|
Dilate biliary duct/ampulla
|
$1,156.69 |
$1,156.69 |
$1,156.69 |
$2,304.60
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$1,262.27 |
$1,262.27 |
$1,262.27 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,318.92 |
$1,318.92 |
$1,318.92 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$1,600.11 |
$1,600.11 |
$1,600.11 |
$6,280.95
|
|
Dilation of salivary duct
|
$811.13 |
$811.13 |
$811.13 |
$599.72
|
|
Dilator fascial 10fx20cm
|
$136.99 |
$136.99 |
$136.99 |
$305.68
|
|
Dilat xst trc ndurlgc px
|
$1,490.93 |
$1,490.93 |
$1,490.93 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$1,490.93 |
$1,490.93 |
$1,490.93 |
$5,020.00
|
|
Dimecaprol injection
|
$386.77 |
$386.77 |
$386.77 |
$199.46
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$17.00 |
$17.00 |
$17.00 |
$26.87
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$24.21 |
$24.21 |
$24.21 |
$106.59
|
|
Disability dlco
|
$389.34 |
$389.34 |
$389.34 |
$307.58
|
|
Disaccharidases
|
$167.79 |
$167.79 |
$167.79 |
$223.80
|
|
Discography cerv/thor spine
|
$3,967.56 |
$3,967.56 |
$3,967.56 |
$2,404.00
|
|
Dissolve clot heart vessel
|
$1,150.51 |
$1,150.51 |
$1,150.51 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$2,461.70 |
$2,461.70 |
$2,461.70 |
$2,001.55
|
|
Dna antibody native/double stranded
|
$36.05 |
$36.05 |
$36.05 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$173.04 |
$173.04 |
$173.04 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$780.74 |
$780.74 |
$780.74 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$46.87 |
$46.87 |
$46.87 |
$84.30
|
|
Doppler echo complete
|
$923.91 |
$923.91 |
$923.91 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$2,744.95 |
$2,744.95 |
$2,744.95 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$181.80 |
$181.80 |
$181.80 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$195.19 |
$195.19 |
$195.19 |
$482.03
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$113.30 |
$113.30 |
$113.30 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$2,417.38
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$99.99
|
|
Drainage of kidney lesion
|
$683.41 |
$683.41 |
$683.41 |
$1,706.65
|
|
Drain blood from under nail 11740
|
$188.49 |
$188.49 |
$188.49 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,614.66 |
$2,614.66 |
$2,614.66 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$2,448.83 |
$2,448.83 |
$2,448.83 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$602.04 |
$602.04 |
$602.04 |
$1,113.06
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$331.66 |
$331.66 |
$331.66 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$326.51 |
$326.51 |
$326.51 |
$365.60
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$5,435.31 |
$5,435.31 |
$5,435.31 |
$9,390.80
|
|
Drng of pelvic abscess transrectal 45000
|
$7,261.50 |
$7,261.50 |
$7,261.50 |
$1,614.45
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$665.38 |
$665.38 |
$665.38 |
$1,778.40
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$1,901.38 |
$1,901.38 |
$1,901.38 |
$3,374.24
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$7,065.80 |
$7,065.80 |
$7,065.80 |
$468.29
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$7,065.80 |
$7,065.80 |
$7,065.80 |
$318.13
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$2,473.03 |
$2,473.03 |
$2,473.03 |
$6,581.45
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$13,193.27 |
$13,193.27 |
$13,193.27 |
$18,384.03
|
|
Drug admin & hemodynmic meas
|
$596.37 |
$596.37 |
$596.37 |
$528.50
|
|
Drug assay caffeine
|
$18.25 |
$18.25 |
$18.25 |
$81.61
|
|
Drug assay posaconazole
|
$29.36 |
$29.36 |
$29.36 |
$96.39
|
|
Drug assay voriconazole
|
$27.30 |
$27.30 |
$27.30 |
$96.75
|
|
Drug of abuse screen urine
|
$433.63 |
$433.63 |
$433.63 |
$63.75
|
|
Drug test def 15-21 classes
|
$64.38 |
$64.38 |
$64.38 |
$144.42
|
|
Drug test def 1-7 classes
|
$630.36 |
$630.36 |
$630.36 |
$250.52
|
|
Drug test def 22+ classes
|
$92.70 |
$92.70 |
$92.70 |
$246.92
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$381.62 |
$381.62 |
$381.62 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$2,614.14 |
$2,614.14 |
$2,614.14 |
$3,390.00
|
|
Duplex scan bilateral study 93985
|
$315.18 |
$315.18 |
$315.18 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$151.41 |
$151.41 |
$151.41 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$299.73 |
$299.73 |
$299.73 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$181.80 |
$181.80 |
$181.80 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$2,264.46 |
$2,264.46 |
$2,264.46 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$4,397.07 |
$4,397.07 |
$4,397.07 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$184.89 |
$184.89 |
$184.89 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$923.91 |
$923.91 |
$923.91 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$880.14 |
$880.14 |
$880.14 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,762.85 |
$1,762.85 |
$1,762.85 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$459.90 |
$459.90 |
$459.90 |
$368.50
|
|
Ear irrigation 69209
|
$128.75 |
$128.75 |
$128.75 |
$165.42
|
|
Ecg 12 lead tracing only
|
$418.18 |
$418.18 |
$418.18 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$82.40 |
$82.40 |
$82.40 |
$129.83
|
|
Ecg external < 48 hours recording
|
$293.55 |
$293.55 |
$293.55 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$432.09 |
$432.09 |
$432.09 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$3,828.00 |
$3,828.00 |
$3,828.00 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$443.42 |
$443.42 |
$443.42 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,942.84 |
$3,942.84 |
$3,942.84 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,012.49 |
$1,012.49 |
$1,012.49 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,012.49 |
$1,012.49 |
$1,012.49 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$332.69 |
$332.69 |
$332.69 |
$353.46
|
|
Echo exam of fetal heart
|
$3,911.94 |
$3,911.94 |
$3,911.94 |
$855.38
|
|
Echo exam of fetal heart
|
$439.81 |
$439.81 |
$439.81 |
$503.80
|
|
Echo exam of fetal heart
|
$933.18 |
$933.18 |
$933.18 |
$431.41
|
|
Echo exam of fetal heart
|
$492.86 |
$492.86 |
$492.86 |
$323.40
|
|
Echo exam uterus 76831-
|
$1,005.28 |
$1,005.28 |
$1,005.28 |
$547.20
|
|
Echo guide for amniocentesis
|
$237.42 |
$237.42 |
$237.42 |
$384.65
|
|
Echo stress
|
$1,104.68 |
$1,104.68 |
$1,104.68 |
$1,582.75
|
|
Echo tee guidance
|
$639.63 |
$639.63 |
$639.63 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,105.32 |
$2,105.32 |
$2,105.32 |
$1,871.10
|
|
Echo transesophageal
|
$968.20 |
$968.20 |
$968.20 |
$913.33
|
|
Echo transthoracic
|
$2,636.29 |
$2,636.29 |
$2,636.29 |
$1,492.50
|
|
Echo transthoracic
|
$1,871.51 |
$1,871.51 |
$1,871.51 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,156.18 |
$1,156.18 |
$1,156.18 |
$1,014.01
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$8,062.84 |
$8,062.84 |
$8,062.84 |
$18,038.06
|
|
Edetate calcium disodium inj
|
$6,163.52 |
$6,163.52 |
$6,163.52 |
$6,086.32
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$118.45 |
$118.45 |
$118.45 |
$81.90
|
|
Eeg 41-60 minutes 95812-26
|
$987.77 |
$987.77 |
$987.77 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,412.13 |
$1,412.13 |
$1,412.13 |
$1,049.59
|
|
Eeg during surgery
|
$428.48 |
$428.48 |
$428.48 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,296.77 |
$1,296.77 |
$1,296.77 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,185.53 |
$1,185.53 |
$1,185.53 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$452.69 |
$452.69 |
$452.69 |
$936.00
|
|
Eeg recording awake and asleep
|
$1,478.05 |
$1,478.05 |
$1,478.05 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$342.48 |
$342.48 |
$342.48 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$342.48 |
$342.48 |
$342.48 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$656.63 |
$656.63 |
$656.63 |
$1,353.60
|