|
Dilator fascial 10fx20cm
|
$382.20 |
$382.20 |
$382.20 |
$291.87
|
|
Dilat xst trc ndurlgc px
|
$1,507.80 |
$1,507.80 |
$13,690.00 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$1,507.80 |
$1,507.80 |
$2,579.00 |
$4,952.80
|
|
Dimethyl sulfoxide 50% 50 ml
|
$956.10 |
$956.10 |
$4,080.06 |
$1,105.82
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.70 |
$0.70 |
$0.70 |
$2.10
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$20.55 |
$47.07 |
$51.16 |
$26.20
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$1,317.85 |
$1,317.85 |
$1,317.85 |
$106.59
|
|
Disability dlco
|
$1,823.00 |
$2,678.13 |
$2,704.47 |
$304.99
|
|
Discography cerv/thor spine
|
$8,500.14 |
$8,500.14 |
$20,775.94 |
$2,375.10
|
|
Dissolve clot heart vessel
|
$14.35 |
$14.35 |
$24,887.64 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$663.25 |
$663.25 |
$663.25 |
$2,040.76
|
|
Dna antibody native/double stranded
|
$166.60 |
$166.60 |
$1,056.00 |
$102.60
|
|
Dna probe chlamydia
|
$457.97 |
$457.97 |
$457.97 |
$82.20
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$71.44 |
$71.44 |
$71.44 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$526.94 |
$526.94 |
$526.94 |
$712.02
|
|
Dolasetron mesylate
|
$76.59 |
$76.59 |
$76.59 |
$76.59
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$49.33 |
$49.33 |
$49.33 |
$80.15
|
|
Doppler echo complete
|
$687.05 |
$687.05 |
$2,733.21 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$1,577.80 |
$2,898.00 |
$12,605.00 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,284.50 |
$1,284.50 |
$11,060.34 |
$697.23
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$885.85 |
$885.85 |
$2,203.80 |
$490.82
|
|
Doripenem 50 mg/ml inj 10 ml
|
$73.80 |
$73.80 |
$73.80 |
$70.91
|
|
Dornase alfa non-comp unit
|
$720.92 |
$720.92 |
$720.92 |
$479.80
|
|
Dornhoffer fixed part w/window
|
$147,735.00 |
$147,735.00 |
$147,735.00 |
$28,091.95
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$29,270.33 |
$29,270.33 |
$29,270.33 |
$33,181.17
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$299.52 |
$751.77 |
$1,038.64 |
$297.33
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$7,125.22 |
$7,125.22 |
$7,125.22 |
$2,469.31
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$133.38 |
$133.38 |
$133.38 |
$100.10
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$608.65 |
$608.65 |
$608.65 |
$820.50
|
|
Drainage external ear complex 69005
|
$781.90 |
$781.90 |
$781.90 |
$2,924.22
|
|
Drainage external ear simple 69000
|
$608.65 |
$608.65 |
$608.65 |
$800.00
|
|
Drainage mouth roof lesion
|
$211.75 |
$211.75 |
$211.75 |
$473.20
|
|
Drainage of arm bursa 23931
|
$722.75 |
$722.75 |
$722.75 |
$2,377.90
|
|
Drainage of kidney lesion
|
$690.90 |
$690.90 |
$7,949.91 |
$1,619.40
|
|
Drainage of mouth lesion
|
$2,577.40 |
$2,577.40 |
$2,577.40 |
$3,971.40
|
|
Drainage of rectal abscess
|
$601.65 |
$601.65 |
$601.65 |
$2,299.90
|
|
Drain bladder by trocar/cath
|
$3,470.95 |
$3,470.95 |
$3,470.95 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$87.50 |
$87.50 |
$87.50 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,320.20 |
$1,320.20 |
$6,696.80 |
$2,595.00
|
|
Drain cath image guided visceral pq
|
$2,394.00 |
$2,394.00 |
$7,955.14 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$606.90 |
$606.90 |
$606.90 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$261.10 |
$261.10 |
$261.10 |
$492.81
|
|
Drain thigh/knee lesion 27301
|
$2,342.90 |
$2,342.90 |
$2,342.90 |
$3,606.86
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$115.50 |
$115.50 |
$115.50 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$114.45 |
$114.45 |
$114.45 |
$365.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$257.25 |
$257.25 |
$257.25 |
$547.20
|
|
Drill hole implt ventricular cath/device 61107
|
$34,301.00 |
$34,301.00 |
$34,301.00 |
$1,577.31
|
|
Drng of eyelid abscess 67700
|
$684.95 |
$684.95 |
$684.95 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,336.65 |
$1,336.65 |
$1,336.65 |
$2,006.25
|
|
Drng of scrotum abscess 55100
|
$834.05 |
$834.05 |
$834.05 |
$2,056.00
|
|
Dronabinol 2.5mg oral
|
$1.50 |
$1.50 |
$291.14 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$30.05 |
$30.05 |
$39.60 |
$39.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$13,597.50 |
$13,597.50 |
$13,597.50 |
$1,617.84
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$55.30 |
$55.30 |
$55.30 |
$382.24
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$24,696.00 |
$24,696.00 |
$24,696.00 |
$127.14
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$351.75 |
$351.75 |
$450.00 |
$5,346.89
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$13,994.00 |
$13,994.00 |
$13,994.00 |
$14,626.71
|
|
Drug admin & hemodynmic meas
|
$528.50 |
$528.50 |
$2,115.39 |
$528.50
|
|
Drug assay caffeine
|
$203.09 |
$203.09 |
$814.00 |
$82.60
|
|
Drug assay voriconazole
|
$491.81 |
$491.81 |
$491.81 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$271.93 |
$271.93 |
$271.93 |
$83.85
|
|
Drug of abuse screen urine
|
$157.85 |
$157.85 |
$223.45 |
$63.75
|
|
Drug test def 15-21 classes
|
$3,111.02 |
$3,111.02 |
$3,111.02 |
$144.14
|
|
Drug test def 1-7 classes
|
$239.75 |
$239.75 |
$3,433.00 |
$250.95
|
|
Drug test def 22+ classes
|
$3,111.02 |
$3,111.02 |
$3,111.02 |
$246.92
|
|
Drug test def 8-14 classes
|
$2,680.52 |
$2,680.52 |
$3,111.02 |
$172.25
|
|
Drug test prsmv instrmnt
|
$725.94 |
$725.94 |
$725.94 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$206.15 |
$206.15 |
$206.15 |
$278.85
|
|
Drvvt confirm - quest
|
$1,776.42 |
$1,776.42 |
$1,776.42 |
$101.66
|
|
Ductogram sgl duct
|
$318.15 |
$318.15 |
$1,318.00 |
$412.44
|
|
Duplex scan bilateral study 93985
|
$421.40 |
$421.40 |
$7,899.00 |
$660.32
|
|
Duplex scan unilateral study 93986
|
$246.75 |
$246.75 |
$246.75 |
$392.15
|
|
Dup scan/hemodialysis access 93990
|
$249.20 |
$249.20 |
$4,185.00 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,293.25 |
$1,293.25 |
$12,073.58 |
$759.85
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,082.20 |
$1,082.20 |
$1,082.20 |
$890.55
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$23,482.80
|
|
Dxa bone density axl vrt fx
|
$191.45 |
$191.45 |
$2,512.79 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$2,562.70 |
$2,562.70 |
$2,562.70 |
$2,755.53
|
|
Dx bronchoscope/wash 31622
|
$3,105.90 |
$3,105.90 |
$3,105.90 |
$2,520.60
|
|
Ear irrigation 69209
|
$101.50 |
$101.50 |
$101.50 |
$165.42
|
|
Ecg 12 lead tracing only
|
$295.40 |
$295.40 |
$1,920.22 |
$245.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$72.80 |
$288.85 |
$1,205.41 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$1,698.30 |
$1,698.30 |
$1,698.30 |
$441.40
|
|
Ecg external < 48 hours recording
|
$286.30 |
$286.30 |
$2,391.00 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$908.95 |
$908.95 |
$3,867.00 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$68.25 |
$68.25 |
$68.25 |
$161.00
|
|
Ecg external >7 days up to 15 days recording
|
$112.35 |
$112.35 |
$112.35 |
$194.01
|
|
Echocardiogram (Heart Ultrasound)
|
$2,651.25 |
$2,651.25 |
$8,257.80 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$316.05 |
$316.05 |
$2,014.65 |
$463.50
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,150.00 |
$3,150.00 |
$4,974.84 |
$2,013.55
|
|
Echocardiography transthoracic 2d followup/limited
|
$462.00 |
$462.00 |
$1,769.43 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$462.00 |
$4,158.35 |
$4,440.70 |
$757.45
|
|
Echocardiograpy doppler follow up/limited study
|
$336.70 |
$336.70 |
$2,014.65 |
$353.46
|
|
Echo exam uterus 76831-
|
$450.45 |
$450.45 |
$4,530.22 |
$536.40
|
|
Echo guide for amniocentesis
|
$272.30 |
$272.30 |
$4,219.40 |
$378.24
|
|
Echo guide for artery repair
|
$215.60 |
$215.60 |
$215.60 |
$680.28
|
|
Echo stress
|
$3,379.24 |
$6,311.44 |
$18,740.00 |
$1,582.75
|
|
Echo tee guidance
|
$3,253.25 |
$3,253.25 |
$8,481.68 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,565.20 |
$3,379.24 |
$11,008.00 |
$1,854.44
|
|
Echo transesophageal
|
$1,471.40 |
$1,471.40 |
$1,471.40 |
$572.25
|