|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,301.21 |
$2,301.21 |
$2,301.21 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$84.33 |
$84.33 |
$84.33 |
$84.80
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,030.50 |
$1,030.50 |
$1,030.50 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,030.50 |
$1,030.50 |
$1,030.50 |
$914.34
|
|
Drainage external ear simple 69000
|
$2,059.50 |
$2,059.50 |
$2,059.50 |
$789.60
|
|
Drainage mouth roof lesion
|
$603.00 |
$603.00 |
$603.00 |
$390.39
|
|
Drainage of kidney lesion
|
$2,059.50 |
$2,059.50 |
$2,059.50 |
$1,506.00
|
|
Drainage of mouth lesion
|
$648.75 |
$648.75 |
$648.75 |
$489.00
|
|
Drainage of prostate abscess
|
$6,298.50 |
$6,298.50 |
$6,298.50 |
$3,863.60
|
|
Drainage of rectal abscess
|
$3,024.75 |
$3,024.75 |
$3,024.75 |
$2,111.46
|
|
Drain blood from under nail 11740
|
$137.25 |
$137.25 |
$137.25 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$4,138.50 |
$4,138.50 |
$4,138.50 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$4,845.75 |
$4,845.75 |
$4,845.75 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$1,953.75 |
$1,953.75 |
$1,953.75 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$606.75 |
$606.75 |
$606.75 |
$419.00
|
|
Drain ovarn cyst abd
|
$5,478.00 |
$5,478.00 |
$5,478.00 |
$3,964.27
|
|
Drain thigh/knee lesion 27301
|
$5,572.50 |
$5,572.50 |
$5,572.50 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$549.00 |
$549.00 |
$549.00 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$520.50 |
$520.50 |
$520.50 |
$344.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$11.25 |
$11.25 |
$11.25 |
$8,131.20
|
|
Drng hand tendon sheath 26020
|
$6,339.00 |
$6,339.00 |
$6,339.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$773.25 |
$773.25 |
$773.25 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$4,845.75 |
$4,845.75 |
$4,845.75 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$1,076.25 |
$1,076.25 |
$1,076.25 |
$1,917.33
|
|
Drng open retroperitoneal abscess 49060
|
$3,530.25 |
$3,530.25 |
$3,530.25 |
$1,924.00
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$2,659.50 |
$2,659.50 |
$2,659.50 |
$1,800.00
|
|
Drng peritoneal abscess open 49020
|
$4,209.00 |
$4,209.00 |
$4,209.00 |
$2,520.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$7.82 |
$7.82 |
$7.82 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$687.24 |
$687.24 |
$687.24 |
$1,956.48
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$350.97 |
$350.97 |
$350.97 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$649.94 |
$649.94 |
$649.94 |
$289.05
|
|
Drsg sht 5.625x4.625in std
|
$412.50 |
$412.50 |
$412.50 |
$572.00
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$110.11 |
$110.11 |
$110.11 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$10.50 |
$10.50 |
$10.50 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$278.25 |
$278.25 |
$278.25 |
$569.75
|
|
Drug assay caffeine
|
$118.50 |
$118.50 |
$118.50 |
$83.40
|
|
Drug assay posaconazole
|
$116.25 |
$116.25 |
$116.25 |
$96.75
|
|
Drug assay vedolizumab
|
$103.50 |
$103.50 |
$103.50 |
$152.79
|
|
Drug assay voriconazole
|
$116.25 |
$116.25 |
$116.25 |
$96.75
|
|
Drug of abuse screen urine
|
$60.00 |
$60.00 |
$60.00 |
$63.75
|
|
Drug screening tapentadol
|
$86.25 |
$86.25 |
$86.25 |
$36.00
|
|
Drug screen quant tiagabine
|
$83.25 |
$83.25 |
$83.25 |
$114.62
|
|
Drug/substance nos 4-6
|
$229.50 |
$229.50 |
$229.50 |
$72.14
|
|
Drug test def 15-21 classes
|
$1,008.75 |
$1,008.75 |
$1,008.75 |
$263.25
|
|
Drug test def 1-7 classes
|
$501.75 |
$501.75 |
$501.75 |
$250.52
|
|
Drug test def 22+ classes
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$423.00
|
|
Drug test def 8-14 classes
|
$795.00 |
$795.00 |
$795.00 |
$282.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$585.00 |
$585.00 |
$585.00 |
$278.85
|
|
Drvvt confirm - quest
|
$109.50 |
$109.50 |
$109.50 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$3,813.75 |
$3,813.75 |
$3,813.75 |
$3,020.80
|
|
Ductogram sgl duct
|
$652.50 |
$652.50 |
$652.50 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$645.00 |
$645.00 |
$645.00 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$360.00 |
$360.00 |
$360.00 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$363.00 |
$363.00 |
$363.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$765.75 |
$765.75 |
$765.75 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$701.25 |
$701.25 |
$701.25 |
$887.25
|
|
Duragen 1x1 5ea/bx
|
$585.00 |
$585.00 |
$585.00 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$2,445.64 |
$2,445.64 |
$2,445.64 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$296.25 |
$296.25 |
$296.25 |
$392.60
|
|
Dx bronchoscope/brush 31623
|
$3,139.50 |
$3,139.50 |
$3,139.50 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$1,978.50 |
$1,978.50 |
$1,978.50 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$4,758.00 |
$4,758.00 |
$4,758.00 |
$2,322.60
|
|
Dx dark adaptation exam i&r
|
$266.25 |
$266.25 |
$266.25 |
$472.21
|
|
Dx gastr intub w/asp spec
|
$895.50 |
$895.50 |
$895.50 |
$441.60
|
|
Dx gastr intub w/asp specs
|
$489.75 |
$489.75 |
$489.75 |
$308.70
|
|
Ear irrigation 69209
|
$42.75 |
$42.75 |
$42.75 |
$149.76
|
|
Ecallantide injection
|
$13,357.14 |
$13,357.14 |
$13,357.14 |
$13,353.39
|
|
Ecg 12 lead tracing only
|
$292.50 |
$292.50 |
$292.50 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$126.00 |
$126.00 |
$126.00 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$541.50 |
$541.50 |
$541.50 |
$487.60
|
|
Ecg external < 48 hours recording
|
$633.75 |
$633.75 |
$633.75 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$247.50 |
$247.50 |
$247.50 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$78.75 |
$78.75 |
$78.75 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$215.25 |
$215.25 |
$215.25 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,425.00 |
$1,425.00 |
$1,425.00 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$322.50 |
$322.50 |
$322.50 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$652.50 |
$652.50 |
$652.50 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$975.00 |
$975.00 |
$975.00 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$360.00 |
$360.00 |
$360.00 |
$362.50
|
|
Echo exam of eye
|
$305.25 |
$305.25 |
$305.25 |
$143.75
|
|
Echo exam of eye
|
$305.25 |
$305.25 |
$305.25 |
$172.00
|
|
Echo exam of eye
|
$255.75 |
$255.75 |
$255.75 |
$168.00
|
|
Echo exam of eye thickness
|
$85.50 |
$85.50 |
$85.50 |
$50.91
|
|
Echo exam of fetal heart
|
$1,462.50 |
$1,462.50 |
$1,462.50 |
$939.00
|
|
Echo exam of fetal heart
|
$700.50 |
$700.50 |
$700.50 |
$524.55
|
|
Echo exam of fetal heart
|
$404.25 |
$404.25 |
$404.25 |
$431.41
|
|
Echo exam of fetal heart
|
$305.25 |
$305.25 |
$305.25 |
$323.40
|
|
Echo exam uterus 76831-
|
$690.00 |
$690.00 |
$690.00 |
$523.71
|
|
Echograp trans r pros study
|
$588.75 |
$588.75 |
$588.75 |
$459.40
|
|
Echo guidance radiotherapy
|
$304.50 |
$304.50 |
$304.50 |
$812.00
|
|
Echo guide for amniocentesis
|
$171.00 |
$171.00 |
$171.00 |
$456.30
|
|
Echo guide for artery repair
|
$830.25 |
$830.25 |
$830.25 |
$664.00
|
|
Echo guide for heart biopsy
|
$284.25 |
$284.25 |
$284.25 |
$666.40
|
|
Echo guide for transfusion
|
$410.25 |
$410.25 |
$410.25 |
$324.60
|
|
Echo guide ova aspiration
|
$255.75 |
$255.75 |
$255.75 |
$214.40
|
|
Echo guide villus sampling
|
$307.50 |
$307.50 |
$307.50 |
$362.88
|
|
Echo stress
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,849.50
|
|
Echo transesophageal
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$1,087.90
|
