|
Destruction premal lesions 15/> 17004
|
$204.48 |
$204.48 |
$204.48 |
$442.61
|
|
Destruction vag lesions simple 57061
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$3,815.20
|
|
Detect agent nos dna dir
|
$59.52 |
$59.52 |
$59.52 |
$150.60
|
|
Detect agnt mult dna direc
|
$88.80 |
$88.80 |
$88.80 |
$166.77
|
|
Device ablt adv novasure
|
$6,082.13 |
$6,082.13 |
$6,082.13 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,190.24 |
$2,190.24 |
$2,190.24 |
$4,200.00
|
|
Device intraute mirena
|
$2,098.89 |
$2,098.89 |
$2,098.89 |
$2,125.00
|
|
Device sut capio slim opn
|
$713.04 |
$713.04 |
$713.04 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$1,194.00 |
$1,194.00 |
$1,194.00 |
$2,515.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$144.00 |
$144.00 |
$144.00 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$261.12 |
$261.12 |
$261.12 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$74.52 |
$74.52 |
$74.52 |
$21.20
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,204.01 |
$1,204.01 |
$1,204.01 |
$884.80
|
|
Dextran 40 infusion
|
$99.24 |
$99.24 |
$99.24 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$99.24 |
$99.24 |
$99.24 |
$37.50
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$99.24 |
$99.24 |
$99.24 |
$45.38
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$99.24 |
$99.24 |
$99.24 |
$47.22
|
|
Dextrose 5 % IV bolus
|
$99.24 |
$99.24 |
$99.24 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$118.56 |
$118.56 |
$118.56 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$66.24 |
$66.24 |
$66.24 |
$79.30
|
|
Diab manage trn ind/group
|
$15.84 |
$15.84 |
$15.84 |
$54.99
|
|
Diag bronchoscope/catheter
|
$921.60 |
$921.60 |
$921.60 |
$2,447.43
|
|
Diag laparo separate proc 49320
|
$427.20 |
$427.20 |
$427.20 |
$6,904.15
|
|
Diagnostic anoscopy spx 46600
|
$165.12 |
$165.12 |
$165.12 |
$187.00
|
|
Diagnostic digital breast tomosynthesis bil
|
$189.12 |
$189.12 |
$189.12 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$147.84 |
$147.84 |
$147.84 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$123.36 |
$123.36 |
$123.36 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$174.72 |
$174.72 |
$174.72 |
$321.00
|
|
Diagnostic Mammogram (both breasts)
|
$147.84 |
$147.84 |
$147.84 |
$415.80
|
|
Diagnostic Mammogram (one breast)
|
$147.84 |
$147.84 |
$147.84 |
$311.04
|
|
Dialysis one evaluation
|
$1,880.64 |
$1,880.64 |
$1,880.64 |
$925.74
|
|
Diatrizoate meglumine 18 % urethral solution
|
$47.76 |
$47.76 |
$47.76 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$87.72 |
$87.72 |
$87.72 |
$75.95
|
|
Dicyclomine injection
|
$184.52 |
$184.52 |
$184.52 |
$153.29
|
|
Diffusing capacity
|
$305.76 |
$305.76 |
$305.76 |
$337.60
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$303.42 |
$303.42 |
$303.42 |
$66.92
|
|
Digoxin immune fab 40 mg intravenous solution
|
$11,519.79 |
$11,519.79 |
$11,519.79 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$76.80 |
$76.80 |
$76.80 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$2,687.81 |
$2,687.81 |
$2,687.81 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$975.36 |
$975.36 |
$975.36 |
$1,866.73
|
|
Dilate esophagus
|
$387.84 |
$387.84 |
$387.84 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$624.48 |
$624.48 |
$624.48 |
$1,484.17
|
|
Dilate urethra stricture
|
$207.84 |
$207.84 |
$207.84 |
$496.08
|
|
Dilate urethra stricture
|
$158.40 |
$158.40 |
$158.40 |
$200.80
|
|
Dilation/female urethra/initial 53660
|
$132.48 |
$132.48 |
$132.48 |
$235.61
|
|
Dilation/urethral strict/male/ini 53620
|
$1,313.28 |
$1,313.28 |
$1,313.28 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$466.56 |
$466.56 |
$466.56 |
$402.10
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,281.41 |
$1,281.41 |
$1,281.41 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$47.76 |
$47.76 |
$47.76 |
$18.35
|
|
Disability dlco
|
$363.36 |
$363.36 |
$363.36 |
$294.55
|
|
Disaccharidases
|
$449.76 |
$449.76 |
$449.76 |
$224.31
|
|
Dna antibody native/double stranded
|
$178.56 |
$178.56 |
$178.56 |
$100.00
|
|
Dna gardnerella
|
$49.92 |
$49.92 |
$49.92 |
$61.80
|
|
Dna probe chlamydia
|
$70.08 |
$70.08 |
$70.08 |
$82.20
|
|
Dna probe gc
|
$56.16 |
$56.16 |
$56.16 |
$79.38
|
|
Dna trichomonas
|
$118.08 |
$118.08 |
$118.08 |
$66.05
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$99.24 |
$99.24 |
$99.24 |
$98.29
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,226.00 |
$1,226.00 |
$1,226.00 |
$944.35
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$99.24 |
$99.24 |
$99.24 |
$65.40
|
|
Doppler echo complete
|
$178.08 |
$178.08 |
$178.08 |
$548.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$407.52 |
$407.52 |
$407.52 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$429.12 |
$429.12 |
$429.12 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$13,176.07 |
$13,176.07 |
$13,176.07 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$27,207.34 |
$27,207.34 |
$27,207.34 |
$23,126.24
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$465.65 |
$465.65 |
$465.65 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$3,637.44 |
$3,637.44 |
$3,637.44 |
$1,718.24
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$277.92 |
$277.92 |
$277.92 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$320.16 |
$320.16 |
$320.16 |
$901.80
|
|
Drainage external ear simple 69000
|
$252.48 |
$252.48 |
$252.48 |
$779.45
|
|
Drainage mouth roof lesion
|
$217.92 |
$217.92 |
$217.92 |
$401.50
|
|
Drainage of arm bursa 23931
|
$411.36 |
$411.36 |
$411.36 |
$2,209.90
|
|
Drainage of nose lesion sept 30020
|
$371.04 |
$371.04 |
$371.04 |
$781.44
|
|
Drainage of rectal abscess
|
$464.16 |
$464.16 |
$464.16 |
$2,111.46
|
|
Drain blood from under nail 11740
|
$77.28 |
$77.28 |
$77.28 |
$173.21
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,784.16 |
$1,784.16 |
$1,784.16 |
$2,556.00
|
|
Drain cath image guided visceral pq
|
$946.56 |
$946.56 |
$946.56 |
$2,885.30
|
|
Drain chst dry seal exp thorastat
|
$105.57 |
$105.57 |
$105.57 |
$129.76
|
|
Drain finger abscess;simple 26010
|
$475.68 |
$475.68 |
$475.68 |
$428.40
|
|
Drain lower leg lesion 27603
|
$1,729.44 |
$1,729.44 |
$1,729.44 |
$3,986.00
|
|
Drain neck/chest lesion 21501
|
$1,698.72 |
$1,698.72 |
$1,698.72 |
$3,338.50
|
|
Drain thigh/knee lesion 27301
|
$1,158.24 |
$1,158.24 |
$1,158.24 |
$3,638.88
|
|
Drain thyroid/tongue cyst
|
$478.56 |
$478.56 |
$478.56 |
$1,752.89
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$216.96 |
$216.96 |
$216.96 |
$394.80
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$149.28 |
$149.28 |
$149.28 |
$349.80
|
|
Dress/debrid prtl-thick burn l 16030
|
$325.92 |
$325.92 |
$325.92 |
$524.04
|
|
Dressing change not for burn w/anes 15852
|
$350.88 |
$350.88 |
$350.88 |
$755.08
|
|
Drng appendix abscess open 44900
|
$1,013.76 |
$1,013.76 |
$1,013.76 |
$1,752.96
|
|
Drng of eyelid abscess 67700
|
$390.72 |
$390.72 |
$390.72 |
$655.72
|
|
Drng of hydrocele 55000
|
$141.60 |
$141.60 |
$141.60 |
$854.50
|
|
Drng of scrotum abscess 55100
|
$694.08 |
$694.08 |
$694.08 |
$1,956.40
|
|
Dronabinol 2.5mg oral
|
$777.22 |
$777.22 |
$777.22 |
$11.40
|
|
Droperidol 2.5 mg/ml injection solution
|
$47.76 |
$47.76 |
$47.76 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$574.20 |
$574.20 |
$574.20 |
$1,940.41
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$2,230.75 |
$2,230.75 |
$2,230.75 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$1,760.48 |
$1,760.48 |
$1,760.48 |
$289.05
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$7,308.45 |
$7,308.45 |
$7,308.45 |
$7,868.14
|
|
Drug assay caffeine
|
$47.04 |
$47.04 |
$47.04 |
$81.61
|
|
Drug assay voriconazole
|
$108.48 |
$108.48 |
$108.48 |
$96.75
|
|
Drug of abuse screen urine
|
$115.68 |
$115.68 |
$115.68 |
$67.89
|
|
Drug screen quant tiagabine
|
$126.24 |
$126.24 |
$126.24 |
$114.62
|
