|
Diagnostic digital breast tomosynthesis unil
|
$53.65 |
$53.65 |
$53.65 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$93.65 |
$93.65 |
$93.65 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$194.08 |
$194.08 |
$194.08 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$442.60 |
$442.60 |
$442.60 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$221.33 |
$221.33 |
$221.33 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$326.43 |
$326.43 |
$326.43 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$8,891.30 |
$8,891.30 |
$8,891.30 |
$5,741.00
|
|
Dialysis one evaluation
|
$564.68 |
$564.68 |
$564.68 |
$936.00
|
|
Dialysis repeated eval
|
$564.68 |
$564.68 |
$564.68 |
$1,332.80
|
|
Dialysis training complete
|
$390.68 |
$390.68 |
$390.68 |
$783.36
|
|
Dialysis training incompl
|
$195.53 |
$195.53 |
$195.53 |
$391.67
|
|
Diatrizoate meglumine 18 % urethral solution
|
$127.50 |
$127.50 |
$127.50 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$126.60 |
$126.60 |
$126.60 |
$79.71
|
|
Dicyclomine injection
|
$203.85 |
$203.85 |
$203.85 |
$154.33
|
|
Diffusing capacity
|
$428.03 |
$428.03 |
$428.03 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$318.48 |
$318.48 |
$318.48 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$8,843.78 |
$8,843.78 |
$8,843.78 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$99.35 |
$99.35 |
$99.35 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$2,187.13 |
$2,187.13 |
$2,187.13 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$2,794.88 |
$2,794.88 |
$2,794.88 |
$1,866.73
|
|
Dilate ic vasospasm init
|
$6,956.20 |
$6,956.20 |
$6,956.20 |
$5,151.95
|
|
Dilate urethra stricture
|
$211.53 |
$211.53 |
$211.53 |
$513.00
|
|
Dilate urethra stricture
|
$44.30 |
$44.30 |
$44.30 |
$200.80
|
|
Dilation of cervical canal 57800
|
$3,788.80 |
$3,788.80 |
$3,788.80 |
$4,446.00
|
|
Dilation salivary duct 42650
|
$537.25 |
$537.25 |
$537.25 |
$2,675.71
|
|
Dilation/urethral strict/male/ini 53620
|
$3,345.25 |
$3,345.25 |
$3,345.25 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$8.50 |
$8.50 |
$8.50 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$2,775.98 |
$2,775.98 |
$2,775.98 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$4,258.20 |
$4,258.20 |
$4,258.20 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$57.50 |
$57.50 |
$57.50 |
$45.60
|
|
Dimecaprol injection
|
$390.78 |
$390.78 |
$390.78 |
$314.63
|
|
Dimenhydrinate injection
|
$14.03 |
$14.03 |
$14.03 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,349.30 |
$1,349.30 |
$1,349.30 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$34.50 |
$34.50 |
$34.50 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$153.43 |
$153.43 |
$153.43 |
$98.15
|
|
Dipyridamole injection
|
$64.68 |
$64.68 |
$64.68 |
$48.04
|
|
Disability dlco
|
$89.40 |
$89.40 |
$89.40 |
$293.76
|
|
Disaccharidases
|
$398.33 |
$398.33 |
$398.33 |
$230.40
|
|
Dissolve clot heart vessel
|
$12,141.00 |
$12,141.00 |
$12,141.00 |
$1,579.93
|
|
Dlyd plmt xtn prosth ea addl
|
$921.93 |
$921.93 |
$921.93 |
$1,810.80
|
|
Dmd dup/delet analysis
|
$629.20 |
$629.20 |
$629.20 |
$418.50
|
|
Dmpk gene detc abnor allele
|
$1,952.30 |
$1,952.30 |
$1,952.30 |
$313.60
|
|
Dna antibody native/double stranded
|
$119.50 |
$119.50 |
$119.50 |
$100.00
|
|
Dna gardnerella
|
$80.60 |
$80.60 |
$80.60 |
$61.83
|
|
Dna trichomonas
|
$80.60 |
$80.60 |
$80.60 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$79.25 |
$79.25 |
$79.25 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$733.75 |
$733.75 |
$733.75 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$72.50 |
$72.50 |
$72.50 |
$65.40
|
|
Doppler echo complete
|
$472.23 |
$472.23 |
$472.23 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,752.38 |
$3,752.38 |
$3,752.38 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$748.83 |
$748.83 |
$748.83 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$506.68 |
$506.68 |
$506.68 |
$481.65
|
|
Dornase alfa non-comp unit
|
$324.43 |
$324.43 |
$324.43 |
$356.00
|
|
Dornhoffer fixed part w/window
|
$5,750.00 |
$5,750.00 |
$5,750.00 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$23,613.78 |
$23,613.78 |
$23,613.78 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$572.13 |
$572.13 |
$572.13 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$3,160.50 |
$3,160.50 |
$3,160.50 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$84.80 |
$84.80 |
$84.80 |
$89.34
|
|
Dpyd gene common variants
|
$380.50 |
$380.50 |
$380.50 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$370.48 |
$370.48 |
$370.48 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$220.15 |
$220.15 |
$220.15 |
$964.00
|
|
Drainage external ear complex 69005
|
$902.18 |
$902.18 |
$902.18 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$363.90 |
$363.90 |
$363.90 |
$790.40
|
|
Drainage lymph node lesion 38300
|
$2,986.75 |
$2,986.75 |
$2,986.75 |
$3,088.80
|
|
Drainage mouth roof lesion
|
$364.53 |
$364.53 |
$364.53 |
$405.60
|
|
Drainage of arm bursa 23931
|
$1,616.05 |
$1,616.05 |
$1,616.05 |
$2,271.01
|
|
Drainage of eye
|
$1,779.00 |
$1,779.00 |
$1,779.00 |
$2,415.65
|
|
Drainage of kidney lesion
|
$1,021.75 |
$1,021.75 |
$1,021.75 |
$1,506.00
|
|
Drainage of mouth lesion
|
$2,047.08 |
$2,047.08 |
$2,047.08 |
$2,320.03
|
|
Drainage of mouth lesion
|
$2,843.73 |
$2,843.73 |
$2,843.73 |
$3,837.72
|
|
Drainage of mouth lesion
|
$1,306.00 |
$1,306.00 |
$1,306.00 |
$905.30
|
|
Drainage of nose lesion int 30000
|
$548.00 |
$548.00 |
$548.00 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$755.95 |
$755.95 |
$755.95 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$5,877.93 |
$5,877.93 |
$5,877.93 |
$3,863.70
|
|
Drainage of rectal abscess
|
$2,353.33 |
$2,353.33 |
$2,353.33 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$2,061.30 |
$2,061.30 |
$2,061.30 |
$3,816.64
|
|
Drainage of urethra abscess 53060
|
$3,658.75 |
$3,658.75 |
$3,658.75 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$106.90 |
$106.90 |
$106.90 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$108.20 |
$108.20 |
$108.20 |
$182.40
|
|
Drain cath image guided visceral pq
|
$3,073.90 |
$3,073.90 |
$3,073.90 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$789.60 |
$789.60 |
$789.60 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$314.38 |
$314.38 |
$314.38 |
$428.40
|
|
Drain lower leg lesion 27603
|
$3,631.18 |
$3,631.18 |
$3,631.18 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$3,206.78 |
$3,206.78 |
$3,206.78 |
$3,339.00
|
|
Drain penis lesion
|
$1,645.33 |
$1,645.33 |
$1,645.33 |
$2,244.20
|
|
Drain thigh/knee lesion 27301
|
$2,469.15 |
$2,469.15 |
$2,469.15 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$209.20 |
$209.20 |
$209.20 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$227.30 |
$227.30 |
$227.30 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$280.65 |
$280.65 |
$280.65 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$1,579.33 |
$1,579.33 |
$1,579.33 |
$755.08
|
|
Drill hole implt ventricular cath/device 61107
|
$718.43 |
$718.43 |
$718.43 |
$1,485.75
|
|
Drng of eyelid abscess 67700
|
$452.20 |
$452.20 |
$452.20 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,526.93 |
$1,526.93 |
$1,526.93 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$556.20 |
$556.20 |
$556.20 |
$867.90
|
|
Drng of scrotum abscess 55100
|
$1,295.15 |
$1,295.15 |
$1,295.15 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$2,353.80 |
$2,353.80 |
$2,353.80 |
$2,039.50
|
|
Dronabinol 2.5mg oral
|
$672.50 |
$672.50 |
$672.50 |
$17.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$23.38 |
$23.38 |
$23.38 |
$31.25
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$20.20 |
$20.20 |
$20.20 |
$53.60
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$2,050.00 |
$2,050.00 |
$2,050.00 |
$376.50
|
