|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,572.20 |
$2,572.20 |
$2,572.20 |
$2,595.00
|
|
Drain cath image guided visceral pq
|
$2,590.20 |
$2,590.20 |
$2,590.20 |
$2,881.20
|
|
Drain cerebro spinal fluid 62272
|
$1,356.60 |
$1,356.60 |
$1,356.60 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$204.00 |
$204.00 |
$204.00 |
$442.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$727.80 |
$727.80 |
$727.80 |
$397.15
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$1,247.40 |
$1,247.40 |
$1,247.40 |
$355.80
|
|
Dress/debrid prtl-thick burn l 16030
|
$831.00 |
$831.00 |
$831.00 |
$526.40
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$32,557.04 |
$32,557.04 |
$32,557.04 |
$6,438.00
|
|
Drill hole implt ventricular cath/device 61107
|
$7,899.60 |
$7,899.60 |
$7,899.60 |
$1,631.50
|
|
Drng of finger abscess comp 26011
|
$1,600.80 |
$1,600.80 |
$1,600.80 |
$1,917.33
|
|
Drng peritoneal abscess open 49020
|
$6,576.00 |
$6,576.00 |
$6,576.00 |
$2,782.55
|
|
Droperidol 2.5 mg/ml injection solution
|
$7.50 |
$7.50 |
$7.50 |
$31.07
|
|
Drop lock knee
|
$204.95 |
$204.95 |
$204.95 |
$193.79
|
|
Drop lock retainer each
|
$70.12 |
$70.12 |
$70.12 |
$63.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$6,822.97 |
$6,822.97 |
$6,822.97 |
$1,998.60
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$4,523.50 |
$4,523.50 |
$4,523.50 |
$3,374.24
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$18,303.94 |
$18,303.94 |
$18,303.94 |
$94.65
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$4,277.66 |
$4,277.66 |
$4,277.66 |
$189.68
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$25,588.77 |
$25,588.77 |
$25,588.77 |
$94.94
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$36,446.01 |
$36,446.01 |
$36,446.01 |
$7,465.97
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$25,691.11 |
$25,691.11 |
$25,691.11 |
$381.35
|
|
Drug assay caffeine
|
$64.80 |
$64.80 |
$64.80 |
$81.61
|
|
Drug assay posaconazole
|
$79.20 |
$79.20 |
$79.20 |
$91.00
|
|
Drug assay rufinamide
|
$140.40 |
$140.40 |
$140.40 |
$88.20
|
|
Drug assay vedolizumab
|
$165.60 |
$165.60 |
$165.60 |
$136.08
|
|
Drug assay voriconazole
|
$72.00 |
$72.00 |
$72.00 |
$96.75
|
|
Drug of abuse screen urine
|
$49.20 |
$49.20 |
$49.20 |
$60.00
|
|
Drug screen quant tiagabine
|
$132.60 |
$132.60 |
$132.60 |
$107.80
|
|
Drug test def 1-7 classes
|
$235.20 |
$235.20 |
$235.20 |
$263.86
|
|
Drug test prsmv instrmnt
|
$11.40 |
$11.40 |
$11.40 |
$81.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$330.60 |
$330.60 |
$330.60 |
$278.85
|
|
Drvvt confirm - quest
|
$126.00 |
$126.00 |
$126.00 |
$101.66
|
|
Ductogram sgl duct
|
$525.60 |
$525.60 |
$525.60 |
$452.50
|
|
Duragen 1x1 5ea/bx
|
$17,796.20 |
$17,796.20 |
$17,796.20 |
$11,009.65
|
|
Durvalumab 50 mg/ml intravenous solution
|
$16,929.60 |
$16,929.60 |
$16,929.60 |
$7,619.12
|
|
Dxa bone density axl vrt fx
|
$1,270.20 |
$1,270.20 |
$1,270.20 |
$397.65
|
|
Dx bronchoscope/brush 31623
|
$15,696.85 |
$15,696.85 |
$15,696.85 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$12,748.42 |
$12,748.42 |
$12,748.42 |
$2,447.43
|
|
Dx bronchoscope/wash 31622
|
$7,729.98 |
$7,729.98 |
$7,729.98 |
$2,447.43
|
|
Echograp trans r pros study
|
$69.00 |
$69.00 |
$69.00 |
$462.80
|
|
Echo guidance radiotherapy
|
$1,320.60 |
$1,320.60 |
$1,320.60 |
$812.00
|
|
Echo guide for amniocentesis
|
$58.20 |
$58.20 |
$58.20 |
$399.50
|
|
Echo guide for artery repair
|
$436.20 |
$436.20 |
$436.20 |
$660.00
|
|
Ecmo/ecls initiation artery 33947
|
$29,115.00 |
$29,115.00 |
$29,115.00 |
$3,066.75
|
|
Ecmo/ecls initiation venous 33946
|
$14,955.00 |
$14,955.00 |
$14,955.00 |
$3,468.27
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$30,808.80 |
$30,808.80 |
$30,808.80 |
$3,321.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$25,048.32 |
$25,048.32 |
$25,048.32 |
$18,199.20
|
|
E equine encephalitis igg
|
$69.60 |
$69.60 |
$69.60 |
$48.73
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$23,771.10 |
$23,771.10 |
$23,771.10 |
$12,393.28
|
|
Egd control bleeding any
|
$6,755.94 |
$6,755.94 |
$6,755.94 |
$2,553.75
|
|
Egd dilate stricture
|
$6,617.14 |
$6,617.14 |
$6,617.14 |
$2,455.50
|
|
Egd endo mucosal resection
|
$5,732.70 |
$5,732.70 |
$5,732.70 |
$2,430.40
|
|
Egd endoscopic stent place
|
$18,047.17 |
$18,047.17 |
$18,047.17 |
$4,224.57
|
|
Egd guide wire insertion
|
$4,646.89 |
$4,646.89 |
$4,646.89 |
$1,664.00
|
|
Egd remove foreign body
|
$6,441.90 |
$6,441.90 |
$6,441.90 |
$1,519.29
|
|
Egd remove lesion snare
|
$8,246.34 |
$8,246.34 |
$8,246.34 |
$2,597.25
|
|
Egd Ultrasound exam duodenum/jejunum
|
$7,308.83 |
$7,308.83 |
$7,308.83 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$8,601.58 |
$8,601.58 |
$8,601.58 |
$2,600.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$10,999.87 |
$10,999.87 |
$10,999.87 |
$2,912.00
|
|
Egd varices ligation
|
$6,126.58 |
$6,126.58 |
$6,126.58 |
$2,244.82
|
|
Egfr gene com variants
|
$536.40 |
$536.40 |
$536.40 |
$599.95
|
|
Electrd sq emblem s-icd
|
$14,144.54 |
$14,144.54 |
$14,144.54 |
$10,160.27
|
|
Electrical stimulation/unattended 97014
|
$217.20 |
$217.20 |
$217.20 |
$79.20
|
|
Electrolyte panel
|
$132.60 |
$132.60 |
$132.60 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,738.80 |
$1,738.80 |
$1,738.80 |
$960.00
|
|
Electrophysiology evaluation
|
$2,100.60 |
$2,100.60 |
$2,100.60 |
$1,869.13
|
|
Elotuzumab 300 mg intravenous solution
|
$12,199.98 |
$12,199.98 |
$12,199.98 |
$5,523.02
|
|
Embolization s&i
|
$5,520.60 |
$5,520.60 |
$5,520.60 |
$3,160.96
|
|
Embo or occlude vascular arterial s&i
|
$24,355.80 |
$24,355.80 |
$24,355.80 |
$15,839.57
|
|
Embo or occlude vascular hemorrhage s&i
|
$10,731.60 |
$10,731.60 |
$10,731.60 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$17,266.20 |
$17,266.20 |
$17,266.20 |
$14,633.25
|
|
Embo or occlude vascular venous s&i
|
$7,485.00 |
$7,485.00 |
$7,485.00 |
$14,586.00
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$8,659.20 |
$8,659.20 |
$8,659.20 |
$7,031.20
|
|
Encephalitis, california igg/igm
|
$69.60 |
$69.60 |
$69.60 |
$50.40
|
|
Encephalitis, st louis igg/igm
|
$69.60 |
$69.60 |
$69.60 |
$47.40
|
|
Encephalitis, western equine igg/igm
|
$69.60 |
$69.60 |
$69.60 |
$53.10
|
|
Endo ak/hip alignable system
|
$1,165.55 |
$1,165.55 |
$1,165.55 |
$896.42
|
|
Endo below knee alignable sy
|
$801.25 |
$801.25 |
$801.25 |
$588.00
|
|
Endo bk ultra-light material
|
$1,101.88 |
$1,101.88 |
$1,101.88 |
$926.65
|
|
Endo cath bile duct s&i
|
$1,062.60 |
$1,062.60 |
$1,062.60 |
$694.06
|
|
Endo cath panc duct s&i
|
$463.20 |
$463.20 |
$463.20 |
$667.60
|
|
Endo cholangiopancreatograph
|
$24,442.91 |
$24,442.91 |
$24,442.91 |
$4,214.73
|
|
Endo knee-shin frct swg & st
|
$1,241.78 |
$1,241.78 |
$1,241.78 |
$1,241.78
|
|
Endo knee-shin mnl lck ultra
|
$1,602.08 |
$1,602.08 |
$1,602.08 |
$1,602.08
|
|
Endoluminal bx biliary tree
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$2,476.50
|
|
Endoscopic pancreatoscopy
|
$12,073.07 |
$12,073.07 |
$12,073.07 |
$2,546.25
|
|
Endoscopic Ultrasound exam esoph
|
$9,327.90 |
$9,327.90 |
$9,327.90 |
$2,485.50
|
|
Endoscopy swallow (fees) vid
|
$647.40 |
$647.40 |
$647.40 |
$405.00
|
|
Endo, single, pulmonary
|
$8,135.08 |
$8,135.08 |
$8,135.08 |
$1,052.57
|
|
Endoskel knee-shin mnl lock
|
$1,097.21 |
$1,097.21 |
$1,097.21 |
$1,097.21
|
|
Endovasc prosth delayed 33886
|
$5,980.20 |
$5,980.20 |
$5,980.20 |
$2,336.80
|
|
Endovasc rpr a-biiliac endogft 34705
|
$18,266.40 |
$18,266.40 |
$18,266.40 |
$9,316.45
|
|
Endovasc tempory vessel occl
|
$9,535.20 |
$9,535.20 |
$9,535.20 |
$11,261.25
|
|
Endovasc visc aorta 1 graft
|
$2,796.60 |
$2,796.60 |
$2,796.60 |
$9,122.40
|
|
Endovasc visc aorta 2 graft
|
$2,936.40 |
$2,936.40 |
$2,936.40 |
$9,560.00
|
|
Endovasc visc aorta 3 graft
|
$3,083.40 |
$3,083.40 |
$3,083.40 |
$7,311.20
|
|
Endovasc visc aorta 4 graft
|
$3,237.60 |
$3,237.60 |
$3,237.60 |
$6,219.85
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$11,073.12 |
$11,073.12 |
$11,073.12 |
$7,865.99
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$176.70 |
$176.70 |
$176.70 |
$109.06
|
|
Entamoeba histolytica ag eia - sendout
|
$40.20 |
$40.20 |
$40.20 |
$55.00
|
