|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$433.84 |
$433.84 |
$433.84 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$0.82 |
$0.82 |
$0.82 |
$84.80
|
|
Dpyd gene common variants
|
$165.20 |
$165.20 |
$165.20 |
$423.60
|
|
Drainage external ear simple 69000
|
$790.40 |
$790.40 |
$790.40 |
$779.45
|
|
Drainage of kidney lesion
|
$790.40 |
$790.40 |
$790.40 |
$1,506.00
|
|
Drain blood from under nail 11740
|
$142.40 |
$142.40 |
$142.40 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,089.60 |
$1,089.60 |
$1,089.60 |
$2,885.30
|
|
Drain chst dry seal exp thorastat
|
$41.20 |
$41.20 |
$41.20 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$228.00 |
$228.00 |
$228.00 |
$428.40
|
|
Drain ostomy pouch w/flange
|
$5.60 |
$5.60 |
$5.60 |
$8.80
|
|
Drain thigh/knee lesion 27301
|
$3,010.80 |
$3,010.80 |
$3,010.80 |
$3,824.50
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$444.80 |
$444.80 |
$444.80 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$228.00 |
$228.00 |
$228.00 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$536.00 |
$536.00 |
$536.00 |
$540.80
|
|
Drng of finger abscess comp 26011
|
$1,787.60 |
$1,787.60 |
$1,787.60 |
$2,029.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$40.34 |
$40.34 |
$40.34 |
$31.26
|
|
Drop lock knee
|
$63.20 |
$63.20 |
$63.20 |
$204.95
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$941.20 |
$941.20 |
$941.20 |
$1,818.32
|
|
Drsg sht 5.625x4.625in std
|
$28.40 |
$28.40 |
$28.40 |
$123.24
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$2,430.00 |
$2,430.00 |
$2,430.00 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$89.20 |
$89.20 |
$89.20 |
$578.59
|
|
Drug assay caffeine
|
$38.00 |
$38.00 |
$38.00 |
$81.61
|
|
Drug assay posaconazole
|
$28.80 |
$28.80 |
$28.80 |
$96.75
|
|
Drug assay vedolizumab
|
$38.80 |
$38.80 |
$38.80 |
$157.00
|
|
Drug assay voriconazole
|
$15.60 |
$15.60 |
$15.60 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$30.00 |
$30.00 |
$30.00 |
$66.43
|
|
Drug of abuse screen urine
|
$22.00 |
$22.00 |
$22.00 |
$64.50
|
|
Drug screening tapentadol
|
$97.60 |
$97.60 |
$97.60 |
$44.25
|
|
Drug/substance nos 4-6
|
$99.20 |
$99.20 |
$99.20 |
$72.14
|
|
Drug test def 15-21 classes
|
$139.60 |
$139.60 |
$139.60 |
$316.00
|
|
Drug test def 1-7 classes
|
$99.20 |
$99.20 |
$99.20 |
$263.25
|
|
Drug test def 22+ classes
|
$550.00 |
$550.00 |
$550.00 |
$423.00
|
|
Drug test def 8-14 classes
|
$135.60 |
$135.60 |
$135.60 |
$289.80
|
|
Drug test prsmv instrmnt
|
$31.20 |
$31.20 |
$31.20 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$160.80 |
$160.80 |
$160.80 |
$280.95
|
|
Drvvt confirm - quest
|
$53.60 |
$53.60 |
$53.60 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$2,238.80 |
$2,238.80 |
$2,238.80 |
$2,967.48
|
|
Ductogram sgl duct
|
$435.20 |
$435.20 |
$435.20 |
$469.44
|
|
Duplex scan bilateral study 93985
|
$666.00 |
$666.00 |
$666.00 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$319.60 |
$319.60 |
$319.60 |
$375.60
|
|
Dup scan/hemodialysis access 93990
|
$148.00 |
$148.00 |
$148.00 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$368.40 |
$368.40 |
$368.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$410.00 |
$410.00 |
$410.00 |
$903.50
|
|
Duragen 1x1 5ea/bx
|
$1,626.40 |
$1,626.40 |
$1,626.40 |
$10,564.87
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$2,244.40 |
$2,244.40 |
$2,244.40 |
$23,482.80
|
|
Durvalumab 50 mg/ml intravenous solution
|
$136.33 |
$136.33 |
$136.33 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$196.00 |
$196.00 |
$196.00 |
$410.25
|
|
Dx bronchoscope/brush 31623
|
$1,900.80 |
$1,900.80 |
$1,900.80 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$1,900.80 |
$1,900.80 |
$1,900.80 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$1,900.80 |
$1,900.80 |
$1,900.80 |
$2,322.60
|
|
Ear irrigation 69209
|
$70.80 |
$70.80 |
$70.80 |
$150.00
|
|
Ecg 12 lead tracing only
|
$148.40 |
$148.40 |
$148.40 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$70.80 |
$70.80 |
$70.80 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$140.80 |
$140.80 |
$140.80 |
$466.20
|
|
Ecg external < 48 hours recording
|
$157.20 |
$157.20 |
$157.20 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$157.20 |
$157.20 |
$157.20 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$83.60 |
$83.60 |
$83.60 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$120.40 |
$120.40 |
$120.40 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$368.00 |
$368.00 |
$368.00 |
$499.20
|
|
Echocardiography transthoracic 2d followup/limited
|
$589.60 |
$589.60 |
$589.60 |
$711.00
|
|
Echocardiograpy doppler follow up/limited study
|
$368.00 |
$368.00 |
$368.00 |
$371.25
|
|
Echo exam of fetal heart
|
$306.40 |
$306.40 |
$306.40 |
$538.27
|
|
Echo exam of fetal heart
|
$259.20 |
$259.20 |
$259.20 |
$431.41
|
|
Echograp trans r pros study
|
$536.40 |
$536.40 |
$536.40 |
$466.20
|
|
Echo guidance radiotherapy
|
$229.20 |
$229.20 |
$229.20 |
$812.00
|
|
Echo guide for amniocentesis
|
$88.00 |
$88.00 |
$88.00 |
$446.60
|
|
Echo guide for artery repair
|
$335.60 |
$335.60 |
$335.60 |
$687.35
|
|
Echo stress
|
$613.60 |
$613.60 |
$613.60 |
$1,606.44
|
|
Echo tee guidance
|
$1,266.80 |
$1,266.80 |
$1,266.80 |
$1,847.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,889.20
|
|
Echo transesophageal
|
$613.60 |
$613.60 |
$613.60 |
$1,599.50
|
|
Echo transesophageal intraop
|
$1,558.00 |
$1,558.00 |
$1,558.00 |
$1,578.00
|
|
Echo transthoracic
|
$700.40 |
$700.40 |
$700.40 |
$1,361.75
|
|
Echo transthoracic
|
$791.60 |
$791.60 |
$791.60 |
$1,010.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$760.40 |
$760.40 |
$760.40 |
$1,022.30
|
|
Eeg 41-60 minutes 95812-26
|
$496.00 |
$496.00 |
$496.00 |
$923.88
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$533.60 |
$533.60 |
$533.60 |
$970.07
|
|
Eeg monitor/record/awake/drowsy 95816
|
$323.20 |
$323.20 |
$323.20 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$625.20 |
$625.20 |
$625.20 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$585.20 |
$585.20 |
$585.20 |
$865.00
|
|
Eeg recording awake and asleep
|
$497.20 |
$497.20 |
$497.20 |
$929.00
|
|
Eeg without vid 2-12hr cont mntr
|
$335.60 |
$335.60 |
$335.60 |
$826.15
|
|
Eeg without vid 2-12 hr unmntr
|
$949.20 |
$949.20 |
$949.20 |
$681.02
|
|
Eeg wo vid 2-12hr intmt mntr
|
$335.60 |
$335.60 |
$335.60 |
$704.79
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$1,591.10
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$50.78 |
$50.78 |
$50.78 |
$12,999.80
|
|
Egd remove foreign body
|
$1,906.40 |
$1,906.40 |
$1,906.40 |
$1,548.00
|
|
Elec analys infus pump w/reprog 62368
|
$346.80 |
$346.80 |
$346.80 |
$606.10
|
|
Elect analysis of infusion pump 62367
|
$346.80 |
$346.80 |
$346.80 |
$551.20
|
|
Electrd sq emblem s-icd
|
$5,821.20 |
$5,821.20 |
$5,821.20 |
$10,617.22
|
|
Electrical stimulation/unattended 97014
|
$62.80 |
$62.80 |
$62.80 |
$81.00
|
|
Electric stim/w chemodenervation 95873
|
$36.80 |
$36.80 |
$36.80 |
$166.40
|
|
Electrolyte panel
|
$58.00 |
$58.00 |
$58.00 |
$78.65
|
|
Electrophysiologic study
|
$4,557.20 |
$4,557.20 |
$4,557.20 |
$7,023.00
|
|
Electrophysiology evaluation
|
$3,763.20 |
$3,763.20 |
$3,763.20 |
$8,979.45
|
|
Electrophysiology evaluation
|
$4,276.40 |
$4,276.40 |
$4,276.40 |
$10,593.00
|
|
Electrophysiology evaluation
|
$769.60 |
$769.60 |
$769.60 |
$6,760.00
|
|
Electrophysiology evaluation
|
$1,154.80 |
$1,154.80 |
$1,154.80 |
$5,854.80
|
