|
Dilation of vagina
|
$195.20 |
$195.20 |
$195.20 |
$3,519.29
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,853.59 |
$1,853.59 |
$1,853.59 |
$1,001.55
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$2.80 |
$2.80 |
$2.80 |
$1.62
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$66.71 |
$66.71 |
$66.71 |
$22.58
|
|
Dir nsl mucous membrane test
|
$44.00 |
$44.00 |
$44.00 |
$51.36
|
|
Disability dlco
|
$178.40 |
$178.40 |
$178.40 |
$304.99
|
|
Disaccharidases
|
$318.40 |
$318.40 |
$318.40 |
$231.67
|
|
Division of fallopian tube 58605
|
$500.00 |
$500.00 |
$500.00 |
$832.00
|
|
Dna antibody native/double stranded
|
$142.40 |
$142.40 |
$142.40 |
$103.20
|
|
Dna gardnerella
|
$36.80 |
$36.80 |
$36.80 |
$67.68
|
|
Dna probe gc
|
$104.00 |
$104.00 |
$104.00 |
$90.35
|
|
Dna trichomonas
|
$36.80 |
$36.80 |
$36.80 |
$71.50
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$156.46 |
$156.46 |
$156.46 |
$98.43
|
|
Docetaxel (docivyx), 1 mg
|
$173.82 |
$173.82 |
$173.82 |
$50.99
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$92.45 |
$92.45 |
$92.45 |
$64.77
|
|
Doppler echo complete
|
$204.00 |
$204.00 |
$204.00 |
$644.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$154.40 |
$154.40 |
$154.40 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$132.80 |
$132.80 |
$132.80 |
$495.28
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$90.74 |
$90.74 |
$90.74 |
$232.80
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$605.03 |
$605.03 |
$605.03 |
$2,657.80
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$147.82 |
$147.82 |
$147.82 |
$89.34
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$963.20 |
$963.20 |
$963.20 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$351.20 |
$351.20 |
$351.20 |
$865.60
|
|
Drainage external ear complex 69005
|
$2,510.40 |
$2,510.40 |
$2,510.40 |
$3,016.11
|
|
Drainage external ear simple 69000
|
$278.40 |
$278.40 |
$278.40 |
$800.00
|
|
Drainage of arm bursa 23931
|
$454.40 |
$454.40 |
$454.40 |
$2,402.32
|
|
Drainage of forearm bursa
|
$569.60 |
$569.60 |
$569.60 |
$2,211.05
|
|
Drainage of nose lesion int 30000
|
$392.80 |
$392.80 |
$392.80 |
$615.20
|
|
Drainage of nose lesion sept 30020
|
$408.00 |
$408.00 |
$408.00 |
$755.95
|
|
Drainage of rectal abscess
|
$484.80 |
$484.80 |
$484.80 |
$2,299.90
|
|
Drain bladder by trocar/cath
|
$233.60 |
$233.60 |
$233.60 |
$1,078.00
|
|
Drain blood from under nail 11740
|
$84.80 |
$84.80 |
$84.80 |
$190.10
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,856.80 |
$1,856.80 |
$1,856.80 |
$2,534.21
|
|
Drain cath image guided visceral pq
|
$2,996.80 |
$2,996.80 |
$2,996.80 |
$3,025.20
|
|
Drain cerebro spinal fluid 62272
|
$358.40 |
$358.40 |
$358.40 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$524.00 |
$524.00 |
$524.00 |
$490.80
|
|
Drain lower leg lesion 27603
|
$778.40 |
$778.40 |
$778.40 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$723.20 |
$723.20 |
$723.20 |
$3,252.66
|
|
Drain ovarn cyst abd
|
$635.20 |
$635.20 |
$635.20 |
$3,578.75
|
|
Drain shoulder bone lesion
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$3,345.60
|
|
Drain thigh/knee lesion 27301
|
$1,001.60 |
$1,001.60 |
$1,001.60 |
$3,606.86
|
|
Drain thyroid/tongue cyst
|
$280.80 |
$280.80 |
$280.80 |
$1,640.99
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$232.80 |
$232.80 |
$232.80 |
$403.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$200.00 |
$200.00 |
$200.00 |
$359.45
|
|
Dressing change not for burn w/anes 15852
|
$66.40 |
$66.40 |
$66.40 |
$720.88
|
|
Drng hand tendon sheath 26020
|
$823.20 |
$823.20 |
$823.20 |
$3,786.00
|
|
Drng of eyelid abscess 67700
|
$425.60 |
$425.60 |
$425.60 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$731.20 |
$731.20 |
$731.20 |
$1,908.09
|
|
Drng of hydrocele 55000
|
$179.20 |
$179.20 |
$179.20 |
$832.60
|
|
Drng of palm single bursa 26025
|
$641.60 |
$641.60 |
$641.60 |
$2,444.37
|
|
Drng of scrotum abscess 55100
|
$340.80 |
$340.80 |
$340.80 |
$1,997.89
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$1,490.40 |
$1,490.40 |
$1,490.40 |
$2,461.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$69.06 |
$69.06 |
$69.06 |
$33.99
|
|
Drug admin & hemodynmic meas
|
$277.60 |
$277.60 |
$277.60 |
$542.23
|
|
Drug assay caffeine
|
$67.20 |
$67.20 |
$67.20 |
$88.83
|
|
Drug assay rufinamide
|
$121.60 |
$121.60 |
$121.60 |
$100.32
|
|
Drug of abuse screen urine
|
$15.20 |
$15.20 |
$15.20 |
$63.75
|
|
Drug test def 15-21 classes
|
$316.00 |
$316.00 |
$316.00 |
$142.17
|
|
Drug test def 1-7 classes
|
$120.80 |
$120.80 |
$120.80 |
$269.93
|
|
Drug test def 22+ classes
|
$409.60 |
$409.60 |
$409.60 |
$211.93
|
|
Drug test def 8-14 classes
|
$140.00 |
$140.00 |
$140.00 |
$172.25
|
|
Drug test prsmv instrmnt
|
$247.20 |
$247.20 |
$247.20 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$787.20 |
$787.20 |
$787.20 |
$285.97
|
|
Dstr mal les s/n/h/f/g >4.0
|
$424.00 |
$424.00 |
$424.00 |
$681.12
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$356.00 |
$356.00 |
$356.00 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$412.80 |
$412.80 |
$412.80 |
$688.00
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$518.40 |
$518.40 |
$518.40 |
$886.40
|
|
Dup scan/hemodialysis access 93990
|
$434.40 |
$434.40 |
$434.40 |
$499.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$464.00 |
$464.00 |
$464.00 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$761.60 |
$761.60 |
$761.60 |
$887.25
|
|
Durvalumab 50 mg/ml intravenous solution
|
$5,640.61 |
$5,640.61 |
$5,640.61 |
$7,161.10
|
|
Dxa bone density axl vrt fx
|
$201.60 |
$201.60 |
$201.60 |
$383.80
|
|
Dx bronchoscope/lavage 31624
|
$381.60 |
$381.60 |
$381.60 |
$2,671.50
|
|
Dx bronchoscope/wash 31622
|
$373.60 |
$373.60 |
$373.60 |
$2,466.80
|
|
Ear irrigation 69209
|
$92.80 |
$92.80 |
$92.80 |
$155.20
|
|
Ecg 12 lead tracing only
|
$127.20 |
$127.20 |
$127.20 |
$245.30
|
|
Ecg/1-3 leads/interp & report only 93042
|
$10.40 |
$10.40 |
$10.40 |
$16.00
|
|
Ecg external < 48 hours recording
|
$145.60 |
$145.60 |
$145.60 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$267.20 |
$267.20 |
$267.20 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$78.40 |
$78.40 |
$78.40 |
$153.17
|
|
Ecg external >7 days up to 15 days recording
|
$127.20 |
$127.20 |
$127.20 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$2,079.35
|
|
Echocardiography doppler color flow mapping
|
$410.40 |
$410.40 |
$410.40 |
$461.61
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,011.20 |
$1,011.20 |
$1,011.20 |
$2,001.17
|
|
Echocardiography transthoracic 2d followup/limited
|
$318.40 |
$318.40 |
$318.40 |
$776.88
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$656.80 |
$656.80 |
$656.80 |
$757.45
|
|
Echocardiograpy doppler follow up/limited study
|
$509.60 |
$509.60 |
$509.60 |
$354.90
|
|
Echo exam of fetal heart
|
$842.40 |
$842.40 |
$842.40 |
$855.38
|
|
Echo exam uterus 76831-
|
$381.60 |
$381.60 |
$381.60 |
$552.03
|
|
Echo guide for amniocentesis
|
$327.20 |
$327.20 |
$327.20 |
$377.11
|
|
Echo guide for artery repair
|
$922.40 |
$922.40 |
$922.40 |
$680.28
|
|
Echo stress
|
$646.40 |
$646.40 |
$646.40 |
$1,643.00
|
|
Echo tee guidance
|
$1,392.80 |
$1,392.80 |
$1,392.80 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$772.00 |
$772.00 |
$772.00 |
$1,953.70
|
|
Echo transthoracic
|
$508.80 |
$508.80 |
$508.80 |
$1,539.20
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$556.80 |
$556.80 |
$556.80 |
$1,026.40
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$47.20 |
$47.20 |
$47.20 |
$81.90
|
|
Egd balloon dil esoph30 mm/>
|
$334.40 |
$334.40 |
$334.40 |
$2,200.46
|
|
Egd control bleeding any
|
$966.40 |
$966.40 |
$966.40 |
$2,584.39
|
|
Egd dilate stricture
|
$917.60 |
$917.60 |
$917.60 |
$2,896.80
|
