|
Dicyclomine injection
|
$310.41 |
$310.41 |
$310.41 |
$154.33
|
|
Diffusing capacity
|
$504.00 |
$504.00 |
$504.00 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$472.14 |
$472.14 |
$472.14 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$17,050.66 |
$17,050.66 |
$17,050.66 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$138.75 |
$138.75 |
$138.75 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$297.86 |
$297.86 |
$297.86 |
$297.86
|
|
Dilate esophagus 1/mult pass
|
$1,548.00 |
$1,548.00 |
$1,548.00 |
$1,548.00
|
|
Dilate urethra stricture
|
$513.00 |
$513.00 |
$513.00 |
$513.00
|
|
Dilation/female urethra/initial 53660
|
$387.75 |
$387.75 |
$387.75 |
$235.61
|
|
Dilation of rectal stricture 45910
|
$1,375.50 |
$1,375.50 |
$1,375.50 |
$2,491.80
|
|
Dilator fascial 10fx20cm
|
$291.87 |
$291.87 |
$291.87 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$107.23 |
$107.23 |
$107.23 |
$45.60
|
|
Dimenhydrinate injection
|
$17.32 |
$17.32 |
$17.32 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$2,501.55 |
$2,501.55 |
$2,501.55 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$36.98 |
$36.98 |
$36.98 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$5.92 |
$5.92 |
$5.92 |
$18.32
|
|
Dipyridamole injection
|
$64.49 |
$64.49 |
$64.49 |
$48.04
|
|
Disability dlco
|
$340.50 |
$340.50 |
$340.50 |
$293.76
|
|
Disaccharidases
|
$1,265.25 |
$1,265.25 |
$1,265.25 |
$230.40
|
|
Discography cerv/thor spine
|
$2,691.00 |
$2,691.00 |
$2,691.00 |
$2,565.00
|
|
Dlyd plmt xtn prosth ea addl
|
$6,681.75 |
$6,681.75 |
$6,681.75 |
$1,810.80
|
|
Dmd dup/delet analysis
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$418.50
|
|
Dmpk gene detc abnor allele
|
$613.50 |
$613.50 |
$613.50 |
$313.60
|
|
Dna antibody native/double stranded
|
$131.25 |
$131.25 |
$131.25 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$130.35 |
$130.35 |
$130.35 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,164.72 |
$1,164.72 |
$1,164.72 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$98.91 |
$98.91 |
$98.91 |
$65.40
|
|
Doppler echo complete
|
$498.00 |
$498.00 |
$498.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,066.75 |
$3,066.75 |
$3,066.75 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$946.50 |
$946.50 |
$946.50 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$885.00 |
$885.00 |
$885.00 |
$481.65
|
|
Dornase alfa non-comp unit
|
$479.80 |
$479.80 |
$479.80 |
$356.00
|
|
Dornhoffer fixed part w/window
|
$77,636.25 |
$77,636.25 |
$77,636.25 |
$34,278.00
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$901.65 |
$901.65 |
$901.65 |
$450.14
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$89.34 |
$89.34 |
$89.34 |
$89.34
|
|
Dpyd gene common variants
|
$354.00 |
$354.00 |
$354.00 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$820.50 |
$820.50 |
$820.50 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$820.50 |
$820.50 |
$820.50 |
$964.00
|
|
Drainage external ear complex 69005
|
$4,074.75 |
$4,074.75 |
$4,074.75 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$741.00 |
$741.00 |
$741.00 |
$790.40
|
|
Drainage mouth roof lesion
|
$282.00 |
$282.00 |
$282.00 |
$405.60
|
|
Drainage of arm bursa 23931
|
$2,638.50 |
$2,638.50 |
$2,638.50 |
$2,271.01
|
|
Drainage of eye
|
$2,702.25 |
$2,702.25 |
$2,702.25 |
$3,170.00
|
|
Drainage of kidney lesion
|
$1,989.75 |
$1,989.75 |
$1,989.75 |
$1,506.00
|
|
Drainage of mouth lesion
|
$3,731.25 |
$3,731.25 |
$3,731.25 |
$3,837.72
|
|
Drainage of mouth lesion
|
$3,946.50 |
$3,946.50 |
$3,946.50 |
$3,459.00
|
|
Drainage of nose lesion int 30000
|
$283.50 |
$283.50 |
$283.50 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$637.50 |
$637.50 |
$637.50 |
$781.44
|
|
Drain blood from under nail 11740
|
$257.25 |
$257.25 |
$257.25 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$3,255.75 |
$3,255.75 |
$3,255.75 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$1,416.75 |
$1,416.75 |
$1,416.75 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$228.75 |
$228.75 |
$228.75 |
$428.40
|
|
Drain lower leg lesion 27603
|
$3,269.25 |
$3,269.25 |
$3,269.25 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$3,293.25 |
$3,293.25 |
$3,293.25 |
$3,339.00
|
|
Drain ovarn cyst abd
|
$4,305.75 |
$4,305.75 |
$4,305.75 |
$3,786.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$350.25 |
$350.25 |
$350.25 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$338.25 |
$338.25 |
$338.25 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$417.00 |
$417.00 |
$417.00 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$716.25 |
$716.25 |
$716.25 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$9,875.23 |
$9,875.23 |
$9,875.23 |
$3,789.86
|
|
Drng of eyelid abscess 67700
|
$335.25 |
$335.25 |
$335.25 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,253.25 |
$1,253.25 |
$1,253.25 |
$2,079.50
|
|
Drng of ovarian cyst(s) 58800
|
$3,624.75 |
$3,624.75 |
$3,624.75 |
$3,474.84
|
|
Drng of scrotum abscess 55100
|
$1,897.50 |
$1,897.50 |
$1,897.50 |
$1,997.89
|
|
Drng salivary gland submax/subling 42310
|
$596.25 |
$596.25 |
$596.25 |
$799.40
|
|
Dronabinol 2.5mg oral
|
$1,907.03 |
$1,907.03 |
$1,907.03 |
$17.00
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,956.48 |
$1,956.48 |
$1,956.48 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$530.83 |
$530.83 |
$530.83 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$983.03 |
$983.03 |
$983.03 |
$193.15
|
|
Drsg sht 5.625x4.625in std
|
$639.00 |
$639.00 |
$639.00 |
$123.24
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$26,932.05 |
$26,932.05 |
$26,932.05 |
$7,465.97
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$22,027.50 |
$22,027.50 |
$22,027.50 |
$376.50
|
|
Drug admin & hemodynmic meas
|
$3,098.25 |
$3,098.25 |
$3,098.25 |
$569.75
|
|
Drug assay caffeine
|
$59.25 |
$59.25 |
$59.25 |
$80.00
|
|
Drug assay posaconazole
|
$186.00 |
$186.00 |
$186.00 |
$96.75
|
|
Drug assay rufinamide
|
$135.75 |
$135.75 |
$135.75 |
$87.10
|
|
Drug assay vedolizumab
|
$949.50 |
$949.50 |
$949.50 |
$154.00
|
|
Drug assay voriconazole
|
$186.00 |
$186.00 |
$186.00 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$531.75 |
$531.75 |
$531.75 |
$66.43
|
|
Drug of abuse screen urine
|
$63.75 |
$63.75 |
$63.75 |
$67.89
|
|
Drug screening tapentadol
|
$50.25 |
$50.25 |
$50.25 |
$47.03
|
|
Drug screen quant tiagabine
|
$260.25 |
$260.25 |
$260.25 |
$107.59
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$732.00 |
$732.00 |
$732.00 |
$278.85
|
|
Drvvt confirm - quest
|
$255.75 |
$255.75 |
$255.75 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$1,746.75 |
$1,746.75 |
$1,746.75 |
$2,980.00
|
|
Ductogram sgl duct
|
$515.25 |
$515.25 |
$515.25 |
$469.80
|
|
Duodenal motility study
|
$1,729.50 |
$1,729.50 |
$1,729.50 |
$1,143.10
|
|
Duplex scan bilateral study 93985
|
$657.75 |
$657.75 |
$657.75 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$124.50 |
$124.50 |
$124.50 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$835.50 |
$835.50 |
$835.50 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$963.75 |
$963.75 |
$963.75 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$782.25 |
$782.25 |
$782.25 |
$904.78
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$23,482.80 |
$23,482.80 |
$23,482.80 |
$16,549.00
|
|
Dxa bone density axl vrt fx
|
$591.75 |
$591.75 |
$591.75 |
$401.20
|
|
Dx aly aud oi snd prcsr 1st
|
$183.00 |
$183.00 |
$183.00 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$45.75 |
$45.75 |
$45.75 |
$51.52
|
|
Dx bronchoscope/brush 31623
|
$2,283.00 |
$2,283.00 |
$2,283.00 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$2,886.75 |
$2,886.75 |
$2,886.75 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$2,734.50 |
$2,734.50 |
$2,734.50 |
$2,410.50
|
