|
Diagnostic laryngoscopy 31575
|
$229.40 |
$229.40 |
$229.40 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$208.87 |
$208.87 |
$208.87 |
$381.60
|
|
Diagnostic Mammogram (one breast)
|
$161.69 |
$161.69 |
$161.69 |
$276.60
|
|
Diatrizoate meglumine 18 % urethral solution
|
$101.58 |
$101.58 |
$101.58 |
$58.24
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$50.35 |
$50.35 |
$50.35 |
$42.12
|
|
Dicyclomine injection
|
$67.84 |
$67.84 |
$67.84 |
$153.53
|
|
Diffusing capacity
|
$71.04 |
$71.04 |
$71.04 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$166.61 |
$166.61 |
$166.61 |
$29.85
|
|
Digoxin immune fab 40 mg intravenous solution
|
$3,856.16 |
$3,856.16 |
$3,856.16 |
$6,815.78
|
|
Digoxin total therapeutic drug level
|
$57.72 |
$57.72 |
$57.72 |
$92.95
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$162.23 |
$162.23 |
$162.23 |
$297.86
|
|
Dilate tear duct opening
|
$547.97 |
$547.97 |
$547.97 |
$454.40
|
|
Dilate urethra stricture
|
$254.65 |
$254.65 |
$254.65 |
$514.79
|
|
Dilate urethra stricture
|
$269.73 |
$269.73 |
$269.73 |
$344.80
|
|
Dilation/female urethra/initial 53660
|
$207.39 |
$207.39 |
$207.39 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$1,310.45 |
$1,310.45 |
$1,310.45 |
$1,606.15
|
|
Dimecaprol injection
|
$147.91 |
$147.91 |
$147.91 |
$147.91
|
|
Dimethyl sulfoxide 50% 50 ml
|
$807.90 |
$807.90 |
$807.90 |
$1,001.55
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.56 |
$9.56 |
$9.56 |
$9.29
|
|
Disability dlco
|
$89.45 |
$89.45 |
$89.45 |
$289.08
|
|
Disaccharidases
|
$174.09 |
$174.09 |
$174.09 |
$224.58
|
|
Dna antibody native/double stranded
|
$65.77 |
$65.77 |
$65.77 |
$101.40
|
|
Dna gardnerella
|
$66.05 |
$66.05 |
$66.05 |
$67.68
|
|
Dna trichomonas
|
$66.05 |
$66.05 |
$66.05 |
$69.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$33.23 |
$33.23 |
$33.23 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$32.38 |
$32.38 |
$32.38 |
$131.40
|
|
Dolasetron mesylate
|
$33.30 |
$33.30 |
$33.30 |
$33.30
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$31.45 |
$31.45 |
$31.45 |
$60.21
|
|
Doppler echo complete
|
$265.66 |
$265.66 |
$265.66 |
$517.94
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$280.46 |
$280.46 |
$280.46 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$194.71 |
$194.71 |
$194.71 |
$463.20
|
|
Doripenem 50 mg/ml inj 10 ml
|
$70.91 |
$70.91 |
$70.91 |
$70.91
|
|
Dornhoffer fixed part w/window
|
$32,112.76 |
$32,112.76 |
$32,112.76 |
$53,356.20
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$87.26 |
$87.26 |
$87.26 |
$97.83
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,469.31 |
$2,469.31 |
$2,469.31 |
$715.22
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$579.70 |
$579.70 |
$579.70 |
$800.00
|
|
Drainage external ear simple 69000
|
$579.70 |
$579.70 |
$579.70 |
$800.00
|
|
Drainage lymph node lesion 38300
|
$1,062.27 |
$1,062.27 |
$1,062.27 |
$1,779.65
|
|
Drainage mouth roof lesion
|
$315.33 |
$315.33 |
$315.33 |
$408.80
|
|
Drainage of eye
|
$1,095.20 |
$1,095.20 |
$1,095.20 |
$1,824.02
|
|
Drainage of eye
|
$3,667.81 |
$3,667.81 |
$3,667.81 |
$2,702.25
|
|
Drainage of kidney lesion
|
$685.43 |
$685.43 |
$685.43 |
$1,578.89
|
|
Drainage of nose lesion int 30000
|
$326.80 |
$326.80 |
$326.80 |
$615.20
|
|
Drainage of nose lesion sept 30020
|
$425.59 |
$425.59 |
$425.59 |
$637.50
|
|
Drainage of rectal abscess
|
$1,318.50 |
$1,318.50 |
$1,318.50 |
$2,299.90
|
|
Drainage of urethra abscess
|
$2,186.61 |
$2,186.61 |
$2,186.61 |
$3,663.43
|
|
Drain blood from under nail 11740
|
$64.29 |
$64.29 |
$64.29 |
$173.21
|
|
Drain cath image guided visceral pq
|
$817.05 |
$817.05 |
$817.05 |
$2,999.34
|
|
Drain cerebro spinal fluid 62272
|
$735.84 |
$735.84 |
$735.84 |
$1,025.00
|
|
Drain chst dry seal exp thorastat
|
$58.28 |
$58.28 |
$58.28 |
$85.57
|
|
Drain finger abscess;simple 26010
|
$178.90 |
$178.90 |
$178.90 |
$451.20
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$162.15 |
$162.15 |
$162.15 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$148.93 |
$148.93 |
$148.93 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$220.61 |
$220.61 |
$220.61 |
$515.00
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$1,051.36 |
$1,051.36 |
$1,051.36 |
$1,791.40
|
|
Drill hole implt ventricular cath/device 61107
|
$1,577.31 |
$1,577.31 |
$1,577.31 |
$1,737.06
|
|
Drng hand tendon sheath 26020
|
$1,334.22 |
$1,334.22 |
$1,334.22 |
$3,743.15
|
|
Drng of eyelid abscess 67700
|
$529.10 |
$529.10 |
$529.10 |
$718.05
|
|
Drng of finger abscess comp 26011
|
$1,468.35 |
$1,468.35 |
$1,468.35 |
$1,908.09
|
|
Drng of scrotum abscess 55100
|
$1,468.35 |
$1,468.35 |
$1,468.35 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$957.38 |
$957.38 |
$957.38 |
$1,763.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$19.15 |
$19.15 |
$19.15 |
$32.82
|
|
Drug assay caffeine
|
$89.17 |
$89.17 |
$89.17 |
$89.17
|
|
Drug assay posaconazole
|
$107.30 |
$107.30 |
$107.30 |
$96.75
|
|
Drug assay voriconazole
|
$116.64 |
$116.64 |
$116.64 |
$96.75
|
|
Drug screen quant tiagabine
|
$55.04 |
$55.04 |
$55.04 |
$91.80
|
|
Drug test def 15-21 classes
|
$142.17 |
$142.17 |
$142.17 |
$198.74
|
|
Drug test def 1-7 classes
|
$157.16 |
$157.16 |
$157.16 |
$316.80
|
|
Drug test def 22+ classes
|
$426.24 |
$426.24 |
$426.24 |
$291.76
|
|
Drug test def 8-14 classes
|
$161.88 |
$161.88 |
$161.88 |
$249.10
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$268.90 |
$268.90 |
$268.90 |
$278.85
|
|
Drvvt confirm - quest
|
$85.47 |
$85.47 |
$85.47 |
$108.55
|
|
Dstr mal les s/n/h/f/g >4.0
|
$213.86 |
$213.86 |
$213.86 |
$604.09
|
|
Ductogram sgl duct
|
$171.22 |
$171.22 |
$171.22 |
$346.42
|
|
Dup scan/hemodialysis access 93990
|
$256.04 |
$256.04 |
$256.04 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$278.24 |
$278.24 |
$278.24 |
$740.80
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$358.35 |
$358.35 |
$358.35 |
$852.57
|
|
Dx bronchoscope/brush 31623
|
$1,898.47 |
$1,898.47 |
$1,898.47 |
$2,283.00
|
|
Dx bronchoscope/lavage 31624
|
$1,161.06 |
$1,161.06 |
$1,161.06 |
$2,858.00
|
|
Dx bronchoscope/wash 31622
|
$2,211.40 |
$2,211.40 |
$2,211.40 |
$2,512.54
|
|
Ear irrigation 69209
|
$99.16 |
$99.16 |
$99.16 |
$152.50
|
|
Ecg 12 lead tracing only
|
$68.82 |
$68.82 |
$68.82 |
$222.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$29.14 |
$29.14 |
$29.14 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$176.86 |
$176.86 |
$176.86 |
$404.21
|
|
Ecg external < 48 hours recording
|
$121.18 |
$121.18 |
$121.18 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$196.10 |
$196.10 |
$196.10 |
$541.73
|
|
Echocardiogram (Heart Ultrasound)
|
$856.37 |
$856.37 |
$856.37 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$250.21 |
$250.21 |
$250.21 |
$450.40
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,110.09 |
$1,110.09 |
$1,110.09 |
$1,899.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$375.46 |
$375.46 |
$375.46 |
$720.60
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$355.57 |
$355.57 |
$355.57 |
$840.00
|
|
Echocardiograpy doppler follow up/limited study
|
$87.04 |
$87.04 |
$87.04 |
$348.80
|
|
Echo exam uterus 76831-
|
$242.07 |
$242.07 |
$242.07 |
$497.93
|
|
Echo guide for amniocentesis
|
$264.92 |
$264.92 |
$264.92 |
$355.17
|
|
Echo guide for artery repair
|
$699.76 |
$699.76 |
$699.76 |
$687.35
|
|
Echo stress
|
$640.10 |
$640.10 |
$640.10 |
$1,401.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$847.95 |
$847.95 |
$847.95 |
$1,946.10
|
|
Echo transesophageal
|
$855.35 |
$855.35 |
$855.35 |
$1,737.60
|
|
Echo transthoracic
|
$890.41 |
$890.41 |
$890.41 |
$1,361.75
|
|
Echo transthoracic
|
$314.69 |
$314.69 |
$314.69 |
$765.00
|