|
Digoxin total therapeutic drug level
|
$103.20 |
$103.20 |
$103.20 |
$102.07
|
|
Dilate esophagus 1/mult pass
|
$2,870.40 |
$2,870.40 |
$2,870.40 |
$1,548.00
|
|
Dilator fascial 10fx20cm
|
$403.20 |
$403.20 |
$403.20 |
$402.10
|
|
Dimenhydrinate injection
|
$13.80 |
$13.80 |
$13.80 |
$30.48
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$9.60 |
$9.60 |
$9.60 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$12.20 |
$12.20 |
$12.20 |
$18.32
|
|
Disaccharidases
|
$176.40 |
$176.40 |
$176.40 |
$230.40
|
|
Dna antibody native/double stranded
|
$90.60 |
$90.60 |
$90.60 |
$100.00
|
|
Dna gardnerella
|
$186.60 |
$186.60 |
$186.60 |
$61.83
|
|
Dna probe chlamydia
|
$213.60 |
$213.60 |
$213.60 |
$82.20
|
|
Dna trichomonas
|
$194.40 |
$194.40 |
$194.40 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$192.00 |
$192.00 |
$192.00 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$100.20 |
$100.20 |
$100.20 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$39.60 |
$39.60 |
$39.60 |
$65.40
|
|
Doppler echo complete
|
$733.80 |
$733.80 |
$733.80 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,108.20 |
$1,108.20 |
$1,108.20 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,402.20 |
$1,402.20 |
$1,402.20 |
$481.65
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$639.20 |
$639.20 |
$639.20 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,537.20 |
$1,537.20 |
$1,537.20 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$0.60 |
$0.60 |
$0.60 |
$89.34
|
|
Dpyd gene common variants
|
$1,535.40 |
$1,535.40 |
$1,535.40 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$642.00 |
$642.00 |
$642.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$2,802.60 |
$2,802.60 |
$2,802.60 |
$964.00
|
|
Drainage external ear simple 69000
|
$888.60 |
$888.60 |
$888.60 |
$790.40
|
|
Drainage mouth roof lesion
|
$2,912.40 |
$2,912.40 |
$2,912.40 |
$405.60
|
|
Drainage of abdomen
|
$12,609.60 |
$12,609.60 |
$12,609.60 |
$4,616.80
|
|
Drainage of arm bursa 23931
|
$3,313.20 |
$3,313.20 |
$3,313.20 |
$2,271.01
|
|
Drainage of nose lesion sept 30020
|
$3,688.80 |
$3,688.80 |
$3,688.80 |
$781.44
|
|
Drainage of rectal abscess
|
$3,329.40 |
$3,329.40 |
$3,329.40 |
$2,135.10
|
|
Drain blood from under nail 11740
|
$436.20 |
$436.20 |
$436.20 |
$182.40
|
|
Drain cath image guided visceral pq
|
$7,281.60 |
$7,281.60 |
$7,281.60 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$2,138.40 |
$2,138.40 |
$2,138.40 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$276.00 |
$276.00 |
$276.00 |
$428.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$360.00 |
$360.00 |
$360.00 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$478.80 |
$478.80 |
$478.80 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$2,802.60 |
$2,802.60 |
$2,802.60 |
$541.00
|
|
Drng of finger abscess comp 26011
|
$2,600.40 |
$2,600.40 |
$2,600.40 |
$2,079.50
|
|
Drng of scrotum abscess 55100
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$24.00 |
$24.00 |
$24.00 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,998.60 |
$1,998.60 |
$1,998.60 |
$1,818.32
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$3,751.80 |
$3,751.80 |
$3,751.80 |
$94.94
|
|
Drug admin & hemodynmic meas
|
$362.40 |
$362.40 |
$362.40 |
$569.75
|
|
Drug assay vedolizumab
|
$93.00 |
$93.00 |
$93.00 |
$154.00
|
|
Drug of abuse screen urine
|
$357.00 |
$357.00 |
$357.00 |
$67.89
|
|
Drug test def 1-7 classes
|
$441.60 |
$441.60 |
$441.60 |
$263.25
|
|
Drug test def 8-14 classes
|
$441.60 |
$441.60 |
$441.60 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$441.60 |
$441.60 |
$441.60 |
$278.85
|
|
Drvvt confirm - quest
|
$316.80 |
$316.80 |
$316.80 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$1,170.60 |
$1,170.60 |
$1,170.60 |
$2,980.00
|
|
Duplex scan bilateral study 93985
|
$816.60 |
$816.60 |
$816.60 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$406.80 |
$406.80 |
$406.80 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$330.00 |
$330.00 |
$330.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$385.80 |
$385.80 |
$385.80 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$478.80 |
$478.80 |
$478.80 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$200.40 |
$200.40 |
$200.40 |
$8,445.90
|
|
Dx bronchoscope/brush 31623
|
$4,154.40 |
$4,154.40 |
$4,154.40 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$3,748.20 |
$3,748.20 |
$3,748.20 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$2,197.80 |
$2,197.80 |
$2,197.80 |
$2,410.50
|
|
Ear irrigation 69209
|
$119.40 |
$119.40 |
$119.40 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$93.60 |
$93.60 |
$93.60 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$2,384.40 |
$2,384.40 |
$2,384.40 |
$412.88
|
|
Ecg external < 48 hours recording
|
$652.20 |
$652.20 |
$652.20 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$810.00 |
$810.00 |
$810.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$68.40 |
$68.40 |
$68.40 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$68.40 |
$68.40 |
$68.40 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,890.60 |
$1,890.60 |
$1,890.60 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$538.20 |
$538.20 |
$538.20 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$676.80 |
$676.80 |
$676.80 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,896.20 |
$2,896.20 |
$2,896.20 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$538.20 |
$538.20 |
$538.20 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$304.20 |
$304.20 |
$304.20 |
$371.25
|
|
Echo stress
|
$2,719.80 |
$2,719.80 |
$2,719.80 |
$1,609.44
|
|
Echo tee guidance
|
$981.00 |
$981.00 |
$981.00 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,431.60 |
$1,431.60 |
$1,431.60 |
$1,913.60
|
|
Ecmo/ecls initiation artery 33947
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$3,950.10
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,447.80 |
$1,447.80 |
$1,447.80 |
$2,660.16
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$658.20 |
$658.20 |
$658.20 |
$994.15
|
|
Eeg during surgery
|
$664.20 |
$664.20 |
$664.20 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$691.20 |
$691.20 |
$691.20 |
$1,119.54
|
|
Eeg recording awake and asleep
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$931.20
|
|
Eeg without vid 2-12 hr unmntr
|
$586.80 |
$586.80 |
$586.80 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$1,584.70
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$1,632.95
|
|
E equine encephalitis igg
|
$128.40 |
$128.40 |
$128.40 |
$51.84
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$80.80 |
$80.80 |
$80.80 |
$13,130.61
|
|
Egd balloon dil esoph30 mm/>
|
$817.20 |
$817.20 |
$817.20 |
$2,244.82
|
|
Egd control bleeding any
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$2,553.75
|
|
Egd dilate stricture
|
$2,992.80 |
$2,992.80 |
$2,992.80 |
$2,394.60
|
|
Egd endo mucosal resection
|
$866.40 |
$866.40 |
$866.40 |
$2,430.40
|
|
Egd guide wire insertion
|
$3,242.40 |
$3,242.40 |
$3,242.40 |
$1,664.00
|
|
Egd injection varices
|
$4,768.80 |
$4,768.80 |
$4,768.80 |
$2,244.82
|
|
Egd lesion ablation
|
$3,507.00 |
$3,507.00 |
$3,507.00 |
$2,354.48
|
|
Egd remove foreign body
|
$2,795.40 |
$2,795.40 |
$2,795.40 |
$1,571.40
|
|
Egd remove lesion snare
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$6,238.80 |
$6,238.80 |
$6,238.80 |
$2,244.82
|
|
Egd varices ligation
|
$2,434.20 |
$2,434.20 |
$2,434.20 |
$2,244.82
|
|
EKG (Tracing Only)
|
$479.40 |
$479.40 |
$479.40 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$424.20 |
$424.20 |
$424.20 |
$291.94
|
