|
Dev tst admin phys/qhp ea addl 30 min
|
$171.60 |
$171.60 |
$171.60 |
$196.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$342.55 |
$342.55 |
$342.55 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$3.48 |
$3.48 |
$3.48 |
$5.61
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$23.27 |
$23.27 |
$23.27 |
$25.68
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$232.41 |
$232.41 |
$232.41 |
$504.81
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$43.65 |
$43.65 |
$43.65 |
$57.38
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$43.73 |
$43.73 |
$43.73 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$43.92 |
$43.92 |
$43.92 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$45.30 |
$45.30 |
$45.30 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$35.75 |
$35.75 |
$35.75 |
$105.57
|
|
Diabetes (HbA1c) Test
|
$41.60 |
$41.60 |
$41.60 |
$78.03
|
|
Diab manage trn ind/group
|
$64.35 |
$64.35 |
$64.35 |
$49.40
|
|
Diag bronchoscope/catheter
|
$3,779.75 |
$3,779.75 |
$3,779.75 |
$2,040.67
|
|
Diagnostic anoscopy spx 46600
|
$363.35 |
$363.35 |
$363.35 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$39.00 |
$39.00 |
$39.00 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$39.00 |
$39.00 |
$39.00 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$637.00 |
$637.00 |
$637.00 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$447.20 |
$447.20 |
$447.20 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$525.20 |
$525.20 |
$525.20 |
$421.26
|
|
Diagnostic Mammogram (one breast)
|
$462.80 |
$462.80 |
$462.80 |
$297.05
|
|
Dialysis circuit perm vascular embolization 36909
|
$6,204.25 |
$6,204.25 |
$6,204.25 |
$7,548.00
|
|
Dialysis one evaluation
|
$410.15 |
$410.15 |
$410.15 |
$827.97
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$43.89 |
$43.89 |
$43.89 |
$72.34
|
|
Dicyclomine injection
|
$233.27 |
$233.27 |
$233.27 |
$211.68
|
|
Diffusing capacity
|
$273.00 |
$273.00 |
$273.00 |
$360.00
|
|
Digital analysis of eeg
|
$302.25 |
$302.25 |
$302.25 |
$642.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$312.25 |
$312.25 |
$312.25 |
$67.25
|
|
Digoxin immune fab 40 mg intravenous solution
|
$15,014.28 |
$15,014.28 |
$15,014.28 |
$10,731.50
|
|
Digoxin total therapeutic drug level
|
$28.60 |
$28.60 |
$28.60 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$124.25 |
$124.25 |
$124.25 |
$315.57
|
|
Dilate biliary duct/ampulla
|
$8,937.50 |
$8,937.50 |
$8,937.50 |
$2,304.60
|
|
Dilate esophagus 1/mult pass
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$1,484.17
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$5,851.30 |
$5,851.30 |
$5,851.30 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$5,851.30 |
$5,851.30 |
$5,851.30 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$8,995.35 |
$8,995.35 |
$8,995.35 |
$6,280.95
|
|
Dilation of salivary duct
|
$216.45 |
$216.45 |
$216.45 |
$599.72
|
|
Dilator fascial 10fx20cm
|
$125.44 |
$125.44 |
$125.44 |
$290.93
|
|
Dilat xst trc ndurlgc px
|
$8,212.10 |
$8,212.10 |
$8,212.10 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$8,212.10 |
$8,212.10 |
$8,212.10 |
$4,881.00
|
|
Diltiazem 5 mg/ml intravenous solution
|
$92.66 |
$92.66 |
$92.66 |
$60.25
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$26.38 |
$26.38 |
$26.38 |
$25.12
|
|
Disability dlco
|
$267.15 |
$267.15 |
$267.15 |
$302.40
|
|
Disaccharidases
|
$674.70 |
$674.70 |
$674.70 |
$224.31
|
|
Discography cerv/thor spine
|
$1,296.75 |
$1,296.75 |
$1,296.75 |
$2,310.83
|
|
#d/lmeth-l-methamphetamine
|
$13.65 |
$13.65 |
$13.65 |
$72.14
|
|
Dlyd plmt xtn prosth ea addl
|
$6,754.80 |
$6,754.80 |
$6,754.80 |
$2,068.04
|
|
Dmd dup/delet analysis
|
$1,745.25 |
$1,745.25 |
$1,745.25 |
$385.02
|
|
Dmpk gene detc abnor allele
|
$1,414.40 |
$1,414.40 |
$1,414.40 |
$230.18
|
|
Dna antibody native/double stranded
|
$120.90 |
$120.90 |
$120.90 |
$102.60
|
|
Dna gardnerella
|
$68.25 |
$68.25 |
$68.25 |
$66.05
|
|
Dna probe chlamydia
|
$23.40 |
$23.40 |
$23.40 |
$82.20
|
|
Dna probe gc
|
$122.20 |
$122.20 |
$122.20 |
$88.67
|
|
Dna trichomonas
|
$68.25 |
$68.25 |
$68.25 |
$67.73
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$140.34 |
$140.34 |
$140.34 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,344.56 |
$1,344.56 |
$1,344.56 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$78.39 |
$78.39 |
$78.39 |
$78.39
|
|
Doppler echo complete
|
$276.25 |
$276.25 |
$276.25 |
$616.87
|
|
Doppler intravascular pressure flow initial vessel
|
$4,511.65 |
$4,511.65 |
$4,511.65 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$681.20 |
$681.20 |
$681.20 |
$697.23
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$542.75 |
$542.75 |
$542.75 |
$495.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$32,490.15 |
$32,490.15 |
$32,490.15 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$110.34 |
$110.34 |
$110.34 |
$269.37
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$48.59 |
$48.59 |
$48.59 |
$90.47
|
|
Dpyd gene common variants
|
$1,360.45 |
$1,360.45 |
$1,360.45 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$436.15 |
$436.15 |
$436.15 |
$820.50
|
|
Drainage external ear simple 69000
|
$872.30 |
$872.30 |
$872.30 |
$809.25
|
|
Drainage of kidney lesion
|
$4,933.50 |
$4,933.50 |
$4,933.50 |
$1,619.40
|
|
Drain blood from under nail 11740
|
$388.70 |
$388.70 |
$388.70 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$4,347.20 |
$4,347.20 |
$4,347.20 |
$2,595.00
|
|
Drain cath image guided visceral pq
|
$4,953.65 |
$4,953.65 |
$4,953.65 |
$3,032.97
|
|
Drain cerebro spinal fluid 62272
|
$2,018.90 |
$2,018.90 |
$2,018.90 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$911.95 |
$911.95 |
$911.95 |
$492.81
|
|
Drain lower leg lesion 27603
|
$3,459.95 |
$3,459.95 |
$3,459.95 |
$3,631.18
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$594.10 |
$594.10 |
$594.10 |
$411.16
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$240.50 |
$240.50 |
$240.50 |
$365.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$638.30 |
$638.30 |
$638.30 |
$532.80
|
|
Drng of eyelid abscess 67700
|
$821.60 |
$821.60 |
$821.60 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,733.55 |
$1,733.55 |
$1,733.55 |
$1,972.80
|
|
Drng of hydrocele 55000
|
$1,472.90 |
$1,472.90 |
$1,472.90 |
$832.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$28.85 |
$28.85 |
$28.85 |
$39.31
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$709.79 |
$709.79 |
$709.79 |
$1,444.66
|
|
Drug admin & hemodynmic meas
|
$500.50 |
$500.50 |
$500.50 |
$528.50
|
|
Drug assay caffeine
|
$78.00 |
$78.00 |
$78.00 |
$83.40
|
|
Drug assay posaconazole
|
$128.70 |
$128.70 |
$128.70 |
$96.39
|
|
Drug assay rufinamide
|
$87.10 |
$87.10 |
$87.10 |
$94.25
|
|
Drug assay vedolizumab
|
$610.35 |
$610.35 |
$610.35 |
$169.26
|
|
Drug assay voriconazole
|
$134.55 |
$134.55 |
$134.55 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$436.15 |
$436.15 |
$436.15 |
$83.85
|
|
Drug of abuse screen urine
|
$61.10 |
$61.10 |
$61.10 |
$63.75
|
|
Drug screen quant tiagabine
|
$78.00 |
$78.00 |
$78.00 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$325.65 |
$325.65 |
$325.65 |
$278.85
|
|
Drvvt confirm - quest
|
$189.80 |
$189.80 |
$189.80 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$5,313.10 |
$5,313.10 |
$5,313.10 |
$3,268.20
|
|
Ductogram sgl duct
|
$484.25 |
$484.25 |
$484.25 |
$382.80
|
|
Duplex scan bilateral study 93985
|
$486.85 |
$486.85 |
$486.85 |
$660.32
|
|
Duplex scan unilateral study 93986
|
$609.05 |
$609.05 |
$609.05 |
$383.40
|
|
Dup scan/hemodialysis access 93990
|
$604.50 |
$604.50 |
$604.50 |
$499.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$771.55 |
$771.55 |
$771.55 |
$759.85
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$886.60 |
$886.60 |
$886.60 |
$890.55
|
|
Durvalumab 50 mg/ml intravenous solution
|
$2,832.47 |
$2,832.47 |
$2,832.47 |
$8,935.63
|
