|
Dextrose 5 % IV bolus
|
$68.32 |
$68.56 |
$279.65 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$71.94 |
$107.50 |
$303.80 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$38.94 |
$70.00 |
$116.90 |
$79.30
|
|
Diab manage trn ind/group
|
$58.08 |
$58.08 |
$58.08 |
$54.99
|
|
Diag laparo separate proc 49320
|
$31,699.56 |
$31,699.56 |
$31,699.56 |
$7,104.72
|
|
Diagnostic anoscopy
|
$137.50 |
$137.50 |
$10,996.45 |
$392.70
|
|
Diagnostic anoscopy & biopsy
|
$1,110.00 |
$1,110.00 |
$10,493.81 |
$2,288.00
|
|
Diagnostic anoscopy spx 46600
|
$145.00 |
$145.00 |
$34,715.94 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$61.38 |
$61.38 |
$112.70 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$40.59 |
$40.59 |
$102.20 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$215.00 |
$215.00 |
$648.90 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$215.00 |
$215.00 |
$16,495.64 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$282.50 |
$282.50 |
$513.80 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$213.51 |
$282.50 |
$464.80 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$277.53 |
$310.00 |
$5,055.40 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,066.70 |
$4,210.00 |
$8,980.00 |
$5,741.00
|
|
Dialysis one evaluation
|
$580.00 |
$945.00 |
$3,222.10 |
$936.00
|
|
Diathermy eg microwave
|
$57.75 |
$57.75 |
$57.75 |
$29.68
|
|
Diatrizoate meglumine 18 % urethral solution
|
$214.90 |
$214.90 |
$214.90 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$150.99 |
$150.99 |
$1,802.85 |
$79.71
|
|
Dicyclomine injection
|
$166.25 |
$166.25 |
$190.44 |
$154.33
|
|
Diffusing capacity
|
$107.58 |
$272.50 |
$854.70 |
$336.80
|
|
Digital analysis of eeg
|
$424.05 |
$424.05 |
$850.00 |
$593.40
|
|
Digit nerve surgery add-on
|
$38,893.41 |
$38,893.41 |
$38,893.41 |
$1,832.59
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$25.79 |
$70.89 |
$868.00 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$28,858.37 |
$28,858.37 |
$28,858.37 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$49.83 |
$95.00 |
$138.60 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$285.80 |
$285.80 |
$285.80 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$1,300.00 |
$1,470.00 |
$17,536.88 |
$1,866.73
|
|
Dilate esophagus
|
$8,030.57 |
$8,030.57 |
$8,030.57 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$10,312.69 |
$10,312.69 |
$10,312.69 |
$1,548.00
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$4,860.00 |
$4,860.00 |
$4,860.00 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$4,860.00 |
$4,860.00 |
$4,860.00 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$5,650.00 |
$5,650.00 |
$5,650.00 |
$5,151.95
|
|
Dilate tear duct opening
|
$16,530.02 |
$16,530.02 |
$16,530.02 |
$454.40
|
|
Dilate urethra stricture
|
$380.00 |
$380.00 |
$1,451.10 |
$513.00
|
|
Dilation of anal sphincter
|
$7,261.42 |
$7,261.42 |
$7,261.42 |
$2,166.04
|
|
Dilation of cervical canal 57800
|
$3,105.00 |
$3,105.00 |
$9,984.09 |
$4,446.00
|
|
Dilation of rectal stricture 45910
|
$3,345.30 |
$3,345.30 |
$3,345.30 |
$2,491.80
|
|
Dilation of salivary duct
|
$790.00 |
$790.00 |
$42,403.84 |
$790.00
|
|
Dilation of vagina
|
$12,421.56 |
$12,421.56 |
$12,421.56 |
$4,446.00
|
|
Dilation salivary duct 42650
|
$23,916.55 |
$23,916.55 |
$23,916.55 |
$2,675.71
|
|
Dilation/urethral strict/male/ini 53620
|
$740.00 |
$740.00 |
$26,798.39 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$466.67 |
$466.67 |
$807.76 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$2,135.00 |
$2,850.00 |
$56,053.56 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$3,600.00 |
$4,540.00 |
$77,067.52 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$387.62 |
$387.62 |
$387.62 |
$45.60
|
|
Dimethyl sulfoxide 50% 50 ml
|
$3,750.95 |
$3,750.95 |
$3,750.95 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.40 |
$20.69 |
$59.67 |
$18.32
|
|
Dipyridamole injection
|
$73.32 |
$73.32 |
$73.32 |
$48.04
|
|
Disability dlco
|
$275.00 |
$376.53 |
$632.80 |
$293.76
|
|
Disaccharidases
|
$255.09 |
$357.50 |
$828.10 |
$230.40
|
|
Discography cerv/thor spine
|
$1,043.79 |
$2,565.00 |
$2,565.00 |
$2,565.00
|
|
Dise eval slp do brth flx dx
|
$7,427.35 |
$7,427.35 |
$7,427.35 |
$1,120.00
|
|
Dissolve clot heart vessel
|
$1,688.40 |
$1,688.40 |
$1,688.40 |
$1,579.93
|
|
Dlyd plmt xtn prosth ea addl
|
$2,705.00 |
$3,850.00 |
$4,795.00 |
$1,810.80
|
|
Dmd dup/delet analysis
|
$644.70 |
$644.70 |
$644.70 |
$418.50
|
|
Dmpk gene detc abnor allele
|
$316.40 |
$316.40 |
$316.40 |
$313.60
|
|
Dna antibody native/double stranded
|
$39.27 |
$92.50 |
$295.40 |
$100.00
|
|
Dna gardnerella
|
$31.02 |
$85.00 |
$159.60 |
$61.83
|
|
Dna trichomonas
|
$31.02 |
$87.50 |
$163.10 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$248.32 |
$248.32 |
$265.32 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$4.23 |
$4.65 |
$3,195.15 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$93.97 |
$93.97 |
$182.70 |
$65.40
|
|
Doppler echo complete
|
$297.50 |
$415.00 |
$1,038.10 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$1,290.00 |
$1,290.00 |
$4,260.20 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$561.66 |
$600.00 |
$828.80 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$129.69 |
$400.00 |
$595.70 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$125,316.88 |
$125,316.88 |
$125,316.88 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$432.44 |
$15,486.24 |
$33,148.32 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$596.32 |
$596.32 |
$2,270.27 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,417.38 |
$2,417.38 |
$6,586.30 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$161.87 |
$161.87 |
$161.87 |
$89.34
|
|
Dpyd gene common variants
|
$175.00 |
$175.00 |
$1,514.10 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$308.70 |
$800.00 |
$800.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,531.60 |
$1,531.60 |
$1,531.60 |
$964.00
|
|
Drainage external ear complex 69005
|
$2,030.00 |
$2,030.00 |
$3,717.00 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$800.00 |
$800.00 |
$884.10 |
$790.40
|
|
Drainage mouth roof lesion
|
$275.00 |
$275.00 |
$1,015.00 |
$405.60
|
|
Drainage of arm bursa 23931
|
$1,790.00 |
$1,790.00 |
$2,263.10 |
$2,271.01
|
|
Drainage of eye
|
$5,379.50 |
$5,379.50 |
$5,379.50 |
$2,415.65
|
|
Drainage of eye
|
$48,441.90 |
$48,441.90 |
$48,441.90 |
$3,170.00
|
|
Drainage of eye
|
$9,269.18 |
$9,269.18 |
$9,269.18 |
$3,494.40
|
|
Drainage of kidney lesion
|
$1,120.00 |
$1,120.00 |
$8,268.34 |
$1,506.00
|
|
Drainage of mouth lesion
|
$751.80 |
$751.80 |
$751.80 |
$535.20
|
|
Drainage of mouth lesion
|
$1,722.70 |
$1,722.70 |
$1,722.70 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$742.70 |
$742.70 |
$742.70 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$580.00 |
$580.00 |
$580.00 |
$781.44
|
|
Drainage of rectal abscess
|
$1,520.00 |
$1,520.00 |
$13,245.39 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$25,001.89 |
$25,001.89 |
$25,001.89 |
$3,816.64
|
|
Drainage of salivary gland
|
$5,553.10 |
$5,553.10 |
$5,553.10 |
$4,560.40
|
|
Drainage of urethra abscess 53060
|
$3,805.20 |
$3,805.20 |
$3,805.20 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$556.50 |
$556.50 |
$1,180.00 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$145.00 |
$145.00 |
$147.00 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,545.00 |
$1,985.00 |
$37,078.41 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,255.00 |
$1,985.00 |
$12,946.32 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$2,233.70 |
$2,233.70 |
$2,233.70 |
$1,044.00
|
|
Drain chst dry seal exp thorastat
|
$163.20 |
$163.20 |
$163.20 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$240.00 |
$240.00 |
$796.60 |
$428.40
|
|
Drain lower leg lesion 27603
|
$3,035.00 |
$3,035.00 |
$3,035.00 |
$3,994.09
|
