|
Diagnostic anoscopy spx 46600
|
$910.58 |
$910.58 |
$910.58 |
$245.35
|
|
Diagnostic laryngoscopy 31575
|
$1,479.64 |
$1,479.64 |
$1,479.64 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$823.47 |
$823.47 |
$823.47 |
$421.26
|
|
Diagnostic Mammogram (one breast)
|
$698.95 |
$698.95 |
$698.95 |
$297.05
|
|
Dialysis one evaluation
|
$1,643.11 |
$1,643.11 |
$1,643.11 |
$827.97
|
|
Diatrizoate meglumine 18 % urethral solution
|
$510.98 |
$510.98 |
$510.98 |
$102.20
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$283.96 |
$283.96 |
$283.96 |
$72.34
|
|
Dicyclomine injection
|
$1,151.59 |
$1,151.59 |
$1,151.59 |
$211.68
|
|
Diffusing capacity
|
$624.92 |
$624.92 |
$624.92 |
$360.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$117.27 |
$117.27 |
$117.27 |
$67.25
|
|
Digoxin total therapeutic drug level
|
$270.42 |
$270.42 |
$270.42 |
$102.00
|
|
Dilat xst trc new access rcs
|
$24,036.62 |
$24,036.62 |
$24,036.62 |
$4,881.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$86.81 |
$86.81 |
$86.81 |
$25.12
|
|
Disability dlco
|
$499.45 |
$499.45 |
$499.45 |
$302.40
|
|
Disaccharidases
|
$439.96 |
$439.96 |
$439.96 |
$224.31
|
|
Dna antibody native/double stranded
|
$41.91 |
$41.91 |
$41.91 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$1,514.13 |
$1,514.13 |
$1,514.13 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,747.37 |
$1,747.37 |
$1,747.37 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$454.70 |
$454.70 |
$454.70 |
$78.39
|
|
Doppler echo complete
|
$1,055.93 |
$1,055.93 |
$1,055.93 |
$616.87
|
|
Doppler intravascular pressure flow initial vessel
|
$3,191.54 |
$3,191.54 |
$3,191.54 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$544.51 |
$544.51 |
$544.51 |
$697.23
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$471.17 |
$471.17 |
$471.17 |
$495.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$114,615.40 |
$114,615.40 |
$114,615.40 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$450.71 |
$450.71 |
$450.71 |
$269.37
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$19,989.46 |
$19,989.46 |
$19,989.46 |
$2,469.31
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$5,211.38 |
$5,211.38 |
$5,211.38 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$5,211.38 |
$5,211.38 |
$5,211.38 |
$895.20
|
|
Drainage external ear complex 69005
|
$11,959.40 |
$11,959.40 |
$11,959.40 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$1,851.48 |
$1,851.48 |
$1,851.48 |
$809.25
|
|
Drainage mouth roof lesion
|
$1,857.31 |
$1,857.31 |
$1,857.31 |
$473.20
|
|
Drainage of kidney lesion
|
$7,317.39 |
$7,317.39 |
$7,317.39 |
$1,619.40
|
|
Drainage of mouth lesion
|
$22,360.99 |
$22,360.99 |
$22,360.99 |
$3,848.00
|
|
Drainage of mouth lesion
|
$4,014.07 |
$4,014.07 |
$4,014.07 |
$1,022.40
|
|
Drainage of nose lesion int 30000
|
$1,857.31 |
$1,857.31 |
$1,857.31 |
$548.00
|
|
Drain bladder by trocar/cath
|
$3,145.11 |
$3,145.11 |
$3,145.11 |
$1,086.00
|
|
Drain blood from under nail 11740
|
$339.50 |
$339.50 |
$339.50 |
$190.33
|
|
Drain cath image guided visceral pq
|
$11,959.40 |
$11,959.40 |
$11,959.40 |
$3,032.97
|
|
Drain finger abscess;simple 26010
|
$1,549.15 |
$1,549.15 |
$1,549.15 |
$492.81
|
|
Drain thigh/knee lesion 27301
|
$20,044.51 |
$20,044.51 |
$20,044.51 |
$3,606.86
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$560.00 |
$560.00 |
$560.00 |
$411.16
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$879.47 |
$879.47 |
$879.47 |
$365.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,169.56 |
$1,169.56 |
$1,169.56 |
$532.80
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$285.51 |
$285.51 |
$285.51 |
$5,307.40
|
|
Drng of eyelid abscess 67700
|
$2,272.39 |
$2,272.39 |
$2,272.39 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$11,959.40 |
$11,959.40 |
$11,959.40 |
$1,972.80
|
|
Drng of scrotum abscess 55100
|
$11,959.40 |
$11,959.40 |
$11,959.40 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$141.10 |
$141.10 |
$141.10 |
$39.31
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1,041.98 |
$1,041.98 |
$1,041.98 |
$10,375.97
|
|
Drug assay posaconazole
|
$364.65 |
$364.65 |
$364.65 |
$96.39
|
|
Drug assay voriconazole
|
$538.00 |
$538.00 |
$538.00 |
$96.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,818.68 |
$1,818.68 |
$1,818.68 |
$278.85
|
|
Drvvt confirm - quest
|
$356.81 |
$356.81 |
$356.81 |
$101.66
|
|
Duplex scan unilateral study 93986
|
$978.05 |
$978.05 |
$978.05 |
$383.40
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$2,336.68 |
$2,336.68 |
$2,336.68 |
$759.85
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,160.34 |
$1,160.34 |
$1,160.34 |
$890.55
|
|
Durvalumab 50 mg/ml intravenous solution
|
$125,845.37 |
$125,845.37 |
$125,845.37 |
$8,935.63
|
|
Ear irrigation 69209
|
$487.48 |
$487.48 |
$487.48 |
$161.40
|
|
Ecg 12 lead tracing only
|
$300.48 |
$300.48 |
$300.48 |
$245.30
|
|
Echocardiogram (Heart Ultrasound)
|
$4,311.57 |
$4,311.57 |
$4,311.57 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$817.51 |
$817.51 |
$817.51 |
$462.80
|
|
Echocardiography transthoracic 2d followup/limited
|
$2,060.61 |
$2,060.61 |
$2,060.61 |
$736.80
|
|
Echocardiograpy doppler follow up/limited study
|
$672.82 |
$672.82 |
$672.82 |
$354.90
|
|
Echo exam of fetal heart
|
$4,879.90 |
$4,879.90 |
$4,879.90 |
$855.38
|
|
Echo exam of fetal heart
|
$1,106.97 |
$1,106.97 |
$1,106.97 |
$431.41
|
|
Echo stress
|
$2,336.68 |
$2,336.68 |
$2,336.68 |
$1,586.90
|
|
Echo tee guidance
|
$5,282.79 |
$5,282.79 |
$5,282.79 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$4,311.57 |
$4,311.57 |
$4,311.57 |
$1,875.00
|
|
Echo transesophageal intraop
|
$4,311.57 |
$4,311.57 |
$4,311.57 |
$1,571.70
|
|
Echo transthoracic
|
$4,311.57 |
$4,311.57 |
$4,311.57 |
$1,475.25
|
|
Echo transthoracic
|
$4,311.57 |
$4,311.57 |
$4,311.57 |
$944.14
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$2,342.51 |
$2,342.51 |
$2,342.51 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$2,612.93 |
$2,612.93 |
$2,612.93 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$2,612.93 |
$2,612.93 |
$2,612.93 |
$4,324.50
|
|
Eeg 41-60 minutes 95812-26
|
$990.69 |
$990.69 |
$990.69 |
$934.05
|
|
Eeg during surgery
|
$2,258.43 |
$2,258.43 |
$2,258.43 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$990.76 |
$990.76 |
$990.76 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$902.95 |
$902.95 |
$902.95 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$1,101.75 |
$1,101.75 |
$1,101.75 |
$936.00
|
|
Eeg recording awake and asleep
|
$2,336.68 |
$2,336.68 |
$2,336.68 |
$1,030.27
|
|
E equine encephalitis igg
|
$261.75 |
$261.75 |
$261.75 |
$48.73
|
|
Egfr gene com variants
|
$6,441.29 |
$6,441.29 |
$6,441.29 |
$615.57
|
|
Ehrlicha chaffeensis amp prb
|
$112.37 |
$112.37 |
$112.37 |
$105.00
|
|
Electrical stimulation/unattended 97014
|
$241.25 |
$241.25 |
$241.25 |
$82.20
|
|
Electrolyte panel
|
$643.19 |
$643.19 |
$643.19 |
$86.58
|
|
Electron microscopy diagnostic
|
$2,675.35 |
$2,675.35 |
$2,675.35 |
$983.41
|
|
Electrophysiology evaluation
|
$18,228.51 |
$18,228.51 |
$18,228.51 |
$8,979.45
|
|
Electrophysiology evaluation
|
$25,042.40 |
$25,042.40 |
$25,042.40 |
$11,175.42
|
|
Electrophysiology evaluation
|
$5,204.20 |
$5,204.20 |
$5,204.20 |
$7,964.80
|
|
Embolization s&i
|
$2,711.06 |
$2,711.06 |
$2,711.06 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$50,614.00 |
$50,614.00 |
$50,614.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$50,614.00 |
$50,614.00 |
$50,614.00 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$50,614.00 |
$50,614.00 |
$50,614.00 |
$15,290.85
|
|
Embo or occlude vascular venous s&i
|
$50,614.00 |
$50,614.00 |
$50,614.00 |
$15,038.25
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$856.54 |
$856.54 |
$856.54 |
$434.00
|
|
Emg cranial nerve bilateral
|
$2,336.68 |
$2,336.68 |
$2,336.68 |
$518.00
|
|
Emg needle test 4-extremities
|
$1,242.03 |
$1,242.03 |
$1,242.03 |
$570.50
|
|
Encephalitis, california igg/igm
|
$261.75 |
$261.75 |
$261.75 |
$46.50
|
|
Encephalitis, st louis igg/igm
|
$261.75 |
$261.75 |
$261.75 |
$47.40
|
|
Encephalitis, western equine igg/igm
|
$261.75 |
$261.75 |
$261.75 |
$50.70
|