|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$5,851.50 |
$5,851.50 |
$5,851.50 |
$3,202.98
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$648.00 |
$648.00 |
$648.00 |
$472.79
|
|
Detect agent nos dna dir
|
$75.00 |
$75.00 |
$75.00 |
$115.20
|
|
Detect agnt mult dna direc
|
$286.20 |
$286.20 |
$286.20 |
$162.00
|
|
Device ablt adv novasure
|
$13,918.24 |
$13,918.24 |
$13,918.24 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$7,174.35 |
$7,174.35 |
$7,174.35 |
$4,200.00
|
|
Device sut capio slim opn
|
$3,282.98 |
$3,282.98 |
$3,282.98 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$2,658.10 |
$2,658.10 |
$2,658.10 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$266.40 |
$266.40 |
$266.40 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$3.78 |
$3.78 |
$3.78 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$21.17
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$10.80 |
$10.80 |
$10.80 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$10.80 |
$10.80 |
$10.80 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$9.00 |
$9.00 |
$9.00 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$10.80 |
$10.80 |
$10.80 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$139.80 |
$139.80 |
$139.80 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$53.40 |
$53.40 |
$53.40 |
$79.20
|
|
Diag laparo separate proc 49320
|
$29,569.99 |
$29,569.99 |
$29,569.99 |
$6,904.15
|
|
Diagnostic anoscopy spx 46600
|
$201.60 |
$201.60 |
$201.60 |
$190.68
|
|
Diagnostic laryngoscopy 31575
|
$394.20 |
$394.20 |
$394.20 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$211.80 |
$211.80 |
$211.80 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$174.60 |
$174.60 |
$174.60 |
$301.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$207.00 |
$207.00 |
$207.00 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$24.42 |
$24.42 |
$24.42 |
$74.76
|
|
Dicyclomine injection
|
$77.22 |
$77.22 |
$77.22 |
$153.29
|
|
Diffusing capacity
|
$118.20 |
$118.20 |
$118.20 |
$332.00
|
|
Digital analysis of eeg
|
$622.80 |
$622.80 |
$622.80 |
$605.60
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$9.00 |
$9.00 |
$9.00 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$11,848.08 |
$11,848.08 |
$11,848.08 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$100.20 |
$100.20 |
$100.20 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$131.28 |
$131.28 |
$131.28 |
$297.86
|
|
Dilation of cervical canal 57800
|
$4,885.80 |
$4,885.80 |
$4,885.80 |
$4,376.00
|
|
Dilation/urethral strict/male/ini 53620
|
$1,251.60 |
$1,251.60 |
$1,251.60 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$910.85 |
$910.85 |
$910.85 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$9.00 |
$9.00 |
$9.00 |
$47.94
|
|
Dimethyl sulfoxide 50% 50 ml
|
$2,889.84 |
$2,889.84 |
$2,889.84 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$17.75
|
|
Dipyridamole injection
|
$89.10 |
$89.10 |
$89.10 |
$47.87
|
|
Disability dlco
|
$140.40 |
$140.40 |
$140.40 |
$282.40
|
|
Disaccharidases
|
$160.80 |
$160.80 |
$160.80 |
$216.00
|
|
Dmd dup/delet analysis
|
$496.20 |
$496.20 |
$496.20 |
$404.03
|
|
Dmpk gene detc abnor allele
|
$859.80 |
$859.80 |
$859.80 |
$313.60
|
|
Dna antibody native/double stranded
|
$168.00 |
$168.00 |
$168.00 |
$97.50
|
|
Dna gardnerella
|
$55.20 |
$55.20 |
$55.20 |
$62.50
|
|
Dna probe chlamydia
|
$391.20 |
$391.20 |
$391.20 |
$79.38
|
|
Dna trichomonas
|
$55.20 |
$55.20 |
$55.20 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$154.44 |
$154.44 |
$154.44 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$751.68 |
$751.68 |
$751.68 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$56.46 |
$56.46 |
$56.46 |
$65.40
|
|
Doppler echo complete
|
$43.20 |
$43.20 |
$43.20 |
$540.00
|
|
Dornhoffer fixed part w/window
|
$73,895.81 |
$73,895.81 |
$73,895.81 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$35,874.30 |
$35,874.30 |
$35,874.30 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$417.48 |
$417.48 |
$417.48 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,728.42 |
$1,728.42 |
$1,728.42 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$104.28 |
$104.28 |
$104.28 |
$84.80
|
|
Dpyd gene common variants
|
$201.60 |
$201.60 |
$201.60 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$518.40 |
$518.40 |
$518.40 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$457.20 |
$457.20 |
$457.20 |
$914.34
|
|
Drainage external ear complex 69005
|
$2,694.60 |
$2,694.60 |
$2,694.60 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$457.20 |
$457.20 |
$457.20 |
$789.60
|
|
Drainage mouth roof lesion
|
$879.00 |
$879.00 |
$879.00 |
$390.39
|
|
Drainage of arm bursa 23931
|
$2,633.40 |
$2,633.40 |
$2,633.40 |
$2,197.48
|
|
Drainage of mouth lesion
|
$4,940.40 |
$4,940.40 |
$4,940.40 |
$3,900.60
|
|
Drainage of mouth lesion
|
$802.20 |
$802.20 |
$802.20 |
$962.40
|
|
Drainage of nose lesion sept 30020
|
$843.00 |
$843.00 |
$843.00 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$11,156.34 |
$11,156.34 |
$11,156.34 |
$3,958.50
|
|
Drainage of rectal abscess
|
$1,985.40 |
$1,985.40 |
$1,985.40 |
$2,111.46
|
|
Drain blood from under nail 11740
|
$100.20 |
$100.20 |
$100.20 |
$170.50
|
|
Drain finger abscess;simple 26010
|
$316.20 |
$316.20 |
$316.20 |
$419.00
|
|
Drain lower leg lesion 27603
|
$5,019.00 |
$5,019.00 |
$5,019.00 |
$3,858.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$210.60 |
$210.60 |
$210.60 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$178.80 |
$178.80 |
$178.80 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$648.00 |
$648.00 |
$648.00 |
$523.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$35,603.06 |
$35,603.06 |
$35,603.06 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$7,071.60 |
$7,071.60 |
$7,071.60 |
$1,515.00
|
|
Drng of eyelid abscess 67700
|
$580.20 |
$580.20 |
$580.20 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$2,907.60 |
$2,907.60 |
$2,907.60 |
$1,943.50
|
|
Drng of mouth lesion 40801
|
$843.00 |
$843.00 |
$843.00 |
$1,262.76
|
|
Drng of scrotum abscess 55100
|
$1,075.20 |
$1,075.20 |
$1,075.20 |
$1,917.33
|
|
Drng open retroperitoneal abscess 49060
|
$6,311.40 |
$6,311.40 |
$6,311.40 |
$1,924.00
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$5,628.60 |
$5,628.60 |
$5,628.60 |
$1,800.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$31.07
|
|
Drop lock knee
|
$224.12 |
$224.12 |
$224.12 |
$204.95
|
|
Drop lock retainer each
|
$76.68 |
$76.68 |
$76.68 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$7,461.32 |
$7,461.32 |
$7,461.32 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$4,946.71 |
$4,946.71 |
$4,946.71 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$20,016.44 |
$20,016.44 |
$20,016.44 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$4,677.88 |
$4,677.88 |
$4,677.88 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$27,982.84 |
$27,982.84 |
$27,982.84 |
$171.12
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$39,855.87 |
$39,855.87 |
$39,855.87 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$28,094.75 |
$28,094.75 |
$28,094.75 |
$400.98
|
|
Drug assay caffeine
|
$124.80 |
$124.80 |
$124.80 |
$83.40
|
|
Drug assay posaconazole
|
$71.40 |
$71.40 |
$71.40 |
$96.75
|
|
Drug assay rufinamide
|
$140.40 |
$140.40 |
$140.40 |
$85.80
|
|
Drug assay vedolizumab
|
$165.60 |
$165.60 |
$165.60 |
$152.79
|
|
Drug assay voriconazole
|
$67.80 |
$67.80 |
$67.80 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$270.00 |
$270.00 |
$270.00 |
$66.43
|
|
Drug of abuse screen urine
|
$64.20 |
$64.20 |
$64.20 |
$63.75
|
|
Drug screen quant tiagabine
|
$141.60 |
$141.60 |
$141.60 |
$114.62
|
|
Drug test def 1-7 classes
|
$279.60 |
$279.60 |
$279.60 |
$250.52
|
