|
Doppler echo complete
|
$1,688.55 |
$1,688.55 |
$1,688.55 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$455.30 |
$455.30 |
$455.30 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,389.74 |
$1,389.74 |
$1,389.74 |
$697.66
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,389.74 |
$1,389.74 |
$1,389.74 |
$495.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$30,097.34 |
$30,097.34 |
$30,097.34 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$160.40 |
$160.40 |
$160.40 |
$279.10
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$5,721.80 |
$5,721.80 |
$5,721.80 |
$2,469.31
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$2,207.15 |
$2,207.15 |
$2,207.15 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$2,207.15 |
$2,207.15 |
$2,207.15 |
$895.20
|
|
Drainage external ear complex 69005
|
$1,815.78 |
$1,815.78 |
$1,815.78 |
$2,924.22
|
|
Drainage external ear simple 69000
|
$1,601.44 |
$1,601.44 |
$1,601.44 |
$809.25
|
|
Drainage mouth roof lesion
|
$750.38 |
$750.38 |
$750.38 |
$470.73
|
|
Drainage of arm bursa 23931
|
$4,990.49 |
$4,990.49 |
$4,990.49 |
$2,347.56
|
|
Drainage of kidney lesion
|
$1,558.20 |
$1,558.20 |
$1,558.20 |
$1,619.40
|
|
Drainage of mouth lesion
|
$1,604.13 |
$1,604.13 |
$1,604.13 |
$1,022.40
|
|
Drainage of nose lesion int 30000
|
$750.38 |
$750.38 |
$750.38 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,604.13 |
$1,604.13 |
$1,604.13 |
$755.95
|
|
Drainage of rectal abscess
|
$3,677.98 |
$3,677.98 |
$3,677.98 |
$2,299.90
|
|
Drain blood from under nail 11740
|
$123.20 |
$123.20 |
$123.20 |
$190.33
|
|
Drain cath image guided visceral pq
|
$4,805.91 |
$4,805.91 |
$4,805.91 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$2,252.23 |
$2,252.23 |
$2,252.23 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$636.93 |
$636.93 |
$636.93 |
$492.81
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$721.04 |
$721.04 |
$721.04 |
$365.00
|
|
Drng of eyelid abscess 67700
|
$927.81 |
$927.81 |
$927.81 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,590.50 |
$1,590.50 |
$1,590.50 |
$1,999.20
|
|
Drng of scrotum abscess 55100
|
$4,990.49 |
$4,990.49 |
$4,990.49 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$30.10 |
$30.10 |
$30.10 |
$39.60
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$777.92 |
$777.92 |
$777.92 |
$448.16
|
|
Drug admin & hemodynmic meas
|
$491.96 |
$491.96 |
$491.96 |
$528.50
|
|
Drug assay posaconazole
|
$168.55 |
$168.55 |
$168.55 |
$96.39
|
|
Drug assay vedolizumab
|
$106.31 |
$106.31 |
$106.31 |
$169.26
|
|
Drug assay voriconazole
|
$83.60 |
$83.60 |
$83.60 |
$96.75
|
|
Drug of abuse screen urine
|
$769.49 |
$769.49 |
$769.49 |
$63.75
|
|
Drug screen quant tiagabine
|
$82.39 |
$82.39 |
$82.39 |
$91.65
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,534.26 |
$1,534.26 |
$1,534.26 |
$280.11
|
|
Drvvt confirm - quest
|
$10.83 |
$10.83 |
$10.83 |
$101.66
|
|
Duplex scan bilateral study 93985
|
$1,889.87 |
$1,889.87 |
$1,889.87 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$1,606.50 |
$1,606.50 |
$1,606.50 |
$392.15
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,231.71 |
$1,231.71 |
$1,231.71 |
$759.85
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,702.61 |
$1,702.61 |
$1,702.61 |
$890.55
|
|
Durvalumab 50 mg/ml intravenous solution
|
$33,044.37 |
$33,044.37 |
$33,044.37 |
$9,080.81
|
|
Dxa bone density axl vrt fx
|
$501.44 |
$501.44 |
$501.44 |
$377.65
|
|
Dx bronchoscope/lavage 31624
|
$5,306.55 |
$5,306.55 |
$5,306.55 |
$2,672.16
|
|
Ear irrigation 69209
|
$410.81 |
$410.81 |
$410.81 |
$161.40
|
|
Ecg 12 lead tracing only
|
$610.02 |
$610.02 |
$610.02 |
$245.30
|
|
Ecg < 30 days transmission & analysis
|
$2,517.72 |
$2,517.72 |
$2,517.72 |
$466.20
|
|
Ecg external < 48 hours recording
|
$529.40 |
$529.40 |
$529.40 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,893.90 |
$1,893.90 |
$1,893.90 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$629.96 |
$629.96 |
$629.96 |
$154.30
|
|
Ecg external >7 days up to 15 days recording
|
$1,258.86 |
$1,258.86 |
$1,258.86 |
$194.01
|
|
Echocardiogram (Heart Ultrasound)
|
$1,961.72 |
$1,961.72 |
$1,961.72 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$451.75 |
$451.75 |
$451.75 |
$463.45
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,162.51 |
$1,162.51 |
$1,162.51 |
$720.60
|
|
Echocardiograpy doppler follow up/limited study
|
$775.01 |
$775.01 |
$775.01 |
$353.46
|
|
Echograp trans r pros study
|
$1,283.85 |
$1,283.85 |
$1,283.85 |
$459.40
|
|
Echo stress
|
$1,364.04 |
$1,364.04 |
$1,364.04 |
$1,586.90
|
|
Echo tee guidance
|
$7,446.76 |
$7,446.76 |
$7,446.76 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$4,295.93 |
$4,295.93 |
$4,295.93 |
$1,851.45
|
|
Echo transesophageal intraop
|
$4,311.03 |
$4,311.03 |
$4,311.03 |
$1,571.70
|
|
Echo transthoracic
|
$2,282.32 |
$2,282.32 |
$2,282.32 |
$1,473.15
|
|
Echo transthoracic
|
$1,581.00 |
$1,581.00 |
$1,581.00 |
$944.14
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,965.18 |
$1,965.18 |
$1,965.18 |
$1,011.36
|
|
Ecmo/ecls daily mgmt artery 33949
|
$868.22 |
$868.22 |
$868.22 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$868.22 |
$868.22 |
$868.22 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$11,561.78 |
$11,561.78 |
$11,561.78 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$1,085.28 |
$1,085.28 |
$1,085.28 |
$4,324.50
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$542.64 |
$542.64 |
$542.64 |
$1,898.66
|
|
Eeg 41-60 minutes 95812-26
|
$912.18 |
$912.18 |
$912.18 |
$934.05
|
|
Eeg during surgery
|
$536.54 |
$536.54 |
$536.54 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$690.00 |
$690.00 |
$690.00 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,590.96 |
$1,590.96 |
$1,590.96 |
$1,117.21
|
|
Eeg/record in coma or sleep only 95822
|
$1,407.95 |
$1,407.95 |
$1,407.95 |
$936.00
|
|
Eeg recording awake and asleep
|
$1,879.91 |
$1,879.91 |
$1,879.91 |
$1,030.27
|
|
Eeg without vid ea 12-26hr cont
|
$1,880.39 |
$1,880.39 |
$1,880.39 |
$1,343.48
|
|
E equine encephalitis igg
|
$85.94 |
$85.94 |
$85.94 |
$48.73
|
|
Ehrlicha chaffeensis amp prb
|
$122.58 |
$122.58 |
$122.58 |
$105.00
|
|
Electrical stimulation/unattended 97014
|
$158.66 |
$158.66 |
$158.66 |
$82.20
|
|
Electrode stimulation brain
|
$2,008.91 |
$2,008.91 |
$2,008.91 |
$1,180.80
|
|
Electrolyte panel
|
$205.62 |
$205.62 |
$205.62 |
$88.20
|
|
Electron microscopy diagnostic
|
$597.10 |
$597.10 |
$597.10 |
$981.50
|
|
Electrophysiology evaluation
|
$16,705.22 |
$16,705.22 |
$16,705.22 |
$8,979.45
|
|
Electrophysiology evaluation
|
$16,705.22 |
$16,705.22 |
$16,705.22 |
$10,724.84
|
|
Electrophysiology evaluation
|
$6,594.98 |
$6,594.98 |
$6,594.98 |
$7,769.30
|
|
Electrophysiology evaluation
|
$6,594.98 |
$6,594.98 |
$6,594.98 |
$6,516.00
|
|
Electrophysiology evaluation
|
$1,634.18 |
$1,634.18 |
$1,634.18 |
$2,845.10
|
|
Electrophysiology evaluation
|
$3,564.91 |
$3,564.91 |
$3,564.91 |
$2,749.44
|
|
Electrophys map 3d add-on
|
$18,702.10 |
$18,702.10 |
$18,702.10 |
$6,418.44
|
|
Embolization s&i
|
$4,204.11 |
$4,204.11 |
$4,204.11 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$38,801.64 |
$38,801.64 |
$38,801.64 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$39,746.87 |
$39,746.87 |
$39,746.87 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$39,746.87 |
$39,746.87 |
$39,746.87 |
$15,290.85
|
|
Embo or occlude vascular venous s&i
|
$39,746.87 |
$39,746.87 |
$39,746.87 |
$15,038.25
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$621.38 |
$621.38 |
$621.38 |
$446.78
|
|
Emg cranial nerve bilateral
|
$621.29 |
$621.29 |
$621.29 |
$518.00
|
|
Emg thor paraspinal without t1/t2
|
$785.03 |
$785.03 |
$785.03 |
$309.83
|
|
Encephalitis, california igg/igm
|
$163.92 |
$163.92 |
$163.92 |
$46.50
|
|
Encephalitis, st louis igg/igm
|
$57.61 |
$57.61 |
$57.61 |
$47.80
|
|
Encephalitis, western equine igg/igm
|
$55.80 |
$55.80 |
$55.80 |
$50.70
|
|
Endo cath bile duct s&i
|
$2,892.35 |
$2,892.35 |
$2,892.35 |
$583.55
|
|
Endo cath panc duct s&i
|
$3,580.31 |
$3,580.31 |
$3,580.31 |
$645.00
|