|
Cytopath smear other source
|
$159.20 |
$159.20 |
$159.20 |
$140.00
|
|
Cytopath tbs c/v manual
|
$124.00 |
$124.00 |
$124.00 |
$59.28
|
|
Cytotoxic antibody screening
|
$967.20 |
$967.20 |
$967.20 |
$133.25
|
|
Dch glucoscan
|
$100.00 |
$100.00 |
$100.00 |
$28.10
|
|
Dch validity tests
|
$30.40 |
$30.40 |
$30.40 |
$24.50
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$9,057.60 |
$9,057.60 |
$9,057.60 |
$4,952.36
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$514.40 |
$514.40 |
$514.40 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$214.40 |
$214.40 |
$214.40 |
$260.61
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$524.80 |
$524.80 |
$524.80 |
$810.50
|
|
Debride nail1-5 11720
|
$87.20 |
$87.20 |
$87.20 |
$148.80
|
|
Debr musc/fascia 20sq cm/< 11043
|
$872.80 |
$872.80 |
$872.80 |
$1,160.00
|
|
Decalcification
|
$67.20 |
$67.20 |
$67.20 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$676.80 |
$676.80 |
$676.80 |
$543.00
|
|
Delivery of placenta 59414
|
$2,671.20 |
$2,671.20 |
$2,671.20 |
$3,070.56
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$84.80 |
$84.80 |
$84.80 |
$185.17
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$428.80 |
$428.80 |
$428.80 |
$408.10
|
|
Desoxycorticosterone
|
$304.80 |
$304.80 |
$304.80 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$5,881.60 |
$5,881.60 |
$5,881.60 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$2,652.80 |
$2,652.80 |
$2,652.80 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$3,708.00 |
$3,708.00 |
$3,708.00 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$5,114.40 |
$5,114.40 |
$5,114.40 |
$3,202.98
|
|
Detect agnt mult dna direc
|
$122.40 |
$122.40 |
$122.40 |
$162.00
|
|
Developmental screen/score/document 96110
|
$219.20 |
$219.20 |
$219.20 |
$130.65
|
|
Devel tst phys/qhp 1st hr
|
$442.40 |
$442.40 |
$442.40 |
$337.50
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$248.00 |
$248.00 |
$248.00 |
$200.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$240.80 |
$240.80 |
$240.80 |
$227.15
|
|
Dhea-s (dehydroepiand sulfate)
|
$416.00 |
$416.00 |
$416.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$79.20 |
$79.20 |
$79.20 |
$79.20
|
|
Diagnostic anoscopy spx 46600
|
$190.40 |
$190.40 |
$190.40 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$288.00 |
$288.00 |
$288.00 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$316.00 |
$316.00 |
$316.00 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$475.20 |
$475.20 |
$475.20 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$396.00 |
$396.00 |
$396.00 |
$301.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$4.00 |
$4.00 |
$4.00 |
$115.15
|
|
Diffusing capacity
|
$220.80 |
$220.80 |
$220.80 |
$332.00
|
|
Digoxin total therapeutic drug level
|
$145.60 |
$145.60 |
$145.60 |
$102.00
|
|
Disaccharidases
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$216.00
|
|
Dna antibody native/double stranded
|
$217.60 |
$217.60 |
$217.60 |
$97.50
|
|
Dna gardnerella
|
$55.20 |
$55.20 |
$55.20 |
$62.50
|
|
Dna probe chlamydia
|
$130.40 |
$130.40 |
$130.40 |
$79.38
|
|
Dna trichomonas
|
$55.20 |
$55.20 |
$55.20 |
$67.80
|
|
Doppler echo complete
|
$698.40 |
$698.40 |
$698.40 |
$540.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$288.80 |
$288.80 |
$288.80 |
$471.17
|
|
Dpyd gene common variants
|
$1,984.80 |
$1,984.80 |
$1,984.80 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$564.80 |
$564.80 |
$564.80 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,008.80 |
$1,008.80 |
$1,008.80 |
$914.34
|
|
Drainage external ear simple 69000
|
$591.20 |
$591.20 |
$591.20 |
$789.60
|
|
Drainage mouth roof lesion
|
$324.00 |
$324.00 |
$324.00 |
$390.39
|
|
Drainage of arm bursa 23931
|
$2,143.20 |
$2,143.20 |
$2,143.20 |
$2,197.48
|
|
Drainage of kidney lesion
|
$2,196.00 |
$2,196.00 |
$2,196.00 |
$1,506.00
|
|
Drainage of mouth lesion
|
$4,606.40 |
$4,606.40 |
$4,606.40 |
$3,900.60
|
|
Drain blood from under nail 11740
|
$154.40 |
$154.40 |
$154.40 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$3,150.40 |
$3,150.40 |
$3,150.40 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$5,283.20 |
$5,283.20 |
$5,283.20 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$832.00 |
$832.00 |
$832.00 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$424.00 |
$424.00 |
$424.00 |
$419.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$452.80 |
$452.80 |
$452.80 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$327.20 |
$327.20 |
$327.20 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$580.80 |
$580.80 |
$580.80 |
$523.00
|
|
Drng of eyelid abscess 67700
|
$424.80 |
$424.80 |
$424.80 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$1,917.33
|
|
Drug assay caffeine
|
$248.80 |
$248.80 |
$248.80 |
$83.40
|
|
Drug assay posaconazole
|
$228.80 |
$228.80 |
$228.80 |
$96.75
|
|
Drug assay rufinamide
|
$132.00 |
$132.00 |
$132.00 |
$85.80
|
|
Drug assay vedolizumab
|
$521.60 |
$521.60 |
$521.60 |
$152.79
|
|
Drug assay voriconazole
|
$189.60 |
$189.60 |
$189.60 |
$96.75
|
|
Drug of abuse screen urine
|
$156.80 |
$156.80 |
$156.80 |
$63.75
|
|
Drug test prsmv instrmnt
|
$278.40 |
$278.40 |
$278.40 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$907.20 |
$907.20 |
$907.20 |
$278.85
|
|
Drvvt confirm - quest
|
$264.80 |
$264.80 |
$264.80 |
$109.20
|
|
Ductogram sgl duct
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$463.10
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,397.60 |
$1,397.60 |
$1,397.60 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$525.60 |
$525.60 |
$525.60 |
$392.60
|
|
Ear irrigation 69209
|
$244.80 |
$244.80 |
$244.80 |
$149.76
|
|
Ecg 12 lead tracing only
|
$316.00 |
$316.00 |
$316.00 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$187.20 |
$187.20 |
$187.20 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$613.60 |
$613.60 |
$613.60 |
$487.60
|
|
Ecg external < 48 hours recording
|
$613.60 |
$613.60 |
$613.60 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$613.60 |
$613.60 |
$613.60 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$216.80 |
$216.80 |
$216.80 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$360.80 |
$360.80 |
$360.80 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$3,160.00 |
$3,160.00 |
$3,160.00 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$525.60 |
$525.60 |
$525.60 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$2,012.80 |
$2,012.80 |
$2,012.80 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$543.20 |
$543.20 |
$543.20 |
$362.50
|
|
Echo stress
|
$3,070.40 |
$3,070.40 |
$3,070.40 |
$1,592.05
|
|
Echo transthoracic
|
$2,012.80 |
$2,012.80 |
$2,012.80 |
$1,361.75
|
|
Echo transthoracic
|
$1,886.40 |
$1,886.40 |
$1,886.40 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$2,456.80 |
$2,456.80 |
$2,456.80 |
$985.15
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$51.20 |
$51.20 |
$51.20 |
$87.84
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$1,000.42
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,075.20 |
$1,075.20 |
$1,075.20 |
$835.00
|
|
Eeg/record in coma or sleep only 95822
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$907.80
|
|
Eeg recording awake and asleep
|
$1,075.20 |
$1,075.20 |
$1,075.20 |
$931.20
|
|
E equine encephalitis igg
|
$75.20 |
$75.20 |
$75.20 |
$49.92
|
|
Egfr gene com variants
|
$2,317.60 |
$2,317.60 |
$2,317.60 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$51.20 |
$51.20 |
$51.20 |
$93.00
|
|
Elec analys infus pump w/reprog 62368
|
$551.20 |
$551.20 |
$551.20 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$551.20 |
$551.20 |
$551.20 |
$563.20
|
