|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,485.84 |
$1,485.84 |
$1,485.84 |
$3,375.00
|
|
Device ablt adv novasure
|
$1,890.18 |
$1,890.18 |
$1,890.18 |
$5,201.82
|
|
Device sut capio slim opn
|
$222.75 |
$222.75 |
$222.75 |
$1,350.00
|
|
Device tiss remov myosure reach
|
$422.16 |
$422.16 |
$422.16 |
$1,280.86
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$459.08 |
$459.08 |
$459.08 |
$225.60
|
|
Dexamethasone 4 mg tablet
|
$41.73 |
$41.73 |
$41.73 |
$5.17
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$35.78 |
$35.78 |
$35.78 |
$23.27
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$424.36 |
$424.36 |
$424.36 |
$504.81
|
|
Dextran 40 infusion
|
$39.00 |
$39.00 |
$39.00 |
$173.97
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$10.55 |
$10.55 |
$10.55 |
$43.65
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$10.55 |
$10.55 |
$10.55 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$10.97 |
$10.97 |
$10.97 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$10.55 |
$10.55 |
$10.55 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$10.61 |
$10.61 |
$10.61 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$94.62 |
$94.62 |
$94.62 |
$79.20
|
|
Diab manage trn ind/group
|
$45.40 |
$45.40 |
$45.40 |
$49.65
|
|
Diagnostic anoscopy spx 46600
|
$128.14 |
$128.14 |
$128.14 |
$245.35
|
|
Diagnostic laryngoscopy 31505
|
$134.08 |
$134.08 |
$134.08 |
$238.58
|
|
Diagnostic laryngoscopy 31575
|
$281.30 |
$281.30 |
$281.30 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$190.51 |
$190.51 |
$190.51 |
$409.50
|
|
Diagnostic Mammogram (one breast)
|
$159.96 |
$159.96 |
$159.96 |
$285.60
|
|
Dialysis one evaluation
|
$413.68 |
$413.68 |
$413.68 |
$827.97
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$57.20 |
$57.20 |
$57.20 |
$67.89
|
|
Dicyclomine injection
|
$148.75 |
$148.75 |
$148.75 |
$210.00
|
|
Diffusing capacity
|
$82.32 |
$82.32 |
$82.32 |
$357.50
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$213.01 |
$213.01 |
$213.01 |
$53.00
|
|
Digoxin immune fab 40 mg intravenous solution
|
$11,212.10 |
$11,212.10 |
$11,212.10 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$59.40 |
$59.40 |
$59.40 |
$99.35
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$182.11 |
$182.11 |
$182.11 |
$308.90
|
|
Dilate urethra stricture
|
$181.17 |
$181.17 |
$181.17 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$143.84 |
$143.84 |
$143.84 |
$204.60
|
|
Dilator fascial 10fx20cm
|
$50.96 |
$50.96 |
$50.96 |
$266.65
|
|
Dimethyl sulfoxide 50% 50 ml
|
$960.85 |
$960.85 |
$960.85 |
$1,001.55
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.51 |
$1.51 |
$1.51 |
$1.62
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$22.97 |
$22.97 |
$22.97 |
$22.58
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$116.70 |
$116.70 |
$116.70 |
$100.80
|
|
Disability dlco
|
$64.92 |
$64.92 |
$64.92 |
$302.90
|
|
Dna antibody native/double stranded
|
$81.89 |
$81.89 |
$81.89 |
$102.60
|
|
Dna gardnerella
|
$26.73 |
$26.73 |
$26.73 |
$67.68
|
|
Dna trichomonas
|
$26.73 |
$26.73 |
$26.73 |
$69.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$75.34 |
$75.34 |
$75.34 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$373.85 |
$373.85 |
$373.85 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$55.07 |
$55.07 |
$55.07 |
$64.77
|
|
Doppler echo complete
|
$592.73 |
$592.73 |
$592.73 |
$644.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$598.24 |
$598.24 |
$598.24 |
$694.85
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$511.26 |
$511.26 |
$511.26 |
$495.00
|
|
Dornhoffer fixed part w/window
|
$4,463.44 |
$4,463.44 |
$4,463.44 |
$32,112.76
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$261.70 |
$261.70 |
$261.70 |
$232.80
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,163.54 |
$1,163.54 |
$1,163.54 |
$2,608.20
|
|
Dpyd gene common variants
|
$154.44 |
$154.44 |
$154.44 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$374.22 |
$374.22 |
$374.22 |
$820.50
|
|
Drainage external ear simple 69000
|
$318.64 |
$318.64 |
$318.64 |
$805.38
|
|
Drainage mouth roof lesion
|
$294.88 |
$294.88 |
$294.88 |
$503.12
|
|
Drainage of arm bursa 23931
|
$478.17 |
$478.17 |
$478.17 |
$2,377.90
|
|
Drainage of eye
|
$827.78 |
$827.78 |
$827.78 |
$2,702.25
|
|
Drainage of mouth lesion
|
$3,047.62 |
$3,047.62 |
$3,047.62 |
$3,837.72
|
|
Drainage of nose lesion sept 30020
|
$638.97 |
$638.97 |
$638.97 |
$755.95
|
|
Drainage of rectal abscess
|
$765.41 |
$765.41 |
$765.41 |
$2,299.90
|
|
Drainage of urethra abscess 53060
|
$2,134.99 |
$2,134.99 |
$2,134.99 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$115.83 |
$115.83 |
$115.83 |
$190.10
|
|
Drain cath image guided visceral pq
|
$1,670.82 |
$1,670.82 |
$1,670.82 |
$2,999.34
|
|
Drain cerebro spinal fluid 62272
|
$362.34 |
$362.34 |
$362.34 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$435.32 |
$435.32 |
$435.32 |
$490.80
|
|
Drain thigh/knee lesion 27301
|
$1,125.20 |
$1,125.20 |
$1,125.20 |
$3,606.86
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$318.22 |
$318.22 |
$318.22 |
$403.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$237.60 |
$237.60 |
$237.60 |
$359.45
|
|
Dress/debrid prtl-thick burn l 16030
|
$353.86 |
$353.86 |
$353.86 |
$519.80
|
|
Dressing change not for burn w/anes 15852
|
$107.77 |
$107.77 |
$107.77 |
$724.37
|
|
Drng of eyelid abscess 67700
|
$402.22 |
$402.22 |
$402.22 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$658.49 |
$658.49 |
$658.49 |
$1,916.20
|
|
Drng of pelvic abscess transrectal 45000
|
$502.78 |
$502.78 |
$502.78 |
$1,614.45
|
|
Drng of scrotum abscess 55100
|
$483.69 |
$483.69 |
$483.69 |
$1,997.89
|
|
Drng salivary gland submax/subling 42310
|
$308.88 |
$308.88 |
$308.88 |
$573.64
|
|
Dronabinol 2.5mg oral
|
$202.99 |
$202.99 |
$202.99 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$32.42 |
$32.42 |
$32.42 |
$33.99
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$122.77 |
$122.77 |
$122.77 |
$843.34
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$16.55 |
$16.55 |
$16.55 |
$205.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$345.81 |
$345.81 |
$345.81 |
$392.90
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$14.85 |
$14.85 |
$14.85 |
$280.18
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1,765.05 |
$1,765.05 |
$1,765.05 |
$5,301.00
|
|
Drug assay posaconazole
|
$28.86 |
$28.86 |
$28.86 |
$96.75
|
|
Drug assay vedolizumab
|
$114.56 |
$114.56 |
$114.56 |
$172.90
|
|
Drug asy hydroxychloroquine
|
$21.22 |
$21.22 |
$21.22 |
$83.85
|
|
Drug of abuse screen urine
|
$67.89 |
$67.89 |
$67.89 |
$63.75
|
|
Drug test def 1-7 classes
|
$184.57 |
$184.57 |
$184.57 |
$268.94
|
|
Drug test def 8-14 classes
|
$112.02 |
$112.02 |
$112.02 |
$172.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$285.97 |
$285.97 |
$285.97 |
$280.95
|
|
Drvvt confirm - quest
|
$51.77 |
$51.77 |
$51.77 |
$107.00
|
|
Dstrj nulyt agt gnclr nrv
|
$2,838.02 |
$2,838.02 |
$2,838.02 |
$3,439.95
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$424.71 |
$424.71 |
$424.71 |
$755.30
|
|
Durvalumab 50 mg/ml intravenous solution
|
$10,624.56 |
$10,624.56 |
$10,624.56 |
$6,529.68
|
|
Dx bronchoscope/brush 31623
|
$1,701.80 |
$1,701.80 |
$1,701.80 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,701.80 |
$1,701.80 |
$1,701.80 |
$2,637.04
|
|
Dx bronchoscope/wash 31622
|
$1,701.80 |
$1,701.80 |
$1,701.80 |
$2,459.93
|
|
Ear irrigation 69209
|
$61.95 |
$61.95 |
$61.95 |
$155.20
|
|
Ecg 12 lead tracing only
|
$232.09 |
$232.09 |
$232.09 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$50.92 |
$50.92 |
$50.92 |
$129.83
|
|
Ecg external < 48 hours recording
|
$401.80 |
$401.80 |
$401.80 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$401.80 |
$401.80 |
$401.80 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$45.40 |
$45.40 |
$45.40 |
$153.17
|