|
Digoxin immune fab 40 mg intravenous solution
|
$590.92 |
$590.92 |
$590.92 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$48.13 |
$48.13 |
$48.13 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$11.43 |
$11.43 |
$11.43 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$578.55 |
$578.55 |
$578.55 |
$2,304.60
|
|
Dilate esophagus 1/mult pass
|
$280.53 |
$280.53 |
$280.53 |
$1,484.17
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$1,139.60 |
$1,139.60 |
$1,139.60 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$657.13 |
$657.13 |
$657.13 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$2,170.70 |
$2,170.70 |
$2,170.70 |
$6,280.95
|
|
Dilate urethra stricture
|
$127.75 |
$127.75 |
$127.75 |
$514.79
|
|
Dilate urethra stricture
|
$18.20 |
$18.20 |
$18.20 |
$185.58
|
|
Dilate urethra stricture
|
$24.50 |
$24.50 |
$24.50 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$17.68 |
$17.68 |
$17.68 |
$207.39
|
|
Dilation of salivary duct
|
$97.65 |
$97.65 |
$97.65 |
$599.72
|
|
Dilation of urethra
|
$17.50 |
$17.50 |
$17.50 |
$172.00
|
|
Dilation salivary duct 42650
|
$18.73 |
$18.73 |
$18.73 |
$1,744.44
|
|
Dilation/urethral strict/male/ini 53620
|
$495.78 |
$495.78 |
$495.78 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$283.68 |
$283.68 |
$283.68 |
$305.68
|
|
Dilat xst trc ndurlgc px
|
$657.13 |
$657.13 |
$657.13 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$1,189.13 |
$1,189.13 |
$1,189.13 |
$5,020.00
|
|
Dimecaprol injection
|
$22.46 |
$22.46 |
$22.46 |
$199.46
|
|
Dimethyl sulfoxide 50% 50 ml
|
$12.02 |
$12.02 |
$12.02 |
$1,155.52
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.42 |
$0.42 |
$0.42 |
$2.10
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.93 |
$1.93 |
$1.93 |
$26.87
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$2.84 |
$2.84 |
$2.84 |
$106.59
|
|
Disability dlco
|
$44.98 |
$44.98 |
$44.98 |
$307.58
|
|
Dissolve clot heart vessel
|
$4,114.08 |
$4,114.08 |
$4,114.08 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$118.65 |
$118.65 |
$118.65 |
$2,001.55
|
|
Dna antibody native/double stranded
|
$68.43 |
$68.43 |
$68.43 |
$102.60
|
|
Dna gardnerella
|
$40.25 |
$40.25 |
$40.25 |
$67.68
|
|
Dna trichomonas
|
$40.25 |
$40.25 |
$40.25 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$1.45 |
$1.45 |
$1.45 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$8.80 |
$8.80 |
$8.80 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$1.20 |
$1.20 |
$1.20 |
$84.30
|
|
Doppler echo complete
|
$419.48 |
$419.48 |
$419.48 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$913.33 |
$913.33 |
$913.33 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$459.03 |
$459.03 |
$459.03 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$321.48 |
$321.48 |
$321.48 |
$482.03
|
|
Dornhoffer fixed part w/window
|
$33,604.20 |
$33,604.20 |
$33,604.20 |
$28,091.95
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$423.95 |
$423.95 |
$423.95 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$254.39 |
$254.39 |
$254.39 |
$2,417.38
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$116.55 |
$116.55 |
$116.55 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$113.05 |
$113.05 |
$113.05 |
$900.80
|
|
Drainage external ear complex 69005
|
$391.30 |
$391.30 |
$391.30 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$272.83 |
$272.83 |
$272.83 |
$809.25
|
|
Drainage mouth roof lesion
|
$69.30 |
$69.30 |
$69.30 |
$474.39
|
|
Drainage of arm bursa 23931
|
$411.25 |
$411.25 |
$411.25 |
$2,419.30
|
|
Drainage of kidney lesion
|
$369.25 |
$369.25 |
$369.25 |
$1,706.65
|
|
Drainage of mouth lesion
|
$89.78 |
$89.78 |
$89.78 |
$455.56
|
|
Drainage of mouth lesion
|
$744.98 |
$744.98 |
$744.98 |
$3,986.00
|
|
Drainage of nose lesion int 30000
|
$114.28 |
$114.28 |
$114.28 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$108.85 |
$108.85 |
$108.85 |
$755.95
|
|
Drainage of rectal abscess
|
$263.73 |
$263.73 |
$263.73 |
$2,299.90
|
|
Drainage of salivary gland
|
$498.75 |
$498.75 |
$498.75 |
$3,837.72
|
|
Drainage of urethra abscess 53060
|
$583.10 |
$583.10 |
$583.10 |
$2,459.34
|
|
Drain bladder by trocar/cath
|
$284.20 |
$284.20 |
$284.20 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$51.45 |
$51.45 |
$51.45 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$627.90 |
$627.90 |
$627.90 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$963.90 |
$963.90 |
$963.90 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$338.63 |
$338.63 |
$338.63 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$129.15 |
$129.15 |
$129.15 |
$492.81
|
|
Drain lower leg bursa
|
$1,032.50 |
$1,032.50 |
$1,032.50 |
$3,839.54
|
|
Drain neck/chest lesion 21501
|
$100.45 |
$100.45 |
$100.45 |
$3,386.84
|
|
Drain shoulder lesion
|
$534.28 |
$534.28 |
$534.28 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$558.78 |
$558.78 |
$558.78 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$161.35 |
$161.35 |
$161.35 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$81.55 |
$81.55 |
$81.55 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$189.88 |
$189.88 |
$189.88 |
$554.40
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$2,458.05 |
$2,458.05 |
$2,458.05 |
$9,390.80
|
|
Drill hole implt ventricular cath/device 61107
|
$250.95 |
$250.95 |
$250.95 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$364.70 |
$364.70 |
$364.70 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$389.90 |
$389.90 |
$389.90 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$312.55 |
$312.55 |
$312.55 |
$2,048.00
|
|
Drng of mouth lesion 40801
|
$231.53 |
$231.53 |
$231.53 |
$1,145.97
|
|
Drng of palm single bursa 26025
|
$819.88 |
$819.88 |
$819.88 |
$3,545.97
|
|
Drng of scrotum abscess 55100
|
$625.10 |
$625.10 |
$625.10 |
$2,069.60
|
|
Drng open retroperitoneal abscess 49060
|
$781.20 |
$781.20 |
$781.20 |
$2,708.80
|
|
Drng peritoneal abscess open 49020
|
$938.88 |
$938.88 |
$938.88 |
$2,824.19
|
|
Drng salivary gland simple 42300
|
$226.45 |
$226.45 |
$226.45 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$93.80 |
$93.80 |
$93.80 |
$602.63
|
|
Dronabinol 2.5mg oral
|
$0.39 |
$0.39 |
$0.39 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$0.14 |
$0.14 |
$0.14 |
$39.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$5,209.23 |
$5,209.23 |
$5,209.23 |
$1,778.40
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$1,575.70 |
$1,575.70 |
$1,575.70 |
$3,374.24
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$280.18 |
$280.18 |
$280.18 |
$6,581.45
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$4,810.58 |
$4,810.58 |
$4,810.58 |
$18,384.03
|
|
Drug of abuse screen urine
|
$14.00 |
$14.00 |
$14.00 |
$63.75
|
|
Drug test def 22+ classes
|
$185.15 |
$185.15 |
$185.15 |
$246.92
|
|
Drug test prsmv instrmnt
|
$211.75 |
$211.75 |
$211.75 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$141.93 |
$141.93 |
$141.93 |
$278.85
|
|
Drvvt confirm - quest
|
$18.73 |
$18.73 |
$18.73 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$0.01 |
$0.01 |
$0.01 |
$3,390.00
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$79.80 |
$79.80 |
$79.80 |
$886.40
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$275.98 |
$275.98 |
$275.98 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$651.00 |
$651.00 |
$651.00 |
$10,021.12
|
|
Dx bronchoscope/lavage 31624
|
$879.03 |
$879.03 |
$879.03 |
$2,780.40
|
|
Dx laryngoscopy w/oper scope
|
$35.70 |
$35.70 |
$35.70 |
$2,040.67
|
|
Ear canal biopsy 69105
|
$30.80 |
$30.80 |
$30.80 |
$1,768.50
|
|
Ear irrigation 69209
|
$29.05 |
$29.05 |
$29.05 |
$165.42
|
|
Ecg 12 lead tracing only
|
$107.28 |
$107.28 |
$107.28 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$31.68 |
$31.68 |
$31.68 |
$129.83
|
