|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$21.76 |
$21.76 |
$21.76 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$21.94 |
$21.94 |
$21.94 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$16.46 |
$16.46 |
$16.46 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$20.38 |
$20.38 |
$20.38 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$3.73 |
$3.73 |
$3.73 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$47.31 |
$47.31 |
$47.31 |
$79.20
|
|
Diag laparo separate proc 49320
|
$212.99 |
$212.99 |
$212.99 |
$6,904.15
|
|
Diagnostic anoscopy
|
$60.99 |
$60.99 |
$60.99 |
$391.20
|
|
Diagnostic anoscopy & biopsy
|
$80.18 |
$80.18 |
$80.18 |
$1,905.00
|
|
Diagnostic anoscopy spx 46600
|
$27.55 |
$27.55 |
$27.55 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$33.44 |
$33.44 |
$33.44 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$45.79 |
$45.79 |
$45.79 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$181.64 |
$181.64 |
$181.64 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$142.50 |
$142.50 |
$142.50 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$9.50 |
$9.50 |
$9.50 |
$214.08
|
|
Dialysis circuit perm vascular embolization 36909
|
$123.12 |
$123.12 |
$123.12 |
$5,419.00
|
|
Dialysis one evaluation
|
$1,022.39 |
$1,022.39 |
$1,022.39 |
$919.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.42 |
$0.42 |
$0.42 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$53.47 |
$53.47 |
$53.47 |
$74.76
|
|
Dicyclomine injection
|
$40.95 |
$40.95 |
$40.95 |
$153.29
|
|
Diffusing capacity
|
$109.06 |
$109.06 |
$109.06 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$12.85 |
$12.85 |
$12.85 |
$69.03
|
|
Digoxin total therapeutic drug level
|
$75.43 |
$75.43 |
$75.43 |
$102.00
|
|
Dilate biliary duct/ampulla
|
$684.76 |
$684.76 |
$684.76 |
$1,866.73
|
|
Dilate esophagus
|
$56.43 |
$56.43 |
$56.43 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$51.87 |
$51.87 |
$51.87 |
$1,484.17
|
|
Dilate tear duct opening
|
$53.96 |
$53.96 |
$53.96 |
$472.21
|
|
Dilate urethra stricture
|
$41.04 |
$41.04 |
$41.04 |
$490.00
|
|
Dilate urethra stricture
|
$34.39 |
$34.39 |
$34.39 |
$200.80
|
|
Dilate urethra stricture
|
$40.66 |
$40.66 |
$40.66 |
$3,863.60
|
|
Dilate urethra stricture
|
$46.17 |
$46.17 |
$46.17 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$26.98 |
$26.98 |
$26.98 |
$235.61
|
|
Dilation of anal sphincter
|
$112.86 |
$112.86 |
$112.86 |
$1,969.12
|
|
Dilation of cervical canal 57800
|
$31.35 |
$31.35 |
$31.35 |
$4,376.00
|
|
Dilation of rectal stricture 45910
|
$127.49 |
$127.49 |
$127.49 |
$1,395.28
|
|
Dilation of salivary duct
|
$283.86 |
$283.86 |
$283.86 |
$741.60
|
|
Dilation of urethra
|
$26.03 |
$26.03 |
$26.03 |
$172.00
|
|
Dilation of vagina
|
$83.79 |
$83.79 |
$83.79 |
$3,786.00
|
|
Dilation salivary duct 42650
|
$39.90 |
$39.90 |
$39.90 |
$2,498.32
|
|
Dilation/urethral strict/male/ini 53620
|
$56.05 |
$56.05 |
$56.05 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$603.82 |
$603.82 |
$603.82 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$97.47 |
$97.47 |
$97.47 |
$4,061.71
|
|
Diltiazem 5 mg/ml intravenous solution
|
$19.57 |
$19.57 |
$19.57 |
$47.94
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$8.55 |
$8.55 |
$8.55 |
$17.75
|
|
Disability dlco
|
$101.65 |
$101.65 |
$101.65 |
$282.40
|
|
Disaccharidases
|
$63.99 |
$63.99 |
$63.99 |
$216.00
|
|
Discography cerv/thor spine
|
$1,486.37 |
$1,486.37 |
$1,486.37 |
$2,565.00
|
|
Dise eval slp do brth flx dx
|
$63.46 |
$63.46 |
$63.46 |
$1,120.00
|
|
Diverticulectomy/hypophar/esoph 43130
|
$516.04 |
$516.04 |
$516.04 |
$6,465.11
|
|
Division of fallopian tube 58605
|
$220.02 |
$220.02 |
$220.02 |
$832.00
|
|
Dmd dup/delet analysis
|
$53.01 |
$53.01 |
$53.01 |
$404.03
|
|
Dmpk gene detc abnor allele
|
$20.82 |
$20.82 |
$20.82 |
$313.60
|
|
Dna antibody native/double stranded
|
$10.07 |
$10.07 |
$10.07 |
$97.50
|
|
Dna gardnerella
|
$3.39 |
$3.39 |
$3.39 |
$62.50
|
|
Dna probe chlamydia
|
$65.17 |
$65.17 |
$65.17 |
$79.38
|
|
Dna trichomonas
|
$3.39 |
$3.39 |
$3.39 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$47.36 |
$47.36 |
$47.36 |
$98.43
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$23.46 |
$23.46 |
$23.46 |
$65.40
|
|
Doppler echo complete
|
$191.90 |
$191.90 |
$191.90 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$31.73 |
$31.73 |
$31.73 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$267.52 |
$267.52 |
$267.52 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$169.86 |
$169.86 |
$169.86 |
$471.17
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$35.02 |
$35.02 |
$35.02 |
$84.80
|
|
Dpyd gene common variants
|
$33.21 |
$33.21 |
$33.21 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$82.27 |
$82.27 |
$82.27 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$97.28 |
$97.28 |
$97.28 |
$914.34
|
|
Drainage external ear complex 69005
|
$107.73 |
$107.73 |
$107.73 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$84.36 |
$84.36 |
$84.36 |
$789.60
|
|
Drainage lymph node lesion 38305
|
$324.52 |
$324.52 |
$324.52 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$73.91 |
$73.91 |
$73.91 |
$390.39
|
|
Drainage of arm bursa 23931
|
$109.06 |
$109.06 |
$109.06 |
$2,197.48
|
|
Drainage of bone lesion
|
$663.86 |
$663.86 |
$663.86 |
$2,854.40
|
|
Drainage of bone lesion
|
$428.45 |
$428.45 |
$428.45 |
$3,153.60
|
|
Drainage of eye
|
$58.14 |
$58.14 |
$58.14 |
$2,360.00
|
|
Drainage of eye
|
$309.13 |
$309.13 |
$309.13 |
$3,170.00
|
|
Drainage of forearm bursa
|
$252.51 |
$252.51 |
$252.51 |
$2,054.00
|
|
Drainage of kidney lesion
|
$1,051.46 |
$1,051.46 |
$1,051.46 |
$1,506.00
|
|
Drainage of mouth lesion
|
$80.18 |
$80.18 |
$80.18 |
$489.00
|
|
Drainage of mouth lesion
|
$157.51 |
$157.51 |
$157.51 |
$2,304.00
|
|
Drainage of mouth lesion
|
$151.05 |
$151.05 |
$151.05 |
$2,423.85
|
|
Drainage of mouth lesion
|
$176.51 |
$176.51 |
$176.51 |
$3,900.60
|
|
Drainage of mouth lesion
|
$193.99 |
$193.99 |
$193.99 |
$962.40
|
|
Drainage of mouth lesion
|
$203.68 |
$203.68 |
$203.68 |
$1,008.80
|
|
Drainage of mouth lesion
|
$233.51 |
$233.51 |
$233.51 |
$6,781.90
|
|
Drainage of mouth lesion
|
$231.61 |
$231.61 |
$231.61 |
$3,544.29
|
|
Drainage of mouth lesion
|
$270.18 |
$270.18 |
$270.18 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$82.27 |
$82.27 |
$82.27 |
$491.40
|
|
Drainage of nose lesion sept 30020
|
$82.46 |
$82.46 |
$82.46 |
$781.44
|
|
Drainage of pelvis bursa
|
$349.03 |
$349.03 |
$349.03 |
$2,211.05
|
|
Drainage of pelvis lesion 26990
|
$454.29 |
$454.29 |
$454.29 |
$3,958.50
|
|
Drainage of rectal abscess
|
$111.15 |
$111.15 |
$111.15 |
$2,111.46
|
|
Drainage of rectal abscess 45020
|
$376.39 |
$376.39 |
$376.39 |
$3,769.20
|
|
Drainage of throat abscess
|
$525.92 |
$525.92 |
$525.92 |
$6,465.11
|
|
Drainage of urethra abscess 53060
|
$108.49 |
$108.49 |
$108.49 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$32.49 |
$32.49 |
$32.49 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$41.80 |
$41.80 |
$41.80 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$129.96 |
$129.96 |
$129.96 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,116.63 |
$1,116.63 |
$1,116.63 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$192.47 |
$192.47 |
$192.47 |
$1,044.00
|
|
Drain chest lesion
|
$327.94 |
$327.94 |
$327.94 |
$3,839.54
|