|
Doppler upper/lower extremity arteries complete bilateral
|
$926.90 |
$926.90 |
$926.90 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$739.70 |
$739.70 |
$739.70 |
$482.03
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$79.30 |
$79.30 |
$79.30 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$329.03 |
$329.03 |
$329.03 |
$2,417.38
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$54.86 |
$54.86 |
$54.86 |
$99.99
|
|
Dpyd gene common variants
|
$1,387.10 |
$1,387.10 |
$1,387.10 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$202.80 |
$202.80 |
$202.80 |
$820.50
|
|
Drainage external ear simple 69000
|
$423.80 |
$423.80 |
$423.80 |
$809.25
|
|
Drainage of kidney lesion
|
$2,691.00 |
$2,691.00 |
$2,691.00 |
$1,706.65
|
|
Drain blood from under nail 11740
|
$205.40 |
$205.40 |
$205.40 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,756.65 |
$2,756.65 |
$2,756.65 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$3,083.60 |
$3,083.60 |
$3,083.60 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$1,066.00 |
$1,066.00 |
$1,066.00 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$480.35 |
$480.35 |
$480.35 |
$492.81
|
|
Drain lower leg lesion 27603
|
$2,895.75 |
$2,895.75 |
$2,895.75 |
$3,631.18
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$312.00 |
$312.00 |
$312.00 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$128.05 |
$128.05 |
$128.05 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$336.70 |
$336.70 |
$336.70 |
$554.40
|
|
Drng of eyelid abscess 67700
|
$433.55 |
$433.55 |
$433.55 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$869.70 |
$869.70 |
$869.70 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$761.80 |
$761.80 |
$761.80 |
$832.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$35.20 |
$35.20 |
$35.20 |
$39.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$682.38 |
$682.38 |
$682.38 |
$1,778.40
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$177.63 |
$177.63 |
$177.63 |
$18,384.03
|
|
Drug admin & hemodynmic meas
|
$937.95 |
$937.95 |
$937.95 |
$528.50
|
|
Drug assay caffeine
|
$86.45 |
$86.45 |
$86.45 |
$81.61
|
|
Drug assay posaconazole
|
$131.30 |
$131.30 |
$131.30 |
$96.39
|
|
Drug assay rufinamide
|
$89.05 |
$89.05 |
$89.05 |
$93.60
|
|
Drug assay vedolizumab
|
$683.15 |
$683.15 |
$683.15 |
$164.16
|
|
Drug assay voriconazole
|
$152.10 |
$152.10 |
$152.10 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$481.65 |
$481.65 |
$481.65 |
$83.85
|
|
Drug of abuse screen urine
|
$70.20 |
$70.20 |
$70.20 |
$63.75
|
|
Drug screen quant tiagabine
|
$89.05 |
$89.05 |
$89.05 |
$91.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$440.70 |
$440.70 |
$440.70 |
$278.85
|
|
Drvvt confirm - quest
|
$308.10 |
$308.10 |
$308.10 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$2,769.00 |
$2,769.00 |
$2,769.00 |
$3,390.00
|
|
Ductogram sgl duct
|
$609.70 |
$609.70 |
$609.70 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$362.70 |
$362.70 |
$362.70 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$362.70 |
$362.70 |
$362.70 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$460.85 |
$460.85 |
$460.85 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,047.80 |
$1,047.80 |
$1,047.80 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,138.80 |
$1,138.80 |
$1,138.80 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$229.70 |
$229.70 |
$229.70 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$1,090.70 |
$1,090.70 |
$1,090.70 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$4,175.60 |
$4,175.60 |
$4,175.60 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$3,235.70 |
$3,235.70 |
$3,235.70 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$2,929.55 |
$2,929.55 |
$2,929.55 |
$2,587.60
|
|
Ear irrigation 69209
|
$595.40 |
$595.40 |
$595.40 |
$165.42
|
|
Ecg 12 lead tracing only
|
$92.30 |
$92.30 |
$92.30 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$273.00 |
$273.00 |
$273.00 |
$129.83
|
|
Ecg external < 48 hours recording
|
$350.35 |
$350.35 |
$350.35 |
$461.76
|
|
Ecg external > 48 hours up to 7 days recording
|
$385.45 |
$385.45 |
$385.45 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$385.45 |
$385.45 |
$385.45 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,556.75 |
$1,556.75 |
$1,556.75 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$140.40 |
$140.40 |
$140.40 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,556.75 |
$1,556.75 |
$1,556.75 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$913.90 |
$913.90 |
$913.90 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$913.90 |
$913.90 |
$913.90 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$189.80 |
$189.80 |
$189.80 |
$353.46
|
|
Echo exam of fetal heart
|
$1,149.85 |
$1,149.85 |
$1,149.85 |
$855.38
|
|
Echo exam of fetal heart
|
$755.95 |
$755.95 |
$755.95 |
$503.80
|
|
Echo exam of fetal heart
|
$1,147.25 |
$1,147.25 |
$1,147.25 |
$431.41
|
|
Echo exam of fetal heart
|
$853.45 |
$853.45 |
$853.45 |
$323.40
|
|
Echo exam uterus 76831-
|
$1,314.95 |
$1,314.95 |
$1,314.95 |
$547.20
|
|
Echograp trans r pros study
|
$453.70 |
$453.70 |
$453.70 |
$459.40
|
|
Echo guidance radiotherapy
|
$1,349.40 |
$1,349.40 |
$1,349.40 |
$774.80
|
|
Echo guide for amniocentesis
|
$1,604.20 |
$1,604.20 |
$1,604.20 |
$384.65
|
|
Echo guide for artery repair
|
$1,916.20 |
$1,916.20 |
$1,916.20 |
$680.28
|
|
Echo guide for transfusion
|
$1,611.35 |
$1,611.35 |
$1,611.35 |
$324.60
|
|
Echo guide villus sampling
|
$1,611.35 |
$1,611.35 |
$1,611.35 |
$355.80
|
|
Echo stress
|
$1,662.70 |
$1,662.70 |
$1,662.70 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,897.35 |
$1,897.35 |
$1,897.35 |
$1,871.10
|
|
Echo transesophageal
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$913.33
|
|
Echo transesophageal
|
$1,683.50 |
$1,683.50 |
$1,683.50 |
$1,734.10
|
|
Echo transthoracic
|
$2,055.30 |
$2,055.30 |
$2,055.30 |
$1,492.50
|
|
Echo transthoracic
|
$1,476.80 |
$1,476.80 |
$1,476.80 |
$953.10
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$29,450.20 |
$29,450.20 |
$29,450.20 |
$4,331.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$17,641.10 |
$17,641.10 |
$17,641.10 |
$18,038.06
|
|
Eeg 41-60 minutes 95812-26
|
$1,040.65 |
$1,040.65 |
$1,040.65 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$2,049.45 |
$2,049.45 |
$2,049.45 |
$1,049.59
|
|
Eeg monitoring/function test
|
$650.00 |
$650.00 |
$650.00 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,040.65 |
$1,040.65 |
$1,040.65 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,040.65 |
$1,040.65 |
$1,040.65 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$1,040.65 |
$1,040.65 |
$1,040.65 |
$936.00
|
|
Eeg recording awake and asleep
|
$1,040.65 |
$1,040.65 |
$1,040.65 |
$1,030.27
|
|
E equine encephalitis igg
|
$117.65 |
$117.65 |
$117.65 |
$48.73
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$20,499.86 |
$20,499.86 |
$20,499.86 |
$13,756.97
|
|
Egd balloon dil esoph30 mm/>
|
$3,679.65 |
$3,679.65 |
$3,679.65 |
$2,244.82
|
|
Egd control bleeding any
|
$4,214.60 |
$4,214.60 |
$4,214.60 |
$2,553.75
|
|
Egd dilate stricture
|
$4,187.30 |
$4,187.30 |
$4,187.30 |
$2,638.57
|
|
Egd endo mucosal resection
|
$4,108.00 |
$4,108.00 |
$4,108.00 |
$2,433.60
|
|
Egd endoscopic stent place
|
$4,071.60 |
$4,071.60 |
$4,071.60 |
$4,379.25
|
|
Egd esophagogastrc fndoplsty
|
$5,946.85 |
$5,946.85 |
$5,946.85 |
$9,562.50
|
|
Egd guide wire insertion
|
$4,410.90 |
$4,410.90 |
$4,410.90 |
$2,250.00
|
|
Egd injection varices
|
$3,980.60 |
$3,980.60 |
$3,980.60 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$3,679.65 |
$3,679.65 |
$3,679.65 |
$2,244.82
|
|
Egd lesion ablation
|
$3,897.40 |
$3,897.40 |
$3,897.40 |
$2,805.40
|
|
Egd remove foreign body
|
$5,070.00 |
$5,070.00 |
$5,070.00 |
$1,588.55
|
|
Egd remove lesion snare
|
$4,140.50 |
$4,140.50 |
$4,140.50 |
$2,506.40
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$3,694.60 |
$3,694.60 |
$3,694.60 |
$2,244.82
|
