|
Diagnostic digital breast tomosynthesis bil
|
$4.90 |
$4.90 |
$4.90 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$4.90 |
$4.90 |
$4.90 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$22.75 |
$22.75 |
$22.75 |
$238.58
|
|
Diagnostic laryngoscopy 31575
|
$31.92 |
$31.92 |
$31.92 |
$327.60
|
|
Diagnostic Mammogram (both breasts)
|
$12.95 |
$12.95 |
$12.95 |
$415.80
|
|
Diagnostic Mammogram (one breast)
|
$10.50 |
$10.50 |
$10.50 |
$311.04
|
|
Diagnostic radio unlisted proc
|
$3.50 |
$3.50 |
$3.50 |
$258.72
|
|
Dialysis circuit perm vascular embolization 36909
|
$864.43 |
$864.43 |
$864.43 |
$5,598.45
|
|
Dialysis one evaluation
|
$90.44 |
$90.44 |
$90.44 |
$934.16
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.19 |
$0.19 |
$0.19 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$59.71 |
$59.71 |
$59.71 |
$75.23
|
|
Dicyclomine injection
|
$145.95 |
$145.95 |
$145.95 |
$149.15
|
|
Diffusing capacity
|
$87.08 |
$87.08 |
$87.08 |
$335.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$14.49 |
$14.49 |
$14.49 |
$65.84
|
|
Digoxin total therapeutic drug level
|
$50.54 |
$50.54 |
$50.54 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$120.96 |
$120.96 |
$120.96 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$31.29 |
$31.29 |
$31.29 |
$1,866.73
|
|
Dilate esophagus
|
$20.79 |
$20.79 |
$20.79 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$47.04 |
$47.04 |
$47.04 |
$1,490.36
|
|
Dilate tear duct opening
|
$23.94 |
$23.94 |
$23.94 |
$469.93
|
|
Dilate urethra stricture
|
$21.70 |
$21.70 |
$21.70 |
$496.08
|
|
Dilate urethra stricture
|
$21.28 |
$21.28 |
$21.28 |
$200.80
|
|
Dilate urethra stricture
|
$14.98 |
$14.98 |
$14.98 |
$3,863.60
|
|
Dilate urethra stricture
|
$40.04 |
$40.04 |
$40.04 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$18.90 |
$18.90 |
$18.90 |
$236.46
|
|
Dilation of anal sphincter
|
$41.58 |
$41.58 |
$41.58 |
$1,995.20
|
|
Dilation of cervical canal 57800
|
$19.04 |
$19.04 |
$19.04 |
$4,446.00
|
|
Dilation of rectal stricture 45910
|
$46.97 |
$46.97 |
$46.97 |
$2,219.41
|
|
Dilation of urethra
|
$18.62 |
$18.62 |
$18.62 |
$172.00
|
|
Dilation of vagina
|
$30.87 |
$30.87 |
$30.87 |
$3,986.00
|
|
Dilation salivary duct 42650
|
$18.48 |
$18.48 |
$18.48 |
$2,498.32
|
|
Dilation/urethral strict/male/ini 53620
|
$78.61 |
$78.61 |
$78.61 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$103.18 |
$103.18 |
$103.18 |
$408.24
|
|
Dilat xst trc ndurlgc px
|
$643.44 |
$643.44 |
$643.44 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$738.15 |
$738.15 |
$738.15 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$14.57 |
$14.57 |
$14.57 |
$44.96
|
|
Dimethyl sulfoxide 50% 50 ml
|
$98.42 |
$98.42 |
$98.42 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$10.31 |
$10.31 |
$10.31 |
$18.34
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$7.84 |
$7.84 |
$7.84 |
$98.56
|
|
Disability dlco
|
$60.13 |
$60.13 |
$60.13 |
$294.00
|
|
Disaccharidases
|
$23.58 |
$23.58 |
$23.58 |
$223.80
|
|
Discography cerv/thor spine
|
$15.40 |
$15.40 |
$15.40 |
$2,628.00
|
|
Dise eval slp do brth flx dx
|
$23.38 |
$23.38 |
$23.38 |
$1,120.00
|
|
Diverticulectomy/hypophar/esoph 43130
|
$190.12 |
$190.12 |
$190.12 |
$6,547.81
|
|
Division of fallopian tube 58605
|
$81.06 |
$81.06 |
$81.06 |
$832.00
|
|
Dmd dup/delet analysis
|
$19.53 |
$19.53 |
$19.53 |
$418.50
|
|
Dmpk gene detc abnor allele
|
$7.67 |
$7.67 |
$7.67 |
$313.60
|
|
Dna antibody native/double stranded
|
$1.82 |
$1.82 |
$1.82 |
$100.00
|
|
Dna gardnerella
|
$1.40 |
$1.40 |
$1.40 |
$61.83
|
|
Dna probe chlamydia
|
$1.59 |
$1.59 |
$1.59 |
$82.20
|
|
Dna trichomonas
|
$1.40 |
$1.40 |
$1.40 |
$66.05
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$88.25 |
$88.25 |
$88.25 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$2.38 |
$2.38 |
$2.38 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$43.71 |
$43.71 |
$43.71 |
$65.40
|
|
Doppler echo complete
|
$144.41 |
$144.41 |
$144.41 |
$548.00
|
|
Doppler intravascular pressure flow initial vessel
|
$752.50 |
$752.50 |
$752.50 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$261.45 |
$261.45 |
$261.45 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$105.42 |
$105.42 |
$105.42 |
$479.73
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$42.31 |
$42.31 |
$42.31 |
$84.80
|
|
Dpyd gene common variants
|
$12.24 |
$12.24 |
$12.24 |
$386.92
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$30.31 |
$30.31 |
$30.31 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$81.20 |
$81.20 |
$81.20 |
$914.34
|
|
Drainage external ear complex 69005
|
$54.18 |
$54.18 |
$54.18 |
$2,900.80
|
|
Drainage external ear simple 69000
|
$46.06 |
$46.06 |
$46.06 |
$789.60
|
|
Drainage lymph node lesion 38305
|
$119.56 |
$119.56 |
$119.56 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$27.23 |
$27.23 |
$27.23 |
$405.60
|
|
Drainage of arm bursa 23931
|
$314.30 |
$314.30 |
$314.30 |
$2,271.01
|
|
Drainage of bone lesion
|
$244.58 |
$244.58 |
$244.58 |
$2,854.40
|
|
Drainage of bone lesion
|
$157.85 |
$157.85 |
$157.85 |
$3,153.60
|
|
Drainage of eye
|
$21.42 |
$21.42 |
$21.42 |
$2,415.65
|
|
Drainage of eye
|
$113.89 |
$113.89 |
$113.89 |
$3,170.00
|
|
Drainage of forearm bursa
|
$93.03 |
$93.03 |
$93.03 |
$2,054.00
|
|
Drainage of kidney lesion
|
$476.98 |
$476.98 |
$476.98 |
$1,546.28
|
|
Drainage of mouth lesion
|
$29.54 |
$29.54 |
$29.54 |
$535.20
|
|
Drainage of mouth lesion
|
$58.03 |
$58.03 |
$58.03 |
$2,304.00
|
|
Drainage of mouth lesion
|
$55.65 |
$55.65 |
$55.65 |
$2,423.85
|
|
Drainage of mouth lesion
|
$65.03 |
$65.03 |
$65.03 |
$3,859.10
|
|
Drainage of mouth lesion
|
$71.47 |
$71.47 |
$71.47 |
$962.40
|
|
Drainage of mouth lesion
|
$75.04 |
$75.04 |
$75.04 |
$1,008.80
|
|
Drainage of mouth lesion
|
$86.03 |
$86.03 |
$86.03 |
$6,781.90
|
|
Drainage of mouth lesion
|
$115.92 |
$115.92 |
$115.92 |
$3,544.29
|
|
Drainage of mouth lesion
|
$99.54 |
$99.54 |
$99.54 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$66.64 |
$66.64 |
$66.64 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$66.78 |
$66.78 |
$66.78 |
$781.44
|
|
Drainage of pelvis bursa
|
$128.59 |
$128.59 |
$128.59 |
$2,211.05
|
|
Drainage of pelvis lesion 26990
|
$167.37 |
$167.37 |
$167.37 |
$3,863.70
|
|
Drainage of rectal abscess
|
$40.95 |
$40.95 |
$40.95 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$138.67 |
$138.67 |
$138.67 |
$3,786.00
|
|
Drainage of throat abscess
|
$193.76 |
$193.76 |
$193.76 |
$6,465.11
|
|
Drainage of urethra abscess 53060
|
$39.97 |
$39.97 |
$39.97 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$11.97 |
$11.97 |
$11.97 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$14.91 |
$14.91 |
$14.91 |
$178.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$47.88 |
$47.88 |
$47.88 |
$2,556.00
|
|
Drain cath image guided visceral pq
|
$977.34 |
$977.34 |
$977.34 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$124.81 |
$124.81 |
$124.81 |
$1,044.00
|
|
Drain chest lesion
|
$120.82 |
$120.82 |
$120.82 |
$3,839.54
|
|
Drain finger abscess;simple 26010
|
$84.77 |
$84.77 |
$84.77 |
$436.00
|
|
Drain lower leg bursa
|
$81.69 |
$81.69 |
$81.69 |
$3,958.50
|
|
Drain lower leg lesion 27603
|
$330.40 |
$330.40 |
$330.40 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$330.40 |
$330.40 |
$330.40 |
$3,339.00
|