|
Diagnostic laryngoscopy 31575
|
$179.40 |
$179.40 |
$179.40 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$225.60 |
$225.60 |
$225.60 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$177.00 |
$177.00 |
$177.00 |
$314.00
|
|
Dialysis one evaluation
|
$2,238.60 |
$2,238.60 |
$2,238.60 |
$936.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$90.60 |
$90.60 |
$90.60 |
$79.71
|
|
Dicyclomine injection
|
$200.80 |
$200.80 |
$200.80 |
$154.33
|
|
Diffusing capacity
|
$222.00 |
$222.00 |
$222.00 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$33.00 |
$33.00 |
$33.00 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$10,544.00 |
$10,544.00 |
$10,544.00 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$32.40 |
$32.40 |
$32.40 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$110.40 |
$110.40 |
$110.40 |
$297.86
|
|
Dilate esophagus 1/mult pass
|
$424.80 |
$424.80 |
$424.80 |
$1,548.00
|
|
Dilate urethra stricture
|
$917.40 |
$917.40 |
$917.40 |
$513.00
|
|
Dilator fascial 10fx20cm
|
$103.20 |
$103.20 |
$103.20 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$498.60 |
$498.60 |
$498.60 |
$3,900.60
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$9.60 |
$9.60 |
$9.60 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$3.40 |
$3.40 |
$3.40 |
$18.32
|
|
Disability dlco
|
$201.00 |
$201.00 |
$201.00 |
$293.76
|
|
Disaccharidases
|
$204.00 |
$204.00 |
$204.00 |
$230.40
|
|
Dna antibody native/double stranded
|
$33.60 |
$33.60 |
$33.60 |
$100.00
|
|
Dna gardnerella
|
$49.20 |
$49.20 |
$49.20 |
$61.83
|
|
Dna trichomonas
|
$67.80 |
$67.80 |
$67.80 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$49.80 |
$49.80 |
$49.80 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$60.40 |
$60.40 |
$60.40 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$42.60 |
$42.60 |
$42.60 |
$65.40
|
|
Doppler echo complete
|
$331.80 |
$331.80 |
$331.80 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$436.20 |
$436.20 |
$436.20 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$189.60 |
$189.60 |
$189.60 |
$481.65
|
|
Doripenem 50 mg/ml inj 10 ml
|
$3.00 |
$3.00 |
$3.00 |
$73.80
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$534.00 |
$534.00 |
$534.00 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$57.20 |
$57.20 |
$57.20 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,388.40 |
$1,388.40 |
$1,388.40 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$0.78 |
$0.78 |
$0.78 |
$89.34
|
|
Dpyd gene common variants
|
$1,535.40 |
$1,535.40 |
$1,535.40 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$684.00 |
$684.00 |
$684.00 |
$800.00
|
|
Drainage external ear simple 69000
|
$218.40 |
$218.40 |
$218.40 |
$790.40
|
|
Drainage mouth roof lesion
|
$3,780.60 |
$3,780.60 |
$3,780.60 |
$405.60
|
|
Drainage of arm bursa 23931
|
$1,223.40 |
$1,223.40 |
$1,223.40 |
$2,271.01
|
|
Drainage of kidney lesion
|
$622.80 |
$622.80 |
$622.80 |
$1,506.00
|
|
Drainage of mouth lesion
|
$2,941.80 |
$2,941.80 |
$2,941.80 |
$3,837.72
|
|
Drainage of mouth lesion
|
$2,850.60 |
$2,850.60 |
$2,850.60 |
$3,459.00
|
|
Drainage of nose lesion sept 30020
|
$8,451.00 |
$8,451.00 |
$8,451.00 |
$781.44
|
|
Drainage of rectal abscess
|
$771.60 |
$771.60 |
$771.60 |
$2,135.10
|
|
Drain blood from under nail 11740
|
$27.00 |
$27.00 |
$27.00 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,755.80 |
$2,755.80 |
$2,755.80 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,274.40 |
$1,274.40 |
$1,274.40 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$791.40 |
$791.40 |
$791.40 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$89.40 |
$89.40 |
$89.40 |
$428.40
|
|
Drain thigh/knee lesion 27301
|
$1,914.60 |
$1,914.60 |
$1,914.60 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$97.20 |
$97.20 |
$97.20 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$97.20 |
$97.20 |
$97.20 |
$349.50
|
|
Drng of eyelid abscess 67700
|
$199.80 |
$199.80 |
$199.80 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$795.60 |
$795.60 |
$795.60 |
$2,079.50
|
|
Drng of scrotum abscess 55100
|
$795.60 |
$795.60 |
$795.60 |
$1,997.89
|
|
Drng salivary gland submax/subling 42310
|
$2,892.00 |
$2,892.00 |
$2,892.00 |
$799.40
|
|
Droperidol 2.5 mg/ml injection solution
|
$21.60 |
$21.60 |
$21.60 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,493.40 |
$1,493.40 |
$1,493.40 |
$1,818.32
|
|
Drug test def 1-7 classes
|
$49.80 |
$49.80 |
$49.80 |
$263.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$52.80 |
$52.80 |
$52.80 |
$278.85
|
|
Drvvt confirm - quest
|
$109.80 |
$109.80 |
$109.80 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$1,220.40 |
$1,220.40 |
$1,220.40 |
$2,980.00
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$436.20 |
$436.20 |
$436.20 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$436.20 |
$436.20 |
$436.20 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$192.00 |
$192.00 |
$192.00 |
$8,445.90
|
|
Dx bronchoscope/lavage 31624
|
$4,104.60 |
$4,104.60 |
$4,104.60 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$740.40 |
$740.40 |
$740.40 |
$2,410.50
|
|
Ear irrigation 69209
|
$47.40 |
$47.40 |
$47.40 |
$154.70
|
|
Ecg < 30 days transmission & analysis
|
$1,456.80 |
$1,456.80 |
$1,456.80 |
$412.88
|
|
Ecg external < 48 hours recording
|
$153.00 |
$153.00 |
$153.00 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$146.40 |
$146.40 |
$146.40 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$69.60 |
$69.60 |
$69.60 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$114.00 |
$114.00 |
$114.00 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,352.40 |
$1,352.40 |
$1,352.40 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$594.00 |
$594.00 |
$594.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$382.80 |
$382.80 |
$382.80 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,329.60 |
$1,329.60 |
$1,329.60 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$507.00 |
$507.00 |
$507.00 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$264.60 |
$264.60 |
$264.60 |
$371.25
|
|
Echo exam of fetal heart
|
$728.40 |
$728.40 |
$728.40 |
$904.80
|
|
Echograp trans r pros study
|
$363.60 |
$363.60 |
$363.60 |
$468.00
|
|
Echo stress
|
$591.00 |
$591.00 |
$591.00 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$928.80 |
$928.80 |
$928.80 |
$1,913.60
|
|
Echo transesophageal intraop
|
$2,356.20 |
$2,356.20 |
$2,356.20 |
$1,578.00
|
|
Echo transthoracic
|
$543.60 |
$543.60 |
$543.60 |
$1,361.75
|
|
Echo transthoracic
|
$412.80 |
$412.80 |
$412.80 |
$1,052.40
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$518.40 |
$518.40 |
$518.40 |
$94.32
|
|
Eeg monitor/record/awake/drowsy 95816
|
$590.40 |
$590.40 |
$590.40 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$576.00 |
$576.00 |
$576.00 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$607.20 |
$607.20 |
$607.20 |
$871.00
|
|
Eeg recording awake and asleep
|
$691.80 |
$691.80 |
$691.80 |
$931.20
|
|
E equine encephalitis igg
|
$32.40 |
$32.40 |
$32.40 |
$51.84
|
|
Egd balloon dil esoph30 mm/>
|
$979.80 |
$979.80 |
$979.80 |
$2,244.82
|
|
Egd control bleeding any
|
$979.80 |
$979.80 |
$979.80 |
$2,553.75
|
|
Egd dilate stricture
|
$979.80 |
$979.80 |
$979.80 |
$2,394.60
|
|
Egd guide wire insertion
|
$979.80 |
$979.80 |
$979.80 |
$1,664.00
|
|
Egd injection varices
|
$979.80 |
$979.80 |
$979.80 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$979.80 |
$979.80 |
$979.80 |
$2,244.82
|
|
Egd remove foreign body
|
$979.80 |
$979.80 |
$979.80 |
$1,571.40
|
|
Egd remove lesion snare
|
$979.80 |
$979.80 |
$979.80 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$979.80 |
$979.80 |
$979.80 |
$2,244.82
|
