|
Cytopath smear other source
|
$155.40 |
$155.40 |
$155.40 |
$88.13
|
|
Cytopath smear other source
|
$124.20 |
$124.20 |
$124.20 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$125.40 |
$125.40 |
$125.40 |
$96.20
|
|
Cytopath tbs c/v manual
|
$88.20 |
$88.20 |
$88.20 |
$59.28
|
|
Cytotoxic antibody screening
|
$855.00 |
$855.00 |
$855.00 |
$133.25
|
|
Dch pulmonary stress test
|
$706.80 |
$706.80 |
$706.80 |
$963.30
|
|
Dch validity tests
|
$37.80 |
$37.80 |
$37.80 |
$24.50
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$385.80 |
$385.80 |
$385.80 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$171.60 |
$171.60 |
$171.60 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$2,092.20 |
$2,092.20 |
$2,092.20 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$342.00 |
$342.00 |
$342.00 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$464.40 |
$464.40 |
$464.40 |
$810.50
|
|
Debride nail1-5 11720
|
$181.80 |
$181.80 |
$181.80 |
$148.80
|
|
Debride nail6 or more 11721
|
$126.60 |
$126.60 |
$126.60 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$679.20 |
$679.20 |
$679.20 |
$1,012.80
|
|
Debride skin bone at fx site
|
$1,803.00 |
$1,803.00 |
$1,803.00 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$256.20 |
$256.20 |
$256.20 |
$639.60
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$638.40 |
$638.40 |
$638.40 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$778.80 |
$778.80 |
$778.80 |
$1,160.00
|
|
Decalcification
|
$38.40 |
$38.40 |
$38.40 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$840.60 |
$840.60 |
$840.60 |
$543.00
|
|
Delivery of placenta 59414
|
$3,671.40 |
$3,671.40 |
$3,671.40 |
$3,070.56
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$63.60 |
$63.60 |
$63.60 |
$185.17
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$177.60 |
$177.60 |
$177.60 |
$408.10
|
|
Design mlc device for imrt
|
$2,875.20 |
$2,875.20 |
$2,875.20 |
$1,677.86
|
|
Desoxycorticosterone
|
$326.40 |
$326.40 |
$326.40 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$3,832.80 |
$3,832.80 |
$3,832.80 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$1,918.20 |
$1,918.20 |
$1,918.20 |
$1,441.44
|
|
Destruction benign lesions < 14 lesions
|
$162.60 |
$162.60 |
$162.60 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,763.00 |
$2,763.00 |
$2,763.00 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$5,525.40 |
$5,525.40 |
$5,525.40 |
$3,202.98
|
|
Developmental screen/score/document 96110
|
$164.40 |
$164.40 |
$164.40 |
$130.65
|
|
Devel tst phys/qhp 1st hr
|
$331.80 |
$331.80 |
$331.80 |
$337.50
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$186.00 |
$186.00 |
$186.00 |
$200.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$466.80 |
$466.80 |
$466.80 |
$227.15
|
|
Dhea-s (dehydroepiand sulfate)
|
$262.20 |
$262.20 |
$262.20 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$69.60 |
$69.60 |
$69.60 |
$79.20
|
|
Diagnostic anoscopy spx 46600
|
$144.00 |
$144.00 |
$144.00 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$220.20 |
$220.20 |
$220.20 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$912.60 |
$912.60 |
$912.60 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$360.00 |
$360.00 |
$360.00 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$300.00 |
$300.00 |
$300.00 |
$301.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$4.80 |
$4.80 |
$4.80 |
$115.15
|
|
Diffusing capacity
|
$201.00 |
$201.00 |
$201.00 |
$332.00
|
|
Digoxin total therapeutic drug level
|
$214.80 |
$214.80 |
$214.80 |
$102.00
|
|
Dilat xst trc ndurlgc px
|
$2,172.60 |
$2,172.60 |
$2,172.60 |
$4,061.71
|
|
Dilat xst trc new access rcs
|
$2,172.60 |
$2,172.60 |
$2,172.60 |
$4,213.20
|
|
Disaccharidases
|
$1,268.40 |
$1,268.40 |
$1,268.40 |
$216.00
|
|
Discography cerv/thor spine
|
$5,983.80 |
$5,983.80 |
$5,983.80 |
$2,565.00
|
|
Dna antibody native/double stranded
|
$61.80 |
$61.80 |
$61.80 |
$97.50
|
|
Dna gardnerella
|
$52.20 |
$52.20 |
$52.20 |
$62.50
|
|
Dna trichomonas
|
$52.20 |
$52.20 |
$52.20 |
$67.80
|
|
Doppler echo complete
|
$247.80 |
$247.80 |
$247.80 |
$540.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$432.00 |
$432.00 |
$432.00 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$453.00 |
$453.00 |
$453.00 |
$471.17
|
|
Dpyd gene common variants
|
$1,547.40 |
$1,547.40 |
$1,547.40 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$443.40 |
$443.40 |
$443.40 |
$800.00
|
|
Drainage external ear simple 69000
|
$443.40 |
$443.40 |
$443.40 |
$789.60
|
|
Drainage mouth roof lesion
|
$284.40 |
$284.40 |
$284.40 |
$390.39
|
|
Drainage of arm bursa 23931
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$2,197.48
|
|
Drainage of kidney lesion
|
$1,619.40 |
$1,619.40 |
$1,619.40 |
$1,506.00
|
|
Drainage of mouth lesion
|
$3,940.80 |
$3,940.80 |
$3,940.80 |
$3,900.60
|
|
Drain blood from under nail 11740
|
$81.00 |
$81.00 |
$81.00 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,795.80 |
$1,795.80 |
$1,795.80 |
$2,540.00
|
|
Drain finger abscess;simple 26010
|
$321.00 |
$321.00 |
$321.00 |
$419.00
|
|
Drain thigh/knee lesion 27301
|
$1,803.00 |
$1,803.00 |
$1,803.00 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$346.80 |
$346.80 |
$346.80 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$250.20 |
$250.20 |
$250.20 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$444.60 |
$444.60 |
$444.60 |
$523.00
|
|
Drng of eyelid abscess 67700
|
$388.80 |
$388.80 |
$388.80 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$1,917.33
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$58.20 |
$58.20 |
$58.20 |
$127.14
|
|
Drug assay posaconazole
|
$151.80 |
$151.80 |
$151.80 |
$96.75
|
|
Drug assay rufinamide
|
$101.40 |
$101.40 |
$101.40 |
$85.80
|
|
Drug assay vedolizumab
|
$347.40 |
$347.40 |
$347.40 |
$152.79
|
|
Drug assay voriconazole
|
$126.60 |
$126.60 |
$126.60 |
$96.75
|
|
Drug test prsmv instrmnt
|
$316.80 |
$316.80 |
$316.80 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$660.00 |
$660.00 |
$660.00 |
$278.85
|
|
Drvvt confirm - quest
|
$202.80 |
$202.80 |
$202.80 |
$109.20
|
|
Ductogram sgl duct
|
$1,219.20 |
$1,219.20 |
$1,219.20 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$451.80 |
$451.80 |
$451.80 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$300.60 |
$300.60 |
$300.60 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$160.80 |
$160.80 |
$160.80 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$678.60 |
$678.60 |
$678.60 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$2,118.60 |
$2,118.60 |
$2,118.60 |
$887.25
|
|
Ear irrigation 69209
|
$222.00 |
$222.00 |
$222.00 |
$149.76
|
|
Ecg 12 lead tracing only
|
$289.20 |
$289.20 |
$289.20 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$95.40 |
$95.40 |
$95.40 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$541.20 |
$541.20 |
$541.20 |
$487.60
|
|
Ecg external < 48 hours recording
|
$541.20 |
$541.20 |
$541.20 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$541.20 |
$541.20 |
$541.20 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$190.80 |
$190.80 |
$190.80 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$318.00 |
$318.00 |
$318.00 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$2,433.60 |
$2,433.60 |
$2,433.60 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$496.20 |
$496.20 |
$496.20 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$879.00 |
$879.00 |
$879.00 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$423.00 |
$423.00 |
$423.00 |
$362.50
|
|
Echo exam uterus 76831-
|
$603.00 |
$603.00 |
$603.00 |
$523.71
|
