|
Dipyridamole injection
|
$117.06 |
$117.06 |
$117.06 |
$46.97
|
|
Disability dlco
|
$477.60 |
$477.60 |
$477.60 |
$279.73
|
|
Disaccharidases
|
$175.20 |
$175.20 |
$175.20 |
$222.63
|
|
Discography cerv/thor spine
|
$2,692.80 |
$2,692.80 |
$2,692.80 |
$2,418.00
|
|
Dna antibody native/double stranded
|
$51.60 |
$51.60 |
$51.60 |
$100.00
|
|
Dna gardnerella
|
$33.60 |
$33.60 |
$33.60 |
$62.50
|
|
Dna trichomonas
|
$33.60 |
$33.60 |
$33.60 |
$67.20
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$180.48 |
$180.48 |
$180.48 |
$99.10
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$64.32 |
$64.32 |
$64.32 |
$69.47
|
|
Dornhoffer fixed part w/window
|
$67,573.67 |
$67,573.67 |
$67,573.67 |
$34,278.00
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$78.24 |
$78.24 |
$78.24 |
$84.80
|
|
Dpyd gene common variants
|
$351.60 |
$351.60 |
$351.60 |
$377.47
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,544.40 |
$1,544.40 |
$1,544.40 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,552.80 |
$1,552.80 |
$1,552.80 |
$863.10
|
|
Drainage external ear complex 69005
|
$3,650.40 |
$3,650.40 |
$3,650.40 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$1,546.20 |
$1,546.20 |
$1,546.20 |
$779.45
|
|
Drainage mouth roof lesion
|
$477.00 |
$477.00 |
$477.00 |
$381.36
|
|
Drainage of arm bursa 23931
|
$3,010.80 |
$3,010.80 |
$3,010.80 |
$2,175.00
|
|
Drainage of eye
|
$4,431.00 |
$4,431.00 |
$4,431.00 |
$2,415.65
|
|
Drainage of kidney lesion
|
$1,361.40 |
$1,361.40 |
$1,361.40 |
$1,506.00
|
|
Drainage of mouth lesion
|
$477.00 |
$477.00 |
$477.00 |
$470.73
|
|
Drainage of mouth lesion
|
$4,969.20 |
$4,969.20 |
$4,969.20 |
$3,837.72
|
|
Drainage of mouth lesion
|
$802.20 |
$802.20 |
$802.20 |
$962.40
|
|
Drainage of nose lesion sept 30020
|
$847.20 |
$847.20 |
$847.20 |
$755.95
|
|
Drainage of rectal abscess
|
$5,136.00 |
$5,136.00 |
$5,136.00 |
$1,985.40
|
|
Drain blood from under nail 11740
|
$283.80 |
$283.80 |
$283.80 |
$171.20
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,786.40 |
$2,786.40 |
$2,786.40 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$4,383.60 |
$4,383.60 |
$4,383.60 |
$2,839.24
|
|
Drain cerebro spinal fluid 62272
|
$777.60 |
$777.60 |
$777.60 |
$1,039.80
|
|
Drain finger abscess;simple 26010
|
$7,780.62 |
$7,780.62 |
$7,780.62 |
$426.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$700.20 |
$700.20 |
$700.20 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$978.00 |
$978.00 |
$978.00 |
$338.25
|
|
Dress/debrid prtl-thick burn l 16030
|
$798.00 |
$798.00 |
$798.00 |
$515.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$32,557.04 |
$32,557.04 |
$32,557.04 |
$5,857.52
|
|
Drill hole implt ventricular cath/device 61107
|
$5,064.60 |
$5,064.60 |
$5,064.60 |
$1,519.57
|
|
Drng hand tendon sheath 26020
|
$6,061.80 |
$6,061.80 |
$6,061.80 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$759.60 |
$759.60 |
$759.60 |
$638.01
|
|
Drng of finger abscess comp 26011
|
$3,687.00 |
$3,687.00 |
$3,687.00 |
$1,917.33
|
|
Drng of mouth lesion 40801
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$1,173.50
|
|
Drng of scrotum abscess 55100
|
$3,635.40 |
$3,635.40 |
$3,635.40 |
$1,917.33
|
|
Dronabinol 2.5mg oral
|
$25.50 |
$25.50 |
$25.50 |
$8.70
|
|
Droperidol 2.5 mg/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$31.07
|
|
Drop lock knee
|
$204.95 |
$204.95 |
$204.95 |
$204.95
|
|
Drop lock retainer each
|
$70.12 |
$70.12 |
$70.12 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$6,822.97 |
$6,822.97 |
$6,822.97 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$4,523.50 |
$4,523.50 |
$4,523.50 |
$2,567.36
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$18,303.94 |
$18,303.94 |
$18,303.94 |
$143.50
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$4,277.66 |
$4,277.66 |
$4,277.66 |
$242.40
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$25,588.77 |
$25,588.77 |
$25,588.77 |
$25,588.77
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$36,446.01 |
$36,446.01 |
$36,446.01 |
$7,612.97
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$25,691.11 |
$25,691.11 |
$25,691.11 |
$400.98
|
|
Drug assay rufinamide
|
$169.20 |
$169.20 |
$169.20 |
$81.60
|
|
Drug assay vedolizumab
|
$77.40 |
$77.40 |
$77.40 |
$141.75
|
|
Drug assay voriconazole
|
$72.60 |
$72.60 |
$72.60 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$234.60 |
$234.60 |
$234.60 |
$66.43
|
|
Drug of abuse screen urine
|
$143.40 |
$143.40 |
$143.40 |
$61.60
|
|
Drug test def 1-7 classes
|
$223.80 |
$223.80 |
$223.80 |
$263.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$141.60 |
$141.60 |
$141.60 |
$280.95
|
|
Drvvt confirm - quest
|
$87.00 |
$87.00 |
$87.00 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$5,505.67 |
$5,505.67 |
$5,505.67 |
$2,979.74
|
|
Duragen 1x1 5ea/bx
|
$17,796.20 |
$17,796.20 |
$17,796.20 |
$11,009.65
|
|
Dx bronchoscope/lavage 31624
|
$9,119.88 |
$9,119.88 |
$9,119.88 |
$2,358.80
|
|
Dx bronchoscope/wash 31622
|
$2,293.80 |
$2,293.80 |
$2,293.80 |
$2,238.00
|
|
Dx gastr intub w/asp spec
|
$583.80 |
$583.80 |
$583.80 |
$432.50
|
|
Ear irrigation 69209
|
$456.60 |
$456.60 |
$456.60 |
$149.76
|
|
Echo guide for artery repair
|
$2,596.20 |
$2,596.20 |
$2,596.20 |
$660.00
|
|
Echo transesophageal
|
$10,343.40 |
$10,343.40 |
$10,343.40 |
$1,087.90
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$2,974.80 |
$2,974.80 |
$2,974.80 |
$1,362.00
|
|
E equine encephalitis igg
|
$66.60 |
$66.60 |
$66.60 |
$49.40
|
|
Egd control bleeding any
|
$11,525.27 |
$11,525.27 |
$11,525.27 |
$2,547.00
|
|
Egd endoscopic stent place
|
$17,238.38 |
$17,238.38 |
$17,238.38 |
$3,857.25
|
|
Egd guide wire insertion
|
$7,904.81 |
$7,904.81 |
$7,904.81 |
$1,664.00
|
|
Egd lesion ablation
|
$11,219.66 |
$11,219.66 |
$11,219.66 |
$2,244.82
|
|
Egd remove foreign body
|
$6,745.78 |
$6,745.78 |
$6,745.78 |
$1,473.45
|
|
Egd remove lesion snare
|
$8,822.32 |
$8,822.32 |
$8,822.32 |
$2,506.40
|
|
Egd Ultrasound exam duodenum/jejunum
|
$8,543.10 |
$8,543.10 |
$8,543.10 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$10,557.01 |
$10,557.01 |
$10,557.01 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$10,290.94 |
$10,290.94 |
$10,290.94 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$8,014.62 |
$8,014.62 |
$8,014.62 |
$3,103.10
|
|
Egd varices ligation
|
$8,039.04 |
$8,039.04 |
$8,039.04 |
$2,234.01
|
|
Egfr gene com variants
|
$639.00 |
$639.00 |
$639.00 |
$639.00
|
|
Ehrlicha chaffeensis amp prb
|
$93.00 |
$93.00 |
$93.00 |
$93.00
|
|
Eia hiv-1/hiv-2 screen
|
$15.60 |
$15.60 |
$15.60 |
$36.40
|
|
Electrd sq emblem s-icd
|
$14,144.54 |
$14,144.54 |
$14,144.54 |
$10,206.00
|
|
Electrical stimulation/unattended 97014
|
$117.00 |
$117.00 |
$117.00 |
$77.33
|
|
Electrolyte panel
|
$34.80 |
$34.80 |
$34.80 |
$83.20
|
|
Electron microscopy diagnostic
|
$654.60 |
$654.60 |
$654.60 |
$966.69
|
|
Electrophysiology evaluation
|
$5,719.80 |
$5,719.80 |
$5,719.80 |
$10,218.88
|
|
Electrophysiology evaluation
|
$5,433.60 |
$5,433.60 |
$5,433.60 |
$6,760.00
|
|
Electrophysiology evaluation
|
$2,989.20 |
$2,989.20 |
$2,989.20 |
$2,504.00
|
|
Electrophysiology evaluation
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$1,869.13
|
|
Embolization s&i
|
$3,996.00 |
$3,996.00 |
$3,996.00 |
$3,160.96
|
|
Embo or occlude vascular arterial s&i
|
$10,128.60 |
$10,128.60 |
$10,128.60 |
$15,624.60
|
|
Embo or occlude vascular hemorrhage s&i
|
$10,128.60 |
$10,128.60 |
$10,128.60 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$10,128.60 |
$10,128.60 |
$10,128.60 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$10,128.60 |
$10,128.60 |
$10,128.60 |
$14,586.00
|
|
Encephalitis, california igg/igm
|
$66.60 |
$66.60 |
$66.60 |
$53.00
|
|
Encephalitis, st louis igg/igm
|
$58.20 |
$58.20 |
$58.20 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$66.60 |
$66.60 |
$66.60 |
$53.10
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$10,317.00 |
$10,317.00 |
$10,317.00 |
$5,275.40
|
