|
Doppler upper/lower extremity arteries limited bilateral
|
$532.80 |
$532.80 |
$532.80 |
$473.76
|
|
Dornhoffer fixed part w/window
|
$52,020.00 |
$52,020.00 |
$52,020.00 |
$34,278.00
|
|
Dorsi & plantar flex ass/res
|
$163.44 |
$163.44 |
$163.44 |
$163.50
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$48.24 |
$48.24 |
$48.24 |
$450.14
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$1.09 |
$1.09 |
$1.09 |
$84.80
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$794.82
|
|
Drainage ext aud canal abscess 69020
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$914.34
|
|
Drainage external ear complex 69005
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$3,330.72 |
$3,330.72 |
$3,330.72 |
$779.45
|
|
Drainage lymph node lesion 38300
|
$6,535.44 |
$6,535.44 |
$6,535.44 |
$3,088.80
|
|
Drainage mouth roof lesion
|
$601.92 |
$601.92 |
$601.92 |
$405.60
|
|
Drainage of arm bursa 23931
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$2,271.01
|
|
Drainage of eye
|
$4,926.24 |
$4,926.24 |
$4,926.24 |
$2,415.65
|
|
Drainage of kidney lesion
|
$1,591.92 |
$1,591.92 |
$1,591.92 |
$1,506.00
|
|
Drainage of mouth lesion
|
$7,004.88 |
$7,004.88 |
$7,004.88 |
$3,837.72
|
|
Drainage of mouth lesion
|
$12,777.84 |
$12,777.84 |
$12,777.84 |
$6,781.90
|
|
Drainage of mouth lesion
|
$7,004.88 |
$7,004.88 |
$7,004.88 |
$3,459.00
|
|
Drainage of mouth lesion
|
$3,458.16 |
$3,458.16 |
$3,458.16 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$819.36 |
$819.36 |
$819.36 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$2,399.04 |
$2,399.04 |
$2,399.04 |
$781.44
|
|
Drainage of rectal abscess
|
$2,546.64 |
$2,546.64 |
$2,546.64 |
$2,135.10
|
|
Drainage of urethra abscess 53060
|
$6,053.76 |
$6,053.76 |
$6,053.76 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$280.08 |
$280.08 |
$280.08 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$4,961.52 |
$4,961.52 |
$4,961.52 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$1,496.16 |
$1,496.16 |
$1,496.16 |
$1,025.00
|
|
Drain finger abscess;simple 26010
|
$653.04 |
$653.04 |
$653.04 |
$428.40
|
|
Drain lower leg lesion 27603
|
$6,181.92 |
$6,181.92 |
$6,181.92 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$9,166.32 |
$9,166.32 |
$9,166.32 |
$3,301.20
|
|
Drain thigh/knee lesion 27301
|
$6,181.92 |
$6,181.92 |
$6,181.92 |
$3,824.50
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$653.04 |
$653.04 |
$653.04 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$750.96 |
$750.96 |
$750.96 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$750.24 |
$750.24 |
$750.24 |
$540.80
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$3,433.68 |
$3,433.68 |
$3,433.68 |
$1,746.50
|
|
Drill hole implt ventricular cath/device 61107
|
$2,098.80 |
$2,098.80 |
$2,098.80 |
$1,485.75
|
|
Drng hand tendon sheath 26020
|
$8,742.96 |
$8,742.96 |
$8,742.96 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$1,206.00 |
$1,206.00 |
$1,206.00 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$3,043.44 |
$3,043.44 |
$3,043.44 |
$2,029.60
|
|
Drng of scrotum abscess 55100
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$3,384.72 |
$3,384.72 |
$3,384.72 |
$2,039.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$45.94 |
$45.94 |
$45.94 |
$31.26
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$864.00 |
$864.00 |
$864.00 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$27.36 |
$27.36 |
$27.36 |
$58.20
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$52,020.00 |
$52,020.00 |
$52,020.00 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$1,421.28 |
$1,421.28 |
$1,421.28 |
$578.59
|
|
Drug assay caffeine
|
$1,321.20 |
$1,321.20 |
$1,321.20 |
$81.61
|
|
Drug assay posaconazole
|
$154.08 |
$154.08 |
$154.08 |
$96.75
|
|
Drug assay rufinamide
|
$80.64 |
$80.64 |
$80.64 |
$85.80
|
|
Drug assay vedolizumab
|
$352.80 |
$352.80 |
$352.80 |
$157.00
|
|
Drug assay voriconazole
|
$162.72 |
$162.72 |
$162.72 |
$96.75
|
|
Drug screening tapentadol
|
$107.28 |
$107.28 |
$107.28 |
$44.25
|
|
Drug screen quant tiagabine
|
$129.60 |
$129.60 |
$129.60 |
$107.59
|
|
Drug test def 1-7 classes
|
$256.32 |
$256.32 |
$256.32 |
$263.25
|
|
Drug test def 22+ classes
|
$581.76 |
$581.76 |
$581.76 |
$423.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$260.64 |
$260.64 |
$260.64 |
$280.95
|
|
Drvvt confirm - quest
|
$128.88 |
$128.88 |
$128.88 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$5,577.84 |
$5,577.84 |
$5,577.84 |
$2,967.48
|
|
Ductogram sgl duct
|
$572.40 |
$572.40 |
$572.40 |
$469.44
|
|
Dup scan/hemodialysis access 93990
|
$329.04 |
$329.04 |
$329.04 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,242.72 |
$1,242.72 |
$1,242.72 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,568.16 |
$1,568.16 |
$1,568.16 |
$903.50
|
|
Duragen 1x1 5ea/bx
|
$756.00 |
$756.00 |
$756.00 |
$10,564.87
|
|
Durvalumab 50 mg/ml intravenous solution
|
$222.64 |
$222.64 |
$222.64 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$3,724.56 |
$3,724.56 |
$3,724.56 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$3,500.64 |
$3,500.64 |
$3,500.64 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$3,239.28 |
$3,239.28 |
$3,239.28 |
$2,322.60
|
|
Dx gastr intub w/asp spec
|
$774.00 |
$774.00 |
$774.00 |
$441.60
|
|
Dx gastr intub w/asp specs
|
$774.00 |
$774.00 |
$774.00 |
$308.70
|
|
Ear irrigation 69209
|
$444.24 |
$444.24 |
$444.24 |
$150.00
|
|
Ecg 12 lead tracing only
|
$347.76 |
$347.76 |
$347.76 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$181.44 |
$181.44 |
$181.44 |
$132.08
|
|
Ecg external < 48 hours recording
|
$1,593.36 |
$1,593.36 |
$1,593.36 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$825.84 |
$825.84 |
$825.84 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$2,890.08 |
$2,890.08 |
$2,890.08 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$763.92 |
$763.92 |
$763.92 |
$499.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,414.24 |
$3,414.24 |
$3,414.24 |
$1,935.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,331.28 |
$1,331.28 |
$1,331.28 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$797.76 |
$797.76 |
$797.76 |
$371.25
|
|
Echo exam of eye
|
$412.56 |
$412.56 |
$412.56 |
$169.62
|
|
Echo exam of fetal heart
|
$1,665.36 |
$1,665.36 |
$1,665.36 |
$904.80
|
|
Echo exam of fetal heart
|
$882.72 |
$882.72 |
$882.72 |
$538.27
|
|
Echo exam of fetal heart
|
$906.48 |
$906.48 |
$906.48 |
$431.41
|
|
Echo exam of fetal heart
|
$582.48 |
$582.48 |
$582.48 |
$319.00
|
|
Echo exam uterus 76831-
|
$903.60 |
$903.60 |
$903.60 |
$552.50
|
|
Echograp trans r pros study
|
$272.88 |
$272.88 |
$272.88 |
$466.20
|
|
Echo guide for amniocentesis
|
$809.28 |
$809.28 |
$809.28 |
$446.60
|
|
Echo guide for artery repair
|
$1,285.92 |
$1,285.92 |
$1,285.92 |
$687.35
|
|
Echo guide for heart biopsy
|
$2,164.32 |
$2,164.32 |
$2,164.32 |
$666.40
|
|
Echo guide for transfusion
|
$586.08 |
$586.08 |
$586.08 |
$332.39
|
|
Echo stress
|
$2,049.12 |
$2,049.12 |
$2,049.12 |
$1,606.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,108.96 |
$3,108.96 |
$3,108.96 |
$1,889.20
|
|
Echo transesophageal
|
$3,877.20 |
$3,877.20 |
$3,877.20 |
$1,599.50
|
|
Echo transesophageal intraop
|
$3,877.20 |
$3,877.20 |
$3,877.20 |
$1,578.00
|
|
Echo transthoracic
|
$1,770.48 |
$1,770.48 |
$1,770.48 |
$1,361.75
|
|
Echo transthoracic
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$1,010.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$2,086.56 |
$2,086.56 |
$2,086.56 |
$1,022.30
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$23,790.24 |
$23,790.24 |
$23,790.24 |
$2,825.34
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$815.76 |
$815.76 |
$815.76 |
$1,362.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$112.72 |
$112.72 |
$112.72 |
$19,540.29
|