|
Dialysis one evaluation
|
$880.25 |
$880.25 |
$880.25 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$31.50 |
$31.50 |
$31.50 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$45.97 |
$45.97 |
$45.97 |
$72.34
|
|
Dicyclomine injection
|
$302.03 |
$302.03 |
$302.03 |
$211.81
|
|
Diffusing capacity
|
$288.75 |
$288.75 |
$288.75 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$260.92 |
$260.92 |
$260.92 |
$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
|
$286.65 |
$286.65 |
$286.65 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$472.05 |
$472.05 |
$472.05 |
$334.68
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$9,160.90 |
$9,160.90 |
$9,160.90 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$9,160.90 |
$9,160.90 |
$9,160.90 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$9,160.90 |
$9,160.90 |
$9,160.90 |
$6,280.95
|
|
Dilate urethra stricture
|
$423.50 |
$423.50 |
$423.50 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$192.50 |
$192.50 |
$192.50 |
$207.39
|
|
Dilation of cervical canal 57800
|
$2,267.30 |
$2,267.30 |
$2,267.30 |
$4,096.04
|
|
Dilation/urethral strict/male/ini 53620
|
$492.10 |
$492.10 |
$492.10 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$263.55 |
$263.55 |
$263.55 |
$305.68
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$33.60 |
$33.60 |
$33.60 |
$26.87
|
|
Disability dlco
|
$267.75 |
$267.75 |
$267.75 |
$307.58
|
|
Disaccharidases
|
$26.95 |
$26.95 |
$26.95 |
$223.80
|
|
Dissolve clot heart vessel
|
$2,417.45 |
$2,417.45 |
$2,417.45 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$3,131.45 |
$3,131.45 |
$3,131.45 |
$2,001.55
|
|
Dna antibody native/double stranded
|
$23.80 |
$23.80 |
$23.80 |
$102.60
|
|
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)
|
$1,969.25 |
$1,969.25 |
$1,969.25 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$87.41 |
$87.41 |
$87.41 |
$84.30
|
|
Doppler echo complete
|
$368.90 |
$368.90 |
$368.90 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$651.35 |
$651.35 |
$651.35 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$963.20 |
$963.20 |
$963.20 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$392.35 |
$392.35 |
$392.35 |
$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)
|
$861.87 |
$861.87 |
$861.87 |
$299.52
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$84.15 |
$84.15 |
$84.15 |
$99.99
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$537.95 |
$537.95 |
$537.95 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$537.95 |
$537.95 |
$537.95 |
$900.80
|
|
Drainage external ear complex 69005
|
$1,216.25 |
$1,216.25 |
$1,216.25 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$537.95 |
$537.95 |
$537.95 |
$809.25
|
|
Drainage lymph node lesion 38300
|
$3,467.80 |
$3,467.80 |
$3,467.80 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$189.00 |
$189.00 |
$189.00 |
$474.39
|
|
Drainage of arm bursa 23931
|
$1,845.20 |
$1,845.20 |
$1,845.20 |
$2,419.30
|
|
Drainage of eye
|
$1,246.35 |
$1,246.35 |
$1,246.35 |
$2,503.62
|
|
Drainage of kidney lesion
|
$537.95 |
$537.95 |
$537.95 |
$1,706.65
|
|
Drainage of mouth lesion
|
$242.20 |
$242.20 |
$242.20 |
$455.56
|
|
Drainage of mouth lesion
|
$1,027.25 |
$1,027.25 |
$1,027.25 |
$2,320.03
|
|
Drainage of mouth lesion
|
$1,576.05 |
$1,576.05 |
$1,576.05 |
$3,986.00
|
|
Drainage of mouth lesion
|
$385.35 |
$385.35 |
$385.35 |
$799.40
|
|
Drainage of mouth lesion
|
$1,699.95 |
$1,699.95 |
$1,699.95 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$275.80 |
$275.80 |
$275.80 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$373.45 |
$373.45 |
$373.45 |
$755.95
|
|
Drainage of pelvis lesion 26990
|
$2,447.20 |
$2,447.20 |
$2,447.20 |
$3,969.00
|
|
Drainage of rectal abscess
|
$896.00 |
$896.00 |
$896.00 |
$2,299.90
|
|
Drainage of salivary gland
|
$1,699.95 |
$1,699.95 |
$1,699.95 |
$3,837.72
|
|
Drainage of salivary gland
|
$385.35 |
$385.35 |
$385.35 |
$629.60
|
|
Drainage of urethra abscess 53060
|
$1,359.75 |
$1,359.75 |
$1,359.75 |
$2,459.34
|
|
Drain bladder by trocar/cath
|
$466.20 |
$466.20 |
$466.20 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$275.80 |
$275.80 |
$275.80 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$5,992.00 |
$5,992.00 |
$5,992.00 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$5,992.00 |
$5,992.00 |
$5,992.00 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$905.45 |
$905.45 |
$905.45 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$275.80 |
$275.80 |
$275.80 |
$492.81
|
|
Drain lower leg bursa
|
$2,377.90 |
$2,377.90 |
$2,377.90 |
$3,839.54
|
|
Drain lower leg lesion 27603
|
$1,800.75 |
$1,800.75 |
$1,800.75 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$2,048.55 |
$2,048.55 |
$2,048.55 |
$3,386.84
|
|
Drain penis lesion
|
$1,068.90 |
$1,068.90 |
$1,068.90 |
$2,005.32
|
|
Drain shoulder lesion
|
$1,800.75 |
$1,800.75 |
$1,800.75 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$2,048.55 |
$2,048.55 |
$2,048.55 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$275.80 |
$275.80 |
$275.80 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$275.80 |
$275.80 |
$275.80 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$275.80 |
$275.80 |
$275.80 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$397.95 |
$397.95 |
$397.95 |
$790.56
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$11,698.98 |
$11,698.98 |
$11,698.98 |
$9,390.80
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$1,954.40 |
$1,954.40 |
$1,954.40 |
$1,667.40
|
|
Drill hole implt ventricular cath/device 61107
|
$2,443.00 |
$2,443.00 |
$2,443.00 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$275.80 |
$275.80 |
$275.80 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,216.25 |
$1,216.25 |
$1,216.25 |
$2,048.00
|
|
Drng of mouth lesion 40801
|
$385.35 |
$385.35 |
$385.35 |
$1,145.97
|
|
Drng of pelvic abscess transrectal 45000
|
$787.85 |
$787.85 |
$787.85 |
$1,614.45
|
|
Drng of scrotum abscess 55100
|
$1,216.25 |
$1,216.25 |
$1,216.25 |
$2,069.60
|
|
Drng salivary gland simple 42300
|
$1,027.25 |
$1,027.25 |
$1,027.25 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$391.30 |
$391.30 |
$391.30 |
$602.63
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,444.66 |
$1,444.66 |
$1,444.66 |
$1,778.40
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$2,567.36 |
$2,567.36 |
$2,567.36 |
$3,374.24
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$382.24 |
$382.24 |
$382.24 |
$468.29
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$5,346.89 |
$5,346.89 |
$5,346.89 |
$6,581.45
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$21,905.91 |
$21,905.91 |
$21,905.91 |
$18,384.03
|
|
Drug admin & hemodynmic meas
|
$880.25 |
$880.25 |
$880.25 |
$528.50
|
|
Drug assay caffeine
|
$11.20 |
$11.20 |
$11.20 |
$81.61
|
|
Drug test prsmv instrmnt
|
$167.30 |
$167.30 |
$167.30 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,005.20 |
$1,005.20 |
$1,005.20 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$1,307.95 |
$1,307.95 |
$1,307.95 |
$3,390.00
|
|
Ductogram sgl duct
|
$282.45 |
$282.45 |
$282.45 |
$413.91
|
|
Dup scan/hemodialysis access 93990
|
$358.40 |
$358.40 |
$358.40 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$963.20 |
$963.20 |
$963.20 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$867.65 |
$867.65 |
$867.65 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$11,009.65 |
$11,009.65 |
$11,009.65 |
$14,438.37
|
|
Dxa bone density axl vrt fx
|
$323.40 |
$323.40 |
$323.40 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$2,587.60
|