|
Destroy premlg lesns;1st lesn 17000
|
$178.92 |
$178.92 |
$178.92 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$1,646.28 |
$1,646.28 |
$1,646.28 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$1,646.28 |
$1,646.28 |
$1,646.28 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$75.24 |
$75.24 |
$75.24 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$3.60 |
$3.60 |
$3.60 |
$72.60
|
|
Destruction anal lesion(s)
|
$2,468.16 |
$2,468.16 |
$2,468.16 |
$3,363.79
|
|
Destruction benign lesions < 14 lesions
|
$178.92 |
$178.92 |
$178.92 |
$235.13
|
|
Destruction penis lesion(s) chem 54050
|
$359.64 |
$359.64 |
$359.64 |
$332.00
|
|
Destruction premal lesions 15/> 17004
|
$359.64 |
$359.64 |
$359.64 |
$436.64
|
|
Destruction vag lesions complex 57065
|
$2,861.64 |
$2,861.64 |
$2,861.64 |
$3,762.53
|
|
Destruction vag lesions simple 57061
|
$2,861.64 |
$2,861.64 |
$2,861.64 |
$3,815.20
|
|
Device intraute mirena
|
$1,168.92 |
$1,168.92 |
$1,168.92 |
$2,125.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$154.44 |
$154.44 |
$154.44 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$5.04 |
$5.04 |
$5.04 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$24.22 |
$24.22 |
$24.22 |
$21.17
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$45.56 |
$45.56 |
$45.56 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$45.95 |
$45.95 |
$45.95 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$34.48 |
$34.48 |
$34.48 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$42.67 |
$42.67 |
$42.67 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$101.88 |
$101.88 |
$101.88 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$73.44 |
$73.44 |
$73.44 |
$79.20
|
|
Diagnostic anoscopy spx 46600
|
$67.68 |
$67.68 |
$67.68 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$125.28 |
$125.28 |
$125.28 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$125.28 |
$125.28 |
$125.28 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$174.60 |
$174.60 |
$174.60 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$405.00 |
$405.00 |
$405.00 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$316.44 |
$316.44 |
$316.44 |
$301.55
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$84.25 |
$84.25 |
$84.25 |
$74.76
|
|
Dicyclomine injection
|
$59.51 |
$59.51 |
$59.51 |
$153.29
|
|
Diffusing capacity
|
$312.48 |
$312.48 |
$312.48 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$18.18 |
$18.18 |
$18.18 |
$69.03
|
|
Digoxin total therapeutic drug level
|
$93.60 |
$93.60 |
$93.60 |
$102.00
|
|
Dilate urethra stricture
|
$218.88 |
$218.88 |
$218.88 |
$490.00
|
|
Dilator fascial 10fx20cm
|
$129.60 |
$129.60 |
$129.60 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$27.72 |
$27.72 |
$27.72 |
$47.94
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$12.40 |
$12.40 |
$12.40 |
$17.75
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$29.52 |
$29.52 |
$29.52 |
$91.53
|
|
Disability dlco
|
$347.76 |
$347.76 |
$347.76 |
$282.40
|
|
Disaccharidases
|
$121.25 |
$121.25 |
$121.25 |
$216.00
|
|
Dmd dup/delet analysis
|
$100.44 |
$100.44 |
$100.44 |
$404.03
|
|
Dmpk gene detc abnor allele
|
$39.46 |
$39.46 |
$39.46 |
$313.60
|
|
Dna antibody native/double stranded
|
$2.88 |
$2.88 |
$2.88 |
$97.50
|
|
Dna gardnerella
|
$91.80 |
$91.80 |
$91.80 |
$62.50
|
|
Dna trichomonas
|
$91.80 |
$91.80 |
$91.80 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$65.02 |
$65.02 |
$65.02 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$11.88 |
$11.88 |
$11.88 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$31.60 |
$31.60 |
$31.60 |
$65.40
|
|
Doppler echo complete
|
$525.24 |
$525.24 |
$525.24 |
$540.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$445.32 |
$445.32 |
$445.32 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$397.44 |
$397.44 |
$397.44 |
$471.17
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$54.57 |
$54.57 |
$54.57 |
$84.80
|
|
Dpyd gene common variants
|
$62.93 |
$62.93 |
$62.93 |
$380.50
|
|
Drain cerebro spinal fluid 62272
|
$916.92 |
$916.92 |
$916.92 |
$1,044.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$178.92 |
$178.92 |
$178.92 |
$344.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$27.32 |
$27.32 |
$27.32 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,153.80 |
$1,153.80 |
$1,153.80 |
$1,956.48
|
|
Drug assay posaconazole
|
$7.81 |
$7.81 |
$7.81 |
$96.75
|
|
Drug assay rufinamide
|
$5.45 |
$5.45 |
$5.45 |
$85.80
|
|
Drug assay vedolizumab
|
$504.00 |
$504.00 |
$504.00 |
$152.79
|
|
Drug assay voriconazole
|
$7.81 |
$7.81 |
$7.81 |
$96.75
|
|
Drug of abuse screen urine
|
$42.84 |
$42.84 |
$42.84 |
$63.75
|
|
Drug screening tapentadol
|
$7.74 |
$7.74 |
$7.74 |
$36.00
|
|
Drug screen quant tiagabine
|
$24.84 |
$24.84 |
$24.84 |
$114.62
|
|
Drug test prsmv instrmnt
|
$47.88 |
$47.88 |
$47.88 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$173.52 |
$173.52 |
$173.52 |
$278.85
|
|
Drvvt confirm - quest
|
$5.75 |
$5.75 |
$5.75 |
$109.20
|
|
Dry needling (97799)
|
$84.24 |
$84.24 |
$84.24 |
$108.00
|
|
Dup scan/hemodialysis access 93990
|
$180.72 |
$180.72 |
$180.72 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$164.52 |
$164.52 |
$164.52 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$932.40 |
$932.40 |
$932.40 |
$887.25
|
|
Ear irrigation 69209
|
$68.40 |
$68.40 |
$68.40 |
$149.76
|
|
Ecg 12 lead tracing only
|
$201.60 |
$201.60 |
$201.60 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$101.52 |
$101.52 |
$101.52 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$246.96 |
$246.96 |
$246.96 |
$487.60
|
|
Ecg external < 48 hours recording
|
$368.64 |
$368.64 |
$368.64 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$921.60 |
$921.60 |
$921.60 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$46.08 |
$46.08 |
$46.08 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$63.00 |
$63.00 |
$63.00 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,475.64 |
$1,475.64 |
$1,475.64 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$399.96 |
$399.96 |
$399.96 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$813.60 |
$813.60 |
$813.60 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$352.80 |
$352.80 |
$352.80 |
$362.50
|
|
Echo exam of eye
|
$55.80 |
$55.80 |
$55.80 |
$172.00
|
|
Echo exam of eye thickness
|
$10.44 |
$10.44 |
$10.44 |
$50.91
|
|
Echo guide for amniocentesis
|
$799.92 |
$799.92 |
$799.92 |
$456.30
|
|
Echo guide for artery repair
|
$481.32 |
$481.32 |
$481.32 |
$664.00
|
|
Echo stress
|
$424.44 |
$424.44 |
$424.44 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,825.28 |
$2,825.28 |
$2,825.28 |
$1,849.50
|
|
Echo transthoracic
|
$282.96 |
$282.96 |
$282.96 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$785.88 |
$785.88 |
$785.88 |
$985.15
|
|
Eeg 41-60 minutes 95812-26
|
$386.28 |
$386.28 |
$386.28 |
$920.00
|
|
Eeg monitor/record/awake/drowsy 95816
|
$386.28 |
$386.28 |
$386.28 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$386.28 |
$386.28 |
$386.28 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$386.28 |
$386.28 |
$386.28 |
$907.80
|
|
Eeg recording awake and asleep
|
$386.28 |
$386.28 |
$386.28 |
$931.20
|
|
Eeg without vid 2-12 hr unmntr
|
$386.28 |
$386.28 |
$386.28 |
$601.30
|
|
E equine encephalitis igg
|
$4.22 |
$4.22 |
$4.22 |
$49.92
|
|
Egfr gene com variants
|
$113.40 |
$113.40 |
$113.40 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$10.85 |
$10.85 |
$10.85 |
$93.00
|
|
EKG (Electrocardiogram)
|
$42.12 |
$42.12 |
$42.12 |
$89.60
|