|
Diag bronchoscope/catheter
|
$3,184.35 |
$3,184.35 |
$3,184.35 |
$2,040.67
|
|
Diagnostic anoscopy spx 46600
|
$306.80 |
$306.80 |
$306.80 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$50.05 |
$50.05 |
$50.05 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$50.05 |
$50.05 |
$50.05 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$536.25 |
$536.25 |
$536.25 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$522.60 |
$522.60 |
$522.60 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$540.80 |
$540.80 |
$540.80 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$482.30 |
$482.30 |
$482.30 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$9,782.50 |
$9,782.50 |
$9,782.50 |
$7,145.00
|
|
Dialysis one evaluation
|
$581.75 |
$581.75 |
$581.75 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.16 |
$0.16 |
$0.16 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$49.87 |
$49.87 |
$49.87 |
$72.34
|
|
Dicyclomine injection
|
$57.10 |
$57.10 |
$57.10 |
$211.81
|
|
Diffusing capacity
|
$282.75 |
$282.75 |
$282.75 |
$360.10
|
|
Digital analysis of eeg
|
$174.85 |
$174.85 |
$174.85 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$32.86 |
$32.86 |
$32.86 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$15,014.28 |
$15,014.28 |
$15,014.28 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$58.50 |
$58.50 |
$58.50 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$112.50 |
$112.50 |
$112.50 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$9,031.75 |
$9,031.75 |
$9,031.75 |
$2,304.60
|
|
Dilate esophagus 1/mult pass
|
$4,587.05 |
$4,587.05 |
$4,587.05 |
$1,484.17
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$12,243.40 |
$12,243.40 |
$12,243.40 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$12,243.40 |
$12,243.40 |
$12,243.40 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$18,821.40 |
$18,821.40 |
$18,821.40 |
$6,280.95
|
|
Dilation of salivary duct
|
$330.85 |
$330.85 |
$330.85 |
$599.72
|
|
Dilator fascial 10fx20cm
|
$125.90 |
$125.90 |
$125.90 |
$305.68
|
|
Dilat xst trc ndurlgc px
|
$12,815.40 |
$12,815.40 |
$12,815.40 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$13,863.20 |
$13,863.20 |
$13,863.20 |
$5,020.00
|
|
Diltiazem 5 mg/ml intravenous solution
|
$92.66 |
$92.66 |
$92.66 |
$60.25
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$25.12 |
$25.12 |
$25.12 |
$26.87
|
|
Disability dlco
|
$276.90 |
$276.90 |
$276.90 |
$307.58
|
|
Disaccharidases
|
$702.00 |
$702.00 |
$702.00 |
$223.80
|
|
Discography cerv/thor spine
|
$2,646.15 |
$2,646.15 |
$2,646.15 |
$2,404.00
|
|
#d/lmeth-l-methamphetamine
|
$13.65 |
$13.65 |
$13.65 |
$72.14
|
|
Dlyd plmt xtn prosth ea addl
|
$10,650.25 |
$10,650.25 |
$10,650.25 |
$2,001.55
|
|
Dmd dup/delet analysis
|
$1,996.15 |
$1,996.15 |
$1,996.15 |
$385.02
|
|
Dmpk gene detc abnor allele
|
$1,457.30 |
$1,457.30 |
$1,457.30 |
$318.75
|
|
Dna antibody native/double stranded
|
$154.70 |
$154.70 |
$154.70 |
$102.60
|
|
Dna gardnerella
|
$105.95 |
$105.95 |
$105.95 |
$67.68
|
|
Dna probe chlamydia
|
$37.05 |
$37.05 |
$37.05 |
$82.20
|
|
Dna probe gc
|
$186.55 |
$186.55 |
$186.55 |
$88.67
|
|
Dna trichomonas
|
$105.95 |
$105.95 |
$105.95 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$68.15 |
$68.15 |
$68.15 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$210.60 |
$210.60 |
$210.60 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$69.52 |
$69.52 |
$69.52 |
$84.30
|
|
Doppler echo complete
|
$207.35 |
$207.35 |
$207.35 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$3,415.75 |
$3,415.75 |
$3,415.75 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$704.60 |
$704.60 |
$704.60 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$560.95 |
$560.95 |
$560.95 |
$482.03
|
|
Dornhoffer fixed part w/window
|
$28,091.95 |
$28,091.95 |
$28,091.95 |
$28,091.95
|
|
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)
|
$128.50 |
$128.50 |
$128.50 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$911.85 |
$911.85 |
$911.85 |
$2,417.38
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$54.86 |
$54.86 |
$54.86 |
$99.99
|
|
Dpyd gene common variants
|
$1,097.20 |
$1,097.20 |
$1,097.20 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$581.75 |
$581.75 |
$581.75 |
$820.50
|
|
Drainage external ear simple 69000
|
$1,194.70 |
$1,194.70 |
$1,194.70 |
$809.25
|
|
Drainage of kidney lesion
|
$7,642.70 |
$7,642.70 |
$7,642.70 |
$1,706.65
|
|
Drain blood from under nail 11740
|
$581.10 |
$581.10 |
$581.10 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$8,944.00 |
$8,944.00 |
$8,944.00 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$8,726.25 |
$8,726.25 |
$8,726.25 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$3,075.80 |
$3,075.80 |
$3,075.80 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$1,137.50 |
$1,137.50 |
$1,137.50 |
$492.81
|
|
Drain lower leg lesion 27603
|
$4,737.85 |
$4,737.85 |
$4,737.85 |
$3,631.18
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$738.40 |
$738.40 |
$738.40 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$359.45 |
$359.45 |
$359.45 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$955.50 |
$955.50 |
$955.50 |
$554.40
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$169.53 |
$169.53 |
$169.53 |
$9,390.80
|
|
Drng of eyelid abscess 67700
|
$1,231.10 |
$1,231.10 |
$1,231.10 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$2,596.75 |
$2,596.75 |
$2,596.75 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$2,241.20 |
$2,241.20 |
$2,241.20 |
$832.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$31.07 |
$31.07 |
$31.07 |
$39.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$764.65 |
$764.65 |
$764.65 |
$1,778.40
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$63.43 |
$63.43 |
$63.43 |
$18,384.03
|
|
Drug admin & hemodynmic meas
|
$789.10 |
$789.10 |
$789.10 |
$528.50
|
|
Drug assay caffeine
|
$94.90 |
$94.90 |
$94.90 |
$81.61
|
|
Drug assay posaconazole
|
$127.40 |
$127.40 |
$127.40 |
$96.39
|
|
Drug assay rufinamide
|
$85.80 |
$85.80 |
$85.80 |
$93.60
|
|
Drug assay vedolizumab
|
$750.10 |
$750.10 |
$750.10 |
$164.16
|
|
Drug assay voriconazole
|
$166.40 |
$166.40 |
$166.40 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$472.55 |
$472.55 |
$472.55 |
$83.85
|
|
Drug of abuse screen urine
|
$77.35 |
$77.35 |
$77.35 |
$63.75
|
|
Drug screen quant tiagabine
|
$86.45 |
$86.45 |
$86.45 |
$91.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$565.50 |
$565.50 |
$565.50 |
$278.85
|
|
Drvvt confirm - quest
|
$321.10 |
$321.10 |
$321.10 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$8,230.30 |
$8,230.30 |
$8,230.30 |
$3,390.00
|
|
Ductogram sgl duct
|
$336.05 |
$336.05 |
$336.05 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$690.95 |
$690.95 |
$690.95 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$690.95 |
$690.95 |
$690.95 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$857.35 |
$857.35 |
$857.35 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$798.20 |
$798.20 |
$798.20 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$988.00 |
$988.00 |
$988.00 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$11,632.92 |
$11,632.92 |
$11,632.92 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$452.40 |
$452.40 |
$452.40 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$3,910.40 |
$3,910.40 |
$3,910.40 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$3,030.95 |
$3,030.95 |
$3,030.95 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$2,743.00 |
$2,743.00 |
$2,743.00 |
$2,587.60
|
|
Ear irrigation 69209
|
$1,168.70 |
$1,168.70 |
$1,168.70 |
$165.42
|
|
Ecallantide injection
|
$18,529.19 |
$18,529.19 |
$18,529.19 |
$6,132.60
|
|
Ecg 12 lead tracing only
|
$99.45 |
$99.45 |
$99.45 |
$245.00
|
