|
Doppler echo complete
|
$276.00 |
$548.00 |
$794.40 |
|
|
Doppler intravascular pressure flow initial vessel
|
$2,106.40 |
$2,106.40 |
$3,796.00 |
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$823.20 |
$823.20 |
$828.80 |
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$707.20 |
$707.20 |
$716.80 |
|
|
Dornase alfa non-comp unit
|
$111.28 |
$111.28 |
$221.19 |
|
|
Dornhoffer fixed part w/window
|
$48,664.00 |
$48,664.00 |
$56,064.00 |
|
|
Dorsi & plantar flex ass/res
|
$115.76 |
$115.76 |
$115.76 |
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$12,059.65 |
$12,059.65 |
$12,059.65 |
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$375.48 |
$375.48 |
$386.56 |
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,289.30 |
$1,289.30 |
$2,727.00 |
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$39.76 |
$58.09 |
$65.60 |
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$800.80 |
$800.80 |
$912.00 |
|
|
Drainage ext aud canal abscess 69020
|
$900.80 |
$900.80 |
$1,079.20 |
|
|
Drainage external ear complex 69005
|
$2,552.00 |
$2,552.00 |
$2,643.20 |
|
|
Drainage external ear simple 69000
|
$616.00 |
$616.00 |
$1,069.60 |
|
|
Drainage lymph node lesion 38300
|
$3,300.80 |
$3,300.80 |
$3,300.80 |
|
|
Drainage mouth roof lesion
|
$408.80 |
$408.80 |
$570.40 |
|
|
Drainage of arm bursa 23931
|
$2,491.20 |
$2,491.20 |
$3,597.60 |
|
|
Drainage of eye
|
$3,220.80 |
$3,220.80 |
$3,220.80 |
|
|
Drainage of eye
|
$3,413.60 |
$3,413.60 |
$3,413.60 |
|
|
Drainage of kidney lesion
|
$1,608.80 |
$1,608.80 |
$2,056.00 |
|
|
Drainage of mouth lesion
|
$4,173.60 |
$4,173.60 |
$4,173.60 |
|
|
Drainage of mouth lesion
|
$3,232.80 |
$3,232.80 |
$3,908.00 |
|
|
Drainage of mouth lesion
|
$2,571.20 |
$2,571.20 |
$2,571.20 |
|
|
Drainage of nose lesion int 30000
|
$244.00 |
$244.00 |
$351.20 |
|
|
Drainage of nose lesion sept 30020
|
$1,297.60 |
$1,297.60 |
$1,550.40 |
|
|
Drainage of pelvis lesion 26990
|
$4,949.60 |
$4,949.60 |
$4,949.60 |
|
|
Drainage of rectal abscess
|
$1,626.40 |
$1,626.40 |
$1,924.00 |
|
|
Drain bladder by trocar/cath
|
$2,008.80 |
$2,008.80 |
$3,232.00 |
|
|
Drain blood from under nail 11740
|
$193.60 |
$232.00 |
$459.20 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,133.60 |
$2,133.60 |
$2,559.20 |
|
|
Drain cath image guided visceral pq
|
$2,557.60 |
$2,557.60 |
$3,524.80 |
|
|
Drain cerebro spinal fluid 62272
|
$1,405.60 |
$1,405.60 |
$1,600.00 |
|
|
Drain finger abscess;simple 26010
|
$336.00 |
$472.80 |
$598.40 |
|
|
Drain lower leg lesion 27603
|
$2,920.00 |
$2,920.00 |
$4,760.00 |
|
|
Drain neck/chest lesion 21501
|
$3,377.60 |
$3,377.60 |
$4,952.80 |
|
|
Drain thigh/knee lesion 27301
|
$3,280.80 |
$3,280.80 |
$4,796.80 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$384.00 |
$492.00 |
$776.80 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$353.60 |
$353.60 |
$632.00 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$610.40 |
$610.40 |
$796.80 |
|
|
Dressing change not for burn w/anes 15852
|
$637.60 |
$637.60 |
$637.60 |
|
|
Drill hole implt ventricular cath/device 61107
|
$2,850.40 |
$2,850.40 |
$3,304.80 |
|
|
Drng of eyelid abscess 67700
|
$589.60 |
$589.60 |
$664.00 |
|
|
Drng of finger abscess comp 26011
|
$2,029.60 |
$2,029.60 |
$2,690.40 |
|
|
Drng of hydrocele 55000
|
$886.40 |
$886.40 |
$888.80 |
|
|
Drng of mouth lesion 40801
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
|
|
Drng of palm single bursa 26025
|
$4,783.20 |
$4,783.20 |
$4,783.20 |
|
|
Drng of scrotum abscess 55100
|
$2,204.80 |
$2,204.80 |
$2,702.40 |
|
|
Drng salivary gland simple 42300
|
$1,863.20 |
$1,863.20 |
$3,083.20 |
|
|
Droperidol 2.5 mg/ml injection solution
|
$25.55 |
$25.55 |
$62.40 |
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,392.89 |
$1,392.89 |
$2,405.87 |
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$51.14 |
$51.14 |
$61.36 |
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$20.47 |
$20.47 |
$233.35 |
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$135.80 |
$135.80 |
$463.05 |
|
|
Drsg sht 5.625x4.625in std
|
$34.44 |
$34.44 |
$34.44 |
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$74.86 |
$74.86 |
$74.86 |
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$182.38 |
$182.38 |
$215.53 |
|
|
Drug admin & hemodynmic meas
|
$518.40 |
$518.40 |
$801.60 |
|
|
Drug assay vedolizumab
|
$193.60 |
$193.60 |
$193.60 |
|
|
Drug of abuse screen urine
|
$61.60 |
$61.60 |
$61.60 |
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$316.80 |
$316.80 |
$316.80 |
|
|
Drvvt confirm - quest
|
$167.20 |
$167.20 |
$167.20 |
|
|
Dry needling (97799)
|
$108.00 |
$108.00 |
$727.20 |
|
|
Dstrj nulyt agt gnclr nrv
|
$2,761.60 |
$2,761.60 |
$3,020.80 |
|
|
Ductogram sgl duct
|
$531.20 |
$531.20 |
$531.20 |
|
|
Duplex scan bilateral study 93985
|
$826.40 |
$826.40 |
$858.40 |
|
|
Duplex scan unilateral study 93986
|
$503.20 |
$503.20 |
$696.80 |
|
|
Dup scan/hemodialysis access 93990
|
$681.60 |
$681.60 |
$696.80 |
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$845.60 |
$845.60 |
$860.80 |
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,071.20 |
$1,071.20 |
$1,148.80 |
|
|
Durvalumab 50 mg/ml intravenous solution
|
$3,958.81 |
$3,958.81 |
$3,958.81 |
|
|
Dxa bone density axl vrt fx
|
$212.80 |
$212.80 |
$212.80 |
|
|
Dx bronchoscope/brush 31623
|
$3,076.00 |
$3,076.00 |
$3,145.60 |
|
|
Dx bronchoscope/lavage 31624
|
$2,716.00 |
$2,716.00 |
$2,828.80 |
|
|
Dx bronchoscope/wash 31622
|
$2,605.60 |
$2,605.60 |
$2,750.40 |
|
|
Ear irrigation 69209
|
$102.40 |
$102.40 |
$144.00 |
|
|
Ecallantide injection
|
$14,255.84 |
$14,255.84 |
$14,255.84 |
|
|
Ecg/1-3 leads/tracing only 93041
|
$103.20 |
$103.20 |
$154.40 |
|
|
Ecg external < 48 hours recording
|
$256.00 |
$256.00 |
$519.20 |
|
|
Ecg external < 48 hours scanning analysis w/report
|
$452.00 |
$452.00 |
$794.40 |
|
|
Ecg external > 48 hours up to 7 days recording
|
$180.00 |
$193.60 |
$364.80 |
|
|
Ecg external >7 days up to 15 days recording
|
$218.40 |
$218.40 |
$231.20 |
|
|
Echocardiogram (Heart Ultrasound)
|
$1,007.20 |
$1,661.60 |
$2,504.80 |
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$568.00 |
$632.00 |
$1,597.60 |
|
|
Echocardiography doppler color flow mapping
|
$189.60 |
$450.40 |
$721.60 |
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,771.20 |
$2,002.40 |
$2,504.80 |
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,195.20 |
$1,195.20 |
$1,597.60 |
|
|
Echocardiograpy doppler follow up/limited study
|
$136.80 |
$348.80 |
$500.00 |
|
|
Echo exam of fetal heart
|
$1,050.40 |
$1,050.40 |
$1,300.00 |
|
|
Echo exam of fetal heart
|
$465.60 |
$465.60 |
$1,142.40 |
|
|
Echo exam of fetal heart
|
$418.40 |
$418.40 |
$658.40 |
|
|
Echo exam of fetal heart
|
$134.40 |
$134.40 |
$351.20 |
|
|
Echo exam uterus 76831-
|
$335.20 |
$335.20 |
$458.40 |
|
|
Echograp trans r pros study
|
$871.20 |
$871.20 |
$871.20 |
|
|
Echo guidance radiotherapy
|
$196.80 |
$196.80 |
$1,043.20 |
|
|
Echo guide for amniocentesis
|
$160.80 |
$160.80 |
$585.60 |
|
|
Echo guide for artery repair
|
$1,054.40 |
$1,054.40 |
$1,054.40 |
|
|
Echo guide for transfusion
|
$240.00 |
$240.00 |
$240.00 |
|
|
Echo guide ova aspiration
|
$119.20 |
$119.20 |
$119.20 |
|
|
Echo guide villus sampling
|
$219.20 |
$219.20 |
$219.20 |
|
