|
Diagnostic laryngoscopy 31575
|
$286.50 |
$286.50 |
$286.50 |
$318.27
|
|
Diagnostic Mammogram (both breasts)
|
$328.00 |
$328.00 |
$328.00 |
$416.15
|
|
Diagnostic Mammogram (one breast)
|
$263.50 |
$263.50 |
$263.50 |
$312.65
|
|
Dialysis one evaluation
|
$493.00 |
$493.00 |
$493.00 |
$934.16
|
|
Dialysis repeated eval
|
$1,267.50 |
$1,267.50 |
$1,267.50 |
$1,267.50
|
|
Diffusing capacity
|
$176.50 |
$176.50 |
$176.50 |
$337.60
|
|
Digoxin total therapeutic drug level
|
$94.00 |
$94.00 |
$94.00 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$97.50 |
$97.50 |
$97.50 |
$297.86
|
|
Dilate tear duct opening
|
$560.00 |
$560.00 |
$560.00 |
$472.21
|
|
Dilate urethra stricture
|
$287.50 |
$287.50 |
$287.50 |
$496.08
|
|
Dilate urethra stricture
|
$153.00 |
$153.00 |
$153.00 |
$200.80
|
|
Dilate urethra stricture
|
$287.50 |
$287.50 |
$287.50 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$149.50 |
$149.50 |
$149.50 |
$235.61
|
|
Dilation of cervical canal 57800
|
$3,721.00 |
$3,721.00 |
$3,721.00 |
$4,376.00
|
|
Dilation of urethra
|
$153.00 |
$153.00 |
$153.00 |
$172.00
|
|
Dilation salivary duct 42650
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$2,498.32
|
|
Dilation/urethral strict/male/ini 53620
|
$801.50 |
$801.50 |
$801.50 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$155.50 |
$155.50 |
$155.50 |
$402.10
|
|
Dilat xst trc new access rcs
|
$345.00 |
$345.00 |
$345.00 |
$4,258.20
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,508.50 |
$1,508.50 |
$1,508.50 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.00 |
$1.00 |
$1.00 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$2.50 |
$2.50 |
$2.50 |
$18.35
|
|
Disaccharidases
|
$415.00 |
$415.00 |
$415.00 |
$224.58
|
|
Discography cerv/thor spine
|
$3,343.50 |
$3,343.50 |
$3,343.50 |
$2,595.00
|
|
Dlyd plmt xtn prosth ea addl
|
$1,208.50 |
$1,208.50 |
$1,208.50 |
$1,631.87
|
|
Dna antibody native/double stranded
|
$97.50 |
$97.50 |
$97.50 |
$100.00
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1.50 |
$1.50 |
$1.50 |
$944.35
|
|
Doppler echo complete
|
$475.00 |
$475.00 |
$475.00 |
$546.42
|
|
Doppler intravascular pressure flow initial vessel
|
$580.00 |
$580.00 |
$580.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$314.00 |
$314.00 |
$314.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$309.50 |
$309.50 |
$309.50 |
$481.65
|
|
Dpyd gene common variants
|
$800.00 |
$800.00 |
$800.00 |
$386.12
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,058.50 |
$1,058.50 |
$1,058.50 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,058.50 |
$1,058.50 |
$1,058.50 |
$901.80
|
|
Drainage external ear complex 69005
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$2,858.10
|
|
Drainage external ear simple 69000
|
$1,058.50 |
$1,058.50 |
$1,058.50 |
$779.45
|
|
Drainage of eye
|
$3,522.50 |
$3,522.50 |
$3,522.50 |
$2,360.00
|
|
Drainage of eye
|
$2,653.00 |
$2,653.00 |
$2,653.00 |
$3,170.00
|
|
Drainage of forearm bursa
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$2,054.00
|
|
Drainage of kidney lesion
|
$1,142.00 |
$1,142.00 |
$1,142.00 |
$1,559.39
|
|
Drainage of nose lesion int 30000
|
$272.50 |
$272.50 |
$272.50 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$745.00 |
$745.00 |
$745.00 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$4,495.50 |
$4,495.50 |
$4,495.50 |
$3,863.70
|
|
Drain blood from under nail 11740
|
$168.00 |
$168.00 |
$168.00 |
$173.21
|
|
Drain cath image guided visceral pq
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$1,246.50 |
$1,246.50 |
$1,246.50 |
$1,045.65
|
|
Drain finger abscess;simple 26010
|
$340.00 |
$340.00 |
$340.00 |
$428.40
|
|
Drain lower leg bursa
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$3,958.50
|
|
Drain neck/chest lesion 21501
|
$3,339.00 |
$3,339.00 |
$3,339.00 |
$3,338.50
|
|
Drain thigh/knee lesion 27301
|
$3,824.50 |
$3,824.50 |
$3,824.50 |
$3,638.88
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$277.00 |
$277.00 |
$277.00 |
$394.80
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$296.00 |
$296.00 |
$296.00 |
$349.80
|
|
Dress/debrid prtl-thick burn l 16030
|
$553.00 |
$553.00 |
$553.00 |
$524.04
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$6,501.85
|
|
Drill hole implt ventricular cath/device 61107
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,532.85
|
|
Drng hand tendon sheath 26020
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$467.00 |
$467.00 |
$467.00 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$1,994.16
|
|
Drng of hydrocele 55000
|
$814.00 |
$814.00 |
$814.00 |
$854.50
|
|
Drng of mouth lesion 40801
|
$707.50 |
$707.50 |
$707.50 |
$1,350.97
|
|
Drng of scrotum abscess 55100
|
$2,059.00 |
$2,059.00 |
$2,059.00 |
$1,956.40
|
|
Drng salivary gland simple 42300
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$2,039.50
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$637.50 |
$637.50 |
$637.50 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$153.50 |
$153.50 |
$153.50 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$289.05
|
|
Drug admin & hemodynmic meas
|
$160.50 |
$160.50 |
$160.50 |
$590.00
|
|
Drug assay caffeine
|
$42.00 |
$42.00 |
$42.00 |
$81.61
|
|
Drug assay posaconazole
|
$150.00 |
$150.00 |
$150.00 |
$96.75
|
|
Drug assay rufinamide
|
$66.50 |
$66.50 |
$66.50 |
$85.80
|
|
Drug assay vedolizumab
|
$455.00 |
$455.00 |
$455.00 |
$164.16
|
|
Drug assay voriconazole
|
$119.50 |
$119.50 |
$119.50 |
$96.75
|
|
Drug of abuse screen urine
|
$85.50 |
$85.50 |
$85.50 |
$68.25
|
|
Drug screening tapentadol
|
$20.00 |
$20.00 |
$20.00 |
$36.00
|
|
Drug screen quant tiagabine
|
$50.00 |
$50.00 |
$50.00 |
$114.62
|
|
Drug test def 15-21 classes
|
$216.50 |
$216.50 |
$216.50 |
$274.26
|
|
Drug test def 1-7 classes
|
$191.00 |
$191.00 |
$191.00 |
$263.25
|
|
Drug test def 22+ classes
|
$421.50 |
$421.50 |
$421.50 |
$423.00
|
|
Drug test def 8-14 classes
|
$162.00 |
$162.00 |
$162.00 |
$282.00
|
|
Drug test prsmv instrmnt
|
$44.00 |
$44.00 |
$44.00 |
$89.05
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$287.50 |
$287.50 |
$287.50 |
$280.80
|
|
Dstrj extensive retinopathy
|
$3,862.50 |
$3,862.50 |
$3,862.50 |
$4,462.45
|
|
Dstrj nulyt agt gnclr nrv
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$2,838.02
|
|
Dstr mal les s/n/h/f/g >4.0
|
$467.50 |
$467.50 |
$467.50 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$467.50 |
$467.50 |
$467.50 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$849.50 |
$849.50 |
$849.50 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$849.50 |
$849.50 |
$849.50 |
$849.50
|
|
Ductogram sgl duct
|
$567.50 |
$567.50 |
$567.50 |
$469.30
|
|
Duplex scan bilateral study 93985
|
$306.00 |
$306.00 |
$306.00 |
$680.50
|
|
Duplex scan unilateral study 93986
|
$145.00 |
$145.00 |
$145.00 |
$360.33
|
|
Dup scan/hemodialysis access 93990
|
$99.00 |
$99.00 |
$99.00 |
$489.72
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$539.50 |
$539.50 |
$539.50 |
$903.50
|
|
Dx bronchoscope/brush 31623
|
$2,770.00 |
$2,770.00 |
$2,770.00 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$2,329.60
|
|
Dx bronchoscope/wash 31622
|
$2,046.50 |
$2,046.50 |
$2,046.50 |
$2,238.00
|
|
Dx gastr intub w/asp spec
|
$377.00 |
$377.00 |
$377.00 |
$441.60
|
|
Dx laryngoscopy newborn
|
$470.00 |
$470.00 |
$470.00 |
$707.25
|
|
Dx laryngoscopy w/oper scope
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$2,607.00
|
|
Ear canal biopsy 69105
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,889.50
|
|
Ear irrigation 69209
|
$110.50 |
$110.50 |
$110.50 |
$150.00
|