|
Diag bronchoscope/catheter
|
$1,735.20 |
$1,735.20 |
$1,735.20 |
$2,360.15
|
|
Diagnostic anoscopy spx 46600
|
$344.40 |
$344.40 |
$344.40 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$87.60 |
$87.60 |
$87.60 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$68.40 |
$68.40 |
$68.40 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$469.60 |
$469.60 |
$469.60 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$384.40 |
$384.40 |
$384.40 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$299.60 |
$299.60 |
$299.60 |
$312.72
|
|
Diagnostic radio unlisted proc
|
$37.20 |
$37.20 |
$37.20 |
$243.60
|
|
Dialysis circuit perm vascular embolization 36909
|
$2,101.20 |
$2,101.20 |
$2,101.20 |
$5,663.50
|
|
Dialysis one evaluation
|
$540.80 |
$540.80 |
$540.80 |
$936.00
|
|
Dialysis repeated eval
|
$1,583.60 |
$1,583.60 |
$1,583.60 |
$1,332.80
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.40 |
$0.40 |
$0.40 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$50.00 |
$50.00 |
$50.00 |
$77.25
|
|
Dicyclomine injection
|
$86.42 |
$86.42 |
$86.42 |
$150.91
|
|
Diffusing capacity
|
$232.40 |
$232.40 |
$232.40 |
$335.20
|
|
Digital analysis of eeg
|
$396.40 |
$396.40 |
$396.40 |
$551.20
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$34.82 |
$34.82 |
$34.82 |
$65.84
|
|
Digoxin total therapeutic drug level
|
$32.40 |
$32.40 |
$32.40 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$141.42 |
$141.42 |
$141.42 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$1,073.60 |
$1,073.60 |
$1,073.60 |
$1,729.70
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$624.00 |
$624.00 |
$624.00 |
$3,026.10
|
|
Dilate ic vasospasm ea add vsl same territory
|
$286.80 |
$286.80 |
$286.80 |
$1,895.00
|
|
Dilate ic vasospasm init
|
$817.60 |
$817.60 |
$817.60 |
$4,627.52
|
|
Dilation of anal sphincter
|
$1,995.20 |
$1,995.20 |
$1,995.20 |
$1,995.20
|
|
Dilator fascial 10fx20cm
|
$555.20 |
$555.20 |
$555.20 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$1,510.80 |
$1,510.80 |
$1,510.80 |
$3,883.16
|
|
Dilat xst trc new access rcs
|
$2,520.40 |
$2,520.40 |
$2,520.40 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$3.05 |
$3.05 |
$3.05 |
$46.56
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$37.46 |
$37.46 |
$37.46 |
$18.35
|
|
Disability dlco
|
$289.20 |
$289.20 |
$289.20 |
$292.03
|
|
Disaccharidases
|
$46.00 |
$46.00 |
$46.00 |
$224.31
|
|
Discography cerv/thor spine
|
$5,070.40 |
$5,070.40 |
$5,070.40 |
$2,481.50
|
|
Disconnect insert locking wr
|
$48.80 |
$48.80 |
$48.80 |
$75.60
|
|
Disconnect locking wrist uni
|
$133.20 |
$133.20 |
$133.20 |
$207.20
|
|
#d/lmeth-l-methamphetamine
|
$41.60 |
$41.60 |
$41.60 |
$72.14
|
|
Dmd dup/delet analysis
|
$228.00 |
$228.00 |
$228.00 |
$418.50
|
|
Dmpk gene charac alleles
|
$367.20 |
$367.20 |
$367.20 |
$367.20
|
|
Dmpk gene detc abnor allele
|
$143.60 |
$143.60 |
$143.60 |
$313.60
|
|
Dna antibody native/double stranded
|
$34.00 |
$34.00 |
$34.00 |
$100.00
|
|
Dna gardnerella
|
$50.40 |
$50.40 |
$50.40 |
$61.80
|
|
Dna probe chlamydia
|
$50.40 |
$50.40 |
$50.40 |
$82.20
|
|
Dna probe gc
|
$54.00 |
$54.00 |
$54.00 |
$84.80
|
|
Dna trichomonas
|
$40.00 |
$40.00 |
$40.00 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$44.40 |
$44.40 |
$44.40 |
$98.29
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$4.85 |
$4.85 |
$4.85 |
$67.28
|
|
Doppler echo complete
|
$560.40 |
$560.40 |
$560.40 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$2,158.80 |
$2,158.80 |
$2,158.80 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$455.60 |
$455.60 |
$455.60 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$340.00 |
$340.00 |
$340.00 |
$473.76
|
|
Dornase alfa non-comp unit
|
$53.62 |
$53.62 |
$53.62 |
$386.42
|
|
Dorsi & plantar flex ass/res
|
$56.80 |
$56.80 |
$56.80 |
$163.50
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$264.42 |
$264.42 |
$264.42 |
$450.14
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$0.68 |
$0.68 |
$0.68 |
$84.80
|
|
Dpyd gene common variants
|
$210.40 |
$210.40 |
$210.40 |
$423.60
|
|
Drainage lymph node lesion 38300
|
$891.60 |
$891.60 |
$891.60 |
$3,088.80
|
|
Drainage of kidney lesion
|
$564.00 |
$564.00 |
$564.00 |
$1,506.00
|
|
Drain bladder by trocar/cath
|
$597.60 |
$597.60 |
$597.60 |
$1,198.14
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,320.40 |
$2,320.40 |
$2,320.40 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,087.20 |
$1,087.20 |
$1,087.20 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$648.00 |
$648.00 |
$648.00 |
$1,025.00
|
|
Drain chst dry seal exp thorastat
|
$187.60 |
$187.60 |
$187.60 |
$119.43
|
|
Drain ostomy pouch w/flange
|
$9.20 |
$9.20 |
$9.20 |
$8.80
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$314.00 |
$314.00 |
$314.00 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$260.40 |
$260.40 |
$260.40 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$376.40 |
$376.40 |
$376.40 |
$540.80
|
|
Drill hole implt ventricular cath/device 61107
|
$892.80 |
$892.80 |
$892.80 |
$1,485.75
|
|
Droperidol 2.5 mg/ml injection solution
|
$40.34 |
$40.34 |
$40.34 |
$31.26
|
|
Drop lock knee
|
$63.20 |
$63.20 |
$63.20 |
$204.95
|
|
Drop lock retainer each
|
$20.40 |
$20.40 |
$20.40 |
$63.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,375.20 |
$1,375.20 |
$1,375.20 |
$1,818.32
|
|
Drsg sht 5.625x4.625in std
|
$46.40 |
$46.40 |
$46.40 |
$123.24
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$6,943.60 |
$6,943.60 |
$6,943.60 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$19,913.20 |
$19,913.20 |
$19,913.20 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$16,360.80 |
$16,360.80 |
$16,360.80 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$3,292.40 |
$3,292.40 |
$3,292.40 |
$578.59
|
|
Drug assay caffeine
|
$44.40 |
$44.40 |
$44.40 |
$81.61
|
|
Drug assay posaconazole
|
$37.60 |
$37.60 |
$37.60 |
$96.75
|
|
Drug assay rufinamide
|
$20.00 |
$20.00 |
$20.00 |
$85.80
|
|
Drug assay vedolizumab
|
$53.60 |
$53.60 |
$53.60 |
$157.00
|
|
Drug assay voriconazole
|
$21.60 |
$21.60 |
$21.60 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$54.40 |
$54.40 |
$54.40 |
$66.43
|
|
Drug of abuse screen urine
|
$44.40 |
$44.40 |
$44.40 |
$64.50
|
|
Drug screening tapentadol
|
$122.00 |
$122.00 |
$122.00 |
$44.25
|
|
Drug/substance nos 4-6
|
$124.00 |
$124.00 |
$124.00 |
$72.14
|
|
Drug test def 1-7 classes
|
$124.00 |
$124.00 |
$124.00 |
$263.25
|
|
Drug test def 22+ classes
|
$687.60 |
$687.60 |
$687.60 |
$423.00
|
|
Drug test def 8-14 classes
|
$313.20 |
$313.20 |
$313.20 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$71.20 |
$71.20 |
$71.20 |
$280.95
|
|
Drvvt confirm - quest
|
$45.20 |
$45.20 |
$45.20 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$4,592.80 |
$4,592.80 |
$4,592.80 |
$2,967.48
|
|
Ductogram sgl duct
|
$661.20 |
$661.20 |
$661.20 |
$469.44
|
|
Duplex scan bilateral study 93985
|
$767.60 |
$767.60 |
$767.60 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$369.20 |
$369.20 |
$369.20 |
$375.60
|
|
Dup scan/hemodialysis access 93990
|
$369.20 |
$369.20 |
$369.20 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$544.00 |
$544.00 |
$544.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$743.60 |
$743.60 |
$743.60 |
$903.50
|
|
Duragen 1x1 5ea/bx
|
$3,769.20 |
$3,769.20 |
$3,769.20 |
$10,564.87
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$3,873.20 |
$3,873.20 |
$3,873.20 |
$23,482.80
|
|
Dxa bone density axl vrt fx
|
$363.60 |
$363.60 |
$363.60 |
$410.25
|
|
Dx bronchoscope/brush 31623
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$2,040.67
|
