|
Doppler echo complete
|
$223.20 |
$608.40 |
$1,116.00 |
|
|
Doppler intravascular pressure flow initial vessel
|
$607.80 |
$2,451.00 |
$6,399.60 |
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$231.25 |
$815.40 |
$2,524.80 |
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$129.69 |
$453.00 |
$1,605.60 |
|
|
Doripenem 50 mg/ml inj 10 ml
|
$97.51 |
$97.51 |
$97.51 |
|
|
Dornase alfa non-comp unit
|
$49.84 |
$49.84 |
$497.65 |
|
|
Dornhoffer fixed part w/window
|
$7,416.00 |
$61,346.48 |
$125,316.88 |
|
|
Dorsi & plantar flex ass/res
|
$163.44 |
$163.44 |
$163.44 |
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$364.15 |
$15,486.24 |
$75,327.17 |
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$36.19 |
$457.16 |
$2,270.27 |
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$178.92 |
$4,778.72 |
$7,280.70 |
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$0.87 |
$2.79 |
$257.07 |
|
|
Dpyd gene common variants
|
$100.00 |
$921.60 |
$2,219.20 |
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$308.70 |
$780.48 |
$2,068.80 |
|
|
Drainage ext aud canal abscess 69020
|
$457.20 |
$1,123.20 |
$1,531.60 |
|
|
Drainage external ear complex 69005
|
$418.20 |
$3,016.11 |
$13,284.75 |
|
|
Drainage external ear simple 69000
|
$231.00 |
$800.00 |
$3,330.72 |
|
|
Drainage lymph node lesion 38300
|
$667.20 |
$796.80 |
$6,535.44 |
|
|
Drainage lymph node lesion 38305
|
$767.40 |
$767.40 |
$1,189.60 |
|
|
Drainage mouth roof lesion
|
$130.00 |
$377.30 |
$1,015.00 |
|
|
Drainage of abdomen
|
$4,616.80 |
$4,616.80 |
$4,616.80 |
|
|
Drainage of arm bursa 23931
|
$537.60 |
$2,209.90 |
$7,245.60 |
|
|
Drainage of bladder abscess
|
$1,028.80 |
$1,028.80 |
$1,028.80 |
|
|
Drainage of bone lesion
|
$2,417.40 |
$2,417.40 |
$2,417.40 |
|
|
Drainage of bone lesion
|
$1,122.60 |
$1,122.60 |
$3,153.60 |
|
|
Drainage of eye
|
$2,360.00 |
$5,379.50 |
$5,379.50 |
|
|
Drainage of eye
|
$2,302.40 |
$3,244.20 |
$48,441.90 |
|
|
Drainage of eye
|
$3,172.80 |
$9,269.18 |
$9,269.18 |
|
|
Drainage of forearm bursa
|
$823.80 |
$823.80 |
$1,726.40 |
|
|
Drainage of kidney lesion
|
$1,120.00 |
$1,648.80 |
$12,684.10 |
|
|
Drainage of mouth lesion
|
$250.56 |
$751.80 |
$751.80 |
|
|
Drainage of mouth lesion
|
$852.80 |
$852.80 |
$852.80 |
|
|
Drainage of mouth lesion
|
$836.80 |
$1,433.30 |
$1,433.30 |
|
|
Drainage of mouth lesion
|
$1,722.70 |
$4,187.40 |
$7,004.88 |
|
|
Drainage of mouth lesion
|
$548.90 |
$548.90 |
$1,022.40 |
|
|
Drainage of mouth lesion
|
$1,008.80 |
$1,008.80 |
$1,008.80 |
|
|
Drainage of mouth lesion
|
$1,124.80 |
$1,124.80 |
$12,777.84 |
|
|
Drainage of mouth lesion
|
$1,122.40 |
$1,600.00 |
$22,628.80 |
|
|
Drainage of mouth lesion
|
$299.40 |
$3,087.36 |
$4,096.08 |
|
|
Drainage of nose lesion int 30000
|
$130.00 |
$742.70 |
$819.36 |
|
|
Drainage of nose lesion sept 30020
|
$448.80 |
$580.00 |
$2,399.04 |
|
|
Drainage of pelvis bursa
|
$1,741.60 |
$1,741.60 |
$1,741.60 |
|
|
Drainage of pelvis lesion 26990
|
$1,176.60 |
$1,605.60 |
$9,736.20 |
|
|
Drainage of prostate abscess
|
$1,112.80 |
$1,112.80 |
$1,112.80 |
|
|
Drainage of prostate abscess
|
$1,140.80 |
$1,140.80 |
$1,140.80 |
|
|
Drainage of prostate abscess
|
$1,496.80 |
$1,496.80 |
$1,496.80 |
|
|
Drainage of rectal abscess
|
$712.80 |
$2,546.64 |
$13,245.39 |
|
|
Drainage of rectal abscess 45020
|
$1,197.00 |
$1,409.60 |
$25,001.89 |
|
|
Drainage of salivary gland
|
$1,061.60 |
$5,553.10 |
$5,553.10 |
|
|
Drainage of salivary gland
|
$629.60 |
$629.60 |
$629.60 |
|
|
Drainage of throat abscess
|
$1,998.40 |
$1,998.40 |
$1,998.40 |
|
|
Drainage of urethra abscess
|
$988.00 |
$988.00 |
$988.00 |
|
|
Drainage of urethra abscess 53060
|
$463.20 |
$3,805.20 |
$13,907.14 |
|
|
Drainage of urinary leakage
|
$1,057.60 |
$1,057.60 |
$1,057.60 |
|
|
Drainage of urinary leakage
|
$1,636.80 |
$1,636.80 |
$1,636.80 |
|
|
Drain bladder by trocar/cath
|
$349.60 |
$556.50 |
$1,180.00 |
|
|
Drain blood from under nail 11740
|
$43.75 |
$145.20 |
$826.20 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,357.80 |
$3,150.40 |
$37,078.41 |
|
|
Drain cath image guided visceral pq
|
$600.00 |
$3,001.20 |
$18,215.86 |
|
|
Drain cerebro spinal fluid 62272
|
$375.00 |
$1,038.00 |
$16,382.74 |
|
|
Drain chest lesion
|
$1,234.40 |
$1,234.40 |
$1,234.40 |
|
|
Drain chst dry seal exp thorastat
|
$27.36 |
$144.60 |
$163.20 |
|
|
Drain finger abscess;simple 26010
|
$105.00 |
$465.12 |
$3,712.00 |
|
|
Drain lower leg bursa
|
$630.60 |
$630.60 |
$2,348.80 |
|
|
Drain lower leg lesion 27603
|
$654.00 |
$3,035.00 |
$6,181.92 |
|
|
Drain neck/chest lesion 21501
|
$859.20 |
$859.20 |
$9,166.32 |
|
|
Drain open lung lesion 32200
|
$1,741.80 |
$1,741.80 |
$2,765.60 |
|
|
Drain ostomy pouch w/flange
|
$1.08 |
$1.08 |
$1.08 |
|
|
Drain ovarn cyst abd
|
$913.80 |
$1,043.20 |
$43,483.59 |
|
|
Drain ovary abscess open
|
$1,630.40 |
$1,630.40 |
$1,630.40 |
|
|
Drain pancreatic pseudocyst 48510
|
$1,707.60 |
$1,707.60 |
$2,690.40 |
|
|
Drain penis lesion
|
$772.00 |
$772.00 |
$1,360.80 |
|
|
Drain shoulder bone lesion
|
$3,345.60 |
$3,345.60 |
$3,345.60 |
|
|
Drain shoulder bursa 23031
|
$780.00 |
$780.00 |
$1,976.00 |
|
|
Drain shoulder lesion
|
$821.40 |
$821.40 |
$1,062.40 |
|
|
Drain thigh/knee lesion 27301
|
$1,262.40 |
$5,505.50 |
$6,708.96 |
|
|
Drain thyroid/tongue cyst
|
$429.60 |
$429.60 |
$429.60 |
|
|
Drain to peritoneal cavity
|
$1,391.40 |
$1,391.40 |
$1,880.00 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$262.80 |
$442.50 |
$2,762.40 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$105.00 |
$367.80 |
$1,403.20 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$343.20 |
$542.50 |
$3,169.60 |
|
|
Dressing change not for burn w/anes 15852
|
$116.00 |
$144.00 |
$337.20 |
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$100.14 |
$2,118.50 |
$27,106.11 |
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$265.80 |
$1,667.40 |
$3,433.68 |
|
|
Drill hole implt ventricular cath/device 61107
|
$736.00 |
$1,912.40 |
$3,020.40 |
|
|
Drm agrft f/s/n/h/f/g/m ea
|
$242.40 |
$242.40 |
$242.40 |
|
|
Drm agrft t/a/l ea addl
|
$244.80 |
$244.80 |
$244.80 |
|
|
Drng appendix abscess open 44900
|
$1,453.80 |
$1,453.80 |
$1,916.80 |
|
|
Drng hand tendon sheath 26020
|
$808.80 |
$3,556.00 |
$8,742.96 |
|
|
Drng of eyelid abscess 67700
|
$287.50 |
$496.20 |
$10,007.56 |
|
|
Drng of finger abscess comp 26011
|
$600.00 |
$1,790.00 |
$4,042.80 |
|
|
Drng of hydrocele 55000
|
$231.00 |
$1,182.60 |
$37,820.61 |
|
|
Drng of mouth lesion 40801
|
$603.00 |
$800.00 |
$1,274.04 |
|
|
Drng of ovarian cyst(s) 58800
|
$619.80 |
$5,700.80 |
$5,700.80 |
|
|
Drng of palm multi bursas 26030
|
$949.20 |
$949.20 |
$2,416.00 |
|
|
Drng of palm single bursa 26025
|
$940.20 |
$940.20 |
$3,630.00 |
|
|
Drng of pelvic abscess transrectal 45000
|
$802.20 |
$802.20 |
$1,056.80 |
|
|
Drng of salivary cyst 42409
|
$656.40 |
$656.40 |
$35,987.41 |
|
|
Drng of scrotum abscess 55100
|
$487.20 |
$1,800.00 |
$50,590.06 |
|
|
Drng open retroperitoneal abscess 49060
|
$945.60 |
$1,936.20 |
$2,708.80 |
|