|
Destruction premal lesions 15/> 17004
|
$208.74 |
$208.74 |
$208.74 |
$442.61
|
|
Destruction vag lesions simple 57061
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$3,815.20
|
|
Detect agent nos dna dir
|
$60.76 |
$60.76 |
$60.76 |
$145.80
|
|
Detect agnt mult dna direc
|
$90.65 |
$90.65 |
$90.65 |
$166.77
|
|
Device ablt adv novasure
|
$6,208.84 |
$6,208.84 |
$6,208.84 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,235.87 |
$2,235.87 |
$2,235.87 |
$4,200.00
|
|
Device intraute mirena
|
$2,142.62 |
$2,142.62 |
$2,142.62 |
$2,125.00
|
|
Device sut capio slim opn
|
$727.89 |
$727.89 |
$727.89 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$1,218.88 |
$1,218.88 |
$1,218.88 |
$2,466.14
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$147.00 |
$147.00 |
$147.00 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$266.56 |
$266.56 |
$266.56 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$76.08 |
$76.08 |
$76.08 |
$21.20
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,229.10 |
$1,229.10 |
$1,229.10 |
$884.80
|
|
Dextran 40 infusion
|
$101.31 |
$101.31 |
$101.31 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$101.31 |
$101.31 |
$101.31 |
$36.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$101.31 |
$101.31 |
$101.31 |
$42.50
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$101.31 |
$101.31 |
$101.31 |
$46.12
|
|
Dextrose 5 % IV bolus
|
$101.31 |
$101.31 |
$101.31 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$121.03 |
$121.03 |
$121.03 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$67.62 |
$67.62 |
$67.62 |
$79.20
|
|
Diab manage trn ind/group
|
$16.17 |
$16.17 |
$16.17 |
$54.99
|
|
Diag bronchoscope/catheter
|
$940.80 |
$940.80 |
$940.80 |
$2,360.15
|
|
Diag laparo separate proc 49320
|
$436.10 |
$436.10 |
$436.10 |
$6,904.15
|
|
Diagnostic anoscopy spx 46600
|
$168.56 |
$168.56 |
$168.56 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$193.06 |
$193.06 |
$193.06 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$150.92 |
$150.92 |
$150.92 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$125.93 |
$125.93 |
$125.93 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$178.36 |
$178.36 |
$178.36 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$150.92 |
$150.92 |
$150.92 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$150.92 |
$150.92 |
$150.92 |
$312.72
|
|
Dialysis one evaluation
|
$1,919.82 |
$1,919.82 |
$1,919.82 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$48.76 |
$48.76 |
$48.76 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$89.55 |
$89.55 |
$89.55 |
$77.25
|
|
Dicyclomine injection
|
$188.36 |
$188.36 |
$188.36 |
$150.91
|
|
Diffusing capacity
|
$312.13 |
$312.13 |
$312.13 |
$335.20
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$309.74 |
$309.74 |
$309.74 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$11,759.78 |
$11,759.78 |
$11,759.78 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$78.40 |
$78.40 |
$78.40 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$2,743.80 |
$2,743.80 |
$2,743.80 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$995.68 |
$995.68 |
$995.68 |
$1,729.70
|
|
Dilate esophagus
|
$395.92 |
$395.92 |
$395.92 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$637.49 |
$637.49 |
$637.49 |
$1,490.36
|
|
Dilate urethra stricture
|
$212.17 |
$212.17 |
$212.17 |
$496.00
|
|
Dilate urethra stricture
|
$161.70 |
$161.70 |
$161.70 |
$200.80
|
|
Dilation/female urethra/initial 53660
|
$135.24 |
$135.24 |
$135.24 |
$235.61
|
|
Dilation/urethral strict/male/ini 53620
|
$1,340.64 |
$1,340.64 |
$1,340.64 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$476.28 |
$476.28 |
$476.28 |
$402.10
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,308.11 |
$1,308.11 |
$1,308.11 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$48.76 |
$48.76 |
$48.76 |
$18.35
|
|
Disability dlco
|
$370.93 |
$370.93 |
$370.93 |
$292.03
|
|
Disaccharidases
|
$459.13 |
$459.13 |
$459.13 |
$224.31
|
|
Dna antibody native/double stranded
|
$182.28 |
$182.28 |
$182.28 |
$100.00
|
|
Dna gardnerella
|
$50.96 |
$50.96 |
$50.96 |
$61.80
|
|
Dna probe chlamydia
|
$71.54 |
$71.54 |
$71.54 |
$82.20
|
|
Dna probe gc
|
$57.33 |
$57.33 |
$57.33 |
$84.80
|
|
Dna trichomonas
|
$120.54 |
$120.54 |
$120.54 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$101.31 |
$101.31 |
$101.31 |
$98.29
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,251.54 |
$1,251.54 |
$1,251.54 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$101.31 |
$101.31 |
$101.31 |
$67.28
|
|
Doppler echo complete
|
$181.79 |
$181.79 |
$181.79 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$416.01 |
$416.01 |
$416.01 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$438.06 |
$438.06 |
$438.06 |
$473.76
|
|
Dornhoffer fixed part w/window
|
$13,450.57 |
$13,450.57 |
$13,450.57 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$27,774.16 |
$27,774.16 |
$27,774.16 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$475.35 |
$475.35 |
$475.35 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$3,713.22 |
$3,713.22 |
$3,713.22 |
$1,718.24
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$283.71 |
$283.71 |
$283.71 |
$794.82
|
|
Drainage ext aud canal abscess 69020
|
$326.83 |
$326.83 |
$326.83 |
$914.34
|
|
Drainage external ear simple 69000
|
$257.74 |
$257.74 |
$257.74 |
$779.45
|
|
Drainage mouth roof lesion
|
$222.46 |
$222.46 |
$222.46 |
$405.60
|
|
Drainage of arm bursa 23931
|
$419.93 |
$419.93 |
$419.93 |
$2,271.01
|
|
Drainage of nose lesion sept 30020
|
$378.77 |
$378.77 |
$378.77 |
$781.44
|
|
Drainage of rectal abscess
|
$473.83 |
$473.83 |
$473.83 |
$2,135.10
|
|
Drain blood from under nail 11740
|
$78.89 |
$78.89 |
$78.89 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,821.33 |
$1,821.33 |
$1,821.33 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$966.28 |
$966.28 |
$966.28 |
$2,885.30
|
|
Drain chst dry seal exp thorastat
|
$107.77 |
$107.77 |
$107.77 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$485.59 |
$485.59 |
$485.59 |
$428.40
|
|
Drain lower leg lesion 27603
|
$1,765.47 |
$1,765.47 |
$1,765.47 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$1,734.11 |
$1,734.11 |
$1,734.11 |
$3,301.20
|
|
Drain thigh/knee lesion 27301
|
$1,182.37 |
$1,182.37 |
$1,182.37 |
$3,824.50
|
|
Drain thyroid/tongue cyst
|
$488.53 |
$488.53 |
$488.53 |
$1,752.89
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$221.48 |
$221.48 |
$221.48 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$152.39 |
$152.39 |
$152.39 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$332.71 |
$332.71 |
$332.71 |
$540.80
|
|
Dressing change not for burn w/anes 15852
|
$358.19 |
$358.19 |
$358.19 |
$724.37
|
|
Drng appendix abscess open 44900
|
$1,034.88 |
$1,034.88 |
$1,034.88 |
$1,752.96
|
|
Drng of eyelid abscess 67700
|
$398.86 |
$398.86 |
$398.86 |
$655.72
|
|
Drng of hydrocele 55000
|
$144.55 |
$144.55 |
$144.55 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$708.54 |
$708.54 |
$708.54 |
$1,997.89
|
|
Dronabinol 2.5mg oral
|
$793.41 |
$793.41 |
$793.41 |
$13.36
|
|
Droperidol 2.5 mg/ml injection solution
|
$48.76 |
$48.76 |
$48.76 |
$31.26
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$586.17 |
$586.17 |
$586.17 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$2,277.22 |
$2,277.22 |
$2,277.22 |
$58.20
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$1,797.16 |
$1,797.16 |
$1,797.16 |
$289.05
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$7,460.71 |
$7,460.71 |
$7,460.71 |
$8,040.27
|
|
Drug assay caffeine
|
$48.02 |
$48.02 |
$48.02 |
$81.61
|
|
Drug assay voriconazole
|
$110.74 |
$110.74 |
$110.74 |
$96.75
|
|
Drug of abuse screen urine
|
$118.09 |
$118.09 |
$118.09 |
$64.50
|
|
Drug screen quant tiagabine
|
$128.87 |
$128.87 |
$128.87 |
$107.59
|