|
Digoxin immune fab 40 mg intravenous solution
|
$15,884.97 |
$15,884.97 |
$15,884.97 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$140.35 |
$140.35 |
$140.35 |
$102.07
|
|
Dilate esophagus 1/mult pass
|
$484.55 |
$484.55 |
$484.55 |
$1,548.00
|
|
Dilation of cervical canal 57800
|
$146.80 |
$146.80 |
$146.80 |
$4,446.00
|
|
Dilator fascial 10fx20cm
|
$67.95 |
$67.95 |
$67.95 |
$402.10
|
|
Dimethyl sulfoxide 50% 50 ml
|
$3,389.84 |
$3,389.84 |
$3,389.84 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$41.64 |
$41.64 |
$41.64 |
$18.32
|
|
Disability dlco
|
$86.05 |
$86.05 |
$86.05 |
$293.76
|
|
Disaccharidases
|
$233.25 |
$233.25 |
$233.25 |
$230.40
|
|
Dna antibody native/double stranded
|
$107.95 |
$107.95 |
$107.95 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$323.45 |
$323.45 |
$323.45 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,114.87 |
$1,114.87 |
$1,114.87 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$163.17 |
$163.17 |
$163.17 |
$65.40
|
|
Doppler echo complete
|
$1,199.85 |
$1,199.85 |
$1,199.85 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$473.75 |
$473.75 |
$473.75 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$388.70 |
$388.70 |
$388.70 |
$481.65
|
|
Dornase alfa non-comp unit
|
$932.10 |
$932.10 |
$932.10 |
$356.00
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,859.05 |
$1,859.05 |
$1,859.05 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$212.91 |
$212.91 |
$212.91 |
$89.34
|
|
Dpyd gene common variants
|
$1,076.30 |
$1,076.30 |
$1,076.30 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$471.05 |
$471.05 |
$471.05 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$515.55 |
$515.55 |
$515.55 |
$964.00
|
|
Drainage external ear complex 69005
|
$429.25 |
$429.25 |
$429.25 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$407.60 |
$407.60 |
$407.60 |
$790.40
|
|
Drainage lymph node lesion 38300
|
$554.70 |
$554.70 |
$554.70 |
$3,088.80
|
|
Drainage mouth roof lesion
|
$329.05 |
$329.05 |
$329.05 |
$405.60
|
|
Drainage of arm bursa 23931
|
$624.95 |
$624.95 |
$624.95 |
$2,271.01
|
|
Drainage of kidney lesion
|
$1,429.85 |
$1,429.85 |
$1,429.85 |
$1,506.00
|
|
Drainage of mouth lesion
|
$426.50 |
$426.50 |
$426.50 |
$535.20
|
|
Drainage of mouth lesion
|
$757.15 |
$757.15 |
$757.15 |
$2,304.00
|
|
Drainage of mouth lesion
|
$743.70 |
$743.70 |
$743.70 |
$2,320.03
|
|
Drainage of mouth lesion
|
$811.15 |
$811.15 |
$811.15 |
$3,837.72
|
|
Drainage of mouth lesion
|
$865.05 |
$865.05 |
$865.05 |
$905.30
|
|
Drainage of mouth lesion
|
$762.75 |
$762.75 |
$762.75 |
$6,781.90
|
|
Drainage of nose lesion int 30000
|
$422.45 |
$422.45 |
$422.45 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$503.35 |
$503.35 |
$503.35 |
$781.44
|
|
Drainage of pelvis bursa
|
$1,166.40 |
$1,166.40 |
$1,166.40 |
$2,840.80
|
|
Drainage of pelvis lesion 26990
|
$1,407.75 |
$1,407.75 |
$1,407.75 |
$3,863.70
|
|
Drainage of rectal abscess
|
$525.10 |
$525.10 |
$525.10 |
$2,135.10
|
|
Drain bladder by trocar/cath
|
$255.10 |
$255.10 |
$255.10 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$106.70 |
$106.70 |
$106.70 |
$182.40
|
|
Drain cath image guided visceral pq
|
$3,911.45 |
$3,911.45 |
$3,911.45 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$573.60 |
$573.60 |
$573.60 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$574.95 |
$574.95 |
$574.95 |
$428.40
|
|
Drain lower leg lesion 27603
|
$1,006.90 |
$1,006.90 |
$1,006.90 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$1,403.75 |
$1,403.75 |
$1,403.75 |
$3,339.00
|
|
Drain shoulder lesion
|
$842.20 |
$842.20 |
$842.20 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$1,502.25 |
$1,502.25 |
$1,502.25 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$272.65 |
$272.65 |
$272.65 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$180.85 |
$180.85 |
$180.85 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$344.15 |
$344.15 |
$344.15 |
$541.00
|
|
Drng of eyelid abscess 67700
|
$578.95 |
$578.95 |
$578.95 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$913.95 |
$913.95 |
$913.95 |
$2,079.50
|
|
Drng of mouth lesion 40801
|
$660.00 |
$660.00 |
$660.00 |
$1,350.97
|
|
Drng of scrotum abscess 55100
|
$977.15 |
$977.15 |
$977.15 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$354.75 |
$354.75 |
$354.75 |
$2,039.50
|
|
Drng salivary gland submax/subling 42310
|
$207.90 |
$207.90 |
$207.90 |
$799.40
|
|
Droperidol 2.5 mg/ml injection solution
|
$137.94 |
$137.94 |
$137.94 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$729.42 |
$729.42 |
$729.42 |
$1,818.32
|
|
Drug assay posaconazole
|
$131.55 |
$131.55 |
$131.55 |
$96.75
|
|
Drug assay vedolizumab
|
$487.60 |
$487.60 |
$487.60 |
$154.00
|
|
Drug assay voriconazole
|
$111.05 |
$111.05 |
$111.05 |
$96.75
|
|
Drug of abuse screen urine
|
$28.00 |
$28.00 |
$28.00 |
$67.89
|
|
Drug test prsmv instrmnt
|
$116.05 |
$116.05 |
$116.05 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$295.20 |
$295.20 |
$295.20 |
$278.85
|
|
Ductogram sgl duct
|
$576.35 |
$576.35 |
$576.35 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$738.30 |
$738.30 |
$738.30 |
$691.08
|
|
Dup scan/hemodialysis access 93990
|
$1,042.35 |
$1,042.35 |
$1,042.35 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$568.20 |
$568.20 |
$568.20 |
$745.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$13,446.50 |
$13,446.50 |
$13,446.50 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$384.65 |
$384.65 |
$384.65 |
$401.20
|
|
Dx aly aud oi snd prcsr 1st
|
$127.50 |
$127.50 |
$127.50 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$32.80 |
$32.80 |
$32.80 |
$51.52
|
|
Dx bronchoscope/wash 31622
|
$483.40 |
$483.40 |
$483.40 |
$2,410.50
|
|
Ear irrigation 69209
|
$48.60 |
$48.60 |
$48.60 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$106.70 |
$106.70 |
$106.70 |
$132.08
|
|
Ecg external < 48 hours recording
|
$495.40 |
$495.40 |
$495.40 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,349.70 |
$1,349.70 |
$1,349.70 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$460.15 |
$460.15 |
$460.15 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$460.15 |
$460.15 |
$460.15 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,336.35 |
$2,336.35 |
$2,336.35 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$1,457.70 |
$1,457.70 |
$1,457.70 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$475.10 |
$475.10 |
$475.10 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,716.90 |
$2,716.90 |
$2,716.90 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,018.05 |
$1,018.05 |
$1,018.05 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$425.20 |
$425.20 |
$425.20 |
$371.25
|
|
Echo exam of fetal heart
|
$2.70 |
$2.70 |
$2.70 |
$904.80
|
|
Echo exam uterus 76831-
|
$790.90 |
$790.90 |
$790.90 |
$561.00
|
|
Echograp trans r pros study
|
$770.75 |
$770.75 |
$770.75 |
$468.00
|
|
Echo guidance radiotherapy
|
$175.00 |
$175.00 |
$175.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$369.80 |
$369.80 |
$369.80 |
$455.57
|
|
Echo guide ova aspiration
|
$51.00 |
$51.00 |
$51.00 |
$174.20
|
|
Echo stress
|
$240.35 |
$240.35 |
$240.35 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,015.10 |
$2,015.10 |
$2,015.10 |
$1,913.60
|
|
Echo transthoracic
|
$2,623.80 |
$2,623.80 |
$2,623.80 |
$1,361.75
|
|
Eeg recording awake and asleep
|
$875.90 |
$875.90 |
$875.90 |
$931.20
|
|
E equine encephalitis igg
|
$31.35 |
$31.35 |
$31.35 |
$51.84
|
|
Ehrlicha chaffeensis amp prb
|
$107.30 |
$107.30 |
$107.30 |
$93.00
|
|
EKG (Tracing Only)
|
$153.85 |
$153.85 |
$153.85 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$332.00 |
$332.00 |
$332.00 |
$291.94
|