|
Dicyclomine injection
|
$135.49 |
$203.85 |
$265.64 |
|
|
Diffusing capacity
|
$237.00 |
$428.03 |
$782.00 |
|
|
Digital analysis of eeg
|
$457.50 |
$457.50 |
$457.50 |
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$26.36 |
$318.48 |
$318.48 |
|
|
Digoxin immune fab 40 mg intravenous solution
|
$8,843.78 |
$8,843.78 |
$8,843.78 |
|
|
Digoxin total therapeutic drug level
|
$99.35 |
$99.35 |
$174.62 |
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$2,187.13 |
$2,187.13 |
$2,187.13 |
|
|
Dilate biliary duct/ampulla
|
$437.00 |
$2,794.88 |
$2,794.88 |
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$5,934.00 |
$5,934.00 |
$5,934.00 |
|
|
Dilate ic vasospasm ea add vsl same territory
|
$5,934.00 |
$5,934.00 |
$5,934.00 |
|
|
Dilate ic vasospasm init
|
$6,956.20 |
$6,956.20 |
$8,309.00 |
|
|
Dilate urethra stricture
|
$211.53 |
$211.53 |
$588.00 |
|
|
Dilate urethra stricture
|
$44.30 |
$44.30 |
$344.00 |
|
|
Dilation/female urethra/initial 53660
|
$260.50 |
$260.50 |
$260.50 |
|
|
Dilation of cervical canal 57800
|
$3,788.80 |
$3,788.80 |
$3,788.80 |
|
|
Dilation salivary duct 42650
|
$537.25 |
$537.25 |
$2,066.50 |
|
|
Dilation/urethral strict/male/ini 53620
|
$804.50 |
$3,345.25 |
$3,345.25 |
|
|
Dilator fascial 10fx20cm
|
$8.50 |
$8.50 |
$402.10 |
|
|
Dilat xst trc ndurlgc px
|
$2,775.98 |
$2,775.98 |
$2,871.00 |
|
|
Dilat xst trc new access rcs
|
$3,158.50 |
$4,258.20 |
$4,258.20 |
|
|
Diltiazem 5 mg/ml intravenous solution
|
$57.50 |
$57.50 |
$57.50 |
|
|
Dimecaprol injection
|
$390.78 |
$390.78 |
$390.78 |
|
|
Dimenhydrinate injection
|
$14.03 |
$14.03 |
$14.03 |
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,349.30 |
$1,349.30 |
$1,349.30 |
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$22.71 |
$34.50 |
$34.50 |
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$153.43 |
$153.43 |
$153.43 |
|
|
Dipyridamole injection
|
$64.68 |
$64.68 |
$64.68 |
|
|
Disability dlco
|
$89.40 |
$89.40 |
$488.00 |
|
|
Disaccharidases
|
$234.50 |
$398.33 |
$398.33 |
|
|
Discography cerv/thor spine
|
$2,008.50 |
$2,008.50 |
$2,008.50 |
|
|
Dissolve clot heart vessel
|
$12,141.00 |
$12,141.00 |
$12,141.00 |
|
|
Dlyd plmt xtn prosth ea addl
|
$921.93 |
$921.93 |
$2,607.00 |
|
|
Dmd dup/delet analysis
|
$629.20 |
$629.20 |
$629.20 |
|
|
Dmpk gene detc abnor allele
|
$1,952.30 |
$1,952.30 |
$1,952.30 |
|
|
Dna antibody native/double stranded
|
$119.50 |
$119.50 |
$218.50 |
|
|
Dna gardnerella
|
$80.60 |
$80.60 |
$146.50 |
|
|
Dna trichomonas
|
$80.60 |
$80.60 |
$146.50 |
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$79.25 |
$79.25 |
$354.96 |
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$368.36 |
$733.75 |
$1,055.19 |
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$72.50 |
$72.50 |
$121.37 |
|
|
Doppler echo complete
|
$451.00 |
$472.23 |
$1,174.53 |
|
|
Doppler intravascular pressure flow initial vessel
|
$1,583.50 |
$3,752.38 |
$3,752.38 |
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$567.00 |
$748.83 |
$1,568.00 |
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$360.00 |
$506.68 |
$1,248.00 |
|
|
Dornase alfa non-comp unit
|
$324.43 |
$324.43 |
$324.43 |
|
|
Dornhoffer fixed part w/window
|
$5,750.00 |
$5,750.00 |
$5,750.00 |
|
|
Dorsi & plantar flex ass/res
|
$67.28 |
$67.28 |
$67.28 |
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$23,613.78 |
$23,613.78 |
$57,544.21 |
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$92.73 |
$572.13 |
$572.13 |
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$3,160.50 |
$3,160.50 |
$11,126.64 |
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$84.80 |
$84.80 |
$84.80 |
|
|
Dpyd gene common variants
|
$380.50 |
$380.50 |
$1,369.00 |
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$358.00 |
$370.48 |
$1,247.00 |
|
|
Drainage ext aud canal abscess 69020
|
$220.15 |
$220.15 |
$359.00 |
|
|
Drainage external ear complex 69005
|
$902.18 |
$902.18 |
$10,544.00 |
|
|
Drainage external ear simple 69000
|
$359.00 |
$363.90 |
$815.00 |
|
|
Drainage lymph node lesion 38300
|
$2,986.75 |
$2,986.75 |
$2,986.75 |
|
|
Drainage mouth roof lesion
|
$288.50 |
$364.53 |
$1,832.00 |
|
|
Drainage of arm bursa 23931
|
$1,616.05 |
$1,616.05 |
$4,890.90 |
|
|
Drainage of eye
|
$1,215.50 |
$1,779.00 |
$1,779.00 |
|
|
Drainage of eye
|
$2,790.50 |
$2,790.50 |
$2,790.50 |
|
|
Drainage of kidney lesion
|
$1,021.75 |
$1,021.75 |
$1,405.50 |
|
|
Drainage of mouth lesion
|
$353.50 |
$353.50 |
$353.50 |
|
|
Drainage of mouth lesion
|
$2,027.50 |
$2,047.08 |
$2,047.08 |
|
|
Drainage of mouth lesion
|
$2,072.50 |
$2,843.73 |
$2,843.73 |
|
|
Drainage of mouth lesion
|
$553.00 |
$1,306.00 |
$3,495.00 |
|
|
Drainage of mouth lesion
|
$2,889.00 |
$2,889.00 |
$2,889.00 |
|
|
Drainage of mouth lesion
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
|
|
Drainage of mouth lesion
|
$1,847.50 |
$1,847.50 |
$1,847.50 |
|
|
Drainage of nose lesion int 30000
|
$548.00 |
$548.00 |
$1,626.00 |
|
|
Drainage of nose lesion sept 30020
|
$620.00 |
$755.95 |
$755.95 |
|
|
Drainage of pelvis lesion 26990
|
$5,877.93 |
$5,877.93 |
$25,037.00 |
|
|
Drainage of rectal abscess
|
$1,187.00 |
$2,353.33 |
$2,353.33 |
|
|
Drainage of rectal abscess 45020
|
$2,061.30 |
$2,061.30 |
$2,061.30 |
|
|
Drainage of urethra abscess 53060
|
$1,524.50 |
$3,658.75 |
$3,658.75 |
|
|
Drain bladder by trocar/cath
|
$106.90 |
$106.90 |
$106.90 |
|
|
Drain blood from under nail 11740
|
$108.20 |
$108.20 |
$316.00 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,992.50 |
$1,992.50 |
$1,992.50 |
|
|
Drain cath image guided visceral pq
|
$2,054.00 |
$3,073.90 |
$5,597.00 |
|
|
Drain cerebro spinal fluid 62272
|
$789.60 |
$789.60 |
$1,069.50 |
|
|
Drain chst dry seal exp thorastat
|
$74.52 |
$74.52 |
$74.52 |
|
|
Drain finger abscess;simple 26010
|
$156.00 |
$314.38 |
$1,542.00 |
|
|
Drain lower leg lesion 27603
|
$3,251.50 |
$3,631.18 |
$17,700.00 |
|
|
Drain neck/chest lesion 21501
|
$2,284.50 |
$3,206.78 |
$3,206.78 |
|
|
Drain ostomy pouch w/flange
|
$8.80 |
$8.80 |
$8.80 |
|
|
Drain penis lesion
|
$1,645.33 |
$1,645.33 |
$1,645.33 |
|
|
Drain thigh/knee lesion 27301
|
$2,175.00 |
$2,469.15 |
$2,469.15 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$209.20 |
$209.20 |
$1,359.00 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$227.30 |
$227.30 |
$558.60 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$280.65 |
$280.65 |
$517.50 |
|
|
Dressing change not for burn w/anes 15852
|
$697.50 |
$1,579.33 |
$1,579.33 |
|
|
Drill hole implt ventricular cath/device 61107
|
$718.43 |
$718.43 |
$3,683.50 |
|
|
Drng hand tendon sheath 26020
|
$4,589.50 |
$4,589.50 |
$4,589.50 |
|
|
Drng of eyelid abscess 67700
|
$452.20 |
$452.20 |
$1,991.00 |
|
|
Drng of finger abscess comp 26011
|
$1,070.50 |
$1,526.93 |
$10,544.00 |
|
|
Drng of hydrocele 55000
|
$556.20 |
$556.20 |
$6,401.00 |
|
|
Drng of mouth lesion 40801
|
$1,392.50 |
$1,392.50 |
$1,392.50 |
|
|
Drng of ovarian cyst(s) 58800
|
$2,410.00 |
$2,410.00 |
$2,410.00 |
|
|
Drng of scrotum abscess 55100
|
$1,295.15 |
$1,295.15 |
$11,949.00 |
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
|