|
Disaccharidases
|
$656.50 |
$656.50 |
$656.50 |
$230.40
|
|
Discography cerv/thor spine
|
$3,250.00 |
$3,250.00 |
$14,215.00 |
$2,565.00
|
|
Dissolve clot heart vessel
|
$4,258.80 |
$4,258.80 |
$4,258.80 |
$1,579.93
|
|
Dist revas ligation hemo
|
$27,662.05 |
$27,662.05 |
$27,662.05 |
$6,396.89
|
|
Dlyd plmt xtn prosth ea addl
|
$10,671.05 |
$10,671.05 |
$10,671.05 |
$1,810.80
|
|
Dna antibody native/double stranded
|
$87.10 |
$87.10 |
$719.00 |
$100.00
|
|
Dna gardnerella
|
$375.00 |
$375.00 |
$375.00 |
$61.83
|
|
Dna trichomonas
|
$375.00 |
$375.00 |
$375.00 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$669.50 |
$669.50 |
$669.50 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$31.85 |
$31.85 |
$31.85 |
$949.39
|
|
Docetaxel (docivyx), 1 mg
|
$242.45 |
$242.45 |
$242.45 |
$108.86
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$185.25 |
$185.25 |
$185.25 |
$65.40
|
|
Doppler echo complete
|
$1,043.90 |
$1,043.90 |
$1,043.90 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$4,404.40 |
$4,404.40 |
$4,404.40 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$830.70 |
$830.70 |
$830.70 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$403.65 |
$403.65 |
$403.65 |
$481.65
|
|
Dornase alfa non-comp unit
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$356.00
|
|
Dornhoffer fixed part w/window
|
$86,724.95 |
$86,724.95 |
$86,724.95 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$973.70 |
$973.70 |
$98,602.00 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$48.75 |
$48.75 |
$48.75 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,415.70 |
$1,415.70 |
$10,959.00 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$2.60 |
$2.60 |
$76.00 |
$89.34
|
|
Dpyd gene common variants
|
$362.05 |
$362.05 |
$362.05 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,990.95 |
$1,990.95 |
$1,990.95 |
$800.00
|
|
Drainage of kidney lesion
|
$3,857.10 |
$3,857.10 |
$3,857.10 |
$1,506.00
|
|
Drain blood from under nail 11740
|
$303.55 |
$303.55 |
$303.55 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,418.95 |
$1,418.95 |
$1,418.95 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,250.30 |
$2,250.30 |
$2,250.30 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$1,210.30 |
$1,210.30 |
$1,210.30 |
$1,044.00
|
|
Drain chest lesion
|
$7,957.95 |
$7,957.95 |
$7,957.95 |
$3,839.54
|
|
Drain finger abscess;simple 26010
|
$521.95 |
$521.95 |
$521.95 |
$428.40
|
|
Drain neck/chest lesion 21501
|
$7,364.50 |
$7,364.50 |
$7,364.50 |
$3,339.00
|
|
Drain ostomy pouch w/flange
|
$9.75 |
$9.75 |
$21.00 |
$8.80
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$39,711.10 |
$39,711.10 |
$39,711.10 |
$3,789.86
|
|
Drng hand tendon sheath 26020
|
$9,239.10 |
$9,239.10 |
$9,239.10 |
$3,839.54
|
|
Drng of finger abscess comp 26011
|
$4,591.60 |
$4,591.60 |
$4,591.60 |
$2,079.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$102.05 |
$102.05 |
$270.00 |
$31.25
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$119.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$193.15
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$94.94
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$18,339.75 |
$18,339.75 |
$18,339.75 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1.00 |
$62,936.25 |
$62,936.25 |
$7,465.97
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$43,844.45 |
$43,844.45 |
$43,844.45 |
$376.50
|
|
Drug admin & hemodynmic meas
|
$257.40 |
$257.40 |
$257.40 |
$569.75
|
|
Drug assay caffeine
|
$163.00 |
$199.55 |
$199.55 |
$80.00
|
|
Drug assay posaconazole
|
$628.55 |
$628.55 |
$628.55 |
$96.75
|
|
Drug of abuse screen urine
|
$14.30 |
$14.30 |
$41.00 |
$67.89
|
|
Drug screening tapentadol
|
$7.15 |
$7.15 |
$7.15 |
$47.03
|
|
Drug/substance nos 4-6
|
$7.15 |
$7.15 |
$7.15 |
$72.14
|
|
Drug test def 22+ classes
|
$221.65 |
$221.65 |
$221.65 |
$426.24
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$369.20 |
$369.20 |
$369.20 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$11,335.35 |
$11,335.35 |
$11,335.35 |
$2,980.00
|
|
Dstr mal les s/n/h/f/g >4.0
|
$1,147.25 |
$1,147.25 |
$1,147.25 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$1,655.55 |
$1,655.55 |
$1,655.55 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$1,784.25 |
$1,784.25 |
$1,784.25 |
$886.40
|
|
Ductogram sgl duct
|
$744.25 |
$744.25 |
$744.25 |
$469.80
|
|
Duodenal motility study
|
$1,352.00 |
$1,352.00 |
$1,352.00 |
$1,143.10
|
|
Duplex scan bilateral study 93985
|
$836.55 |
$836.55 |
$836.55 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$403.00 |
$403.00 |
$403.00 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$848.90 |
$848.90 |
$849.55 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$833.30 |
$833.30 |
$3,447.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,221.35 |
$1,221.35 |
$1,221.35 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$345.80 |
$345.80 |
$752.00 |
$8,445.90
|
|
Dx intraop epcar Ultrasound chd i&r
|
$976.95 |
$976.95 |
$976.95 |
$465.29
|
|
Dx intraop epicar car Ultrasound chd
|
$976.95 |
$976.95 |
$976.95 |
$558.11
|
|
Dx intraop thoracic aorta Ultrasound
|
$976.95 |
$976.95 |
$976.95 |
$558.11
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$976.95 |
$976.95 |
$976.95 |
$558.11
|
|
Dynamic fine wire emg
|
$226.85 |
$226.85 |
$226.85 |
$374.29
|
|
Dynamic surface emg
|
$624.65 |
$624.65 |
$624.65 |
$368.50
|
|
Ear cartilage graft
|
$16,952.65 |
$16,952.65 |
$16,952.65 |
$6,385.40
|
|
Ecallantide injection
|
$3,913.65 |
$3,913.65 |
$3,913.65 |
$13,357.14
|
|
Ecg/1-3 leads/tracing only 93041
|
$157.30 |
$157.30 |
$1,128.00 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$315.25 |
$315.25 |
$315.25 |
$412.88
|
|
Ecg external < 48 hours recording
|
$1,485.90 |
$1,485.90 |
$1,485.90 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,341.60 |
$1,341.60 |
$2,129.00 |
$541.20
|
|
Ecg external >7 days up to 15 days recording
|
$446.55 |
$446.55 |
$446.55 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$4,108.65 |
$4,108.65 |
$4,108.65 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$851.50 |
$851.50 |
$851.50 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$728.65 |
$728.65 |
$728.65 |
$511.55
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$851.50 |
$851.50 |
$851.50 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$475.80 |
$475.80 |
$475.80 |
$371.25
|
|
Echo exam of fetal heart
|
$1,569.10 |
$1,569.10 |
$11,267.00 |
$904.80
|
|
Echo exam of fetal heart
|
$524.55 |
$524.55 |
$1,753.00 |
$538.27
|
|
Echo exam of fetal heart
|
$564.85 |
$564.85 |
$1,647.00 |
$431.41
|
|
Echo exam of fetal heart
|
$791.05 |
$791.05 |
$1,102.00 |
$318.34
|
|
Echo exam uterus 76831-
|
$1,237.60 |
$1,237.60 |
$1,299.00 |
$561.00
|
|
Echograp trans r pros study
|
$845.65 |
$845.65 |
$845.65 |
$468.00
|
|
Echo guidance radiotherapy
|
$833.30 |
$833.30 |
$1,725.00 |
$812.00
|
|
Echo guidance radiotherapy
|
$417.95 |
$417.95 |
$417.95 |
$322.40
|
|
Echo guide for amniocentesis
|
$1,258.40 |
$1,258.40 |
$1,626.00 |
$455.57
|
|
Echo guide for artery repair
|
$1,672.45 |
$1,672.45 |
$1,672.45 |
$696.30
|
|
Echo guide for heart biopsy
|
$2,765.10 |
$2,765.10 |
$2,765.10 |
$666.40
|
|
Echo guide for transfusion
|
$203.45 |
$203.45 |
$203.45 |
$332.39
|
|
Echo stress
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$1,609.44
|
|
Echo tee guidance
|
$447.20 |
$447.20 |
$447.20 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,031.60 |
$3,031.60 |
$3,031.60 |
$1,913.60
|
|
Echo transesophageal
|
$2,261.35 |
$2,261.35 |
$2,261.35 |
$1,650.00
|
