|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$10.50 |
$10.50 |
$10.50 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$0.50 |
$0.50 |
$0.50 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$0.50 |
$0.50 |
$0.50 |
$21.17
|
|
Dexamethasone intra implant
|
$294.50 |
$294.50 |
$294.50 |
$2,538.20
|
|
Dhea-s (dehydroepiand sulfate)
|
$100.00 |
$100.00 |
$100.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$75.00 |
$75.00 |
$75.00 |
$79.20
|
|
Diab manage trn ind/group
|
$24.00 |
$24.00 |
$24.00 |
$56.55
|
|
Diag laparo separate proc 49320
|
$354.00 |
$354.00 |
$354.00 |
$6,904.15
|
|
Diagnostic anoscopy
|
$428.00 |
$428.00 |
$428.00 |
$391.20
|
|
Diagnostic anoscopy spx 46600
|
$44.50 |
$44.50 |
$44.50 |
$190.68
|
|
Diagnostic laryngoscopy 31575
|
$286.50 |
$286.50 |
$286.50 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$204.50 |
$204.50 |
$204.50 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$164.00 |
$164.00 |
$164.00 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$209.50 |
$209.50 |
$209.50 |
$5,419.00
|
|
Diffusing capacity
|
$97.00 |
$97.00 |
$97.00 |
$332.00
|
|
Digoxin total therapeutic drug level
|
$39.00 |
$39.00 |
$39.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$65.00 |
$65.00 |
$65.00 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$137.50 |
$137.50 |
$137.50 |
$1,866.73
|
|
Dilate esophagus 1/mult pass
|
$82.50 |
$82.50 |
$82.50 |
$1,484.17
|
|
Dilate tear duct opening
|
$76.50 |
$76.50 |
$76.50 |
$472.21
|
|
Dilate urethra stricture
|
$239.50 |
$239.50 |
$239.50 |
$490.00
|
|
Dilate urethra stricture
|
$55.00 |
$55.00 |
$55.00 |
$200.80
|
|
Dilate urethra stricture
|
$65.00 |
$65.00 |
$65.00 |
$3,863.60
|
|
Dilate urethra stricture
|
$239.50 |
$239.50 |
$239.50 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$42.50 |
$42.50 |
$42.50 |
$235.61
|
|
Dilation of anal sphincter
|
$188.50 |
$188.50 |
$188.50 |
$1,969.12
|
|
Dilation of rectal stricture 45910
|
$211.50 |
$211.50 |
$211.50 |
$1,395.28
|
|
Dilation of urethra
|
$41.00 |
$41.00 |
$41.00 |
$172.00
|
|
Dilation/urethral strict/male/ini 53620
|
$668.00 |
$668.00 |
$668.00 |
$1,372.80
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,005.50 |
$1,005.50 |
$1,005.50 |
$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)
|
$1.50 |
$1.50 |
$1.50 |
$17.75
|
|
Disability dlco
|
$207.50 |
$207.50 |
$207.50 |
$282.40
|
|
Disaccharidases
|
$415.00 |
$415.00 |
$415.00 |
$216.00
|
|
Dis site tele svcs rhc/fqhc
|
$103.00 |
$103.00 |
$103.00 |
$94.80
|
|
Dist revas ligation hemo
|
$1,247.00 |
$1,247.00 |
$1,247.00 |
$6,396.89
|
|
Dna antibody native/double stranded
|
$7.50 |
$7.50 |
$7.50 |
$97.50
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1.00 |
$1.00 |
$1.00 |
$904.81
|
|
Doppler echo complete
|
$19.50 |
$19.50 |
$19.50 |
$540.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$272.00 |
$272.00 |
$272.00 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$268.00 |
$268.00 |
$268.00 |
$471.17
|
|
Double transfer toe-hand
|
$3,942.50 |
$3,942.50 |
$3,942.50 |
$7,413.38
|
|
Dpyd gene common variants
|
$800.00 |
$800.00 |
$800.00 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$125.00 |
$125.00 |
$125.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$144.00 |
$144.00 |
$144.00 |
$914.34
|
|
Drainage external ear simple 69000
|
$129.00 |
$129.00 |
$129.00 |
$789.60
|
|
Drainage lymph node lesion 38300
|
$239.50 |
$239.50 |
$239.50 |
$3,088.80
|
|
Drainage mouth roof lesion
|
$109.00 |
$109.00 |
$109.00 |
$390.39
|
|
Drainage of arm bursa 23931
|
$1,586.50 |
$1,586.50 |
$1,586.50 |
$2,197.48
|
|
Drainage of eye
|
$81.00 |
$81.00 |
$81.00 |
$2,360.00
|
|
Drainage of eye
|
$448.50 |
$448.50 |
$448.50 |
$3,222.78
|
|
Drainage of forearm bursa
|
$402.00 |
$402.00 |
$402.00 |
$2,054.00
|
|
Drainage of mouth lesion
|
$227.00 |
$227.00 |
$227.00 |
$489.00
|
|
Drainage of mouth lesion
|
$352.00 |
$352.00 |
$352.00 |
$3,544.29
|
|
Drainage of nose lesion int 30000
|
$121.50 |
$121.50 |
$121.50 |
$491.40
|
|
Drainage of pelvis lesion 26990
|
$732.50 |
$732.50 |
$732.50 |
$3,958.50
|
|
Drainage of rectal abscess
|
$194.00 |
$194.00 |
$194.00 |
$2,111.46
|
|
Drain blood from under nail 11740
|
$128.00 |
$128.00 |
$128.00 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$211.00 |
$211.00 |
$211.00 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$194.50 |
$194.50 |
$194.50 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$1,193.50 |
$1,193.50 |
$1,193.50 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$192.50 |
$192.50 |
$192.50 |
$419.00
|
|
Drain lower leg lesion 27603
|
$415.00 |
$415.00 |
$415.00 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$363.50 |
$363.50 |
$363.50 |
$3,339.00
|
|
Drain ovary abscess open
|
$342.50 |
$342.50 |
$342.50 |
$3,762.53
|
|
Drain shoulder lesion
|
$275.00 |
$275.00 |
$275.00 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$546.50 |
$546.50 |
$546.50 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$192.50 |
$192.50 |
$192.50 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$325.50 |
$325.50 |
$325.50 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$141.50 |
$141.50 |
$141.50 |
$523.00
|
|
Dressing change not for burn w/anes 15852
|
$708.00 |
$708.00 |
$708.00 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$916.50 |
$916.50 |
$916.50 |
$1,515.00
|
|
Drng hand tendon sheath 26020
|
$586.00 |
$586.00 |
$586.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$111.50 |
$111.50 |
$111.50 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$201.50 |
$201.50 |
$201.50 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$678.50 |
$678.50 |
$678.50 |
$832.60
|
|
Drng of mouth lesion 40801
|
$208.50 |
$208.50 |
$208.50 |
$1,262.76
|
|
Drng of scrotum abscess 55100
|
$183.50 |
$183.50 |
$183.50 |
$1,917.33
|
|
Drng open retroperitoneal abscess 49060
|
$1,202.50 |
$1,202.50 |
$1,202.50 |
$1,924.00
|
|
Drng peritoneal abscess open 49020
|
$1,747.00 |
$1,747.00 |
$1,747.00 |
$2,520.00
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$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
|
$613.00 |
$613.00 |
$613.00 |
$289.05
|
|
Drug assay rufinamide
|
$51.00 |
$51.00 |
$51.00 |
$85.80
|
|
Drug assay vedolizumab
|
$455.00 |
$455.00 |
$455.00 |
$152.79
|
|
Drug assay voriconazole
|
$119.50 |
$119.50 |
$119.50 |
$96.75
|
|
Drug of abuse screen urine
|
$96.00 |
$96.00 |
$96.00 |
$63.75
|
|
Drug test def 15-21 classes
|
$160.00 |
$160.00 |
$160.00 |
$263.25
|
|
Drug test def 1-7 classes
|
$163.00 |
$163.00 |
$163.00 |
$250.52
|
|
Drug test def 22+ classes
|
$423.00 |
$423.00 |
$423.00 |
$423.00
|
|
Drug test def 8-14 classes
|
$197.00 |
$197.00 |
$197.00 |
$282.00
|
|
Drug test prsmv instrmnt
|
$37.00 |
$37.00 |
$37.00 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$200.00 |
$200.00 |
$200.00 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$149.50 |
$149.50 |
$149.50 |
$3,020.80
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$295.00 |
$295.00 |
$295.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$417.50 |
$417.50 |
$417.50 |
$887.25
|
|
Dx bronchoscope/brush 31623
|
$136.50 |
$136.50 |
$136.50 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$2,011.00 |
$2,011.00 |
$2,011.00 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$138.50 |
$138.50 |
$138.50 |
$2,322.60
|
