|
Dev tst admin phys/qhp ea addl 30 min
|
$279.00 |
$279.00 |
$279.00 |
$200.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$449.00 |
$449.00 |
$449.00 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$12.02 |
$12.02 |
$12.02 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$10.00 |
$10.00 |
$10.00 |
$21.17
|
|
Dexamethasone intra implant
|
$441.50 |
$441.50 |
$441.50 |
$2,538.20
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,168.48 |
$1,168.48 |
$1,168.48 |
$858.00
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$60.00 |
$60.00 |
$60.00 |
$47.48
|
|
Dhea-s (dehydroepiand sulfate)
|
$62.00 |
$62.00 |
$62.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$75.50 |
$75.50 |
$75.50 |
$79.20
|
|
Diab manage trn ind/group
|
$39.00 |
$39.00 |
$39.00 |
$56.55
|
|
Diag laparo separate proc 49320
|
$7,848.50 |
$7,848.50 |
$7,848.50 |
$6,904.15
|
|
Diagnostic anoscopy
|
$513.50 |
$513.50 |
$513.50 |
$391.20
|
|
Diagnostic anoscopy spx 46600
|
$153.00 |
$153.00 |
$153.00 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$67.50 |
$67.50 |
$67.50 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$43.50 |
$43.50 |
$43.50 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$229.50 |
$229.50 |
$229.50 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$1,752.00 |
$1,752.00 |
$1,752.00 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$348.00 |
$348.00 |
$348.00 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$214.50 |
$214.50 |
$214.50 |
$301.55
|
|
Dialysis one evaluation
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$919.55
|
|
Dialysis repeated eval
|
$1,267.50 |
$1,267.50 |
$1,267.50 |
$1,267.50
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$30.39 |
$30.39 |
$30.39 |
$74.76
|
|
Dicyclomine injection
|
$173.76 |
$173.76 |
$173.76 |
$153.29
|
|
Diffusing capacity
|
$195.50 |
$195.50 |
$195.50 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$7.77 |
$7.77 |
$7.77 |
$69.03
|
|
Digoxin total therapeutic drug level
|
$121.50 |
$121.50 |
$121.50 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$103.52 |
$103.52 |
$103.52 |
$297.86
|
|
Dilate esophagus 1/mult pass
|
$100.00 |
$100.00 |
$100.00 |
$1,484.17
|
|
Dilate urethra stricture
|
$287.50 |
$287.50 |
$287.50 |
$490.00
|
|
Dilate urethra stricture
|
$287.50 |
$287.50 |
$287.50 |
$343.55
|
|
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/urethral strict/male/ini 53620
|
$801.50 |
$801.50 |
$801.50 |
$1,372.80
|
|
Dilat xst trc new access rcs
|
$4,051.50 |
$4,051.50 |
$4,051.50 |
$4,213.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$6.25 |
$6.25 |
$6.25 |
$47.94
|
|
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 |
$17.75
|
|
Disability dlco
|
$304.00 |
$304.00 |
$304.00 |
$282.40
|
|
Disaccharidases
|
$415.00 |
$415.00 |
$415.00 |
$216.00
|
|
Dise eval slp do brth flx dx
|
$3,066.00 |
$3,066.00 |
$3,066.00 |
$1,120.00
|
|
Dna antibody native/double stranded
|
$10.50 |
$10.50 |
$10.50 |
$97.50
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$78.60 |
$78.60 |
$78.60 |
$904.81
|
|
Doppler echo complete
|
$629.50 |
$629.50 |
$629.50 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$97.50 |
$97.50 |
$97.50 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$444.50 |
$444.50 |
$444.50 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$397.00 |
$397.00 |
$397.00 |
$471.17
|
|
Dornhoffer fixed part w/window
|
$4,814.27 |
$4,814.27 |
$4,814.27 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$23,126.24 |
$23,126.24 |
$23,126.24 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$100.44 |
$100.44 |
$100.44 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,114.20 |
$1,114.20 |
$1,114.20 |
$1,718.24
|
|
Dpyd gene common variants
|
$800.00 |
$800.00 |
$800.00 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$800.00
|
|
Drainage external ear complex 69005
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$789.60
|
|
Drainage mouth roof lesion
|
$360.00 |
$360.00 |
$360.00 |
$390.39
|
|
Drainage of forearm bursa
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$2,054.00
|
|
Drainage of kidney lesion
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$1,506.00
|
|
Drainage of nose lesion int 30000
|
$4,672.00 |
$4,672.00 |
$4,672.00 |
$491.40
|
|
Drainage of nose lesion sept 30020
|
$1,131.50 |
$1,131.50 |
$1,131.50 |
$781.44
|
|
Drainage of rectal abscess
|
$1,776.33 |
$1,776.33 |
$1,776.33 |
$2,111.46
|
|
Drainage of urethra abscess 53060
|
$2,151.50 |
$2,151.50 |
$2,151.50 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$198.00 |
$198.00 |
$198.00 |
$170.50
|
|
Drain cath image guided visceral pq
|
$4,674.88 |
$4,674.88 |
$4,674.88 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$1,341.50 |
$1,341.50 |
$1,341.50 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$372.50 |
$372.50 |
$372.50 |
$419.00
|
|
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 |
$3,339.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$335.00 |
$335.00 |
$335.00 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$353.00 |
$353.00 |
$353.00 |
$344.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,515.00
|
|
Drng of eyelid abscess 67700
|
$451.00 |
$451.00 |
$451.00 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$2,617.50 |
$2,617.50 |
$2,617.50 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$937.50 |
$937.50 |
$937.50 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$2,436.50 |
$2,436.50 |
$2,436.50 |
$1,917.33
|
|
Droperidol 2.5 mg/ml injection solution
|
$20.01 |
$20.01 |
$20.01 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,740.77 |
$1,740.77 |
$1,740.77 |
$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
|
$143.50 |
$143.50 |
$143.50 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$289.05
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$980.50 |
$980.50 |
$980.50 |
$8,040.27
|
|
Drug assay caffeine
|
$104.50 |
$104.50 |
$104.50 |
$83.40
|
|
Drug assay posaconazole
|
$150.00 |
$150.00 |
$150.00 |
$96.75
|
|
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 asy hydroxychloroquine
|
$238.32 |
$238.32 |
$238.32 |
$66.43
|
|
Drug of abuse screen urine
|
$89.50 |
$89.50 |
$89.50 |
$63.75
|
|
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
|
$168.00 |
$168.00 |
$168.00 |
$263.25
|
|
Drug test def 1-7 classes
|
$258.00 |
$258.00 |
$258.00 |
$250.52
|
|
Drug test def 22+ classes
|
$423.00 |
$423.00 |
$423.00 |
$423.00
|
|
Drug test def 8-14 classes
|
$170.00 |
$170.00 |
$170.00 |
$282.00
|
|
Drug test prsmv instrmnt
|
$33.50 |
$33.50 |
$33.50 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$287.50 |
$287.50 |
$287.50 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$2,757.50 |
$2,757.50 |
$2,757.50 |
$3,020.80
|
|
Ductogram sgl duct
|
$288.50 |
$288.50 |
$288.50 |
$463.10
|
|
Duplex scan unilateral study 93986
|
$154.00 |
$154.00 |
$154.00 |
$360.75
|