|
Disarticulation sho sec clsr
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
|
|
Disarticulation shoulder
|
$13,116.76 |
$13,116.76 |
$13,116.76 |
|
|
Discography cerv/thor spine
|
$2,310.83 |
$2,310.83 |
$7,106.00 |
|
|
Dise eval slp do brth flx dx
|
$2,040.67 |
$2,040.67 |
$2,040.67 |
|
|
Dis site tele svcs rhc/fqhc
|
$216.27 |
$216.27 |
$216.27 |
|
|
Dist revas ligation hemo
|
$6,396.89 |
$6,396.89 |
$6,396.89 |
|
|
Diverticulectomy/hypophar/esoph 43130
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
|
|
Division of fallopian tube 58605
|
$1,847.98 |
$1,847.98 |
$1,847.98 |
|
|
Dlyd plmt xtn prosth ea addl
|
$5,864.93 |
$5,864.93 |
$7,218.38 |
|
|
Dmd dup/delet analysis
|
$279.00 |
$279.00 |
$279.00 |
|
|
Dmpk gene charac alleles
|
$274.83 |
$274.83 |
$274.83 |
|
|
Dmpk gene detc abnor allele
|
$137.00 |
$137.00 |
$448.31 |
|
|
Dna antibody native/double stranded
|
$13.74 |
$13.74 |
$336.00 |
|
|
Dna gardnerella
|
$20.05 |
$20.05 |
$169.00 |
|
|
Dna probe chlamydia
|
$22.75 |
$22.75 |
$89.32 |
|
|
Dna probe gc
|
$26.88 |
$26.88 |
$96.97 |
|
|
Dna trichomonas
|
$20.05 |
$20.05 |
$169.00 |
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$0.08 |
$10.08 |
$49.80 |
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$28.64 |
$28.64 |
$60.40 |
|
|
Docetaxel (docivyx), 1 mg
|
$50.99 |
$50.99 |
$50.99 |
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$0.09 |
$0.09 |
$42.60 |
|
|
Doppler echo complete
|
$177.74 |
$332.24 |
$2,195.00 |
|
|
Doppler intravascular pressure flow initial vessel
|
$26.00 |
$812.74 |
$3,909.45 |
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$185.15 |
$220.60 |
$1,789.00 |
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$152.54 |
$152.54 |
$1,790.00 |
|
|
Doripenem 50 mg/ml inj 10 ml
|
$3.00 |
$70.08 |
$70.08 |
|
|
Dornase alfa non-comp unit
|
$170.01 |
$170.01 |
$170.01 |
|
|
Dornhoffer fixed part w/window
|
$36,623.70 |
$36,623.70 |
$45,075.32 |
|
|
Dorsi & plantar flex ass/res
|
$166.66 |
$166.66 |
$205.12 |
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$236.40 |
$236.40 |
$4,047.09 |
|
|
Double transfer toe-hand
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$6.04 |
$6.04 |
$57.20 |
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$118.30 |
$133.08 |
$1,388.40 |
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$0.78 |
$0.78 |
$0.78 |
|
|
Dpyd gene common variants
|
$174.81 |
$174.81 |
$1,535.40 |
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$518.48 |
$832.60 |
$2,165.00 |
|
|
Drainage ext aud canal abscess 69020
|
$832.60 |
$832.60 |
$1,912.34 |
|
|
Drainage external ear complex 69005
|
$1,917.33 |
$1,917.33 |
$8,849.00 |
|
|
Drainage external ear simple 69000
|
$218.40 |
$832.60 |
$4,506.00 |
|
|
Drainage lymph node lesion 38300
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
|
|
Drainage lymph node lesion 38305
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
|
|
Drainage mouth roof lesion
|
$274.80 |
$274.80 |
$3,780.60 |
|
|
Drainage of arm bursa 23931
|
$1,223.40 |
$1,917.33 |
$4,919.31 |
|
|
Drainage of bladder abscess
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
|
|
Drainage of bone lesion
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
|
|
Drainage of bone lesion
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
|
|
Drainage of eye
|
$2,698.92 |
$2,698.92 |
$4,946.91 |
|
|
Drainage of eye
|
$2,698.92 |
$2,698.92 |
$3,682.33 |
|
|
Drainage of eye
|
$2,698.92 |
$2,698.92 |
$2,698.92 |
|
|
Drainage of forearm bursa
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
|
|
Drainage of kidney lesion
|
$622.80 |
$832.60 |
$5,904.00 |
|
|
Drainage of mouth lesion
|
$274.80 |
$274.80 |
$736.00 |
|
|
Drainage of mouth lesion
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
|
|
Drainage of mouth lesion
|
$1,752.89 |
$1,752.89 |
$5,062.00 |
|
|
Drainage of mouth lesion
|
$2,810.00 |
$3,837.72 |
$7,390.54 |
|
|
Drainage of mouth lesion
|
$602.63 |
$602.63 |
$1,619.00 |
|
|
Drainage of mouth lesion
|
$602.63 |
$602.63 |
$1,628.32 |
|
|
Drainage of mouth lesion
|
$7,000.36 |
$7,000.36 |
$14,293.47 |
|
|
Drainage of mouth lesion
|
$2,850.60 |
$3,837.72 |
$4,858.50 |
|
|
Drainage of mouth lesion
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
|
|
Drainage of nose lesion int 30000
|
$274.80 |
$274.80 |
$681.00 |
|
|
Drainage of nose lesion sept 30020
|
$602.63 |
$602.63 |
$8,451.00 |
|
|
Drainage of pelvis bursa
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
|
|
Drainage of pelvis lesion 26990
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Drainage of prostate abscess
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Drainage of prostate abscess
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Drainage of prostate abscess
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Drainage of rectal abscess
|
$771.60 |
$1,395.28 |
$9,253.00 |
|
|
Drainage of rectal abscess 45020
|
$3,245.23 |
$3,245.23 |
$9,142.00 |
|
|
Drainage of salivary gland
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
|
|
Drainage of salivary gland
|
$602.63 |
$602.63 |
$602.63 |
|
|
Drainage of throat abscess
|
$7,000.36 |
$7,000.36 |
$9,633.61 |
|
|
Drainage of urethra abscess
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Drainage of urethra abscess 53060
|
$2,424.12 |
$2,424.12 |
$6,575.00 |
|
|
Drainage of urinary leakage
|
$789.86 |
$789.86 |
$789.86 |
|
|
Drainage of urinary leakage
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
|
|
Drain bladder by trocar/cath
|
$1,203.94 |
$1,203.94 |
$3,243.02 |
|
|
Drain blood from under nail 11740
|
$27.00 |
$152.54 |
$360.21 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,917.33 |
$1,917.33 |
$4,919.31 |
|
|
Drain cath image guided visceral pq
|
$1,274.40 |
$1,917.33 |
$4,919.31 |
|
|
Drain cerebro spinal fluid 62272
|
$791.40 |
$819.50 |
$5,394.00 |
|
|
Drain chest lesion
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Drain finger abscess;simple 26010
|
$89.40 |
$235.13 |
$1,191.00 |
|
|
Drain lower leg bursa
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Drain lower leg lesion 27603
|
$3,386.84 |
$3,386.84 |
$7,746.22 |
|
|
Drain neck/chest lesion 21501
|
$3,386.84 |
$3,386.84 |
$7,541.73 |
|
|
Drain ovarn cyst abd
|
$3,762.53 |
$3,762.53 |
$12,605.00 |
|
|
Drain ovary abscess open
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
|
|
Drain penis lesion
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
|
|
Drain shoulder bone lesion
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
|
|
Drain shoulder bursa 23031
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
|
|
Drain shoulder lesion
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
|
|
Drain thigh/knee lesion 27301
|
$1,914.60 |
$3,386.84 |
$14,194.00 |
|
|
Drain thyroid/tongue cyst
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$97.20 |
$235.13 |
$1,127.00 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$97.20 |
$235.13 |
$1,437.00 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$472.79 |
$472.79 |
$1,801.00 |
|
|
Dressing change not for burn w/anes 15852
|
$724.37 |
$724.37 |
$755.08 |
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Drm agrft t/a/l ea addl
|
$4,141.43 |
$4,141.43 |
$4,141.43 |
|