|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$207.50 |
$207.50 |
$207.50 |
$207.50
|
|
Cytopath smear other source
|
$92.50 |
$92.50 |
$92.50 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$85.00 |
$85.00 |
$85.00 |
$100.20
|
|
Cytp urine 3-5 probes cmptr
|
$760.00 |
$760.00 |
$760.00 |
$745.00
|
|
Dalbavancin 500 mg intravenous solution
|
$36.38 |
$36.38 |
$36.38 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.17 |
$0.17 |
$0.17 |
$267.00
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$124.90 |
$124.90 |
$124.90 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$17.05 |
$17.05 |
$17.05 |
$5,546.48
|
|
Dch pulmonary stress test
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$963.30
|
|
Dch validity tests
|
$15.00 |
$15.00 |
$15.00 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$3,500.00 |
$3,500.00 |
$3,500.00 |
$4,478.50
|
|
Deamidated gliadin antibody iga
|
$85.00 |
$85.00 |
$85.00 |
$44.20
|
|
Debridement (>20 cm) charge pt
|
$227.50 |
$227.50 |
$227.50 |
$274.56
|
|
Debride nail1-5 11720
|
$67.50 |
$67.50 |
$67.50 |
$164.56
|
|
Debride nail6 or more 11721
|
$90.00 |
$90.00 |
$90.00 |
$179.20
|
|
Decalcification
|
$75.00 |
$75.00 |
$75.00 |
$70.40
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$272.50 |
$272.50 |
$272.50 |
$540.00
|
|
Delivery of placenta 59414
|
$635.00 |
$635.00 |
$635.00 |
$3,073.67
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$3,975.00 |
$3,975.00 |
$3,975.00 |
$7,178.85
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$70.00 |
$70.00 |
$70.00 |
$193.05
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$68.19 |
$68.19 |
$68.19 |
$6,324.98
|
|
Design mlc device for imrt
|
$1,785.00 |
$1,785.00 |
$1,785.00 |
$1,677.86
|
|
Developmental screen/score/document 96110
|
$87.50 |
$87.50 |
$87.50 |
$136.64
|
|
Devel tst phys/qhp 1st hr
|
$400.00 |
$400.00 |
$400.00 |
$339.30
|
|
Device intraute mirena
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$2,211.85
|
|
Device tiss remov myosure reach
|
$1,762.47 |
$1,762.47 |
$1,762.47 |
$2,529.60
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$200.00 |
$200.00 |
$200.00 |
$196.30
|
|
Dexametha opth insert 0.1 mg
|
$239.02 |
$239.02 |
$239.02 |
$528.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$8.60 |
$8.60 |
$8.60 |
$23.56
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$81.15 |
$81.15 |
$81.15 |
$43.73
|
|
Dhea-s (dehydroepiand sulfate)
|
$137.50 |
$137.50 |
$137.50 |
$109.00
|
|
Diabetes (HbA1c) Test
|
$82.50 |
$82.50 |
$82.50 |
$79.52
|
|
Diagnostic anoscopy spx 46600
|
$160.00 |
$160.00 |
$160.00 |
$200.43
|
|
Diagnostic radio unlisted proc
|
$590.00 |
$590.00 |
$590.00 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$16,215.00 |
$16,215.00 |
$16,215.00 |
$6,185.00
|
|
Dialysis one evaluation
|
$650.00 |
$650.00 |
$650.00 |
$845.00
|
|
Diathermy eg microwave
|
$47.50 |
$47.50 |
$47.50 |
$29.68
|
|
Diffusing capacity
|
$285.00 |
$285.00 |
$285.00 |
$339.60
|
|
Digoxin total therapeutic drug level
|
$77.50 |
$77.50 |
$77.50 |
$100.20
|
|
Dilate biliary duct/ampulla
|
$4,815.00 |
$4,815.00 |
$4,815.00 |
$2,074.08
|
|
Dilat xst trc ndurlgc px
|
$2,075.00 |
$2,075.00 |
$2,075.00 |
$4,061.71
|
|
Dilat xst trc new access rcs
|
$3,110.00 |
$3,110.00 |
$3,110.00 |
$4,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$41.50 |
$41.50 |
$41.50 |
$17.75
|
|
Disability dlco
|
$240.00 |
$240.00 |
$240.00 |
$289.08
|
|
Disaccharidases
|
$357.50 |
$357.50 |
$357.50 |
$214.40
|
|
Discography cerv/thor spine
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,440.84
|
|
Dlyd plmt xtn prosth ea addl
|
$730.00 |
$730.00 |
$730.00 |
$1,864.35
|
|
Dna antibody native/double stranded
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Dna gardnerella
|
$62.50 |
$62.50 |
$62.50 |
$62.50
|
|
Dna trichomonas
|
$62.50 |
$62.50 |
$62.50 |
$64.80
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$2.62 |
$2.62 |
$2.62 |
$949.39
|
|
Doppler echo complete
|
$490.00 |
$490.00 |
$490.00 |
$586.75
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$540.00 |
$540.00 |
$540.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$362.50 |
$362.50 |
$362.50 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$24,768.76 |
$24,768.76 |
$24,768.76 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$516.91 |
$516.91 |
$516.91 |
$23,613.78
|
|
Dpyd gene common variants
|
$175.00 |
$175.00 |
$175.00 |
$362.05
|
|
Drainage of kidney lesion
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$1,578.89
|
|
Drain blood from under nail 11740
|
$75.00 |
$75.00 |
$75.00 |
$182.95
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,540.00 |
$2,540.00 |
$2,540.00 |
$2,684.50
|
|
Drain cath image guided visceral pq
|
$2,785.00 |
$2,785.00 |
$2,785.00 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$910.00 |
$910.00 |
$910.00 |
$1,045.65
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$207.50 |
$207.50 |
$207.50 |
$402.93
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$157.50 |
$157.50 |
$157.50 |
$365.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$252.50 |
$252.50 |
$252.50 |
$547.20
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$505.00 |
$505.00 |
$505.00 |
$2,033.65
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$27.50 |
$27.50 |
$27.50 |
$189.68
|
|
Drug assay caffeine
|
$80.00 |
$80.00 |
$80.00 |
$81.61
|
|
Drug assay posaconazole
|
$100.00 |
$100.00 |
$100.00 |
$91.00
|
|
Drug assay rufinamide
|
$135.00 |
$135.00 |
$135.00 |
$88.20
|
|
Drug assay vedolizumab
|
$272.50 |
$272.50 |
$272.50 |
$136.08
|
|
Drug assay voriconazole
|
$137.50 |
$137.50 |
$137.50 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$345.00 |
$345.00 |
$345.00 |
$66.43
|
|
Drug of abuse screen urine
|
$27.50 |
$27.50 |
$27.50 |
$61.10
|
|
Drug screen quant tiagabine
|
$115.00 |
$115.00 |
$115.00 |
$114.62
|
|
Drug test def 15-21 classes
|
$322.50 |
$322.50 |
$322.50 |
$274.26
|
|
Drug test def 22+ classes
|
$140.00 |
$140.00 |
$140.00 |
$276.30
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$352.50 |
$352.50 |
$352.50 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$730.00 |
$730.00 |
$730.00 |
$395.40
|
|
Dup scan/hemodialysis access 93990
|
$600.00 |
$600.00 |
$600.00 |
$499.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$745.00 |
$745.00 |
$745.00 |
$748.15
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$710.00 |
$710.00 |
$710.00 |
$903.50
|
|
Durvalumab 50 mg/ml intravenous solution
|
$185.51 |
$185.51 |
$185.51 |
$7,973.90
|
|
Ear and throat examination
|
$2,455.00 |
$2,455.00 |
$2,455.00 |
$602.63
|
|
Ear irrigation 69209
|
$30.00 |
$30.00 |
$30.00 |
$152.50
|
|
Ecg 12 lead tracing only
|
$152.50 |
$152.50 |
$152.50 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$155.00 |
$155.00 |
$155.00 |
$139.80
|
|
Ecg < 30 days transmission & analysis
|
$395.00 |
$395.00 |
$395.00 |
$466.20
|
|
Ecg external < 48 hours recording
|
$440.00 |
$440.00 |
$440.00 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$535.00 |
$535.00 |
$535.00 |
$536.50
|
|
Echocardiogram (Heart Ultrasound)
|
$1,355.00 |
$1,355.00 |
$1,355.00 |
$2,039.00
|
|
Echocardiography doppler color flow mapping
|
$525.00 |
$525.00 |
$525.00 |
$520.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$670.00 |
$670.00 |
$670.00 |
$711.00
|
|
Echocardiograpy doppler follow up/limited study
|
$225.00 |
$225.00 |
$225.00 |
$356.40
|
|
Echo exam uterus 76831-
|
$475.00 |
$475.00 |
$475.00 |
$561.00
|
|
Echograp trans r pros study
|
$670.00 |
$670.00 |
$670.00 |
$466.20
|
|
Echo guidance radiotherapy
|
$515.00 |
$515.00 |
$515.00 |
$812.00
|
|
Echo tee guidance
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$1,837.95
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,555.00 |
$2,555.00 |
$2,555.00 |
$1,897.35
|
