|
Doppler intravascular pressure flow initial vessel
|
$910.80 |
$910.80 |
$910.80 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$598.68 |
$598.68 |
$598.68 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$453.60 |
$453.60 |
$453.60 |
$471.17
|
|
Dornhoffer fixed part w/window
|
$5,124.60 |
$5,124.60 |
$5,124.60 |
$34,278.00
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$74.43 |
$74.43 |
$74.43 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$34.65 |
$34.65 |
$34.65 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$21.30 |
$21.30 |
$21.30 |
$84.80
|
|
Dpyd gene common variants
|
$31.47 |
$31.47 |
$31.47 |
$380.50
|
|
Drainage of arm bursa 23931
|
$110.88 |
$110.88 |
$110.88 |
$2,197.48
|
|
Drainage of bone lesion
|
$673.38 |
$673.38 |
$673.38 |
$2,854.40
|
|
Drainage of bone lesion
|
$434.70 |
$434.70 |
$434.70 |
$3,153.60
|
|
Drainage of forearm bursa
|
$257.04 |
$257.04 |
$257.04 |
$2,054.00
|
|
Drainage of kidney lesion
|
$1,016.10 |
$1,016.10 |
$1,016.10 |
$1,506.00
|
|
Drainage of pelvis bursa
|
$354.06 |
$354.06 |
$354.06 |
$2,211.05
|
|
Drainage of pelvis lesion 26990
|
$1,805.22 |
$1,805.22 |
$1,805.22 |
$3,958.50
|
|
Drainage of rectal abscess 45020
|
$326.34 |
$326.34 |
$326.34 |
$3,769.20
|
|
Drain blood from under nail 11740
|
$72.90 |
$72.90 |
$72.90 |
$170.50
|
|
Drain cath image guided visceral pq
|
$1,651.86 |
$1,651.86 |
$1,651.86 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$220.68 |
$220.68 |
$220.68 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$97.02 |
$97.02 |
$97.02 |
$419.00
|
|
Drain lower leg lesion 27603
|
$262.80 |
$262.80 |
$262.80 |
$3,858.40
|
|
Drain ovarn cyst abd
|
$763.56 |
$763.56 |
$763.56 |
$3,964.27
|
|
Drain shoulder bone lesion
|
$460.26 |
$460.26 |
$460.26 |
$3,345.60
|
|
Drain shoulder bursa 23031
|
$152.10 |
$152.10 |
$152.10 |
$3,322.80
|
|
Drain shoulder lesion
|
$171.90 |
$171.90 |
$171.90 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$516.60 |
$516.60 |
$516.60 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$211.14 |
$211.14 |
$211.14 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$252.54 |
$252.54 |
$252.54 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$273.24 |
$273.24 |
$273.24 |
$523.00
|
|
Drng of ovarian cyst(s) 58800
|
$2,479.50 |
$2,479.50 |
$2,479.50 |
$3,474.84
|
|
Drng open retroperitoneal abscess 49060
|
$608.58 |
$608.58 |
$608.58 |
$1,924.00
|
|
Drng ovary abscess perqt 58822
|
$399.96 |
$399.96 |
$399.96 |
$2,161.64
|
|
Droperidol 2.5 mg/ml injection solution
|
$22.14 |
$22.14 |
$22.14 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,268.64 |
$1,268.64 |
$1,268.64 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$930.78 |
$930.78 |
$930.78 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$3.60 |
$3.60 |
$3.60 |
$127.14
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$5,528.34 |
$5,528.34 |
$5,528.34 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$202.32 |
$202.32 |
$202.32 |
$569.75
|
|
Drug assay posaconazole
|
$3.90 |
$3.90 |
$3.90 |
$96.75
|
|
Drug assay rufinamide
|
$2.73 |
$2.73 |
$2.73 |
$85.80
|
|
Drug assay vedolizumab
|
$36.00 |
$36.00 |
$36.00 |
$152.79
|
|
Drug assay voriconazole
|
$3.90 |
$3.90 |
$3.90 |
$96.75
|
|
Drug of abuse screen urine
|
$102.24 |
$102.24 |
$102.24 |
$63.75
|
|
Drug screening tapentadol
|
$3.87 |
$3.87 |
$3.87 |
$36.00
|
|
Drug screen quant tiagabine
|
$12.42 |
$12.42 |
$12.42 |
$114.62
|
|
Drug test prsmv instrmnt
|
$137.70 |
$137.70 |
$137.70 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$149.76 |
$149.76 |
$149.76 |
$278.85
|
|
Drvvt confirm - quest
|
$2.88 |
$2.88 |
$2.88 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$97.20 |
$97.20 |
$97.20 |
$3,020.80
|
|
Duplex scan bilateral study 93985
|
$264.78 |
$264.78 |
$264.78 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$66.06 |
$66.06 |
$66.06 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$370.26 |
$370.26 |
$370.26 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$925.92 |
$925.92 |
$925.92 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$649.26 |
$649.26 |
$649.26 |
$887.25
|
|
Ear irrigation 69209
|
$48.06 |
$48.06 |
$48.06 |
$149.76
|
|
Ecg 12 lead tracing only
|
$183.24 |
$183.24 |
$183.24 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$151.92 |
$151.92 |
$151.92 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$532.44 |
$532.44 |
$532.44 |
$487.60
|
|
Ecg external < 48 hours recording
|
$201.42 |
$201.42 |
$201.42 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$214.56 |
$214.56 |
$214.56 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$31.86 |
$31.86 |
$31.86 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$31.86 |
$31.86 |
$31.86 |
$161.85
|
|
Ecg record/review
|
$86.40 |
$86.40 |
$86.40 |
$251.20
|
|
Ecg/review interpret only
|
$10.98 |
$10.98 |
$10.98 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$1,363.68 |
$1,363.68 |
$1,363.68 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$444.60 |
$444.60 |
$444.60 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$64.80 |
$64.80 |
$64.80 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$550.44 |
$550.44 |
$550.44 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$21.06 |
$21.06 |
$21.06 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$402.12 |
$402.12 |
$402.12 |
$362.50
|
|
Echograp trans r pros study
|
$222.30 |
$222.30 |
$222.30 |
$459.40
|
|
Echo guidance radiotherapy
|
$86.76 |
$86.76 |
$86.76 |
$812.00
|
|
Echo guide for amniocentesis
|
$258.66 |
$258.66 |
$258.66 |
$456.30
|
|
Echo guide for transfusion
|
$345.24 |
$345.24 |
$345.24 |
$324.60
|
|
Echo stress
|
$1,281.42 |
$1,281.42 |
$1,281.42 |
$1,592.05
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$436.68 |
$436.68 |
$436.68 |
$751.34
|
|
Echo tee guidance
|
$566.82 |
$566.82 |
$566.82 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,513.44 |
$1,513.44 |
$1,513.44 |
$1,849.50
|
|
Echo transesophageal
|
$436.68 |
$436.68 |
$436.68 |
$1,087.90
|
|
Echo transesophageal
|
$373.14 |
$373.14 |
$373.14 |
$664.39
|
|
Echo transesophageal
|
$436.68 |
$436.68 |
$436.68 |
$1,559.35
|
|
Echo transesophageal
|
$373.14 |
$373.14 |
$373.14 |
$603.20
|
|
Echo transesophageal intraop
|
$888.30 |
$888.30 |
$888.30 |
$1,571.70
|
|
Echo transthoracic
|
$1,028.34 |
$1,028.34 |
$1,028.34 |
$1,361.75
|
|
Echo transthoracic
|
$213.12 |
$213.12 |
$213.12 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$804.06 |
$804.06 |
$804.06 |
$985.15
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$2,356.97 |
$2,356.97 |
$2,356.97 |
$18,199.20
|
|
Edetate calcium disodium inj
|
$66.96 |
$66.96 |
$66.96 |
$8,569.35
|
|
Eeg 41-60 minutes 95812-26
|
$576.00 |
$576.00 |
$576.00 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$288.00 |
$288.00 |
$288.00 |
$1,000.42
|
|
Eeg monitor/record/awake/drowsy 95816
|
$673.92 |
$673.92 |
$673.92 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$860.94 |
$860.94 |
$860.94 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$926.28 |
$926.28 |
$926.28 |
$907.80
|
|
Eeg recording awake and asleep
|
$539.46 |
$539.46 |
$539.46 |
$931.20
|
|
E equine encephalitis igg
|
$2.11 |
$2.11 |
$2.11 |
$49.92
|
|
Egfr gene com variants
|
$32.40 |
$32.40 |
$32.40 |
$657.00
|
|
EKG (Electrocardiogram)
|
$14.22 |
$14.22 |
$14.22 |
$89.60
|
|
Electrd sq emblem s-icd
|
$4,590.00 |
$4,590.00 |
$4,590.00 |
$10,243.24
|
|
Electrical stimulation/unattended 97014
|
$50.40 |
$50.40 |
$50.40 |
$79.20
|
|
Electrode stimulation brain
|
$73.62 |
$73.62 |
$73.62 |
$1,180.80
|