|
Dna probe chlamydia
|
$245.40 |
$245.40 |
$245.40 |
$82.20
|
|
Dna trichomonas
|
$108.00 |
$108.00 |
$108.00 |
$66.05
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$163.20 |
$163.20 |
$163.20 |
$100.04
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$58.14 |
$58.14 |
$58.14 |
$65.76
|
|
Doppler echo complete
|
$1,240.20 |
$1,240.20 |
$1,240.20 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$454.80 |
$454.80 |
$454.80 |
$655.80
|
|
Dornhoffer fixed part w/window
|
$76,712.34 |
$76,712.34 |
$76,712.34 |
$34,278.00
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$107.46 |
$107.46 |
$107.46 |
$84.80
|
|
Dpyd gene common variants
|
$286.20 |
$286.20 |
$286.20 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$784.80 |
$784.80 |
$784.80 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$784.80 |
$784.80 |
$784.80 |
$895.20
|
|
Drainage external ear simple 69000
|
$784.80 |
$784.80 |
$784.80 |
$785.60
|
|
Drainage mouth roof lesion
|
$784.80 |
$784.80 |
$784.80 |
$386.40
|
|
Drainage of arm bursa 23931
|
$2,613.00 |
$2,613.00 |
$2,613.00 |
$2,197.48
|
|
Drainage of mouth lesion
|
$4,893.60 |
$4,893.60 |
$4,893.60 |
$3,848.00
|
|
Drainage of mouth lesion
|
$802.20 |
$802.20 |
$802.20 |
$962.40
|
|
Drainage of nose lesion sept 30020
|
$834.60 |
$834.60 |
$834.60 |
$781.44
|
|
Drainage of rectal abscess
|
$1,966.20 |
$1,966.20 |
$1,966.20 |
$2,111.46
|
|
Drain blood from under nail 11740
|
$367.20 |
$367.20 |
$367.20 |
$173.21
|
|
Drain cerebro spinal fluid 62272
|
$800.40 |
$800.40 |
$800.40 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$784.80 |
$784.80 |
$784.80 |
$428.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$615.60 |
$615.60 |
$615.60 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$579.00 |
$579.00 |
$579.00 |
$343.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$879.00 |
$879.00 |
$879.00 |
$515.45
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$36,960.07 |
$36,960.07 |
$36,960.07 |
$6,026.40
|
|
Drill hole implt ventricular cath/device 61107
|
$7,738.20 |
$7,738.20 |
$7,738.20 |
$1,532.85
|
|
Drng of eyelid abscess 67700
|
$648.00 |
$648.00 |
$648.00 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$3,245.40 |
$3,245.40 |
$3,245.40 |
$1,917.33
|
|
Drng of scrotum abscess 55100
|
$1,279.80 |
$1,279.80 |
$1,279.80 |
$1,956.40
|
|
Dronabinol 2.5mg oral
|
$7.92 |
$7.92 |
$7.92 |
$10.10
|
|
Droperidol 2.5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$30.75
|
|
Drop lock knee
|
$232.67 |
$232.67 |
$232.67 |
$204.95
|
|
Drop lock retainer each
|
$79.60 |
$79.60 |
$79.60 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$7,745.71 |
$7,745.71 |
$7,745.71 |
$1,995.15
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$5,135.26 |
$5,135.26 |
$5,135.26 |
$2,567.36
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$20,779.36 |
$20,779.36 |
$20,779.36 |
$134.00
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$4,856.17 |
$4,856.17 |
$4,856.17 |
$171.12
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$29,049.40 |
$29,049.40 |
$29,049.40 |
$25,588.77
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$41,374.97 |
$41,374.97 |
$41,374.97 |
$7,465.97
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$29,165.59 |
$29,165.59 |
$29,165.59 |
$400.98
|
|
Drug assay caffeine
|
$64.20 |
$64.20 |
$64.20 |
$81.61
|
|
Drug assay posaconazole
|
$64.80 |
$64.80 |
$64.80 |
$96.39
|
|
Drug assay rufinamide
|
$139.20 |
$139.20 |
$139.20 |
$81.60
|
|
Drug assay vedolizumab
|
$164.40 |
$164.40 |
$164.40 |
$141.75
|
|
Drug assay voriconazole
|
$71.40 |
$71.40 |
$71.40 |
$96.75
|
|
Drug of abuse screen urine
|
$262.80 |
$262.80 |
$262.80 |
$61.10
|
|
Drug screen quant tiagabine
|
$130.80 |
$130.80 |
$130.80 |
$107.59
|
|
Drug test def 1-7 classes
|
$383.40 |
$383.40 |
$383.40 |
$263.25
|
|
Drug test prsmv instrmnt
|
$262.80 |
$262.80 |
$262.80 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$96.00 |
$96.00 |
$96.00 |
$278.85
|
|
Drvvt confirm - quest
|
$66.00 |
$66.00 |
$66.00 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$3,280.62 |
$3,280.62 |
$3,280.62 |
$3,042.00
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,482.60 |
$1,482.60 |
$1,482.60 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,654.20 |
$1,654.20 |
$1,654.20 |
$879.45
|
|
Duragen 1x1 5ea/bx
|
$20,202.96 |
$20,202.96 |
$20,202.96 |
$11,220.02
|
|
Dxa bone density axl vrt fx
|
$1,030.20 |
$1,030.20 |
$1,030.20 |
$401.20
|
|
Ear irrigation 69209
|
$322.80 |
$322.80 |
$322.80 |
$149.76
|
|
Ecg 12 lead tracing only
|
$306.00 |
$306.00 |
$306.00 |
$226.20
|
|
Ecg external < 48 hours recording
|
$262.20 |
$262.20 |
$262.20 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$642.00 |
$642.00 |
$642.00 |
$535.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$63.00 |
$63.00 |
$63.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$99.00 |
$99.00 |
$99.00 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$2,801.40 |
$2,801.40 |
$2,801.40 |
$2,020.00
|
|
Echocardiography doppler color flow mapping
|
$414.00 |
$414.00 |
$414.00 |
$485.25
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,996.40 |
$2,996.40 |
$2,996.40 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited
|
$843.00 |
$843.00 |
$843.00 |
$694.43
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$633.60 |
$633.60 |
$633.60 |
$851.28
|
|
Echocardiograpy doppler follow up/limited study
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
$360.00
|
|
Echo stress
|
$1,762.80 |
$1,762.80 |
$1,762.80 |
$1,586.90
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$952.80 |
$952.80 |
$952.80 |
$964.50
|
|
Eeg 41-60 minutes 95812-26
|
$962.40 |
$962.40 |
$962.40 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,359.00 |
$1,359.00 |
$1,359.00 |
$970.07
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$838.20
|
|
Eeg over 1 hour 95813 - 26
|
$1,515.60 |
$1,515.60 |
$1,515.60 |
$1,125.32
|
|
Eeg/record in coma or sleep only 95822
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$908.55
|
|
Eeg recording awake and asleep
|
$1,025.40 |
$1,025.40 |
$1,025.40 |
$937.95
|
|
E equine encephalitis igg
|
$68.40 |
$68.40 |
$68.40 |
$49.50
|
|
Egd remove foreign body
|
$1,557.00 |
$1,557.00 |
$1,557.00 |
$1,505.50
|
|
Egd remove lesion snare
|
$6,597.06 |
$6,597.06 |
$6,597.06 |
$2,597.25
|
|
Egfr gene com variants
|
$531.00 |
$531.00 |
$531.00 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$91.80 |
$91.80 |
$91.80 |
$93.00
|
|
Electrd sq emblem s-icd
|
$16,057.46 |
$16,057.46 |
$16,057.46 |
$10,183.02
|
|
Electrolyte panel
|
$77.40 |
$77.40 |
$77.40 |
$80.88
|
|
Electron microscopy diagnostic
|
$718.80 |
$718.80 |
$718.80 |
$966.69
|
|
Encephalitis, california igg/igm
|
$68.40 |
$68.40 |
$68.40 |
$50.88
|
|
Encephalitis, st louis igg/igm
|
$46.80 |
$46.80 |
$46.80 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$68.40 |
$68.40 |
$68.40 |
$53.10
|
|
Endo ak/hip alignable system
|
$1,323.17 |
$1,323.17 |
$1,323.17 |
$1,165.55
|
|
Endo below knee alignable sy
|
$909.61 |
$909.61 |
$909.61 |
$647.11
|
|
Endo bk ultra-light material
|
$1,250.90 |
$1,250.90 |
$1,250.90 |
$1,101.88
|
|
Endo knee-shin frct swg & st
|
$1,409.72 |
$1,409.72 |
$1,409.72 |
$1,241.78
|
|
Endo knee-shin mnl lck ultra
|
$1,818.75 |
$1,818.75 |
$1,818.75 |
$1,602.08
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,770.20 |
$2,770.20 |
$2,770.20 |
$2,756.52
|
|
Endo, single, pulmonary
|
$9,235.27 |
$9,235.27 |
$9,235.27 |
$1,052.57
|
|
Endoskel knee-shin mnl lock
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$1,097.21
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$130.80 |
$130.80 |
$130.80 |
$107.18
|
|
Entamoeba histolytica ag eia - sendout
|
$46.80 |
$46.80 |
$46.80 |
$57.51
|
|
Enzyme cell activity ra
|
$610.20 |
$610.20 |
$610.20 |
$197.60
|
|
Enzyme histochemistry
|
$1,278.00 |
$1,278.00 |
$1,278.00 |
$456.30
|
|
Eo, adj lock joint prefab ot
|
$1,222.57 |
$1,222.57 |
$1,222.57 |
$456.96
|
