|
Cytopath smear oth prep screen & interp
|
$97.22 |
$97.22 |
$97.22 |
$96.20
|
|
Dalbavancin 500 mg intravenous solution
|
$26.40 |
$26.40 |
$26.40 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.06 |
$0.06 |
$0.06 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$11.70 |
$11.70 |
$11.70 |
$6,281.29
|
|
Dch validity tests
|
$23.72 |
$23.72 |
$23.72 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$24.49 |
$24.49 |
$24.49 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$394.61 |
$394.61 |
$394.61 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$3,698.98 |
$3,698.98 |
$3,698.98 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$768.24 |
$768.24 |
$768.24 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,223.50 |
$1,223.50 |
$1,223.50 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$920.28 |
$920.28 |
$920.28 |
$835.20
|
|
Debride nail1-5 11720
|
$141.78 |
$141.78 |
$141.78 |
$149.60
|
|
Debride nail6 or more 11721
|
$141.78 |
$141.78 |
$141.78 |
$169.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$728.59 |
$728.59 |
$728.59 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,433.06 |
$1,433.06 |
$1,433.06 |
$1,165.50
|
|
Decalcification
|
$31.69 |
$31.69 |
$31.69 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$239.54 |
$239.54 |
$239.54 |
$572.95
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$558.13 |
$558.13 |
$558.13 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$36.32 |
$36.32 |
$36.32 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$330.69 |
$330.69 |
$330.69 |
$401.60
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$433.89 |
$433.89 |
$433.89 |
$275.88
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$433.89 |
$433.89 |
$433.89 |
$274.80
|
|
Destroy vulva lesion simple 56501
|
$2,177.90 |
$2,177.90 |
$2,177.90 |
$3,562.00
|
|
Destruction benign lesions < 14 lesions
|
$179.43 |
$179.43 |
$179.43 |
$240.24
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$1,093.55 |
$1,093.55 |
$1,093.55 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$857.10 |
$857.10 |
$857.10 |
$569.80
|
|
Developmental screen/score/document 96110
|
$143.13 |
$143.13 |
$143.13 |
$142.38
|
|
Device intraute mirena
|
$1,773.21 |
$1,773.21 |
$1,773.21 |
$2,125.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$0.06 |
$0.06 |
$0.06 |
$20.76
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$5.19 |
$5.19 |
$5.19 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$247.84 |
$247.84 |
$247.84 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$109.76 |
$109.76 |
$109.76 |
$79.30
|
|
Diagnostic anoscopy spx 46600
|
$348.09 |
$348.09 |
$348.09 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$74.50 |
$74.50 |
$74.50 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$79.23 |
$79.23 |
$79.23 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$244.43 |
$244.43 |
$244.43 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$566.53 |
$566.53 |
$566.53 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$413.20 |
$413.20 |
$413.20 |
$314.00
|
|
Diffusing capacity
|
$223.02 |
$223.02 |
$223.02 |
$336.80
|
|
Digoxin total therapeutic drug level
|
$95.38 |
$95.38 |
$95.38 |
$102.07
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.05 |
$0.05 |
$0.05 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$0.96 |
$0.96 |
$0.96 |
$18.32
|
|
Disability dlco
|
$240.16 |
$240.16 |
$240.16 |
$293.76
|
|
Disaccharidases
|
$325.87 |
$325.87 |
$325.87 |
$230.40
|
|
Dis site tele svcs rhc/fqhc
|
$216.27 |
$216.27 |
$216.27 |
$96.75
|
|
Dna antibody native/double stranded
|
$111.60 |
$111.60 |
$111.60 |
$100.00
|
|
Dna gardnerella
|
$42.59 |
$42.59 |
$42.59 |
$61.83
|
|
Dna probe chlamydia
|
$55.23 |
$55.23 |
$55.23 |
$82.20
|
|
Dna probe gc
|
$55.23 |
$55.23 |
$55.23 |
$79.38
|
|
Dna trichomonas
|
$42.59 |
$42.59 |
$42.59 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$10.08 |
$10.08 |
$10.08 |
$95.06
|
|
Doppler echo complete
|
$327.57 |
$327.57 |
$327.57 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$358.74 |
$358.74 |
$358.74 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$286.42 |
$286.42 |
$286.42 |
$481.65
|
|
Dpyd gene common variants
|
$429.25 |
$429.25 |
$429.25 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$518.48 |
$518.48 |
$518.48 |
$800.00
|
|
Drainage external ear simple 69000
|
$1,738.83 |
$1,738.83 |
$1,738.83 |
$790.40
|
|
Drainage mouth roof lesion
|
$549.65 |
$549.65 |
$549.65 |
$405.60
|
|
Drainage of arm bursa 23931
|
$4,292.42 |
$4,292.42 |
$4,292.42 |
$2,271.01
|
|
Drainage of mouth lesion
|
$5,385.73 |
$5,385.73 |
$5,385.73 |
$3,837.72
|
|
Drain blood from under nail 11740
|
$294.02 |
$294.02 |
$294.02 |
$182.40
|
|
Drain finger abscess;simple 26010
|
$445.44 |
$445.44 |
$445.44 |
$428.40
|
|
Drain neck/chest lesion 21501
|
$7,435.50 |
$7,435.50 |
$7,435.50 |
$3,339.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$445.44 |
$445.44 |
$445.44 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$445.44 |
$445.44 |
$445.44 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$920.28 |
$920.28 |
$920.28 |
$541.00
|
|
Drng of eyelid abscess 67700
|
$726.00 |
$726.00 |
$726.00 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,967.69 |
$2,967.69 |
$2,967.69 |
$2,079.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$28.17 |
$28.17 |
$28.17 |
$53.60
|
|
Drug assay caffeine
|
$94.86 |
$94.86 |
$94.86 |
$80.00
|
|
Drug assay posaconazole
|
$66.58 |
$66.58 |
$66.58 |
$96.75
|
|
Drug assay rufinamide
|
$59.82 |
$59.82 |
$59.82 |
$87.10
|
|
Drug assay vedolizumab
|
$96.06 |
$96.06 |
$96.06 |
$154.00
|
|
Drug assay voriconazole
|
$63.50 |
$63.50 |
$63.50 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$38.62 |
$38.62 |
$38.62 |
$66.43
|
|
Drug of abuse screen urine
|
$53.04 |
$53.04 |
$53.04 |
$67.89
|
|
Drug screening tapentadol
|
$92.85 |
$92.85 |
$92.85 |
$47.03
|
|
Drug/substance nos 4-6
|
$605.44 |
$605.44 |
$605.44 |
$72.14
|
|
Drug test def 15-21 classes
|
$512.42 |
$512.42 |
$512.42 |
$322.50
|
|
Drug test def 1-7 classes
|
$239.05 |
$239.05 |
$239.05 |
$263.25
|
|
Drug test def 8-14 classes
|
$332.65 |
$332.65 |
$332.65 |
$289.80
|
|
Drug test prsmv instrmnt
|
$44.16 |
$44.16 |
$44.16 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$128.30 |
$128.30 |
$128.30 |
$278.85
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$1,293.53 |
$1,293.53 |
$1,293.53 |
$886.40
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$908.46 |
$908.46 |
$908.46 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$130.88 |
$130.88 |
$130.88 |
$8,445.90
|
|
Dx aly aud oi snd prcsr 1st
|
$335.65 |
$335.65 |
$335.65 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$167.82 |
$167.82 |
$167.82 |
$51.52
|
|
Ear irrigation 69209
|
$141.78 |
$141.78 |
$141.78 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$267.62 |
$267.62 |
$267.62 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$251.95 |
$251.95 |
$251.95 |
$412.88
|
|
Ecg external < 48 hours recording
|
$543.80 |
$543.80 |
$543.80 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$80.29 |
$80.29 |
$80.29 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$136.53 |
$136.53 |
$136.53 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$208.53 |
$208.53 |
$208.53 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,149.28 |
$1,149.28 |
$1,149.28 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$608.90 |
$608.90 |
$608.90 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$327.57 |
$327.57 |
$327.57 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,770.16 |
$1,770.16 |
$1,770.16 |
$1,944.80
|