|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$6.00 |
$10.84 |
$41.20 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$151.14 |
$151.14 |
$151.14 |
$98.15
|
|
Dipyridamole injection
|
$105.53 |
$105.53 |
$105.53 |
$48.04
|
|
Disability dlco
|
$356.06 |
$356.06 |
$841.24 |
$293.76
|
|
Disaccharidases
|
$338.63 |
$338.63 |
$642.75 |
$230.40
|
|
Discography cerv/thor spine
|
$2,050.91 |
$2,050.91 |
$7,273.16 |
$2,565.00
|
|
Dise eval slp do brth flx dx
|
$244.89 |
$244.89 |
$244.89 |
$1,120.00
|
|
Dissolve clot heart vessel
|
$2,604.47 |
$2,604.47 |
$2,604.47 |
$1,579.93
|
|
Division of fallopian tube 58605
|
$2,714.25 |
$2,714.25 |
$2,714.25 |
$976.50
|
|
Dlyd plmt xtn prosth ea addl
|
$1,380.35 |
$1,380.35 |
$27,570.70 |
$1,810.80
|
|
Dmpk gene detc abnor allele
|
$7,487.95 |
$7,487.95 |
$7,487.95 |
$313.60
|
|
Dna antibody native/double stranded
|
$141.17 |
$141.17 |
$2,227.00 |
$100.00
|
|
Dna gardnerella
|
$61.20 |
$61.20 |
$61.20 |
$61.83
|
|
Dna probe chlamydia
|
$114.48 |
$114.48 |
$475.18 |
$82.20
|
|
Dna probe gc
|
$101.97 |
$101.97 |
$475.18 |
$79.38
|
|
Dna trichomonas
|
$63.00 |
$63.00 |
$63.00 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$100.80 |
$146.40 |
$146.40 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$461.16 |
$1,105.40 |
$1,290.00 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$57.75 |
$76.20 |
$76.20 |
$65.40
|
|
Doppler echo complete
|
$938.80 |
$938.80 |
$2,750.96 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$2,781.60 |
$3,563.60 |
$3,563.60 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$849.60 |
$881.26 |
$3,299.16 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$608.33 |
$608.33 |
$791.40 |
$481.65
|
|
Dornase alfa non-comp unit
|
$350.67 |
$350.67 |
$932.55 |
$356.00
|
|
Dornhoffer fixed part w/window
|
$34,278.00 |
$50,985.00 |
$94,918.00 |
$34,278.00
|
|
Dorsi & plantar flex ass/res
|
$163.50 |
$163.50 |
$163.50 |
$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)
|
$526.65 |
$740.18 |
$740.18 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,312.74 |
$2,278.13 |
$2,278.13 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$97.79 |
$97.79 |
$150.99 |
$89.34
|
|
Dpyd gene common variants
|
$851.19 |
$851.19 |
$851.19 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$866.92 |
$866.92 |
$1,053.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,053.00 |
$3,325.73 |
$3,325.73 |
$964.00
|
|
Drainage external ear complex 69005
|
$2,428.35 |
$3,541.97 |
$3,541.97 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$631.80 |
$984.69 |
$984.69 |
$790.40
|
|
Drainage mouth roof lesion
|
$286.50 |
$641.66 |
$641.66 |
$405.60
|
|
Drainage of arm bursa 23931
|
$1,611.00 |
$3,155.93 |
$3,155.93 |
$2,271.01
|
|
Drainage of eye
|
$1,824.02 |
$1,824.02 |
$1,824.02 |
$2,415.65
|
|
Drainage of kidney lesion
|
$1,092.00 |
$1,719.93 |
$1,719.93 |
$1,506.00
|
|
Drainage of mouth lesion
|
$1,576.20 |
$1,576.20 |
$1,576.20 |
$535.20
|
|
Drainage of mouth lesion
|
$3,021.62 |
$3,021.62 |
$3,021.62 |
$2,320.03
|
|
Drainage of mouth lesion
|
$2,295.40 |
$2,295.40 |
$2,295.40 |
$3,837.72
|
|
Drainage of mouth lesion
|
$583.82 |
$583.82 |
$618.45 |
$905.30
|
|
Drainage of mouth lesion
|
$6,781.90 |
$6,781.90 |
$6,781.90 |
$6,781.90
|
|
Drainage of mouth lesion
|
$2,412.60 |
$2,412.60 |
$2,412.60 |
$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
|
$424.80 |
$901.48 |
$901.48 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$781.44 |
$781.44 |
$781.44 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$2,668.63 |
$2,668.63 |
$3,863.70 |
$3,863.70
|
|
Drainage of prostate abscess
|
$2,260.09 |
$2,260.09 |
$2,260.09 |
$3,863.60
|
|
Drainage of rectal abscess
|
$1,020.15 |
$2,299.90 |
$2,299.90 |
$2,135.10
|
|
Drainage of urethra abscess 53060
|
$2,167.36 |
$2,167.36 |
$2,167.36 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$621.75 |
$1,078.00 |
$1,078.00 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$97.35 |
$190.33 |
$571.51 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,693.50 |
$2,693.50 |
$4,171.50 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,839.24 |
$2,839.24 |
$3,207.15 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$1,045.65 |
$1,192.95 |
$3,673.97 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$258.15 |
$522.25 |
$522.25 |
$428.40
|
|
Drain lower leg lesion 27603
|
$4,191.30 |
$4,588.15 |
$4,588.15 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$1,689.60 |
$2,727.07 |
$2,727.07 |
$3,339.00
|
|
Drain ostomy pouch w/flange
|
$7.86 |
$7.86 |
$7.86 |
$8.80
|
|
Drain thigh/knee lesion 27301
|
$3,606.86 |
$3,606.86 |
$4,191.30 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$235.35 |
$560.63 |
$560.63 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$235.35 |
$473.02 |
$1,137.05 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$449.25 |
$597.49 |
$1,787.72 |
$541.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$306.77 |
$306.77 |
$2,051.00 |
$3,789.86
|
|
Drill hole implt ventricular cath/device 61107
|
$1,911.50 |
$1,911.50 |
$1,911.50 |
$1,485.75
|
|
Drng hand tendon sheath 26020
|
$1,924.65 |
$1,924.65 |
$1,924.65 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$360.45 |
$1,770.43 |
$1,770.43 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,051.50 |
$2,475.83 |
$2,475.83 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$732.01 |
$732.01 |
$732.01 |
$867.90
|
|
Drng of mouth lesion 40801
|
$1,746.68 |
$1,746.68 |
$1,746.68 |
$1,350.97
|
|
Drng of pelvic abscess transrectal 45000
|
$1,614.45 |
$1,614.45 |
$2,635.50 |
$2,295.30
|
|
Drng of salivary cyst 42409
|
$2,635.12 |
$2,635.12 |
$2,635.12 |
$3,819.23
|
|
Drng of scrotum abscess 55100
|
$1,051.50 |
$1,997.89 |
$1,997.89 |
$1,997.89
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$2,068.50 |
$2,068.50 |
$2,068.50 |
$1,800.00
|
|
Drng peritoneal abscess open 49020
|
$1,600.76 |
$1,600.76 |
$1,600.76 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$3,113.71 |
$3,113.71 |
$3,113.71 |
$2,039.50
|
|
Dronabinol 2.5mg oral
|
$6.84 |
$6.84 |
$46.62 |
$17.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$6.00 |
$33.75 |
$34.85 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,275.80 |
$2,275.80 |
$9,216.00 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$53.27 |
$53.27 |
$53.27 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$289.05 |
$289.05 |
$289.05 |
$193.15
|
|
Drsg surg adh 11x11 3/4 occl drap wnd 28x30
|
$19.10 |
$19.10 |
$19.10 |
$19.10
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$321.43 |
$321.43 |
$409.86 |
$7,465.97
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$3.11 |
$3.11 |
$3.11 |
$1.00
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$400.98 |
$400.98 |
$400.98 |
$376.50
|
|
Drug admin & hemodynmic meas
|
$1,087.65 |
$1,667.83 |
$3,410.94 |
$569.75
|
|
Drug assay caffeine
|
$97.19 |
$97.19 |
$97.19 |
$80.00
|
|
Drug assay posaconazole
|
$96.75 |
$96.75 |
$138.24 |
$96.75
|
|
Drug assay rufinamide
|
$100.32 |
$100.32 |
$164.55 |
$87.10
|
|
Drug assay vedolizumab
|
$365.25 |
$365.25 |
$365.25 |
$154.00
|
|
Drug assay voriconazole
|
$96.75 |
$96.75 |
$861.58 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$345.00 |
$345.00 |
$345.00 |
$66.43
|
|
Drug of abuse screen urine
|
$106.41 |
$106.41 |
$106.41 |
$67.89
|
|
Drug screening tapentadol
|
$183.77 |
$183.77 |
$183.77 |
$47.03
|
|
Drug test def 15-21 classes
|
$203.97 |
$203.97 |
$2,040.12 |
$322.50
|
|
Drug test def 1-7 classes
|
$346.50 |
$346.50 |
$1,167.36 |
$263.25
|
|
Drug test def 22+ classes
|
$479.60 |
$479.60 |
$2,478.86 |
$426.24
|
|
Drug test def 8-14 classes
|
$405.90 |
$405.90 |
$1,604.53 |
$289.80
|