|
Disaccharidases
|
$338.63 |
$338.63 |
$338.63 |
$230.40
|
|
Disarticulation sho sec clsr
|
$1,793.59 |
$1,793.59 |
$1,793.59 |
$2,300.80
|
|
Discography cerv/thor spine
|
$5,350.69 |
$5,350.69 |
$5,350.69 |
$2,565.00
|
|
Dise eval slp do brth flx dx
|
$212.03 |
$212.03 |
$212.03 |
$1,120.00
|
|
Dissolve clot heart vessel
|
$861.55 |
$861.55 |
$4,114.08 |
$1,579.93
|
|
Dist revas ligation hemo
|
$7,440.08 |
$7,440.08 |
$7,440.08 |
$6,396.89
|
|
Diverticulectomy/hypophar/esoph 43130
|
$7,348.20 |
$7,348.20 |
$7,348.20 |
$6,547.81
|
|
#d/lmeth-l-methamphetamine
|
$52.50 |
$52.50 |
$52.50 |
$72.14
|
|
Dlyd plmt xtn prosth ea addl
|
$118.65 |
$118.65 |
$118.65 |
$1,810.80
|
|
Dmd dup/delet analysis
|
$1,806.96 |
$1,806.96 |
$1,806.96 |
$418.50
|
|
Dmpk gene detc abnor allele
|
$7,487.95 |
$7,487.95 |
$7,487.95 |
$313.60
|
|
Dna antibody native/double stranded
|
$68.43 |
$68.43 |
$142.25 |
$100.00
|
|
Dna gardnerella
|
$40.25 |
$40.25 |
$40.25 |
$61.83
|
|
Dna probe chlamydia
|
$99.55 |
$99.55 |
$99.55 |
$82.20
|
|
Dna probe gc
|
$88.67 |
$88.67 |
$88.67 |
$79.38
|
|
Dna trichomonas
|
$40.25 |
$40.25 |
$85.78 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$1.45 |
$1.45 |
$146.40 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$8.80 |
$8.80 |
$1,290.00 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$1.20 |
$1.20 |
$76.20 |
$65.40
|
|
Doppler echo complete
|
$419.48 |
$419.48 |
$823.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$913.33 |
$913.33 |
$3,026.62 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$459.03 |
$459.03 |
$857.57 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$321.48 |
$321.48 |
$539.59 |
$481.65
|
|
Dornase alfa non-comp unit
|
$350.67 |
$350.67 |
$350.67 |
$356.00
|
|
Dornhoffer fixed part w/window
|
$33,604.20 |
$33,604.20 |
$50,985.00 |
$34,278.00
|
|
Dorsi & plantar flex ass/res
|
$76.80 |
$76.80 |
$76.80 |
$163.44
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$20,843.62 |
$20,843.62 |
$20,843.62 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$423.95 |
$423.95 |
$740.18 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$254.39 |
$254.39 |
$2,278.13 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$97.79 |
$97.79 |
$97.79 |
$89.34
|
|
Dpyd gene common variants
|
$1,228.58 |
$1,228.58 |
$1,228.58 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$116.55 |
$116.55 |
$889.91 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$113.05 |
$113.05 |
$659.69 |
$964.00
|
|
Drainage external ear complex 69005
|
$391.30 |
$391.30 |
$3,631.06 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$272.83 |
$272.83 |
$997.05 |
$790.40
|
|
Drainage lymph node lesion 38300
|
$1,859.43 |
$1,859.43 |
$1,859.43 |
$3,088.80
|
|
Drainage lymph node lesion 38305
|
$2,901.50 |
$2,901.50 |
$2,901.50 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$69.30 |
$69.30 |
$613.99 |
$405.60
|
|
Drainage of arm bursa 23931
|
$411.25 |
$411.25 |
$2,197.48 |
$2,271.01
|
|
Drainage of bladder abscess
|
$2,902.06 |
$2,902.06 |
$2,902.06 |
$3,127.88
|
|
Drainage of eye
|
$2,415.65 |
$2,415.65 |
$2,415.65 |
$2,415.65
|
|
Drainage of eye
|
$3,249.19 |
$3,249.19 |
$3,249.19 |
$3,170.00
|
|
Drainage of eye
|
$3,222.78 |
$3,222.78 |
$3,222.78 |
$3,494.40
|
|
Drainage of forearm bursa
|
$2,509.30 |
$2,509.30 |
$2,509.30 |
$2,170.50
|
|
Drainage of kidney lesion
|
$369.25 |
$369.25 |
$1,841.58 |
$1,506.00
|
|
Drainage of mouth lesion
|
$89.78 |
$89.78 |
$455.56 |
$535.20
|
|
Drainage of mouth lesion
|
$3,710.62 |
$3,710.62 |
$3,710.62 |
$2,304.00
|
|
Drainage of mouth lesion
|
$2,320.03 |
$2,320.03 |
$2,320.03 |
$2,320.03
|
|
Drainage of mouth lesion
|
$744.98 |
$744.98 |
$2,890.53 |
$3,837.72
|
|
Drainage of mouth lesion
|
$574.01 |
$574.01 |
$574.01 |
$905.30
|
|
Drainage of mouth lesion
|
$482.86 |
$482.86 |
$482.86 |
$1,008.80
|
|
Drainage of mouth lesion
|
$3,334.63 |
$3,334.63 |
$3,334.63 |
$6,781.90
|
|
Drainage of mouth lesion
|
$2,590.72 |
$2,590.72 |
$2,590.72 |
$3,459.00
|
|
Drainage of mouth lesion
|
$1,304.89 |
$1,304.89 |
$1,304.89 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$114.28 |
$114.28 |
$1,183.81 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$108.85 |
$108.85 |
$555.62 |
$781.44
|
|
Drainage of pelvis bursa
|
$3,763.91 |
$3,763.91 |
$3,763.91 |
$2,840.80
|
|
Drainage of pelvis lesion 26990
|
$2,468.69 |
$2,468.69 |
$2,468.69 |
$3,863.70
|
|
Drainage of prostate abscess
|
$3,838.97 |
$3,838.97 |
$3,838.97 |
$4,081.37
|
|
Drainage of rectal abscess
|
$263.73 |
$263.73 |
$2,778.55 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$1,556.37 |
$1,556.37 |
$1,556.37 |
$3,816.64
|
|
Drainage of salivary gland
|
$498.75 |
$498.75 |
$4,007.47 |
$4,560.40
|
|
Drainage of salivary gland
|
$482.86 |
$482.86 |
$482.86 |
$890.76
|
|
Drainage of throat abscess
|
$7,149.26 |
$7,149.26 |
$7,149.26 |
$6,499.33
|
|
Drainage of urethra abscess
|
$3,663.43 |
$3,663.43 |
$3,663.43 |
$4,081.37
|
|
Drainage of urethra abscess 53060
|
$583.10 |
$583.10 |
$1,922.90 |
$2,424.12
|
|
Drainage of urinary leakage
|
$2,308.48 |
$2,308.48 |
$2,308.48 |
$2,308.48
|
|
Drainage of urinary leakage
|
$2,688.62 |
$2,688.62 |
$2,688.62 |
$2,874.36
|
|
Drain bladder by trocar/cath
|
$284.20 |
$284.20 |
$325.50 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$51.45 |
$51.45 |
$173.21 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$627.90 |
$627.90 |
$1,692.74 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$963.90 |
$963.90 |
$2,620.54 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$338.63 |
$338.63 |
$1,283.94 |
$1,044.00
|
|
Drain chest lesion
|
$2,997.08 |
$2,997.08 |
$2,997.08 |
$3,839.54
|
|
Drain finger abscess;simple 26010
|
$129.15 |
$129.15 |
$492.81 |
$428.40
|
|
Drain lower leg bursa
|
$1,032.50 |
$1,032.50 |
$3,721.84 |
$4,289.60
|
|
Drain lower leg lesion 27603
|
$4,115.35 |
$4,115.35 |
$4,115.35 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$100.45 |
$100.45 |
$3,220.39 |
$3,339.00
|
|
Drain ostomy pouch w/flange
|
$39.20 |
$39.20 |
$39.20 |
$8.80
|
|
Drain ovarn cyst abd
|
$4,043.55 |
$4,043.55 |
$4,043.55 |
$3,786.00
|
|
Drain penis lesion
|
$4,685.06 |
$4,685.06 |
$4,685.06 |
$2,244.20
|
|
Drain shoulder bone lesion
|
$3,206.33 |
$3,206.33 |
$3,206.33 |
$3,345.60
|
|
Drain shoulder bursa 23031
|
$2,719.83 |
$2,719.83 |
$2,719.83 |
$3,322.80
|
|
Drain shoulder lesion
|
$534.28 |
$534.28 |
$3,904.61 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$558.78 |
$558.78 |
$4,187.72 |
$3,986.00
|
|
Drain thyroid/tongue cyst
|
$1,195.09 |
$1,195.09 |
$1,195.09 |
$1,752.89
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$161.35 |
$161.35 |
$592.52 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$81.55 |
$81.55 |
$514.43 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$189.88 |
$189.88 |
$611.53 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$581.17 |
$581.17 |
$581.17 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$306.77 |
$306.77 |
$2,458.05 |
$3,789.86
|
|
Drill hole implt ventricular cath/device 61107
|
$250.95 |
$250.95 |
$1,970.03 |
$1,485.75
|
|
Drm agrft t/a/l ea addl
|
$1,793.59 |
$1,793.59 |
$1,793.59 |
$1,793.59
|
|
Drng hand tendon sheath 26020
|
$364.70 |
$364.70 |
$2,330.25 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$389.90 |
$389.90 |
$655.72 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$312.55 |
$312.55 |
$2,629.09 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$762.52 |
$762.52 |
$762.52 |
$867.90
|
|
Drng of mouth lesion 40801
|
$231.53 |
$231.53 |
$1,562.64 |
$1,350.97
|
|
Drng of ovarian cyst(s) 58800
|
$3,091.88 |
$3,091.88 |
$3,091.88 |
$3,474.84
|
|
Drng of palm multi bursas 26030
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|