|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$53.19 |
$53.19 |
$57.81 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$2,207.96 |
$2,207.96 |
$2,399.96 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$43.24 |
$43.24 |
$98.50 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$21.04 |
$21.04 |
$22.87 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$2,909.00 |
$2,909.00 |
$2,909.00 |
$1,866.73
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$3,033.08
|
|
Dilate ic vasospasm ea add vsl same territory
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$5,250.40
|
|
Dilate urethra stricture
|
$132.94 |
$132.94 |
$144.50 |
$200.80
|
|
Dilate urethra stricture
|
$177.10 |
$177.10 |
$212.00 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$116.38 |
$116.38 |
$126.50 |
$235.61
|
|
Dilation of urethra
|
$110.86 |
$110.86 |
$132.50 |
$172.00
|
|
Dilation/urethral strict/male/ini 53620
|
$409.86 |
$409.86 |
$445.50 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$447.12 |
$447.12 |
$486.00 |
$402.10
|
|
Dimethyl sulfoxide 50% 50 ml
|
$6.15 |
$6.15 |
$6.68 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.27 |
$1.27 |
$1.38 |
$17.75
|
|
Disability dlco
|
$213.50 |
$213.50 |
$214.82 |
$282.40
|
|
Disaccharidases
|
$790.50 |
$790.50 |
$790.50 |
$216.00
|
|
Discography cerv/thor spine
|
$396.50 |
$396.50 |
$396.50 |
$2,565.00
|
|
Dise eval slp do brth flx dx
|
$3,035.50 |
$3,035.50 |
$3,035.50 |
$1,120.00
|
|
Dissolve clot heart vessel
|
$2,493.66 |
$2,493.66 |
$2,493.66 |
$1,579.93
|
|
Dist revas ligation hemo
|
$6,932.66 |
$6,932.66 |
$6,932.66 |
$6,396.89
|
|
Dlyd plmt xtn prosth ea addl
|
$390.00 |
$390.00 |
$740.14 |
$1,582.68
|
|
Dna antibody native/double stranded
|
$29.90 |
$29.90 |
$51.00 |
$97.50
|
|
Dna gardnerella
|
$46.50 |
$46.50 |
$46.50 |
$62.50
|
|
Dna trichomonas
|
$146.00 |
$146.00 |
$146.00 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$0.16 |
$0.16 |
$0.18 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$29.38 |
$29.38 |
$31.93 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$0.29 |
$0.29 |
$0.32 |
$65.40
|
|
Doppler echo complete
|
$250.50 |
$250.50 |
$261.74 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$2,616.48 |
$2,616.48 |
$2,837.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$563.50 |
$563.50 |
$623.30 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$259.90 |
$259.90 |
$283.50 |
$471.17
|
|
Dornhoffer fixed part w/window
|
$12,627.06 |
$12,627.06 |
$13,725.07 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$521.48 |
$521.48 |
$566.82 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$89.25 |
$89.25 |
$97.01 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$21.12 |
$21.12 |
$22.96 |
$1,718.24
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$719.50 |
$719.50 |
$719.50 |
$800.00
|
|
Drainage external ear simple 69000
|
$279.50 |
$279.50 |
$279.50 |
$789.60
|
|
Drainage mouth roof lesion
|
$293.50 |
$293.50 |
$293.50 |
$390.39
|
|
Drainage of arm bursa 23931
|
$1,268.50 |
$1,268.50 |
$1,268.50 |
$2,197.48
|
|
Drainage of bladder abscess
|
$2,185.00 |
$2,185.00 |
$2,185.00 |
$3,127.88
|
|
Drainage of eye
|
$1,145.50 |
$1,145.50 |
$1,145.50 |
$2,360.00
|
|
Drainage of kidney lesion
|
$562.50 |
$562.50 |
$562.50 |
$1,506.00
|
|
Drainage of mouth lesion
|
$2,780.50 |
$2,780.50 |
$2,780.50 |
$3,900.60
|
|
Drainage of mouth lesion
|
$864.00 |
$864.00 |
$864.00 |
$3,544.29
|
|
Drainage of nose lesion sept 30020
|
$415.50 |
$415.50 |
$415.50 |
$781.44
|
|
Drainage of prostate abscess
|
$2,693.00 |
$2,693.00 |
$2,693.00 |
$4,081.37
|
|
Drainage of urethra abscess
|
$2,737.50 |
$2,737.50 |
$2,737.50 |
$4,081.37
|
|
Drain blood from under nail 11740
|
$69.00 |
$69.00 |
$69.00 |
$170.50
|
|
Drain cath image guided visceral pq
|
$2,125.50 |
$2,125.50 |
$2,125.50 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$393.30 |
$393.30 |
$461.50 |
$1,044.00
|
|
Drain chst dry seal exp thorastat
|
$101.17 |
$101.17 |
$109.96 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$274.50 |
$274.50 |
$274.50 |
$419.00
|
|
Drain lower leg lesion 27603
|
$1,677.62 |
$1,677.62 |
$1,823.50 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$226.78 |
$226.78 |
$226.78 |
$3,339.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$232.30 |
$232.30 |
$315.50 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$132.94 |
$132.94 |
$179.50 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$293.48 |
$293.48 |
$396.50 |
$523.00
|
|
Dressing change not for burn w/anes 15852
|
$354.66 |
$354.66 |
$424.00 |
$755.08
|
|
Drill hole implt ventricular cath/device 61107
|
$465.06 |
$465.06 |
$505.50 |
$1,515.00
|
|
Drng of eyelid abscess 67700
|
$303.50 |
$303.50 |
$303.50 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$1,041.50 |
$1,041.50 |
$1,041.50 |
$1,943.50
|
|
Drng of mouth lesion 40801
|
$191.00 |
$191.00 |
$191.00 |
$1,262.76
|
|
Drng of ovarian cyst(s) 58800
|
$1,951.00 |
$1,951.00 |
$1,951.00 |
$3,474.84
|
|
Drng of scrotum abscess 55100
|
$1,408.00 |
$1,408.00 |
$1,408.00 |
$1,917.33
|
|
Drng peritoneal abscess open 49020
|
$1,837.50 |
$1,837.50 |
$1,837.50 |
$2,520.00
|
|
Dronabinol 2.5mg oral
|
$1.47 |
$1.47 |
$1.59 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$1.94 |
$1.94 |
$2.11 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,006.60 |
$1,006.60 |
$1,094.13 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$15.32 |
$15.32 |
$15.32 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$2,137.80 |
$2,137.80 |
$2,323.69 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$1,687.13 |
$1,687.13 |
$1,833.83 |
$289.05
|
|
Drsg sht 5.625x4.625in std
|
$50.31 |
$50.31 |
$50.31 |
$572.00
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$4.12 |
$4.12 |
$4.12 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$7,003.93 |
$7,003.93 |
$7,612.97 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$501.00 |
$501.00 |
$1,798.14 |
$569.75
|
|
Drug assay caffeine
|
$18.50 |
$18.50 |
$18.50 |
$83.40
|
|
Drug assay voriconazole
|
$105.00 |
$105.00 |
$106.26 |
$96.75
|
|
Drug of abuse screen urine
|
$90.00 |
$90.00 |
$94.76 |
$63.75
|
|
Drug test prsmv instrmnt
|
$41.00 |
$41.00 |
$41.00 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$369.38 |
$369.38 |
$460.50 |
$278.85
|
|
Drvvt confirm - quest
|
$124.00 |
$124.00 |
$124.00 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$1,464.18 |
$1,464.18 |
$1,566.50 |
$3,020.80
|
|
Ductogram sgl duct
|
$442.50 |
$442.50 |
$442.50 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$217.50 |
$217.50 |
$235.52 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$105.00 |
$105.00 |
$113.16 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$402.50 |
$402.50 |
$435.62 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$592.00 |
$592.00 |
$722.20 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$517.00 |
$517.00 |
$602.14 |
$887.25
|
|
Duragen 1x1 5ea/bx
|
$1,465.56 |
$1,465.56 |
$1,593.00 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$193.69 |
$193.69 |
$210.53 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$349.00 |
$349.00 |
$349.00 |
$392.60
|
|
Dx bronchoscope/brush 31623
|
$957.72 |
$957.72 |
$1,051.00 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$641.70 |
$641.70 |
$1,529.00 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$863.42 |
$863.42 |
$1,770.50 |
$2,322.60
|
|
Ear irrigation 69209
|
$117.50 |
$117.50 |
$117.50 |
$149.76
|
|
Ecg 12 lead tracing only
|
$218.96 |
$218.96 |
$221.50 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$74.52 |
$74.52 |
$81.00 |
$135.80
|
|
Ecg external < 48 hours recording
|
$227.70 |
$227.70 |
$347.50 |
$462.00
|