|
Diagnostic laryngoscopy 31505
|
$239.30 |
$239.30 |
$239.30 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$171.90 |
$171.90 |
$171.90 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$330.00 |
$330.00 |
$330.00 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$165.00 |
$165.00 |
$165.00 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,301.68 |
$3,301.68 |
$3,301.68 |
$7,145.00
|
|
Dialysis one evaluation
|
$768.24 |
$768.24 |
$768.24 |
$842.10
|
|
Diffusing capacity
|
$617.05 |
$617.05 |
$617.05 |
$360.10
|
|
Digoxin total therapeutic drug level
|
$75.90 |
$75.90 |
$75.90 |
$102.00
|
|
Dilate biliary duct/ampulla
|
$2,908.95 |
$2,908.95 |
$2,908.95 |
$2,304.60
|
|
Dilate esophagus
|
$5,083.32 |
$5,083.32 |
$5,083.32 |
$2,003.04
|
|
Dilate urethra stricture
|
$604.56 |
$604.56 |
$604.56 |
$514.79
|
|
Dilation/urethral strict/male/ini 53620
|
$3,533.64 |
$3,533.64 |
$3,533.64 |
$1,550.25
|
|
Dilat xst trc ndurlgc px
|
$3,370.65 |
$3,370.65 |
$3,370.65 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$5,670.17 |
$5,670.17 |
$5,670.17 |
$5,020.00
|
|
Disability dlco
|
$671.21 |
$671.21 |
$671.21 |
$307.58
|
|
Disaccharidases
|
$513.15 |
$513.15 |
$513.15 |
$223.80
|
|
Discography cerv/thor spine
|
$6,099.72 |
$6,099.72 |
$6,099.72 |
$2,404.00
|
|
Dissolve clot heart vessel
|
$939.98 |
$939.98 |
$939.98 |
$1,396.47
|
|
Dmd dup/delet analysis
|
$654.50 |
$654.50 |
$654.50 |
$385.02
|
|
Dna antibody native/double stranded
|
$41.25 |
$41.25 |
$41.25 |
$102.60
|
|
Dna gardnerella
|
$59.40 |
$59.40 |
$59.40 |
$67.68
|
|
Dna trichomonas
|
$59.40 |
$59.40 |
$59.40 |
$68.75
|
|
Doppler echo complete
|
$645.08 |
$645.08 |
$645.08 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$3,343.11 |
$3,343.11 |
$3,343.11 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$874.96 |
$874.96 |
$874.96 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$541.61 |
$541.61 |
$541.61 |
$482.03
|
|
Dpyd gene common variants
|
$323.40 |
$323.40 |
$323.40 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$535.92 |
$535.92 |
$535.92 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$229.68 |
$229.68 |
$229.68 |
$900.80
|
|
Drainage external ear simple 69000
|
$392.70 |
$392.70 |
$392.70 |
$809.25
|
|
Drainage mouth roof lesion
|
$502.26 |
$502.26 |
$502.26 |
$474.39
|
|
Drainage of arm bursa 23931
|
$1,758.74 |
$1,758.74 |
$1,758.74 |
$2,419.30
|
|
Drainage of forearm bursa
|
$2,818.89 |
$2,818.89 |
$2,818.89 |
$1,893.86
|
|
Drainage of kidney lesion
|
$1,324.62 |
$1,324.62 |
$1,324.62 |
$1,706.65
|
|
Drainage of mouth lesion
|
$1,162.92 |
$1,162.92 |
$1,162.92 |
$3,986.00
|
|
Drainage of nose lesion int 30000
|
$1,073.82 |
$1,073.82 |
$1,073.82 |
$548.00
|
|
Drain blood from under nail 11740
|
$399.30 |
$399.30 |
$399.30 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,894.20 |
$1,894.20 |
$1,894.20 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$2,828.82 |
$2,828.82 |
$2,828.82 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$1,021.02 |
$1,021.02 |
$1,021.02 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$184.80 |
$184.80 |
$184.80 |
$492.81
|
|
Drain lower leg lesion 27603
|
$517.00 |
$517.00 |
$517.00 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$9,694.08 |
$9,694.08 |
$9,694.08 |
$3,386.84
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$656.04 |
$656.04 |
$656.04 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$430.98 |
$430.98 |
$430.98 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$983.40 |
$983.40 |
$983.40 |
$554.40
|
|
Drng of eyelid abscess 67700
|
$627.00 |
$627.00 |
$627.00 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$2,048.00
|
|
Drng of scrotum abscess 55100
|
$1,596.54 |
$1,596.54 |
$1,596.54 |
$2,069.60
|
|
Drng open retroperitoneal abscess 49060
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
$2,708.80
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$1,490.17 |
$1,490.17 |
$1,490.17 |
$2,461.60
|
|
Drng salivary gland submax/subling 42310
|
$1,567.50 |
$1,567.50 |
$1,567.50 |
$602.63
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$843.34 |
$843.34 |
$843.34 |
$1,778.40
|
|
Drug screen quant tiagabine
|
$107.80 |
$107.80 |
$107.80 |
$91.80
|
|
Drug test def 1-7 classes
|
$319.55 |
$319.55 |
$319.55 |
$250.52
|
|
Drug test prsmv instrmnt
|
$112.20 |
$112.20 |
$112.20 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$610.50 |
$610.50 |
$610.50 |
$278.85
|
|
Drvvt confirm - quest
|
$325.60 |
$325.60 |
$325.60 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$297.00 |
$297.00 |
$297.00 |
$3,390.00
|
|
Ductogram sgl duct
|
$273.45 |
$273.45 |
$273.45 |
$413.91
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,406.90 |
$1,406.90 |
$1,406.90 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,040.94 |
$1,040.94 |
$1,040.94 |
$903.00
|
|
Dx bronchoscope/brush 31623
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,442.10 |
$1,442.10 |
$1,442.10 |
$2,587.60
|
|
Ear irrigation 69209
|
$435.60 |
$435.60 |
$435.60 |
$165.42
|
|
Ecg 12 lead tracing only
|
$184.25 |
$184.25 |
$184.25 |
$245.00
|
|
Ecg external < 48 hours recording
|
$382.66 |
$382.66 |
$382.66 |
$461.76
|
|
Echocardiogram (Heart Ultrasound)
|
$2,077.18 |
$2,077.18 |
$2,077.18 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$725.86 |
$725.86 |
$725.86 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,631.10 |
$2,631.10 |
$2,631.10 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$835.49 |
$835.49 |
$835.49 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,315.55 |
$1,315.55 |
$1,315.55 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$480.64 |
$480.64 |
$480.64 |
$353.46
|
|
Echograp trans r pros study
|
$615.34 |
$615.34 |
$615.34 |
$459.40
|
|
Echo guidance radiotherapy
|
$769.18 |
$769.18 |
$769.18 |
$774.80
|
|
Echo guide for amniocentesis
|
$675.80 |
$675.80 |
$675.80 |
$384.65
|
|
Echo guide for artery repair
|
$607.20 |
$607.20 |
$607.20 |
$680.28
|
|
Echo stress
|
$1,443.65 |
$1,443.65 |
$1,443.65 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,823.88 |
$1,823.88 |
$1,823.88 |
$1,871.10
|
|
Echo transthoracic
|
$1,007.44 |
$1,007.44 |
$1,007.44 |
$1,492.50
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$872.99 |
$872.99 |
$872.99 |
$1,014.01
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$882.38 |
$882.38 |
$882.38 |
$1,049.59
|
|
Eeg monitor/record/awake/drowsy 95816
|
$698.91 |
$698.91 |
$698.91 |
$861.12
|
|
Eeg recording awake and asleep
|
$605.00 |
$605.00 |
$605.00 |
$1,030.27
|
|
Egd remove foreign body
|
$418.00 |
$418.00 |
$418.00 |
$1,588.55
|
|
Egfr gene com variants
|
$1,260.60 |
$1,260.60 |
$1,260.60 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$46.20 |
$46.20 |
$46.20 |
$105.00
|
|
EKG tracing for initial prev
|
$9.90 |
$9.90 |
$9.90 |
$56.65
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$90.29 |
$90.29 |
$90.29 |
$576.81
|
|
Electroconvulsive therapy 90870
|
$668.28 |
$668.28 |
$668.28 |
$1,180.80
|
|
Electrolyte panel
|
$52.25 |
$52.25 |
$52.25 |
$86.33
|
|
Electron microscopy diagnostic
|
$1,222.10 |
$1,222.10 |
$1,222.10 |
$966.69
|
|
Electrophysiology evaluation
|
$1,094.97 |
$1,094.97 |
$1,094.97 |
$2,845.10
|
|
Embolization s&i
|
$4,449.06 |
$4,449.06 |
$4,449.06 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$16,266.99 |
$16,266.99 |
$16,266.99 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$14,186.92 |
$14,186.92 |
$14,186.92 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$12,830.51 |
$12,830.51 |
$12,830.51 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$14,186.92 |
$14,186.92 |
$14,186.92 |
$15,038.25
|
|
Emb without cervical dilation 58100
|
$332.64 |
$332.64 |
$332.64 |
$397.66
|
