|
Digoxin total therapeutic drug level
|
$126.25 |
$126.25 |
$126.25 |
$100.20
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$227.84 |
$227.84 |
$227.84 |
$308.90
|
|
Dilate biliary duct/ampulla
|
$610.00 |
$610.00 |
$610.00 |
$1,924.05
|
|
Dilate urethra stricture
|
$171.25 |
$171.25 |
$171.25 |
$513.00
|
|
Dilation/female urethra/initial 53660
|
$102.75 |
$102.75 |
$102.75 |
$243.60
|
|
Dilation/urethral strict/male/ini 53620
|
$629.75 |
$629.75 |
$629.75 |
$1,386.89
|
|
Dilat xst trc ndurlgc px
|
$1,523.25 |
$1,523.25 |
$1,523.25 |
$4,056.65
|
|
Dilat xst trc new access rcs
|
$2,563.25 |
$2,563.25 |
$2,563.25 |
$4,258.20
|
|
Dimenhydrinate injection
|
$10.08 |
$10.08 |
$10.08 |
$30.48
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.15 |
$0.15 |
$0.15 |
$1.27
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$19.95 |
$19.95 |
$19.95 |
$17.75
|
|
Dipyridamole injection
|
$32.62 |
$32.62 |
$32.62 |
$45.58
|
|
Disability dlco
|
$101.50 |
$101.50 |
$101.50 |
$282.40
|
|
Disaccharidases
|
$199.00 |
$199.00 |
$199.00 |
$203.70
|
|
Dna antibody native/double stranded
|
$128.50 |
$128.50 |
$128.50 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$67.03 |
$67.03 |
$67.03 |
$99.10
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$349.30 |
$349.30 |
$349.30 |
$944.35
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$39.38 |
$39.38 |
$39.38 |
$65.00
|
|
Doppler echo complete
|
$195.75 |
$195.75 |
$195.75 |
$575.40
|
|
Doppler intravascular pressure flow initial vessel
|
$2,381.75 |
$2,381.75 |
$2,381.75 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$305.25 |
$305.25 |
$305.25 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$290.25 |
$290.25 |
$290.25 |
$476.45
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$173.37 |
$173.37 |
$173.37 |
$433.58
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$867.28 |
$867.28 |
$867.28 |
$1,718.24
|
|
Dpyd gene common variants
|
$260.75 |
$260.75 |
$260.75 |
$362.05
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$220.25 |
$220.25 |
$220.25 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$220.25 |
$220.25 |
$220.25 |
$914.34
|
|
Drainage external ear simple 69000
|
$220.25 |
$220.25 |
$220.25 |
$789.60
|
|
Drainage of arm bursa 23931
|
$911.50 |
$911.50 |
$911.50 |
$2,362.62
|
|
Drainage of eye
|
$1,751.50 |
$1,751.50 |
$1,751.50 |
$2,360.00
|
|
Drainage of kidney lesion
|
$662.50 |
$662.50 |
$662.50 |
$1,534.80
|
|
Drainage of mouth lesion
|
$2,056.50 |
$2,056.50 |
$2,056.50 |
$3,589.62
|
|
Drainage of nose lesion int 30000
|
$109.75 |
$109.75 |
$109.75 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$133.50 |
$133.50 |
$133.50 |
$781.44
|
|
Drain blood from under nail 11740
|
$41.25 |
$41.25 |
$41.25 |
$173.21
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$917.25 |
$917.25 |
$917.25 |
$2,595.00
|
|
Drain cath image guided visceral pq
|
$917.25 |
$917.25 |
$917.25 |
$2,881.20
|
|
Drain cerebro spinal fluid 62272
|
$287.75 |
$287.75 |
$287.75 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$99.75 |
$99.75 |
$99.75 |
$442.00
|
|
Drain thigh/knee lesion 27301
|
$735.75 |
$735.75 |
$735.75 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$151.50 |
$151.50 |
$151.50 |
$397.15
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$134.75 |
$134.75 |
$134.75 |
$359.20
|
|
Dress/debrid prtl-thick burn l 16030
|
$167.25 |
$167.25 |
$167.25 |
$530.40
|
|
Drill hole implt ventricular cath/device 61107
|
$233.75 |
$233.75 |
$233.75 |
$1,631.50
|
|
Drng of eyelid abscess 67700
|
$109.25 |
$109.25 |
$109.25 |
$684.95
|
|
Drng of hydrocele 55000
|
$171.25 |
$171.25 |
$171.25 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$504.75 |
$504.75 |
$504.75 |
$1,956.40
|
|
Dronabinol 2.5mg oral
|
$28.38 |
$28.38 |
$28.38 |
$6.84
|
|
Droperidol 2.5 mg/ml injection solution
|
$16.29 |
$16.29 |
$16.29 |
$31.07
|
|
Drug admin & hemodynmic meas
|
$130.25 |
$130.25 |
$130.25 |
$568.64
|
|
Drug assay caffeine
|
$70.75 |
$70.75 |
$70.75 |
$81.61
|
|
Drug assay posaconazole
|
$22.50 |
$22.50 |
$22.50 |
$91.00
|
|
Drug assay rufinamide
|
$19.25 |
$19.25 |
$19.25 |
$88.20
|
|
Drug assay vedolizumab
|
$35.25 |
$35.25 |
$35.25 |
$136.08
|
|
Drug assay voriconazole
|
$168.75 |
$168.75 |
$168.75 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$15.50 |
$15.50 |
$15.50 |
$66.43
|
|
Drug of abuse screen urine
|
$14.00 |
$14.00 |
$14.00 |
$61.10
|
|
Drug test def 1-7 classes
|
$80.25 |
$80.25 |
$80.25 |
$265.41
|
|
Drug test prsmv instrmnt
|
$18.25 |
$18.25 |
$18.25 |
$81.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$74.00 |
$74.00 |
$74.00 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$1,384.75 |
$1,384.75 |
$1,384.75 |
$3,091.94
|
|
Duplex scan bilateral study 93985
|
$188.00 |
$188.00 |
$188.00 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$181.00 |
$181.00 |
$181.00 |
$392.15
|
|
Dup scan/hemodialysis access 93990
|
$255.75 |
$255.75 |
$255.75 |
$499.72
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$361.50 |
$361.50 |
$361.50 |
$903.00
|
|
Ear irrigation 69209
|
$24.50 |
$24.50 |
$24.50 |
$150.00
|
|
Ecg 12 lead tracing only
|
$63.25 |
$63.25 |
$63.25 |
$226.50
|
|
Ecg < 30 days transmission & analysis
|
$182.00 |
$182.00 |
$182.00 |
$429.00
|
|
Ecg external < 48 hours recording
|
$219.25 |
$219.25 |
$219.25 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$219.25 |
$219.25 |
$219.25 |
$535.00
|
|
Echocardiogram (Heart Ultrasound)
|
$831.00 |
$831.00 |
$831.00 |
$2,039.00
|
|
Echocardiography doppler color flow mapping
|
$225.25 |
$225.25 |
$225.25 |
$504.60
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$897.25 |
$897.25 |
$897.25 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited
|
$189.00 |
$189.00 |
$189.00 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$574.50 |
$574.50 |
$574.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$136.25 |
$136.25 |
$136.25 |
$356.40
|
|
Echo exam uterus 76831-
|
$281.75 |
$281.75 |
$281.75 |
$561.00
|
|
Echograp trans r pros study
|
$274.00 |
$274.00 |
$274.00 |
$462.80
|
|
Echo guidance radiotherapy
|
$253.00 |
$253.00 |
$253.00 |
$812.00
|
|
Echo guide cardiocentesis
|
$82.50 |
$82.50 |
$82.50 |
$364.99
|
|
Echo guide for artery repair
|
$767.75 |
$767.75 |
$767.75 |
$660.00
|
|
Echo stress
|
$313.00 |
$313.00 |
$313.00 |
$1,593.60
|
|
Echo tee guidance
|
$709.75 |
$709.75 |
$709.75 |
$1,837.95
|
|
Echo tee probe placement image acquisition interpretation & report
|
$676.50 |
$676.50 |
$676.50 |
$1,875.00
|
|
Echo transthoracic
|
$991.50 |
$991.50 |
$991.50 |
$1,376.86
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$452.25 |
$452.25 |
$452.25 |
$985.15
|
|
E coli 0157 ag ia
|
$13.00 |
$13.00 |
$13.00 |
$63.70
|
|
Edetate calcium disodium inj
|
$10,841.02 |
$10,841.02 |
$10,841.02 |
$6,454.57
|
|
Eeg 41-60 minutes 95812-26
|
$339.50 |
$339.50 |
$339.50 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$356.25 |
$356.25 |
$356.25 |
$1,025.45
|
|
Eeg during surgery
|
$640.50 |
$640.50 |
$640.50 |
$749.00
|
|
Eeg monitoring/giving drugs
|
$224.00 |
$224.00 |
$224.00 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$239.75 |
$239.75 |
$239.75 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$373.00 |
$373.00 |
$373.00 |
$1,168.86
|
|
Eeg/record in coma or sleep only 95822
|
$239.75 |
$239.75 |
$239.75 |
$930.80
|
|
Eeg recording awake and asleep
|
$290.50 |
$290.50 |
$290.50 |
$937.95
|
|
E equine encephalitis igg
|
$22.50 |
$22.50 |
$22.50 |
$48.73
|
|
Egd guide wire insertion
|
$207.25 |
$207.25 |
$207.25 |
$1,664.00
|
|
Ehrlicha chaffeensis amp prb
|
$28.25 |
$28.25 |
$28.25 |
$92.40
|
|
Elect analysis of infusion pump 62367
|
$196.00 |
$196.00 |
$196.00 |
$535.43
|
