|
Disaccharidases
|
$504.42 |
$504.42 |
$504.42 |
$224.31
|
|
Dise eval slp do brth flx dx
|
$1,086.54 |
$1,086.54 |
$1,086.54 |
$1,120.00
|
|
Dissolve clot heart vessel
|
$212.10 |
$212.10 |
$212.10 |
$1,560.00
|
|
Dist revas ligation hemo
|
$3,518.34 |
$3,518.34 |
$3,518.34 |
$6,396.89
|
|
Dlyd plmt xtn prosth ea addl
|
$669.48 |
$669.48 |
$669.48 |
$1,875.00
|
|
Dna antibody native/double stranded
|
$44.94 |
$44.94 |
$44.94 |
$100.00
|
|
Dna gardnerella
|
$40.32 |
$40.32 |
$40.32 |
$61.80
|
|
Dna probe chlamydia
|
$79.38 |
$79.38 |
$79.38 |
$82.20
|
|
Dna probe gc
|
$79.38 |
$79.38 |
$79.38 |
$84.80
|
|
Dna trichomonas
|
$127.26 |
$127.26 |
$127.26 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$86.84 |
$86.84 |
$86.84 |
$98.29
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,072.75 |
$1,072.75 |
$1,072.75 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$86.84 |
$86.84 |
$86.84 |
$67.28
|
|
Doppler echo complete
|
$354.90 |
$354.90 |
$354.90 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$2,080.26 |
$2,080.26 |
$2,080.26 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$456.96 |
$456.96 |
$456.96 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$334.74 |
$334.74 |
$334.74 |
$473.76
|
|
Dornhoffer fixed part w/window
|
$11,529.06 |
$11,529.06 |
$11,529.06 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$23,806.42 |
$23,806.42 |
$23,806.42 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$407.45 |
$407.45 |
$407.45 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$3,182.76 |
$3,182.76 |
$3,182.76 |
$1,718.24
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$450.66 |
$450.66 |
$450.66 |
$794.82
|
|
Drainage ext aud canal abscess 69020
|
$276.78 |
$276.78 |
$276.78 |
$914.34
|
|
Drainage external ear simple 69000
|
$304.92 |
$304.92 |
$304.92 |
$779.45
|
|
Drainage lymph node lesion 38300
|
$1,494.36 |
$1,494.36 |
$1,494.36 |
$3,088.80
|
|
Drainage mouth roof lesion
|
$283.08 |
$283.08 |
$283.08 |
$405.60
|
|
Drainage of arm bursa 23931
|
$959.28 |
$959.28 |
$959.28 |
$2,271.01
|
|
Drainage of bladder abscess
|
$1,465.80 |
$1,465.80 |
$1,465.80 |
$3,127.88
|
|
Drainage of kidney lesion
|
$771.96 |
$771.96 |
$771.96 |
$1,506.00
|
|
Drainage of mouth lesion
|
$1,981.14 |
$1,981.14 |
$1,981.14 |
$3,837.72
|
|
Drainage of mouth lesion
|
$2,061.36 |
$2,061.36 |
$2,061.36 |
$3,459.00
|
|
Drainage of nose lesion int 30000
|
$156.24 |
$156.24 |
$156.24 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$323.40 |
$323.40 |
$323.40 |
$781.44
|
|
Drainage of rectal abscess
|
$1,047.90 |
$1,047.90 |
$1,047.90 |
$2,135.10
|
|
Drain blood from under nail 11740
|
$83.58 |
$83.58 |
$83.58 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,407.02 |
$2,407.02 |
$2,407.02 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,602.72 |
$1,602.72 |
$1,602.72 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$449.82 |
$449.82 |
$449.82 |
$1,025.00
|
|
Drain chst dry seal exp thorastat
|
$92.37 |
$92.37 |
$92.37 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$296.10 |
$296.10 |
$296.10 |
$428.40
|
|
Drain lower leg lesion 27603
|
$1,832.04 |
$1,832.04 |
$1,832.04 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$1,559.46 |
$1,559.46 |
$1,559.46 |
$3,301.20
|
|
Drain thigh/knee lesion 27301
|
$2,221.38 |
$2,221.38 |
$2,221.38 |
$3,824.50
|
|
Drain thyroid/tongue cyst
|
$622.44 |
$622.44 |
$622.44 |
$1,752.89
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$280.98 |
$280.98 |
$280.98 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$257.88 |
$257.88 |
$257.88 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$296.52 |
$296.52 |
$296.52 |
$540.80
|
|
Dressing change not for burn w/anes 15852
|
$372.12 |
$372.12 |
$372.12 |
$724.37
|
|
Drill hole implt ventricular cath/device 61107
|
$113.82 |
$113.82 |
$113.82 |
$1,485.75
|
|
Drng hand tendon sheath 26020
|
$1,325.52 |
$1,325.52 |
$1,325.52 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$232.68 |
$232.68 |
$232.68 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$978.18 |
$978.18 |
$978.18 |
$2,029.60
|
|
Drng of scrotum abscess 55100
|
$1,063.02 |
$1,063.02 |
$1,063.02 |
$1,997.89
|
|
Drng open retroperitoneal abscess 49060
|
$704.34 |
$704.34 |
$704.34 |
$1,924.00
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$1,286.88 |
$1,286.88 |
$1,286.88 |
$1,800.00
|
|
Drng peritoneal abscess open 49020
|
$1,286.88 |
$1,286.88 |
$1,286.88 |
$2,520.00
|
|
Dronabinol 2.5mg oral
|
$680.07 |
$680.07 |
$680.07 |
$13.36
|
|
Droperidol 2.5 mg/ml injection solution
|
$41.79 |
$41.79 |
$41.79 |
$31.26
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$502.43 |
$502.43 |
$502.43 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$1,951.90 |
$1,951.90 |
$1,951.90 |
$58.20
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$1,540.42 |
$1,540.42 |
$1,540.42 |
$289.05
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$6,394.90 |
$6,394.90 |
$6,394.90 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$670.74 |
$670.74 |
$670.74 |
$578.59
|
|
Drug assay caffeine
|
$16.80 |
$16.80 |
$16.80 |
$81.61
|
|
Drug assay voriconazole
|
$97.02 |
$97.02 |
$97.02 |
$96.75
|
|
Drug of abuse screen urine
|
$83.16 |
$83.16 |
$83.16 |
$64.50
|
|
Drug screen quant tiagabine
|
$135.24 |
$135.24 |
$135.24 |
$107.59
|
|
Drug test def 1-7 classes
|
$96.18 |
$96.18 |
$96.18 |
$263.25
|
|
Drug test prsmv instrmnt
|
$170.52 |
$170.52 |
$170.52 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$401.10 |
$401.10 |
$401.10 |
$280.95
|
|
Drvvt confirm - quest
|
$159.60 |
$159.60 |
$159.60 |
$109.20
|
|
Dry needling (97799)
|
$14.70 |
$14.70 |
$14.70 |
$114.27
|
|
Dstrj nulyt agt gnclr nrv
|
$1,530.06 |
$1,530.06 |
$1,530.06 |
$2,967.48
|
|
Ductogram sgl duct
|
$564.48 |
$564.48 |
$564.48 |
$469.44
|
|
Duplex scan bilateral study 93985
|
$1,744.26 |
$1,744.26 |
$1,744.26 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$91.56 |
$91.56 |
$91.56 |
$375.60
|
|
Dup scan/hemodialysis access 93990
|
$415.38 |
$415.38 |
$415.38 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$556.92 |
$556.92 |
$556.92 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$706.86 |
$706.86 |
$706.86 |
$903.50
|
|
Duragen 1x1 5ea/bx
|
$1,338.12 |
$1,338.12 |
$1,338.12 |
$10,564.87
|
|
Durvalumab 50 mg/ml intravenous solution
|
$8,841.95 |
$8,841.95 |
$8,841.95 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$106.68 |
$106.68 |
$106.68 |
$410.25
|
|
Dx bronchoscope/brush 31623
|
$931.98 |
$931.98 |
$931.98 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$1,239.00 |
$1,239.00 |
$1,239.00 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$903.84 |
$903.84 |
$903.84 |
$2,322.60
|
|
Ear irrigation 69209
|
$93.24 |
$93.24 |
$93.24 |
$150.00
|
|
Ecg 12 lead tracing only
|
$195.72 |
$195.72 |
$195.72 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$111.30 |
$111.30 |
$111.30 |
$132.08
|
|
Ecg external < 48 hours recording
|
$311.22 |
$311.22 |
$311.22 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$545.58 |
$545.58 |
$545.58 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$35.28 |
$35.28 |
$35.28 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$58.80 |
$58.80 |
$58.80 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,481.34 |
$1,481.34 |
$1,481.34 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$394.38 |
$394.38 |
$394.38 |
$499.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,659.00 |
$1,659.00 |
$1,659.00 |
$1,935.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$750.96 |
$750.96 |
$750.96 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$953.40 |
$953.40 |
$953.40 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$204.96 |
$204.96 |
$204.96 |
$371.25
|
|
Echo exam of fetal heart
|
$437.64 |
$437.64 |
$437.64 |
$904.80
|
|
Echo exam of fetal heart
|
$416.64 |
$416.64 |
$416.64 |
$538.27
|