|
Derma-fat-fascia graft 15770
|
$6,622.86 |
$6,622.86 |
$6,622.86 |
$4,326.42
|
|
Dermagraft
|
$3,811.33 |
$3,811.33 |
$3,811.33 |
$1,912.31
|
|
Desmopressin 4 mcg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$102.32
|
|
Destroy premlg lesns;1st lesn 17000
|
$365.67 |
$365.67 |
$365.67 |
$220.12
|
|
Destruct cut vasl lesions <10cm 17106
|
$755.82 |
$755.82 |
$755.82 |
$658.40
|
|
Destruction anal lesion(s) smpl chem 46900
|
$755.82 |
$755.82 |
$755.82 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$365.67 |
$365.67 |
$365.67 |
$250.60
|
|
Destruction vag lesions simple 57061
|
$5,771.67 |
$5,771.67 |
$5,771.67 |
$3,762.53
|
|
Device ablt adv novasure
|
$11,844.95 |
$11,844.95 |
$11,844.95 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$7,854.00 |
$7,854.00 |
$7,854.00 |
$4,298.87
|
|
Device intraute mirena
|
$3,363.57 |
$3,363.57 |
$3,363.57 |
$2,618.91
|
|
Device sut capio slim opn
|
$2,138.40 |
$2,138.40 |
$2,138.40 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$17,054.40 |
$17,054.40 |
$17,054.40 |
$2,440.98
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$232.56 |
$232.56 |
$232.56 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$5.61 |
$5.61 |
$5.61 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$30.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$65.33 |
$65.33 |
$65.33 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$65.33 |
$65.33 |
$65.33 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$76.50 |
$76.50 |
$76.50 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$257.04 |
$257.04 |
$257.04 |
$78.03
|
|
Diagnostic anoscopy
|
$269.28 |
$269.28 |
$269.28 |
$441.68
|
|
Diagnostic anoscopy spx 46600
|
$182.58 |
$182.58 |
$182.58 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$55.59 |
$55.59 |
$55.59 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$55.59 |
$55.59 |
$55.59 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$415.14 |
$415.14 |
$415.14 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$386.58 |
$386.58 |
$386.58 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$1,454.01 |
$1,454.01 |
$1,454.01 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$914.94 |
$914.94 |
$914.94 |
$301.55
|
|
Dialysis one evaluation
|
$1,165.35 |
$1,165.35 |
$1,165.35 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$112.61 |
$112.61 |
$112.61 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$85.68 |
$85.68 |
$85.68 |
$72.34
|
|
Dicyclomine injection
|
$287.41 |
$287.41 |
$287.41 |
$211.81
|
|
Diffusing capacity
|
$1,177.08 |
$1,177.08 |
$1,177.08 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$444.22 |
$444.22 |
$444.22 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$11,090.02 |
$11,090.02 |
$11,090.02 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$215.22 |
$215.22 |
$215.22 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$425.66 |
$425.66 |
$425.66 |
$334.68
|
|
Dilate urethra stricture
|
$909.84 |
$909.84 |
$909.84 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$294.78 |
$294.78 |
$294.78 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$1,266.33 |
$1,266.33 |
$1,266.33 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$652.85 |
$652.85 |
$652.85 |
$305.68
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$2.55 |
$2.55 |
$2.55 |
$2.10
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$26.87
|
|
Disaccharidases
|
$41.95 |
$41.95 |
$41.95 |
$223.80
|
|
Dissolve clot heart vessel
|
$1,271.43 |
$1,271.43 |
$1,271.43 |
$1,396.47
|
|
Dna antibody native/double stranded
|
$3.88 |
$3.88 |
$3.88 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$145.35 |
$145.35 |
$145.35 |
$101.04
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$145.35 |
$145.35 |
$145.35 |
$84.30
|
|
Doppler echo complete
|
$641.58 |
$641.58 |
$641.58 |
$608.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$700.23 |
$700.23 |
$700.23 |
$696.80
|
|
Dornhoffer fixed part w/window
|
$43,731.99 |
$43,731.99 |
$43,731.99 |
$28,091.95
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$126.66 |
$126.66 |
$126.66 |
$99.99
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$962.88 |
$962.88 |
$962.88 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$1,369.86 |
$1,369.86 |
$1,369.86 |
$900.80
|
|
Drainage external ear complex 69005
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$962.88 |
$962.88 |
$962.88 |
$809.25
|
|
Drainage lymph node lesion 38300
|
$5,079.60 |
$5,079.60 |
$5,079.60 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$562.53 |
$562.53 |
$562.53 |
$474.39
|
|
Drainage of arm bursa 23931
|
$3,052.86 |
$3,052.86 |
$3,052.86 |
$2,419.30
|
|
Drainage of eye
|
$4,173.33 |
$4,173.33 |
$4,173.33 |
$2,503.62
|
|
Drainage of mouth lesion
|
$420.75 |
$420.75 |
$420.75 |
$455.56
|
|
Drainage of mouth lesion
|
$2,810.61 |
$2,810.61 |
$2,810.61 |
$2,320.03
|
|
Drainage of mouth lesion
|
$5,759.94 |
$5,759.94 |
$5,759.94 |
$3,986.00
|
|
Drainage of mouth lesion
|
$925.14 |
$925.14 |
$925.14 |
$799.40
|
|
Drainage of mouth lesion
|
$5,759.94 |
$5,759.94 |
$5,759.94 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$420.75 |
$420.75 |
$420.75 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$925.14 |
$925.14 |
$925.14 |
$755.95
|
|
Drainage of pelvis lesion 26990
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$3,969.00
|
|
Drainage of rectal abscess
|
$2,192.49 |
$2,192.49 |
$2,192.49 |
$2,299.90
|
|
Drainage of salivary gland
|
$5,759.94 |
$5,759.94 |
$5,759.94 |
$3,837.72
|
|
Drainage of salivary gland
|
$925.14 |
$925.14 |
$925.14 |
$629.60
|
|
Drainage of urethra abscess 53060
|
$3,755.13 |
$3,755.13 |
$3,755.13 |
$2,459.34
|
|
Drain bladder by trocar/cath
|
$1,891.59 |
$1,891.59 |
$1,891.59 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$763.47 |
$763.47 |
$763.47 |
$190.33
|
|
Drain cerebro spinal fluid 62272
|
$1,361.19 |
$1,361.19 |
$1,361.19 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$851.19 |
$851.19 |
$851.19 |
$492.81
|
|
Drain lower leg bursa
|
$6,059.82 |
$6,059.82 |
$6,059.82 |
$3,839.54
|
|
Drain lower leg lesion 27603
|
$5,230.05 |
$5,230.05 |
$5,230.05 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$5,230.05 |
$5,230.05 |
$5,230.05 |
$3,386.84
|
|
Drain penis lesion
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$2,005.32
|
|
Drain shoulder lesion
|
$3,571.53 |
$3,571.53 |
$3,571.53 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$5,079.60 |
$5,079.60 |
$5,079.60 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$1,381.59 |
$1,381.59 |
$1,381.59 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$1,176.57 |
$1,176.57 |
$1,176.57 |
$790.56
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$24,714.20 |
$24,714.20 |
$24,714.20 |
$9,390.80
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$1,065.90 |
$1,065.90 |
$1,065.90 |
$1,667.40
|
|
Drill hole implt ventricular cath/device 61107
|
$1,552.95 |
$1,552.95 |
$1,552.95 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$1,056.72 |
$1,056.72 |
$1,056.72 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$4,343.67 |
$4,343.67 |
$4,343.67 |
$2,048.00
|
|
Drng of mouth lesion 40801
|
$962.88 |
$962.88 |
$962.88 |
$1,145.97
|
|
Drng of pelvic abscess transrectal 45000
|
$2,192.49 |
$2,192.49 |
$2,192.49 |
$1,614.45
|
|
Drng of scrotum abscess 55100
|
$4,343.67 |
$4,343.67 |
$4,343.67 |
$2,069.60
|
|
Drng salivary gland simple 42300
|
$2,810.61 |
$2,810.61 |
$2,810.61 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$925.14 |
$925.14 |
$925.14 |
$602.63
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,796.43 |
$2,796.43 |
$2,796.43 |
$1,778.40
|