|
Diab manage trn ind/group
|
$44.10 |
$44.10 |
$44.10 |
$54.99
|
|
Diagnostic digital breast tomosynthesis bil
|
$80.17 |
$80.17 |
$80.17 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$80.17 |
$80.17 |
$80.17 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$429.03 |
$429.03 |
$429.03 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$334.81 |
$334.81 |
$334.81 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$261.55 |
$261.55 |
$261.55 |
$314.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.18 |
$0.18 |
$0.18 |
$115.15
|
|
Diffusing capacity
|
$157.27 |
$157.27 |
$157.27 |
$336.80
|
|
Digoxin total therapeutic drug level
|
$48.04 |
$48.04 |
$48.04 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$164.78 |
$164.78 |
$164.78 |
$297.86
|
|
Dilate urethra stricture
|
$324.29 |
$324.29 |
$324.29 |
$513.00
|
|
Dilat xst trc ndurlgc px
|
$4,335.25 |
$4,335.25 |
$4,335.25 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$7,428.10 |
$7,428.10 |
$7,428.10 |
$4,258.20
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,121.44 |
$1,121.44 |
$1,121.44 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.16 |
$1.16 |
$1.16 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.18 |
$1.18 |
$1.18 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$98.56 |
$98.56 |
$98.56 |
$98.15
|
|
Dipyridamole injection
|
$1.44 |
$1.44 |
$1.44 |
$48.04
|
|
Disability dlco
|
$367.00 |
$367.00 |
$367.00 |
$293.76
|
|
Disaccharidases
|
$65.34 |
$65.34 |
$65.34 |
$230.40
|
|
Dmpk gene detc abnor allele
|
$364.25 |
$364.25 |
$364.25 |
$313.60
|
|
Dna antibody native/double stranded
|
$49.75 |
$49.75 |
$49.75 |
$100.00
|
|
Dna gardnerella
|
$72.57 |
$72.57 |
$72.57 |
$61.83
|
|
Dna trichomonas
|
$72.57 |
$72.57 |
$72.57 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$11.50 |
$11.50 |
$11.50 |
$95.06
|
|
Doppler echo complete
|
$177.74 |
$177.74 |
$177.74 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$367.00 |
$367.00 |
$367.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$255.27 |
$255.27 |
$255.27 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$36,623.70 |
$36,623.70 |
$36,623.70 |
$34,278.00
|
|
Dorsi & plantar flex ass/res
|
$166.66 |
$166.66 |
$166.66 |
$163.44
|
|
Dpyd gene common variants
|
$488.01 |
$488.01 |
$488.01 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,496.14 |
$1,496.14 |
$1,496.14 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,307.90 |
$1,307.90 |
$1,307.90 |
$964.00
|
|
Drainage external ear simple 69000
|
$1,338.47 |
$1,338.47 |
$1,338.47 |
$790.40
|
|
Drainage mouth roof lesion
|
$553.14 |
$553.14 |
$553.14 |
$405.60
|
|
Drainage of arm bursa 23931
|
$3,433.44 |
$3,433.44 |
$3,433.44 |
$2,271.01
|
|
Drainage of kidney lesion
|
$1,537.43 |
$1,537.43 |
$1,537.43 |
$1,506.00
|
|
Drainage of mouth lesion
|
$586.66 |
$586.66 |
$586.66 |
$535.20
|
|
Drainage of mouth lesion
|
$6,603.87 |
$6,603.87 |
$6,603.87 |
$3,837.72
|
|
Drainage of mouth lesion
|
$11,200.30 |
$11,200.30 |
$11,200.30 |
$6,781.90
|
|
Drainage of rectal abscess
|
$2,377.44 |
$2,377.44 |
$2,377.44 |
$2,135.10
|
|
Drain blood from under nail 11740
|
$255.27 |
$255.27 |
$255.27 |
$182.40
|
|
Drain cath image guided visceral pq
|
$3,486.44 |
$3,486.44 |
$3,486.44 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$1,215.65 |
$1,215.65 |
$1,215.65 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$497.06 |
$497.06 |
$497.06 |
$428.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$497.06 |
$497.06 |
$497.06 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$444.52 |
$444.52 |
$444.52 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$842.52 |
$842.52 |
$842.52 |
$541.00
|
|
Drng of finger abscess comp 26011
|
$3,168.00 |
$3,168.00 |
$3,168.00 |
$2,079.50
|
|
Drng of palm single bursa 26025
|
$6,184.83 |
$6,184.83 |
$6,184.83 |
$3,839.54
|
|
Drng of scrotum abscess 55100
|
$3,486.44 |
$3,486.44 |
$3,486.44 |
$1,997.89
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$9.26 |
$9.26 |
$9.26 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$685.67 |
$685.67 |
$685.67 |
$193.15
|
|
Drug assay caffeine
|
$113.07 |
$113.07 |
$113.07 |
$80.00
|
|
Drug assay posaconazole
|
$75.50 |
$75.50 |
$75.50 |
$96.75
|
|
Drug assay rufinamide
|
$63.86 |
$63.86 |
$63.86 |
$87.10
|
|
Drug assay vedolizumab
|
$80.18 |
$80.18 |
$80.18 |
$154.00
|
|
Drug assay voriconazole
|
$75.69 |
$75.69 |
$75.69 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$43.91 |
$43.91 |
$43.91 |
$66.43
|
|
Drug of abuse screen urine
|
$35.17 |
$35.17 |
$35.17 |
$67.89
|
|
Drug screening tapentadol
|
$100.30 |
$100.30 |
$100.30 |
$47.03
|
|
Drug/substance nos 4-6
|
$671.32 |
$671.32 |
$671.32 |
$72.14
|
|
Drug test def 15-21 classes
|
$582.56 |
$582.56 |
$582.56 |
$322.50
|
|
Drug test def 1-7 classes
|
$186.98 |
$186.98 |
$186.98 |
$263.25
|
|
Drug test def 22+ classes
|
$723.78 |
$723.78 |
$723.78 |
$426.24
|
|
Drug test def 8-14 classes
|
$459.01 |
$459.01 |
$459.01 |
$289.80
|
|
Drug test prsmv instrmnt
|
$52.64 |
$52.64 |
$52.64 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$121.92 |
$121.92 |
$121.92 |
$278.85
|
|
Drvvt confirm - quest
|
$65.05 |
$65.05 |
$65.05 |
$109.20
|
|
Dx aly aud oi snd prcsr 1st
|
$328.15 |
$328.15 |
$328.15 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$164.07 |
$164.07 |
$164.07 |
$51.52
|
|
Dx bronchoscope/brush 31623
|
$3,409.02 |
$3,409.02 |
$3,409.02 |
$2,120.32
|
|
Dx bronchoscope/wash 31622
|
$3,773.32 |
$3,773.32 |
$3,773.32 |
$2,410.50
|
|
Dx laryngoscopy w/oper scope
|
$3,404.45 |
$3,404.45 |
$3,404.45 |
$2,755.53
|
|
Ear irrigation 69209
|
$146.22 |
$146.22 |
$146.22 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$146.22 |
$146.22 |
$146.22 |
$132.08
|
|
Ecg external > 48 hours up to 7 days recording
|
$89.86 |
$89.86 |
$89.86 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$143.86 |
$143.86 |
$143.86 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,151.46 |
$1,151.46 |
$1,151.46 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$539.02 |
$539.02 |
$539.02 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$177.74 |
$177.74 |
$177.74 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,320.81 |
$1,320.81 |
$1,320.81 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$768.88 |
$768.88 |
$768.88 |
$866.87
|
|
Echo tee guidance
|
$1,413.99 |
$1,413.99 |
$1,413.99 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,319.72 |
$1,319.72 |
$1,319.72 |
$1,913.60
|
|
Ecmo/ecls daily mgmt artery 33949
|
$27,083.19 |
$27,083.19 |
$27,083.19 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$5,512.53 |
$5,512.53 |
$5,512.53 |
$3,099.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$9,133.27 |
$9,133.27 |
$9,133.27 |
$1,660.50
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$102.70 |
$102.70 |
$102.70 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$637.83 |
$637.83 |
$637.83 |
$934.05
|
|
Eeg monitor/record/awake/drowsy 95816
|
$643.99 |
$643.99 |
$643.99 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$689.36 |
$689.36 |
$689.36 |
$1,119.54
|
|
E equine encephalitis igg
|
$31.06 |
$31.06 |
$31.06 |
$51.84
|
|
Egd guide wire insertion
|
$1,574.63 |
$1,574.63 |
$1,574.63 |
$1,664.00
|
|
Egd remove foreign body
|
$1,711.15 |
$1,711.15 |
$1,711.15 |
$1,571.40
|
|
Egfr gene com variants
|
$951.44 |
$951.44 |
$951.44 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$82.65 |
$82.65 |
$82.65 |
$93.00
|
|
EKG tracing for initial prev
|
$65.29 |
$65.29 |
$65.29 |
$81.76
|
|
EKG (Tracing Only)
|
$146.22 |
$146.22 |
$146.22 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$201.75 |
$201.75 |
$201.75 |
$291.94
|
