|
Design mlc device for imrt
|
$737.16 |
$737.16 |
$737.16 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$622.84 |
$622.84 |
$622.84 |
$102.32
|
|
Developmental screen/score/document 96110
|
$271.56 |
$271.56 |
$271.56 |
$139.10
|
|
Devel tst phys/qhp 1st hr
|
$182.21 |
$182.21 |
$182.21 |
$339.30
|
|
Device ablt adv novasure
|
$7,999.20 |
$7,999.20 |
$7,999.20 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$4,731.28 |
$4,731.28 |
$4,731.28 |
$4,298.87
|
|
Device sut capio slim opn
|
$2,151.46 |
$2,151.46 |
$2,151.46 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$2,797.95 |
$2,797.95 |
$2,797.95 |
$2,440.98
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$89.36 |
$89.36 |
$89.36 |
$196.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$132.72 |
$132.72 |
$132.72 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$8.76 |
$8.76 |
$8.76 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$29.35 |
$29.35 |
$29.35 |
$30.00
|
|
Dextran 40 infusion
|
$57.38 |
$57.38 |
$57.38 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$57.38 |
$57.38 |
$57.38 |
$60.00
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$57.38 |
$57.38 |
$57.38 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$57.38 |
$57.38 |
$57.38 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$2.63 |
$2.63 |
$2.63 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$78.41 |
$78.41 |
$78.41 |
$78.03
|
|
Diagnostic Mammogram (both breasts)
|
$247.04 |
$247.04 |
$247.04 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$192.72 |
$192.72 |
$192.72 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$1,291.67 |
$1,291.67 |
$1,291.67 |
$7,145.00
|
|
Dialysis one evaluation
|
$1,327.58 |
$1,327.58 |
$1,327.58 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$29.35 |
$29.35 |
$29.35 |
$72.34
|
|
Dicyclomine injection
|
$132.72 |
$132.72 |
$132.72 |
$211.81
|
|
Diffusing capacity
|
$375.37 |
$375.37 |
$375.37 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$207.62 |
$207.62 |
$207.62 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,595.50 |
$4,595.50 |
$4,595.50 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$148.92 |
$148.92 |
$148.92 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$123.08 |
$123.08 |
$123.08 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$731.90 |
$731.90 |
$731.90 |
$2,304.60
|
|
Dilate esophagus
|
$883.01 |
$883.01 |
$883.01 |
$2,003.04
|
|
Dilate esophagus 1/mult pass
|
$798.48 |
$798.48 |
$798.48 |
$1,484.17
|
|
Dilate ic vasospasm ea add vsl same territory
|
$219.00 |
$219.00 |
$219.00 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$623.72 |
$623.72 |
$623.72 |
$6,280.95
|
|
Dilator fascial 10fx20cm
|
$339.89 |
$339.89 |
$339.89 |
$305.68
|
|
Dilat xst trc ndurlgc px
|
$2,912.70 |
$2,912.70 |
$2,912.70 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$490.13 |
$490.13 |
$490.13 |
$5,020.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$29.35 |
$29.35 |
$29.35 |
$26.87
|
|
Disability dlco
|
$295.65 |
$295.65 |
$295.65 |
$307.58
|
|
Disaccharidases
|
$78.84 |
$78.84 |
$78.84 |
$223.80
|
|
Discography cerv/thor spine
|
$1,985.90 |
$1,985.90 |
$1,985.90 |
$2,404.00
|
|
Dissolve clot heart vessel
|
$1,243.49 |
$1,243.49 |
$1,243.49 |
$1,396.47
|
|
Dna antibody native/double stranded
|
$5.15 |
$5.15 |
$5.15 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$57.38 |
$57.38 |
$57.38 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$57.38 |
$57.38 |
$57.38 |
$84.30
|
|
Doppler echo complete
|
$676.28 |
$676.28 |
$676.28 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$1,991.59 |
$1,991.59 |
$1,991.59 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$700.80 |
$700.80 |
$700.80 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$368.80 |
$368.80 |
$368.80 |
$482.03
|
|
Dornhoffer fixed part w/window
|
$44,725.06 |
$44,725.06 |
$44,725.06 |
$28,091.95
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$367.33 |
$367.33 |
$367.33 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$384.57 |
$384.57 |
$384.57 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$358.36 |
$358.36 |
$358.36 |
$2,417.38
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$38.11 |
$38.11 |
$38.11 |
$99.99
|
|
Drainage of kidney lesion
|
$754.68 |
$754.68 |
$754.68 |
$1,706.65
|
|
Drain bladder by trocar/cath
|
$558.45 |
$558.45 |
$558.45 |
$1,126.11
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,609.22 |
$1,609.22 |
$1,609.22 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$1,554.90 |
$1,554.90 |
$1,554.90 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$614.52 |
$614.52 |
$614.52 |
$1,113.06
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$124.50 |
$124.50 |
$124.50 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$139.03 |
$139.03 |
$139.03 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$191.73 |
$191.73 |
$191.73 |
$554.40
|
|
Drill hole implt ventricular cath/device 61107
|
$499.32 |
$499.32 |
$499.32 |
$1,594.26
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,654.77 |
$1,654.77 |
$1,654.77 |
$1,778.40
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$751.17 |
$751.17 |
$751.17 |
$3,374.24
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$751.17 |
$751.17 |
$751.17 |
$468.29
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$3,447.41 |
$3,447.41 |
$3,447.41 |
$318.13
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$7,999.20 |
$7,999.20 |
$7,999.20 |
$6,581.45
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$25,246.76 |
$25,246.76 |
$25,246.76 |
$18,384.03
|
|
Drug admin & hemodynmic meas
|
$141.92 |
$141.92 |
$141.92 |
$528.50
|
|
Drug assay voriconazole
|
$23.22 |
$23.22 |
$23.22 |
$96.75
|
|
Drug test def 15-21 classes
|
$54.75 |
$54.75 |
$54.75 |
$144.42
|
|
Drug test def 1-7 classes
|
$268.94 |
$268.94 |
$268.94 |
$250.52
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$343.40 |
$343.40 |
$343.40 |
$278.85
|
|
Ductogram sgl duct
|
$413.91 |
$413.91 |
$413.91 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$255.36 |
$255.36 |
$255.36 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$122.64 |
$122.64 |
$122.64 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$349.09 |
$349.09 |
$349.09 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$254.48 |
$254.48 |
$254.48 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,200.56 |
$1,200.56 |
$1,200.56 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$2,797.95 |
$2,797.95 |
$2,797.95 |
$14,438.37
|
|
Durvalumab 50 mg/ml intravenous solution
|
$164.25 |
$164.25 |
$164.25 |
$10,021.12
|
|
Dx bronchoscope/brush 31623
|
$782.71 |
$782.71 |
$782.71 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,171.22 |
$1,171.22 |
$1,171.22 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,171.22 |
$1,171.22 |
$1,171.22 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$462.09 |
$462.09 |
$462.09 |
$368.50
|
|
Ecg 12 lead tracing only
|
$324.56 |
$324.56 |
$324.56 |
$245.00
|
|
Ecg external < 48 hours recording
|
$778.77 |
$778.77 |
$778.77 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$124.40 |
$124.40 |
$124.40 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,409.00 |
$2,409.00 |
$2,409.00 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$324.56 |
$324.56 |
$324.56 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$382.38 |
$382.38 |
$382.38 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$745.04 |
$745.04 |
$745.04 |
$762.00
|
|
Echo exam uterus 76831-
|
$201.92 |
$201.92 |
$201.92 |
$547.20
|
|
Echo guide for amniocentesis
|
$487.06 |
$487.06 |
$487.06 |
$384.65
|
|
Echo stress
|
$1,465.55 |
$1,465.55 |
$1,465.55 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,841.31 |
$2,841.31 |
$2,841.31 |
$1,871.10
|
|
Echo transesophageal
|
$1,022.73 |
$1,022.73 |
$1,022.73 |
$913.33
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$1,014.01
|