|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$20.40 |
$29.85 |
$62.20 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$10,544.00 |
$11,176.20 |
$11,176.80 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$91.80 |
$159.00 |
$355.80 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$252.00 |
$1,414.20 |
$1,414.20 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$21,297.00 |
$21,297.00 |
$24,785.40 |
$1,866.73
|
|
Dilate esophagus
|
$2,734.20 |
$2,734.20 |
$2,734.20 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$1,372.20 |
$1,576.20 |
$4,047.00 |
$1,548.00
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$1,623.00 |
$1,623.00 |
$9,783.00 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,623.00 |
$1,623.00 |
$9,783.00 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$1,948.20 |
$1,948.20 |
$9,783.00 |
$5,151.95
|
|
Dilate urethra stricture
|
$682.20 |
$840.00 |
$1,246.20 |
$513.00
|
|
Dilation/female urethra/initial 53660
|
$158.40 |
$158.40 |
$158.40 |
$235.61
|
|
Dilation of cervical canal 57800
|
$681.00 |
$681.00 |
$681.00 |
$4,446.00
|
|
Dilation of rectal stricture 45910
|
$2,491.80 |
$2,641.20 |
$8,947.80 |
$2,491.80
|
|
Dilation of urethra
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$172.00
|
|
Dilation/urethral strict/male/ini 53620
|
$2,997.00 |
$2,997.00 |
$2,997.00 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$795.60 |
$1,228.80 |
$1,472.40 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$2,397.00 |
$2,577.00 |
$4,437.60 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$2,344.20 |
$2,344.20 |
$4,437.60 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$0.60 |
$0.60 |
$0.60 |
$45.60
|
|
Dimenhydrinate injection
|
$13.80 |
$33.90 |
$33.90 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$324.00 |
$324.00 |
$324.00 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.60 |
$9.60 |
$10.20 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$13.80 |
$15.00 |
$19.00 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$24.60 |
$24.60 |
$24.60 |
$98.15
|
|
Direct advanced life support
|
$888.00 |
$888.00 |
$911.40 |
$236.00
|
|
Dir nsl mucous membrane test
|
$33.00 |
$33.00 |
$33.00 |
$76.80
|
|
Disability dlco
|
$210.00 |
$210.00 |
$264.60 |
$293.76
|
|
Disaccharidases
|
$159.00 |
$186.00 |
$1,345.20 |
$230.40
|
|
Discography cerv/thor spine
|
$10,866.00 |
$10,866.00 |
$10,866.00 |
$2,565.00
|
|
Dist revas ligation hemo
|
$18,247.20 |
$18,247.20 |
$18,247.20 |
$6,396.89
|
|
Dlyd plmt xtn prosth ea addl
|
$1,964.40 |
$1,964.40 |
$1,964.40 |
$1,810.80
|
|
Dmd dup/delet analysis
|
$402.60 |
$402.60 |
$3,223.20 |
$418.50
|
|
Dmpk gene detc abnor allele
|
$1,539.00 |
$1,539.00 |
$1,539.00 |
$313.60
|
|
Dna antibody native/double stranded
|
$88.20 |
$159.00 |
$273.00 |
$100.00
|
|
Dna gardnerella
|
$133.20 |
$197.40 |
$256.80 |
$61.83
|
|
Dna probe chlamydia
|
$231.00 |
$231.00 |
$861.60 |
$82.20
|
|
Dna trichomonas
|
$138.00 |
$203.40 |
$268.80 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$134.40 |
$204.00 |
$556.80 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$83.40 |
$113.60 |
$7,117.20 |
$949.39
|
|
Dolasetron mesylate
|
$87.60 |
$91.20 |
$138.60 |
$44.65
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$22.80 |
$28.20 |
$142.20 |
$65.40
|
|
Doppler echo complete
|
$444.60 |
$1,007.40 |
$1,524.60 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$867.00 |
$4,406.40 |
$4,804.80 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$336.00 |
$901.80 |
$1,046.40 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$239.40 |
$505.20 |
$782.40 |
$481.65
|
|
Doripenem 50 mg/ml inj 10 ml
|
$3.00 |
$30.00 |
$564.00 |
$73.80
|
|
Dornase alfa non-comp unit
|
$231.20 |
$571.80 |
$571.80 |
$356.00
|
|
Dornhoffer fixed part w/window
|
$29,415.60 |
$53,356.20 |
$54,599.40 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$565.80 |
$565.80 |
$566.40 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$252.80 |
$631.20 |
$9,320.40 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,908.00 |
$2,608.20 |
$6,409.80 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$0.40 |
$1.65 |
$1.65 |
$89.34
|
|
Dpyd gene common variants
|
$2,524.20 |
$2,524.20 |
$2,524.20 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$535.80 |
$647.40 |
$942.60 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,541.40 |
$3,119.40 |
$3,222.60 |
$964.00
|
|
Drainage external ear complex 69005
|
$1,803.60 |
$1,803.60 |
$1,803.60 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$576.00 |
$753.00 |
$1,341.60 |
$790.40
|
|
Drainage mouth roof lesion
|
$1,651.80 |
$3,360.60 |
$5,288.40 |
$405.60
|
|
Drainage of abdomen
|
$6,460.20 |
$14,229.60 |
$18,104.40 |
$4,616.80
|
|
Drainage of arm bursa 23931
|
$454.20 |
$3,706.20 |
$5,034.60 |
$2,271.01
|
|
Drainage of eye
|
$2,257.80 |
$2,257.80 |
$3,363.00 |
$2,415.65
|
|
Drainage of eye
|
$4,053.60 |
$4,053.60 |
$6,309.60 |
$3,170.00
|
|
Drainage of kidney lesion
|
$2,122.80 |
$2,552.40 |
$3,367.20 |
$1,506.00
|
|
Drainage of mouth lesion
|
$4,240.20 |
$4,240.20 |
$4,240.20 |
$535.20
|
|
Drainage of mouth lesion
|
$2,270.40 |
$2,270.40 |
$4,240.80 |
$2,320.03
|
|
Drainage of mouth lesion
|
$2,552.40 |
$3,202.80 |
$4,240.80 |
$3,837.72
|
|
Drainage of mouth lesion
|
$2,812.80 |
$2,812.80 |
$2,812.80 |
$905.30
|
|
Drainage of mouth lesion
|
$2,577.60 |
$3,009.60 |
$4,468.20 |
$6,781.90
|
|
Drainage of mouth lesion
|
$2,450.40 |
$2,812.80 |
$4,024.20 |
$3,459.00
|
|
Drainage of nose lesion int 30000
|
$3,480.00 |
$3,688.80 |
$4,920.00 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$3,688.80 |
$3,688.80 |
$4,920.00 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$3,855.00 |
$3,855.00 |
$3,855.00 |
$3,863.70
|
|
Drainage of rectal abscess
|
$3,199.80 |
$3,520.20 |
$4,099.20 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$3,769.20 |
$3,769.20 |
$3,769.20 |
$3,816.64
|
|
Drainage of urethra abscess 53060
|
$2,832.00 |
$2,832.00 |
$2,832.00 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$451.20 |
$451.20 |
$490.20 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$265.80 |
$341.40 |
$609.00 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$3,371.40 |
$4,594.20 |
$7,281.60 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$7,281.60 |
$7,281.60 |
$9,792.60 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$1,370.40 |
$1,756.80 |
$3,984.60 |
$1,044.00
|
|
Drain chst dry seal exp thorastat
|
$84.60 |
$84.60 |
$84.60 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$318.00 |
$478.20 |
$484.20 |
$428.40
|
|
Drain neck/chest lesion 21501
|
$3,347.40 |
$3,347.40 |
$3,347.40 |
$3,339.00
|
|
Drain ovarn cyst abd
|
$3,239.40 |
$3,239.40 |
$5,654.40 |
$3,786.00
|
|
Drain thigh/knee lesion 27301
|
$4,918.20 |
$4,918.20 |
$5,768.40 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$310.20 |
$451.20 |
$1,038.60 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$266.40 |
$360.00 |
$609.00 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,038.60 |
$1,543.20 |
$4,057.80 |
$541.00
|
|
Drill hole implt ventricular cath/device 61107
|
$2,397.00 |
$2,397.00 |
$4,549.20 |
$1,485.75
|
|
Drng hand tendon sheath 26020
|
$3,572.40 |
$3,572.40 |
$6,130.20 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$3,479.40 |
$5,098.20 |
$7,063.80 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,434.00 |
$2,710.20 |
$3,948.00 |
$2,079.50
|
|
Drng of mouth lesion 40801
|
$3,040.20 |
$3,040.20 |
$5,543.40 |
$1,350.97
|
|
Drng of ovarian cyst(s) 58800
|
$1,276.20 |
$1,276.20 |
$1,276.20 |
$3,474.84
|
|
Drng of scrotum abscess 55100
|
$2,630.40 |
$3,063.60 |
$3,560.40 |
$1,997.89
|
|
Drng open retroperitoneal abscess 49060
|
$13,891.80 |
$13,891.80 |
$13,891.80 |
$1,924.00
|
|
Drng salivary gland submax/subling 42310
|
$2,274.00 |
$2,274.00 |
$3,855.00 |
$799.40
|
|
Droperidol 2.5 mg/ml injection solution
|
$20.20 |
$126.60 |
$126.60 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,118.60 |
$2,118.60 |
$3,115.80 |
$1,818.32
|
