|
Dilate urethra stricture
|
$385.45 |
$385.45 |
$385.45 |
$200.80
|
|
Dilate urethra stricture
|
$727.35 |
$727.35 |
$727.35 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$468.00 |
$468.00 |
$468.00 |
$235.61
|
|
Dilation of anal sphincter
|
$611.00 |
$611.00 |
$611.00 |
$2,166.04
|
|
Dilation of cervical canal 57800
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$4,446.00
|
|
Dilation of rectal stricture 45910
|
$741.00 |
$741.00 |
$741.00 |
$2,491.80
|
|
Dilation of urethra
|
$385.45 |
$385.45 |
$385.45 |
$172.00
|
|
Dilation of urethra
|
$197.60 |
$197.60 |
$197.60 |
$2,424.12
|
|
Dilation of vagina
|
$590.20 |
$590.20 |
$590.20 |
$4,446.00
|
|
Dilation/urethral strict/male/ini 53620
|
$1,995.50 |
$1,995.50 |
$1,995.50 |
$1,372.80
|
|
Dilat xst trc ndurlgc px
|
$722.80 |
$722.80 |
$722.80 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$1,261.00 |
$1,261.00 |
$1,261.00 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$26.70 |
$26.70 |
$26.70 |
$45.60
|
|
Dimenhydrinate injection
|
$30.75 |
$30.75 |
$30.75 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$34.14 |
$34.14 |
$34.14 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$13.65 |
$13.65 |
$13.65 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$287.88 |
$287.88 |
$287.88 |
$98.15
|
|
Dipyridamole injection
|
$4.64 |
$4.64 |
$4.64 |
$48.04
|
|
Disability dlco
|
$542.10 |
$542.10 |
$542.10 |
$293.76
|
|
Disaccharidases
|
$99.45 |
$99.45 |
$99.45 |
$230.40
|
|
Disarticulation shoulder
|
$4,219.80 |
$4,219.80 |
$4,219.80 |
$13,116.76
|
|
Discectomy ant dcmprn cord thoracic 1 ntrspc 63077
|
$5,948.80 |
$5,948.80 |
$5,948.80 |
$3,636.00
|
|
Discography cerv/thor spine
|
$8,758.10 |
$8,758.10 |
$8,758.10 |
$2,565.00
|
|
Dissect brain w/scope
|
$5,519.80 |
$5,519.80 |
$5,519.80 |
$5,519.80
|
|
Dist revas ligation hemo
|
$5,639.40 |
$5,639.40 |
$5,639.40 |
$6,396.89
|
|
Division of fallopian tube 58605
|
$1,372.80 |
$1,372.80 |
$1,372.80 |
$976.50
|
|
Dlyd plmt xtn prosth ea addl
|
$6,670.30 |
$6,670.30 |
$6,670.30 |
$1,810.80
|
|
Dna antibody native/double stranded
|
$61.75 |
$61.75 |
$61.75 |
$100.00
|
|
Dna gardnerella
|
$89.70 |
$89.70 |
$89.70 |
$61.83
|
|
Dna trichomonas
|
$89.70 |
$89.70 |
$89.70 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$0.90 |
$0.90 |
$0.90 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$949.39 |
$949.39 |
$949.39 |
$949.39
|
|
Docetaxel (docivyx), 1 mg
|
$108.86 |
$108.86 |
$108.86 |
$108.86
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$2.07 |
$2.07 |
$2.07 |
$65.40
|
|
Doppler echo complete
|
$866.45 |
$866.45 |
$866.45 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,400.80 |
$3,400.80 |
$3,400.80 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$713.70 |
$713.70 |
$713.70 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$553.15 |
$553.15 |
$553.15 |
$481.65
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$2,871.39 |
$2,871.39 |
$2,871.39 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$820.66 |
$820.66 |
$820.66 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$210.16 |
$210.16 |
$210.16 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$61.62 |
$61.62 |
$61.62 |
$89.34
|
|
Dpyd gene common variants
|
$783.90 |
$783.90 |
$783.90 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$2,104.05 |
$2,104.05 |
$2,104.05 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,829.10 |
$1,829.10 |
$1,829.10 |
$964.00
|
|
Drainage external ear complex 69005
|
$4,212.65 |
$4,212.65 |
$4,212.65 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$1,829.10 |
$1,829.10 |
$1,829.10 |
$790.40
|
|
Drainage lymph node lesion 38300
|
$354.25 |
$354.25 |
$354.25 |
$3,088.80
|
|
Drainage lymph node lesion 38305
|
$1,736.80 |
$1,736.80 |
$1,736.80 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$694.20 |
$694.20 |
$694.20 |
$405.60
|
|
Drainage of arm bursa 23931
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,271.01
|
|
Drainage of bone lesion
|
$3,504.80 |
$3,504.80 |
$3,504.80 |
$2,854.40
|
|
Drainage of bone lesion
|
$2,243.80 |
$2,243.80 |
$2,243.80 |
$3,153.60
|
|
Drainage of eye
|
$6,819.15 |
$6,819.15 |
$6,819.15 |
$2,415.65
|
|
Drainage of forearm bursa
|
$1,107.60 |
$1,107.60 |
$1,107.60 |
$2,170.50
|
|
Drainage of kidney lesion
|
$2,104.05 |
$2,104.05 |
$2,104.05 |
$1,506.00
|
|
Drainage of mouth lesion
|
$694.20 |
$694.20 |
$694.20 |
$535.20
|
|
Drainage of mouth lesion
|
$899.60 |
$899.60 |
$899.60 |
$3,837.72
|
|
Drainage of mouth lesion
|
$1,089.40 |
$1,089.40 |
$1,089.40 |
$6,781.90
|
|
Drainage of nose lesion int 30000
|
$694.20 |
$694.20 |
$694.20 |
$548.00
|
|
Drainage of pelvis bursa
|
$1,835.60 |
$1,835.60 |
$1,835.60 |
$2,840.80
|
|
Drainage of pelvis lesion 26990
|
$2,067.00 |
$2,067.00 |
$2,067.00 |
$3,863.70
|
|
Drainage of prostate abscess
|
$1,947.40 |
$1,947.40 |
$1,947.40 |
$4,081.37
|
|
Drainage of prostate abscess
|
$2,009.80 |
$2,009.80 |
$2,009.80 |
$3,863.60
|
|
Drainage of rectal abscess
|
$525.20 |
$525.20 |
$525.20 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$3,816.64
|
|
Drainage of spinal cyst
|
$5,137.60 |
$5,137.60 |
$5,137.60 |
$5,137.60
|
|
Drainage of urethra abscess 53060
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$251.55 |
$251.55 |
$251.55 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$594.10 |
$594.10 |
$594.10 |
$428.40
|
|
Drain lower leg bursa
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$4,289.60
|
|
Drain lower leg lesion 27603
|
$1,359.80 |
$1,359.80 |
$1,359.80 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$3,339.00
|
|
Drain ovarn cyst abd
|
$1,669.20 |
$1,669.20 |
$1,669.20 |
$3,786.00
|
|
Drain penis lesion
|
$1,393.60 |
$1,393.60 |
$1,393.60 |
$2,244.20
|
|
Drain shoulder bone lesion
|
$2,381.60 |
$2,381.60 |
$2,381.60 |
$3,345.60
|
|
Drain shoulder lesion
|
$902.20 |
$902.20 |
$902.20 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$8,557.25 |
$8,557.25 |
$8,557.25 |
$3,986.00
|
|
Drain thyroid/tongue cyst
|
$3,851.25 |
$3,851.25 |
$3,851.25 |
$1,752.89
|
|
Drain to peritoneal cavity
|
$3,177.20 |
$3,177.20 |
$3,177.20 |
$1,708.74
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$452.40 |
$452.40 |
$452.40 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$387.40 |
$387.40 |
$387.40 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$779.35 |
$779.35 |
$779.35 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$223.60 |
$223.60 |
$223.60 |
$755.08
|
|
Drill hole implt ventricular cath/device 61107
|
$5,633.55 |
$5,633.55 |
$5,633.55 |
$1,485.75
|
|
Drng appendix abscess open 44900
|
$1,191.45 |
$1,191.45 |
$1,191.45 |
$1,752.96
|
|
Drng hand tendon sheath 26020
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$893.75 |
$893.75 |
$893.75 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$2,104.05 |
$2,104.05 |
$2,104.05 |
$867.90
|
|
Drng of mouth lesion 40801
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$1,350.97
|
|
Drng of ovarian cyst(s) 58800
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$3,474.84
|
|
Drng of palm multi bursas 26030
|
$1,625.00 |
$1,625.00 |
$1,625.00 |
$3,839.54
|
|
Drng of palm single bursa 26025
|
$1,320.80 |
$1,320.80 |
$1,320.80 |
$3,839.54
|
|
Drng of pelvic abscess transrectal 45000
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$2,295.30
|
|
Drng of scrotum abscess 55100
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$1,997.89
|
|
Drng open retroperitoneal abscess 49060
|
$4,817.80 |
$4,817.80 |
$4,817.80 |
$1,924.00
|
