|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,477.00 |
$1,477.00 |
$1,477.00 |
$810.50
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$636.00 |
$636.00 |
$636.00 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$3,752.00 |
$3,752.00 |
$3,752.00 |
$1,193.40
|
|
Decalcification
|
$27.00 |
$27.00 |
$27.00 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$2,577.75 |
$2,577.75 |
$2,577.75 |
$1,350.27
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,010.00 |
$1,010.00 |
$1,010.00 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$97.50 |
$97.50 |
$97.50 |
$96.41
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$178.00 |
$178.00 |
$178.00 |
$196.26
|
|
Depo-estradiol cypionate inj
|
$1,621.50 |
$1,621.50 |
$1,621.50 |
$120.72
|
|
Dermagraft
|
$107.00 |
$107.00 |
$107.00 |
$252.49
|
|
Design mlc device for imrt
|
$6,018.00 |
$6,018.00 |
$6,018.00 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$5,422.00 |
$5,422.00 |
$5,422.00 |
$116.22
|
|
Desoxycorticosterone
|
$399.00 |
$399.00 |
$399.00 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$2,048.00 |
$2,048.00 |
$2,048.00 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$1,561.00 |
$1,561.00 |
$1,561.00 |
$1,441.44
|
|
Destruct ben lesion 15/> 17111
|
$314.00 |
$314.00 |
$314.00 |
$238.20
|
|
Destruction benign lesions < 14 lesions
|
$261.00 |
$261.00 |
$261.00 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,343.00 |
$1,343.00 |
$1,343.00 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,082.00 |
$2,082.00 |
$2,082.00 |
$3,375.00
|
|
Determination venous press
|
$413.00 |
$413.00 |
$413.00 |
$166.56
|
|
Dexamethasone 4 mg tablet
|
$228.75 |
$228.75 |
$228.75 |
$5.17
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$306.50 |
$306.50 |
$306.50 |
$27.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$113.00 |
$113.00 |
$113.00 |
$43.65
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$113.00 |
$113.00 |
$113.00 |
$61.49
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$113.00 |
$113.00 |
$113.00 |
$47.22
|
|
Dextrose 5 % IV bolus
|
$326.00 |
$326.00 |
$326.00 |
$48.58
|
|
Dhea-s (dehydroepiand sulfate)
|
$247.00 |
$247.00 |
$247.00 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$179.00 |
$179.00 |
$179.00 |
$78.03
|
|
Diab manage trn ind/group
|
$95.00 |
$95.00 |
$95.00 |
$58.08
|
|
Diagnostic anoscopy spx 46600
|
$187.00 |
$187.00 |
$187.00 |
$245.35
|
|
Diagnostic laryngoscopy 31505
|
$554.00 |
$554.00 |
$554.00 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$345.00 |
$345.00 |
$345.00 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$556.00 |
$556.00 |
$556.00 |
$424.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$12,319.00 |
$12,319.00 |
$12,319.00 |
$7,145.00
|
|
Dialysis one evaluation
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$505.00 |
$505.00 |
$505.00 |
$73.22
|
|
Dicyclomine injection
|
$257.50 |
$257.50 |
$257.50 |
$202.91
|
|
Diffusing capacity
|
$285.00 |
$285.00 |
$285.00 |
$360.10
|
|
Digital analysis of eeg
|
$486.00 |
$486.00 |
$486.00 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$4,726.50 |
$4,726.50 |
$4,726.50 |
$78.40
|
|
Digoxin immune fab 40 mg intravenous solution
|
$21,368.50 |
$21,368.50 |
$21,368.50 |
$10,388.97
|
|
Digoxin total therapeutic drug level
|
$174.00 |
$174.00 |
$174.00 |
$102.00
|
|
Dilate biliary duct/ampulla
|
$1,523.00 |
$1,523.00 |
$1,523.00 |
$2,304.60
|
|
Dilate esophagus
|
$1,664.00 |
$1,664.00 |
$1,664.00 |
$2,003.04
|
|
Dilate esophagus 1/mult pass
|
$1,589.00 |
$1,589.00 |
$1,589.00 |
$1,484.17
|
|
Dilation of anal sphincter
|
$3,944.00 |
$3,944.00 |
$3,944.00 |
$1,395.28
|
|
Diltiazem 5 mg/ml intravenous solution
|
$60.25 |
$60.25 |
$60.25 |
$54.21
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$20.00 |
$20.00 |
$20.00 |
$24.70
|
|
Disability dlco
|
$431.00 |
$431.00 |
$431.00 |
$307.58
|
|
Disaccharidases
|
$232.00 |
$232.00 |
$232.00 |
$223.80
|
|
Discography cerv/thor spine
|
$5,726.00 |
$5,726.00 |
$5,726.00 |
$2,404.00
|
|
Dna antibody native/double stranded
|
$148.00 |
$148.00 |
$148.00 |
$102.60
|
|
Dna gardnerella
|
$259.00 |
$259.00 |
$259.00 |
$67.68
|
|
Dna probe chlamydia
|
$259.00 |
$259.00 |
$259.00 |
$82.20
|
|
Dna probe gc
|
$259.00 |
$259.00 |
$259.00 |
$88.67
|
|
Dna trichomonas
|
$259.00 |
$259.00 |
$259.00 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$264.00 |
$264.00 |
$264.00 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,117.00 |
$1,117.00 |
$1,117.00 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$104.00 |
$104.00 |
$104.00 |
$76.20
|
|
Doppler echo complete
|
$941.00 |
$941.00 |
$941.00 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$2,821.00 |
$2,821.00 |
$2,821.00 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$775.00 |
$775.00 |
$775.00 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$497.00 |
$497.00 |
$497.00 |
$482.03
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$409.84
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$152.75 |
$152.75 |
$152.75 |
$88.05
|
|
Drainage of kidney lesion
|
$2,369.00 |
$2,369.00 |
$2,369.00 |
$1,706.65
|
|
Drainage of pelvis lesion 26990
|
$3,037.00 |
$3,037.00 |
$3,037.00 |
$3,969.00
|
|
Drain blood from under nail 11740
|
$136.00 |
$136.00 |
$136.00 |
$190.33
|
|
Drain cath image guided visceral pq
|
$1,618.00 |
$1,618.00 |
$1,618.00 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$489.00 |
$489.00 |
$489.00 |
$492.81
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$530.00 |
$530.00 |
$530.00 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$265.00 |
$265.00 |
$265.00 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$625.00 |
$625.00 |
$625.00 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$183.00 |
$183.00 |
$183.00 |
$790.56
|
|
Droperidol 2.5 mg/ml injection solution
|
$70.25 |
$70.25 |
$70.25 |
$34.85
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$367.00 |
$367.00 |
$367.00 |
$1,956.48
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$23.00 |
$23.00 |
$23.00 |
$171.12
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$27.00 |
$27.00 |
$27.00 |
$127.14
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$47.00 |
$47.00 |
$47.00 |
$7,156.03
|
|
Drug admin & hemodynmic meas
|
$729.00 |
$729.00 |
$729.00 |
$528.50
|
|
Drug assay caffeine
|
$182.00 |
$182.00 |
$182.00 |
$81.61
|
|
Drug assay posaconazole
|
$294.00 |
$294.00 |
$294.00 |
$96.39
|
|
Drug assay rufinamide
|
$159.00 |
$159.00 |
$159.00 |
$93.60
|
|
Drug assay vedolizumab
|
$388.00 |
$388.00 |
$388.00 |
$164.16
|
|
Drug assay voriconazole
|
$294.00 |
$294.00 |
$294.00 |
$96.75
|
|
Drug test prsmv instrmnt
|
$18.00 |
$18.00 |
$18.00 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$369.00 |
$369.00 |
$369.00 |
$278.85
|
|
Drvvt confirm - quest
|
$231.00 |
$231.00 |
$231.00 |
$101.66
|
|
Duplex scan bilateral study 93985
|
$627.00 |
$627.00 |
$627.00 |
$673.00
|
|
Dup scan/hemodialysis access 93990
|
$439.00 |
$439.00 |
$439.00 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$795.00 |
$795.00 |
$795.00 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$712.00 |
$712.00 |
$712.00 |
$903.00
|
|
Dx bronchoscope/wash 31622
|
$2,844.00 |
$2,844.00 |
$2,844.00 |
$2,587.60
|
|
Ecg 12 lead tracing only
|
$276.00 |
$276.00 |
$276.00 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$97.00 |
$97.00 |
$97.00 |
$129.83
|
|
Echocardiogram (Heart Ultrasound)
|
$2,390.00 |
$2,390.00 |
$2,390.00 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$452.00 |
$452.00 |
$452.00 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,538.00 |
$3,538.00 |
$3,538.00 |
$2,070.12
|
|
Echocardiography transthoracic 2d followup/limited
|
$879.00 |
$879.00 |
$879.00 |
$724.20
|
