|
Diabetes (HbA1c) Test
|
$40.32 |
$40.32 |
$92.09 |
$79.30
|
|
Diabetes training group per 30 min g0109
|
$35.43 |
$35.43 |
$35.43 |
$35.43
|
|
Diab manage trn ind/group
|
$25.65 |
$25.65 |
$63.45 |
$54.99
|
|
Diag laparo separate proc 49320
|
$7,144.88 |
$7,144.88 |
$7,144.88 |
$7,104.72
|
|
Diagnostic anoscopy spx 46600
|
$134.55 |
$134.55 |
$134.55 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$117.94 |
$117.94 |
$117.94 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$75.93 |
$75.93 |
$75.93 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$154.17 |
$154.17 |
$242.14 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$374.65 |
$374.65 |
$1,259.28 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$198.81 |
$198.81 |
$340.20 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$130.50 |
$130.50 |
$272.16 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$78.21 |
$78.21 |
$6,139.57 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$2,978.93 |
$2,978.93 |
$2,978.93 |
$5,741.00
|
|
Dialysis one evaluation
|
$1,775.84 |
$1,775.84 |
$1,775.84 |
$936.00
|
|
Dialysis repeated eval
|
$1,523.40 |
$1,523.40 |
$1,523.40 |
$1,332.80
|
|
Dialysis training complete
|
$783.36 |
$783.36 |
$783.36 |
$783.36
|
|
Dialysis training incompl
|
$391.67 |
$391.67 |
$391.67 |
$391.67
|
|
Diatrizoate meglumine 18 % urethral solution
|
$149.04 |
$149.04 |
$149.04 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$42.12 |
$42.12 |
$135.30 |
$79.71
|
|
Dicyclomine injection
|
$132.48 |
$132.48 |
$229.36 |
$154.33
|
|
Diffusing capacity
|
$92.43 |
$92.43 |
$434.72 |
$336.80
|
|
Digital analysis of eeg
|
$641.56 |
$641.56 |
$641.56 |
$593.40
|
|
Digit nerve surgery add-on
|
$1,832.59 |
$1,832.59 |
$1,832.59 |
$1,832.59
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$139.14 |
$139.14 |
$371.87 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,852.89 |
$4,852.89 |
$8,613.00 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$85.05 |
$85.05 |
$102.07 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$261.36 |
$261.36 |
$357.05 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$2,316.61 |
$2,316.61 |
$2,316.61 |
$1,866.73
|
|
Dilate esophagus
|
$1,053.98 |
$1,053.98 |
$1,053.98 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$1,349.05 |
$1,349.05 |
$1,349.05 |
$1,548.00
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$2,932.13 |
$2,932.13 |
$2,932.13 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,190.10 |
$1,190.10 |
$1,190.10 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$4,627.52 |
$4,627.52 |
$4,627.52 |
$5,151.95
|
|
Dilate tear duct opening
|
$351.48 |
$351.48 |
$351.48 |
$454.40
|
|
Dilate urethra stricture
|
$128.70 |
$128.70 |
$910.83 |
$513.00
|
|
Dilate urethra stricture
|
$208.22 |
$208.22 |
$208.22 |
$200.80
|
|
Dilate urethra stricture
|
$3,424.84 |
$3,424.84 |
$3,424.84 |
$3,863.60
|
|
Dilate urethra stricture
|
$450.25 |
$450.25 |
$450.25 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$277.58 |
$277.58 |
$277.58 |
$235.61
|
|
Dilation of anal sphincter
|
$2,166.04 |
$2,166.04 |
$2,166.04 |
$2,166.04
|
|
Dilation of cervical canal 57800
|
$4,096.04 |
$4,096.04 |
$4,096.04 |
$4,446.00
|
|
Dilation of rectal stricture 45910
|
$2,263.80 |
$2,263.80 |
$2,263.80 |
$2,491.80
|
|
Dilation of salivary duct
|
$551.84 |
$551.84 |
$551.84 |
$790.00
|
|
Dilation of urethra
|
$275.49 |
$275.49 |
$275.49 |
$172.00
|
|
Dilation of urethra
|
$3,636.97 |
$3,636.97 |
$3,636.97 |
$2,424.12
|
|
Dilation of vagina
|
$2,643.08 |
$2,643.08 |
$2,643.08 |
$4,446.00
|
|
Dilation salivary duct 42650
|
$2,498.32 |
$2,498.32 |
$2,498.32 |
$2,675.71
|
|
Dilation/urethral strict/male/ini 53620
|
$722.52 |
$722.52 |
$2,796.96 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$1,277.43 |
$1,277.43 |
$1,277.43 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$7,914.70 |
$7,914.70 |
$7,914.70 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$8,147.48 |
$8,147.48 |
$8,147.48 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$138.24 |
$138.24 |
$138.24 |
$45.60
|
|
Dimecaprol injection
|
$457.03 |
$457.03 |
$457.03 |
$314.63
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,258.20 |
$1,258.20 |
$1,258.20 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$3.15 |
$3.15 |
$3.15 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.63 |
$9.63 |
$10.84 |
$18.32
|
|
Disability dlco
|
$87.84 |
$87.84 |
$356.06 |
$293.76
|
|
Disaccharidases
|
$99.72 |
$99.72 |
$338.63 |
$230.40
|
|
Disarticulation sho sec clsr
|
$1,793.59 |
$1,793.59 |
$1,793.59 |
$2,300.80
|
|
Discography cerv/thor spine
|
$1,417.05 |
$1,417.05 |
$5,350.69 |
$2,565.00
|
|
Dise eval slp do brth flx dx
|
$212.03 |
$212.03 |
$212.03 |
$1,120.00
|
|
Dissolve clot heart vessel
|
$861.55 |
$861.55 |
$861.55 |
$1,579.93
|
|
Dist revas ligation hemo
|
$7,440.08 |
$7,440.08 |
$7,440.08 |
$6,396.89
|
|
Diverticulectomy/hypophar/esoph 43130
|
$7,348.20 |
$7,348.20 |
$7,348.20 |
$6,547.81
|
|
#d/lmeth-l-methamphetamine
|
$52.50 |
$52.50 |
$52.50 |
$72.14
|
|
Dmd dup/delet analysis
|
$1,806.96 |
$1,806.96 |
$1,806.96 |
$418.50
|
|
Dmpk gene detc abnor allele
|
$7,487.95 |
$7,487.95 |
$7,487.95 |
$313.60
|
|
Dna antibody native/double stranded
|
$44.01 |
$44.01 |
$142.25 |
$100.00
|
|
Dna gardnerella
|
$39.15 |
$39.15 |
$39.15 |
$61.83
|
|
Dna probe chlamydia
|
$99.55 |
$99.55 |
$99.55 |
$82.20
|
|
Dna probe gc
|
$88.67 |
$88.67 |
$88.67 |
$79.38
|
|
Dna trichomonas
|
$39.15 |
$39.15 |
$85.78 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$89.82 |
$89.82 |
$146.40 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$39.06 |
$39.06 |
$1,290.00 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$4.14 |
$4.14 |
$76.20 |
$65.40
|
|
Doppler echo complete
|
$281.07 |
$281.07 |
$823.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,026.62 |
$3,026.62 |
$3,026.62 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$314.55 |
$314.55 |
$857.57 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$193.68 |
$193.68 |
$539.59 |
$481.65
|
|
Dornase alfa non-comp unit
|
$350.67 |
$350.67 |
$350.67 |
$356.00
|
|
Dornhoffer fixed part w/window
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$34,278.00
|
|
Dorsi & plantar flex ass/res
|
$76.80 |
$76.80 |
$76.80 |
$163.44
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$20,843.62 |
$20,843.62 |
$20,843.62 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$97.83 |
$97.83 |
$740.18 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,278.13 |
$2,278.13 |
$2,278.13 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$97.79 |
$97.79 |
$97.79 |
$89.34
|
|
Dpyd gene common variants
|
$1,228.58 |
$1,228.58 |
$1,228.58 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$121.95 |
$121.95 |
$889.91 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$104.49 |
$104.49 |
$659.69 |
$964.00
|
|
Drainage external ear complex 69005
|
$3,631.06 |
$3,631.06 |
$3,631.06 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$104.49 |
$104.49 |
$997.05 |
$790.40
|
|
Drainage lymph node lesion 38300
|
$476.73 |
$476.73 |
$1,859.43 |
$3,088.80
|
|
Drainage lymph node lesion 38305
|
$2,901.50 |
$2,901.50 |
$2,901.50 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$118.17 |
$118.17 |
$613.99 |
$405.60
|
|
Drainage of arm bursa 23931
|
$748.80 |
$748.80 |
$2,197.48 |
$2,271.01
|
|
Drainage of bladder abscess
|
$2,902.06 |
$2,902.06 |
$2,902.06 |
$3,127.88
|
|
Drainage of eye
|
$2,415.65 |
$2,415.65 |
$2,415.65 |
$2,415.65
|
|
Drainage of eye
|
$3,249.19 |
$3,249.19 |
$3,249.19 |
$3,170.00
|
|
Drainage of eye
|
$3,222.78 |
$3,222.78 |
$3,222.78 |
$3,494.40
|
|
Drainage of forearm bursa
|
$2,509.30 |
$2,509.30 |
$2,509.30 |
$2,170.50
|