|
Determination venous press
|
$125.80 |
$125.80 |
$125.80 |
$117.60
|
|
Developmental screen/score/document 96110
|
$29.75 |
$29.75 |
$29.75 |
$130.65
|
|
Device ablt adv novasure
|
$2,713.20 |
$2,713.20 |
$2,713.20 |
$6,097.50
|
|
Device intraute mirena
|
$3,225.46 |
$3,225.46 |
$3,225.46 |
$2,125.00
|
|
Device sut capio slim opn
|
$5,489.39 |
$5,489.39 |
$5,489.39 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$3,876.00 |
$3,876.00 |
$3,876.00 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$406.30 |
$406.30 |
$406.30 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$164.28 |
$164.28 |
$164.28 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$22.05 |
$22.05 |
$22.05 |
$21.17
|
|
Dexamethasone intra implant
|
$3,645.45 |
$3,645.45 |
$3,645.45 |
$2,538.20
|
|
Dexmedetomidine film, 1 mcg
|
$115.60 |
$115.60 |
$115.60 |
$171.39
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,458.90 |
$1,458.90 |
$1,458.90 |
$858.00
|
|
Dextran 40 infusion
|
$242.68 |
$242.68 |
$242.68 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$32.98 |
$32.98 |
$32.98 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$32.98 |
$32.98 |
$32.98 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$113.18 |
$113.18 |
$113.18 |
$47.48
|
|
Dhea-s (dehydroepiand sulfate)
|
$90.95 |
$90.95 |
$90.95 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$39.10 |
$39.10 |
$39.10 |
$79.20
|
|
Diag laparo separate proc 49320
|
$13,067.90 |
$13,067.90 |
$13,067.90 |
$6,904.15
|
|
Diagnostic anoscopy spx 46600
|
$305.15 |
$305.15 |
$305.15 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$397.80 |
$397.80 |
$397.80 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$310.25 |
$310.25 |
$310.25 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$555.05 |
$555.05 |
$555.05 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$555.05 |
$555.05 |
$555.05 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$436.05 |
$436.05 |
$436.05 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$343.40 |
$343.40 |
$343.40 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$425.85 |
$425.85 |
$425.85 |
$214.08
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,590.40 |
$3,590.40 |
$3,590.40 |
$5,419.00
|
|
Dialysis one evaluation
|
$1,228.25 |
$1,228.25 |
$1,228.25 |
$919.55
|
|
Dialysis repeated eval
|
$1,063.35 |
$1,063.35 |
$1,063.35 |
$1,267.50
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$120.99 |
$120.99 |
$120.99 |
$74.76
|
|
Dicyclomine injection
|
$132.87 |
$132.87 |
$132.87 |
$153.29
|
|
Difelikefalin, esrd on dialy
|
$161.50 |
$161.50 |
$161.50 |
$264.88
|
|
Diffusing capacity
|
$227.80 |
$227.80 |
$227.80 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$369.52 |
$369.52 |
$369.52 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$13,195.30 |
$13,195.30 |
$13,195.30 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$53.55 |
$53.55 |
$53.55 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$282.71 |
$282.71 |
$282.71 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$4,066.40 |
$4,066.40 |
$4,066.40 |
$1,866.73
|
|
Dilate ic vasospasm ea add vsl same territory
|
$3,202.80 |
$3,202.80 |
$3,202.80 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$9,084.80 |
$9,084.80 |
$9,084.80 |
$5,250.40
|
|
Dilate urethra stricture
|
$692.75 |
$692.75 |
$692.75 |
$490.00
|
|
Dilation of cervical canal 57800
|
$7,667.85 |
$7,667.85 |
$7,667.85 |
$4,376.00
|
|
Dilation of salivary duct
|
$1,541.05 |
$1,541.05 |
$1,541.05 |
$741.60
|
|
Dilation salivary duct 42650
|
$3,740.85 |
$3,740.85 |
$3,740.85 |
$2,498.32
|
|
Dilator fascial 10fx20cm
|
$3,400.00 |
$3,400.00 |
$3,400.00 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$8,550.15 |
$8,550.15 |
$8,550.15 |
$4,061.71
|
|
Dilat xst trc new access rcs
|
$8,550.15 |
$8,550.15 |
$8,550.15 |
$4,213.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$62.78 |
$62.78 |
$62.78 |
$47.94
|
|
Dimecaprol injection
|
$172.16 |
$172.16 |
$172.16 |
$293.38
|
|
Dimenhydrinate injection
|
$34.66 |
$34.66 |
$34.66 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,939.55 |
$1,939.55 |
$1,939.55 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$6.51 |
$6.51 |
$6.51 |
$17.75
|
|
Dipyridamole injection
|
$72.92 |
$72.92 |
$72.92 |
$47.87
|
|
Disability dlco
|
$159.80 |
$159.80 |
$159.80 |
$282.40
|
|
Dist revas ligation hemo
|
$13,477.60 |
$13,477.60 |
$13,477.60 |
$6,396.89
|
|
Dlyd plmt xtn prosth ea addl
|
$3,759.55 |
$3,759.55 |
$3,759.55 |
$1,582.68
|
|
Dmd dup/delet analysis
|
$67.15 |
$67.15 |
$67.15 |
$404.03
|
|
Dna antibody native/double stranded
|
$55.25 |
$55.25 |
$55.25 |
$97.50
|
|
Dna probe chlamydia
|
$92.65 |
$92.65 |
$92.65 |
$79.38
|
|
Dna probe gc
|
$108.80 |
$108.80 |
$108.80 |
$80.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$168.47 |
$168.47 |
$168.47 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,373.38 |
$1,373.38 |
$1,373.38 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$72.89 |
$72.89 |
$72.89 |
$65.40
|
|
Doppler echo complete
|
$447.95 |
$447.95 |
$447.95 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$5,680.55 |
$5,680.55 |
$5,680.55 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$629.00 |
$629.00 |
$629.00 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$410.55 |
$410.55 |
$410.55 |
$471.17
|
|
Dornhoffer fixed part w/window
|
$29,989.07 |
$29,989.07 |
$29,989.07 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$12,279.38 |
$12,279.38 |
$12,279.38 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$735.82 |
$735.82 |
$735.82 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,608.04 |
$2,608.04 |
$2,608.04 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$95.57 |
$95.57 |
$95.57 |
$84.80
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$914.34
|
|
Drainage external ear complex 69005
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$789.60
|
|
Drainage lymph node lesion 38300
|
$6,970.00 |
$6,970.00 |
$6,970.00 |
$3,088.80
|
|
Drainage mouth roof lesion
|
$683.40 |
$683.40 |
$683.40 |
$390.39
|
|
Drainage of arm bursa 23931
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,197.48
|
|
Drainage of eye
|
$5,715.40 |
$5,715.40 |
$5,715.40 |
$2,360.00
|
|
Drainage of eye
|
$5,549.23 |
$5,549.23 |
$5,549.23 |
$3,222.78
|
|
Drainage of kidney lesion
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$1,506.00
|
|
Drainage of mouth lesion
|
$683.40 |
$683.40 |
$683.40 |
$489.00
|
|
Drainage of mouth lesion
|
$3,740.85 |
$3,740.85 |
$3,740.85 |
$2,304.00
|
|
Drainage of mouth lesion
|
$3,353.25 |
$3,353.25 |
$3,353.25 |
$2,423.85
|
|
Drainage of mouth lesion
|
$7,897.35 |
$7,897.35 |
$7,897.35 |
$3,900.60
|
|
Drainage of mouth lesion
|
$7,897.35 |
$7,897.35 |
$7,897.35 |
$3,544.29
|
|
Drainage of nose lesion int 30000
|
$683.40 |
$683.40 |
$683.40 |
$491.40
|
|
Drainage of nose lesion sept 30020
|
$1,541.05 |
$1,541.05 |
$1,541.05 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$7,938.15 |
$7,938.15 |
$7,938.15 |
$3,958.50
|
|
Drainage of rectal abscess
|
$3,208.75 |
$3,208.75 |
$3,208.75 |
$2,111.46
|
|
Drainage of salivary gland
|
$7,897.35 |
$7,897.35 |
$7,897.35 |
$4,558.89
|
|
Drainage of urethra abscess 53060
|
$4,995.45 |
$4,995.45 |
$4,995.45 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$313.65 |
$313.65 |
$313.65 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$1,936.30 |
$1,936.30 |
$1,936.30 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$560.15 |
$560.15 |
$560.15 |
$419.00
|
|
Drain lower leg lesion 27603
|
$6,970.00 |
$6,970.00 |
$6,970.00 |
$3,858.40
|