|
Diagnostic anoscopy spx 46600
|
$264.80 |
$264.80 |
$264.80 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$454.40 |
$454.40 |
$454.40 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$433.60 |
$433.60 |
$433.60 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$304.80 |
$304.80 |
$304.80 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$475.20 |
$475.20 |
$475.20 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$465.60 |
$465.60 |
$465.60 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$419.20 |
$419.20 |
$419.20 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$766.40 |
$766.40 |
$766.40 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$18,169.60 |
$18,169.60 |
$18,169.60 |
$5,741.00
|
|
Dialysis one evaluation
|
$920.00 |
$920.00 |
$920.00 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$60.00 |
$60.00 |
$60.00 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$33.60 |
$33.60 |
$33.60 |
$79.71
|
|
Dicyclomine injection
|
$70.08 |
$70.08 |
$70.08 |
$154.33
|
|
Diffusing capacity
|
$364.80 |
$364.80 |
$364.80 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$181.44 |
$181.44 |
$181.44 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$5,266.96 |
$5,266.96 |
$5,266.96 |
$10,279.62
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$361.34 |
$361.34 |
$361.34 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$4,924.00 |
$4,924.00 |
$4,924.00 |
$1,866.73
|
|
Dilate urethra stricture
|
$618.40 |
$618.40 |
$618.40 |
$513.00
|
|
Dilate urethra stricture
|
$201.60 |
$201.60 |
$201.60 |
$200.80
|
|
Dilate urethra stricture
|
$4,020.80 |
$4,020.80 |
$4,020.80 |
$3,863.60
|
|
Dilate urethra stricture
|
$479.20 |
$479.20 |
$479.20 |
$343.55
|
|
Dilation/urethral strict/male/ini 53620
|
$3,261.60 |
$3,261.60 |
$3,261.60 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$597.00 |
$597.00 |
$597.00 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$7,204.00 |
$7,204.00 |
$7,204.00 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$8,915.20 |
$8,915.20 |
$8,915.20 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$35.60 |
$35.60 |
$35.60 |
$45.60
|
|
Dimenhydrinate injection
|
$27.81 |
$27.81 |
$27.81 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$491.85 |
$491.85 |
$491.85 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$27.57 |
$27.57 |
$27.57 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$91.53 |
$91.53 |
$91.53 |
$98.15
|
|
Discography cerv/thor spine
|
$3,023.20 |
$3,023.20 |
$3,023.20 |
$2,565.00
|
|
Dlyd plmt xtn prosth ea addl
|
$4,280.00 |
$4,280.00 |
$4,280.00 |
$1,810.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$69.20 |
$69.20 |
$69.20 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$848.95 |
$848.95 |
$848.95 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$91.20 |
$91.20 |
$91.20 |
$65.40
|
|
Doppler echo complete
|
$276.00 |
$276.00 |
$276.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$2,106.40 |
$2,106.40 |
$2,106.40 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$823.20 |
$823.20 |
$823.20 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$707.20 |
$707.20 |
$707.20 |
$481.65
|
|
Dornase alfa non-comp unit
|
$111.28 |
$111.28 |
$111.28 |
$356.00
|
|
Dornhoffer fixed part w/window
|
$48,664.00 |
$48,664.00 |
$48,664.00 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$12,059.65 |
$12,059.65 |
$12,059.65 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$375.48 |
$375.48 |
$375.48 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,727.00 |
$2,727.00 |
$2,727.00 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$58.09 |
$58.09 |
$58.09 |
$89.34
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$912.00 |
$912.00 |
$912.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,079.20 |
$1,079.20 |
$1,079.20 |
$964.00
|
|
Drainage external ear complex 69005
|
$2,643.20 |
$2,643.20 |
$2,643.20 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$1,069.60 |
$1,069.60 |
$1,069.60 |
$790.40
|
|
Drainage lymph node lesion 38300
|
$3,300.80 |
$3,300.80 |
$3,300.80 |
$3,088.80
|
|
Drainage mouth roof lesion
|
$408.80 |
$408.80 |
$408.80 |
$405.60
|
|
Drainage of arm bursa 23931
|
$3,597.60 |
$3,597.60 |
$3,597.60 |
$2,271.01
|
|
Drainage of kidney lesion
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$1,506.00
|
|
Drainage of mouth lesion
|
$3,908.00 |
$3,908.00 |
$3,908.00 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$351.20 |
$351.20 |
$351.20 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,297.60 |
$1,297.60 |
$1,297.60 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$4,949.60 |
$4,949.60 |
$4,949.60 |
$3,863.70
|
|
Drainage of rectal abscess
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$2,135.10
|
|
Drain bladder by trocar/cath
|
$2,008.80 |
$2,008.80 |
$2,008.80 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$193.60 |
$193.60 |
$193.60 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,559.20 |
$2,559.20 |
$2,559.20 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$3,524.80 |
$3,524.80 |
$3,524.80 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$1,405.60 |
$1,405.60 |
$1,405.60 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$336.00 |
$336.00 |
$336.00 |
$428.40
|
|
Drain lower leg lesion 27603
|
$4,760.00 |
$4,760.00 |
$4,760.00 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$4,952.80 |
$4,952.80 |
$4,952.80 |
$3,339.00
|
|
Drain thigh/knee lesion 27301
|
$4,796.80 |
$4,796.80 |
$4,796.80 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$384.00 |
$384.00 |
$384.00 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$399.20 |
$399.20 |
$399.20 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$610.40 |
$610.40 |
$610.40 |
$541.00
|
|
Drill hole implt ventricular cath/device 61107
|
$2,850.40 |
$2,850.40 |
$2,850.40 |
$1,485.75
|
|
Drng of eyelid abscess 67700
|
$589.60 |
$589.60 |
$589.60 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,690.40 |
$2,690.40 |
$2,690.40 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$888.80 |
$888.80 |
$888.80 |
$867.90
|
|
Drng of palm single bursa 26025
|
$4,783.20 |
$4,783.20 |
$4,783.20 |
$3,839.54
|
|
Drng of scrotum abscess 55100
|
$2,702.40 |
$2,702.40 |
$2,702.40 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$3,083.20 |
$3,083.20 |
$3,083.20 |
$2,039.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$62.40 |
$62.40 |
$62.40 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,392.89 |
$1,392.89 |
$1,392.89 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$51.14 |
$51.14 |
$51.14 |
$119.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$20.47 |
$20.47 |
$20.47 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$463.05 |
$463.05 |
$463.05 |
$193.15
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$182.38 |
$182.38 |
$182.38 |
$7,465.97
|
|
Drug admin & hemodynmic meas
|
$801.60 |
$801.60 |
$801.60 |
$569.75
|
|
Dstrj nulyt agt gnclr nrv
|
$3,020.80 |
$3,020.80 |
$3,020.80 |
$2,980.00
|
|
Ductogram sgl duct
|
$531.20 |
$531.20 |
$531.20 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$826.40 |
$826.40 |
$826.40 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$696.80 |
$696.80 |
$696.80 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$696.80 |
$696.80 |
$696.80 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$845.60 |
$845.60 |
$845.60 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,071.20 |
$1,071.20 |
$1,071.20 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$3,958.81 |
$3,958.81 |
$3,958.81 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$212.80 |
$212.80 |
$212.80 |
$401.20
|
|
Dx bronchoscope/brush 31623
|
$3,076.00 |
$3,076.00 |
$3,076.00 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$2,716.00 |
$2,716.00 |
$2,716.00 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$2,605.60 |
$2,605.60 |
$2,605.60 |
$2,410.50
|
|
Ear irrigation 69209
|
$141.60 |
$141.60 |
$141.60 |
$154.70
|
|
Ecallantide injection
|
$14,255.84 |
$14,255.84 |
$14,255.84 |
$13,357.14
|
|
Ecg/1-3 leads/tracing only 93041
|
$103.20 |
$103.20 |
$103.20 |
$132.08
|