|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$301.29 |
$301.29 |
$301.29 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$47.52 |
$47.52 |
$47.52 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$69.26 |
$69.26 |
$69.26 |
$23.27
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$48.39 |
$48.39 |
$48.39 |
$37.80
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$48.39 |
$48.39 |
$48.39 |
$45.80
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$48.39 |
$48.39 |
$48.39 |
$44.45
|
|
Dextrose 5 % IV bolus
|
$48.39 |
$48.39 |
$48.39 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$167.64 |
$167.64 |
$167.64 |
$110.38
|
|
Diabetes (HbA1c) Test
|
$132.66 |
$132.66 |
$132.66 |
$79.52
|
|
Diagnostic anoscopy spx 46600
|
$48.51 |
$48.51 |
$48.51 |
$201.25
|
|
Diagnostic digital breast tomosynthesis bil
|
$143.22 |
$143.22 |
$143.22 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$143.22 |
$143.22 |
$143.22 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$763.29 |
$763.29 |
$763.29 |
$258.30
|
|
Diagnostic laryngoscopy 31575
|
$686.40 |
$686.40 |
$686.40 |
$375.60
|
|
Diagnostic Mammogram (both breasts)
|
$330.00 |
$330.00 |
$330.00 |
$416.15
|
|
Diagnostic Mammogram (one breast)
|
$271.59 |
$271.59 |
$271.59 |
$314.72
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,714.15 |
$3,714.15 |
$3,714.15 |
$6,185.00
|
|
Dialysis one evaluation
|
$689.70 |
$689.70 |
$689.70 |
$845.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$100.71 |
$100.71 |
$100.71 |
$75.95
|
|
Dicyclomine injection
|
$108.23 |
$108.23 |
$108.23 |
$177.39
|
|
Diffusing capacity
|
$227.37 |
$227.37 |
$227.37 |
$343.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$630.14 |
$630.14 |
$630.14 |
$85.80
|
|
Digoxin total therapeutic drug level
|
$114.84 |
$114.84 |
$114.84 |
$102.00
|
|
Dilate biliary duct/ampulla
|
$1,628.22 |
$1,628.22 |
$1,628.22 |
$2,074.08
|
|
Dilate esophagus 1/mult pass
|
$1,534.83 |
$1,534.83 |
$1,534.83 |
$1,490.36
|
|
Dilat xst trc ndurlgc px
|
$1,611.72 |
$1,611.72 |
$1,611.72 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$2,711.28 |
$2,711.28 |
$2,711.28 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$42.04 |
$42.04 |
$42.04 |
$51.54
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$15.70 |
$15.70 |
$15.70 |
$18.34
|
|
Disability dlco
|
$529.32 |
$529.32 |
$529.32 |
$289.08
|
|
Discography cerv/thor spine
|
$2,098.14 |
$2,098.14 |
$2,098.14 |
$2,440.84
|
|
Dissolve clot heart vessel
|
$162.03 |
$162.03 |
$162.03 |
$1,754.66
|
|
Dlyd plmt xtn prosth ea addl
|
$1,582.68 |
$1,582.68 |
$1,582.68 |
$1,864.35
|
|
Dna antibody native/double stranded
|
$84.81 |
$84.81 |
$84.81 |
$100.00
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$100.82 |
$100.82 |
$100.82 |
$70.92
|
|
Doppler echo complete
|
$691.35 |
$691.35 |
$691.35 |
$605.50
|
|
Doppler intravascular pressure flow initial vessel
|
$2,893.77 |
$2,893.77 |
$2,893.77 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,649.67 |
$1,649.67 |
$1,649.67 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,435.17 |
$1,435.17 |
$1,435.17 |
$481.65
|
|
Dornase alfa non-comp unit
|
$1,177.03 |
$1,177.03 |
$1,177.03 |
$350.67
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$43.12 |
$43.12 |
$43.12 |
$450.14
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$110.72 |
$110.72 |
$110.72 |
$84.80
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$279.18 |
$279.18 |
$279.18 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$655.71 |
$655.71 |
$655.71 |
$1,024.80
|
|
Drainage external ear complex 69005
|
$678.81 |
$678.81 |
$678.81 |
$2,904.00
|
|
Drainage external ear simple 69000
|
$279.18 |
$279.18 |
$279.18 |
$794.82
|
|
Drainage mouth roof lesion
|
$626.01 |
$626.01 |
$626.01 |
$415.68
|
|
Drainage of arm bursa 23931
|
$833.91 |
$833.91 |
$833.91 |
$2,437.50
|
|
Drainage of bladder abscess
|
$1,110.12 |
$1,110.12 |
$1,110.12 |
$3,167.89
|
|
Drainage of kidney lesion
|
$2,983.86 |
$2,983.86 |
$2,983.86 |
$1,578.89
|
|
Drainage of mouth lesion
|
$1,679.04 |
$1,679.04 |
$1,679.04 |
$2,423.85
|
|
Drainage of nose lesion int 30000
|
$619.74 |
$619.74 |
$619.74 |
$548.00
|
|
Drainage of rectal abscess
|
$1,294.26 |
$1,294.26 |
$1,294.26 |
$2,299.90
|
|
Drain blood from under nail 11740
|
$148.50 |
$148.50 |
$148.50 |
$182.95
|
|
Drain cath image guided visceral pq
|
$883.08 |
$883.08 |
$883.08 |
$2,967.35
|
|
Drain cerebro spinal fluid 62272
|
$566.28 |
$566.28 |
$566.28 |
$1,045.65
|
|
Drain finger abscess;simple 26010
|
$429.33 |
$429.33 |
$429.33 |
$451.20
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$517.77 |
$517.77 |
$517.77 |
$403.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$351.45 |
$351.45 |
$351.45 |
$365.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$467.94 |
$467.94 |
$467.94 |
$554.40
|
|
Drng of eyelid abscess 67700
|
$875.16 |
$875.16 |
$875.16 |
$718.05
|
|
Drng of finger abscess comp 26011
|
$755.04 |
$755.04 |
$755.04 |
$1,917.33
|
|
Drng of hydrocele 55000
|
$633.27 |
$633.27 |
$633.27 |
$860.00
|
|
Drng of scrotum abscess 55100
|
$1,514.04 |
$1,514.04 |
$1,514.04 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$44.70 |
$44.70 |
$44.70 |
$31.92
|
|
Drug admin & hemodynmic meas
|
$113.52 |
$113.52 |
$113.52 |
$587.40
|
|
Drug of abuse screen urine
|
$394.02 |
$394.02 |
$394.02 |
$61.10
|
|
Drug screening tapentadol
|
$18.48 |
$18.48 |
$18.48 |
$37.02
|
|
Drug test def 1-7 classes
|
$394.02 |
$394.02 |
$394.02 |
$263.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$394.02 |
$394.02 |
$394.02 |
$278.85
|
|
Drvvt confirm - quest
|
$81.84 |
$81.84 |
$81.84 |
$102.30
|
|
Dstrj nulyt agt gnclr nrv
|
$1,476.42 |
$1,476.42 |
$1,476.42 |
$3,125.00
|
|
Ductogram sgl duct
|
$973.50 |
$973.50 |
$973.50 |
$452.50
|
|
Duplex scan bilateral study 93985
|
$1,152.36 |
$1,152.36 |
$1,152.36 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$576.18 |
$576.18 |
$576.18 |
$397.15
|
|
Dup scan/hemodialysis access 93990
|
$392.04 |
$392.04 |
$392.04 |
$499.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,951.95 |
$1,951.95 |
$1,951.95 |
$750.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,202.52 |
$1,202.52 |
$1,202.52 |
$903.50
|
|
Dxa bone density axl vrt fx
|
$527.67 |
$527.67 |
$527.67 |
$392.60
|
|
Dx bronchoscope/brush 31623
|
$1,141.47 |
$1,141.47 |
$1,141.47 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$990.66 |
$990.66 |
$990.66 |
$2,562.70
|
|
Dx bronchoscope/wash 31622
|
$982.74 |
$982.74 |
$982.74 |
$2,447.43
|
|
Ear irrigation 69209
|
$151.80 |
$151.80 |
$151.80 |
$154.70
|
|
Ecg 12 lead tracing only
|
$301.95 |
$301.95 |
$301.95 |
$228.82
|
|
Ecg/1-3 leads/tracing only 93041
|
$277.53 |
$277.53 |
$277.53 |
$140.40
|
|
Ecg external < 48 hours recording
|
$731.28 |
$731.28 |
$731.28 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,061.94 |
$1,061.94 |
$1,061.94 |
$536.50
|
|
Ecg external > 48 hours up to 7 days recording
|
$46.20 |
$46.20 |
$46.20 |
$158.93
|
|
Ecg external >7 days up to 15 days recording
|
$46.20 |
$46.20 |
$46.20 |
$188.19
|
|
Echocardiogram (Heart Ultrasound)
|
$2,954.49 |
$2,954.49 |
$2,954.49 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$559.35 |
$559.35 |
$559.35 |
$520.50
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,072.96 |
$3,072.96 |
$3,072.96 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,708.74 |
$1,708.74 |
$1,708.74 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,708.74 |
$1,708.74 |
$1,708.74 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$598.62 |
$598.62 |
$598.62 |
$356.40
|
|
Echo exam of fetal heart
|
$396.00 |
$396.00 |
$396.00 |
$943.49
|
|
Echo exam of fetal heart
|
$275.55 |
$275.55 |
$275.55 |
$431.75
|
|
Echo exam of fetal heart
|
$220.11 |
$220.11 |
$220.11 |
$323.40
|
|
Echo exam uterus 76831-
|
$755.37 |
$755.37 |
$755.37 |
$572.32
|
|
Echo guidance radiotherapy
|
$2,074.05 |
$2,074.05 |
$2,074.05 |
$812.00
|