|
Dextrose 5 % IV bolus
|
$24.30 |
$24.30 |
$24.30 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$2.70 |
$2.70 |
$2.70 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$75.15 |
$75.15 |
$75.15 |
$78.03
|
|
Diab manage trn ind/group
|
$40.05 |
$40.05 |
$40.05 |
$49.50
|
|
Dialysis circuit perm vascular embolization 36909
|
$278.55 |
$278.55 |
$278.55 |
$7,145.00
|
|
Dialysis one evaluation
|
$1,326.15 |
$1,326.15 |
$1,326.15 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$47.81 |
$47.81 |
$47.81 |
$72.34
|
|
Dicyclomine injection
|
$363.14 |
$363.14 |
$363.14 |
$211.81
|
|
Diffusing capacity
|
$796.95 |
$796.95 |
$796.95 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$567.65 |
$567.65 |
$567.65 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$5,364.90 |
$5,364.90 |
$5,364.90 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$485.55 |
$485.55 |
$485.55 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$1,006.65 |
$1,006.65 |
$1,006.65 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$3,503.25 |
$3,503.25 |
$3,503.25 |
$2,304.60
|
|
Dilator fascial 10fx20cm
|
$504.45 |
$504.45 |
$504.45 |
$305.68
|
|
Dilat xst trc ndurlgc px
|
$3,600.90 |
$3,600.90 |
$3,600.90 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$3,971.25 |
$3,971.25 |
$3,971.25 |
$5,020.00
|
|
Diltiazem 5 mg/ml intravenous solution
|
$65.70 |
$65.70 |
$65.70 |
$60.25
|
|
Dimecaprol injection
|
$355.94 |
$355.94 |
$355.94 |
$199.46
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$11.88 |
$11.88 |
$11.88 |
$26.87
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$310.91 |
$310.91 |
$310.91 |
$106.59
|
|
Disability dlco
|
$526.50 |
$526.50 |
$526.50 |
$307.58
|
|
Discography cerv/thor spine
|
$2,360.70 |
$2,360.70 |
$2,360.70 |
$2,404.00
|
|
Dissolve clot heart vessel
|
$3,461.40 |
$3,461.40 |
$3,461.40 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$1,864.35 |
$1,864.35 |
$1,864.35 |
$2,001.55
|
|
Dna antibody native/double stranded
|
$4.50 |
$4.50 |
$4.50 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$112.95 |
$112.95 |
$112.95 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$3,475.35 |
$3,475.35 |
$3,475.35 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$45.00 |
$45.00 |
$45.00 |
$84.30
|
|
Doppler echo complete
|
$1,027.80 |
$1,027.80 |
$1,027.80 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$937.35 |
$937.35 |
$937.35 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$981.00 |
$981.00 |
$981.00 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$637.65 |
$637.65 |
$637.65 |
$482.03
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$144.00 |
$144.00 |
$144.00 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$4,215.60 |
$4,215.60 |
$4,215.60 |
$2,417.38
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$104.37 |
$104.37 |
$104.37 |
$99.99
|
|
Drainage of kidney lesion
|
$1,439.55 |
$1,439.55 |
$1,439.55 |
$1,706.65
|
|
Drain cath image guided visceral pq
|
$2,357.55 |
$2,357.55 |
$2,357.55 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$672.30 |
$672.30 |
$672.30 |
$1,113.06
|
|
Drill hole implt ventricular cath/device 61107
|
$1,138.05 |
$1,138.05 |
$1,138.05 |
$1,594.26
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,882.80 |
$1,882.80 |
$1,882.80 |
$1,778.40
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$19,987.65 |
$19,987.65 |
$19,987.65 |
$18,384.03
|
|
Drug admin & hemodynmic meas
|
$61.20 |
$61.20 |
$61.20 |
$528.50
|
|
Drug assay caffeine
|
$15.94 |
$15.94 |
$15.94 |
$81.61
|
|
Drug assay voriconazole
|
$23.85 |
$23.85 |
$23.85 |
$96.75
|
|
Drug test def 15-21 classes
|
$45.00 |
$45.00 |
$45.00 |
$144.42
|
|
Drug test def 1-7 classes
|
$513.90 |
$513.90 |
$513.90 |
$250.52
|
|
Drug test def 22+ classes
|
$81.00 |
$81.00 |
$81.00 |
$246.92
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$54.00 |
$54.00 |
$54.00 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$526.95 |
$526.95 |
$526.95 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$250.65 |
$250.65 |
$250.65 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$368.55 |
$368.55 |
$368.55 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,343.25 |
$1,343.25 |
$1,343.25 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$5,022.00 |
$5,022.00 |
$5,022.00 |
$10,021.12
|
|
Dx bronchoscope/wash 31622
|
$3,966.30 |
$3,966.30 |
$3,966.30 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$479.70 |
$479.70 |
$479.70 |
$368.50
|
|
Ecg 12 lead tracing only
|
$714.60 |
$714.60 |
$714.60 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$330.75 |
$330.75 |
$330.75 |
$129.83
|
|
Ecg external < 48 hours recording
|
$792.90 |
$792.90 |
$792.90 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,165.95 |
$1,165.95 |
$1,165.95 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$3,629.70 |
$3,629.70 |
$3,629.70 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$565.20 |
$565.20 |
$565.20 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,629.70 |
$3,629.70 |
$3,629.70 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,245.15 |
$1,245.15 |
$1,245.15 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$809.10 |
$809.10 |
$809.10 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$606.15 |
$606.15 |
$606.15 |
$353.46
|
|
Echograp trans r pros study
|
$6,178.50 |
$6,178.50 |
$6,178.50 |
$459.40
|
|
Echo guidance radiotherapy
|
$808.65 |
$808.65 |
$808.65 |
$774.80
|
|
Echo guide for artery repair
|
$1,638.90 |
$1,638.90 |
$1,638.90 |
$680.28
|
|
Echo stress
|
$2,059.20 |
$2,059.20 |
$2,059.20 |
$1,582.75
|
|
Echo tee guidance
|
$1,126.35 |
$1,126.35 |
$1,126.35 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,518.65 |
$2,518.65 |
$2,518.65 |
$1,871.10
|
|
Echo transthoracic
|
$945.90 |
$945.90 |
$945.90 |
$1,492.50
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,419.30 |
$1,419.30 |
$1,419.30 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$2,610.00 |
$2,610.00 |
$2,610.00 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$2,610.00 |
$2,610.00 |
$2,610.00 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$4,812.30 |
$4,812.30 |
$4,812.30 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$4,812.30 |
$4,812.30 |
$4,812.30 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$1,878.75 |
$1,878.75 |
$1,878.75 |
$1,411.92
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$8,806.05 |
$8,806.05 |
$8,806.05 |
$18,038.06
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$77.40 |
$77.40 |
$77.40 |
$81.90
|
|
Eeg 41-60 minutes 95812-26
|
$1,000.35 |
$1,000.35 |
$1,000.35 |
$956.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$962.10 |
$962.10 |
$962.10 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,102.05 |
$1,102.05 |
$1,102.05 |
$1,119.54
|
|
Eeg recording awake and asleep
|
$1,058.40 |
$1,058.40 |
$1,058.40 |
$1,030.27
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$8,032.50 |
$8,032.50 |
$8,032.50 |
$13,756.97
|
|
Egfr gene com variants
|
$141.75 |
$141.75 |
$141.75 |
$619.04
|
|
Electrd sq emblem s-icd
|
$9,096.30 |
$9,096.30 |
$9,096.30 |
$9,175.83
|
|
Electrolyte panel
|
$552.15 |
$552.15 |
$552.15 |
$86.33
|
|
Electrophysiology evaluation
|
$2,223.00 |
$2,223.00 |
$2,223.00 |
$2,845.10
|
|
Elotuzumab 300 mg intravenous solution
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$8,397.94
|
|
Embolization s&i
|
$6,158.25 |
$6,158.25 |
$6,158.25 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$20,917.80 |
$20,917.80 |
$20,917.80 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$19,827.45 |
$19,827.45 |
$19,827.45 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$20,385.90 |
$20,385.90 |
$20,385.90 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$20,997.45 |
$20,997.45 |
$20,997.45 |
$15,038.25
|
|
Endoluminal bx biliary tree
|
$637.65 |
$637.65 |
$637.65 |
$2,476.50
|
|
Endoluminl ivus oct c 1st
|
$4,060.80 |
$4,060.80 |
$4,060.80 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$974.70 |
$974.70 |
$974.70 |
$2,367.97
|
|
Endovasc rpr a-biiliac endogft 34705
|
$5,619.15 |
$5,619.15 |
$5,619.15 |
$10,604.25
|