|
Dest mal lesion feenlm <0.5cm 17280
|
$68.90 |
$68.90 |
$68.90 |
$307.26
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$93.60 |
$93.60 |
$93.60 |
$440.00
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$107.90 |
$107.90 |
$107.90 |
$408.50
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$97.50 |
$97.50 |
$97.50 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$121.55 |
$121.55 |
$121.55 |
$275.88
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$180.05 |
$180.05 |
$180.05 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$107.25 |
$107.25 |
$107.25 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$125.45 |
$125.45 |
$125.45 |
$313.60
|
|
Destroy cervthor facet jnt 64633
|
$3,316.31 |
$3,316.31 |
$3,316.31 |
$2,963.07
|
|
Destroy cth facet jnt addl 64634
|
$3,316.31 |
$3,316.31 |
$3,316.31 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$124.15 |
$124.15 |
$124.15 |
$199.50
|
|
Destruct ben lesion 15/> 17111
|
$66.30 |
$66.30 |
$66.30 |
$250.20
|
|
Destruction benign lesions < 14 lesions
|
$204.10 |
$204.10 |
$204.10 |
$231.52
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$4,408.17 |
$4,408.17 |
$4,408.17 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$4,408.17 |
$4,408.17 |
$4,408.17 |
$3,101.88
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$108.55 |
$108.55 |
$108.55 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$130.65 |
$130.65 |
$130.65 |
$470.51
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$358.80 |
$358.80 |
$358.80 |
$461.12
|
|
Destruction mal lsn t/a/l >4cm
|
$121.55 |
$121.55 |
$121.55 |
$578.40
|
|
Destruction penis lesion(s) chem 54050
|
$85.15 |
$85.15 |
$85.15 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$1,639.95 |
$1,639.95 |
$1,639.95 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$78.00 |
$78.00 |
$78.00 |
$442.61
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$202.80 |
$202.80 |
$202.80 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$50.34 |
$50.34 |
$50.34 |
$8.23
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$40.30 |
$40.30 |
$40.30 |
$37.50
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$40.30 |
$40.30 |
$40.30 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$40.30 |
$40.30 |
$40.30 |
$48.56
|
|
Dextrose 5 % IV bolus
|
$27.30 |
$27.30 |
$27.30 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$191.10 |
$191.10 |
$191.10 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$43.55 |
$43.55 |
$43.55 |
$70.00
|
|
Diab manage trn ind/group
|
$44.85 |
$44.85 |
$44.85 |
$56.55
|
|
Diagnostic anoscopy spx 46600
|
$338.65 |
$338.65 |
$338.65 |
$252.00
|
|
Diagnostic laryngoscopy 31505
|
$154.05 |
$154.05 |
$154.05 |
$229.07
|
|
Diagnostic Mammogram (both breasts)
|
$332.80 |
$332.80 |
$332.80 |
$381.60
|
|
Diagnostic Mammogram (one breast)
|
$260.00 |
$260.00 |
$260.00 |
$276.60
|
|
Diathermy eg microwave
|
$39.00 |
$39.00 |
$39.00 |
$17.37
|
|
Diatrizoate meglumine 18 % urethral solution
|
$29.90 |
$29.90 |
$29.90 |
$58.24
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$13.00 |
$13.00 |
$13.00 |
$42.12
|
|
Dicyclomine injection
|
$39.39 |
$39.39 |
$39.39 |
$153.53
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$7.15 |
$7.15 |
$7.15 |
$29.85
|
|
Digoxin total therapeutic drug level
|
$113.75 |
$113.75 |
$113.75 |
$92.95
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$170.62 |
$170.62 |
$170.62 |
$297.86
|
|
Dilation/urethral strict/male/ini 53620
|
$306.15 |
$306.15 |
$306.15 |
$1,606.15
|
|
Diltiazem 5 mg/ml intravenous solution
|
$7.15 |
$7.15 |
$7.15 |
$49.92
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$9.29
|
|
Disability dlco
|
$339.95 |
$339.95 |
$339.95 |
$289.08
|
|
Disaccharidases
|
$312.00 |
$312.00 |
$312.00 |
$224.58
|
|
Dna antibody native/double stranded
|
$113.75 |
$113.75 |
$113.75 |
$101.40
|
|
Dna gardnerella
|
$56.55 |
$56.55 |
$56.55 |
$67.68
|
|
Dna probe chlamydia
|
$97.50 |
$97.50 |
$97.50 |
$98.40
|
|
Dna probe gc
|
$102.70 |
$102.70 |
$102.70 |
$88.67
|
|
Dna trichomonas
|
$58.50 |
$58.50 |
$58.50 |
$69.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$73.12 |
$73.12 |
$73.12 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$213.08 |
$213.08 |
$213.08 |
$131.40
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$51.19 |
$51.19 |
$51.19 |
$60.21
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$674.05 |
$674.05 |
$674.05 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$341.25 |
$341.25 |
$341.25 |
$463.20
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$32,070.96 |
$32,070.96 |
$32,070.96 |
$326.36
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$101.74 |
$101.74 |
$101.74 |
$97.83
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$843.73 |
$843.73 |
$843.73 |
$715.22
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$78.52 |
$78.52 |
$78.52 |
$81.30
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$455.00 |
$455.00 |
$455.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$373.75 |
$373.75 |
$373.75 |
$828.59
|
|
Drainage external ear complex 69005
|
$551.20 |
$551.20 |
$551.20 |
$3,016.11
|
|
Drainage external ear simple 69000
|
$633.10 |
$633.10 |
$633.10 |
$800.00
|
|
Drainage mouth roof lesion
|
$599.95 |
$599.95 |
$599.95 |
$408.80
|
|
Drainage of arm bursa 23931
|
$761.80 |
$761.80 |
$761.80 |
$2,437.50
|
|
Drainage of mouth lesion
|
$781.95 |
$781.95 |
$781.95 |
$2,047.08
|
|
Drainage of mouth lesion
|
$844.35 |
$844.35 |
$844.35 |
$3,723.23
|
|
Drainage of nose lesion int 30000
|
$415.35 |
$415.35 |
$415.35 |
$615.20
|
|
Drainage of nose lesion sept 30020
|
$332.15 |
$332.15 |
$332.15 |
$637.50
|
|
Drainage of rectal abscess
|
$578.50 |
$578.50 |
$578.50 |
$2,299.90
|
|
Drain blood from under nail 11740
|
$156.00 |
$156.00 |
$156.00 |
$173.21
|
|
Drain finger abscess;simple 26010
|
$477.75 |
$477.75 |
$477.75 |
$451.20
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$300.30 |
$300.30 |
$300.30 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$318.50 |
$318.50 |
$318.50 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$347.75 |
$347.75 |
$347.75 |
$515.00
|
|
Drng of eyelid abscess 67700
|
$423.15 |
$423.15 |
$423.15 |
$718.05
|
|
Drng of finger abscess comp 26011
|
$941.20 |
$941.20 |
$941.20 |
$1,908.09
|
|
Drng of mouth lesion 40801
|
$745.55 |
$745.55 |
$745.55 |
$858.60
|
|
Drng of scrotum abscess 55100
|
$742.95 |
$742.95 |
$742.95 |
$1,997.89
|
|
Drng salivary gland submax/subling 42310
|
$380.25 |
$380.25 |
$380.25 |
$564.16
|
|
Droperidol 2.5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$32.82
|
|
Drug assay caffeine
|
$135.20 |
$135.20 |
$135.20 |
$89.17
|
|
Drug assay posaconazole
|
$138.45 |
$138.45 |
$138.45 |
$96.75
|
|
Drug assay voriconazole
|
$110.50 |
$110.50 |
$110.50 |
$96.75
|
|
Drug of abuse screen urine
|
$117.65 |
$117.65 |
$117.65 |
$58.50
|
|
Drug test prsmv instrmnt
|
$89.05 |
$89.05 |
$89.05 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$243.75 |
$243.75 |
$243.75 |
$278.85
|
|
Drvvt confirm - quest
|
$126.10 |
$126.10 |
$126.10 |
$108.55
|
|
Dstrj nulyt agt gnclr nrv
|
$1,491.10 |
$1,491.10 |
$1,491.10 |
$2,834.84
|
|
Duplex scan unilateral study 93986
|
$633.10 |
$633.10 |
$633.10 |
$357.60
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$855.40 |
$855.40 |
$855.40 |
$852.57
|
|
Durvalumab 50 mg/ml intravenous solution
|
$2,767.76 |
$2,767.76 |
$2,767.76 |
$137.19
|
|
Dxa bone density axl vrt fx
|
$392.60 |
$392.60 |
$392.60 |
$365.14
|
|
Dx bronchoscope/wash 31622
|
$989.30 |
$989.30 |
$989.30 |
$2,512.54
|
|
Ear irrigation 69209
|
$222.30 |
$222.30 |
$222.30 |
$152.50
|
|
Ecg 12 lead tracing only
|
$224.90 |
$224.90 |
$224.90 |
$222.30
|
|
Ecg < 30 days transmission & analysis
|
$529.75 |
$529.75 |
$529.75 |
$404.21
|
