|
Diagnostic digital breast tomosynthesis unil
|
$102.20 |
$102.20 |
$102.20 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$791.00 |
$791.00 |
$791.00 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$513.80 |
$513.80 |
$513.80 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$464.80 |
$464.80 |
$464.80 |
$312.72
|
|
Diagnostic radio unlisted proc
|
$5,055.40 |
$5,055.40 |
$5,055.40 |
$243.60
|
|
Dialysis circuit perm vascular embolization 36909
|
$37,692.94 |
$37,692.94 |
$37,692.94 |
$5,663.50
|
|
Dialysis one evaluation
|
$1,465.80 |
$1,465.80 |
$1,465.80 |
$936.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$186.02 |
$186.02 |
$186.02 |
$77.25
|
|
Dicyclomine injection
|
$94.15 |
$94.15 |
$94.15 |
$150.91
|
|
Diffusing capacity
|
$450.80 |
$450.80 |
$450.80 |
$335.20
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$21.17 |
$21.17 |
$21.17 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$19,015.50 |
$19,015.50 |
$19,015.50 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$163.10 |
$163.10 |
$163.10 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$80.67 |
$80.67 |
$80.67 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$1,729.70
|
|
Dilate esophagus
|
$10,752.30 |
$10,752.30 |
$10,752.30 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$10,813.42 |
$10,813.42 |
$10,813.42 |
$1,490.36
|
|
Dilate urethra stricture
|
$1,451.10 |
$1,451.10 |
$1,451.10 |
$496.00
|
|
Dilate urethra stricture
|
$24,450.74 |
$24,450.74 |
$24,450.74 |
$3,863.60
|
|
Dilation of anal sphincter
|
$4,790.10 |
$4,790.10 |
$4,790.10 |
$1,995.20
|
|
Dilation of cervical canal 57800
|
$20,016.41 |
$20,016.41 |
$20,016.41 |
$4,376.00
|
|
Dilation of rectal stricture 45910
|
$13,830.95 |
$13,830.95 |
$13,830.95 |
$2,263.80
|
|
Dilation of salivary duct
|
$6,040.30 |
$6,040.30 |
$6,040.30 |
$750.00
|
|
Dilator fascial 10fx20cm
|
$450.69 |
$450.69 |
$450.69 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$56,053.56 |
$56,053.56 |
$56,053.56 |
$3,883.16
|
|
Dilat xst trc new access rcs
|
$7,464.80 |
$7,464.80 |
$7,464.80 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$33.60 |
$33.60 |
$33.60 |
$46.56
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.40 |
$1.40 |
$1.40 |
$18.35
|
|
Disability dlco
|
$501.20 |
$501.20 |
$501.20 |
$292.03
|
|
Disaccharidases
|
$623.70 |
$623.70 |
$623.70 |
$224.31
|
|
Dise eval slp do brth flx dx
|
$8,455.30 |
$8,455.30 |
$8,455.30 |
$1,120.00
|
|
Dissolve clot heart vessel
|
$1,688.40 |
$1,688.40 |
$1,688.40 |
$1,560.00
|
|
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
|
$163.10 |
$163.10 |
$163.10 |
$100.00
|
|
Dna gardnerella
|
$77.00 |
$77.00 |
$77.00 |
$61.80
|
|
Dna trichomonas
|
$88.90 |
$88.90 |
$88.90 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$110.60 |
$110.60 |
$110.60 |
$98.29
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,663.02 |
$1,663.02 |
$1,663.02 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$86.62 |
$86.62 |
$86.62 |
$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
|
$1,325.80 |
$1,325.80 |
$1,325.80 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$939.40 |
$939.40 |
$939.40 |
$473.76
|
|
Dornhoffer fixed part w/window
|
$7,416.00 |
$7,416.00 |
$7,416.00 |
$34,278.00
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$1,005.72 |
$1,005.72 |
$1,005.72 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$4,778.72 |
$4,778.72 |
$4,778.72 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$74.02 |
$74.02 |
$74.02 |
$84.80
|
|
Dpyd gene common variants
|
$1,582.70 |
$1,582.70 |
$1,582.70 |
$423.60
|
|
Drainage ext aud canal abscess 69020
|
$1,531.60 |
$1,531.60 |
$1,531.60 |
$914.34
|
|
Drainage external ear complex 69005
|
$3,717.00 |
$3,717.00 |
$3,717.00 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$708.40 |
$708.40 |
$708.40 |
$779.45
|
|
Drainage mouth roof lesion
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$405.60
|
|
Drainage of eye
|
$5,379.50 |
$5,379.50 |
$5,379.50 |
$2,415.65
|
|
Drainage of kidney lesion
|
$6,156.31 |
$6,156.31 |
$6,156.31 |
$1,506.00
|
|
Drainage of mouth lesion
|
$751.80 |
$751.80 |
$751.80 |
$535.20
|
|
Drainage of mouth lesion
|
$22,628.80 |
$22,628.80 |
$22,628.80 |
$3,459.00
|
|
Drainage of nose lesion int 30000
|
$742.70 |
$742.70 |
$742.70 |
$548.00
|
|
Drainage of rectal abscess
|
$3,307.50 |
$3,307.50 |
$3,307.50 |
$2,135.10
|
|
Drainage of salivary gland
|
$5,553.10 |
$5,553.10 |
$5,553.10 |
$4,560.40
|
|
Drainage of urethra abscess 53060
|
$3,805.20 |
$3,805.20 |
$3,805.20 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$556.50 |
$556.50 |
$556.50 |
$1,198.14
|
|
Drain blood from under nail 11740
|
$301.00 |
$301.00 |
$301.00 |
$177.04
|
|
Drain cath image guided visceral pq
|
$18,215.86 |
$18,215.86 |
$18,215.86 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$16,382.74 |
$16,382.74 |
$16,382.74 |
$1,025.00
|
|
Drain finger abscess;simple 26010
|
$541.10 |
$541.10 |
$541.10 |
$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
|
$555.80 |
$555.80 |
$555.80 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$417.20 |
$417.20 |
$417.20 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,060.50 |
$1,060.50 |
$1,060.50 |
$540.80
|
|
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 hydrocele 55000
|
$2,342.20 |
$2,342.20 |
$2,342.20 |
$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
|
$50,590.06 |
$50,590.06 |
$50,590.06 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$32.20 |
$32.20 |
$32.20 |
$31.26
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$516.84 |
$516.84 |
$516.84 |
$1,818.32
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$15,122.55 |
$15,122.55 |
$15,122.55 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$6,052.96 |
$6,052.96 |
$6,052.96 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$492.80 |
$492.80 |
$492.80 |
$578.59
|
|
Drug assay caffeine
|
$184.80 |
$184.80 |
$184.80 |
$81.61
|
|
Drug assay posaconazole
|
$217.00 |
$217.00 |
$217.00 |
$96.75
|
|
Drug assay vedolizumab
|
$509.60 |
$509.60 |
$509.60 |
$157.00
|
|
Drug assay voriconazole
|
$228.20 |
$228.20 |
$228.20 |
$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 screen quant tiagabine
|
$100.80 |
$100.80 |
$100.80 |
$107.59
|
|
Drug test def 1-7 classes
|
$257.60 |
$257.60 |
$257.60 |
$263.25
|
|
Drug test def 22+ classes
|
$405.30 |
$405.30 |
$405.30 |
$423.00
|
|
Drug test def 8-14 classes
|
$289.80 |
$289.80 |
$289.80 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$437.50 |
$437.50 |
$437.50 |
$280.95
|
|
Drvvt confirm - quest
|
$116.20 |
$116.20 |
$116.20 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$5,910.10 |
$5,910.10 |
$5,910.10 |
$2,967.48
|
|
Duodenal motility study
|
$1,143.10 |
$1,143.10 |
$1,143.10 |
$1,143.10
|
|
Dup scan/hemodialysis access 93990
|
$352.10 |
$352.10 |
$352.10 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,166.90 |
$1,166.90 |
$1,166.90 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,732.50 |
$1,732.50 |
$1,732.50 |
$903.50
|
|
Duragen 1x1 5ea/bx
|
$10,289.85 |
$10,289.85 |
$10,289.85 |
$10,564.87
|
|
Dxa bone density axl vrt fx
|
$550.20 |
$550.20 |
$550.20 |
$410.25
|
