|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$253.60 |
$253.60 |
$253.60 |
$213.85
|
|
Cytopath smear other source
|
$121.60 |
$121.60 |
$121.60 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$130.40 |
$130.40 |
$130.40 |
$96.20
|
|
Cytopath tbs c/v manual
|
$88.00 |
$88.00 |
$88.00 |
$59.28
|
|
Dalbavancin 500 mg intravenous solution
|
$2,566.87 |
$2,566.87 |
$2,566.87 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$71.87 |
$71.87 |
$71.87 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$5,011.49 |
$5,011.49 |
$5,011.49 |
$6,281.29
|
|
Dch glucoscan
|
$51.20 |
$51.20 |
$51.20 |
$29.16
|
|
Dch validity tests
|
$42.40 |
$42.40 |
$42.40 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$146.40 |
$146.40 |
$146.40 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$765.60 |
$765.60 |
$765.60 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$384.80 |
$384.80 |
$384.80 |
$284.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,072.80 |
$1,072.80 |
$1,072.80 |
$835.20
|
|
Debride nail1-5 11720
|
$148.80 |
$148.80 |
$148.80 |
$149.60
|
|
Debride nail6 or more 11721
|
$169.60 |
$169.60 |
$169.60 |
$169.80
|
|
Decalcification
|
$35.20 |
$35.20 |
$35.20 |
$68.34
|
|
Deferoxamine 500 mg solution for injection
|
$67.82 |
$67.82 |
$67.82 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,223.40 |
$1,223.40 |
$1,223.40 |
$1,856.85
|
|
Delivery of placenta 59414
|
$3,486.40 |
$3,486.40 |
$3,486.40 |
$2,912.46
|
|
Demonstrate use home inr mon
|
$278.40 |
$278.40 |
$278.40 |
$294.75
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$204.00 |
$204.00 |
$204.00 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,331.62 |
$4,331.62 |
$4,331.62 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$388.80 |
$388.80 |
$388.80 |
$401.60
|
|
Destruction benign lesions < 14 lesions
|
$248.80 |
$248.80 |
$248.80 |
$240.24
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$425.60 |
$425.60 |
$425.60 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$26.68 |
$26.68 |
$26.68 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$60.76 |
$60.76 |
$60.76 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$119.37 |
$119.37 |
$119.37 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$80.00 |
$80.00 |
$80.00 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$80.00 |
$80.00 |
$80.00 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$80.00 |
$80.00 |
$80.00 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$80.00 |
$80.00 |
$80.00 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$254.40 |
$254.40 |
$254.40 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$117.60 |
$117.60 |
$117.60 |
$79.30
|
|
Diab manage trn ind/group
|
$63.20 |
$63.20 |
$63.20 |
$54.99
|
|
Diagnostic digital breast tomosynthesis unil
|
$172.00 |
$172.00 |
$172.00 |
$75.93
|
|
Diagnostic Mammogram (both breasts)
|
$487.20 |
$487.20 |
$487.20 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$444.00 |
$444.00 |
$444.00 |
$314.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$68.84 |
$68.84 |
$68.84 |
$79.71
|
|
Diffusing capacity
|
$336.80 |
$336.80 |
$336.80 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$62.33 |
$62.33 |
$62.33 |
$65.84
|
|
Digoxin total therapeutic drug level
|
$130.40 |
$130.40 |
$130.40 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$123.04 |
$123.04 |
$123.04 |
$297.86
|
|
Dilate esophagus
|
$3,694.40 |
$3,694.40 |
$3,694.40 |
$2,142.40
|
|
Diltiazem 5 mg/ml intravenous solution
|
$60.68 |
$60.68 |
$60.68 |
$45.60
|
|
Dimethyl sulfoxide 50% 50 ml
|
$603.25 |
$603.25 |
$603.25 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.20 |
$1.20 |
$1.20 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$60.75 |
$60.75 |
$60.75 |
$18.32
|
|
Disability dlco
|
$296.80 |
$296.80 |
$296.80 |
$293.76
|
|
Dna antibody native/double stranded
|
$158.40 |
$158.40 |
$158.40 |
$100.00
|
|
Dna probe chlamydia
|
$151.20 |
$151.20 |
$151.20 |
$82.20
|
|
Dna probe gc
|
$140.00 |
$140.00 |
$140.00 |
$79.38
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$146.95 |
$146.95 |
$146.95 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,231.69 |
$1,231.69 |
$1,231.69 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$123.24 |
$123.24 |
$123.24 |
$65.40
|
|
Doppler echo complete
|
$787.20 |
$787.20 |
$787.20 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,136.80 |
$1,136.80 |
$1,136.80 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$771.20 |
$771.20 |
$771.20 |
$481.65
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$263.88 |
$263.88 |
$263.88 |
$450.14
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$68.24 |
$68.24 |
$68.24 |
$89.34
|
|
Drainage ext aud canal abscess 69020
|
$776.80 |
$776.80 |
$776.80 |
$964.00
|
|
Drainage external ear simple 69000
|
$864.00 |
$864.00 |
$864.00 |
$790.40
|
|
Drain blood from under nail 11740
|
$192.00 |
$192.00 |
$192.00 |
$182.40
|
|
Drain finger abscess;simple 26010
|
$458.40 |
$458.40 |
$458.40 |
$428.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$358.40 |
$358.40 |
$358.40 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$365.60 |
$365.60 |
$365.60 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$738.40 |
$738.40 |
$738.40 |
$541.00
|
|
Drng of eyelid abscess 67700
|
$516.80 |
$516.80 |
$516.80 |
$655.72
|
|
Droperidol 2.5 mg/ml injection solution
|
$66.02 |
$66.02 |
$66.02 |
$31.25
|
|
Drug assay vedolizumab
|
$194.40 |
$194.40 |
$194.40 |
$154.00
|
|
Drug assay voriconazole
|
$106.40 |
$106.40 |
$106.40 |
$96.75
|
|
Drug of abuse screen urine
|
$58.40 |
$58.40 |
$58.40 |
$67.89
|
|
Drug test prsmv instrmnt
|
$208.80 |
$208.80 |
$208.80 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$196.80 |
$196.80 |
$196.80 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$918.40 |
$918.40 |
$918.40 |
$691.08
|
|
Dup scan/hemodialysis access 93990
|
$720.00 |
$720.00 |
$720.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,016.80 |
$1,016.80 |
$1,016.80 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,354.40 |
$1,354.40 |
$1,354.40 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$4,614.36 |
$4,614.36 |
$4,614.36 |
$8,445.90
|
|
Ear irrigation 69209
|
$155.20 |
$155.20 |
$155.20 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$164.00 |
$164.00 |
$164.00 |
$132.08
|
|
Ecg external < 48 hours recording
|
$536.80 |
$536.80 |
$536.80 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$676.80 |
$676.80 |
$676.80 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$190.40 |
$190.40 |
$190.40 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$239.20 |
$239.20 |
$239.20 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,535.20 |
$2,535.20 |
$2,535.20 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$966.40 |
$966.40 |
$966.40 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$756.00 |
$756.00 |
$756.00 |
$511.55
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,284.80 |
$1,284.80 |
$1,284.80 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$496.00 |
$496.00 |
$496.00 |
$371.25
|
|
Echo exam of fetal heart
|
$1,704.00 |
$1,704.00 |
$1,704.00 |
$904.80
|
|
Echo exam of fetal heart
|
$748.80 |
$748.80 |
$748.80 |
$431.41
|
|
Echo stress
|
$2,185.60 |
$2,185.60 |
$2,185.60 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,103.20 |
$3,103.20 |
$3,103.20 |
$1,913.60
|
|
Echo transthoracic
|
$2,436.80 |
$2,436.80 |
$2,436.80 |
$1,361.75
|
|
Echo transthoracic
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,782.40 |
$1,782.40 |
$1,782.40 |
$1,033.00
|
|
Eeg 41-60 minutes 95812-26
|
$1,295.20 |
$1,295.20 |
$1,295.20 |
$934.05
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,184.80 |
$1,184.80 |
$1,184.80 |
$835.00
|
|
Eeg recording awake and asleep
|
$1,242.40 |
$1,242.40 |
$1,242.40 |
$931.20
|