|
Dorsi & plantar flex ass/res
|
$56.80 |
$56.80 |
$56.80 |
$163.50
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$0.97 |
$0.97 |
$0.97 |
$84.80
|
|
Dpyd gene common variants
|
$312.80 |
$312.80 |
$312.80 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$794.82
|
|
Drainage ext aud canal abscess 69020
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$914.34
|
|
Drainage external ear complex 69005
|
$2,258.80 |
$2,258.80 |
$2,258.80 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$779.45
|
|
Drainage lymph node lesion 38300
|
$3,602.00 |
$3,602.00 |
$3,602.00 |
$3,088.80
|
|
Drainage mouth roof lesion
|
$402.00 |
$402.00 |
$402.00 |
$405.60
|
|
Drainage of arm bursa 23931
|
$2,560.80 |
$2,560.80 |
$2,560.80 |
$2,271.01
|
|
Drainage of kidney lesion
|
$1,307.20 |
$1,307.20 |
$1,307.20 |
$1,506.00
|
|
Drainage of mouth lesion
|
$3,365.60 |
$3,365.60 |
$3,365.60 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$326.00 |
$326.00 |
$326.00 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$854.00 |
$854.00 |
$854.00 |
$781.44
|
|
Drainage of rectal abscess
|
$1,710.00 |
$1,710.00 |
$1,710.00 |
$2,135.10
|
|
Drain blood from under nail 11740
|
$188.40 |
$188.40 |
$188.40 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,526.80 |
$2,526.80 |
$2,526.80 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,280.40 |
$1,280.40 |
$1,280.40 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$991.60 |
$991.60 |
$991.60 |
$1,025.00
|
|
Drain chst dry seal exp thorastat
|
$187.60 |
$187.60 |
$187.60 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$308.40 |
$308.40 |
$308.40 |
$428.40
|
|
Drain ostomy pouch w/flange
|
$9.20 |
$9.20 |
$9.20 |
$8.80
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$305.20 |
$305.20 |
$305.20 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$317.60 |
$317.60 |
$317.60 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$562.00 |
$562.00 |
$562.00 |
$540.80
|
|
Drng of eyelid abscess 67700
|
$488.40 |
$488.40 |
$488.40 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,560.80 |
$2,560.80 |
$2,560.80 |
$2,029.60
|
|
Drng of mouth lesion 40801
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$1,350.97
|
|
Drng of scrotum abscess 55100
|
$2,560.80 |
$2,560.80 |
$2,560.80 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$61.44 |
$61.44 |
$61.44 |
$31.26
|
|
Drop lock knee
|
$63.20 |
$63.20 |
$63.20 |
$204.95
|
|
Drop lock retainer each
|
$20.40 |
$20.40 |
$20.40 |
$63.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,375.20 |
$1,375.20 |
$1,375.20 |
$1,818.32
|
|
Drsg sht 5.625x4.625in std
|
$46.40 |
$46.40 |
$46.40 |
$123.24
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$6,943.60 |
$6,943.60 |
$6,943.60 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$19,913.20 |
$19,913.20 |
$19,913.20 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$16,360.80 |
$16,360.80 |
$16,360.80 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$95.20 |
$95.20 |
$95.20 |
$578.59
|
|
Drug assay caffeine
|
$138.40 |
$138.40 |
$138.40 |
$81.61
|
|
Drug assay posaconazole
|
$17.20 |
$17.20 |
$17.20 |
$96.75
|
|
Drug assay rufinamide
|
$129.20 |
$129.20 |
$129.20 |
$85.80
|
|
Drug assay vedolizumab
|
$34.00 |
$34.00 |
$34.00 |
$157.00
|
|
Drug assay voriconazole
|
$16.00 |
$16.00 |
$16.00 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$30.00 |
$30.00 |
$30.00 |
$66.43
|
|
Drug of abuse screen urine
|
$48.40 |
$48.40 |
$48.40 |
$64.50
|
|
Drug screening tapentadol
|
$97.60 |
$97.60 |
$97.60 |
$44.25
|
|
Drug/substance nos 4-6
|
$108.00 |
$108.00 |
$108.00 |
$72.14
|
|
Drug test def 1-7 classes
|
$118.80 |
$118.80 |
$118.80 |
$263.25
|
|
Drug test def 22+ classes
|
$816.00 |
$816.00 |
$816.00 |
$423.00
|
|
Drug test def 8-14 classes
|
$163.60 |
$163.60 |
$163.60 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$257.20 |
$257.20 |
$257.20 |
$280.95
|
|
Drvvt confirm - quest
|
$79.60 |
$79.60 |
$79.60 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$2,806.40 |
$2,806.40 |
$2,806.40 |
$2,967.48
|
|
Ductogram sgl duct
|
$876.80 |
$876.80 |
$876.80 |
$469.44
|
|
Duplex scan bilateral study 93985
|
$381.60 |
$381.60 |
$381.60 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$183.20 |
$183.20 |
$183.20 |
$375.60
|
|
Dup scan/hemodialysis access 93990
|
$424.80 |
$424.80 |
$424.80 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$290.80 |
$290.80 |
$290.80 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$455.20 |
$455.20 |
$455.20 |
$903.50
|
|
Duragen 1x1 5ea/bx
|
$3,769.20 |
$3,769.20 |
$3,769.20 |
$10,564.87
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$3,873.20 |
$3,873.20 |
$3,873.20 |
$23,482.80
|
|
Dx bronchoscope/brush 31623
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$1,886.00 |
$1,886.00 |
$1,886.00 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$2,322.60
|
|
Dx gastr intub w/asp spec
|
$562.40 |
$562.40 |
$562.40 |
$441.60
|
|
Ear irrigation 69209
|
$106.80 |
$106.80 |
$106.80 |
$150.00
|
|
Ecg 12 lead tracing only
|
$109.60 |
$109.60 |
$109.60 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$52.00 |
$52.00 |
$52.00 |
$132.08
|
|
Echocardiogram (Heart Ultrasound)
|
$932.80 |
$932.80 |
$932.80 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$773.20 |
$773.20 |
$773.20 |
$499.20
|
|
Echocardiography transthoracic 2d followup/limited
|
$482.80 |
$482.80 |
$482.80 |
$711.00
|
|
Echocardiograpy doppler follow up/limited study
|
$238.40 |
$238.40 |
$238.40 |
$371.25
|
|
Echo exam of fetal heart
|
$1,844.00 |
$1,844.00 |
$1,844.00 |
$904.80
|
|
Echo exam of fetal heart
|
$520.00 |
$520.00 |
$520.00 |
$538.27
|
|
Echo exam of fetal heart
|
$520.00 |
$520.00 |
$520.00 |
$431.41
|
|
Echo exam of fetal heart
|
$259.20 |
$259.20 |
$259.20 |
$319.00
|
|
Echo exam uterus 76831-
|
$868.40 |
$868.40 |
$868.40 |
$552.50
|
|
Echo guidance radiotherapy
|
$1,722.40 |
$1,722.40 |
$1,722.40 |
$812.00
|
|
Echo guide for amniocentesis
|
$733.20 |
$733.20 |
$733.20 |
$446.60
|
|
Echo guide for artery repair
|
$456.80 |
$456.80 |
$456.80 |
$687.35
|
|
Echo guide for transfusion
|
$222.40 |
$222.40 |
$222.40 |
$332.39
|
|
Echo guide villus sampling
|
$733.20 |
$733.20 |
$733.20 |
$362.88
|
|
Echo stress
|
$932.80 |
$932.80 |
$932.80 |
$1,606.44
|
|
Echo tee guidance
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$1,847.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$932.80 |
$932.80 |
$932.80 |
$1,889.20
|
|
Echo transesophageal intraop
|
$932.80 |
$932.80 |
$932.80 |
$1,578.00
|
|
Echo transthoracic
|
$932.80 |
$932.80 |
$932.80 |
$1,361.75
|
|
Echo transthoracic
|
$932.80 |
$932.80 |
$932.80 |
$1,010.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$932.80 |
$932.80 |
$932.80 |
$1,022.30
|
|
Ecmo/ecls initiation artery 33947
|
$7,409.20 |
$7,409.20 |
$7,409.20 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$7,409.20 |
$7,409.20 |
$7,409.20 |
$3,988.60
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$2,255.60 |
$2,255.60 |
$2,255.60 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$2,440.80 |
$2,440.80 |
$2,440.80 |
$2,825.34
|
|
Eeg 41-60 minutes 95812-26
|
$477.20 |
$477.20 |
$477.20 |
$923.88
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$885.20 |
$885.20 |
$885.20 |
$970.07
|
|
Eeg monitoring/function test
|
$1,731.20 |
$1,731.20 |
$1,731.20 |
$1,548.52
|
|
Eeg monitoring/giving drugs
|
$885.20 |
$885.20 |
$885.20 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$477.20 |
$477.20 |
$477.20 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$477.20 |
$477.20 |
$477.20 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$477.20 |
$477.20 |
$477.20 |
$865.00
|
