|
Dna antibody native/double stranded
|
$42.00 |
$42.00 |
$42.00 |
$100.00
|
|
Dna gardnerella
|
$60.00 |
$60.00 |
$60.00 |
$61.83
|
|
Dna trichomonas
|
$64.80 |
$64.80 |
$64.80 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$192.60 |
$192.60 |
$192.60 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$18.00 |
$18.00 |
$18.00 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$22.80 |
$22.80 |
$22.80 |
$65.40
|
|
Doppler echo complete
|
$340.20 |
$340.20 |
$340.20 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$526.80 |
$526.80 |
$526.80 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$619.20 |
$619.20 |
$619.20 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$402.60 |
$402.60 |
$402.60 |
$481.65
|
|
Dornase alfa non-comp unit
|
$104.80 |
$104.80 |
$104.80 |
$356.00
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$942.60 |
$942.60 |
$942.60 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$0.40 |
$0.40 |
$0.40 |
$89.34
|
|
Dpyd gene common variants
|
$1,535.40 |
$1,535.40 |
$1,535.40 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$286.80 |
$286.80 |
$286.80 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$2,539.80 |
$2,539.80 |
$2,539.80 |
$964.00
|
|
Drainage external ear simple 69000
|
$484.20 |
$484.20 |
$484.20 |
$790.40
|
|
Drainage mouth roof lesion
|
$808.20 |
$808.20 |
$808.20 |
$405.60
|
|
Drainage of arm bursa 23931
|
$1,528.20 |
$1,528.20 |
$1,528.20 |
$2,271.01
|
|
Drainage of kidney lesion
|
$1,897.20 |
$1,897.20 |
$1,897.20 |
$1,506.00
|
|
Drainage of nose lesion sept 30020
|
$3,688.80 |
$3,688.80 |
$3,688.80 |
$781.44
|
|
Drainage of rectal abscess
|
$3,521.40 |
$3,521.40 |
$3,521.40 |
$2,135.10
|
|
Drain blood from under nail 11740
|
$131.40 |
$131.40 |
$131.40 |
$182.40
|
|
Drain cath image guided visceral pq
|
$3,025.20 |
$3,025.20 |
$3,025.20 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$665.40 |
$665.40 |
$665.40 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$286.80 |
$286.80 |
$286.80 |
$428.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$606.60 |
$606.60 |
$606.60 |
$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
|
$500.40 |
$500.40 |
$500.40 |
$541.00
|
|
Drng of eyelid abscess 67700
|
$1,363.20 |
$1,363.20 |
$1,363.20 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,741.20 |
$1,741.20 |
$1,741.20 |
$2,079.50
|
|
Drng of scrotum abscess 55100
|
$1,741.20 |
$1,741.20 |
$1,741.20 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$22.80 |
$22.80 |
$22.80 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$1,818.32
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$10,660.80 |
$10,660.80 |
$10,660.80 |
$7,465.97
|
|
Drug assay rufinamide
|
$573.00 |
$573.00 |
$573.00 |
$87.10
|
|
Drug assay vedolizumab
|
$133.20 |
$133.20 |
$133.20 |
$154.00
|
|
Drug asy hydroxychloroquine
|
$28.80 |
$28.80 |
$28.80 |
$66.43
|
|
Drug test def 1-7 classes
|
$108.60 |
$108.60 |
$108.60 |
$263.25
|
|
Drug test def 8-14 classes
|
$108.60 |
$108.60 |
$108.60 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$137.40 |
$137.40 |
$137.40 |
$278.85
|
|
Drvvt confirm - quest
|
$116.40 |
$116.40 |
$116.40 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$1,033.80 |
$1,033.80 |
$1,033.80 |
$2,980.00
|
|
Ductogram sgl duct
|
$606.00 |
$606.00 |
$606.00 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$766.80 |
$766.80 |
$766.80 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$383.40 |
$383.40 |
$383.40 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$242.40 |
$242.40 |
$242.40 |
$489.72
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$532.80 |
$532.80 |
$532.80 |
$904.78
|
|
Dx bronchoscope/brush 31623
|
$1,967.40 |
$1,967.40 |
$1,967.40 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$1,897.20 |
$1,897.20 |
$1,897.20 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$1,991.40 |
$1,991.40 |
$1,991.40 |
$2,410.50
|
|
Ear irrigation 69209
|
$192.60 |
$192.60 |
$192.60 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$52.80 |
$52.80 |
$52.80 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$892.20 |
$892.20 |
$892.20 |
$412.88
|
|
Ecg external < 48 hours recording
|
$161.40 |
$161.40 |
$161.40 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$237.60 |
$237.60 |
$237.60 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$59.40 |
$59.40 |
$59.40 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$59.40 |
$59.40 |
$59.40 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,876.20 |
$1,876.20 |
$1,876.20 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$642.00 |
$642.00 |
$642.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$177.00 |
$177.00 |
$177.00 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,525.40 |
$2,525.40 |
$2,525.40 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$537.60 |
$537.60 |
$537.60 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$280.20 |
$280.20 |
$280.20 |
$371.25
|
|
Echograp trans r pros study
|
$385.20 |
$385.20 |
$385.20 |
$468.00
|
|
Echo guidance radiotherapy
|
$421.80 |
$421.80 |
$421.80 |
$812.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$1,913.60
|
|
Ecmo/ecls initiation artery 33947
|
$1,138.80 |
$1,138.80 |
$1,138.80 |
$3,950.10
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,439.40 |
$1,439.40 |
$1,439.40 |
$2,660.16
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$510.00 |
$510.00 |
$510.00 |
$94.32
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$2,775.60 |
$2,775.60 |
$2,775.60 |
$994.15
|
|
Eeg during surgery
|
$697.80 |
$697.80 |
$697.80 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,373.40 |
$1,373.40 |
$1,373.40 |
$835.00
|
|
Eeg recording awake and asleep
|
$2,146.80 |
$2,146.80 |
$2,146.80 |
$931.20
|
|
E equine encephalitis igg
|
$122.40 |
$122.40 |
$122.40 |
$51.84
|
|
Egd balloon dil esoph30 mm/>
|
$866.40 |
$866.40 |
$866.40 |
$2,244.82
|
|
Egd control bleeding any
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,553.75
|
|
Egd guide wire insertion
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$1,664.00
|
|
Egd injection varices
|
$3,265.20 |
$3,265.20 |
$3,265.20 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$2,244.82
|
|
Egd lesion ablation
|
$2,841.60 |
$2,841.60 |
$2,841.60 |
$2,354.48
|
|
Egd remove foreign body
|
$1,608.60 |
$1,608.60 |
$1,608.60 |
$1,571.40
|
|
Egd remove lesion snare
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,244.82
|
|
Egd varices ligation
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,244.82
|
|
Ehrlicha chaffeensis amp prb
|
$40.80 |
$40.80 |
$40.80 |
$93.00
|
|
EKG (Tracing Only)
|
$158.40 |
$158.40 |
$158.40 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$273.00 |
$273.00 |
$273.00 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$325.20 |
$325.20 |
$325.20 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$616.00
|
|
Elect analysis of infusion pump 62367
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$913.20 |
$913.20 |
$913.20 |
$618.80
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$122.40 |
$122.40 |
$122.40 |
$87.49
|
|
Electrolyte panel
|
$54.60 |
$54.60 |
$54.60 |
$79.30
|
|
Electron microscopy diagnostic
|
$774.00 |
$774.00 |
$774.00 |
$1,011.98
|
|
Embo or occlude vascular arterial s&i
|
$25,714.80 |
$25,714.80 |
$25,714.80 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$21,680.40 |
$21,680.40 |
$21,680.40 |
$14,586.00
|
|
Emg cranial nerve bilateral
|
$1,587.60 |
$1,587.60 |
$1,587.60 |
$529.10
|
|
Encephalitis, california igg/igm
|
$122.40 |
$122.40 |
$122.40 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$122.40 |
$122.40 |
$122.40 |
$51.84
|
