|
Cytopathology fluids/washings/brushings smears with interpretation
|
$883.53 |
$883.53 |
$883.53 |
$122.40
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$779.29 |
$779.29 |
$779.29 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$732.25 |
$732.25 |
$732.25 |
$203.08
|
|
Cytopath smear other source
|
$901.33 |
$901.33 |
$901.33 |
$135.27
|
|
Dacarbazine 100 mg intravenous solution
|
$22.90 |
$22.90 |
$22.90 |
$61.64
|
|
Dactinomycin 0.5 mg intravenous solution
|
$445.66 |
$445.66 |
$445.66 |
$2,281.50
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$2,051.41 |
$2,051.41 |
$2,051.41 |
$544.35
|
|
Deamidated gliadin antibody iga
|
$1,456.87 |
$1,456.87 |
$1,456.87 |
$44.20
|
|
Debridement (>20 cm) charge pt
|
$499.02 |
$499.02 |
$499.02 |
$262.60
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$2,776.03 |
$2,776.03 |
$2,776.03 |
$798.23
|
|
Decalcification
|
$1,250.93 |
$1,250.93 |
$1,250.93 |
$75.38
|
|
Deferoxamine 500 mg solution for injection
|
$309.58 |
$309.58 |
$309.58 |
$112.87
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$375.93 |
$375.93 |
$375.93 |
$182.40
|
|
Desoxycorticosterone
|
$266.97 |
$266.97 |
$266.97 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$46,763.48 |
$46,763.48 |
$46,763.48 |
$5,698.68
|
|
Detect agent nos dna dir
|
$1,981.91 |
$1,981.91 |
$1,981.91 |
$67.15
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$1,859.18 |
$1,859.18 |
$1,859.18 |
$222.30
|
|
Dextran 40 infusion
|
$2,390.47 |
$2,390.47 |
$2,390.47 |
$173.97
|
|
Dextrose 5 % IV bolus
|
$508.55 |
$508.55 |
$508.55 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$1,358.99 |
$1,358.99 |
$1,358.99 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$1,428.90 |
$1,428.90 |
$1,428.90 |
$78.03
|
|
Diab manage trn ind/group
|
$170.96 |
$170.96 |
$170.96 |
$49.50
|
|
Diagnostic Mammogram (both breasts)
|
$4,553.64 |
$4,553.64 |
$4,553.64 |
$403.32
|
|
Diatrizoate meglumine 18 % urethral solution
|
$4.54 |
$4.54 |
$4.54 |
$122.25
|
|
Dicyclomine injection
|
$458.14 |
$458.14 |
$458.14 |
$210.00
|
|
Diffusing capacity
|
$882.73 |
$882.73 |
$882.73 |
$357.50
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$49.90 |
$49.90 |
$49.90 |
$53.00
|
|
Digoxin immune fab 40 mg intravenous solution
|
$22,945.36 |
$22,945.36 |
$22,945.36 |
$9,684.65
|
|
Digoxin total therapeutic drug level
|
$1,604.34 |
$1,604.34 |
$1,604.34 |
$99.35
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$862.97 |
$862.97 |
$862.97 |
$308.90
|
|
Dimethyl sulfoxide 50% 50 ml
|
$2,286.14 |
$2,286.14 |
$2,286.14 |
$1,001.55
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$2.27 |
$2.27 |
$2.27 |
$1.62
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$158.76 |
$158.76 |
$158.76 |
$22.58
|
|
Disability dlco
|
$1,295.54 |
$1,295.54 |
$1,295.54 |
$302.40
|
|
Disaccharidases
|
$553.00 |
$553.00 |
$553.00 |
$224.58
|
|
Dissolve clot heart vessel
|
$30,038.26 |
$30,038.26 |
$30,038.26 |
$1,274.40
|
|
Dlyd plmt xtn prosth ea addl
|
$71,213.26 |
$71,213.26 |
$71,213.26 |
$2,001.55
|
|
Dna probe gc
|
$877.18 |
$877.18 |
$877.18 |
$88.67
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$26.08 |
$26.08 |
$26.08 |
$98.43
|
|
Doppler echo complete
|
$5,143.42 |
$5,143.42 |
$5,143.42 |
$644.00
|
|
Doppler intravascular pressure flow initial vessel
|
$4,871.49 |
$4,871.49 |
$4,871.49 |
$3,006.25
|
|
Dornase alfa non-comp unit
|
$755.24 |
$755.24 |
$755.24 |
$500.29
|
|
Dornhoffer fixed part w/window
|
$100,000.00 |
$100,000.00 |
$100,000.00 |
$32,112.76
|
|
Dpyd gene common variants
|
$1,089.05 |
$1,089.05 |
$1,089.05 |
$380.50
|
|
Drain cath image guided visceral pq
|
$12,829.78 |
$12,829.78 |
$12,829.78 |
$2,996.80
|
|
Dronabinol 2.5mg oral
|
$77.11 |
$77.11 |
$77.11 |
$10.17
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$113.00 |
$113.00 |
$113.00 |
$189.68
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$5,085.77
|
|
Drug admin & hemodynmic meas
|
$1,082.55 |
$1,082.55 |
$1,082.55 |
$542.23
|
|
Drug assay voriconazole
|
$111.87 |
$111.87 |
$111.87 |
$96.75
|
|
Drug of abuse screen urine
|
$264.42 |
$264.42 |
$264.42 |
$63.75
|
|
Drug test def 15-21 classes
|
$340.70 |
$340.70 |
$340.70 |
$142.17
|
|
Drug test def 1-7 classes
|
$340.70 |
$340.70 |
$340.70 |
$263.86
|
|
Drug test def 22+ classes
|
$340.70 |
$340.70 |
$340.70 |
$246.92
|
|
Drug test def 8-14 classes
|
$340.70 |
$340.70 |
$340.70 |
$172.25
|
|
Drug test prsmv instrmnt
|
$264.42 |
$264.42 |
$264.42 |
$78.65
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$264.42 |
$264.42 |
$264.42 |
$278.85
|
|
Ductogram sgl duct
|
$4,088.67 |
$4,088.67 |
$4,088.67 |
$382.80
|
|
Duplex scan bilateral study 93985
|
$2,558.01 |
$2,558.01 |
$2,558.01 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$2,264.32 |
$2,264.32 |
$2,264.32 |
$392.15
|
|
Dup scan/hemodialysis access 93990
|
$5,750.44 |
$5,750.44 |
$5,750.44 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$4,929.12 |
$4,929.12 |
$4,929.12 |
$750.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$795.88 |
$795.88 |
$795.88 |
$885.60
|
|
Dxa bone density axl vrt fx
|
$2,568.33 |
$2,568.33 |
$2,568.33 |
$374.00
|
|
Ecg 12 lead tracing only
|
$1,942.31 |
$1,942.31 |
$1,942.31 |
$243.61
|
|
Ecg/1-3 leads/tracing only 93041
|
$1,920.90 |
$1,920.90 |
$1,920.90 |
$129.83
|
|
Ecg external < 48 hours recording
|
$707.90 |
$707.90 |
$707.90 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$6,309.35 |
$6,309.35 |
$6,309.35 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$15,906.79 |
$15,906.79 |
$15,906.79 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$5,143.42 |
$5,143.42 |
$5,143.42 |
$461.61
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$12,383.32 |
$12,383.32 |
$12,383.32 |
$1,818.05
|
|
Echocardiography transthoracic 2d followup/limited
|
$9,592.77 |
$9,592.77 |
$9,592.77 |
$773.30
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$6,784.09 |
$6,784.09 |
$6,784.09 |
$686.88
|
|
Echocardiograpy doppler follow up/limited study
|
$1,461.97 |
$1,461.97 |
$1,461.97 |
$354.90
|
|
Echo exam uterus 76831-
|
$9,028.18 |
$9,028.18 |
$9,028.18 |
$547.23
|
|
Echo guide for amniocentesis
|
$2,660.00 |
$2,660.00 |
$2,660.00 |
$377.11
|
|
Echo stress
|
$12,003.90 |
$12,003.90 |
$12,003.90 |
$1,607.45
|
|
Echo tee guidance
|
$8,910.00 |
$8,910.00 |
$8,910.00 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$7,410.83 |
$7,410.83 |
$7,410.83 |
$1,938.95
|
|
Echo transesophageal
|
$5,143.42 |
$5,143.42 |
$5,143.42 |
$1,734.10
|
|
Echo transthoracic
|
$8,572.37 |
$8,572.37 |
$8,572.37 |
$1,475.25
|
|
Echo transthoracic
|
$8,230.51 |
$8,230.51 |
$8,230.51 |
$944.14
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$12,121.75 |
$12,121.75 |
$12,121.75 |
$1,020.09
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$434.25 |
$434.25 |
$434.25 |
$81.90
|
|
Eeg 41-60 minutes 95812-26
|
$1,589.62 |
$1,589.62 |
$1,589.62 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$4,684.47 |
$4,684.47 |
$4,684.47 |
$1,048.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$6,282.90 |
$6,282.90 |
$6,282.90 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,467.44 |
$1,467.44 |
$1,467.44 |
$1,100.40
|
|
Eeg recording awake and asleep
|
$6,282.90 |
$6,282.90 |
$6,282.90 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$4,790.27 |
$4,790.27 |
$4,790.27 |
$684.75
|
|
Eeg without vid 2-12 hr unmntr
|
$3,926.18 |
$3,926.18 |
$3,926.18 |
$526.57
|
|
Eeg without vid ea 12-26hr cont
|
$3,926.18 |
$3,926.18 |
$3,926.18 |
$1,167.64
|
|
Eeg without vid ea 12-26hr intmt
|
$4,790.27 |
$4,790.27 |
$4,790.27 |
$1,126.20
|
|
Eeg wo vid 2-12hr intmt mntr
|
$3,926.18 |
$3,926.18 |
$3,926.18 |
$593.91
|
|
Egfr gene com variants
|
$882.26 |
$882.26 |
$882.26 |
$646.75
|
|
Electrolyte panel
|
$1,903.09 |
$1,903.09 |
$1,903.09 |
$86.33
|
|
Electron microscopy diagnostic
|
$10,208.27 |
$10,208.27 |
$10,208.27 |
$1,006.20
|
|
Electrophysiology evaluation
|
$48,646.26 |
$48,646.26 |
$48,646.26 |
$8,979.45
|
|
Electrophysiology evaluation
|
$40,426.11 |
$40,426.11 |
$40,426.11 |
$8,393.40
|
|
Electrophysiology evaluation
|
$43,536.50 |
$43,536.50 |
$43,536.50 |
$6,516.00
|