|
Dna antibody native/double stranded
|
$20.00 |
$20.00 |
$20.00 |
$99.00
|
|
Dna gardnerella
|
$36.50 |
$36.50 |
$36.50 |
$61.75
|
|
Dna probe chlamydia
|
$29.00 |
$29.00 |
$29.00 |
$82.20
|
|
Dna probe gc
|
$29.00 |
$29.00 |
$29.00 |
$79.38
|
|
Dna trichomonas
|
$36.50 |
$36.50 |
$36.50 |
$66.05
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$386.79 |
$386.79 |
$386.79 |
$944.35
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$60.00 |
$60.00 |
$60.00 |
$65.40
|
|
Doppler echo complete
|
$648.50 |
$648.50 |
$648.50 |
$546.42
|
|
Doppler intravascular pressure flow initial vessel
|
$8,137.50 |
$8,137.50 |
$8,137.50 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$610.00 |
$610.00 |
$610.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$613.50 |
$613.50 |
$613.50 |
$479.46
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$24.97 |
$24.97 |
$24.97 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$793.36 |
$793.36 |
$793.36 |
$1,718.24
|
|
Dpyd gene common variants
|
$800.00 |
$800.00 |
$800.00 |
$386.12
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,249.50 |
$1,249.50 |
$1,249.50 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,249.50 |
$1,249.50 |
$1,249.50 |
$906.00
|
|
Drainage external ear complex 69005
|
$2,834.50 |
$2,834.50 |
$2,834.50 |
$2,876.50
|
|
Drainage external ear simple 69000
|
$409.00 |
$409.00 |
$409.00 |
$789.60
|
|
Drainage of arm bursa 23931
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$2,266.55
|
|
Drainage of eye
|
$4,160.00 |
$4,160.00 |
$4,160.00 |
$2,415.65
|
|
Drainage of eye
|
$4,082.00 |
$4,082.00 |
$4,082.00 |
$3,170.00
|
|
Drainage of forearm bursa
|
$2,170.50 |
$2,170.50 |
$2,170.50 |
$2,054.00
|
|
Drainage of kidney lesion
|
$369.50 |
$369.50 |
$369.50 |
$1,534.80
|
|
Drainage of nose lesion int 30000
|
$402.50 |
$402.50 |
$402.50 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$880.00 |
$880.00 |
$880.00 |
$781.44
|
|
Drain blood from under nail 11740
|
$112.00 |
$112.00 |
$112.00 |
$177.10
|
|
Drain cath image guided visceral pq
|
$1,013.50 |
$1,013.50 |
$1,013.50 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$1,554.00 |
$1,554.00 |
$1,554.00 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$407.50 |
$407.50 |
$407.50 |
$429.33
|
|
Drain lower leg bursa
|
$4,372.00 |
$4,372.00 |
$4,372.00 |
$3,958.50
|
|
Drain lower leg lesion 27603
|
$4,574.00 |
$4,574.00 |
$4,574.00 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$4,882.50 |
$4,882.50 |
$4,882.50 |
$3,339.00
|
|
Drain thigh/knee lesion 27301
|
$4,470.67 |
$4,470.67 |
$4,470.67 |
$3,638.88
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$372.00 |
$372.00 |
$372.00 |
$397.15
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$310.50 |
$310.50 |
$310.50 |
$351.45
|
|
Dress/debrid prtl-thick burn l 16030
|
$683.00 |
$683.00 |
$683.00 |
$530.40
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$6,501.85
|
|
Drill hole implt ventricular cath/device 61107
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,503.60
|
|
Drng hand tendon sheath 26020
|
$5,626.00 |
$5,626.00 |
$5,626.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$510.00 |
$510.00 |
$510.00 |
$656.88
|
|
Drng of finger abscess comp 26011
|
$2,906.00 |
$2,906.00 |
$2,906.00 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$1,160.50 |
$1,160.50 |
$1,160.50 |
$854.50
|
|
Drng of mouth lesion 40801
|
$842.50 |
$842.50 |
$842.50 |
$1,350.97
|
|
Drng of scrotum abscess 55100
|
$2,888.50 |
$2,888.50 |
$2,888.50 |
$1,977.60
|
|
Drng salivary gland simple 42300
|
$2,623.50 |
$2,623.50 |
$2,623.50 |
$2,039.50
|
|
Dronabinol 2.5mg oral
|
$28.38 |
$28.38 |
$28.38 |
$11.40
|
|
Droperidol 2.5 mg/ml injection solution
|
$8.19 |
$8.19 |
$8.19 |
$31.26
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$646.00 |
$646.00 |
$646.00 |
$1,882.80
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$112.48
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$289.05
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$3,496.45 |
$3,496.45 |
$3,496.45 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$426.00 |
$426.00 |
$426.00 |
$590.00
|
|
Drug assay posaconazole
|
$150.00 |
$150.00 |
$150.00 |
$96.00
|
|
Drug assay rufinamide
|
$51.00 |
$51.00 |
$51.00 |
$78.00
|
|
Drug assay vedolizumab
|
$455.00 |
$455.00 |
$455.00 |
$157.00
|
|
Drug assay voriconazole
|
$119.50 |
$119.50 |
$119.50 |
$96.75
|
|
Drug screening tapentadol
|
$20.00 |
$20.00 |
$20.00 |
$37.24
|
|
Drug screen quant tiagabine
|
$50.00 |
$50.00 |
$50.00 |
$114.62
|
|
Drug test def 15-21 classes
|
$265.00 |
$265.00 |
$265.00 |
$316.00
|
|
Drug test def 1-7 classes
|
$279.00 |
$279.00 |
$279.00 |
$262.20
|
|
Drug test def 22+ classes
|
$438.00 |
$438.00 |
$438.00 |
$426.24
|
|
Drug test def 8-14 classes
|
$209.00 |
$209.00 |
$209.00 |
$282.00
|
|
Drug test prsmv instrmnt
|
$39.00 |
$39.00 |
$39.00 |
$87.60
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$436.00 |
$436.00 |
$436.00 |
$278.85
|
|
Drvvt confirm - quest
|
$39.50 |
$39.50 |
$39.50 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$3,938.50 |
$3,938.50 |
$3,938.50 |
$2,979.74
|
|
Duplex scan bilateral study 93985
|
$569.00 |
$569.00 |
$569.00 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$227.00 |
$227.00 |
$227.00 |
$360.33
|
|
Dup scan/hemodialysis access 93990
|
$478.50 |
$478.50 |
$478.50 |
$479.81
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$832.50 |
$832.50 |
$832.50 |
$750.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$632.50 |
$632.50 |
$632.50 |
$890.55
|
|
Durvalumab 50 mg/ml intravenous solution
|
$24,767.40 |
$24,767.40 |
$24,767.40 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$897.50 |
$897.50 |
$897.50 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$923.33 |
$923.33 |
$923.33 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$2,877.00 |
$2,877.00 |
$2,877.00 |
$2,347.80
|
|
Dx laryngoscopy newborn
|
$459.00 |
$459.00 |
$459.00 |
$707.25
|
|
Dx laryngoscopy w/oper scope
|
$3,078.50 |
$3,078.50 |
$3,078.50 |
$2,624.16
|
|
Ear irrigation 69209
|
$336.50 |
$336.50 |
$336.50 |
$150.00
|
|
Ecg 12 lead tracing only
|
$624.00 |
$624.00 |
$624.00 |
$226.20
|
|
Ecg/1-3 leads/tracing only 93041
|
$28.50 |
$28.50 |
$28.50 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$1,096.00 |
$1,096.00 |
$1,096.00 |
$477.75
|
|
Ecg external < 48 hours recording
|
$416.50 |
$416.50 |
$416.50 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$906.50 |
$906.50 |
$906.50 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$179.50 |
$179.50 |
$179.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$73.00 |
$73.00 |
$73.00 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,194.00 |
$1,194.00 |
$1,194.00 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$324.00 |
$324.00 |
$324.00 |
$475.10
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,194.00 |
$1,194.00 |
$1,194.00 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$732.00 |
$732.00 |
$732.00 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$732.00 |
$732.00 |
$732.00 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$1,194.00 |
$1,194.00 |
$1,194.00 |
$363.22
|
|
Echo exam uterus 76831-
|
$552.50 |
$552.50 |
$552.50 |
$560.50
|
|
Echo guide for amniocentesis
|
$268.50 |
$268.50 |
$268.50 |
$455.57
|
|
Echo guide for heart biopsy
|
$226.00 |
$226.00 |
$226.00 |
$666.40
|
|
Echo tee guidance
|
$1,562.00 |
$1,562.00 |
$1,562.00 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$1,885.56
|
|
Echo transesophageal
|
$221.50 |
$221.50 |
$221.50 |
$1,087.90
|
|
Echo transthoracic
|
$597.50 |
$597.50 |
$597.50 |
$1,337.60
|
|
Ecp ciliary body destruction
|
$4,082.00 |
$4,082.00 |
$4,082.00 |
$2,698.92
|
