|
Diagnostic digital breast tomosynthesis bil
|
$156.15 |
$156.15 |
$156.15 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$103.95 |
$103.95 |
$103.95 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$51.30 |
$51.30 |
$51.30 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$85.50 |
$85.50 |
$85.50 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$74.10 |
$74.10 |
$74.10 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$63.90 |
$63.90 |
$63.90 |
$214.08
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,533.70 |
$3,533.70 |
$3,533.70 |
$5,419.00
|
|
Dialysis one evaluation
|
$194.55 |
$194.55 |
$194.55 |
$919.55
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$68.03 |
$68.03 |
$68.03 |
$74.76
|
|
Dicyclomine injection
|
$95.37 |
$95.37 |
$95.37 |
$153.29
|
|
Diffusing capacity
|
$100.35 |
$100.35 |
$100.35 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$3.66 |
$3.66 |
$3.66 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,895.82 |
$4,895.82 |
$4,895.82 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$23.25 |
$23.25 |
$23.25 |
$102.00
|
|
Dilate biliary duct/ampulla
|
$841.05 |
$841.05 |
$841.05 |
$1,866.73
|
|
Dilate esophagus 1/mult pass
|
$384.60 |
$384.60 |
$384.60 |
$1,484.17
|
|
Dilate urethra stricture
|
$212.25 |
$212.25 |
$212.25 |
$490.00
|
|
Dilate urethra stricture
|
$54.75 |
$54.75 |
$54.75 |
$200.80
|
|
Dilation of cervical canal 57800
|
$1,346.40 |
$1,346.40 |
$1,346.40 |
$4,376.00
|
|
Dilation of urethra
|
$54.75 |
$54.75 |
$54.75 |
$172.00
|
|
Dilator fascial 10fx20cm
|
$388.60 |
$388.60 |
$388.60 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$912.60 |
$912.60 |
$912.60 |
$4,061.71
|
|
Dilat xst trc new access rcs
|
$1,535.25 |
$1,535.25 |
$1,535.25 |
$4,213.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$6.72 |
$6.72 |
$6.72 |
$17.75
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$90.88 |
$90.88 |
$90.88 |
$91.53
|
|
Disability dlco
|
$47.55 |
$47.55 |
$47.55 |
$282.40
|
|
Disaccharidases
|
$31.65 |
$31.65 |
$31.65 |
$216.00
|
|
Discography cerv/thor spine
|
$1,040.40 |
$1,040.40 |
$1,040.40 |
$2,565.00
|
|
Dissolve clot heart vessel
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$1,579.93
|
|
#d/lmeth-l-methamphetamine
|
$7.05 |
$7.05 |
$7.05 |
$72.14
|
|
Dlyd plmt xtn prosth ea addl
|
$414.00 |
$414.00 |
$414.00 |
$1,582.68
|
|
Dmd dup/delet analysis
|
$219.15 |
$219.15 |
$219.15 |
$404.03
|
|
Dmpk gene detc abnor allele
|
$175.80 |
$175.80 |
$175.80 |
$313.60
|
|
Dna antibody native/double stranded
|
$24.00 |
$24.00 |
$24.00 |
$97.50
|
|
Dna gardnerella
|
$35.10 |
$35.10 |
$35.10 |
$62.50
|
|
Dna probe chlamydia
|
$35.10 |
$35.10 |
$35.10 |
$79.38
|
|
Dna probe gc
|
$35.10 |
$35.10 |
$35.10 |
$80.80
|
|
Dna trichomonas
|
$35.10 |
$35.10 |
$35.10 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$24.08 |
$24.08 |
$24.08 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$680.68 |
$680.68 |
$680.68 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$8.58 |
$8.58 |
$8.58 |
$65.40
|
|
Doppler echo complete
|
$224.25 |
$224.25 |
$224.25 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$513.90 |
$513.90 |
$513.90 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$252.45 |
$252.45 |
$252.45 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$229.50 |
$229.50 |
$229.50 |
$471.17
|
|
Dpyd gene common variants
|
$224.40 |
$224.40 |
$224.40 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$66.45 |
$66.45 |
$66.45 |
$800.00
|
|
Drainage external ear complex 69005
|
$676.05 |
$676.05 |
$676.05 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$56.70 |
$56.70 |
$56.70 |
$789.60
|
|
Drainage mouth roof lesion
|
$147.45 |
$147.45 |
$147.45 |
$390.39
|
|
Drainage of arm bursa 23931
|
$676.05 |
$676.05 |
$676.05 |
$2,197.48
|
|
Drainage of forearm bursa
|
$723.45 |
$723.45 |
$723.45 |
$2,054.00
|
|
Drainage of kidney lesion
|
$369.45 |
$369.45 |
$369.45 |
$1,506.00
|
|
Drainage of pelvis lesion 26990
|
$444.30 |
$444.30 |
$444.30 |
$3,958.50
|
|
Drainage of urethra abscess 53060
|
$877.35 |
$877.35 |
$877.35 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$40.95 |
$40.95 |
$40.95 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$430.50 |
$430.50 |
$430.50 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,161.30 |
$1,161.30 |
$1,161.30 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$363.60 |
$363.60 |
$363.60 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$130.95 |
$130.95 |
$130.95 |
$419.00
|
|
Drain neck/chest lesion 21501
|
$1,309.95 |
$1,309.95 |
$1,309.95 |
$3,339.00
|
|
Drain shoulder lesion
|
$1,309.95 |
$1,309.95 |
$1,309.95 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$1,309.95 |
$1,309.95 |
$1,309.95 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$228.60 |
$228.60 |
$228.60 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$75.90 |
$75.90 |
$75.90 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$102.00 |
$102.00 |
$102.00 |
$523.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$21.15 |
$21.15 |
$21.15 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$267.30 |
$267.30 |
$267.30 |
$1,515.00
|
|
Drng hand tendon sheath 26020
|
$1,444.95 |
$1,444.95 |
$1,444.95 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$205.50 |
$205.50 |
$205.50 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$709.80 |
$709.80 |
$709.80 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$313.20 |
$313.20 |
$313.20 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$356.25 |
$356.25 |
$356.25 |
$1,917.33
|
|
Droperidol 2.5 mg/ml injection solution
|
$21.06 |
$21.06 |
$21.06 |
$31.07
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$4.50 |
$4.50 |
$4.50 |
$127.14
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$217.53 |
$217.53 |
$217.53 |
$8,040.27
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$0.15 |
$0.15 |
$0.15 |
$3.11
|
|
Drug admin & hemodynmic meas
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$569.75
|
|
Drug assay posaconazole
|
$21.30 |
$21.30 |
$21.30 |
$96.75
|
|
Drug assay rufinamide
|
$34.80 |
$34.80 |
$34.80 |
$85.80
|
|
Drug assay vedolizumab
|
$33.45 |
$33.45 |
$33.45 |
$152.79
|
|
Drug assay voriconazole
|
$34.80 |
$34.80 |
$34.80 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$14.70 |
$14.70 |
$14.70 |
$66.43
|
|
Drug of abuse screen urine
|
$19.20 |
$19.20 |
$19.20 |
$63.75
|
|
Drug screening tapentadol
|
$14.70 |
$14.70 |
$14.70 |
$36.00
|
|
Drug/substance nos 4-6
|
$17.10 |
$17.10 |
$17.10 |
$72.14
|
|
Drug test def 15-21 classes
|
$213.00 |
$213.00 |
$213.00 |
$263.25
|
|
Drug test def 1-7 classes
|
$102.60 |
$102.60 |
$102.60 |
$250.52
|
|
Drug test def 22+ classes
|
$276.30 |
$276.30 |
$276.30 |
$423.00
|
|
Drug test def 8-14 classes
|
$157.80 |
$157.80 |
$157.80 |
$282.00
|
|
Drug test prsmv instrmnt
|
$25.65 |
$25.65 |
$25.65 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$102.45 |
$102.45 |
$102.45 |
$278.85
|
|
Drvvt confirm - quest
|
$15.75 |
$15.75 |
$15.75 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$831.60 |
$831.60 |
$831.60 |
$3,020.80
|
|
Dstr mal les s/n/h/f/g >4.0
|
$134.55 |
$134.55 |
$134.55 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$111.15 |
$111.15 |
$111.15 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$122.25 |
$122.25 |
$122.25 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$134.55 |
$134.55 |
$134.55 |
$849.50
|
|
Ductogram sgl duct
|
$153.90 |
$153.90 |
$153.90 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$476.25 |
$476.25 |
$476.25 |
$690.95
|
