|
Dna trichomonas
|
$279.20 |
$279.20 |
$279.20 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$162.00 |
$162.00 |
$162.00 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$7,030.80 |
$7,030.80 |
$7,030.80 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$89.40 |
$89.40 |
$89.40 |
$65.40
|
|
Doppler echo complete
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,308.00 |
$1,308.00 |
$1,308.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$919.20 |
$919.20 |
$919.20 |
$481.65
|
|
Doripenem 50 mg/ml inj 10 ml
|
$8.40 |
$8.40 |
$8.40 |
$73.80
|
|
Dornase alfa non-comp unit
|
$236.00 |
$236.00 |
$236.00 |
$356.00
|
|
Dornhoffer fixed part w/window
|
$44,163.20 |
$44,163.20 |
$44,163.20 |
$34,278.00
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$162.60 |
$162.60 |
$162.60 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$4,487.40 |
$4,487.40 |
$4,487.40 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$1.20 |
$1.20 |
$1.20 |
$89.34
|
|
Dpyd gene common variants
|
$2,358.60 |
$2,358.60 |
$2,358.60 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,741.60 |
$1,741.60 |
$1,741.60 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,741.60 |
$1,741.60 |
$1,741.60 |
$964.00
|
|
Drainage external ear complex 69005
|
$8,618.40 |
$8,618.40 |
$8,618.40 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$712.80 |
$712.80 |
$712.80 |
$790.40
|
|
Drainage of arm bursa 23931
|
$4,036.80 |
$4,036.80 |
$4,036.80 |
$2,271.01
|
|
Drainage of kidney lesion
|
$1,352.80 |
$1,352.80 |
$1,352.80 |
$1,506.00
|
|
Drainage of rectal abscess
|
$5,976.80 |
$5,976.80 |
$5,976.80 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$6,501.60 |
$6,501.60 |
$6,501.60 |
$3,816.64
|
|
Drain blood from under nail 11740
|
$298.40 |
$298.40 |
$298.40 |
$182.40
|
|
Drain cath image guided visceral pq
|
$5,596.80 |
$5,596.80 |
$5,596.80 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$1,524.80 |
$1,524.80 |
$1,524.80 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$712.80 |
$712.80 |
$712.80 |
$428.40
|
|
Drain thigh/knee lesion 27301
|
$6,528.00 |
$6,528.00 |
$6,528.00 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$998.40 |
$998.40 |
$998.40 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$712.80 |
$712.80 |
$712.80 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$998.40 |
$998.40 |
$998.40 |
$541.00
|
|
Drng of eyelid abscess 67700
|
$8,618.40 |
$8,618.40 |
$8,618.40 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,267.20 |
$2,267.20 |
$2,267.20 |
$2,079.50
|
|
Drng of scrotum abscess 55100
|
$3,497.60 |
$3,497.60 |
$3,497.60 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$39.60 |
$39.60 |
$39.60 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,151.20 |
$2,151.20 |
$2,151.20 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$660.00 |
$660.00 |
$660.00 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$841.60 |
$841.60 |
$841.60 |
$193.15
|
|
Drug assay vedolizumab
|
$431.40 |
$431.40 |
$431.40 |
$154.00
|
|
Drug asy hydroxychloroquine
|
$196.20 |
$196.20 |
$196.20 |
$66.43
|
|
Drug test def 1-7 classes
|
$480.80 |
$480.80 |
$480.80 |
$263.25
|
|
Drug test def 8-14 classes
|
$316.80 |
$316.80 |
$316.80 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$383.20 |
$383.20 |
$383.20 |
$278.85
|
|
Drvvt confirm - quest
|
$211.20 |
$211.20 |
$211.20 |
$109.20
|
|
Ductogram sgl duct
|
$1,043.20 |
$1,043.20 |
$1,043.20 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$1,728.80 |
$1,728.80 |
$1,728.80 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$864.00 |
$864.00 |
$864.00 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$1,062.40 |
$1,062.40 |
$1,062.40 |
$489.72
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,179.20 |
$1,179.20 |
$1,179.20 |
$904.78
|
|
Duragen 1x1 5ea/bx
|
$514.40 |
$514.40 |
$514.40 |
$10,564.87
|
|
Durvalumab 50 mg/ml intravenous solution
|
$324.60 |
$324.60 |
$324.60 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$813.60 |
$813.60 |
$813.60 |
$401.20
|
|
Dx bronchoscope/lavage 31624
|
$3,540.00 |
$3,540.00 |
$3,540.00 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$3,540.00 |
$3,540.00 |
$3,540.00 |
$2,410.50
|
|
Ear irrigation 69209
|
$117.00 |
$117.00 |
$117.00 |
$154.70
|
|
Ecg < 30 days transmission & analysis
|
$312.80 |
$312.80 |
$312.80 |
$412.88
|
|
Ecg external < 48 hours recording
|
$551.40 |
$551.40 |
$551.40 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$671.40 |
$671.40 |
$671.40 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$91.20 |
$91.20 |
$91.20 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$75.00 |
$75.00 |
$75.00 |
$173.40
|
|
Ecg/review interpret only
|
$45.60 |
$45.60 |
$45.60 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$2,739.20 |
$2,739.20 |
$2,739.20 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$483.20 |
$483.20 |
$483.20 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$580.80 |
$580.80 |
$580.80 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,739.20 |
$2,739.20 |
$2,739.20 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$440.00 |
$440.00 |
$440.00 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$922.40 |
$922.40 |
$922.40 |
$371.25
|
|
Echo exam uterus 76831-
|
$840.80 |
$840.80 |
$840.80 |
$561.00
|
|
Echograp trans r pros study
|
$474.40 |
$474.40 |
$474.40 |
$468.00
|
|
Echo guidance radiotherapy
|
$2,659.20 |
$2,659.20 |
$2,659.20 |
$812.00
|
|
Echo guide for amniocentesis
|
$603.20 |
$603.20 |
$603.20 |
$455.57
|
|
Echo guide for artery repair
|
$1,220.80 |
$1,220.80 |
$1,220.80 |
$696.30
|
|
Echo stress
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,040.80 |
$1,040.80 |
$1,040.80 |
$1,913.60
|
|
Echo transesophageal
|
$472.80 |
$472.80 |
$472.80 |
$602.00
|
|
Echo transesophageal intraop
|
$2,591.20 |
$2,591.20 |
$2,591.20 |
$1,578.00
|
|
Echo transthoracic
|
$1,094.40 |
$1,094.40 |
$1,094.40 |
$1,361.75
|
|
Echo transthoracic
|
$647.20 |
$647.20 |
$647.20 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,026.40 |
$1,026.40 |
$1,026.40 |
$1,033.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$268.80 |
$268.80 |
$268.80 |
$19,540.29
|
|
Eculizumab injection
|
$30,211.20 |
$30,211.20 |
$30,211.20 |
$16,330.48
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,439.20 |
$1,439.20 |
$1,439.20 |
$994.15
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,439.20 |
$1,439.20 |
$1,439.20 |
$835.00
|
|
Eeg/record in coma or sleep only 95822
|
$1,439.20 |
$1,439.20 |
$1,439.20 |
$871.00
|
|
Eeg recording awake and asleep
|
$1,439.20 |
$1,439.20 |
$1,439.20 |
$931.20
|
|
E equine encephalitis igg
|
$111.20 |
$111.20 |
$111.20 |
$51.84
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$79.20 |
$79.20 |
$79.20 |
$13,130.61
|
|
Egd balloon dil esoph30 mm/>
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,244.82
|
|
Egd control bleeding any
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,553.75
|
|
Egd dilate stricture
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,394.60
|
|
Egd endo mucosal resection
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,430.40
|
|
Egd endoscopic stent place
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$3,986.00
|
|
Egd guide wire insertion
|
$4,264.00 |
$4,264.00 |
$4,264.00 |
$1,664.00
|
|
Egd injection varices
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,244.82
|
|
Egd lesion ablation
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,354.48
|
|
Egd remove foreign body
|
$4,264.00 |
$4,264.00 |
$4,264.00 |
$1,571.40
|
|
Egd remove lesion snare
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,562.75
|
|
Egd Ultrasound fine needle bx/aspir
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,392.00
|
