|
Diazepam 5 mg/ml injection solution (wrapper)
|
$85.68 |
$85.68 |
$85.68 |
$79.50
|
|
Diffusing capacity
|
$908.31 |
$908.31 |
$908.31 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$84.15 |
$84.15 |
$84.15 |
$69.88
|
|
Digoxin immune fab 40 mg intravenous solution
|
$11,090.02 |
$11,090.02 |
$11,090.02 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$415.14 |
$415.14 |
$415.14 |
$102.00
|
|
Dilate urethra stricture
|
$811.92 |
$811.92 |
$811.92 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$315.18 |
$315.18 |
$315.18 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$1,354.56 |
$1,354.56 |
$1,354.56 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$652.85 |
$652.85 |
$652.85 |
$330.94
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,833.33 |
$1,833.33 |
$1,833.33 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$2.55 |
$2.55 |
$2.55 |
$1.43
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$25.12
|
|
Disaccharidases
|
$41.95 |
$41.95 |
$41.95 |
$223.80
|
|
Dissolve clot heart vessel
|
$7,822.38 |
$7,822.38 |
$7,822.38 |
$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
|
$154.02 |
$154.02 |
$154.02 |
$99.10
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$307.24 |
$307.24 |
$307.24 |
$733.75
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$145.35 |
$145.35 |
$145.35 |
$76.20
|
|
Doppler echo complete
|
$972.06 |
$972.06 |
$972.06 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$5,060.22 |
$5,060.22 |
$5,060.22 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$4,159.05 |
$4,159.05 |
$4,159.05 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$2,034.39 |
$2,034.39 |
$2,034.39 |
$482.03
|
|
Dornase alfa non-comp unit
|
$386.42 |
$386.42 |
$386.42 |
$385.62
|
|
Dornhoffer fixed part w/window
|
$43,731.99 |
$43,731.99 |
$43,731.99 |
$33,604.20
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$751.49 |
$751.49 |
$751.49 |
$363.59
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$900.74 |
$900.74 |
$900.74 |
$2,278.13
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$126.66 |
$126.66 |
$126.66 |
$89.34
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,160.76 |
$1,160.76 |
$1,160.76 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$1,406.07 |
$1,406.07 |
$1,406.07 |
$900.80
|
|
Drainage external ear complex 69005
|
$3,247.68 |
$3,247.68 |
$3,247.68 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$1,641.18 |
$1,641.18 |
$1,641.18 |
$809.25
|
|
Drainage lymph node lesion 38300
|
$5,595.21 |
$5,595.21 |
$5,595.21 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$364.14 |
$364.14 |
$364.14 |
$474.39
|
|
Drainage of arm bursa 23931
|
$2,022.15 |
$2,022.15 |
$2,022.15 |
$2,419.30
|
|
Drainage of eye
|
$6,547.89 |
$6,547.89 |
$6,547.89 |
$2,503.62
|
|
Drainage of kidney lesion
|
$1,712.07 |
$1,712.07 |
$1,712.07 |
$1,706.65
|
|
Drainage of mouth lesion
|
$450.33 |
$450.33 |
$450.33 |
$455.56
|
|
Drainage of mouth lesion
|
$3,006.96 |
$3,006.96 |
$3,006.96 |
$2,320.03
|
|
Drainage of mouth lesion
|
$7,271.58 |
$7,271.58 |
$7,271.58 |
$3,986.00
|
|
Drainage of mouth lesion
|
$989.91 |
$989.91 |
$989.91 |
$799.40
|
|
Drainage of mouth lesion
|
$6,161.82 |
$6,161.82 |
$6,161.82 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$450.33 |
$450.33 |
$450.33 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$989.91 |
$989.91 |
$989.91 |
$755.95
|
|
Drainage of pelvis lesion 26990
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$3,969.00
|
|
Drainage of rectal abscess
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$2,299.90
|
|
Drainage of salivary gland
|
$6,161.82 |
$6,161.82 |
$6,161.82 |
$3,837.72
|
|
Drainage of salivary gland
|
$989.91 |
$989.91 |
$989.91 |
$629.60
|
|
Drainage of urethra abscess 53060
|
$4,017.78 |
$4,017.78 |
$4,017.78 |
$2,459.34
|
|
Drain bladder by trocar/cath
|
$2,024.19 |
$2,024.19 |
$2,024.19 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$684.42 |
$684.42 |
$684.42 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,695.86 |
$2,695.86 |
$2,695.86 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$2,022.15 |
$2,022.15 |
$2,022.15 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$1,066.92 |
$1,066.92 |
$1,066.92 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$544.68 |
$544.68 |
$544.68 |
$492.81
|
|
Drain lower leg bursa
|
$6,486.18 |
$6,486.18 |
$6,486.18 |
$3,839.54
|
|
Drain lower leg lesion 27603
|
$5,595.21 |
$5,595.21 |
$5,595.21 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$5,595.21 |
$5,595.21 |
$5,595.21 |
$3,386.84
|
|
Drain penis lesion
|
$3,247.68 |
$3,247.68 |
$3,247.68 |
$2,005.32
|
|
Drain shoulder lesion
|
$5,595.21 |
$5,595.21 |
$5,595.21 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$5,595.21 |
$5,595.21 |
$5,595.21 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$414.12 |
$414.12 |
$414.12 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$414.12 |
$414.12 |
$414.12 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$629.85 |
$629.85 |
$629.85 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$1,258.68 |
$1,258.68 |
$1,258.68 |
$790.56
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$24,714.20 |
$24,714.20 |
$24,714.20 |
$6,501.85
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$2,704.53 |
$2,704.53 |
$2,704.53 |
$1,667.40
|
|
Drill hole implt ventricular cath/device 61107
|
$7,380.21 |
$7,380.21 |
$7,380.21 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$713.49 |
$713.49 |
$713.49 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$4,263.60 |
$4,263.60 |
$4,263.60 |
$2,048.00
|
|
Drng of mouth lesion 40801
|
$1,160.76 |
$1,160.76 |
$1,160.76 |
$1,145.97
|
|
Drng of pelvic abscess transrectal 45000
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$1,614.45
|
|
Drng of scrotum abscess 55100
|
$4,263.60 |
$4,263.60 |
$4,263.60 |
$2,069.60
|
|
Drng salivary gland simple 42300
|
$3,006.96 |
$3,006.96 |
$3,006.96 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$989.91 |
$989.91 |
$989.91 |
$602.63
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,796.43 |
$2,796.43 |
$2,796.43 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$5,187.53 |
$5,187.53 |
$5,187.53 |
$2,608.11
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$799.47 |
$799.47 |
$799.47 |
$189.68
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$11,219.31 |
$11,219.31 |
$11,219.31 |
$6,491.75
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$46,276.42 |
$46,276.42 |
$46,276.42 |
$16,467.61
|
|
Drug admin & hemodynmic meas
|
$87.72 |
$87.72 |
$87.72 |
$528.50
|
|
Drug assay voriconazole
|
$81.09 |
$81.09 |
$81.09 |
$96.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$600.78 |
$600.78 |
$600.78 |
$278.85
|
|
Drvvt confirm - quest
|
$3.51 |
$3.51 |
$3.51 |
$101.66
|
|
Ductogram sgl duct
|
$680.85 |
$680.85 |
$680.85 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$342.21 |
$342.21 |
$342.21 |
$673.00
|
|
Dup scan/hemodialysis access 93990
|
$498.78 |
$498.78 |
$498.78 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$2,090.49 |
$2,090.49 |
$2,090.49 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$23,223.63 |
$23,223.63 |
$23,223.63 |
$13,812.34
|
|
Dxa bone density axl vrt fx
|
$271.83 |
$271.83 |
$271.83 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$6,670.80 |
$6,670.80 |
$6,670.80 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$5,221.38 |
$5,221.38 |
$5,221.38 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$606.39 |
$606.39 |
$606.39 |
$368.50
|
|
Dx gastr intub w/asp specs
|
$315.18 |
$315.18 |
$315.18 |
$204.96
|
|
Dx laryngoscopy newborn
|
$1,127.61 |
$1,127.61 |
$1,127.61 |
$619.08
|
|
Dx laryngoscopy w/oper scope
|
$4,780.74 |
$4,780.74 |
$4,780.74 |
$2,040.67
|
|
Ear irrigation 69209
|
$261.63 |
$261.63 |
$261.63 |
$165.42
|
|
Ecg 12 lead tracing only
|
$156.57 |
$156.57 |
$156.57 |
$245.00
|
|
Ecg external < 48 hours recording
|
$5,355.51 |
$5,355.51 |
$5,355.51 |
$461.76
|
|
Echocardiogram (Heart Ultrasound)
|
$2,253.18 |
$2,253.18 |
$2,253.18 |
$2,049.45
|