|
Dlyd plmt xtn prosth ea addl
|
$242.50 |
$299.50 |
$104,685.41 |
|
|
Dmpk gene detc abnor allele
|
$411.00 |
$411.00 |
$411.00 |
|
|
Dna antibody native/double stranded
|
$58.00 |
$109.00 |
$497.00 |
|
|
Dna gardnerella
|
$68.00 |
$68.00 |
$90.00 |
|
|
Dna probe chlamydia
|
$90.60 |
$90.60 |
$292.00 |
|
|
Dna probe gc
|
$183.00 |
$183.00 |
$183.00 |
|
|
Dna trichomonas
|
$68.00 |
$68.00 |
$90.00 |
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$324.09 |
$324.09 |
$362.70 |
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$2,166.30 |
$2,166.30 |
$2,479.50 |
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$189.05 |
$189.05 |
$211.58 |
|
|
Doppler echo complete
|
$360.00 |
$475.00 |
$502.00 |
|
|
Doppler intravascular pressure flow initial vessel
|
$3,006.60 |
$4,650.00 |
$5,526.50 |
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$309.00 |
$583.00 |
$796.00 |
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$173.00 |
$328.00 |
$576.00 |
|
|
Dornase alfa non-comp unit
|
$425.00 |
$1,111.63 |
$1,244.06 |
|
|
Dornhoffer fixed part w/window
|
$22,758.00 |
$41,761.50 |
$161,452.50 |
|
|
Dorsi & plantar flex ass/res
|
$162.50 |
$162.50 |
$162.50 |
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$0.01 |
$0.01 |
$55,570.00 |
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$1,309.89 |
$1,309.89 |
$1,499.27 |
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,988.39 |
$1,988.39 |
$2,275.87 |
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$144.02 |
$161.17 |
$397.00 |
|
|
Dpyd gene common variants
|
$524.40 |
$524.40 |
$524.40 |
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$193.00 |
$494.00 |
$1,602.00 |
|
|
Drainage ext aud canal abscess 69020
|
$173.50 |
$494.00 |
$1,602.00 |
|
|
Drainage external ear complex 69005
|
$1,113.50 |
$1,539.50 |
$3,598.80 |
|
|
Drainage external ear simple 69000
|
$325.00 |
$494.00 |
$1,602.00 |
|
|
Drainage mouth roof lesion
|
$536.50 |
$647.00 |
$1,374.50 |
|
|
Drainage of arm bursa 23931
|
$2,497.00 |
$3,389.50 |
$3,621.00 |
|
|
Drainage of eye
|
$1,554.00 |
$2,302.50 |
$2,302.50 |
|
|
Drainage of eye
|
$1,861.00 |
$2,756.50 |
$2,756.50 |
|
|
Drainage of kidney lesion
|
$803.00 |
$1,161.00 |
$4,224.00 |
|
|
Drainage of mouth lesion
|
$2,540.50 |
$2,823.00 |
$2,823.00 |
|
|
Drainage of mouth lesion
|
$598.50 |
$827.50 |
$1,222.20 |
|
|
Drainage of nose lesion int 30000
|
$225.50 |
$225.50 |
$312.00 |
|
|
Drainage of nose lesion sept 30020
|
$437.00 |
$604.00 |
$604.00 |
|
|
Drainage of rectal abscess
|
$1,011.60 |
$1,011.60 |
$1,011.60 |
|
|
Drainage of urethra abscess 53060
|
$2,084.50 |
$2,882.50 |
$2,882.50 |
|
|
Drain bladder by trocar/cath
|
$560.50 |
$775.00 |
$98,779.96 |
|
|
Drain blood from under nail 11740
|
$69.00 |
$110.00 |
$255.00 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,250.50 |
$1,698.00 |
$4,525.00 |
|
|
Drain cath image guided visceral pq
|
$1,949.00 |
$2,741.00 |
$6,788.00 |
|
|
Drain cerebro spinal fluid 62272
|
$519.50 |
$718.00 |
$1,389.00 |
|
|
Drain chst dry seal exp thorastat
|
$69.50 |
$100.00 |
$115.50 |
|
|
Drain finger abscess;simple 26010
|
$205.00 |
$320.40 |
$458.50 |
|
|
Drain lower leg lesion 27603
|
$1,979.50 |
$2,456.00 |
$10,336.93 |
|
|
Drain neck/chest lesion 21501
|
$1,455.50 |
$2,012.00 |
$5,395.50 |
|
|
Drain ostomy pouch w/flange
|
$21.00 |
$21.00 |
$23.00 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$313.50 |
$427.80 |
$963.50 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$261.50 |
$362.00 |
$543.00 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$222.50 |
$531.00 |
$963.50 |
|
|
Dressing change not for burn w/anes 15852
|
$298.00 |
$412.00 |
$412.00 |
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$3,878.50 |
$3,878.50 |
$77,787.94 |
|
|
Drill hole implt ventricular cath/device 61107
|
$479.50 |
$651.00 |
$1,042.20 |
|
|
Drng hand tendon sheath 26020
|
$8,718.11 |
$8,718.11 |
$8,718.11 |
|
|
Drng of eyelid abscess 67700
|
$285.60 |
$523.50 |
$645.00 |
|
|
Drng of finger abscess comp 26011
|
$1,504.00 |
$2,165.50 |
$3,621.00 |
|
|
Drng of hydrocele 55000
|
$587.00 |
$812.00 |
$812.00 |
|
|
Drng of mouth lesion 40801
|
$1,015.00 |
$1,404.00 |
$1,404.00 |
|
|
Drng of ovarian cyst(s) 58800
|
$2,562.00 |
$3,478.50 |
$3,478.50 |
|
|
Drng of salivary cyst 42409
|
$2,947.50 |
$4,001.00 |
$4,001.00 |
|
|
Drng of scrotum abscess 55100
|
$1,316.00 |
$2,602.50 |
$3,466.20 |
|
|
Drng peritoneal abscess open 49020
|
$1,179.00 |
$1,601.00 |
$1,601.00 |
|
|
Drng salivary gland simple 42300
|
$1,015.00 |
$1,404.00 |
$1,404.00 |
|
|
Dronabinol 2.5mg oral
|
$27.00 |
$27.00 |
$136.00 |
|
|
Droperidol 2.5 mg/ml injection solution
|
$45.00 |
$45.00 |
$75.00 |
|
|
Drop lock knee
|
$489.69 |
$489.69 |
$489.69 |
|
|
Drop lock retainer each
|
$167.53 |
$167.53 |
$167.53 |
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$429.00 |
$7,319.00 |
$16,302.00 |
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$76.00 |
$76.50 |
$10,807.91 |
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$25.50 |
$26.00 |
$43,733.25 |
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$27.00 |
$10,220.54 |
$10,220.54 |
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$525.00 |
$525.00 |
$61,138.77 |
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$185.00 |
$185.00 |
$87,079.76 |
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$2.00 |
$2.00 |
$2.50 |
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$376.50 |
$392.50 |
$61,383.30 |
|
|
Drug admin & hemodynmic meas
|
$189.00 |
$276.00 |
$6,418.00 |
|
|
Drug assay caffeine
|
$47.50 |
$58.20 |
$125.45 |
|
|
Drug assay posaconazole
|
$90.00 |
$135.50 |
$239.40 |
|
|
Drug assay rufinamide
|
$59.40 |
$59.40 |
$60.00 |
|
|
Drug assay vedolizumab
|
$80.00 |
$398.50 |
$438.50 |
|
|
Drug assay voriconazole
|
$101.00 |
$173.50 |
$187.00 |
|
|
Drug asy hydroxychloroquine
|
$75.00 |
$84.00 |
$255.00 |
|
|
Drug of abuse screen urine
|
$31.00 |
$31.00 |
$44.50 |
|
|
Drug screen quant tiagabine
|
$75.00 |
$156.50 |
$163.00 |
|
|
Drug test def 15-21 classes
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
|
|
Drug test def 1-7 classes
|
$343.20 |
$343.20 |
$581.00 |
|
|
Drug test def 8-14 classes
|
$683.00 |
$683.00 |
$683.00 |
|
|
Drug test prsmv instrmnt
|
$41.00 |
$59.50 |
$267.60 |
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$286.80 |
$373.00 |
$1,162.00 |
|
|
Drvvt confirm - quest
|
$93.00 |
$129.00 |
$217.00 |
|
|
Dstrj extensive retinopathy
|
$1,474.00 |
$2,183.50 |
$2,183.50 |
|
|
Dstrj nulyt agt gnclr nrv
|
$1,700.00 |
$2,351.00 |
$11,211.30 |
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$320.50 |
$443.00 |
$443.00 |
|
|
Ductogram sgl duct
|
$248.00 |
$248.00 |
$248.00 |
|
|
Duodenal motility study
|
$1,261.00 |
$1,743.50 |
$2,506.50 |
|
|
Duplex scan bilateral study 93985
|
$432.25 |
$441.00 |
$441.00 |
|
|
Duplex scan unilateral study 93986
|
$202.00 |
$202.00 |
$419.25 |
|
|
Dup scan/hemodialysis access 93990
|
$203.50 |
$203.50 |
$841.20 |
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$198.50 |
$736.50 |
$1,284.00 |
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$391.00 |
$566.50 |
$4,376.00 |
|
