|
Disability dlco
|
$334.60 |
$334.60 |
$334.60 |
$292.03
|
|
Disaccharidases
|
$623.70 |
$623.70 |
$623.70 |
$224.31
|
|
Dise eval slp do brth flx dx
|
$9,288.05 |
$9,288.05 |
$9,288.05 |
$1,120.00
|
|
Dissolve clot heart vessel
|
$1,688.40 |
$1,688.40 |
$1,688.40 |
$1,560.00
|
|
Dist revas ligation hemo
|
$58,160.61 |
$58,160.61 |
$58,160.61 |
$6,396.89
|
|
Diverticulectomy/hypophar/esoph 43130
|
$51,531.32 |
$51,531.32 |
$51,531.32 |
$6,547.81
|
|
#d/lmeth-l-methamphetamine
|
$43.40 |
$43.40 |
$43.40 |
$72.14
|
|
Dlyd plmt xtn prosth ea addl
|
$4,795.00 |
$4,795.00 |
$4,795.00 |
$1,875.00
|
|
Dmd dup/delet analysis
|
$644.70 |
$644.70 |
$644.70 |
$418.50
|
|
Dmpk gene detc abnor allele
|
$316.40 |
$316.40 |
$316.40 |
$313.60
|
|
Dna antibody native/double stranded
|
$295.40 |
$295.40 |
$295.40 |
$100.00
|
|
Dna gardnerella
|
$159.60 |
$159.60 |
$159.60 |
$61.80
|
|
Dna trichomonas
|
$163.10 |
$163.10 |
$163.10 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$453.95 |
$453.95 |
$453.95 |
$98.29
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$9,205.17 |
$9,205.17 |
$9,205.17 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$295.40 |
$295.40 |
$295.40 |
$67.28
|
|
Doppler echo complete
|
$1,038.10 |
$1,038.10 |
$1,038.10 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$4,260.20 |
$4,260.20 |
$4,260.20 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,571.50 |
$1,571.50 |
$1,571.50 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$961.80 |
$961.80 |
$961.80 |
$473.76
|
|
Dornhoffer fixed part w/window
|
$107,431.22 |
$107,431.22 |
$107,431.22 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$75,327.17 |
$75,327.17 |
$75,327.17 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$2,270.27 |
$2,270.27 |
$2,270.27 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$7,280.70 |
$7,280.70 |
$7,280.70 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$211.22 |
$211.22 |
$211.22 |
$84.80
|
|
Dpyd gene common variants
|
$1,514.10 |
$1,514.10 |
$1,514.10 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$777.00 |
$777.00 |
$777.00 |
$794.82
|
|
Drainage ext aud canal abscess 69020
|
$1,531.60 |
$1,531.60 |
$1,531.60 |
$914.34
|
|
Drainage external ear complex 69005
|
$13,284.75 |
$13,284.75 |
$13,284.75 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$884.10 |
$884.10 |
$884.10 |
$779.45
|
|
Drainage mouth roof lesion
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$405.60
|
|
Drainage of arm bursa 23931
|
$2,579.50 |
$2,579.50 |
$2,579.50 |
$2,271.01
|
|
Drainage of eye
|
$5,379.50 |
$5,379.50 |
$5,379.50 |
$2,415.65
|
|
Drainage of kidney lesion
|
$12,684.10 |
$12,684.10 |
$12,684.10 |
$1,506.00
|
|
Drainage of mouth lesion
|
$751.80 |
$751.80 |
$751.80 |
$535.20
|
|
Drainage of mouth lesion
|
$3,859.10 |
$3,859.10 |
$3,859.10 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$742.70 |
$742.70 |
$742.70 |
$548.00
|
|
Drainage of salivary gland
|
$5,553.10 |
$5,553.10 |
$5,553.10 |
$4,560.40
|
|
Drainage of urethra abscess 53060
|
$13,907.14 |
$13,907.14 |
$13,907.14 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$556.50 |
$556.50 |
$556.50 |
$1,198.14
|
|
Drain blood from under nail 11740
|
$413.00 |
$413.00 |
$413.00 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$3,993.50 |
$3,993.50 |
$3,993.50 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$11,552.09 |
$11,552.09 |
$11,552.09 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$3,808.00 |
$3,808.00 |
$3,808.00 |
$1,025.00
|
|
Drain finger abscess;simple 26010
|
$737.10 |
$737.10 |
$737.10 |
$428.40
|
|
Drain thigh/knee lesion 27301
|
$5,505.50 |
$5,505.50 |
$5,505.50 |
$3,824.50
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$525.00 |
$525.00 |
$525.00 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$457.10 |
$457.10 |
$457.10 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$732.20 |
$732.20 |
$732.20 |
$540.80
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$499.67 |
$499.67 |
$499.67 |
$5,857.52
|
|
Drill hole implt ventricular cath/device 61107
|
$1,912.40 |
$1,912.40 |
$1,912.40 |
$1,485.75
|
|
Drng hand tendon sheath 26020
|
$3,556.00 |
$3,556.00 |
$3,556.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$10,007.56 |
$10,007.56 |
$10,007.56 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,832.90 |
$2,832.90 |
$2,832.90 |
$2,029.60
|
|
Drng of hydrocele 55000
|
$14,593.79 |
$14,593.79 |
$14,593.79 |
$832.60
|
|
Drng of ovarian cyst(s) 58800
|
$5,700.80 |
$5,700.80 |
$5,700.80 |
$3,474.84
|
|
Drng of scrotum abscess 55100
|
$3,392.20 |
$3,392.20 |
$3,392.20 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$249.72 |
$249.72 |
$249.72 |
$31.26
|
|
Drop lock retainer each
|
$705.60 |
$705.60 |
$705.60 |
$63.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$5,426.51 |
$5,426.51 |
$5,426.51 |
$1,818.32
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$220.50 |
$220.50 |
$220.50 |
$289.05
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1,360.65 |
$1,360.65 |
$1,360.65 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$401.80 |
$401.80 |
$401.80 |
$578.59
|
|
Drug assay caffeine
|
$184.80 |
$184.80 |
$184.80 |
$81.61
|
|
Drug assay posaconazole
|
$572.60 |
$572.60 |
$572.60 |
$96.75
|
|
Drug assay rufinamide
|
$93.10 |
$93.10 |
$93.10 |
$85.80
|
|
Drug assay vedolizumab
|
$531.30 |
$531.30 |
$531.30 |
$157.00
|
|
Drug assay voriconazole
|
$305.90 |
$305.90 |
$305.90 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$367.50 |
$367.50 |
$367.50 |
$66.43
|
|
Drug of abuse screen urine
|
$81.90 |
$81.90 |
$81.90 |
$64.50
|
|
Drug screening tapentadol
|
$112.00 |
$112.00 |
$112.00 |
$44.25
|
|
Drug screen quant tiagabine
|
$100.80 |
$100.80 |
$100.80 |
$107.59
|
|
Drug test def 1-7 classes
|
$392.70 |
$392.70 |
$392.70 |
$263.25
|
|
Drug test def 22+ classes
|
$546.70 |
$546.70 |
$546.70 |
$423.00
|
|
Drug test def 8-14 classes
|
$289.80 |
$289.80 |
$289.80 |
$289.80
|
|
Drug test prsmv instrmnt
|
$148.40 |
$148.40 |
$148.40 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$693.70 |
$693.70 |
$693.70 |
$280.95
|
|
Drvvt confirm - quest
|
$116.20 |
$116.20 |
$116.20 |
$109.20
|
|
Dry needling (97799)
|
$210.00 |
$210.00 |
$210.00 |
$114.27
|
|
Dstrj nulyt agt gnclr nrv
|
$4,872.00 |
$4,872.00 |
$4,872.00 |
$2,967.48
|
|
Duodenal motility study
|
$1,143.10 |
$1,143.10 |
$1,143.10 |
$1,143.10
|
|
Dup scan/hemodialysis access 93990
|
$283.50 |
$283.50 |
$283.50 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,139.60 |
$1,139.60 |
$1,139.60 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,732.50 |
$1,732.50 |
$1,732.50 |
$903.50
|
|
Durvalumab 50 mg/ml intravenous solution
|
$26,890.85 |
$26,890.85 |
$26,890.85 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$550.20 |
$550.20 |
$550.20 |
$410.25
|
|
Dx bronchoscope/brush 31623
|
$46,958.56 |
$46,958.56 |
$46,958.56 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$44,173.95 |
$44,173.95 |
$44,173.95 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$20,861.84 |
$20,861.84 |
$20,861.84 |
$2,322.60
|
|
Dx laryngoscopy newborn
|
$408.80 |
$408.80 |
$408.80 |
$658.00
|
|
Dx laryngoscopy w/oper scope
|
$14,716.01 |
$14,716.01 |
$14,716.01 |
$2,755.53
|
|
Ear canal biopsy 69105
|
$60,480.97 |
$60,480.97 |
$60,480.97 |
$1,889.50
|
|
Ear irrigation 69209
|
$242.20 |
$242.20 |
$242.20 |
$150.00
|
|
Ecg 12 lead tracing only
|
$304.50 |
$304.50 |
$304.50 |
$226.50
|
|
Ecg external < 48 hours recording
|
$211.40 |
$211.40 |
$211.40 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$234.50 |
$234.50 |
$234.50 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$645.40 |
$645.40 |
$645.40 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$645.40 |
$645.40 |
$645.40 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$2,713.90 |
$2,713.90 |
$2,713.90 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$863.80 |
$863.80 |
$863.80 |
$499.20
|
