|
Diabetes (HbA1c) Test
|
$126.00 |
$126.00 |
$126.00 |
$79.20
|
|
Diag laparo separate proc 49320
|
$13,044.19 |
$13,044.19 |
$21,217.89 |
$6,904.15
|
|
Diagnostic anoscopy spx 46600
|
$100.20 |
$100.20 |
$100.20 |
$190.68
|
|
Diagnostic laryngoscopy 31575
|
$525.60 |
$525.60 |
$10,872.00 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$257.40 |
$257.40 |
$257.40 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$237.00 |
$237.00 |
$237.00 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$15,630.60 |
$15,630.60 |
$15,630.60 |
$5,419.00
|
|
Dialysis one evaluation
|
$1,525.20 |
$1,525.20 |
$1,525.20 |
$919.55
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$51.15 |
$51.15 |
$57.25 |
$74.76
|
|
Diffusing capacity
|
$193.20 |
$193.20 |
$193.20 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$45.00 |
$45.00 |
$45.00 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$20,890.80 |
$20,890.80 |
$23,875.20 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$104.40 |
$104.40 |
$104.40 |
$102.00
|
|
Dilate biliary duct/ampulla
|
$1,158.00 |
$1,158.00 |
$1,158.00 |
$1,866.73
|
|
Dilate esophagus
|
$12,042.65 |
$12,042.65 |
$12,042.65 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$7,234.26 |
$7,234.26 |
$7,234.26 |
$1,484.17
|
|
Dilate ic vasospasm ea add vsl same territory
|
$736.20 |
$736.20 |
$736.20 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$3,681.00 |
$3,681.00 |
$3,681.00 |
$5,250.40
|
|
Dilation salivary duct 42650
|
$10,072.95 |
$10,072.95 |
$10,072.95 |
$2,498.32
|
|
Dilation/urethral strict/male/ini 53620
|
$2,750.40 |
$2,750.40 |
$2,750.40 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$1,990.10 |
$1,990.10 |
$1,990.10 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$53,974.03 |
$53,974.03 |
$53,974.03 |
$4,061.71
|
|
Diltiazem 5 mg/ml intravenous solution
|
$94.83 |
$94.83 |
$106.13 |
$47.94
|
|
Dimethyl sulfoxide 50% 50 ml
|
$6,064.22 |
$6,064.22 |
$6,786.68 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$45.00 |
$45.00 |
$45.00 |
$17.75
|
|
Disability dlco
|
$155.40 |
$155.40 |
$155.40 |
$282.40
|
|
Disaccharidases
|
$148.80 |
$148.80 |
$148.80 |
$216.00
|
|
Dise eval slp do brth flx dx
|
$2,022.00 |
$2,022.00 |
$2,022.00 |
$1,120.00
|
|
Dlyd plmt xtn prosth ea addl
|
$104,685.41 |
$104,685.41 |
$104,685.41 |
$1,582.68
|
|
Dmpk gene detc abnor allele
|
$411.00 |
$411.00 |
$411.00 |
$313.60
|
|
Dna probe chlamydia
|
$90.60 |
$90.60 |
$90.60 |
$79.38
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$324.09 |
$324.09 |
$362.70 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$2,166.30 |
$2,166.30 |
$2,479.50 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$189.05 |
$189.05 |
$211.58 |
$65.40
|
|
Doppler intravascular pressure flow initial vessel
|
$3,006.60 |
$3,006.60 |
$3,006.60 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$637.80 |
$637.80 |
$637.80 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$232.20 |
$232.20 |
$232.20 |
$471.17
|
|
Dornase alfa non-comp unit
|
$1,111.63 |
$1,111.63 |
$1,244.06 |
$446.75
|
|
Dornhoffer fixed part w/window
|
$161,452.50 |
$161,452.50 |
$161,452.50 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$0.01 |
$0.01 |
$0.01 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$1,309.89 |
$1,309.89 |
$1,499.27 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,988.39 |
$1,988.39 |
$2,275.87 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$144.02 |
$144.02 |
$161.17 |
$84.80
|
|
Dpyd gene common variants
|
$524.40 |
$524.40 |
$524.40 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$914.34
|
|
Drainage external ear complex 69005
|
$3,598.80 |
$3,598.80 |
$3,598.80 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$789.60
|
|
Drainage mouth roof lesion
|
$544.80 |
$544.80 |
$544.80 |
$390.39
|
|
Drainage of arm bursa 23931
|
$3,621.00 |
$3,621.00 |
$3,621.00 |
$2,197.48
|
|
Drainage of kidney lesion
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$1,506.00
|
|
Drainage of mouth lesion
|
$1,222.20 |
$1,222.20 |
$1,222.20 |
$962.40
|
|
Drainage of rectal abscess
|
$1,011.60 |
$1,011.60 |
$1,011.60 |
$2,111.46
|
|
Drain bladder by trocar/cath
|
$98,779.96 |
$98,779.96 |
$98,779.96 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$255.00 |
$255.00 |
$255.00 |
$170.50
|
|
Drain cath image guided visceral pq
|
$4,269.60 |
$4,269.60 |
$4,269.60 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$990.00 |
$990.00 |
$1,039.80 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$320.40 |
$320.40 |
$320.40 |
$419.00
|
|
Drain lower leg lesion 27603
|
$10,336.93 |
$10,336.93 |
$10,336.93 |
$3,858.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$427.80 |
$427.80 |
$427.80 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$267.00 |
$267.00 |
$376.80 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$351.00 |
$351.00 |
$351.00 |
$523.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$77,787.94 |
$77,787.94 |
$77,787.94 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$1,042.20 |
$1,042.20 |
$1,042.20 |
$1,515.00
|
|
Drng hand tendon sheath 26020
|
$8,718.11 |
$8,718.11 |
$8,718.11 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$285.60 |
$285.60 |
$285.60 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$3,621.00 |
$3,621.00 |
$3,621.00 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$3,466.20 |
$3,466.20 |
$3,466.20 |
$1,917.33
|
|
Dronabinol 2.5mg oral
|
$27.00 |
$27.00 |
$27.00 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$45.00 |
$45.00 |
$45.00 |
$31.07
|
|
Drop lock knee
|
$489.69 |
$489.69 |
$489.69 |
$204.95
|
|
Drop lock retainer each
|
$167.53 |
$167.53 |
$167.53 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$16,302.00 |
$16,302.00 |
$16,302.00 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$10,807.91 |
$10,807.91 |
$10,807.91 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$43,733.25 |
$43,733.25 |
$43,733.25 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$10,220.54 |
$10,220.54 |
$10,220.54 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$61,138.77 |
$61,138.77 |
$61,138.77 |
$171.12
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$87,079.76 |
$87,079.76 |
$87,079.76 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$61,383.30 |
$61,383.30 |
$61,383.30 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$549.60 |
$549.60 |
$549.60 |
$569.75
|
|
Drug assay caffeine
|
$58.20 |
$58.20 |
$58.20 |
$83.40
|
|
Drug assay posaconazole
|
$239.40 |
$239.40 |
$239.40 |
$96.75
|
|
Drug assay rufinamide
|
$59.40 |
$59.40 |
$59.40 |
$85.80
|
|
Drug assay vedolizumab
|
$115.80 |
$115.80 |
$115.80 |
$152.79
|
|
Drug asy hydroxychloroquine
|
$121.80 |
$121.80 |
$121.80 |
$66.43
|
|
Drug test def 1-7 classes
|
$343.20 |
$343.20 |
$343.20 |
$250.52
|
|
Drug test prsmv instrmnt
|
$267.60 |
$267.60 |
$267.60 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$286.80 |
$286.80 |
$286.80 |
$278.85
|
|
Drvvt confirm - quest
|
$144.60 |
$144.60 |
$144.60 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$11,211.30 |
$11,211.30 |
$11,211.30 |
$3,020.80
|
|
Dup scan/hemodialysis access 93990
|
$841.20 |
$841.20 |
$841.20 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$373.20 |
$373.20 |
$373.20 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$847.80 |
$847.80 |
$847.80 |
$887.25
|
|
Duragen 1x1 5ea/bx
|
$42,520.13 |
$42,520.13 |
$42,520.13 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$21,387.41 |
$21,387.41 |
$24,479.56 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$15,218.63 |
$15,218.63 |
$15,218.63 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$14,510.59 |
$14,510.59 |
$14,510.59 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$6,660.66 |
$6,660.66 |
$6,660.66 |
$2,322.60
|
|
Ear cartilage graft
|
$31,614.48 |
$31,614.48 |
$37,133.77 |
$6,385.40
|
|
Ear irrigation 69209
|
$176.40 |
$176.40 |
$176.40 |
$149.76
|
