|
Disaccharidases
|
$42.24 |
$42.24 |
$42.24 |
$223.80
|
|
Dissolve clot heart vessel
|
$1,289.28 |
$1,289.28 |
$1,289.28 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$3,282.24 |
$3,282.24 |
$3,282.24 |
$2,001.55
|
|
Dna antibody native/double stranded
|
$116.16 |
$116.16 |
$116.16 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$73.78 |
$73.78 |
$73.78 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$438.76 |
$438.76 |
$438.76 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$119.88 |
$119.88 |
$119.88 |
$84.30
|
|
Doppler echo complete
|
$348.48 |
$348.48 |
$348.48 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$3,268.80 |
$3,268.80 |
$3,268.80 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,498.08 |
$1,498.08 |
$1,498.08 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,153.92 |
$1,153.92 |
$1,153.92 |
$482.03
|
|
Dornase alfa non-comp unit
|
$466.14 |
$466.14 |
$466.14 |
$479.80
|
|
Dornhoffer fixed part w/window
|
$24,179.52 |
$24,179.52 |
$24,179.52 |
$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
|
$737.19 |
$737.19 |
$737.19 |
$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
|
$508.80 |
$508.80 |
$508.80 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$452.16 |
$452.16 |
$452.16 |
$900.80
|
|
Drainage external ear complex 69005
|
$2,557.92 |
$2,557.92 |
$2,557.92 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$508.80 |
$508.80 |
$508.80 |
$809.25
|
|
Drainage lymph node lesion 38300
|
$4,326.72 |
$4,326.72 |
$4,326.72 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$415.68 |
$415.68 |
$415.68 |
$474.39
|
|
Drainage of arm bursa 23931
|
$3,941.28 |
$3,941.28 |
$3,941.28 |
$2,419.30
|
|
Drainage of eye
|
$1,836.96 |
$1,836.96 |
$1,836.96 |
$2,503.62
|
|
Drainage of kidney lesion
|
$1,094.88 |
$1,094.88 |
$1,094.88 |
$1,706.65
|
|
Drainage of mouth lesion
|
$371.52 |
$371.52 |
$371.52 |
$455.56
|
|
Drainage of mouth lesion
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$2,320.03
|
|
Drainage of mouth lesion
|
$5,614.08 |
$5,614.08 |
$5,614.08 |
$3,986.00
|
|
Drainage of mouth lesion
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$799.40
|
|
Drainage of mouth lesion
|
$4,771.20 |
$4,771.20 |
$4,771.20 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$371.52 |
$371.52 |
$371.52 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$755.95
|
|
Drainage of pelvis lesion 26990
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
$3,969.00
|
|
Drainage of rectal abscess
|
$2,395.68 |
$2,395.68 |
$2,395.68 |
$2,299.90
|
|
Drainage of salivary gland
|
$4,771.20 |
$4,771.20 |
$4,771.20 |
$3,837.72
|
|
Drainage of salivary gland
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$629.60
|
|
Drainage of urethra abscess 53060
|
$3,549.60 |
$3,549.60 |
$3,549.60 |
$2,459.34
|
|
Drain bladder by trocar/cath
|
$565.92 |
$565.92 |
$565.92 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$139.68 |
$139.68 |
$139.68 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$3,500.64 |
$3,500.64 |
$3,500.64 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$3,500.64 |
$3,500.64 |
$3,500.64 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$1,291.68 |
$1,291.68 |
$1,291.68 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$570.72 |
$570.72 |
$570.72 |
$492.81
|
|
Drain lower leg bursa
|
$4,919.04 |
$4,919.04 |
$4,919.04 |
$3,839.54
|
|
Drain lower leg lesion 27603
|
$4,326.72 |
$4,326.72 |
$4,326.72 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$3,846.24 |
$3,846.24 |
$3,846.24 |
$3,386.84
|
|
Drain penis lesion
|
$3,014.88 |
$3,014.88 |
$3,014.88 |
$2,005.32
|
|
Drain shoulder lesion
|
$4,593.60 |
$4,593.60 |
$4,593.60 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$5,211.84 |
$5,211.84 |
$5,211.84 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$417.60 |
$417.60 |
$417.60 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$417.60 |
$417.60 |
$417.60 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$417.60 |
$417.60 |
$417.60 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$787.68 |
$787.68 |
$787.68 |
$790.56
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$13,664.53 |
$13,664.53 |
$13,664.53 |
$9,390.80
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$4,525.92 |
$4,525.92 |
$4,525.92 |
$1,667.40
|
|
Drill hole implt ventricular cath/device 61107
|
$3,643.20 |
$3,643.20 |
$3,643.20 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$876.48 |
$876.48 |
$876.48 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$2,557.92 |
$2,557.92 |
$2,557.92 |
$2,048.00
|
|
Drng of mouth lesion 40801
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$1,145.97
|
|
Drng of pelvic abscess transrectal 45000
|
$2,082.72 |
$2,082.72 |
$2,082.72 |
$1,614.45
|
|
Drng of scrotum abscess 55100
|
$3,340.32 |
$3,340.32 |
$3,340.32 |
$2,069.60
|
|
Drng salivary gland simple 42300
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$602.63
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$3,943.84 |
$3,943.84 |
$3,943.84 |
$1,778.40
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$4,710.25 |
$4,710.25 |
$4,710.25 |
$3,374.24
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$813.33 |
$813.33 |
$813.33 |
$468.29
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$7,626.20 |
$7,626.20 |
$7,626.20 |
$6,581.45
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$25,586.34 |
$25,586.34 |
$25,586.34 |
$18,384.03
|
|
Drug admin & hemodynmic meas
|
$162.72 |
$162.72 |
$162.72 |
$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
|
$1,031.52 |
$1,031.52 |
$1,031.52 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$829.44 |
$829.44 |
$829.44 |
$673.00
|
|
Dup scan/hemodialysis access 93990
|
$458.88 |
$458.88 |
$458.88 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$959.52 |
$959.52 |
$959.52 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,013.28 |
$1,013.28 |
$1,013.28 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$13,876.66 |
$13,876.66 |
$13,876.66 |
$14,438.37
|
|
Dxa bone density axl vrt fx
|
$557.76 |
$557.76 |
$557.76 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$395.04 |
$395.04 |
$395.04 |
$368.50
|
|
Dx gastr intub w/asp specs
|
$273.12 |
$273.12 |
$273.12 |
$204.96
|
|
Dx laryngoscopy newborn
|
$248.16 |
$248.16 |
$248.16 |
$619.08
|
|
Dx laryngoscopy w/oper scope
|
$2,942.88 |
$2,942.88 |
$2,942.88 |
$2,040.67
|
|
Ear irrigation 69209
|
$201.60 |
$201.60 |
$201.60 |
$165.42
|
|
Ecg 12 lead tracing only
|
$291.36 |
$291.36 |
$291.36 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$58.08 |
$58.08 |
$58.08 |
$129.83
|
|
Ecg external < 48 hours recording
|
$309.12 |
$309.12 |
$309.12 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$577.92 |
$577.92 |
$577.92 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,132.16 |
$2,132.16 |
$2,132.16 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$389.76 |
$389.76 |
$389.76 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,369.76 |
$2,369.76 |
$2,369.76 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$461.28 |
$461.28 |
$461.28 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$634.08 |
$634.08 |
$634.08 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$273.60 |
$273.60 |
$273.60 |
$353.46
|
|
Echo exam of fetal heart
|
$1,237.92 |
$1,237.92 |
$1,237.92 |
$855.38
|
|
Echo exam of fetal heart
|
$1,224.48 |
$1,224.48 |
$1,224.48 |
$503.80
|
