|
Dilate biliary duct/ampulla
|
$6,531.20 |
$6,531.20 |
$6,531.20 |
$2,304.60
|
|
Dilate esophagus 1/mult pass
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$1,484.17
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$4,277.65 |
$4,277.65 |
$4,277.65 |
$4,322.56
|
|
Dilate ic vasospasm init
|
$6,573.45 |
$6,573.45 |
$6,573.45 |
$6,280.95
|
|
Dilation of salivary duct
|
$122.20 |
$122.20 |
$122.20 |
$599.72
|
|
Dilator fascial 10fx20cm
|
$250.24 |
$250.24 |
$250.24 |
$305.68
|
|
Dilat xst trc ndurlgc px
|
$6,002.10 |
$6,002.10 |
$6,002.10 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$6,002.10 |
$6,002.10 |
$6,002.10 |
$5,020.00
|
|
Diltiazem 5 mg/ml intravenous solution
|
$22.10 |
$22.10 |
$22.10 |
$60.25
|
|
Dimethyl sulfoxide 50% 50 ml
|
$2,203.96 |
$2,203.96 |
$2,203.96 |
$1,155.52
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$23.90 |
$23.90 |
$23.90 |
$26.87
|
|
Disability dlco
|
$310.70 |
$310.70 |
$310.70 |
$307.58
|
|
Disaccharidases
|
$74.10 |
$74.10 |
$74.10 |
$223.80
|
|
Discography cerv/thor spine
|
$4,009.85 |
$4,009.85 |
$4,009.85 |
$2,404.00
|
|
Dlyd plmt xtn prosth ea addl
|
$6,016.40 |
$6,016.40 |
$6,016.40 |
$2,001.55
|
|
Dmd dup/delet analysis
|
$2,295.80 |
$2,295.80 |
$2,295.80 |
$385.02
|
|
Dmpk gene detc abnor allele
|
$1,933.10 |
$1,933.10 |
$1,933.10 |
$318.75
|
|
Dna antibody native/double stranded
|
$63.70 |
$63.70 |
$63.70 |
$102.60
|
|
Dna gardnerella
|
$61.75 |
$61.75 |
$61.75 |
$67.68
|
|
Dna probe chlamydia
|
$38.35 |
$38.35 |
$38.35 |
$82.20
|
|
Dna probe gc
|
$90.35 |
$90.35 |
$90.35 |
$88.67
|
|
Dna trichomonas
|
$61.75 |
$61.75 |
$61.75 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$68.15 |
$68.15 |
$68.15 |
$101.04
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$64.77 |
$64.77 |
$64.77 |
$84.30
|
|
Doppler echo complete
|
$246.35 |
$246.35 |
$246.35 |
$608.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$450.45 |
$450.45 |
$450.45 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$271.70 |
$271.70 |
$271.70 |
$482.03
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$54.86 |
$54.86 |
$54.86 |
$99.99
|
|
Dpyd gene common variants
|
$1,340.30 |
$1,340.30 |
$1,340.30 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$221.65 |
$221.65 |
$221.65 |
$820.50
|
|
Drainage external ear simple 69000
|
$464.10 |
$464.10 |
$464.10 |
$809.25
|
|
Drainage of kidney lesion
|
$2,282.80 |
$2,282.80 |
$2,282.80 |
$1,706.65
|
|
Drain blood from under nail 11740
|
$224.25 |
$224.25 |
$224.25 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,684.50 |
$2,684.50 |
$2,684.50 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$2,684.50 |
$2,684.50 |
$2,684.50 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$1,082.90 |
$1,082.90 |
$1,082.90 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$523.25 |
$523.25 |
$523.25 |
$492.81
|
|
Drain lower leg lesion 27603
|
$3,141.45 |
$3,141.45 |
$3,141.45 |
$3,631.18
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$339.95 |
$339.95 |
$339.95 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$139.75 |
$139.75 |
$139.75 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$366.60 |
$366.60 |
$366.60 |
$554.40
|
|
Drng of eyelid abscess 67700
|
$471.90 |
$471.90 |
$471.90 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$957.45 |
$957.45 |
$957.45 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$832.00 |
$832.00 |
$832.00 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$2,069.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$26.99 |
$26.99 |
$26.99 |
$39.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$637.58 |
$637.58 |
$637.58 |
$1,778.40
|
|
Drug assay caffeine
|
$83.85 |
$83.85 |
$83.85 |
$81.61
|
|
Drug assay posaconazole
|
$130.00 |
$130.00 |
$130.00 |
$96.39
|
|
Drug assay rufinamide
|
$87.75 |
$87.75 |
$87.75 |
$93.60
|
|
Drug assay vedolizumab
|
$538.20 |
$538.20 |
$538.20 |
$164.16
|
|
Drug assay voriconazole
|
$150.15 |
$150.15 |
$150.15 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$475.15 |
$475.15 |
$475.15 |
$83.85
|
|
Drug of abuse screen urine
|
$376.35 |
$376.35 |
$376.35 |
$63.75
|
|
Drug screen quant tiagabine
|
$159.90 |
$159.90 |
$159.90 |
$91.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$178.75 |
$178.75 |
$178.75 |
$278.85
|
|
Drvvt confirm - quest
|
$464.75 |
$464.75 |
$464.75 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$6,042.40 |
$6,042.40 |
$6,042.40 |
$3,390.00
|
|
Ductogram sgl duct
|
$577.85 |
$577.85 |
$577.85 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$650.00 |
$650.00 |
$650.00 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$543.40 |
$543.40 |
$543.40 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$689.00 |
$689.00 |
$689.00 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$271.70 |
$271.70 |
$271.70 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$903.00
|
|
Dxa bone density axl vrt fx
|
$555.75 |
$555.75 |
$555.75 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$2,587.60
|
|
Ear irrigation 69209
|
$648.70 |
$648.70 |
$648.70 |
$165.42
|
|
Ecg 12 lead tracing only
|
$157.95 |
$157.95 |
$157.95 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$157.95 |
$157.95 |
$157.95 |
$129.83
|
|
Ecg external < 48 hours recording
|
$360.10 |
$360.10 |
$360.10 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$172.25 |
$172.25 |
$172.25 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$325.00 |
$325.00 |
$325.00 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$325.00 |
$325.00 |
$325.00 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,506.70 |
$1,506.70 |
$1,506.70 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$272.35 |
$272.35 |
$272.35 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,506.70 |
$1,506.70 |
$1,506.70 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$802.10 |
$802.10 |
$802.10 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$802.10 |
$802.10 |
$802.10 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$163.80 |
$163.80 |
$163.80 |
$353.46
|
|
Echo exam of fetal heart
|
$1,155.70 |
$1,155.70 |
$1,155.70 |
$855.38
|
|
Echo exam of fetal heart
|
$760.50 |
$760.50 |
$760.50 |
$503.80
|
|
Echo exam of fetal heart
|
$1,153.10 |
$1,153.10 |
$1,153.10 |
$431.41
|
|
Echo exam of fetal heart
|
$1,142.70 |
$1,142.70 |
$1,142.70 |
$323.40
|
|
Echo exam uterus 76831-
|
$1,652.30 |
$1,652.30 |
$1,652.30 |
$547.20
|
|
Echograp trans r pros study
|
$76.70 |
$76.70 |
$76.70 |
$459.40
|
|
Echo guidance radiotherapy
|
$1,695.20 |
$1,695.20 |
$1,695.20 |
$774.80
|
|
Echo guide for amniocentesis
|
$616.85 |
$616.85 |
$616.85 |
$384.65
|
|
Echo guide for artery repair
|
$495.95 |
$495.95 |
$495.95 |
$680.28
|
|
Echo guide for transfusion
|
$1,619.80 |
$1,619.80 |
$1,619.80 |
$324.60
|
|
Echo guide villus sampling
|
$1,619.80 |
$1,619.80 |
$1,619.80 |
$355.80
|
|
Echo stress
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$969.15 |
$969.15 |
$969.15 |
$1,871.10
|
|
Echo transesophageal
|
$815.75 |
$815.75 |
$815.75 |
$913.33
|
|
Echo transesophageal
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$1,734.10
|
|
Echo transthoracic
|
$855.40 |
$855.40 |
$855.40 |
$1,492.50
|
|
Echo transthoracic
|
$764.40 |
$764.40 |
$764.40 |
$953.10
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$24,290.50 |
$24,290.50 |
$24,290.50 |
$4,331.00
|
|
Eeg 41-60 minutes 95812-26
|
$500.50 |
$500.50 |
$500.50 |
$956.45
|
