|
Disability dlco
|
$498.40 |
$498.40 |
$498.40 |
$292.03
|
|
Disaccharidases
|
$185.36 |
$185.36 |
$185.36 |
$224.31
|
|
Disarticulation sho sec clsr
|
$5,605.60 |
$5,605.60 |
$5,605.60 |
$2,300.80
|
|
Discography cerv/thor spine
|
$5,342.40 |
$5,342.40 |
$5,342.40 |
$2,481.50
|
|
Disconnect insert locking wr
|
$75.60 |
$75.60 |
$75.60 |
$75.60
|
|
Disconnect locking wrist uni
|
$207.20 |
$207.20 |
$207.20 |
$207.20
|
|
Dise eval slp do brth flx dx
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$1,120.00
|
|
Dist revas ligation hemo
|
$15,383.20 |
$15,383.20 |
$15,383.20 |
$6,396.89
|
|
Diverticulectomy/hypophar/esoph 43130
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.81
|
|
#d/lmeth-l-methamphetamine
|
$80.08 |
$80.08 |
$80.08 |
$72.14
|
|
Dlyd plmt xtn prosth ea addl
|
$571.20 |
$571.20 |
$571.20 |
$1,875.00
|
|
Dmd dup/delet analysis
|
$638.40 |
$638.40 |
$638.40 |
$418.50
|
|
Dmpk gene charac alleles
|
$627.20 |
$627.20 |
$627.20 |
$367.20
|
|
Dmpk gene detc abnor allele
|
$313.60 |
$313.60 |
$313.60 |
$313.60
|
|
Dna antibody native/double stranded
|
$71.12 |
$71.12 |
$71.12 |
$100.00
|
|
Dna gardnerella
|
$55.44 |
$55.44 |
$55.44 |
$61.80
|
|
Dna probe chlamydia
|
$63.28 |
$63.28 |
$63.28 |
$82.20
|
|
Dna probe gc
|
$71.68 |
$71.68 |
$71.68 |
$84.80
|
|
Dna trichomonas
|
$55.44 |
$55.44 |
$55.44 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$94.19 |
$94.19 |
$94.19 |
$98.29
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$904.81 |
$904.81 |
$904.81 |
$949.39
|
|
Dolasetron mesylate oral
|
$156.80 |
$156.80 |
$156.80 |
$156.80
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$55.16 |
$55.16 |
$55.16 |
$67.28
|
|
Doppler echo complete
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$2,777.60 |
$2,777.60 |
$2,777.60 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,831.20 |
$1,831.20 |
$1,831.20 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$716.80 |
$716.80 |
$716.80 |
$473.76
|
|
Dornhoffer fixed part w/window
|
$22,176.00 |
$22,176.00 |
$22,176.00 |
$34,278.00
|
|
Dorsi & plantar flex ass/res
|
$5,320.00 |
$5,320.00 |
$5,320.00 |
$163.50
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$19,427.62 |
$19,427.62 |
$19,427.62 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$484.77 |
$484.77 |
$484.77 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,718.24 |
$1,718.24 |
$1,718.24 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$62.96 |
$62.96 |
$62.96 |
$84.80
|
|
Dpyd gene common variants
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,993.60 |
$1,993.60 |
$1,993.60 |
$794.82
|
|
Drainage ext aud canal abscess 69020
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$914.34
|
|
Drainage external ear complex 69005
|
$4,664.80 |
$4,664.80 |
$4,664.80 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$1,993.60 |
$1,993.60 |
$1,993.60 |
$779.45
|
|
Drainage lymph node lesion 38300
|
$5,891.20 |
$5,891.20 |
$5,891.20 |
$3,088.80
|
|
Drainage lymph node lesion 38305
|
$5,157.60 |
$5,157.60 |
$5,157.60 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$1,646.40 |
$1,646.40 |
$1,646.40 |
$405.60
|
|
Drainage of arm bursa 23931
|
$6,395.20 |
$6,395.20 |
$6,395.20 |
$2,271.01
|
|
Drainage of bladder abscess
|
$5,723.20 |
$5,723.20 |
$5,723.20 |
$3,127.88
|
|
Drainage of eye
|
$2,301.60 |
$2,301.60 |
$2,301.60 |
$2,415.65
|
|
Drainage of eye
|
$7,184.80 |
$7,184.80 |
$7,184.80 |
$3,170.00
|
|
Drainage of eye
|
$3,494.40 |
$3,494.40 |
$3,494.40 |
$3,222.78
|
|
Drainage of forearm bursa
|
$5,247.20 |
$5,247.20 |
$5,247.20 |
$2,170.50
|
|
Drainage of kidney lesion
|
$3,063.20 |
$3,063.20 |
$3,063.20 |
$1,506.00
|
|
Drainage of mouth lesion
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$535.20
|
|
Drainage of mouth lesion
|
$4,054.40 |
$4,054.40 |
$4,054.40 |
$2,304.00
|
|
Drainage of mouth lesion
|
$4,149.60 |
$4,149.60 |
$4,149.60 |
$2,320.03
|
|
Drainage of mouth lesion
|
$6,708.80 |
$6,708.80 |
$6,708.80 |
$3,837.72
|
|
Drainage of mouth lesion
|
$1,971.20 |
$1,971.20 |
$1,971.20 |
$905.30
|
|
Drainage of mouth lesion
|
$1,904.00 |
$1,904.00 |
$1,904.00 |
$1,008.80
|
|
Drainage of mouth lesion
|
$7,912.80 |
$7,912.80 |
$7,912.80 |
$6,781.90
|
|
Drainage of mouth lesion
|
$7,352.80 |
$7,352.80 |
$7,352.80 |
$3,459.00
|
|
Drainage of mouth lesion
|
$3,914.40 |
$3,914.40 |
$3,914.40 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$683.20 |
$683.20 |
$683.20 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,640.80 |
$1,640.80 |
$1,640.80 |
$781.44
|
|
Drainage of pelvis bursa
|
$6,675.20 |
$6,675.20 |
$6,675.20 |
$2,211.05
|
|
Drainage of pelvis lesion 26990
|
$8,170.40 |
$8,170.40 |
$8,170.40 |
$3,863.70
|
|
Drainage of prostate abscess
|
$11,508.00 |
$11,508.00 |
$11,508.00 |
$4,081.37
|
|
Drainage of prostate abscess
|
$6,232.80 |
$6,232.80 |
$6,232.80 |
$3,863.60
|
|
Drainage of prostate abscess
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$4,081.37
|
|
Drainage of rectal abscess
|
$6,384.00 |
$6,384.00 |
$6,384.00 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$9,979.20 |
$9,979.20 |
$9,979.20 |
$3,786.00
|
|
Drainage of salivary gland
|
$10,080.00 |
$10,080.00 |
$10,080.00 |
$4,560.40
|
|
Drainage of salivary gland
|
$1,864.80 |
$1,864.80 |
$1,864.80 |
$890.76
|
|
Drainage of throat abscess
|
$16,038.40 |
$16,038.40 |
$16,038.40 |
$6,465.11
|
|
Drainage of urethra abscess
|
$11,586.40 |
$11,586.40 |
$11,586.40 |
$4,081.37
|
|
Drainage of urethra abscess 53060
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$2,424.12
|
|
Drainage of urinary leakage
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$2,308.48
|
|
Drainage of urinary leakage
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$2,874.36
|
|
Drain bladder by trocar/cath
|
$2,760.80 |
$2,760.80 |
$2,760.80 |
$1,198.14
|
|
Drain blood from under nail 11740
|
$403.20 |
$403.20 |
$403.20 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$7,072.80 |
$7,072.80 |
$7,072.80 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$4,737.60 |
$4,737.60 |
$4,737.60 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$2,710.40 |
$2,710.40 |
$2,710.40 |
$1,025.00
|
|
Drain chest lesion
|
$6,412.00 |
$6,412.00 |
$6,412.00 |
$3,839.54
|
|
Drain chst dry seal exp thorastat
|
$197.61 |
$197.61 |
$197.61 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$784.00 |
$784.00 |
$784.00 |
$428.40
|
|
Drain lower leg bursa
|
$10,595.20 |
$10,595.20 |
$10,595.20 |
$3,958.50
|
|
Drain lower leg lesion 27603
|
$7,655.20 |
$7,655.20 |
$7,655.20 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$8,573.60 |
$8,573.60 |
$8,573.60 |
$3,301.20
|
|
Drain ovarn cyst abd
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$3,786.00
|
|
Drain ovary abscess open
|
$7,145.60 |
$7,145.60 |
$7,145.60 |
$3,762.53
|
|
Drain penis lesion
|
$6,932.80 |
$6,932.80 |
$6,932.80 |
$2,244.20
|
|
Drain shoulder bone lesion
|
$5,112.80 |
$5,112.80 |
$5,112.80 |
$3,345.60
|
|
Drain shoulder bursa 23031
|
$5,118.40 |
$5,118.40 |
$5,118.40 |
$3,322.80
|
|
Drain shoulder lesion
|
$8,573.60 |
$8,573.60 |
$8,573.60 |
$3,638.88
|
|
Drain thigh/knee lesion 27301
|
$8,573.60 |
$8,573.60 |
$8,573.60 |
$3,824.50
|
|
Drain thyroid/tongue cyst
|
$3,914.40 |
$3,914.40 |
$3,914.40 |
$1,752.89
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$649.60 |
$649.60 |
$649.60 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$627.20 |
$627.20 |
$627.20 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$540.80
|
|
Dressing change not for burn w/anes 15852
|
$543.20 |
$543.20 |
$543.20 |
$724.37
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$8,756.68 |
$8,756.68 |
$8,756.68 |
$5,857.52
|
|
Drill hole implt ventricular cath/device 61107
|
$666.40 |
$666.40 |
$666.40 |
$1,485.75
|
|
Driver pneumatic vad, rep
|
$107,185.12 |
$107,185.12 |
$107,185.12 |
$107,185.12
|
|
Drm agrft f/s/n/h/f/g/m ea
|
$3,808.00 |
$3,808.00 |
$3,808.00 |
$3,808.00
|
