|
Diagnostic laryngoscopy 31505
|
$205.14 |
$205.14 |
$205.14 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$2,006.94 |
$2,006.94 |
$2,006.94 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$388.05 |
$388.05 |
$388.05 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$349.05 |
$349.05 |
$349.05 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$146.25 |
$146.25 |
$146.25 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$9,279.66 |
$9,279.66 |
$9,279.66 |
$5,741.00
|
|
Dialysis one evaluation
|
$827.97 |
$827.97 |
$827.97 |
$936.00
|
|
Diathermy eg microwave
|
$50.31 |
$50.31 |
$50.31 |
$29.68
|
|
Diatrizoate meglumine 18 % urethral solution
|
$321.75 |
$321.75 |
$321.75 |
$115.15
|
|
Diffusing capacity
|
$541.71 |
$541.71 |
$541.71 |
$336.80
|
|
Digoxin total therapeutic drug level
|
$124.80 |
$124.80 |
$124.80 |
$102.07
|
|
Dilate biliary duct/ampulla
|
$1,156.74 |
$1,156.74 |
$1,156.74 |
$1,866.73
|
|
Dilate esophagus
|
$2,003.04 |
$2,003.04 |
$2,003.04 |
$2,142.40
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$5,382.39 |
$5,382.39 |
$5,382.39 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$3,589.17 |
$3,589.17 |
$3,589.17 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$6,280.95 |
$6,280.95 |
$6,280.95 |
$5,151.95
|
|
Dilate tear duct opening
|
$80.73 |
$80.73 |
$80.73 |
$454.40
|
|
Dilate urethra stricture
|
$1,503.84 |
$1,503.84 |
$1,503.84 |
$513.00
|
|
Dilate urethra stricture
|
$1,368.12 |
$1,368.12 |
$1,368.12 |
$3,863.60
|
|
Dilation/female urethra/initial 53660
|
$714.87 |
$714.87 |
$714.87 |
$235.61
|
|
Dilation of urethra
|
$2,507.31 |
$2,507.31 |
$2,507.31 |
$2,424.12
|
|
Dilation/urethral strict/male/ini 53620
|
$2,507.31 |
$2,507.31 |
$2,507.31 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$286.59 |
$286.59 |
$286.59 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$4,820.40 |
$4,820.40 |
$4,820.40 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$8,110.83 |
$8,110.83 |
$8,110.83 |
$4,258.20
|
|
Disability dlco
|
$574.86 |
$574.86 |
$574.86 |
$293.76
|
|
Disaccharidases
|
$249.21 |
$249.21 |
$249.21 |
$230.40
|
|
Discography cerv/thor spine
|
$1,921.92 |
$1,921.92 |
$1,921.92 |
$2,565.00
|
|
Dissolve clot heart vessel
|
$3,256.89 |
$3,256.89 |
$3,256.89 |
$1,579.93
|
|
Dmpk gene charac alleles
|
$452.40 |
$452.40 |
$452.40 |
$367.20
|
|
Dmpk gene detc abnor allele
|
$318.75 |
$318.75 |
$318.75 |
$313.60
|
|
Dna antibody native/double stranded
|
$160.68 |
$160.68 |
$160.68 |
$100.00
|
|
Dna gardnerella
|
$86.58 |
$86.58 |
$86.58 |
$61.83
|
|
Dna probe chlamydia
|
$271.05 |
$271.05 |
$271.05 |
$82.20
|
|
Dna trichomonas
|
$76.44 |
$76.44 |
$76.44 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$20.94 |
$20.94 |
$20.94 |
$95.06
|
|
Doppler echo complete
|
$389.61 |
$389.61 |
$389.61 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$1,238.64 |
$1,238.64 |
$1,238.64 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$486.33 |
$486.33 |
$486.33 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$798.33 |
$798.33 |
$798.33 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$48,793.00 |
$48,793.00 |
$48,793.00 |
$34,278.00
|
|
Dpyd gene common variants
|
$453.57 |
$453.57 |
$453.57 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$794.82 |
$794.82 |
$794.82 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$710.58 |
$710.58 |
$710.58 |
$964.00
|
|
Drainage external ear complex 69005
|
$9,703.59 |
$9,703.59 |
$9,703.59 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$794.82 |
$794.82 |
$794.82 |
$790.40
|
|
Drainage mouth roof lesion
|
$1,661.79 |
$1,661.79 |
$1,661.79 |
$405.60
|
|
Drainage of abdomen
|
$6,075.03 |
$6,075.03 |
$6,075.03 |
$4,616.80
|
|
Drainage of arm bursa 23931
|
$4,476.81 |
$4,476.81 |
$4,476.81 |
$2,271.01
|
|
Drainage of eye
|
$1,726.53 |
$1,726.53 |
$1,726.53 |
$2,415.65
|
|
Drainage of kidney lesion
|
$3,883.62 |
$3,883.62 |
$3,883.62 |
$1,506.00
|
|
Drainage of mouth lesion
|
$284.70 |
$284.70 |
$284.70 |
$535.20
|
|
Drainage of mouth lesion
|
$7,569.90 |
$7,569.90 |
$7,569.90 |
$3,837.72
|
|
Drainage of mouth lesion
|
$1,416.48 |
$1,416.48 |
$1,416.48 |
$905.30
|
|
Drainage of nose lesion int 30000
|
$1,857.57 |
$1,857.57 |
$1,857.57 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$579.93 |
$579.93 |
$579.93 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$11,916.06 |
$11,916.06 |
$11,916.06 |
$3,863.70
|
|
Drainage of rectal abscess
|
$6,838.65 |
$6,838.65 |
$6,838.65 |
$2,135.10
|
|
Drainage of urethra abscess 53060
|
$2,459.34 |
$2,459.34 |
$2,459.34 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$238.68 |
$238.68 |
$238.68 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$3,343.47 |
$3,343.47 |
$3,343.47 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$3,765.45 |
$3,765.45 |
$3,765.45 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$1,113.06 |
$1,113.06 |
$1,113.06 |
$1,044.00
|
|
Drain chst dry seal exp thorastat
|
$85.57 |
$85.57 |
$85.57 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$794.82 |
$794.82 |
$794.82 |
$428.40
|
|
Drain lower leg lesion 27603
|
$6,118.71 |
$6,118.71 |
$6,118.71 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$4,391.40 |
$4,391.40 |
$4,391.40 |
$3,339.00
|
|
Drain thigh/knee lesion 27301
|
$5,827.38 |
$5,827.38 |
$5,827.38 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$852.93 |
$852.93 |
$852.93 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$852.93 |
$852.93 |
$852.93 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$852.93 |
$852.93 |
$852.93 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$1,248.78 |
$1,248.78 |
$1,248.78 |
$755.08
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$6,472.44 |
$6,472.44 |
$6,472.44 |
$1,746.50
|
|
Drill hole implt ventricular cath/device 61107
|
$1,737.06 |
$1,737.06 |
$1,737.06 |
$1,485.75
|
|
Drng of eyelid abscess 67700
|
$1,583.40 |
$1,583.40 |
$1,583.40 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$6,307.08 |
$6,307.08 |
$6,307.08 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$1,834.56 |
$1,834.56 |
$1,834.56 |
$867.90
|
|
Drng of mouth lesion 40801
|
$3,772.47 |
$3,772.47 |
$3,772.47 |
$1,350.97
|
|
Drng of scrotum abscess 55100
|
$7,053.54 |
$7,053.54 |
$7,053.54 |
$1,997.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,650.12 |
$1,650.12 |
$1,650.12 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$60.20 |
$60.20 |
$60.20 |
$119.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$50.30 |
$50.30 |
$50.30 |
$53.60
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$301.63 |
$301.63 |
$301.63 |
$1.00
|
|
Drug admin & hemodynmic meas
|
$301.47 |
$301.47 |
$301.47 |
$569.75
|
|
Drug assay caffeine
|
$155.61 |
$155.61 |
$155.61 |
$80.00
|
|
Drug assay posaconazole
|
$39.39 |
$39.39 |
$39.39 |
$96.75
|
|
Drug assay vedolizumab
|
$63.57 |
$63.57 |
$63.57 |
$154.00
|
|
Drug assay voriconazole
|
$44.46 |
$44.46 |
$44.46 |
$96.75
|
|
Drug of abuse screen urine
|
$303.81 |
$303.81 |
$303.81 |
$67.89
|
|
Drug test def 15-21 classes
|
$263.25 |
$263.25 |
$263.25 |
$322.50
|
|
Drug test def 1-7 classes
|
$263.25 |
$263.25 |
$263.25 |
$263.25
|
|
Drug test def 8-14 classes
|
$263.25 |
$263.25 |
$263.25 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$128.31 |
$128.31 |
$128.31 |
$278.85
|
|
Drvvt confirm - quest
|
$90.48 |
$90.48 |
$90.48 |
$109.20
|
|
Dry needling (97799)
|
$114.27 |
$114.27 |
$114.27 |
$114.27
|
|
Dstrj nulyt agt gnclr nrv
|
$4,967.04 |
$4,967.04 |
$4,967.04 |
$2,980.00
|
|
Ductogram sgl duct
|
$450.06 |
$450.06 |
$450.06 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$1,034.28 |
$1,034.28 |
$1,034.28 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$689.91 |
$689.91 |
$689.91 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$752.70 |
$752.70 |
$752.70 |
$489.72
|