|
Dolasetron mesylate
|
$30.60 |
$87.60 |
$138.60 |
|
|
Domicil/r-home visit est pat
|
$77.40 |
$77.40 |
$77.40 |
|
|
Domicil/r-home visit est pat
|
$107.40 |
$107.40 |
$107.40 |
|
|
Domicil/r-home visit est pat
|
$151.20 |
$151.20 |
$151.20 |
|
|
Domicil/r-home visit est pat
|
$220.20 |
$220.20 |
$220.20 |
|
|
Domicil/r-home visit new pat
|
$94.80 |
$94.80 |
$94.80 |
|
|
Domicil/r-home visit new pat
|
$128.40 |
$128.40 |
$128.40 |
|
|
Domicil/r-home visit new pat
|
$174.60 |
$174.60 |
$174.60 |
|
|
Domicil/r-home visit new pat
|
$222.00 |
$222.00 |
$222.00 |
|
|
Domicil/r-home visit new pat
|
$268.20 |
$268.20 |
$268.20 |
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$1.20 |
$33.60 |
$142.20 |
|
|
Doppler echo complete
|
$135.60 |
$568.00 |
$1,524.60 |
|
|
Doppler intravascular pressure flow initial vessel
|
$526.80 |
$3,046.80 |
$4,804.80 |
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$193.00 |
$1,003.80 |
$1,308.00 |
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$149.00 |
$514.40 |
$1,402.20 |
|
|
Doripenem 50 mg/ml inj 10 ml
|
$3.00 |
$8.40 |
$564.00 |
|
|
Dornase alfa non-comp unit
|
$30.60 |
$197.60 |
$571.80 |
|
|
Dornhoffer fixed part w/window
|
$29,415.60 |
$44,163.20 |
$54,599.40 |
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$544.20 |
$574.20 |
$46,252.48 |
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$39.38 |
$314.40 |
$9,320.40 |
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$255.00 |
$1,812.00 |
$6,409.80 |
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$0.18 |
$1.65 |
$162.80 |
|
|
Dpyd gene common variants
|
$360.80 |
$2,358.60 |
$2,524.20 |
|
|
Drainable plastic pch w fcpl
|
$3.00 |
$3.00 |
$3.00 |
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$286.80 |
$824.40 |
$1,741.60 |
|
|
Drainage ext aud canal abscess 69020
|
$964.00 |
$2,184.60 |
$3,558.00 |
|
|
Drainage external ear complex 69005
|
$287.40 |
$4,498.20 |
$8,618.40 |
|
|
Drainage external ear simple 69000
|
$484.20 |
$856.80 |
$1,371.00 |
|
|
Drainage lymph node lesion 38300
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
|
|
Drainage lymph node lesion 38305
|
$816.60 |
$816.60 |
$816.60 |
|
|
Drainage mouth roof lesion
|
$154.80 |
$837.00 |
$5,288.40 |
|
|
Drainage of abdomen
|
$6,460.20 |
$12,609.60 |
$18,104.40 |
|
|
Drainage of arm bursa 23931
|
$454.20 |
$2,883.60 |
$5,034.60 |
|
|
Drainage of eye
|
$2,257.80 |
$3,207.50 |
$3,363.00 |
|
|
Drainage of eye
|
$2,652.50 |
$4,053.60 |
$6,309.60 |
|
|
Drainage of forearm bursa
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
|
|
Drainage of kidney lesion
|
$148.80 |
$2,056.80 |
$3,367.20 |
|
|
Drainage of mouth lesion
|
$165.00 |
$165.00 |
$4,240.20 |
|
|
Drainage of mouth lesion
|
$2,270.40 |
$2,270.40 |
$4,240.80 |
|
|
Drainage of mouth lesion
|
$2,552.40 |
$3,435.60 |
$4,240.80 |
|
|
Drainage of mouth lesion
|
$813.60 |
$813.60 |
$2,812.80 |
|
|
Drainage of mouth lesion
|
$424.80 |
$424.80 |
$424.80 |
|
|
Drainage of mouth lesion
|
$612.00 |
$2,577.60 |
$4,468.20 |
|
|
Drainage of mouth lesion
|
$660.00 |
$2,812.80 |
$4,024.20 |
|
|
Drainage of nose lesion int 30000
|
$346.40 |
$3,480.00 |
$14,282.40 |
|
|
Drainage of nose lesion sept 30020
|
$678.50 |
$1,624.20 |
$8,550.60 |
|
|
Drainage of pelvis lesion 26990
|
$3,355.20 |
$3,355.20 |
$3,855.00 |
|
|
Drainage of prostate abscess
|
$552.00 |
$552.00 |
$3,097.80 |
|
|
Drainage of rectal abscess
|
$1,522.80 |
$3,199.80 |
$5,976.80 |
|
|
Drainage of rectal abscess 45020
|
$3,324.00 |
$4,045.80 |
$6,501.60 |
|
|
Drainage of throat abscess
|
$2,662.20 |
$2,662.20 |
$2,662.20 |
|
|
Drainage of urethra abscess 53060
|
$2,202.00 |
$2,685.60 |
$2,832.00 |
|
|
Drain bladder by trocar/cath
|
$451.20 |
$490.20 |
$1,266.00 |
|
|
Drain blood from under nail 11740
|
$100.20 |
$284.00 |
$609.00 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,253.00 |
$2,253.00 |
$7,281.60 |
|
|
Drain cath image guided visceral pq
|
$1,651.20 |
$3,637.20 |
$9,792.60 |
|
|
Drain cerebro spinal fluid 62272
|
$123.00 |
$1,951.80 |
$3,984.60 |
|
|
Drain chst dry seal exp thorastat
|
$84.60 |
$84.60 |
$84.60 |
|
|
Drain finger abscess;simple 26010
|
$194.40 |
$379.20 |
$823.20 |
|
|
Drain lower leg bursa
|
$3,760.50 |
$3,760.50 |
$3,760.50 |
|
|
Drain lower leg lesion 27603
|
$670.80 |
$5,229.00 |
$5,229.00 |
|
|
Drain neck/chest lesion 21501
|
$3,338.50 |
$5,874.00 |
$5,874.00 |
|
|
Drain ovarn cyst abd
|
$733.20 |
$3,239.40 |
$5,654.40 |
|
|
Drain shoulder lesion
|
$509.40 |
$509.40 |
$509.40 |
|
|
Drain thigh/knee lesion 27301
|
$4,005.60 |
$5,768.40 |
$7,173.60 |
|
|
Drain thyroid/tongue cyst
|
$280.80 |
$280.80 |
$280.80 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$210.00 |
$528.60 |
$1,038.60 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$218.40 |
$408.60 |
$712.80 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$500.40 |
$1,324.20 |
$4,057.80 |
|
|
Dressing change not for burn w/anes 15852
|
$208.80 |
$208.80 |
$208.80 |
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
|
|
Drill hole implt ventricular cath/device 61107
|
$1,100.00 |
$1,723.80 |
$4,549.20 |
|
|
Drng hand tendon sheath 26020
|
$790.80 |
$4,150.20 |
$6,130.20 |
|
|
Drng of eyelid abscess 67700
|
$393.00 |
$4,148.40 |
$8,618.40 |
|
|
Drng of finger abscess comp 26011
|
$1,047.60 |
$2,080.80 |
$5,927.60 |
|
|
Drng of hydrocele 55000
|
$900.50 |
$900.50 |
$900.50 |
|
|
Drng of mouth lesion 40801
|
$783.00 |
$3,040.20 |
$5,543.40 |
|
|
Drng of ovarian cyst(s) 58800
|
$1,276.20 |
$1,276.20 |
$1,276.20 |
|
|
Drng of salivary cyst 42409
|
$418.80 |
$418.80 |
$418.80 |
|
|
Drng of scrotum abscess 55100
|
$1,029.00 |
$2,630.40 |
$4,390.40 |
|
|
Drng open retroperitoneal abscess 49060
|
$13,891.80 |
$13,891.80 |
$13,891.80 |
|
|
Drng salivary gland simple 42300
|
$1,783.50 |
$3,678.60 |
$3,678.60 |
|
|
Drng salivary gland submax/subling 42310
|
$2,274.00 |
$3,037.20 |
$3,855.00 |
|
|
Droperidol 2.5 mg/ml injection solution
|
$2.40 |
$22.80 |
$129.60 |
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$180.60 |
$1,998.60 |
$3,115.80 |
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$24.60 |
$165.60 |
$660.00 |
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$143.50 |
$696.00 |
$841.60 |
|
|
Drsg surg adh 11x11 3/4 occl drap wnd 28x30
|
$33.00 |
$42.00 |
$306.60 |
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$3,751.80 |
$11,362.20 |
$25,533.00 |
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$244.50 |
$18,762.68 |
$49,180.20 |
|
|
Drug admin & hemodynmic meas
|
$155.50 |
$2,304.60 |
$2,304.60 |
|
|
Drug assay caffeine
|
$83.40 |
$99.00 |
$298.80 |
|
|
Drug assay posaconazole
|
$57.00 |
$57.00 |
$161.50 |
|
|
Drug assay rufinamide
|
$51.00 |
$404.40 |
$765.00 |
|
|
Drug assay vedolizumab
|
$83.40 |
$133.20 |
$455.00 |
|
|
Drug assay voriconazole
|
$82.40 |
$190.80 |
$190.80 |
|
|
Drug asy hydroxychloroquine
|
$28.80 |
$39.00 |
$196.20 |
|
|
Drug of abuse screen urine
|
$32.40 |
$32.40 |
$1,074.00 |
|
|
Drug screening tapentadol
|
$5.00 |
$5.00 |
$56.40 |
|
