|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$123.50 |
$123.50 |
$123.50 |
$98.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$161.20 |
$161.20 |
$161.20 |
$205.00
|
|
Dactinomycin 0.5 mg intravenous solution
|
$901.55 |
$901.55 |
$901.55 |
$1,225.86
|
|
Dalbavancin 500 mg intravenous solution
|
$4,047.52 |
$4,047.52 |
$4,047.52 |
$3,480.61
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$126.75 |
$126.75 |
$126.75 |
$1.80
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$20,095.54 |
$20,095.54 |
$20,095.54 |
$15,683.37
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$2,641.27 |
$2,641.27 |
$2,641.27 |
$4,542.99
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$9,853.92 |
$9,853.92 |
$9,853.92 |
$3,627.00
|
|
Dch pulmonary stress test
|
$363.35 |
$363.35 |
$363.35 |
$964.41
|
|
Deamidated gliadin antibody iga
|
$83.20 |
$83.20 |
$83.20 |
$53.95
|
|
Debridement (>20 cm) charge pt
|
$167.05 |
$167.05 |
$167.05 |
$313.30
|
|
Debride skin bone at fx site
|
$2,901.60 |
$2,901.60 |
$2,901.60 |
$3,127.88
|
|
Decalcification
|
$20,845.17 |
$20,845.17 |
$20,845.17 |
$72.15
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,341.28 |
$1,341.28 |
$1,341.28 |
$482.35
|
|
Deferoxamine 500 mg solution for injection
|
$62.36 |
$62.36 |
$62.36 |
$47.62
|
|
Degarelix 120 mg subcutaneous solution
|
$2,732.27 |
$2,732.27 |
$2,732.27 |
$2,303.24
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$162.50 |
$162.50 |
$162.50 |
$165.60
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$6,359.20 |
$6,359.20 |
$6,359.20 |
$4,681.80
|
|
Depo-estradiol cypionate inj
|
$1,089.80 |
$1,089.80 |
$1,089.80 |
$337.07
|
|
Design mlc device for imrt
|
$4,680.00 |
$4,680.00 |
$4,680.00 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$55.46 |
$55.46 |
$55.46 |
$37.26
|
|
Developmental screen/score/document 96110
|
$268.45 |
$268.45 |
$268.45 |
$126.75
|
|
Devel tst phys/qhp 1st hr
|
$247.00 |
$247.00 |
$247.00 |
$364.48
|
|
Device intraute mirena
|
$5,789.60 |
$5,789.60 |
$5,789.60 |
$3,052.80
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$247.00 |
$247.00 |
$247.00 |
$203.19
|
|
Dexamethasone 4 mg tablet
|
$108.52 |
$108.52 |
$108.52 |
$4.87
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$7.34 |
$7.34 |
$7.34 |
$8.23
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,158.75 |
$1,158.75 |
$1,158.75 |
$465.34
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$23.40 |
$23.40 |
$23.40 |
$37.50
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$25.35 |
$25.35 |
$25.35 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$23.40 |
$23.40 |
$23.40 |
$48.56
|
|
Dextrose 5 % IV bolus
|
$25.35 |
$25.35 |
$25.35 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$165.75 |
$165.75 |
$165.75 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$84.50 |
$84.50 |
$84.50 |
$70.00
|
|
Diag laparo separate proc 49320
|
$14,704.38 |
$14,704.38 |
$14,704.38 |
$6,376.26
|
|
Diagnostic Mammogram (both breasts)
|
$267.15 |
$267.15 |
$267.15 |
$381.60
|
|
Diagnostic Mammogram (one breast)
|
$260.00 |
$260.00 |
$260.00 |
$276.60
|
|
Diatrizoate meglumine 18 % urethral solution
|
$38.87 |
$38.87 |
$38.87 |
$58.24
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$117.00 |
$117.00 |
$117.00 |
$42.12
|
|
Dicyclomine injection
|
$51.21 |
$51.21 |
$51.21 |
$153.53
|
|
Diffusing capacity
|
$215.80 |
$215.80 |
$215.80 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$7.15 |
$7.15 |
$7.15 |
$29.85
|
|
Digoxin total therapeutic drug level
|
$105.95 |
$105.95 |
$105.95 |
$92.95
|
|
Diltiazem 5 mg/ml intravenous solution
|
$122.00 |
$122.00 |
$122.00 |
$49.92
|
|
Dimethyl sulfoxide 50% 50 ml
|
$3,083.20 |
$3,083.20 |
$3,083.20 |
$1,001.55
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$9.29
|
|
Disability dlco
|
$299.00 |
$299.00 |
$299.00 |
$289.08
|
|
Dna antibody native/double stranded
|
$165.10 |
$165.10 |
$165.10 |
$101.40
|
|
Dna gardnerella
|
$92.30 |
$92.30 |
$92.30 |
$67.68
|
|
Dna trichomonas
|
$89.70 |
$89.70 |
$89.70 |
$69.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$92.95 |
$92.95 |
$92.95 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$495.81 |
$495.81 |
$495.81 |
$131.40
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$60.21 |
$60.21 |
$60.21 |
$60.21
|
|
Doppler echo complete
|
$510.25 |
$510.25 |
$510.25 |
$517.94
|
|
Doppler intravascular pressure flow initial vessel
|
$1,521.00 |
$1,521.00 |
$1,521.00 |
$3,026.62
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$382.85 |
$382.85 |
$382.85 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$374.40 |
$374.40 |
$374.40 |
$463.20
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$21,942.00 |
$21,942.00 |
$21,942.00 |
$326.36
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$477.97 |
$477.97 |
$477.97 |
$97.83
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,242.17 |
$2,242.17 |
$2,242.17 |
$715.22
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$106.05 |
$106.05 |
$106.05 |
$81.30
|
|
Droperidol 2.5 mg/ml injection solution
|
$44.91 |
$44.91 |
$44.91 |
$32.82
|
|
Drug test prsmv instrmnt
|
$65.00 |
$65.00 |
$65.00 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$378.30 |
$378.30 |
$378.30 |
$278.85
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$419.90 |
$419.90 |
$419.90 |
$852.57
|
|
Durvalumab 50 mg/ml intravenous solution
|
$7,876.43 |
$7,876.43 |
$7,876.43 |
$137.19
|
|
Ecg 12 lead tracing only
|
$236.60 |
$236.60 |
$236.60 |
$222.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$121.55 |
$121.55 |
$121.55 |
$129.83
|
|
Ecg external < 48 hours recording
|
$307.45 |
$307.45 |
$307.45 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$307.45 |
$307.45 |
$307.45 |
$541.73
|
|
Ecg external > 48 hours up to 7 days recording
|
$182.00 |
$182.00 |
$182.00 |
$180.00
|
|
Ecg external >7 days up to 15 days recording
|
$182.00 |
$182.00 |
$182.00 |
$213.20
|
|
Echocardiogram (Heart Ultrasound)
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$391.95 |
$391.95 |
$391.95 |
$450.40
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,212.25 |
$1,212.25 |
$1,212.25 |
$1,899.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$449.15 |
$449.15 |
$449.15 |
$720.60
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,112.15 |
$1,112.15 |
$1,112.15 |
$840.00
|
|
Echocardiograpy doppler follow up/limited study
|
$376.35 |
$376.35 |
$376.35 |
$348.80
|
|
Echograp trans r pros study
|
$381.55 |
$381.55 |
$381.55 |
$406.33
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$1,946.10
|
|
Echo transthoracic
|
$713.05 |
$713.05 |
$713.05 |
$1,361.75
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$11,667.65 |
$11,667.65 |
$11,667.65 |
$17,051.72
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$31.85 |
$31.85 |
$31.85 |
$94.32
|
|
Egd control bleeding any
|
$7,042.40 |
$7,042.40 |
$7,042.40 |
$2,476.20
|
|
Egd dilate stricture
|
$4,624.50 |
$4,624.50 |
$4,624.50 |
$2,394.60
|
|
Egd remove lesion snare
|
$7,411.99 |
$7,411.99 |
$7,411.99 |
$2,200.46
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$7,352.12 |
$7,352.12 |
$7,352.12 |
$2,234.01
|
|
Ehrlicha chaffeensis amp prb
|
$227.50 |
$227.50 |
$227.50 |
$112.50
|
|
Electrical stimulation/unattended 97014
|
$38.35 |
$38.35 |
$38.35 |
$79.20
|
|
Electrolyte panel
|
$78.65 |
$78.65 |
$78.65 |
$68.56
|
|
Electron microscopy diagnostic
|
$728.00 |
$728.00 |
$728.00 |
$1,107.84
|
|
Electrophysiology evaluation
|
$13,249.60 |
$13,249.60 |
$13,249.60 |
$11,266.40
|
|
Electrophysiology evaluation
|
$9,322.95 |
$9,322.95 |
$9,322.95 |
$8,605.71
|
|
Electrophysiology evaluation
|
$5,677.10 |
$5,677.10 |
$5,677.10 |
$6,516.00
|
|
Electrophysiology evaluation
|
$458.90 |
$458.90 |
$458.90 |
$2,845.10
|
|
Electrophys map 3d add-on
|
$4,038.45 |
$4,038.45 |
$4,038.45 |
$6,534.00
|
|
Endoluminl ivus oct c 1st
|
$5,870.15 |
$5,870.15 |
$5,870.15 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$1,909.70 |
$1,909.70 |
$1,909.70 |
$2,466.77
|
|
Endoscopy maxillary sinus
|
$16,470.48 |
$16,470.48 |
$16,470.48 |
$4,885.54
|
|
Endoscopy swallow (fees) vid
|
$603.85 |
$603.85 |
$603.85 |
$457.50
|