guidance
|
$2,615.04 |
$2,615.04 |
$2,615.04 |
$2,007.00
|