|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$66.49 |
$95.06 |
$117.88 |
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$213.08 |
$284.05 |
$955.01 |
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$47.61 |
$60.21 |
$69.52 |
|
|
Doppler echo complete
|
$403.00 |
$403.00 |
$672.75 |
|
|
Doppler intravascular pressure flow initial vessel
|
$3,581.50 |
$3,581.50 |
$3,581.50 |
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$28.50 |
$674.05 |
$1,008.15 |
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$24.75 |
$377.00 |
$905.45 |
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$19,947.98 |
$19,947.98 |
$32,070.96 |
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$101.74 |
$435.23 |
$580.55 |
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$843.73 |
$864.24 |
$2,039.05 |
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$78.52 |
$78.52 |
$102.08 |
|
|
Dpyd gene common variants
|
$684.45 |
$684.45 |
$684.45 |
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$369.85 |
$394.55 |
$455.00 |
|
|
Drainage ext aud canal abscess 69020
|
$373.75 |
$373.75 |
$373.75 |
|
|
Drainage external ear complex 69005
|
$419.25 |
$551.20 |
$578.50 |
|
|
Drainage external ear simple 69000
|
$302.25 |
$370.50 |
$760.03 |
|
|
Drainage lymph node lesion 38300
|
$526.50 |
$526.50 |
$526.50 |
|
|
Drainage lymph node lesion 38305
|
$7,413.65 |
$7,413.65 |
$7,413.65 |
|
|
Drainage mouth roof lesion
|
$326.30 |
$326.30 |
$599.95 |
|
|
Drainage of arm bursa 23931
|
$382.50 |
$582.40 |
$761.80 |
|
|
Drainage of eye
|
$2,747.22 |
$2,747.22 |
$2,747.22 |
|
|
Drainage of eye
|
$6,358.57 |
$6,358.57 |
$6,358.57 |
|
|
Drainage of eye
|
$6,897.77 |
$6,897.77 |
$6,897.77 |
|
|
Drainage of kidney lesion
|
$4,260.35 |
$4,260.35 |
$4,341.52 |
|
|
Drainage of mouth lesion
|
$781.95 |
$781.95 |
$781.95 |
|
|
Drainage of mouth lesion
|
$681.20 |
$734.50 |
$844.35 |
|
|
Drainage of nose lesion int 30000
|
$165.10 |
$165.10 |
$415.35 |
|
|
Drainage of nose lesion sept 30020
|
$332.15 |
$332.15 |
$380.90 |
|
|
Drainage of rectal abscess
|
$578.50 |
$578.50 |
$578.50 |
|
|
Drain bladder by trocar/cath
|
$21,675.11 |
$21,675.11 |
$21,675.11 |
|
|
Drain blood from under nail 11740
|
$66.95 |
$75.00 |
$679.25 |
|
|
Drain cath image guided visceral pq
|
$1,441.70 |
$1,441.70 |
$4,175.20 |
|
|
Drain cerebro spinal fluid 62272
|
$440.70 |
$440.70 |
$596.70 |
|
|
Drain finger abscess;simple 26010
|
$231.00 |
$477.75 |
$522.60 |
|
|
Drain lower leg lesion 27603
|
$1,031.55 |
$1,031.55 |
$1,031.55 |
|
|
Drain neck/chest lesion 21501
|
$819.65 |
$819.65 |
$5,471.70 |
|
|
Drain ovarn cyst abd
|
$17,433.05 |
$17,433.05 |
$17,433.05 |
|
|
Drain thigh/knee lesion 27301
|
$1,608.75 |
$1,608.75 |
$4,500.60 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$191.25 |
$276.90 |
$300.30 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$159.75 |
$176.80 |
$318.50 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$347.75 |
$393.90 |
$646.10 |
|
|
Dressing change not for burn w/anes 15852
|
$5,364.45 |
$5,364.45 |
$5,364.45 |
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$193.70 |
$193.70 |
$193.70 |
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$1,791.40 |
$1,791.40 |
$1,791.40 |
|
|
Drill hole implt ventricular cath/device 61107
|
$1,631.50 |
$1,631.50 |
$26,139.94 |
|
|
Drng of eyelid abscess 67700
|
$387.40 |
$398.45 |
$7,554.36 |
|
|
Drng of finger abscess comp 26011
|
$390.75 |
$692.25 |
$941.20 |
|
|
Drng of hydrocele 55000
|
$912.60 |
$912.60 |
$912.60 |
|
|
Drng of mouth lesion 40801
|
$388.05 |
$388.05 |
$745.55 |
|
|
Drng of scrotum abscess 55100
|
$265.50 |
$662.35 |
$2,836.63 |
|
|
Drng salivary gland submax/subling 42310
|
$374.40 |
$376.35 |
$380.25 |
|
|
Droperidol 2.5 mg/ml injection solution
|
$7.15 |
$32.13 |
$44.91 |
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$31.85 |
$31.85 |
$31.85 |
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$14.30 |
$18.85 |
$27.30 |
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$18.85 |
$18.85 |
$18.85 |
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$163.80 |
$203.45 |
$2,482.35 |
|
|
Drug admin & hemodynmic meas
|
$896.35 |
$896.35 |
$1,353.95 |
|
|
Drug assay caffeine
|
$32.50 |
$118.30 |
$135.20 |
|
|
Drug assay posaconazole
|
$124.80 |
$138.45 |
$173.55 |
|
|
Drug assay vedolizumab
|
$174.20 |
$174.20 |
$244.40 |
|
|
Drug assay voriconazole
|
$98.15 |
$110.50 |
$167.05 |
|
|
Drug of abuse screen urine
|
$87.75 |
$97.50 |
$123.50 |
|
|
Drug test prsmv instrmnt
|
$89.05 |
$126.10 |
$193.05 |
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$50.05 |
$206.70 |
$254.80 |
|
|
Drvvt confirm - quest
|
$116.35 |
$126.10 |
$174.85 |
|
|
Dstrj nulyt agt gnclr nrv
|
$1,491.10 |
$3,091.94 |
$4,629.66 |
|
|
Ductogram sgl duct
|
$1,113.45 |
$1,113.45 |
$1,113.45 |
|
|
Duplex scan bilateral study 93985
|
$287.95 |
$287.95 |
$1,841.45 |
|
|
Duplex scan unilateral study 93986
|
$192.40 |
$633.10 |
$1,057.55 |
|
|
Dup scan/hemodialysis access 93990
|
$249.60 |
$249.60 |
$493.35 |
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$700.05 |
$700.05 |
$947.70 |
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$813.80 |
$885.30 |
$1,645.15 |
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$16,549.00 |
$16,549.00 |
$16,549.00 |
|
|
Durvalumab 50 mg/ml intravenous solution
|
$2,767.76 |
$7,161.10 |
$10,737.75 |
|
|
Dxa bone density axl vrt fx
|
$224.25 |
$392.60 |
$778.70 |
|
|
Dx bronchoscope/brush 31623
|
$15,526.30 |
$15,526.30 |
$16,301.19 |
|
|
Dx bronchoscope/lavage 31624
|
$20,969.61 |
$20,969.61 |
$25,420.56 |
|
|
Dx bronchoscope/wash 31622
|
$989.30 |
$12,905.72 |
$16,596.64 |
|
|
Dx laryngoscopy w/oper scope
|
$6,955.10 |
$6,955.10 |
$6,955.10 |
|
|
Ear irrigation 69209
|
$15.75 |
$174.85 |
$548.92 |
|
|
Ecallantide injection
|
$34,332.12 |
$34,332.12 |
$34,332.12 |
|
|
Ecg 12 lead tracing only
|
$25.50 |
$190.45 |
$264.55 |
|
|
Ecg/1-3 leads/tracing only 93041
|
$113.75 |
$120.90 |
$167.05 |
|
|
Ecg < 30 days transmission & analysis
|
$529.75 |
$531.05 |
$551.20 |
|
|
Ecg external < 48 hours recording
|
$344.50 |
$399.75 |
$670.80 |
|
|
Ecg external < 48 hours scanning analysis w/report
|
$63.75 |
$510.25 |
$926.90 |
|
|
Ecg external > 48 hours up to 7 days recording
|
$72.80 |
$72.80 |
$377.65 |
|
|
Ecg external >7 days up to 15 days recording
|
$118.95 |
$118.95 |
$118.95 |
|
|
Echocardiogram (Heart Ultrasound)
|
$162.75 |
$2,038.40 |
$2,581.15 |
|
|
Echocardiography doppler color flow mapping
|
$452.40 |
$462.80 |
$516.10 |
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,452.75 |
$2,424.50 |
$3,125.20 |
|
|
Echocardiography transthoracic 2d followup/limited
|
$488.80 |
$603.85 |
$920.40 |
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$783.25 |
$918.45 |
$1,564.55 |
|
|
Echocardiograpy doppler follow up/limited study
|
$289.25 |
$414.05 |
$449.15 |
|
|
Echo exam of eye
|
$107.90 |
$107.90 |
$107.90 |
|
|
Echo exam of eye thickness
|
$29.25 |
$29.25 |
$29.25 |
|
|
Echo exam of fetal heart
|
$1,136.20 |
$1,136.20 |
$1,326.00 |
|
|
Echo exam of fetal heart
|
$906.75 |
$906.75 |
$1,184.30 |
|
|
Echo exam of fetal heart
|
$498.55 |
$498.55 |
$1,021.80 |
|
|
Echo exam of fetal heart
|
$465.40 |
$465.40 |
$906.75 |
|
