|
Dilat xst trc ndurlgc px
|
$3,530.00 |
$3,530.00 |
$3,530.00 |
$4,061.71
|
|
Dilat xst trc new access rcs
|
$3,883.50 |
$3,883.50 |
$3,883.50 |
$4,213.20
|
|
Disability dlco
|
$154.50 |
$154.50 |
$154.50 |
$284.97
|
|
Disaccharidases
|
$272.50 |
$272.50 |
$272.50 |
$216.00
|
|
Discography cerv/thor spine
|
$2,149.00 |
$2,149.00 |
$2,149.00 |
$2,565.00
|
|
Dlyd plmt xtn prosth ea addl
|
$750.50 |
$750.50 |
$750.50 |
$1,562.70
|
|
Dna antibody native/double stranded
|
$59.00 |
$59.00 |
$59.00 |
$95.80
|
|
Dna gardnerella
|
$100.00 |
$100.00 |
$100.00 |
$62.50
|
|
Dna trichomonas
|
$100.00 |
$100.00 |
$100.00 |
$67.80
|
|
Doppler echo complete
|
$259.00 |
$259.00 |
$259.00 |
$531.50
|
|
Doppler intravascular pressure flow initial vessel
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$512.00 |
$512.00 |
$512.00 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$225.00 |
$225.00 |
$225.00 |
$470.05
|
|
Dorsi & plantar flex ass/res
|
$67.28 |
$67.28 |
$67.28 |
$163.50
|
|
Dpyd gene common variants
|
$774.50 |
$774.50 |
$774.50 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$360.00 |
$360.00 |
$360.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$497.00 |
$497.00 |
$497.00 |
$906.00
|
|
Drainage external ear complex 69005
|
$1,437.00 |
$1,437.00 |
$1,437.00 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$497.00 |
$497.00 |
$497.00 |
$789.60
|
|
Drainage lymph node lesion 38300
|
$1,393.00 |
$1,393.00 |
$1,393.00 |
$3,088.80
|
|
Drainage mouth roof lesion
|
$375.00 |
$375.00 |
$375.00 |
$390.39
|
|
Drainage of arm bursa 23931
|
$1,385.50 |
$1,385.50 |
$1,385.50 |
$2,197.48
|
|
Drainage of bladder abscess
|
$1,385.50 |
$1,385.50 |
$1,385.50 |
$3,127.88
|
|
Drainage of eye
|
$1,201.00 |
$1,201.00 |
$1,201.00 |
$2,360.00
|
|
Drainage of eye
|
$2,081.50 |
$2,081.50 |
$2,081.50 |
$3,170.00
|
|
Drainage of kidney lesion
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$1,534.80
|
|
Drainage of mouth lesion
|
$316.50 |
$316.50 |
$316.50 |
$489.00
|
|
Drainage of mouth lesion
|
$2,506.00 |
$2,506.00 |
$2,506.00 |
$2,423.85
|
|
Drainage of mouth lesion
|
$2,187.50 |
$2,187.50 |
$2,187.50 |
$3,908.00
|
|
Drainage of mouth lesion
|
$382.00 |
$382.00 |
$382.00 |
$962.40
|
|
Drainage of mouth lesion
|
$2,758.00 |
$2,758.00 |
$2,758.00 |
$6,781.90
|
|
Drainage of mouth lesion
|
$1,699.50 |
$1,699.50 |
$1,699.50 |
$3,544.29
|
|
Drainage of mouth lesion
|
$2,283.50 |
$2,283.50 |
$2,283.50 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$382.00 |
$382.00 |
$382.00 |
$491.40
|
|
Drainage of nose lesion sept 30020
|
$382.00 |
$382.00 |
$382.00 |
$781.44
|
|
Drainage of rectal abscess
|
$559.50 |
$559.50 |
$559.50 |
$2,111.46
|
|
Drainage of urethra abscess 53060
|
$1,979.00 |
$1,979.00 |
$1,979.00 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$146.50 |
$146.50 |
$146.50 |
$171.20
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,174.50 |
$2,174.50 |
$2,174.50 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,242.00 |
$2,242.00 |
$2,242.00 |
$2,850.00
|
|
Drain cerebro spinal fluid 62272
|
$603.00 |
$603.00 |
$603.00 |
$1,044.00
|
|
Drain chst dry seal exp thorastat
|
$74.52 |
$74.52 |
$74.52 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$394.00 |
$394.00 |
$394.00 |
$424.00
|
|
Drain lower leg lesion 27603
|
$4,019.00 |
$4,019.00 |
$4,019.00 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$1,393.00 |
$1,393.00 |
$1,393.00 |
$3,339.00
|
|
Drain ostomy pouch w/flange
|
$8.80 |
$8.80 |
$8.80 |
$8.80
|
|
Drain thigh/knee lesion 27301
|
$1,393.00 |
$1,393.00 |
$1,393.00 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$349.50 |
$349.50 |
$349.50 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$349.50 |
$349.50 |
$349.50 |
$345.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$639.50 |
$639.50 |
$639.50 |
$523.00
|
|
Dressing change not for burn w/anes 15852
|
$862.00 |
$862.00 |
$862.00 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$1,738.88 |
$1,738.88 |
$1,738.88 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$4,020.00 |
$4,020.00 |
$4,020.00 |
$1,515.00
|
|
Drng hand tendon sheath 26020
|
$4,933.00 |
$4,933.00 |
$4,933.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$600.50 |
$600.50 |
$600.50 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$1,631.50 |
$1,631.50 |
$1,631.50 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$1,057.50 |
$1,057.50 |
$1,057.50 |
$832.60
|
|
Drng of mouth lesion 40801
|
$1,173.50 |
$1,173.50 |
$1,173.50 |
$1,255.68
|
|
Drng of ovarian cyst(s) 58800
|
$3,532.00 |
$3,532.00 |
$3,532.00 |
$3,474.84
|
|
Drng of scrotum abscess 55100
|
$1,775.00 |
$1,775.00 |
$1,775.00 |
$1,935.96
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$1,265.50 |
$1,265.50 |
$1,265.50 |
$1,800.00
|
|
Drng ovary abscess perqt 58822
|
$1,939.00 |
$1,939.00 |
$1,939.00 |
$2,161.64
|
|
Drng peritoneal abscess open 49020
|
$2,607.50 |
$2,607.50 |
$2,607.50 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$1,906.00 |
$1,906.00 |
$1,906.00 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$766.50 |
$766.50 |
$766.50 |
$741.60
|
|
Drop lock knee
|
$79.18 |
$79.18 |
$79.18 |
$204.95
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$537.68 |
$537.68 |
$537.68 |
$1,956.48
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$16.04 |
$16.04 |
$16.04 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$18.63 |
$18.63 |
$18.63 |
$289.05
|
|
Drsg sht 5.625x4.625in std
|
$25.36 |
$25.36 |
$25.36 |
$572.00
|
|
Drsg surg adh 11x11 3/4 occl drap wnd 28x30
|
$3.85 |
$3.85 |
$3.85 |
$19.10
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$226.68 |
$226.68 |
$226.68 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$472.50 |
$472.50 |
$472.50 |
$569.75
|
|
Drug assay caffeine
|
$29.50 |
$29.50 |
$29.50 |
$83.40
|
|
Drug assay posaconazole
|
$80.50 |
$80.50 |
$80.50 |
$96.75
|
|
Drug assay rufinamide
|
$62.00 |
$62.00 |
$62.00 |
$85.80
|
|
Drug assay vedolizumab
|
$180.50 |
$180.50 |
$180.50 |
$152.79
|
|
Drug assay voriconazole
|
$80.50 |
$80.50 |
$80.50 |
$96.75
|
|
Drug of abuse screen urine
|
$67.50 |
$67.50 |
$67.50 |
$63.75
|
|
Drug screen quant tiagabine
|
$97.00 |
$97.00 |
$97.00 |
$114.62
|
|
Drug test def 1-7 classes
|
$217.50 |
$217.50 |
$217.50 |
$246.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$163.50 |
$163.50 |
$163.50 |
$278.85
|
|
Drvvt confirm - quest
|
$40.00 |
$40.00 |
$40.00 |
$109.20
|
|
Dry needling (97799)
|
$47.50 |
$47.50 |
$47.50 |
$108.00
|
|
Dstrj nulyt agt gnclr nrv
|
$2,980.00 |
$2,980.00 |
$2,980.00 |
$3,020.80
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$444.00 |
$444.00 |
$444.00 |
$603.20
|
|
Ductogram sgl duct
|
$452.50 |
$452.50 |
$452.50 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$285.00 |
$285.00 |
$285.00 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$137.50 |
$137.50 |
$137.50 |
$362.70
|
|
Dup scan/hemodialysis access 93990
|
$478.00 |
$478.00 |
$478.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$637.50 |
$637.50 |
$637.50 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$378.00 |
$378.00 |
$378.00 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$267.00 |
$267.00 |
$267.00 |
$392.60
|
|
Dx bronchoscope/brush 31623
|
$1,745.00 |
$1,745.00 |
$1,745.00 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$1,745.00 |
$1,745.00 |
$1,745.00 |
$2,369.64
|
|
Dx bronchoscope/wash 31622
|
$1,745.00 |
$1,745.00 |
$1,745.00 |
$2,322.60
|
|
Ear canal biopsy 69105
|
$1,766.00 |
$1,766.00 |
$1,766.00 |
$1,889.50
|
|
Ear irrigation 69209
|
$30.00 |
$30.00 |
$30.00 |
$150.00
|
|
Ecg 12 lead tracing only
|
$124.00 |
$124.00 |
$124.00 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$73.50 |
$73.50 |
$73.50 |
$135.80
|
