|
Dilate urethra stricture
|
$83.26 |
$83.26 |
$83.26 |
$490.00
|
|
Dilation/urethral strict/male/ini 53620
|
$597.54 |
$597.54 |
$597.54 |
$1,372.80
|
|
Dilat xst trc ndurlgc px
|
$1,401.39 |
$1,401.39 |
$1,401.39 |
$4,061.71
|
|
Dilat xst trc new access rcs
|
$2,358.19 |
$2,358.19 |
$2,358.19 |
$4,213.20
|
|
Dimenhydrinate injection
|
$9.27 |
$9.27 |
$9.27 |
$30.48
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.14 |
$0.14 |
$0.14 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$18.35 |
$18.35 |
$18.35 |
$17.75
|
|
Dipyridamole injection
|
$30.01 |
$30.01 |
$30.01 |
$47.87
|
|
Disability dlco
|
$74.06 |
$74.06 |
$74.06 |
$284.97
|
|
Disaccharidases
|
$289.80 |
$289.80 |
$289.80 |
$216.00
|
|
Dna antibody native/double stranded
|
$57.73 |
$57.73 |
$57.73 |
$95.80
|
|
Dna gardnerella
|
$34.96 |
$34.96 |
$34.96 |
$62.50
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$61.67 |
$61.67 |
$61.67 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$321.35 |
$321.35 |
$321.35 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$36.22 |
$36.22 |
$36.22 |
$65.40
|
|
Doppler echo complete
|
$173.88 |
$173.88 |
$173.88 |
$531.50
|
|
Doppler intravascular pressure flow initial vessel
|
$2,311.50 |
$2,311.50 |
$2,311.50 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$211.37 |
$211.37 |
$211.37 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$84.41 |
$84.41 |
$84.41 |
$470.05
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$159.50 |
$159.50 |
$159.50 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$797.90 |
$797.90 |
$797.90 |
$1,718.24
|
|
Dpyd gene common variants
|
$239.89 |
$239.89 |
$239.89 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$214.13 |
$214.13 |
$214.13 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$214.13 |
$214.13 |
$214.13 |
$906.00
|
|
Drainage external ear complex 69005
|
$487.83 |
$487.83 |
$487.83 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$214.13 |
$214.13 |
$214.13 |
$789.60
|
|
Drainage mouth roof lesion
|
$67.62 |
$67.62 |
$67.62 |
$390.39
|
|
Drainage of arm bursa 23931
|
$838.58 |
$838.58 |
$838.58 |
$2,197.48
|
|
Drainage of eye
|
$1,611.38 |
$1,611.38 |
$1,611.38 |
$2,360.00
|
|
Drainage of kidney lesion
|
$580.75 |
$580.75 |
$580.75 |
$1,534.80
|
|
Drainage of mouth lesion
|
$1,891.98 |
$1,891.98 |
$1,891.98 |
$3,544.29
|
|
Drainage of nose lesion int 30000
|
$100.97 |
$100.97 |
$100.97 |
$491.40
|
|
Drainage of nose lesion sept 30020
|
$175.49 |
$175.49 |
$175.49 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$1,383.22 |
$1,383.22 |
$1,383.22 |
$3,958.50
|
|
Drain blood from under nail 11740
|
$40.71 |
$40.71 |
$40.71 |
$171.20
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$843.87 |
$843.87 |
$843.87 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$843.87 |
$843.87 |
$843.87 |
$2,850.00
|
|
Drain cerebro spinal fluid 62272
|
$302.68 |
$302.68 |
$302.68 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$94.99 |
$94.99 |
$94.99 |
$424.00
|
|
Drain thigh/knee lesion 27301
|
$872.16 |
$872.16 |
$872.16 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$139.38 |
$139.38 |
$139.38 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$188.14 |
$188.14 |
$188.14 |
$345.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$247.94 |
$247.94 |
$247.94 |
$523.00
|
|
Drill hole implt ventricular cath/device 61107
|
$215.28 |
$215.28 |
$215.28 |
$1,515.00
|
|
Drng of eyelid abscess 67700
|
$100.51 |
$100.51 |
$100.51 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$598.46 |
$598.46 |
$598.46 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$157.55 |
$157.55 |
$157.55 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$491.51 |
$491.51 |
$491.51 |
$1,935.96
|
|
Dronabinol 2.5mg oral
|
$26.10 |
$26.10 |
$26.10 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$14.98 |
$14.98 |
$14.98 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$219.19 |
$219.19 |
$219.19 |
$1,956.48
|
|
Drug admin & hemodynmic meas
|
$114.31 |
$114.31 |
$114.31 |
$569.75
|
|
Drug assay posaconazole
|
$20.70 |
$20.70 |
$20.70 |
$96.75
|
|
Drug assay rufinamide
|
$17.71 |
$17.71 |
$17.71 |
$85.80
|
|
Drug assay vedolizumab
|
$32.43 |
$32.43 |
$32.43 |
$152.79
|
|
Drug assay voriconazole
|
$12.42 |
$12.42 |
$12.42 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$14.26 |
$14.26 |
$14.26 |
$66.43
|
|
Drug of abuse screen urine
|
$12.88 |
$12.88 |
$12.88 |
$63.75
|
|
Drug screen quant tiagabine
|
$31.74 |
$31.74 |
$31.74 |
$114.62
|
|
Drug test prsmv instrmnt
|
$16.79 |
$16.79 |
$16.79 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$68.08 |
$68.08 |
$68.08 |
$278.85
|
|
Ductogram sgl duct
|
$148.81 |
$148.81 |
$148.81 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$180.09 |
$180.09 |
$180.09 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$135.70 |
$135.70 |
$135.70 |
$362.70
|
|
Dup scan/hemodialysis access 93990
|
$235.29 |
$235.29 |
$235.29 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$143.98 |
$143.98 |
$143.98 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$228.85 |
$228.85 |
$228.85 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$60.03 |
$60.03 |
$60.03 |
$392.60
|
|
Dx bronchoscope/lavage 31624
|
$631.58 |
$631.58 |
$631.58 |
$2,369.64
|
|
Ear irrigation 69209
|
$23.23 |
$23.23 |
$23.23 |
$150.00
|
|
Ecg 12 lead tracing only
|
$55.20 |
$55.20 |
$55.20 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$31.05 |
$31.05 |
$31.05 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$167.44 |
$167.44 |
$167.44 |
$487.60
|
|
Ecg external < 48 hours recording
|
$201.71 |
$201.71 |
$201.71 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$201.71 |
$201.71 |
$201.71 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$78.43 |
$78.43 |
$78.43 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$78.43 |
$78.43 |
$78.43 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$742.21 |
$742.21 |
$742.21 |
$2,020.00
|
|
Echocardiography doppler color flow mapping
|
$190.21 |
$190.21 |
$190.21 |
$467.40
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$771.19 |
$771.19 |
$771.19 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$279.68 |
$279.68 |
$279.68 |
$705.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$279.68 |
$279.68 |
$279.68 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$130.87 |
$130.87 |
$130.87 |
$362.50
|
|
Echograp trans r pros study
|
$252.08 |
$252.08 |
$252.08 |
$459.40
|
|
Echo guide cardiocentesis
|
$79.12 |
$79.12 |
$79.12 |
$269.33
|
|
Echo guide for artery repair
|
$450.57 |
$450.57 |
$450.57 |
$664.00
|
|
Echo stress
|
$513.82 |
$513.82 |
$513.82 |
$1,592.05
|
|
Echo tee guidance
|
$652.97 |
$652.97 |
$652.97 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$546.25 |
$546.25 |
$546.25 |
$1,849.50
|
|
Echo transesophageal
|
$440.91 |
$440.91 |
$440.91 |
$1,530.42
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$416.07 |
$416.07 |
$416.07 |
$985.15
|
|
E coli 0157 ag ia
|
$37.95 |
$37.95 |
$37.95 |
$72.15
|
|
Edetate calcium disodium inj
|
$9,973.73 |
$9,973.73 |
$9,973.73 |
$8,569.35
|
|
Eeg monitor/record/awake/drowsy 95816
|
$191.59 |
$191.59 |
$191.59 |
$834.60
|
|
Eeg/record in coma or sleep only 95822
|
$220.57 |
$220.57 |
$220.57 |
$907.80
|
|
Eeg recording awake and asleep
|
$283.13 |
$283.13 |
$283.13 |
$931.20
|
|
E equine encephalitis igg
|
$14.72 |
$14.72 |
$14.72 |
$49.92
|
|
Egd guide wire insertion
|
$190.67 |
$190.67 |
$190.67 |
$1,664.00
|
|
Egfr gene com variants
|
$188.83 |
$188.83 |
$188.83 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$25.99 |
$25.99 |
$25.99 |
$93.00
|
