|
Declotting thrombolytic agent implanted vas access device 36
|
$1,601.20 |
$1,601.20 |
$1,601.20 |
$510.95
|
|
Decompress spinal cord lmbr
|
$42,473.42 |
$42,473.42 |
$42,473.42 |
$7,913.97
|
|
Deferoxamine 500 mg solution for injection
|
$703.27 |
$703.27 |
$703.27 |
$112.87
|
|
Delivery of placenta 59414
|
$5,127.50 |
$5,127.50 |
$5,127.50 |
$3,135.14
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$254.71 |
$254.71 |
$254.71 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$18,783.57 |
$18,783.57 |
$18,783.57 |
$7,737.00
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$996.66 |
$996.66 |
$996.66 |
$460.50
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,329.65 |
$1,329.65 |
$1,329.65 |
$148.77
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$40.07 |
$40.07 |
$40.07 |
$23.79
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$137.39 |
$137.39 |
$137.39 |
$46.35
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$137.39 |
$137.39 |
$137.39 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$39.88 |
$39.88 |
$39.88 |
$48.56
|
|
Dextrose 5 % IV bolus
|
$137.39 |
$137.39 |
$137.39 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$349.42 |
$349.42 |
$349.42 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$193.18 |
$193.18 |
$193.18 |
$79.30
|
|
Diagnostic anoscopy spx 46600
|
$508.83 |
$508.83 |
$508.83 |
$227.75
|
|
Diagnostic digital breast tomosynthesis bil
|
$298.70 |
$298.70 |
$298.70 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$207.45 |
$207.45 |
$207.45 |
$75.93
|
|
Diagnostic Mammogram (both breasts)
|
$981.60 |
$981.60 |
$981.60 |
$421.20
|
|
Diagnostic Mammogram (one breast)
|
$733.90 |
$733.90 |
$733.90 |
$291.90
|
|
Dialysis one evaluation
|
$1,357.00 |
$1,357.00 |
$1,357.00 |
$827.97
|
|
Diatrizoate meglumine 18 % urethral solution
|
$510.98 |
$510.98 |
$510.98 |
$112.61
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$70.99 |
$70.99 |
$70.99 |
$70.40
|
|
Dicyclomine injection
|
$287.82 |
$287.82 |
$287.82 |
$210.83
|
|
Diffusing capacity
|
$704.89 |
$704.89 |
$704.89 |
$357.60
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$39.16 |
$39.16 |
$39.16 |
$62.20
|
|
Digoxin total therapeutic drug level
|
$229.53 |
$229.53 |
$229.53 |
$102.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$31.58 |
$31.58 |
$31.58 |
$23.90
|
|
Disability dlco
|
$228.51 |
$228.51 |
$228.51 |
$300.28
|
|
Disaccharidases
|
$955.10 |
$955.10 |
$955.10 |
$224.58
|
|
Dna antibody native/double stranded
|
$327.04 |
$327.04 |
$327.04 |
$101.40
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$554.84 |
$554.84 |
$554.84 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$225.82 |
$225.82 |
$225.82 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$173.84 |
$173.84 |
$173.84 |
$69.47
|
|
Doppler echo complete
|
$943.47 |
$943.47 |
$943.47 |
$643.75
|
|
Doppler intravascular pressure flow initial vessel
|
$3,255.03 |
$3,255.03 |
$3,255.03 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,410.47 |
$1,410.47 |
$1,410.47 |
$694.85
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$954.58 |
$954.58 |
$954.58 |
$482.03
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$12,330.89 |
$12,330.89 |
$12,330.89 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$79.40 |
$79.40 |
$79.40 |
$252.80
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,855.35 |
$1,855.35 |
$1,855.35 |
$2,469.31
|
|
Dpyd gene common variants
|
$868.22 |
$868.22 |
$868.22 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$3,839.56 |
$3,839.56 |
$3,839.56 |
$820.50
|
|
Drainage external ear complex 69005
|
$8,856.88 |
$8,856.88 |
$8,856.88 |
$2,924.22
|
|
Drainage external ear simple 69000
|
$565.76 |
$565.76 |
$565.76 |
$815.00
|
|
Drainage mouth roof lesion
|
$1,539.03 |
$1,539.03 |
$1,539.03 |
$470.73
|
|
Drainage of arm bursa 23931
|
$8,856.88 |
$8,856.88 |
$8,856.88 |
$2,271.01
|
|
Drainage of kidney lesion
|
$3,807.98 |
$3,807.98 |
$3,807.98 |
$1,619.40
|
|
Drainage of mouth lesion
|
$16,752.58 |
$16,752.58 |
$16,752.58 |
$3,837.72
|
|
Drainage of mouth lesion
|
$2,935.92 |
$2,935.92 |
$2,935.92 |
$1,022.40
|
|
Drain blood from under nail 11740
|
$257.18 |
$257.18 |
$257.18 |
$190.10
|
|
Drain cath image guided visceral pq
|
$5,858.87 |
$5,858.87 |
$5,858.87 |
$2,996.80
|
|
Drain finger abscess;simple 26010
|
$1,295.65 |
$1,295.65 |
$1,295.65 |
$490.80
|
|
Drain shoulder lesion
|
$24,538.34 |
$24,538.34 |
$24,538.34 |
$3,386.84
|
|
Drain thigh/knee lesion 27301
|
$18,069.81 |
$18,069.81 |
$18,069.81 |
$3,606.86
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$751.19 |
$751.19 |
$751.19 |
$403.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$751.19 |
$751.19 |
$751.19 |
$359.45
|
|
Dress/debrid prtl-thick burn l 16030
|
$571.78 |
$571.78 |
$571.78 |
$523.00
|
|
Drng of eyelid abscess 67700
|
$1,672.59 |
$1,672.59 |
$1,672.59 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$8,856.88 |
$8,856.88 |
$8,856.88 |
$1,917.33
|
|
Drng of scrotum abscess 55100
|
$10,037.11 |
$10,037.11 |
$10,037.11 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$45.09 |
$45.09 |
$45.09 |
$35.43
|
|
Drug assay posaconazole
|
$333.15 |
$333.15 |
$333.15 |
$96.39
|
|
Drug assay voriconazole
|
$315.50 |
$315.50 |
$315.50 |
$96.75
|
|
Drug of abuse screen urine
|
$225.74 |
$225.74 |
$225.74 |
$63.75
|
|
Drug screen quant tiagabine
|
$321.30 |
$321.30 |
$321.30 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,212.61 |
$1,212.61 |
$1,212.61 |
$280.95
|
|
Drvvt confirm - quest
|
$149.77 |
$149.77 |
$149.77 |
$101.66
|
|
Duplex scan unilateral study 93986
|
$1,555.81 |
$1,555.81 |
$1,555.81 |
$392.15
|
|
Dup scan/hemodialysis access 93990
|
$994.41 |
$994.41 |
$994.41 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$2,972.91 |
$2,972.91 |
$2,972.91 |
$750.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$2,124.64 |
$2,124.64 |
$2,124.64 |
$885.87
|
|
Durvalumab 50 mg/ml intravenous solution
|
$13,536.49 |
$13,536.49 |
$13,536.49 |
$8,841.54
|
|
Dxa bone density axl vrt fx
|
$785.14 |
$785.14 |
$785.14 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$10,048.35 |
$10,048.35 |
$10,048.35 |
$2,626.00
|
|
Ear irrigation 69209
|
$461.34 |
$461.34 |
$461.34 |
$155.20
|
|
Ecg 12 lead tracing only
|
$423.07 |
$423.07 |
$423.07 |
$245.00
|
|
Echocardiogram (Heart Ultrasound)
|
$3,328.88 |
$3,328.88 |
$3,328.88 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$649.89 |
$649.89 |
$649.89 |
$462.80
|
|
Echocardiography transthoracic 2d followup/limited
|
$2,975.02 |
$2,975.02 |
$2,975.02 |
$762.45
|
|
Echocardiograpy doppler follow up/limited study
|
$542.94 |
$542.94 |
$542.94 |
$354.90
|
|
Echo exam uterus 76831-
|
$1,909.28 |
$1,909.28 |
$1,909.28 |
$536.40
|
|
Echo stress
|
$2,241.08 |
$2,241.08 |
$2,241.08 |
$1,607.45
|
|
Echo tee probe placement image acquisition interpretation & report
|
$6,224.83 |
$6,224.83 |
$6,224.83 |
$1,907.26
|
|
Echo transthoracic
|
$4,351.78 |
$4,351.78 |
$4,351.78 |
$1,473.15
|
|
Eeg 41-60 minutes 95812-26
|
$1,515.05 |
$1,515.05 |
$1,515.05 |
$934.05
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,158.35 |
$1,158.35 |
$1,158.35 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$2,304.93 |
$2,304.93 |
$2,304.93 |
$1,086.80
|
|
Eeg recording awake and asleep
|
$2,675.34 |
$2,675.34 |
$2,675.34 |
$1,025.76
|
|
E equine encephalitis igg
|
$1,118.25 |
$1,118.25 |
$1,118.25 |
$48.73
|
|
Ehrlicha chaffeensis amp prb
|
$116.06 |
$116.06 |
$116.06 |
$105.00
|
|
Electrical stimulation/unattended 97014
|
$253.79 |
$253.79 |
$253.79 |
$82.20
|
|
Electrolyte panel
|
$218.99 |
$218.99 |
$218.99 |
$92.30
|
|
Electrophysiology evaluation
|
$3,723.18 |
$3,723.18 |
$3,723.18 |
$2,845.10
|
|
Electrophysiology evaluation
|
$3,252.69 |
$3,252.69 |
$3,252.69 |
$1,869.13
|
|
Embo or occlude vascular hemorrhage s&i
|
$29,777.18 |
$29,777.18 |
$29,777.18 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$29,777.18 |
$29,777.18 |
$29,777.18 |
$14,809.85
|
|
Embo or occlude vascular venous s&i
|
$29,777.18 |
$29,777.18 |
$29,777.18 |
$15,038.25
|
|
Encephalitis, california igg/igm
|
$545.36 |
$545.36 |
$545.36 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$792.44 |
$792.44 |
$792.44 |
$47.80
|