|
Dilate tear duct opening
|
$405.00 |
$405.00 |
$405.00 |
$472.21
|
|
Dilate urethra stricture
|
$282.00 |
$282.00 |
$282.00 |
$490.00
|
|
Dilate urethra stricture
|
$287.50 |
$287.50 |
$287.50 |
$343.55
|
|
Dilation of cervical canal 57800
|
$3,711.50 |
$3,711.50 |
$3,711.50 |
$4,376.00
|
|
Dilation of urethra
|
$160.00 |
$160.00 |
$160.00 |
$172.00
|
|
Dilation salivary duct 42650
|
$2,241.00 |
$2,241.00 |
$2,241.00 |
$2,498.32
|
|
Dilation/urethral strict/male/ini 53620
|
$789.00 |
$789.00 |
$789.00 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$153.00 |
$153.00 |
$153.00 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$3.38 |
$3.38 |
$3.38 |
$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
|
$301.50 |
$301.50 |
$301.50 |
$282.40
|
|
Disaccharidases
|
$415.00 |
$415.00 |
$415.00 |
$216.00
|
|
Dis site tele svcs rhc/fqhc
|
$91.00 |
$91.00 |
$91.00 |
$94.80
|
|
Dna antibody native/double stranded
|
$91.54 |
$91.54 |
$91.54 |
$97.50
|
|
Dna probe chlamydia
|
$114.00 |
$114.00 |
$114.00 |
$79.38
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1.50 |
$1.50 |
$1.50 |
$904.81
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$513.00 |
$513.00 |
$513.00 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$295.50 |
$295.50 |
$295.50 |
$471.17
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$20.67 |
$20.67 |
$20.67 |
$84.80
|
|
Dpyd gene common variants
|
$800.00 |
$800.00 |
$800.00 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$868.00 |
$868.00 |
$868.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$868.00 |
$868.00 |
$868.00 |
$914.34
|
|
Drainage external ear complex 69005
|
$1,968.50 |
$1,968.50 |
$1,968.50 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$855.50 |
$855.50 |
$855.50 |
$789.60
|
|
Drainage of eye
|
$2,888.50 |
$2,888.50 |
$2,888.50 |
$2,360.00
|
|
Drainage of eye
|
$2,834.50 |
$2,834.50 |
$2,834.50 |
$3,170.00
|
|
Drainage of forearm bursa
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
$2,054.00
|
|
Drainage of mouth lesion
|
$4,103.00 |
$4,103.00 |
$4,103.00 |
$3,900.60
|
|
Drainage of nose lesion sept 30020
|
$611.00 |
$611.00 |
$611.00 |
$781.44
|
|
Drain blood from under nail 11740
|
$118.50 |
$118.50 |
$118.50 |
$170.50
|
|
Drain cerebro spinal fluid 62272
|
$862.00 |
$862.00 |
$862.00 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$274.00 |
$274.00 |
$274.00 |
$419.00
|
|
Drain lower leg bursa
|
$3,643.00 |
$3,643.00 |
$3,643.00 |
$3,958.50
|
|
Drain neck/chest lesion 21501
|
$3,390.50 |
$3,390.50 |
$3,390.50 |
$3,339.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$333.50 |
$333.50 |
$333.50 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$258.00 |
$258.00 |
$258.00 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$541.00 |
$541.00 |
$541.00 |
$523.00
|
|
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 hand tendon sheath 26020
|
$3,907.50 |
$3,907.50 |
$3,907.50 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$354.50 |
$354.50 |
$354.50 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$1,980.50 |
$1,980.50 |
$1,980.50 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$876.00 |
$876.00 |
$876.00 |
$832.60
|
|
Drng of mouth lesion 40801
|
$605.50 |
$605.50 |
$605.50 |
$1,262.76
|
|
Drng of scrotum abscess 55100
|
$2,006.00 |
$2,006.00 |
$2,006.00 |
$1,917.33
|
|
Drng salivary gland simple 42300
|
$1,822.00 |
$1,822.00 |
$1,822.00 |
$2,133.48
|
|
Droperidol 2.5 mg/ml injection solution
|
$20.01 |
$20.01 |
$20.01 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$811.00 |
$811.00 |
$811.00 |
$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
|
|
Drug assay posaconazole
|
$150.00 |
$150.00 |
$150.00 |
$96.75
|
|
Drug assay rufinamide
|
$65.00 |
$65.00 |
$65.00 |
$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
|
$45.00 |
$45.00 |
$45.00 |
$63.75
|
|
Drug screening tapentadol
|
$20.00 |
$20.00 |
$20.00 |
$36.00
|
|
Drug screen quant tiagabine
|
$77.00 |
$77.00 |
$77.00 |
$114.62
|
|
Drug test def 15-21 classes
|
$316.00 |
$316.00 |
$316.00 |
$263.25
|
|
Drug test def 1-7 classes
|
$300.50 |
$300.50 |
$300.50 |
$250.52
|
|
Drug test def 22+ classes
|
$423.00 |
$423.00 |
$423.00 |
$423.00
|
|
Drug test def 8-14 classes
|
$237.00 |
$237.00 |
$237.00 |
$282.00
|
|
Drug test prsmv instrmnt
|
$100.50 |
$100.50 |
$100.50 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$5,062.50 |
$5,062.50 |
$5,062.50 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$6,545.00 |
$6,545.00 |
$6,545.00 |
$3,020.80
|
|
Dstr mal les s/n/h/f/g >4.0
|
$531.00 |
$531.00 |
$531.00 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$531.00 |
$531.00 |
$531.00 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$826.00 |
$826.00 |
$826.00 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$826.00 |
$826.00 |
$826.00 |
$849.50
|
|
Duplex scan bilateral study 93985
|
$344.50 |
$344.50 |
$344.50 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$155.00 |
$155.00 |
$155.00 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$139.00 |
$139.00 |
$139.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$503.00 |
$503.00 |
$503.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$411.00 |
$411.00 |
$411.00 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$335.00 |
$335.00 |
$335.00 |
$392.60
|
|
Dx bronchoscope/wash 31622
|
$2,138.00 |
$2,138.00 |
$2,138.00 |
$2,322.60
|
|
Dx laryngoscopy newborn
|
$459.00 |
$459.00 |
$459.00 |
$707.25
|
|
Dx laryngoscopy w/oper scope
|
$2,138.00 |
$2,138.00 |
$2,138.00 |
$2,607.00
|
|
Ear irrigation 69209
|
$174.00 |
$174.00 |
$174.00 |
$149.76
|
|
Ecg 12 lead tracing only
|
$480.00 |
$480.00 |
$480.00 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$80.00 |
$80.00 |
$80.00 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$369.00 |
$369.00 |
$369.00 |
$487.60
|
|
Ecg external < 48 hours recording
|
$391.00 |
$391.00 |
$391.00 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,106.00 |
$1,106.00 |
$1,106.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$71.00 |
$71.00 |
$71.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$115.50 |
$115.50 |
$115.50 |
$161.85
|
|
Ecg/review interpret only
|
$32.50 |
$32.50 |
$32.50 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$1,399.50 |
$1,399.50 |
$1,399.50 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$450.00 |
$450.00 |
$450.00 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,469.50 |
$1,469.50 |
$1,469.50 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$503.50 |
$503.50 |
$503.50 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$503.50 |
$503.50 |
$503.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$370.50 |
$370.50 |
$370.50 |
$362.50
|
|
Echo exam uterus 76831-
|
$357.00 |
$357.00 |
$357.00 |
$523.71
|
|
Echo stress
|
$939.50 |
$939.50 |
$939.50 |
$1,592.05
|
|
Echo transthoracic
|
$894.50 |
$894.50 |
$894.50 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$479.50 |
$479.50 |
$479.50 |
$985.15
|
|
Ecp ciliary body destruction
|
$2,834.50 |
$2,834.50 |
$2,834.50 |
$2,698.92
|
