|
Debr musc/fascia 20sq cm/< 11043
|
$1,093.00 |
$1,093.00 |
$1,093.00 |
$1,193.40
|
|
Decalcification
|
$266.00 |
$266.00 |
$266.00 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$826.00 |
$826.00 |
$826.00 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$318.54 |
$318.54 |
$318.54 |
$96.41
|
|
Delivery of placenta 59414
|
$2,916.00 |
$2,916.00 |
$2,916.00 |
$3,271.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$157.00 |
$157.00 |
$157.00 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$9,914.41 |
$9,914.41 |
$9,914.41 |
$6,508.51
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$1,186.00 |
$1,186.00 |
$1,186.00 |
$460.50
|
|
Desmopressin 4 mcg/ml injection solution
|
$708.63 |
$708.63 |
$708.63 |
$116.22
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$269.60
|
|
Destroy cervthor facet jnt 64633
|
$12,290.00 |
$12,290.00 |
$12,290.00 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$2,804.00 |
$2,804.00 |
$2,804.00 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$373.00 |
$373.00 |
$373.00 |
$220.12
|
|
Destruction 2-14 lesions 17003
|
$56.00 |
$56.00 |
$56.00 |
$72.60
|
|
Destruction benign lesions < 14 lesions
|
$524.00 |
$524.00 |
$524.00 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$3,126.00 |
$3,126.00 |
$3,126.00 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$7,833.00 |
$7,833.00 |
$7,833.00 |
$3,375.00
|
|
Destruction premal lesions 15/> 17004
|
$2,659.00 |
$2,659.00 |
$2,659.00 |
$470.51
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$220.43
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$27.31 |
$27.31 |
$27.31 |
$27.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$96.76 |
$96.76 |
$96.76 |
$43.65
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$96.76 |
$96.76 |
$96.76 |
$61.49
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$30.99 |
$30.99 |
$30.99 |
$47.22
|
|
Dextrose 5 % IV bolus
|
$96.76 |
$96.76 |
$96.76 |
$48.58
|
|
Dhea-s (dehydroepiand sulfate)
|
$153.00 |
$153.00 |
$153.00 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$184.00 |
$184.00 |
$184.00 |
$78.03
|
|
Diagnostic anoscopy spx 46600
|
$2,124.00 |
$2,124.00 |
$2,124.00 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$242.00 |
$242.00 |
$242.00 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$168.00 |
$168.00 |
$168.00 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$321.00 |
$321.00 |
$321.00 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$829.00 |
$829.00 |
$829.00 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$712.00 |
$712.00 |
$712.00 |
$301.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$501.26 |
$501.26 |
$501.26 |
$122.25
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$44.72 |
$44.72 |
$44.72 |
$73.22
|
|
Dicyclomine injection
|
$135.49 |
$135.49 |
$135.49 |
$202.91
|
|
Diffusing capacity
|
$782.00 |
$782.00 |
$782.00 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$26.87 |
$26.87 |
$26.87 |
$78.40
|
|
Digoxin total therapeutic drug level
|
$160.00 |
$160.00 |
$160.00 |
$102.00
|
|
Dilate urethra stricture
|
$588.00 |
$588.00 |
$588.00 |
$514.79
|
|
Dilate urethra stricture
|
$344.00 |
$344.00 |
$344.00 |
$185.58
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$23.22 |
$23.22 |
$23.22 |
$24.70
|
|
Disability dlco
|
$488.00 |
$488.00 |
$488.00 |
$307.58
|
|
Disaccharidases
|
$357.00 |
$357.00 |
$357.00 |
$223.80
|
|
Dna antibody native/double stranded
|
$135.00 |
$135.00 |
$135.00 |
$102.60
|
|
Dna trichomonas
|
$118.00 |
$118.00 |
$118.00 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$354.96 |
$354.96 |
$354.96 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,055.19 |
$1,055.19 |
$1,055.19 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$121.37 |
$121.37 |
$121.37 |
$76.20
|
|
Doppler echo complete
|
$644.00 |
$644.00 |
$644.00 |
$608.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,568.00 |
$1,568.00 |
$1,568.00 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$482.03
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$57,544.21 |
$57,544.21 |
$57,544.21 |
$25,883.50
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$237.54 |
$237.54 |
$237.54 |
$409.84
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$11,126.64 |
$11,126.64 |
$11,126.64 |
$2,242.17
|
|
Dpyd gene common variants
|
$1,369.00 |
$1,369.00 |
$1,369.00 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,247.00 |
$1,247.00 |
$1,247.00 |
$820.50
|
|
Drainage external ear complex 69005
|
$10,544.00 |
$10,544.00 |
$10,544.00 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$815.00 |
$815.00 |
$815.00 |
$809.25
|
|
Drainage mouth roof lesion
|
$1,832.00 |
$1,832.00 |
$1,832.00 |
$474.39
|
|
Drainage of mouth lesion
|
$3,495.00 |
$3,495.00 |
$3,495.00 |
$1,022.40
|
|
Drainage of nose lesion int 30000
|
$597.83 |
$597.83 |
$597.83 |
$548.00
|
|
Drainage of pelvis lesion 26990
|
$25,037.00 |
$25,037.00 |
$25,037.00 |
$3,969.00
|
|
Drain blood from under nail 11740
|
$316.00 |
$316.00 |
$316.00 |
$190.33
|
|
Drain cath image guided visceral pq
|
$5,597.00 |
$5,597.00 |
$5,597.00 |
$3,073.90
|
|
Drain finger abscess;simple 26010
|
$1,542.00 |
$1,542.00 |
$1,542.00 |
$492.81
|
|
Drain lower leg lesion 27603
|
$17,700.00 |
$17,700.00 |
$17,700.00 |
$3,631.18
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$1,359.00 |
$1,359.00 |
$1,359.00 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$555.00 |
$555.00 |
$555.00 |
$365.60
|
|
Drng of eyelid abscess 67700
|
$1,991.00 |
$1,991.00 |
$1,991.00 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$10,544.00 |
$10,544.00 |
$10,544.00 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$6,401.00 |
$6,401.00 |
$6,401.00 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$11,949.00 |
$11,949.00 |
$11,949.00 |
$2,069.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$29.72 |
$29.72 |
$29.72 |
$34.85
|
|
Drug assay posaconazole
|
$75.00 |
$75.00 |
$75.00 |
$96.39
|
|
Drug assay voriconazole
|
$73.00 |
$73.00 |
$73.00 |
$96.75
|
|
Drug of abuse screen urine
|
$97.00 |
$97.00 |
$97.00 |
$63.75
|
|
Drug screening tapentadol
|
$78.39 |
$78.39 |
$78.39 |
$36.00
|
|
Drug test def 1-7 classes
|
$199.00 |
$199.00 |
$199.00 |
$268.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$502.00 |
$502.00 |
$502.00 |
$278.85
|
|
Drvvt confirm - quest
|
$107.00 |
$107.00 |
$107.00 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$8,218.00 |
$8,218.00 |
$8,218.00 |
$3,390.00
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$3,104.00 |
$3,104.00 |
$3,104.00 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$63,181.52 |
$63,181.52 |
$63,181.52 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$606.00 |
$606.00 |
$606.00 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$9,570.00 |
$9,570.00 |
$9,570.00 |
$2,780.40
|
|
Ear canal biopsy 69105
|
$12,907.00 |
$12,907.00 |
$12,907.00 |
$1,768.50
|
|
Ear irrigation 69209
|
$54.00 |
$54.00 |
$54.00 |
$165.42
|
|
Ecg 12 lead tracing only
|
$309.00 |
$309.00 |
$309.00 |
$245.00
|
|
Ecg external < 48 hours recording
|
$905.00 |
$905.00 |
$905.00 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$615.00 |
$615.00 |
$615.00 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$1,231.00 |
$1,231.00 |
$1,231.00 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,120.00 |
$2,120.00 |
$2,120.00 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$367.00 |
$367.00 |
$367.00 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$3,258.00 |
$3,258.00 |
$3,258.00 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$781.00 |
$781.00 |
$781.00 |
$353.46
|
|
Echo stress
|
$1,308.00 |
$1,308.00 |
$1,308.00 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$6,818.00 |
$6,818.00 |
$6,818.00 |
$1,871.10
|
|
Eculizumab injection
|
$57,747.97 |
$57,747.97 |
$57,747.97 |
$82,163.83
|
