|
Device ablt adv novasure
|
$7,448.27 |
$7,448.27 |
$9,788.84 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$4,405.84 |
$4,405.84 |
$4,453.86 |
$4,298.87
|
|
Device intraute mirena
|
$1,245.82 |
$1,245.82 |
$1,245.82 |
$2,618.91
|
|
Device sut capio slim opn
|
$910.16 |
$910.16 |
$920.08 |
$1,825.12
|
|
Device tiss remov myosure reach
|
$2,605.70 |
$2,605.70 |
$2,634.10 |
$2,229.99
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$42.94 |
$42.94 |
$42.94 |
$196.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$114.51 |
$114.51 |
$115.76 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$4.09 |
$4.09 |
$7.34 |
$5.61
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$11.01 |
$11.01 |
$19.67 |
$26.80
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$2,585.52 |
$2,585.52 |
$2,613.70 |
$731.92
|
|
Dextran 40 infusion
|
$50.28 |
$50.28 |
$50.83 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$19.82 |
$19.82 |
$20.04 |
$49.79
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$20.04 |
$20.04 |
$20.04 |
$66.59
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$189.38 |
$189.38 |
$191.44 |
$48.56
|
|
Dextrose 5 % IV bolus
|
$19.82 |
$19.82 |
$20.04 |
$65.33
|
|
Dhea-s (dehydroepiand sulfate)
|
$2.21 |
$2.21 |
$10.76 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$79.28 |
$79.28 |
$80.14 |
$78.03
|
|
Diab manage trn ind/group
|
$22.02 |
$22.02 |
$22.02 |
$54.99
|
|
Diagnostic Mammogram (both breasts)
|
$300.21 |
$300.21 |
$303.48 |
$424.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$1,270.56 |
$1,270.56 |
$1,284.41 |
$7,145.00
|
|
Dialysis one evaluation
|
$1,441.95 |
$1,441.95 |
$2,128.06 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$20.56 |
$20.56 |
$93.50 |
$101.58
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$43.31 |
$43.31 |
$70.87 |
$73.22
|
|
Dicyclomine injection
|
$147.54 |
$147.54 |
$149.15 |
$205.57
|
|
Diffusing capacity
|
$73.77 |
$73.77 |
$74.58 |
$360.10
|
|
Digital analysis of eeg
|
$149.01 |
$149.01 |
$150.63 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$230.48 |
$230.48 |
$232.99 |
$56.70
|
|
Digoxin immune fab 40 mg intravenous solution
|
$3,461.92 |
$3,461.92 |
$3,499.65 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$278.92 |
$278.92 |
$281.96 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$2,062.91 |
$2,062.91 |
$2,085.40 |
$321.30
|
|
Dilate biliary duct/ampulla
|
$847.04 |
$847.04 |
$856.27 |
$2,304.60
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$926.31 |
$926.31 |
$926.31 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$965.21 |
$965.21 |
$965.21 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$1,171.84 |
$1,171.84 |
$1,171.84 |
$6,280.95
|
|
Dilation of salivary duct
|
$568.85 |
$568.85 |
$575.05 |
$599.72
|
|
Dilator fascial 10fx20cm
|
$244.06 |
$244.06 |
$246.72 |
$305.68
|
|
Dilat xst trc ndurlgc px
|
$2,645.34 |
$2,645.34 |
$2,674.17 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$2,645.34 |
$2,645.34 |
$2,674.17 |
$5,020.00
|
|
Dimecaprol injection
|
$284.56 |
$284.56 |
$284.56 |
$183.58
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.55 |
$9.55 |
$9.65 |
$25.12
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$100.20 |
$100.20 |
$100.20 |
$106.59
|
|
Disability dlco
|
$89.92 |
$89.92 |
$90.90 |
$307.58
|
|
Disaccharidases
|
$119.57 |
$119.57 |
$120.88 |
$223.80
|
|
Discography cerv/thor spine
|
$2,615.61 |
$2,615.61 |
$2,644.12 |
$2,404.00
|
|
Dissolve clot heart vessel
|
$819.88 |
$819.88 |
$819.88 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$1,729.31 |
$1,729.31 |
$1,748.16 |
$2,001.55
|
|
Dna antibody native/double stranded
|
$33.40 |
$33.40 |
$33.77 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$125.89 |
$125.89 |
$127.26 |
$100.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$3,668.90 |
$3,668.90 |
$3,708.89 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$27.83 |
$27.83 |
$38.17 |
$77.41
|
|
Doppler echo complete
|
$764.64 |
$764.64 |
$774.74 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$1,512.04 |
$1,512.04 |
$1,512.04 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$327.00 |
$327.00 |
$330.57 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$212.50 |
$212.50 |
$214.81 |
$482.03
|
|
Doripenem 50 mg/ml inj 10 ml
|
$68.27 |
$68.27 |
$68.27 |
$71.58
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$18,175.68 |
$18,175.68 |
$18,175.68 |
$33,342.33
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$450.68 |
$450.68 |
$455.59 |
$338.12
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$5,473.08 |
$5,473.08 |
$5,532.73 |
$2,469.31
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$4,234.82 |
$4,234.82 |
$4,280.97 |
$90.47
|
|
Drainage of kidney lesion
|
$1,559.39 |
$1,559.39 |
$1,576.38 |
$1,706.65
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,830.97 |
$1,830.97 |
$1,850.92 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$1,698.44 |
$1,698.44 |
$1,781.06 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$423.89 |
$423.89 |
$748.31 |
$1,113.06
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$229.38 |
$229.38 |
$229.38 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$168.46 |
$168.46 |
$168.46 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$321.86 |
$321.86 |
$321.86 |
$554.40
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$9,683.30 |
$9,683.30 |
$9,788.84 |
$8,648.63
|
|
Drill hole implt ventricular cath/device 61107
|
$1,497.00 |
$1,497.00 |
$1,497.00 |
$1,594.26
|
|
Drng of pelvic abscess transrectal 45000
|
$5,087.36 |
$5,087.36 |
$5,142.81 |
$1,614.45
|
|
Droperidol 2.5 mg/ml injection solution
|
$9.55 |
$9.55 |
$11.88 |
$36.04
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,185.41 |
$1,185.41 |
$1,198.33 |
$1,778.40
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$3,387.41 |
$3,387.41 |
$3,424.33 |
$2,608.11
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$12,588.10 |
$12,588.10 |
$12,725.30 |
$242.02
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$12,588.10 |
$12,588.10 |
$12,725.30 |
$127.14
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$4,405.84 |
$4,405.84 |
$4,453.86 |
$6,491.75
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$23,504.52 |
$23,504.52 |
$23,760.70 |
$18,384.03
|
|
Drug admin & hemodynmic meas
|
$494.72 |
$494.72 |
$494.72 |
$528.50
|
|
Drug assay caffeine
|
$13.00 |
$13.00 |
$13.15 |
$81.61
|
|
Drug assay posaconazole
|
$20.92 |
$20.92 |
$21.15 |
$96.39
|
|
Drug assay voriconazole
|
$19.46 |
$19.46 |
$19.67 |
$96.75
|
|
Drug of abuse screen urine
|
$285.53 |
$285.53 |
$288.64 |
$63.75
|
|
Drug test def 15-21 classes
|
$45.88 |
$45.88 |
$46.38 |
$198.74
|
|
Drug test def 1-7 classes
|
$459.12 |
$459.12 |
$464.13 |
$263.25
|
|
Drug test def 22+ classes
|
$66.06 |
$66.06 |
$66.78 |
$246.92
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$277.09 |
$277.09 |
$280.11 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$1,852.25 |
$1,852.25 |
$1,872.44 |
$3,390.00
|
|
Duplex scan bilateral study 93985
|
$173.23 |
$173.23 |
$175.12 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$84.05 |
$84.05 |
$84.96 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$164.79 |
$164.79 |
$171.78 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$173.96 |
$173.96 |
$175.86 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$648.13 |
$648.13 |
$655.19 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$6,235.70 |
$6,235.70 |
$6,235.70 |
$11,632.92
|
|
Dxa bone density axl vrt fx
|
$114.51 |
$114.51 |
$115.76 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$274.89 |
$274.89 |
$277.88 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,276.80 |
$1,276.80 |
$1,290.71 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,255.88 |
$1,255.88 |
$1,269.57 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$310.85 |
$310.85 |
$314.24 |
$368.50
|
|
Ecallantide injection
|
$8,468.45 |
$8,468.45 |
$8,468.45 |
$6,745.86
|
|
Ecg 12 lead tracing only
|
$291.77 |
$291.77 |
$294.95 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$67.53 |
$67.53 |
$67.53 |
$129.83
|