|
Desmopressin 4 mcg/ml injection solution
|
$49.20 |
$49.20 |
$49.20 |
$91.84
|
|
Desoxycorticosterone
|
$67.20 |
$67.20 |
$67.20 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$9,807.60 |
$9,807.60 |
$9,807.60 |
$5,267.20
|
|
Destroy cervthor facet jnt 64633
|
$2,606.40 |
$2,606.40 |
$2,606.40 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$2,099.40 |
$2,099.40 |
$2,099.40 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$520.80 |
$520.80 |
$520.80 |
$202.40
|
|
Destruction 2-14 lesions 17003
|
$72.60 |
$72.60 |
$72.60 |
$78.61
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,224.80 |
$2,224.80 |
$2,224.80 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,908.20 |
$2,908.20 |
$2,908.20 |
$3,296.80
|
|
Destruction premal lesions 15/> 17004
|
$532.80 |
$532.80 |
$532.80 |
$442.61
|
|
Device intraute mirena
|
$693.60 |
$693.60 |
$693.60 |
$2,125.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$188.40 |
$188.40 |
$188.40 |
$227.25
|
|
Dexametha opth insert 0.1 mg
|
$354.00 |
$354.00 |
$354.00 |
$888.47
|
|
Dexamethasone 4 mg tablet
|
$0.60 |
$0.60 |
$0.60 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$4.20 |
$4.20 |
$4.20 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$328.80 |
$328.80 |
$328.80 |
$884.80
|
|
Dhea-s (dehydroepiand sulfate)
|
$113.40 |
$113.40 |
$113.40 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$49.20 |
$49.20 |
$49.20 |
$79.30
|
|
Diab manage trn ind/group
|
$16.80 |
$16.80 |
$16.80 |
$54.99
|
|
Diag laparo separate proc 49320
|
$853.80 |
$853.80 |
$853.80 |
$7,104.72
|
|
Diagnostic anoscopy spx 46600
|
$432.60 |
$432.60 |
$432.60 |
$195.50
|
|
Diagnostic laryngoscopy 31505
|
$432.60 |
$432.60 |
$432.60 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$956.40 |
$956.40 |
$956.40 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$310.20 |
$310.20 |
$310.20 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$349.80 |
$349.80 |
$349.80 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$170.40 |
$170.40 |
$170.40 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$2,160.60 |
$2,160.60 |
$2,160.60 |
$5,741.00
|
|
Dialysis one evaluation
|
$970.80 |
$970.80 |
$970.80 |
$936.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$9.60 |
$9.60 |
$9.60 |
$79.71
|
|
Dicyclomine injection
|
$25.20 |
$25.20 |
$25.20 |
$154.33
|
|
Diffusing capacity
|
$970.20 |
$970.20 |
$970.20 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$85.80 |
$85.80 |
$85.80 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$2,869.80 |
$2,869.80 |
$2,869.80 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$96.00 |
$96.00 |
$96.00 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$89.40 |
$89.40 |
$89.40 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$1,866.73
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$3,609.60 |
$3,609.60 |
$3,609.60 |
$5,151.95
|
|
Dilate urethra stricture
|
$534.00 |
$534.00 |
$534.00 |
$513.00
|
|
Dilat xst trc ndurlgc px
|
$9,487.80 |
$9,487.80 |
$9,487.80 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$11,311.20 |
$11,311.20 |
$11,311.20 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$12.60 |
$12.60 |
$12.60 |
$45.60
|
|
Dimenhydrinate injection
|
$6.60 |
$6.60 |
$6.60 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$7.80 |
$7.80 |
$7.80 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.60 |
$0.60 |
$0.60 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.80 |
$1.80 |
$1.80 |
$18.32
|
|
Disability dlco
|
$886.80 |
$886.80 |
$886.80 |
$293.76
|
|
Disaccharidases
|
$112.80 |
$112.80 |
$112.80 |
$230.40
|
|
Discography cerv/thor spine
|
$4,030.20 |
$4,030.20 |
$4,030.20 |
$2,565.00
|
|
Dissolve clot heart vessel
|
$1,274.40 |
$1,274.40 |
$1,274.40 |
$1,579.93
|
|
Dist revas ligation hemo
|
$9,842.40 |
$9,842.40 |
$9,842.40 |
$6,396.89
|
|
Dna antibody native/double stranded
|
$76.80 |
$76.80 |
$76.80 |
$100.00
|
|
Dna gardnerella
|
$112.20 |
$112.20 |
$112.20 |
$61.83
|
|
Dna probe chlamydia
|
$82.20 |
$82.20 |
$82.20 |
$82.20
|
|
Dna probe gc
|
$97.20 |
$97.20 |
$97.20 |
$79.38
|
|
Dna trichomonas
|
$112.20 |
$112.20 |
$112.20 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$2.40 |
$2.40 |
$2.40 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$35.40 |
$35.40 |
$35.40 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$1.20 |
$1.20 |
$1.20 |
$65.40
|
|
Doppler echo complete
|
$471.00 |
$471.00 |
$471.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,046.80 |
$3,046.80 |
$3,046.80 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,091.40 |
$1,091.40 |
$1,091.40 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$547.20 |
$547.20 |
$547.20 |
$481.65
|
|
Dornase alfa non-comp unit
|
$30.60 |
$30.60 |
$30.60 |
$356.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$679.80 |
$679.80 |
$679.80 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$157.80 |
$157.80 |
$157.80 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$255.00 |
$255.00 |
$255.00 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$15.60 |
$15.60 |
$15.60 |
$89.34
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$924.60 |
$924.60 |
$924.60 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$964.00
|
|
Drainage external ear complex 69005
|
$4,498.20 |
$4,498.20 |
$4,498.20 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$924.60 |
$924.60 |
$924.60 |
$790.40
|
|
Drainage mouth roof lesion
|
$837.00 |
$837.00 |
$837.00 |
$405.60
|
|
Drainage of arm bursa 23931
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$2,271.01
|
|
Drainage of kidney lesion
|
$2,461.20 |
$2,461.20 |
$2,461.20 |
$1,506.00
|
|
Drainage of mouth lesion
|
$3,971.40 |
$3,971.40 |
$3,971.40 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$649.80 |
$649.80 |
$649.80 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,624.20 |
$1,624.20 |
$1,624.20 |
$781.44
|
|
Drainage of rectal abscess
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$2,135.10
|
|
Drainage of urethra abscess 53060
|
$2,685.60 |
$2,685.60 |
$2,685.60 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$370.80 |
$370.80 |
$370.80 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$3,637.20 |
$3,637.20 |
$3,637.20 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$1,951.80 |
$1,951.80 |
$1,951.80 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$265.20 |
$265.20 |
$265.20 |
$428.40
|
|
Drain neck/chest lesion 21501
|
$5,874.00 |
$5,874.00 |
$5,874.00 |
$3,339.00
|
|
Drain thigh/knee lesion 27301
|
$7,173.60 |
$7,173.60 |
$7,173.60 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$528.60 |
$528.60 |
$528.60 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$408.60 |
$408.60 |
$408.60 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,324.20 |
$1,324.20 |
$1,324.20 |
$541.00
|
|
Drill hole implt ventricular cath/device 61107
|
$1,723.80 |
$1,723.80 |
$1,723.80 |
$1,485.75
|
|
Drng hand tendon sheath 26020
|
$4,150.20 |
$4,150.20 |
$4,150.20 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$770.40 |
$770.40 |
$770.40 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$2,079.50
|
|
Drng of scrotum abscess 55100
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$3,678.60 |
$3,678.60 |
$3,678.60 |
$2,039.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$2.40 |
$2.40 |
$2.40 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$640.80 |
$640.80 |
$640.80 |
$1,818.32
|
