|
Dialysis circuit perm vascular embolization 36909
|
$2,212.56 |
$2,212.56 |
$2,212.56 |
$5,419.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.50 |
$0.50 |
$0.50 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$178.13 |
$178.13 |
$178.13 |
$74.76
|
|
Dicyclomine injection
|
$412.78 |
$412.78 |
$412.78 |
$153.29
|
|
Diffusing capacity
|
$178.56 |
$178.56 |
$178.56 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$58.21 |
$58.21 |
$58.21 |
$69.03
|
|
Digoxin total therapeutic drug level
|
$148.32 |
$148.32 |
$148.32 |
$102.00
|
|
Dilator fascial 10fx20cm
|
$864.00 |
$864.00 |
$864.00 |
$402.10
|
|
Dilat xst trc new access rcs
|
$4,684.32 |
$4,684.32 |
$4,684.32 |
$4,213.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$0.73 |
$0.73 |
$0.73 |
$47.94
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$31.86 |
$31.86 |
$31.86 |
$17.75
|
|
Disaccharidases
|
$335.52 |
$335.52 |
$335.52 |
$216.00
|
|
#d/lmeth-l-methamphetamine
|
$218.16 |
$218.16 |
$218.16 |
$72.14
|
|
Dna antibody native/double stranded
|
$136.80 |
$136.80 |
$136.80 |
$97.50
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$238.14 |
$238.14 |
$238.14 |
$98.43
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$15.00 |
$15.00 |
$15.00 |
$65.40
|
|
Doppler echo complete
|
$393.84 |
$393.84 |
$393.84 |
$540.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$930.96 |
$930.96 |
$930.96 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$487.44 |
$487.44 |
$487.44 |
$471.17
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$2.79 |
$2.79 |
$2.79 |
$84.80
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,457.28 |
$1,457.28 |
$1,457.28 |
$800.00
|
|
Drainage external ear simple 69000
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$789.60
|
|
Drainage of arm bursa 23931
|
$3,515.76 |
$3,515.76 |
$3,515.76 |
$2,197.48
|
|
Drainage of kidney lesion
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$1,506.00
|
|
Drainage of mouth lesion
|
$2,941.92 |
$2,941.92 |
$2,941.92 |
$1,752.89
|
|
Drainage of rectal abscess 45020
|
$3,208.32 |
$3,208.32 |
$3,208.32 |
$3,769.20
|
|
Drainage of urethra abscess 53060
|
$2,396.88 |
$2,396.88 |
$2,396.88 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$131.04 |
$131.04 |
$131.04 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$3,730.32 |
$3,730.32 |
$3,730.32 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,566.08 |
$2,566.08 |
$2,566.08 |
$2,850.35
|
|
Drain chst dry seal exp thorastat
|
$27.36 |
$27.36 |
$27.36 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$489.60 |
$489.60 |
$489.60 |
$419.00
|
|
Drain thigh/knee lesion 27301
|
$4,819.68 |
$4,819.68 |
$4,819.68 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$406.08 |
$406.08 |
$406.08 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$496.08 |
$496.08 |
$496.08 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$406.80 |
$406.80 |
$406.80 |
$523.00
|
|
Drng of finger abscess comp 26011
|
$2,904.48 |
$2,904.48 |
$2,904.48 |
$1,943.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$112.57 |
$112.57 |
$112.57 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,649.52 |
$1,649.52 |
$1,649.52 |
$1,956.48
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$15.12 |
$15.12 |
$15.12 |
$127.14
|
|
Drug assay posaconazole
|
$233.28 |
$233.28 |
$233.28 |
$96.75
|
|
Drug assay rufinamide
|
$125.28 |
$125.28 |
$125.28 |
$85.80
|
|
Drug assay vedolizumab
|
$286.56 |
$286.56 |
$286.56 |
$152.79
|
|
Drug assay voriconazole
|
$226.80 |
$226.80 |
$226.80 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$225.36 |
$225.36 |
$225.36 |
$66.43
|
|
Drug of abuse screen urine
|
$95.76 |
$95.76 |
$95.76 |
$63.75
|
|
Drug screening tapentadol
|
$107.28 |
$107.28 |
$107.28 |
$36.00
|
|
Drug test def 1-7 classes
|
$182.88 |
$182.88 |
$182.88 |
$250.52
|
|
Drug test def 22+ classes
|
$616.32 |
$616.32 |
$616.32 |
$423.00
|
|
Drug test prsmv instrmnt
|
$87.84 |
$87.84 |
$87.84 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$301.68 |
$301.68 |
$301.68 |
$278.85
|
|
Drvvt confirm - quest
|
$70.56 |
$70.56 |
$70.56 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$3,851.28 |
$3,851.28 |
$3,851.28 |
$3,020.80
|
|
Duplex scan bilateral study 93985
|
$767.52 |
$767.52 |
$767.52 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$383.76 |
$383.76 |
$383.76 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$415.44 |
$415.44 |
$415.44 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,108.08 |
$1,108.08 |
$1,108.08 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,177.92 |
$1,177.92 |
$1,177.92 |
$887.25
|
|
Dx laryngoscopy newborn
|
$992.88 |
$992.88 |
$992.88 |
$707.25
|
|
Ear irrigation 69209
|
$179.28 |
$179.28 |
$179.28 |
$149.76
|
|
Ecg 12 lead tracing only
|
$277.92 |
$277.92 |
$277.92 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$175.68 |
$175.68 |
$175.68 |
$135.80
|
|
Ecg external < 48 hours recording
|
$747.36 |
$747.36 |
$747.36 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$738.00 |
$738.00 |
$738.00 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$2,183.76 |
$2,183.76 |
$2,183.76 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$624.96 |
$624.96 |
$624.96 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,180.88 |
$2,180.88 |
$2,180.88 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$851.04 |
$851.04 |
$851.04 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,659.60 |
$1,659.60 |
$1,659.60 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$403.20 |
$403.20 |
$403.20 |
$362.50
|
|
Echo guide for amniocentesis
|
$499.68 |
$499.68 |
$499.68 |
$456.30
|
|
Echo guide for artery repair
|
$769.68 |
$769.68 |
$769.68 |
$664.00
|
|
Echo stress
|
$3,594.96 |
$3,594.96 |
$3,594.96 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,945.52 |
$2,945.52 |
$2,945.52 |
$1,849.50
|
|
Echo transthoracic
|
$2,329.92 |
$2,329.92 |
$2,329.92 |
$1,361.75
|
|
Echo transthoracic
|
$935.28 |
$935.28 |
$935.28 |
$953.10
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$87.84 |
$87.84 |
$87.84 |
$87.84
|
|
Eeg monitor/record/awake/drowsy 95816
|
$923.76 |
$923.76 |
$923.76 |
$835.00
|
|
Eeg recording awake and asleep
|
$1,062.72 |
$1,062.72 |
$1,062.72 |
$931.20
|
|
Ehrlicha chaffeensis amp prb
|
$193.68 |
$193.68 |
$193.68 |
$93.00
|
|
Electrolyte panel
|
$155.52 |
$155.52 |
$155.52 |
$84.24
|
|
Embolization s&i
|
$7,752.24 |
$7,752.24 |
$7,752.24 |
$3,199.00
|
|
Embo or occlude vascular venous s&i
|
$23,633.28 |
$23,633.28 |
$23,633.28 |
$14,586.00
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$234.72 |
$234.72 |
$234.72 |
$375.20
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$182.88 |
$182.88 |
$182.88 |
$464.00
|
|
Emg needle test 1-extremity
|
$214.56 |
$214.56 |
$214.56 |
$334.34
|
|
Emg needle test 4-extremities
|
$315.36 |
$315.36 |
$315.36 |
$547.00
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$6,582.24 |
$6,582.24 |
$6,582.24 |
$5,119.50
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$7,630.56 |
$7,630.56 |
$7,630.56 |
$5,372.80
|
|
Endovenous laser vein addon 36479
|
$3,291.12 |
$3,291.12 |
$3,291.12 |
$2,603.36
|
|
Endovenous rf abl vein addl
|
$3,275.28 |
$3,275.28 |
$3,275.28 |
$3,226.73
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$22.62 |
$22.62 |
$22.62 |
$109.71
|
|
Epidural/lumbar/sacral/ea add level64484
|
$2,451.60 |
$2,451.60 |
$2,451.60 |
$1,141.80
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$14.55 |
$14.55 |
$14.55 |
$37.86
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$15.44 |
$15.44 |
$15.44 |
$34.13
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$282.86 |
$282.86 |
$282.86 |
$1,289.71
|
|
Epstein barr early antigen antibody
|
$90.72 |
$90.72 |
$90.72 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$125.28 |
$125.28 |
$125.28 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$143.28 |
$143.28 |
$143.28 |
$91.00
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$65.25 |
$65.25 |
$65.25 |
$3,838.45
|
