|
Dna antibody native/double stranded
|
$4.85 |
$4.85 |
$4.85 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$83.42 |
$83.42 |
$83.42 |
$101.04
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$46.56 |
$46.56 |
$46.56 |
$84.30
|
|
Doppler echo complete
|
$922.96 |
$922.96 |
$922.96 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$893.37 |
$893.37 |
$893.37 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$608.19 |
$608.19 |
$608.19 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$394.79 |
$394.79 |
$394.79 |
$482.03
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$106.70 |
$106.70 |
$106.70 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,657.80 |
$2,657.80 |
$2,657.80 |
$2,417.38
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$93.12 |
$93.12 |
$93.12 |
$99.99
|
|
Drainage of kidney lesion
|
$1,172.25 |
$1,172.25 |
$1,172.25 |
$1,706.65
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,314.35 |
$1,314.35 |
$1,314.35 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$1,750.85 |
$1,750.85 |
$1,750.85 |
$3,073.90
|
|
Drain chest lesion
|
$5,884.51 |
$5,884.51 |
$5,884.51 |
$3,594.44
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$6,581.45 |
$6,581.45 |
$6,581.45 |
$9,390.80
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,045.18 |
$1,045.18 |
$1,045.18 |
$1,778.40
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$1,045.18 |
$1,045.18 |
$1,045.18 |
$3,374.24
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$5,060.98 |
$5,060.98 |
$5,060.98 |
$318.13
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$11,125.90 |
$11,125.90 |
$11,125.90 |
$127.14
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$6,581.45 |
$6,581.45 |
$6,581.45 |
$6,581.45
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$29,582.58 |
$29,582.58 |
$29,582.58 |
$18,384.03
|
|
Drug admin & hemodynmic meas
|
$542.23 |
$542.23 |
$542.23 |
$528.50
|
|
Drug assay voriconazole
|
$25.71 |
$25.71 |
$25.71 |
$96.75
|
|
Drug test def 15-21 classes
|
$48.50 |
$48.50 |
$48.50 |
$144.42
|
|
Drug test def 1-7 classes
|
$195.94 |
$195.94 |
$195.94 |
$250.52
|
|
Drug test def 22+ classes
|
$87.30 |
$87.30 |
$87.30 |
$246.92
|
|
Drug test def 8-14 classes
|
$347.75 |
$347.75 |
$347.75 |
$172.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$16.20 |
$16.20 |
$16.20 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$2,705.33 |
$2,705.33 |
$2,705.33 |
$3,390.00
|
|
Duplex scan bilateral study 93985
|
$300.22 |
$300.22 |
$300.22 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$145.02 |
$145.02 |
$145.02 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$204.19 |
$204.19 |
$204.19 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$757.57 |
$757.57 |
$757.57 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$912.77 |
$912.77 |
$912.77 |
$903.00
|
|
Dx bronchoscope/brush 31623
|
$1,255.67 |
$1,255.67 |
$1,255.67 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,499.14 |
$1,499.14 |
$1,499.14 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,431.24 |
$1,431.24 |
$1,431.24 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$536.90 |
$536.90 |
$536.90 |
$368.50
|
|
Ecg 12 lead tracing only
|
$290.52 |
$290.52 |
$290.52 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$75.18 |
$75.18 |
$75.18 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$176.06 |
$176.06 |
$176.06 |
$429.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$397.70 |
$397.70 |
$397.70 |
$567.00
|
|
Ecg external >7 days up to 15 days recording
|
$71.78 |
$71.78 |
$71.78 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,114.60 |
$2,114.60 |
$2,114.60 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$443.78 |
$443.78 |
$443.78 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$643.60 |
$643.60 |
$643.60 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$675.61 |
$675.61 |
$675.61 |
$762.00
|
|
Echo exam uterus 76831-
|
$771.64 |
$771.64 |
$771.64 |
$547.20
|
|
Echo guide for amniocentesis
|
$533.99 |
$533.99 |
$533.99 |
$384.65
|
|
Echo stress
|
$1,879.38 |
$1,879.38 |
$1,879.38 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,736.79 |
$1,736.79 |
$1,736.79 |
$1,871.10
|
|
Echo transesophageal intraop
|
$762.42 |
$762.42 |
$762.42 |
$1,571.70
|
|
Echo transthoracic
|
$1,580.62 |
$1,580.62 |
$1,580.62 |
$1,492.50
|
|
Echo transthoracic
|
$980.19 |
$980.19 |
$980.19 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$675.61 |
$675.61 |
$675.61 |
$1,014.01
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$99.43 |
$99.43 |
$99.43 |
$81.90
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$309.43 |
$309.43 |
$309.43 |
$1,049.59
|
|
Eeg monitor/record/awake/drowsy 95816
|
$554.36 |
$554.36 |
$554.36 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$536.90 |
$536.90 |
$536.90 |
$1,119.54
|
|
Eeg recording awake and asleep
|
$630.02 |
$630.02 |
$630.02 |
$1,030.27
|
|
Electrd sq emblem s-icd
|
$11,125.90 |
$11,125.90 |
$11,125.90 |
$9,175.83
|
|
Electrolyte panel
|
$302.16 |
$302.16 |
$302.16 |
$86.33
|
|
Electrophysiologic study
|
$5,387.87 |
$5,387.87 |
$5,387.87 |
$6,758.40
|
|
Electrophysiology evaluation
|
$5,001.32 |
$5,001.32 |
$5,001.32 |
$8,979.45
|
|
Electrophysiology evaluation
|
$7,814.81 |
$7,814.81 |
$7,814.81 |
$11,175.42
|
|
Electrophysiology evaluation
|
$1,406.50 |
$1,406.50 |
$1,406.50 |
$7,769.30
|
|
Electrophysiology evaluation
|
$2,109.75 |
$2,109.75 |
$2,109.75 |
$6,516.00
|
|
Electrophysiology evaluation
|
$1,946.79 |
$1,946.79 |
$1,946.79 |
$2,845.10
|
|
Electrophysiology evaluation
|
$995.22 |
$995.22 |
$995.22 |
$2,803.20
|
|
Electrophys map 3d add-on
|
$3,177.24 |
$3,177.24 |
$3,177.24 |
$6,534.00
|
|
Embolization s&i
|
$730.90 |
$730.90 |
$730.90 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$14,906.48 |
$14,906.48 |
$14,906.48 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$13,551.39 |
$13,551.39 |
$13,551.39 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$13,551.39 |
$13,551.39 |
$13,551.39 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$14,228.93 |
$14,228.93 |
$14,228.93 |
$15,038.25
|
|
Emb w/colposcopy 58110
|
$115.43 |
$115.43 |
$115.43 |
$290.55
|
|
Emb without cervical dilation 58100
|
$273.06 |
$273.06 |
$273.06 |
$397.66
|
|
Endo cath bile duct s&i
|
$211.95 |
$211.95 |
$211.95 |
$612.37
|
|
Endo cath panc duct s&i
|
$211.95 |
$211.95 |
$211.95 |
$645.00
|
|
Endocerv curettage w/scope 57456
|
$357.93 |
$357.93 |
$357.93 |
$515.50
|
|
Endocervical curettage 57505
|
$742.54 |
$742.54 |
$742.54 |
$1,030.40
|
|
Endo cholangiopancreatograph
|
$3,543.41 |
$3,543.41 |
$3,543.41 |
$4,330.80
|
|
Endo cholangiopancreatograph
|
$3,543.41 |
$3,543.41 |
$3,543.41 |
$4,450.00
|
|
Endoluminal bx biliary tree
|
$3,863.03 |
$3,863.03 |
$3,863.03 |
$2,476.50
|
|
Endoluminal bx urtr rnl plvs
|
$2,780.02 |
$2,780.02 |
$2,780.02 |
$2,172.53
|
|
Endoluminl ivus oct c 1st
|
$1,651.43 |
$1,651.43 |
$1,651.43 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$1,321.14 |
$1,321.14 |
$1,321.14 |
$2,367.97
|
|
Endovasc rpr a-biiliac endogft 34705
|
$6,495.12 |
$6,495.12 |
$6,495.12 |
$10,604.25
|
|
Endovasc visc aorta 2 graft
|
$5,256.92 |
$5,256.92 |
$5,256.92 |
$13,279.50
|
|
Endovas iliac a device addon
|
$1,243.54 |
$1,243.54 |
$1,243.54 |
$1,764.36
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$396.25 |
$396.25 |
$396.25 |
$121.63
|
|
Ep & ablate supravent arrhyt
|
$13,439.35 |
$13,439.35 |
$13,439.35 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$17,874.19 |
$17,874.19 |
$17,874.19 |
$30,975.00
|
|
Ep induct arrhy by elect pacing
|
$995.22 |
$995.22 |
$995.22 |
$2,753.40
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$5,261.28 |
$5,261.28 |
$5,261.28 |
$3,762.53
|
|
Epoetin alfa, 100 units esrd
|
$529.14 |
$529.14 |
$529.14 |
$41.32
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$105.73 |
$105.73 |
$105.73 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$529.14 |
$529.14 |
$529.14 |
$950.55
|
|
Epstein barr early antigen antibody
|
$3.28 |
$3.28 |
$3.28 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$3.28 |
$3.28 |
$3.28 |
$81.81
|