|
Diab manage trn ind/group
|
$91.65 |
$91.65 |
$91.65 |
$56.55
|
|
Diag laparo separate proc 49320
|
$13,814.31 |
$13,814.31 |
$13,814.31 |
$6,376.26
|
|
Diagnostic anoscopy spx 46600
|
$3,793.47 |
$3,793.47 |
$3,793.47 |
$252.00
|
|
Diagnostic laryngoscopy 31575
|
$286.65 |
$286.65 |
$286.65 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$521.30 |
$521.30 |
$521.30 |
$381.60
|
|
Diagnostic Mammogram (one breast)
|
$431.60 |
$431.60 |
$431.60 |
$276.60
|
|
Dialysis circuit perm vascular embolization 36909
|
$12,563.83 |
$12,563.83 |
$12,563.83 |
$9,395.77
|
|
Dialysis one evaluation
|
$1,275.30 |
$1,275.30 |
$1,275.30 |
$920.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$97.93 |
$97.93 |
$97.93 |
$58.24
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$13.34 |
$13.34 |
$13.34 |
$42.12
|
|
Diffusing capacity
|
$357.50 |
$357.50 |
$357.50 |
$336.80
|
|
Digital analysis of eeg
|
$778.70 |
$778.70 |
$778.70 |
$649.63
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$432.91 |
$432.91 |
$432.91 |
$29.85
|
|
Digoxin total therapeutic drug level
|
$70.85 |
$70.85 |
$70.85 |
$92.95
|
|
Dilate biliary duct/ampulla
|
$2,900.95 |
$2,900.95 |
$2,900.95 |
$1,866.73
|
|
Dilate esophagus
|
$1,645.15 |
$1,645.15 |
$1,645.15 |
$2,003.04
|
|
Dilate esophagus 1/mult pass
|
$4,577.23 |
$4,577.23 |
$4,577.23 |
$1,349.05
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$2,557.10 |
$2,557.10 |
$2,557.10 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$2,449.85 |
$2,449.85 |
$2,449.85 |
$1,670.90
|
|
Dilate ic vasospasm init
|
$7,783.10 |
$7,783.10 |
$7,783.10 |
$6,280.95
|
|
Dilate tear duct opening
|
$605.80 |
$605.80 |
$605.80 |
$454.40
|
|
Dilate urethra stricture
|
$3,565.69 |
$3,565.69 |
$3,565.69 |
$514.79
|
|
Dilate urethra stricture
|
$3,355.74 |
$3,355.74 |
$3,355.74 |
$187.33
|
|
Dilate urethra stricture
|
$1,535.74 |
$1,535.74 |
$1,535.74 |
$344.80
|
|
Dilation/female urethra/initial 53660
|
$5,002.84 |
$5,002.84 |
$5,002.84 |
$207.39
|
|
Dilation of anal sphincter
|
$8,598.67 |
$8,598.67 |
$8,598.67 |
$1,305.08
|
|
Dilation of rectal stricture 45910
|
$6,471.40 |
$6,471.40 |
$6,471.40 |
$1,364.66
|
|
Dilation of salivary duct
|
$8,925.34 |
$8,925.34 |
$8,925.34 |
$599.72
|
|
Dilation of urethra
|
$653.69 |
$653.69 |
$653.69 |
$182.95
|
|
Dilation of urethra
|
$915.20 |
$915.20 |
$915.20 |
$2,507.31
|
|
Dilat xst trc ndurlgc px
|
$3,153.80 |
$3,153.80 |
$3,153.80 |
$4,031.47
|
|
Dilat xst trc new access rcs
|
$28,746.67 |
$28,746.67 |
$28,746.67 |
$5,842.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$44.96 |
$44.96 |
$44.96 |
$49.92
|
|
Dimethyl sulfoxide 50% 50 ml
|
$2,205.67 |
$2,205.67 |
$2,205.67 |
$1,001.55
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.10 |
$9.10 |
$9.10 |
$9.29
|
|
Disability dlco
|
$312.00 |
$312.00 |
$312.00 |
$289.08
|
|
Disaccharidases
|
$276.90 |
$276.90 |
$276.90 |
$224.58
|
|
Discography cerv/thor spine
|
$4,724.20 |
$4,724.20 |
$4,724.20 |
$2,161.44
|
|
Dise eval slp do brth flx dx
|
$5,763.34 |
$5,763.34 |
$5,763.34 |
$288.80
|
|
Dist revas ligation hemo
|
$28,378.10 |
$28,378.10 |
$28,378.10 |
$6,290.54
|
|
Diverticulectomy/hypophar/esoph 43130
|
$24,903.10 |
$24,903.10 |
$24,903.10 |
$5,817.32
|
|
Dlyd plmt xtn prosth ea addl
|
$4,963.40 |
$4,963.40 |
$4,963.40 |
$2,005.08
|
|
Dna antibody native/double stranded
|
$113.75 |
$113.75 |
$113.75 |
$101.40
|
|
Dna gardnerella
|
$91.00 |
$91.00 |
$91.00 |
$67.68
|
|
Dna probe chlamydia
|
$146.90 |
$146.90 |
$146.90 |
$98.40
|
|
Dna probe gc
|
$126.10 |
$126.10 |
$126.10 |
$88.67
|
|
Dna trichomonas
|
$91.00 |
$91.00 |
$91.00 |
$69.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$117.88 |
$117.88 |
$117.88 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$955.01 |
$955.01 |
$955.01 |
$131.40
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$69.52 |
$69.52 |
$69.52 |
$60.21
|
|
Doppler echo complete
|
$672.75 |
$672.75 |
$672.75 |
$517.94
|
|
Doppler intravascular pressure flow initial vessel
|
$3,581.50 |
$3,581.50 |
$3,581.50 |
$3,026.62
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$709.80 |
$709.80 |
$709.80 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$476.45 |
$476.45 |
$476.45 |
$463.20
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$580.55 |
$580.55 |
$580.55 |
$97.83
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$987.67 |
$987.67 |
$987.67 |
$715.22
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$79.59 |
$79.59 |
$79.59 |
$81.30
|
|
Dpyd gene common variants
|
$684.45 |
$684.45 |
$684.45 |
$380.50
|
|
Drainage external ear simple 69000
|
$760.03 |
$760.03 |
$760.03 |
$800.00
|
|
Drainage lymph node lesion 38305
|
$7,413.65 |
$7,413.65 |
$7,413.65 |
$2,901.50
|
|
Drainage of eye
|
$2,747.22 |
$2,747.22 |
$2,747.22 |
$1,824.02
|
|
Drainage of eye
|
$6,358.57 |
$6,358.57 |
$6,358.57 |
$2,702.25
|
|
Drainage of eye
|
$6,897.77 |
$6,897.77 |
$6,897.77 |
$3,172.80
|
|
Drainage of kidney lesion
|
$4,341.52 |
$4,341.52 |
$4,341.52 |
$1,578.89
|
|
Drainage of nose lesion int 30000
|
$165.10 |
$165.10 |
$165.10 |
$615.20
|
|
Drain blood from under nail 11740
|
$679.25 |
$679.25 |
$679.25 |
$173.21
|
|
Drain cath image guided visceral pq
|
$1,441.70 |
$1,441.70 |
$1,441.70 |
$2,999.34
|
|
Drain cerebro spinal fluid 62272
|
$596.70 |
$596.70 |
$596.70 |
$1,025.00
|
|
Drain finger abscess;simple 26010
|
$522.60 |
$522.60 |
$522.60 |
$451.20
|
|
Drain neck/chest lesion 21501
|
$5,471.70 |
$5,471.70 |
$5,471.70 |
$3,206.78
|
|
Drain ovarn cyst abd
|
$17,433.05 |
$17,433.05 |
$17,433.05 |
$3,522.35
|
|
Drain thigh/knee lesion 27301
|
$4,500.60 |
$4,500.60 |
$4,500.60 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$276.90 |
$276.90 |
$276.90 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$248.30 |
$248.30 |
$248.30 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$646.10 |
$646.10 |
$646.10 |
$515.00
|
|
Dressing change not for burn w/anes 15852
|
$5,364.45 |
$5,364.45 |
$5,364.45 |
$720.88
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$193.70 |
$193.70 |
$193.70 |
$5,715.36
|
|
Drill hole implt ventricular cath/device 61107
|
$1,631.50 |
$1,631.50 |
$1,631.50 |
$1,737.06
|
|
Drng of eyelid abscess 67700
|
$7,554.36 |
$7,554.36 |
$7,554.36 |
$718.05
|
|
Drng of hydrocele 55000
|
$912.60 |
$912.60 |
$912.60 |
$779.45
|
|
Drng of scrotum abscess 55100
|
$2,836.63 |
$2,836.63 |
$2,836.63 |
$1,997.89
|
|
Drng salivary gland submax/subling 42310
|
$376.35 |
$376.35 |
$376.35 |
$564.16
|
|
Droperidol 2.5 mg/ml injection solution
|
$32.13 |
$32.13 |
$32.13 |
$32.82
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$18.85 |
$18.85 |
$18.85 |
$57.00
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$18.85 |
$18.85 |
$18.85 |
$367.29
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$2,482.35 |
$2,482.35 |
$2,482.35 |
$448.16
|
|
Drug admin & hemodynmic meas
|
$896.35 |
$896.35 |
$896.35 |
$612.15
|
|
Drug assay caffeine
|
$113.10 |
$113.10 |
$113.10 |
$89.17
|
|
Drug assay posaconazole
|
$173.55 |
$173.55 |
$173.55 |
$96.75
|
|
Drug assay vedolizumab
|
$244.40 |
$244.40 |
$244.40 |
$172.90
|
|
Drug assay voriconazole
|
$167.05 |
$167.05 |
$167.05 |
$96.75
|
|
Drug of abuse screen urine
|
$123.50 |
$123.50 |
$123.50 |
$58.50
|
|
Drug test prsmv instrmnt
|
$193.05 |
$193.05 |
$193.05 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$254.80 |
$254.80 |
$254.80 |
$278.85
|
|
Drvvt confirm - quest
|
$174.85 |
$174.85 |
$174.85 |
$108.55
|
|
Dstrj nulyt agt gnclr nrv
|
$3,091.94 |
$3,091.94 |
$3,091.94 |
$2,834.84
|
|
Ductogram sgl duct
|
$1,113.45 |
$1,113.45 |
$1,113.45 |
$346.42
|
|
Duplex scan bilateral study 93985
|
$1,841.45 |
$1,841.45 |
$1,841.45 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$1,057.55 |
$1,057.55 |
$1,057.55 |
$357.60
|
|
Dup scan/hemodialysis access 93990
|
$493.35 |
$493.35 |
$493.35 |
$499.38
|
