|
Dhea-s (dehydroepiand sulfate)
|
$69.96 |
$69.96 |
$133.56 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$32.34 |
$32.34 |
$61.74 |
$79.20
|
|
Diagnostic laryngoscopy 31575
|
$91.80 |
$91.80 |
$100.98 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$104.40 |
$104.40 |
$114.84 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$81.30 |
$81.30 |
$89.43 |
$312.72
|
|
Diagnostic radio unlisted proc
|
$90.00 |
$90.00 |
$99.00 |
$243.60
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,371.70 |
$3,371.70 |
$3,708.87 |
$5,663.50
|
|
Diatrizoate meglumine 18 % urethral solution
|
$116.21 |
$116.21 |
$127.83 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$58.65 |
$58.65 |
$64.52 |
$77.25
|
|
Dicyclomine injection
|
$42.86 |
$42.86 |
$47.15 |
$150.91
|
|
Diffusing capacity
|
$77.10 |
$77.10 |
$84.81 |
$335.20
|
|
Digital analysis of eeg
|
$133.20 |
$133.20 |
$146.52 |
$551.20
|
|
Digoxin immune fab 40 mg intravenous solution
|
$5,085.42 |
$5,085.42 |
$5,593.96 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$44.22 |
$44.22 |
$84.42 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$107.35 |
$107.35 |
$118.09 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$532.80 |
$532.80 |
$586.08 |
$1,729.70
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$685.20 |
$685.20 |
$753.72 |
$3,026.10
|
|
Dilate ic vasospasm ea add vsl same territory
|
$685.20 |
$685.20 |
$753.72 |
$1,895.00
|
|
Dilate ic vasospasm init
|
$685.20 |
$685.20 |
$753.72 |
$4,627.52
|
|
Dilator fascial 10fx20cm
|
$378.00 |
$378.00 |
$415.80 |
$402.10
|
|
Dilat xst trc new access rcs
|
$3,004.80 |
$3,004.80 |
$3,305.28 |
$4,258.20
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,271.48 |
$1,271.48 |
$1,398.63 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$23.37 |
$23.37 |
$25.71 |
$18.35
|
|
Disability dlco
|
$99.30 |
$99.30 |
$109.23 |
$292.03
|
|
Disaccharidases
|
$110.88 |
$110.88 |
$264.66 |
$224.31
|
|
Discography cerv/thor spine
|
$897.90 |
$897.90 |
$987.69 |
$2,481.50
|
|
Dlyd plmt xtn prosth ea addl
|
$1,095.30 |
$1,095.30 |
$1,095.30 |
$1,875.00
|
|
Dna antibody native/double stranded
|
$7.92 |
$7.92 |
$15.12 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$83.98 |
$83.98 |
$92.38 |
$98.29
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$4,977.73 |
$4,977.73 |
$5,475.50 |
$949.39
|
|
Dolasetron mesylate
|
$40.59 |
$40.59 |
$44.65 |
$44.65
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$18.75 |
$18.75 |
$20.63 |
$67.28
|
|
Doppler echo complete
|
$69.30 |
$69.30 |
$76.23 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$815.40 |
$815.40 |
$896.94 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$141.30 |
$141.30 |
$155.43 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$79.50 |
$79.50 |
$87.45 |
$473.76
|
|
Dornhoffer fixed part w/window
|
$27,300.00 |
$27,300.00 |
$27,300.00 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$12,299.75 |
$12,299.75 |
$13,529.72 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$268.93 |
$268.93 |
$295.82 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,476.85 |
$2,476.85 |
$2,724.53 |
$1,718.24
|
|
Dpyd gene common variants
|
$277.20 |
$277.20 |
$529.20 |
$423.60
|
|
Drainage of kidney lesion
|
$804.00 |
$804.00 |
$884.40 |
$1,506.00
|
|
Drain blood from under nail 11740
|
$250.47 |
$250.47 |
$250.47 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$795.60 |
$795.60 |
$875.16 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$817.80 |
$817.80 |
$899.58 |
$2,885.30
|
|
Drain lower leg lesion 27603
|
$741.51 |
$741.51 |
$741.51 |
$3,858.40
|
|
Drain thigh/knee lesion 27301
|
$794.31 |
$794.31 |
$794.31 |
$3,824.50
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$427.68 |
$427.68 |
$427.68 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$101.31 |
$101.31 |
$101.31 |
$352.00
|
|
Drng hand tendon sheath 26020
|
$1,006.83 |
$1,006.83 |
$1,006.83 |
$3,839.54
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,466.07 |
$1,466.07 |
$1,612.68 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$546.06 |
$546.06 |
$546.06 |
$58.20
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$5,280.00 |
$5,280.00 |
$5,280.00 |
$122.50
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$11,461.19 |
$11,461.19 |
$12,607.30 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$16,153.50 |
$16,153.50 |
$16,153.50 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$118.20 |
$118.20 |
$130.02 |
$578.59
|
|
Drug assay posaconazole
|
$41.58 |
$41.58 |
$41.58 |
$96.75
|
|
Drug assay voriconazole
|
$52.80 |
$52.80 |
$52.80 |
$96.75
|
|
Drug test def 1-7 classes
|
$151.83 |
$151.83 |
$153.78 |
$263.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$171.60 |
$171.60 |
$327.60 |
$280.95
|
|
Drvvt confirm - quest
|
$66.99 |
$66.99 |
$127.89 |
$109.20
|
|
Ductogram sgl duct
|
$109.80 |
$109.80 |
$120.78 |
$469.44
|
|
Duplex scan bilateral study 93985
|
$261.60 |
$261.60 |
$287.76 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$130.80 |
$130.80 |
$143.88 |
$375.60
|
|
Dup scan/hemodialysis access 93990
|
$115.17 |
$115.17 |
$115.17 |
$486.02
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$249.30 |
$249.30 |
$274.23 |
$903.50
|
|
Durvalumab 50 mg/ml intravenous solution
|
$4,390.86 |
$4,390.86 |
$4,829.95 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$182.82 |
$182.82 |
$182.82 |
$410.25
|
|
Ecg 12 lead tracing only
|
$51.81 |
$51.81 |
$98.91 |
$226.50
|
|
Ecg external < 48 hours recording
|
$171.93 |
$171.93 |
$171.93 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$104.10 |
$104.10 |
$104.10 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$171.93 |
$171.93 |
$171.93 |
$147.28
|
|
Echocardiogram (Heart Ultrasound)
|
$374.70 |
$374.70 |
$412.17 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$69.60 |
$69.60 |
$94.71 |
$499.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$374.70 |
$374.70 |
$412.17 |
$1,935.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$235.50 |
$235.50 |
$259.05 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$235.50 |
$235.50 |
$259.05 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$34.80 |
$34.80 |
$38.28 |
$371.25
|
|
Echo exam of fetal heart
|
$185.79 |
$185.79 |
$185.79 |
$904.80
|
|
Echo exam of fetal heart
|
$112.86 |
$112.86 |
$112.86 |
$538.27
|
|
Echo exam of fetal heart
|
$84.90 |
$84.90 |
$93.39 |
$431.41
|
|
Echo exam of fetal heart
|
$47.85 |
$47.85 |
$47.85 |
$319.00
|
|
Echo guide for amniocentesis
|
$121.50 |
$121.50 |
$133.65 |
$446.60
|
|
Echo guide for transfusion
|
$50.16 |
$50.16 |
$50.16 |
$332.39
|
|
Echo guide villus sampling
|
$50.16 |
$50.16 |
$50.16 |
$362.88
|
|
Echo stress
|
$26.86 |
$26.86 |
$26.86 |
$1,606.44
|
|
Echo tee guidance
|
$386.70 |
$386.70 |
$425.37 |
$1,847.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$360.30 |
$360.30 |
$396.33 |
$1,889.20
|
|
Echo transesophageal
|
$396.33 |
$396.33 |
$396.33 |
$1,599.50
|
|
Echo transesophageal intraop
|
$251.10 |
$251.10 |
$251.10 |
$1,578.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$235.50 |
$235.50 |
$259.05 |
$1,022.30
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,021.50 |
$1,021.50 |
$1,021.50 |
$2,825.34
|
|
E coli 0157 ag ia
|
$37.95 |
$37.95 |
$72.45 |
$71.50
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$6,669.11 |
$6,669.11 |
$7,336.03 |
$19,540.29
|
|
Eeg 41-60 minutes 95812-26
|
$210.30 |
$210.30 |
$231.33 |
$923.88
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$238.80 |
$238.80 |
$262.68 |
$970.07
|
|
Eeg during surgery
|
$254.10 |
$254.10 |
$279.51 |
$775.45
|
|
Eeg monitoring/function test
|
$503.58 |
$503.58 |
$503.58 |
$1,548.52
|
|
Eeg monitoring/giving drugs
|
$238.80 |
$238.80 |
$238.80 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$180.30 |
$180.30 |
$198.33 |
$831.00
|