|
Disability dlco
|
$157.08 |
$201.06 |
$272.74 |
|
|
Disaccharidases
|
$152.04 |
$222.63 |
$240.73 |
|
|
Discography cerv/thor spine
|
$2,344.44 |
$2,344.44 |
$2,344.44 |
|
|
Dissolve clot heart vessel
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
|
|
#d/lmeth-l-methamphetamine
|
$44.56 |
$44.56 |
$44.56 |
|
|
Dlyd plmt xtn prosth ea addl
|
$274.26 |
$274.26 |
$274.26 |
|
|
Dmpk gene detc abnor allele
|
$886.05 |
$886.05 |
$886.05 |
|
|
Dna antibody native/double stranded
|
$26.04 |
$43.15 |
$73.35 |
|
|
Dna gardnerella
|
$37.80 |
$37.80 |
$37.80 |
|
|
Dna trichomonas
|
$25.62 |
$25.62 |
$25.62 |
|
|
Doppler echo complete
|
$401.52 |
$437.28 |
$478.02 |
|
|
Doppler intravascular pressure flow initial vessel
|
$1,960.14 |
$1,960.14 |
$1,960.14 |
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$563.22 |
$563.22 |
$754.72 |
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$364.14 |
$473.22 |
$490.82 |
|
|
Dornhoffer fixed part w/window
|
$91,981.68 |
$91,981.68 |
$217,908.98 |
|
|
Dpyd gene common variants
|
$220.50 |
$316.58 |
$563.85 |
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$153.94 |
$153.94 |
$157.54 |
|
|
Drainage external ear simple 69000
|
$225.22 |
$225.22 |
$230.49 |
|
|
Drainage mouth roof lesion
|
$129.38 |
$129.38 |
$129.38 |
|
|
Drainage of arm bursa 23931
|
$289.92 |
$289.92 |
$296.69 |
|
|
Drainage of bladder abscess
|
$1,796.76 |
$1,796.76 |
$1,796.76 |
|
|
Drainage of kidney lesion
|
$1,271.34 |
$1,826.55 |
$1,877.96 |
|
|
Drain blood from under nail 11740
|
$34.84 |
$38.93 |
$67.20 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,061.76 |
$1,061.76 |
$1,061.76 |
|
|
Drain cath image guided visceral pq
|
$1,064.70 |
$1,064.70 |
$1,064.70 |
|
|
Drain cerebro spinal fluid 62272
|
$279.97 |
$314.72 |
$435.54 |
|
|
Drain finger abscess;simple 26010
|
$153.83 |
$171.91 |
$175.93 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$123.28 |
$137.77 |
$218.40 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$60.57 |
$67.69 |
$182.70 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$166.52 |
$170.41 |
$506.10 |
|
|
Drng of eyelid abscess 67700
|
$190.82 |
$190.82 |
$190.82 |
|
|
Drng of scrotum abscess 55100
|
$207.85 |
$207.85 |
$207.85 |
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$3,891.30 |
$5,994.46 |
$9,218.67 |
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$49.81 |
$49.81 |
$49.81 |
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$204.04 |
$204.04 |
$204.04 |
|
|
Drug admin & hemodynmic meas
|
$1,882.02 |
$1,882.02 |
$1,882.02 |
|
|
Drug assay caffeine
|
$48.72 |
$71.34 |
$77.14 |
|
|
Drug assay posaconazole
|
$49.56 |
$72.57 |
$78.47 |
|
|
Drug assay vedolizumab
|
$133.14 |
$133.14 |
$210.80 |
|
|
Drug assay voriconazole
|
$53.34 |
$78.11 |
$84.46 |
|
|
Drug of abuse screen urine
|
$15.96 |
$23.37 |
$25.27 |
|
|
Drug screening tapentadol
|
$23.52 |
$34.44 |
$37.24 |
|
|
Drug test prsmv instrmnt
|
$21.84 |
$31.98 |
$34.58 |
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$188.58 |
$276.14 |
$298.59 |
|
|
Drvvt confirm - quest
|
$22.68 |
$22.68 |
$37.10 |
|
|
Dstrj nulyt agt gnclr nrv
|
$2,794.96 |
$2,794.96 |
$2,794.96 |
|
|
Ductogram sgl duct
|
$175.98 |
$290.05 |
$315.59 |
|
|
Duplex scan bilateral study 93985
|
$370.44 |
$370.44 |
$370.44 |
|
|
Duplex scan unilateral study 93986
|
$281.82 |
$281.82 |
$281.82 |
|
|
Dup scan/hemodialysis access 93990
|
$296.94 |
$296.94 |
$296.94 |
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$859.67 |
$931.62 |
$1,024.80 |
|
|
Dxa bone density axl vrt fx
|
$356.93 |
$383.80 |
$388.36 |
|
|
Ear irrigation 69209
|
$23.58 |
$23.58 |
$26.97 |
|
|
Ecg/1-3 leads/tracing only 93041
|
$58.80 |
$112.93 |
$119.71 |
|
|
Ecg < 30 days transmission & analysis
|
$564.19 |
$564.19 |
$564.19 |
|
|
Ecg external < 48 hours recording
|
$301.42 |
$358.55 |
$362.88 |
|
|
Ecg external < 48 hours scanning analysis w/report
|
$449.97 |
$535.26 |
$541.73 |
|
|
Ecg external > 48 hours up to 7 days recording
|
$468.29 |
$468.29 |
$468.29 |
|
|
Ecg external >7 days up to 15 days recording
|
$352.51 |
$352.51 |
$352.51 |
|
|
Echocardiogram (Heart Ultrasound)
|
$1,123.92 |
$1,906.24 |
$2,083.84 |
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$277.62 |
$430.84 |
$470.98 |
|
|
Echocardiography doppler color flow mapping
|
$304.50 |
$345.18 |
$377.34 |
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,404.90 |
$2,382.80 |
$2,604.80 |
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$347.34 |
$347.34 |
$347.34 |
|
|
Echocardiograpy doppler follow up/limited study
|
$241.50 |
$297.53 |
$325.25 |
|
|
Echo exam of fetal heart
|
$903.96 |
$903.96 |
$930.96 |
|
|
Echo exam of fetal heart
|
$415.99 |
$415.99 |
$428.41 |
|
|
Echo exam of fetal heart
|
$426.87 |
$426.87 |
$439.62 |
|
|
Echo exam uterus 76831-
|
$562.85 |
$562.85 |
$562.85 |
|
|
Echograp trans r pros study
|
$228.48 |
$228.48 |
$228.48 |
|
|
Echo guidance radiotherapy
|
$609.84 |
$609.84 |
$609.84 |
|
|
Echo guide for amniocentesis
|
$151.20 |
$151.20 |
$421.01 |
|
|
Echo guide for artery repair
|
$328.02 |
$328.02 |
$328.02 |
|
|
Echo stress
|
$684.18 |
$830.12 |
$907.46 |
|
|
Echo tee probe placement image acquisition interpretation & report
|
$506.94 |
$506.94 |
$506.94 |
|
|
Echo transesophageal
|
$350.70 |
$350.70 |
$350.70 |
|
|
Echo transesophageal intraop
|
$345.66 |
$345.66 |
$345.66 |
|
|
Echo transthoracic
|
$765.66 |
$765.66 |
$765.66 |
|
|
Echo transthoracic
|
$345.66 |
$345.66 |
$345.66 |
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$395.64 |
$606.65 |
$663.17 |
|
|
Eeg 41-60 minutes 95812-26
|
$563.22 |
$563.22 |
$563.22 |
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$405.30 |
$405.30 |
$405.30 |
|
|
Eeg during surgery
|
$600.60 |
$600.60 |
$600.60 |
|
|
Eeg monitor/record/awake/drowsy 95816
|
$371.70 |
$371.70 |
$371.70 |
|
|
Eeg over 1 hour 95813 - 26
|
$677.46 |
$677.46 |
$677.46 |
|
|
Eeg/record in coma or sleep only 95822
|
$454.44 |
$454.44 |
$454.44 |
|
|
Eeg recording awake and asleep
|
$453.60 |
$453.60 |
$453.60 |
|
|
Eeg without vid 2-12hr cont mntr
|
$776.58 |
$776.58 |
$776.58 |
|
|
Eeg without vid 2-12 hr unmntr
|
$621.18 |
$621.18 |
$621.18 |
|
|
Eeg without vid ea 12-26hr cont
|
$1,087.38 |
$1,087.38 |
$1,087.38 |
|
|
Eeg without vid ea 12-26hr intmt
|
$1,025.22 |
$1,025.22 |
$1,025.22 |
|
|
Eeg wo vid 2-12hr intmt mntr
|
$714.42 |
$714.42 |
$714.42 |
|
|
Eeg wo vid ea 12-26hr unmntr
|
$931.98 |
$931.98 |
$931.98 |
|
|
E equine encephalitis igg
|
$27.30 |
$45.24 |
$76.90 |
|
|
Egfr gene com variants
|
$409.08 |
$587.32 |
$1,046.08 |
|
|
EKG (Tracing Only)
|
$190.26 |
$214.17 |
$227.04 |
|
|
Elbow X-ray (2 views, both sides)
|
$70.98 |
$274.56 |
$298.74 |
|
|
Elbow X-ray (3 or more views, both sides)
|
$78.96 |
$338.62 |
$368.45 |
|
|
Elect analysis of infusion pump 62367
|
$253.12 |
$253.12 |
$253.12 |
|
|
Electrd sq emblem s-icd
|
$7,360.08 |
$7,360.08 |
$7,360.08 |
|
