|
Doppler echo complete
|
$443.25 |
$443.25 |
$443.25 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$1,826.25 |
$1,826.25 |
$1,826.25 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$591.00 |
$591.00 |
$591.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$358.50 |
$358.50 |
$358.50 |
$481.65
|
|
Dornase alfa non-comp unit
|
$479.80 |
$479.80 |
$479.80 |
$356.00
|
|
Dornhoffer fixed part w/window
|
$77,636.25 |
$77,636.25 |
$77,636.25 |
$34,278.00
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$901.65 |
$901.65 |
$901.65 |
$450.14
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$89.34 |
$89.34 |
$89.34 |
$89.34
|
|
Dpyd gene common variants
|
$354.00 |
$354.00 |
$354.00 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$684.00 |
$684.00 |
$684.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$681.00 |
$681.00 |
$681.00 |
$964.00
|
|
Drainage external ear complex 69005
|
$4,074.75 |
$4,074.75 |
$4,074.75 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$709.50 |
$709.50 |
$709.50 |
$790.40
|
|
Drainage mouth roof lesion
|
$235.50 |
$235.50 |
$235.50 |
$405.60
|
|
Drainage of eye
|
$2,250.75 |
$2,250.75 |
$2,250.75 |
$3,170.00
|
|
Drainage of kidney lesion
|
$2,676.00 |
$2,676.00 |
$2,676.00 |
$1,506.00
|
|
Drainage of mouth lesion
|
$3,108.75 |
$3,108.75 |
$3,108.75 |
$3,837.72
|
|
Drainage of mouth lesion
|
$3,288.75 |
$3,288.75 |
$3,288.75 |
$3,459.00
|
|
Drainage of nose lesion int 30000
|
$236.25 |
$236.25 |
$236.25 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$531.00 |
$531.00 |
$531.00 |
$781.44
|
|
Drain blood from under nail 11740
|
$435.00 |
$435.00 |
$435.00 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$3,169.50 |
$3,169.50 |
$3,169.50 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$3,458.25 |
$3,458.25 |
$3,458.25 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$977.25 |
$977.25 |
$977.25 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$190.50 |
$190.50 |
$190.50 |
$428.40
|
|
Drain lower leg lesion 27603
|
$3,269.25 |
$3,269.25 |
$3,269.25 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$2,745.00 |
$2,745.00 |
$2,745.00 |
$3,339.00
|
|
Drain ovarn cyst abd
|
$3,572.25 |
$3,572.25 |
$3,572.25 |
$3,786.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$423.75 |
$423.75 |
$423.75 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$633.00 |
$633.00 |
$633.00 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$639.75 |
$639.75 |
$639.75 |
$541.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$9,875.23 |
$9,875.23 |
$9,875.23 |
$3,789.86
|
|
Drng of eyelid abscess 67700
|
$747.00 |
$747.00 |
$747.00 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,000.50 |
$1,000.50 |
$1,000.50 |
$2,079.50
|
|
Drng of ovarian cyst(s) 58800
|
$3,624.75 |
$3,624.75 |
$3,624.75 |
$3,474.84
|
|
Drng of scrotum abscess 55100
|
$1,580.25 |
$1,580.25 |
$1,580.25 |
$1,997.89
|
|
Drng salivary gland submax/subling 42310
|
$496.50 |
$496.50 |
$496.50 |
$799.40
|
|
Dronabinol 2.5mg oral
|
$1,907.03 |
$1,907.03 |
$1,907.03 |
$17.00
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,956.48 |
$1,956.48 |
$1,956.48 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$530.83 |
$530.83 |
$530.83 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$983.03 |
$983.03 |
$983.03 |
$193.15
|
|
Drsg sht 5.625x4.625in std
|
$639.00 |
$639.00 |
$639.00 |
$123.24
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$26,932.05 |
$26,932.05 |
$26,932.05 |
$7,465.97
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$22,027.50 |
$22,027.50 |
$22,027.50 |
$376.50
|
|
Drug admin & hemodynmic meas
|
$1,843.50 |
$1,843.50 |
$1,843.50 |
$569.75
|
|
Drug assay caffeine
|
$42.00 |
$42.00 |
$42.00 |
$80.00
|
|
Drug assay posaconazole
|
$186.00 |
$186.00 |
$186.00 |
$96.75
|
|
Drug assay rufinamide
|
$135.75 |
$135.75 |
$135.75 |
$87.10
|
|
Drug assay vedolizumab
|
$949.50 |
$949.50 |
$949.50 |
$154.00
|
|
Drug assay voriconazole
|
$186.00 |
$186.00 |
$186.00 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$531.75 |
$531.75 |
$531.75 |
$66.43
|
|
Drug of abuse screen urine
|
$45.00 |
$45.00 |
$45.00 |
$67.89
|
|
Drug screening tapentadol
|
$44.25 |
$44.25 |
$44.25 |
$47.03
|
|
Drug screen quant tiagabine
|
$188.25 |
$188.25 |
$188.25 |
$107.59
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$539.25 |
$539.25 |
$539.25 |
$278.85
|
|
Drvvt confirm - quest
|
$195.00 |
$195.00 |
$195.00 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$1,746.75 |
$1,746.75 |
$1,746.75 |
$2,980.00
|
|
Ductogram sgl duct
|
$691.50 |
$691.50 |
$691.50 |
$469.80
|
|
Duodenal motility study
|
$1,347.75 |
$1,347.75 |
$1,347.75 |
$1,143.10
|
|
Duplex scan unilateral study 93986
|
$103.50 |
$103.50 |
$103.50 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$747.75 |
$747.75 |
$747.75 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,150.50 |
$1,150.50 |
$1,150.50 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$576.75 |
$576.75 |
$576.75 |
$904.78
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$23,482.80 |
$23,482.80 |
$23,482.80 |
$16,549.00
|
|
Dxa bone density axl vrt fx
|
$510.00 |
$510.00 |
$510.00 |
$401.20
|
|
Dx aly aud oi snd prcsr 1st
|
$153.00 |
$153.00 |
$153.00 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$38.25 |
$38.25 |
$38.25 |
$51.52
|
|
Dx bronchoscope/brush 31623
|
$1,329.00 |
$1,329.00 |
$1,329.00 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$1,663.50 |
$1,663.50 |
$1,663.50 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$2,028.75 |
$2,028.75 |
$2,028.75 |
$2,410.50
|
|
Ear irrigation 69209
|
$126.00 |
$126.00 |
$126.00 |
$154.70
|
|
Ecg < 30 days transmission & analysis
|
$581.25 |
$581.25 |
$581.25 |
$412.88
|
|
Ecg external < 48 hours recording
|
$280.50 |
$280.50 |
$280.50 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$459.00 |
$459.00 |
$459.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$238.50 |
$238.50 |
$238.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$238.50 |
$238.50 |
$238.50 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,691.25 |
$1,691.25 |
$1,691.25 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$512.25 |
$512.25 |
$512.25 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$485.25 |
$485.25 |
$485.25 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,691.25 |
$1,691.25 |
$1,691.25 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$512.25 |
$512.25 |
$512.25 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$204.00 |
$204.00 |
$204.00 |
$371.25
|
|
Echo exam of fetal heart
|
$532.50 |
$532.50 |
$532.50 |
$904.80
|
|
Echo exam of fetal heart
|
$398.25 |
$398.25 |
$398.25 |
$538.27
|
|
Echo exam of fetal heart
|
$479.25 |
$479.25 |
$479.25 |
$431.41
|
|
Echo exam of fetal heart
|
$250.50 |
$250.50 |
$250.50 |
$318.34
|
|
Echo exam uterus 76831-
|
$595.50 |
$595.50 |
$595.50 |
$561.00
|
|
Echo guide for amniocentesis
|
$564.75 |
$564.75 |
$564.75 |
$455.57
|
|
Echo guide for artery repair
|
$1,208.25 |
$1,208.25 |
$1,208.25 |
$696.30
|
|
Echo guide for transfusion
|
$303.00 |
$303.00 |
$303.00 |
$332.39
|
|
Echo guide villus sampling
|
$574.50 |
$574.50 |
$574.50 |
$362.88
|
|
Echo stress
|
$1,369.50 |
$1,369.50 |
$1,369.50 |
$1,609.44
|
|
Echo tee guidance
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,724.25 |
$1,724.25 |
$1,724.25 |
$1,913.60
|
|
Echo transesophageal
|
$1,626.00 |
$1,626.00 |
$1,626.00 |
$1,650.00
|
|
Echo transesophageal intraop
|
$523.50 |
$523.50 |
$523.50 |
$1,578.00
|
|
Echo transthoracic
|
$1,142.25 |
$1,142.25 |
$1,142.25 |
$1,361.75
|
|
Echo transthoracic
|
$693.75 |
$693.75 |
$693.75 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,137.75 |
$1,137.75 |
$1,137.75 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$1,790.25 |
$1,790.25 |
$1,790.25 |
$2,867.22
|
