|
Dermagraft
|
$1,912.31 |
$1,912.31 |
$1,912.31 |
$1,912.31
|
|
Descend thora aorta rpr/lt sub art 33880
|
$7,948.85 |
$7,948.85 |
$7,948.85 |
$5,702.04
|
|
Design mlc device for imrt
|
$1,168.65 |
$1,168.65 |
$1,168.65 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$47.31 |
$47.31 |
$47.31 |
$102.32
|
|
Des thora aorta/ea add prox prosth 33884
|
$642.95 |
$642.95 |
$642.95 |
$1,285.78
|
|
Des thora aorta rpr without left sub art 33881
|
$7,948.85 |
$7,948.85 |
$7,948.85 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$642.95 |
$642.95 |
$642.95 |
$2,498.88
|
|
Dest mal lesion tal <0.5 17260
|
$363.65 |
$363.65 |
$363.65 |
$238.40
|
|
Destroy premlg lesns;1st lesn 17000
|
$256.55 |
$256.55 |
$256.55 |
$220.12
|
|
Destruct cut vasl lesions <10cm 17106
|
$576.45 |
$576.45 |
$576.45 |
$658.40
|
|
Destruction anal lesion(s) smpl chem 46900
|
$423.50 |
$423.50 |
$423.50 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$363.65 |
$363.65 |
$363.65 |
$250.60
|
|
Destruction vag lesions simple 57061
|
$3,648.40 |
$3,648.40 |
$3,648.40 |
$3,762.53
|
|
Developmental screen/score/document 96110
|
$256.55 |
$256.55 |
$256.55 |
$139.10
|
|
Devel tst phys/qhp 1st hr
|
$3.10 |
$3.10 |
$3.10 |
$339.30
|
|
Device ablt adv novasure
|
$4,494.00 |
$4,494.00 |
$4,494.00 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,762.50 |
$3,762.50 |
$3,762.50 |
$4,298.87
|
|
Device intraute mirena
|
$524.62 |
$524.62 |
$524.62 |
$2,618.91
|
|
Device sut capio slim opn
|
$2,845.55 |
$2,845.55 |
$2,845.55 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$8,085.00 |
$8,085.00 |
$8,085.00 |
$2,440.98
|
|
Dexamethasone 4 mg tablet
|
$8.93 |
$8.93 |
$8.93 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$33.10 |
$33.10 |
$33.10 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,024.88 |
$1,024.88 |
$1,024.88 |
$560.92
|
|
Dextran 40 infusion
|
$68.93 |
$68.93 |
$68.93 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$68.93 |
$68.93 |
$68.93 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$68.93 |
$68.93 |
$68.93 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$68.93 |
$68.93 |
$68.93 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$68.93 |
$68.93 |
$68.93 |
$68.93
|
|
Diabetes (HbA1c) Test
|
$78.40 |
$78.40 |
$78.40 |
$78.03
|
|
Diagnostic anoscopy
|
$443.45 |
$443.45 |
$443.45 |
$441.68
|
|
Diagnostic anoscopy spx 46600
|
$201.25 |
$201.25 |
$201.25 |
$245.35
|
|
Diagnostic laryngoscopy 31505
|
$329.70 |
$329.70 |
$329.70 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$334.95 |
$334.95 |
$334.95 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$498.75 |
$498.75 |
$498.75 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$360.50 |
$360.50 |
$360.50 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$1,750.70 |
$1,750.70 |
$1,750.70 |
$7,145.00
|
|
Dialysis one evaluation
|
$1,022.70 |
$1,022.70 |
$1,022.70 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$31.50 |
$31.50 |
$31.50 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$55.63 |
$55.63 |
$55.63 |
$72.34
|
|
Dicyclomine injection
|
$302.03 |
$302.03 |
$302.03 |
$211.81
|
|
Diffusing capacity
|
$205.80 |
$205.80 |
$205.80 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$494.87 |
$494.87 |
$494.87 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$17,877.79 |
$17,877.79 |
$17,877.79 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$240.45 |
$240.45 |
$240.45 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$175.65 |
$175.65 |
$175.65 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$1,024.45 |
$1,024.45 |
$1,024.45 |
$2,304.60
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$21,361.90 |
$21,361.90 |
$21,361.90 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$21,361.90 |
$21,361.90 |
$21,361.90 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$21,361.90 |
$21,361.90 |
$21,361.90 |
$6,280.95
|
|
Dilate urethra stricture
|
$310.45 |
$310.45 |
$310.45 |
$514.79
|
|
Dilate urethra stricture
|
$241.85 |
$241.85 |
$241.85 |
$185.58
|
|
Dilation/female urethra/initial 53660
|
$345.10 |
$345.10 |
$345.10 |
$207.39
|
|
Dilation of urethra
|
$329.00 |
$329.00 |
$329.00 |
$172.00
|
|
Dilation/urethral strict/male/ini 53620
|
$592.20 |
$592.20 |
$592.20 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$465.75 |
$465.75 |
$465.75 |
$305.68
|
|
Dilat xst trc ndurlgc px
|
$4,283.65 |
$4,283.65 |
$4,283.65 |
$4,081.37
|
|
Dimecaprol injection
|
$608.80 |
$608.80 |
$608.80 |
$199.46
|
|
Dimethyl sulfoxide 50% 50 ml
|
$2,622.87 |
$2,622.87 |
$2,622.87 |
$1,155.52
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$33.60 |
$33.60 |
$33.60 |
$26.87
|
|
Disability dlco
|
$206.85 |
$206.85 |
$206.85 |
$307.58
|
|
Discography cerv/thor spine
|
$1,544.20 |
$1,544.20 |
$1,544.20 |
$2,404.00
|
|
Dissolve clot heart vessel
|
$2,257.85 |
$2,257.85 |
$2,257.85 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$1,198.40 |
$1,198.40 |
$1,198.40 |
$2,001.55
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$107.59 |
$107.59 |
$107.59 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$642.60 |
$642.60 |
$642.60 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$87.41 |
$87.41 |
$87.41 |
$84.30
|
|
Doppler echo complete
|
$386.40 |
$386.40 |
$386.40 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$288.75 |
$288.75 |
$288.75 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$452.55 |
$452.55 |
$452.55 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$365.75 |
$365.75 |
$365.75 |
$482.03
|
|
Dornase alfa non-comp unit
|
$77.25 |
$77.25 |
$77.25 |
$479.80
|
|
Dornhoffer fixed part w/window
|
$20,701.45 |
$20,701.45 |
$20,701.45 |
$28,091.95
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$613.84 |
$613.84 |
$613.84 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,669.98 |
$1,669.98 |
$1,669.98 |
$2,417.38
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$90.47 |
$90.47 |
$90.47 |
$99.99
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,036.70 |
$1,036.70 |
$1,036.70 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$1,036.70 |
$1,036.70 |
$1,036.70 |
$900.80
|
|
Drainage external ear complex 69005
|
$1,262.45 |
$1,262.45 |
$1,262.45 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$1,036.70 |
$1,036.70 |
$1,036.70 |
$809.25
|
|
Drainage lymph node lesion 38300
|
$2,115.40 |
$2,115.40 |
$2,115.40 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$473.20 |
$473.20 |
$473.20 |
$474.39
|
|
Drainage of arm bursa 23931
|
$1,185.80 |
$1,185.80 |
$1,185.80 |
$2,419.30
|
|
Drainage of eye
|
$1,754.55 |
$1,754.55 |
$1,754.55 |
$2,503.62
|
|
Drainage of kidney lesion
|
$1,712.20 |
$1,712.20 |
$1,712.20 |
$1,706.65
|
|
Drainage of mouth lesion
|
$347.90 |
$347.90 |
$347.90 |
$455.56
|
|
Drainage of mouth lesion
|
$1,657.95 |
$1,657.95 |
$1,657.95 |
$2,320.03
|
|
Drainage of mouth lesion
|
$2,858.45 |
$2,858.45 |
$2,858.45 |
$3,986.00
|
|
Drainage of mouth lesion
|
$761.60 |
$761.60 |
$761.60 |
$799.40
|
|
Drainage of mouth lesion
|
$2,858.45 |
$2,858.45 |
$2,858.45 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$473.20 |
$473.20 |
$473.20 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$682.50 |
$682.50 |
$682.50 |
$755.95
|
|
Drainage of pelvis lesion 26990
|
$4,719.40 |
$4,719.40 |
$4,719.40 |
$3,969.00
|
|
Drainage of rectal abscess
|
$2,015.30 |
$2,015.30 |
$2,015.30 |
$2,299.90
|
|
Drainage of salivary gland
|
$2,858.45 |
$2,858.45 |
$2,858.45 |
$3,837.72
|
|
Drainage of salivary gland
|
$761.60 |
$761.60 |
$761.60 |
$629.60
|
|
Drainage of urethra abscess 53060
|
$2,193.80 |
$2,193.80 |
$2,193.80 |
$2,459.34
|
|
Drain bladder by trocar/cath
|
$752.15 |
$752.15 |
$752.15 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$114.10 |
$114.10 |
$114.10 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,197.65 |
$2,197.65 |
$2,197.65 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$2,101.05 |
$2,101.05 |
$2,101.05 |
$3,073.90
|