|
Dicyclomine injection
|
$161.30 |
$161.30 |
$161.30 |
$154.33
|
|
Diffusing capacity
|
$165.00 |
$165.00 |
$184.80 |
$336.80
|
|
Digital analysis of eeg
|
$134.40 |
$134.40 |
$149.40 |
$593.40
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$23.45 |
$23.45 |
$23.45 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$8,175.36 |
$8,175.36 |
$8,839.56 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$73.20 |
$73.20 |
$81.60 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$245.07 |
$245.07 |
$245.07 |
$297.86
|
|
Dilate esophagus 1/mult pass
|
$289.20 |
$289.20 |
$303.60 |
$1,548.00
|
|
Dilation/female urethra/initial 53660
|
$132.00 |
$132.00 |
$138.60 |
$235.61
|
|
Dilation of anal sphincter
|
$336.00 |
$336.00 |
$352.80 |
$2,166.04
|
|
Dilation of cervical canal 57800
|
$110.40 |
$110.40 |
$115.80 |
$4,446.00
|
|
Dilation of rectal stricture 45910
|
$982.80 |
$982.80 |
$1,032.00 |
$2,491.80
|
|
Dilation salivary duct 42650
|
$156.60 |
$156.60 |
$164.40 |
$2,675.71
|
|
Dilation/urethral strict/male/ini 53620
|
$220.20 |
$220.20 |
$231.00 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$160.20 |
$160.20 |
$160.20 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$5,968.80 |
$5,968.80 |
$6,894.60 |
$3,900.60
|
|
Dimecaprol injection
|
$158.35 |
$158.35 |
$158.35 |
$314.63
|
|
Dimenhydrinate injection
|
$22.36 |
$22.36 |
$22.36 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$98.40 |
$98.40 |
$98.40 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.35 |
$0.35 |
$0.35 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$17.75 |
$17.75 |
$17.75 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$20.32 |
$20.32 |
$20.32 |
$98.15
|
|
Direct advanced life support
|
$229.80 |
$229.80 |
$241.20 |
$236.00
|
|
Disability dlco
|
$171.60 |
$171.60 |
$191.40 |
$293.76
|
|
Disaccharidases
|
$616.80 |
$616.80 |
$648.00 |
$230.40
|
|
Discectomy ant dcmprn cord thoracic 1 ntrspc 63077
|
$2,679.60 |
$2,679.60 |
$2,813.40 |
$3,636.00
|
|
Discectomy ant dcmprn cord thoracic ea ntrsp 63078
|
$352.80 |
$352.80 |
$370.20 |
$370.20
|
|
Discography cerv/thor spine
|
$1,986.60 |
$1,986.60 |
$2,169.60 |
$2,565.00
|
|
Dis site tele svcs rhc/fqhc
|
$90.00 |
$90.00 |
$94.80 |
$96.75
|
|
Dissolve clot heart vessel
|
$1,024.20 |
$1,024.20 |
$1,140.00 |
$1,579.93
|
|
Dist revas ligation hemo
|
$2,173.80 |
$2,173.80 |
$2,282.40 |
$6,396.89
|
|
Diverticulectomy/hypophar/esoph 43130
|
$1,469.40 |
$1,469.40 |
$1,542.60 |
$6,547.81
|
|
Division of fallopian tube 58605
|
$610.80 |
$610.80 |
$641.40 |
$976.50
|
|
#d/lmeth-l-methamphetamine
|
$192.00 |
$192.00 |
$213.60 |
$72.14
|
|
Dna antibody native/double stranded
|
$139.20 |
$139.20 |
$146.40 |
$100.00
|
|
Dna gardnerella
|
$49.80 |
$49.80 |
$74.40 |
$61.83
|
|
Dna probe chlamydia
|
$76.80 |
$76.80 |
$85.80 |
$82.20
|
|
Dna probe gc
|
$106.20 |
$106.20 |
$118.80 |
$79.38
|
|
Dna trichomonas
|
$49.80 |
$49.80 |
$74.40 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$50.08 |
$50.08 |
$52.51 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$528.48 |
$528.48 |
$528.48 |
$949.39
|
|
Dolasetron mesylate
|
$116.27 |
$116.27 |
$116.27 |
$44.65
|
|
Dolasetron mesylate oral
|
$114.21 |
$114.21 |
$114.21 |
$156.80
|
|
Domicil/r-home visit est pat
|
$111.60 |
$111.60 |
$117.00 |
$117.00
|
|
Domicil/r-home visit est pat
|
$174.60 |
$174.60 |
$183.60 |
$183.60
|
|
Domicil/r-home visit est pat
|
$247.20 |
$247.20 |
$259.80 |
$259.80
|
|
Domicil/r-home visit est pat
|
$354.60 |
$354.60 |
$372.60 |
$372.60
|
|
Domicil/r-home visit new pat
|
$105.00 |
$105.00 |
$110.40 |
$110.40
|
|
Domicil/r-home visit new pat
|
$151.20 |
$151.20 |
$159.00 |
$159.00
|
|
Domicil/r-home visit new pat
|
$258.60 |
$258.60 |
$271.80 |
$271.80
|
|
Domicil/r-home visit new pat
|
$343.20 |
$343.20 |
$360.60 |
$360.60
|
|
Domicil/r-home visit new pat
|
$399.00 |
$399.00 |
$418.80 |
$418.80
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$19.51 |
$19.51 |
$52.91 |
$65.40
|
|
Doppler echo complete
|
$938.40 |
$938.40 |
$1,148.40 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$888.00 |
$888.00 |
$1,119.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$372.60 |
$372.60 |
$414.60 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$189.00 |
$189.00 |
$198.60 |
$481.65
|
|
Doripenem 50 mg/ml inj 10 ml
|
$97.51 |
$97.51 |
$97.51 |
$73.80
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$19,726.71 |
$19,726.71 |
$21,349.42 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$457.16 |
$457.16 |
$457.16 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$4,785.36 |
$4,785.36 |
$4,785.36 |
$1,718.24
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$382.20 |
$382.20 |
$401.40 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$435.60 |
$435.60 |
$457.20 |
$964.00
|
|
Drainage external ear complex 69005
|
$398.40 |
$398.40 |
$418.20 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$343.20 |
$343.20 |
$360.60 |
$790.40
|
|
Drainage lymph node lesion 38300
|
$635.40 |
$635.40 |
$667.20 |
$3,088.80
|
|
Drainage lymph node lesion 38305
|
$730.80 |
$730.80 |
$767.40 |
$3,170.64
|
|
Drainage of arm bursa 23931
|
$511.80 |
$511.80 |
$537.60 |
$2,271.01
|
|
Drainage of kidney lesion
|
$977.40 |
$977.40 |
$1,129.80 |
$1,506.00
|
|
Drainage of nose lesion int 30000
|
$427.20 |
$427.20 |
$448.80 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$427.20 |
$427.20 |
$448.80 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$1,120.80 |
$1,120.80 |
$1,176.60 |
$3,863.70
|
|
Drainage of rectal abscess 45020
|
$1,140.00 |
$1,140.00 |
$1,197.00 |
$3,816.64
|
|
Drainage of urethra abscess 53060
|
$498.60 |
$498.60 |
$523.80 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$120.00 |
$120.00 |
$145.20 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,293.00 |
$1,293.00 |
$1,357.80 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,765.80 |
$1,765.80 |
$1,927.20 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$357.00 |
$357.00 |
$375.00 |
$1,044.00
|
|
Drain chst dry seal exp thorastat
|
$144.60 |
$144.60 |
$144.60 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$467.40 |
$467.40 |
$490.80 |
$428.40
|
|
Drain lower leg bursa
|
$630.60 |
$630.60 |
$630.60 |
$4,289.60
|
|
Drain lower leg lesion 27603
|
$942.00 |
$942.00 |
$989.40 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$818.40 |
$818.40 |
$859.20 |
$3,339.00
|
|
Drain open lung lesion 32200
|
$1,659.00 |
$1,659.00 |
$1,741.80 |
$2,765.60
|
|
Drain ovarn cyst abd
|
$870.00 |
$870.00 |
$913.80 |
$3,786.00
|
|
Drain pancreatic pseudocyst 48510
|
$1,626.00 |
$1,626.00 |
$1,707.60 |
$2,690.40
|
|
Drain shoulder bursa 23031
|
$742.80 |
$742.80 |
$780.00 |
$3,322.80
|
|
Drain shoulder lesion
|
$782.40 |
$782.40 |
$821.40 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$1,202.40 |
$1,202.40 |
$1,262.40 |
$3,986.00
|
|
Drain to peritoneal cavity
|
$1,325.40 |
$1,325.40 |
$1,391.40 |
$1,708.74
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$265.80 |
$265.80 |
$279.00 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$252.00 |
$252.00 |
$304.80 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$327.00 |
$327.00 |
$343.20 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$137.40 |
$137.40 |
$144.00 |
$755.08
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$1,588.20 |
$1,588.20 |
$1,667.40 |
$1,746.50
|
|
Drill hole implt ventricular cath/device 61107
|
$738.60 |
$738.60 |
$775.80 |
$1,485.75
|
|
Drng appendix abscess open 44900
|
$1,384.80 |
$1,384.80 |
$1,453.80 |
$1,752.96
|
|
Drng hand tendon sheath 26020
|
$880.20 |
$880.20 |
$924.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$472.80 |
$472.80 |
$496.20 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,119.60 |
$1,119.60 |
$1,352.40 |
$2,079.50
|
