|
Destruction anal lesion(s) smpl chem 46900
|
$497.70 |
$497.70 |
$497.70 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$240.66 |
$240.66 |
$240.66 |
$250.60
|
|
Destruction premal lesions 15/> 17004
|
$168.00 |
$168.00 |
$168.00 |
$470.51
|
|
Destruction vag lesions simple 57061
|
$3,707.76 |
$3,707.76 |
$3,707.76 |
$3,762.53
|
|
Developmental screen/score/document 96110
|
$17.22 |
$17.22 |
$17.22 |
$139.10
|
|
Device ablt adv novasure
|
$6,148.80 |
$6,148.80 |
$6,148.80 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$5,386.50 |
$5,386.50 |
$5,386.50 |
$4,298.87
|
|
Device intraute mirena
|
$315.00 |
$315.00 |
$315.00 |
$2,618.91
|
|
Device sut capio slim opn
|
$1,825.12 |
$1,825.12 |
$1,825.12 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$10,602.90 |
$10,602.90 |
$10,602.90 |
$2,440.98
|
|
Dexamethasone 4 mg tablet
|
$15.65 |
$15.65 |
$15.65 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$56.70 |
$56.70 |
$56.70 |
$30.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$49.79 |
$49.79 |
$49.79 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$46.85 |
$46.85 |
$46.85 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$47.22 |
$47.22 |
$47.22 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$47.69 |
$47.69 |
$47.69 |
$68.93
|
|
Diabetes (HbA1c) Test
|
$57.54 |
$57.54 |
$57.54 |
$78.03
|
|
Diagnostic anoscopy
|
$134.82 |
$134.82 |
$134.82 |
$441.68
|
|
Diagnostic anoscopy spx 46600
|
$74.76 |
$74.76 |
$74.76 |
$245.35
|
|
Diagnostic laryngoscopy 31505
|
$207.06 |
$207.06 |
$207.06 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$207.06 |
$207.06 |
$207.06 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$254.10 |
$254.10 |
$254.10 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$198.66 |
$198.66 |
$198.66 |
$301.55
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$96.23 |
$96.23 |
$96.23 |
$72.34
|
|
Dicyclomine injection
|
$286.29 |
$286.29 |
$286.29 |
$211.81
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$56.70 |
$56.70 |
$56.70 |
$69.79
|
|
Digoxin total therapeutic drug level
|
$30.24 |
$30.24 |
$30.24 |
$102.00
|
|
Dilate tear duct opening
|
$119.70 |
$119.70 |
$119.70 |
$454.40
|
|
Dilate urethra stricture
|
$286.44 |
$286.44 |
$286.44 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$194.04 |
$194.04 |
$194.04 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$833.70 |
$833.70 |
$833.70 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$669.20 |
$669.20 |
$669.20 |
$305.68
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$2.10 |
$2.10 |
$2.10 |
$2.10
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$56.70 |
$56.70 |
$56.70 |
$26.87
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$5.88 |
$5.88 |
$5.88 |
$106.59
|
|
Dissolve clot heart vessel
|
$124.32 |
$124.32 |
$124.32 |
$1,396.47
|
|
Dna antibody native/double stranded
|
$118.02 |
$118.02 |
$118.02 |
$102.60
|
|
Dna gardnerella
|
$139.44 |
$139.44 |
$139.44 |
$67.68
|
|
Dna trichomonas
|
$139.44 |
$139.44 |
$139.44 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$243.99 |
$243.99 |
$243.99 |
$101.04
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$84.30 |
$84.30 |
$84.30 |
$84.30
|
|
Doppler echo complete
|
$393.96 |
$393.96 |
$393.96 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$531.72 |
$531.72 |
$531.72 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$866.04 |
$866.04 |
$866.04 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$382.20 |
$382.20 |
$382.20 |
$482.03
|
|
Dornhoffer fixed part w/window
|
$26,981.22 |
$26,981.22 |
$26,981.22 |
$28,091.95
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$171.75 |
$171.75 |
$171.75 |
$99.99
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$609.42 |
$609.42 |
$609.42 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$900.80
|
|
Drainage external ear complex 69005
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$363.30 |
$363.30 |
$363.30 |
$809.25
|
|
Drainage lymph node lesion 38300
|
$3,444.42 |
$3,444.42 |
$3,444.42 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$277.62 |
$277.62 |
$277.62 |
$474.39
|
|
Drainage of arm bursa 23931
|
$2,178.96 |
$2,178.96 |
$2,178.96 |
$2,419.30
|
|
Drainage of eye
|
$3,138.66 |
$3,138.66 |
$3,138.66 |
$2,503.62
|
|
Drainage of kidney lesion
|
$296.10 |
$296.10 |
$296.10 |
$1,706.65
|
|
Drainage of mouth lesion
|
$277.62 |
$277.62 |
$277.62 |
$455.56
|
|
Drainage of mouth lesion
|
$1,850.94 |
$1,850.94 |
$1,850.94 |
$2,320.03
|
|
Drainage of mouth lesion
|
$5,581.80 |
$5,581.80 |
$5,581.80 |
$3,986.00
|
|
Drainage of mouth lesion
|
$609.42 |
$609.42 |
$609.42 |
$799.40
|
|
Drainage of mouth lesion
|
$3,793.02 |
$3,793.02 |
$3,793.02 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$277.62 |
$277.62 |
$277.62 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$609.42 |
$609.42 |
$609.42 |
$755.95
|
|
Drainage of pelvis lesion 26990
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$3,969.00
|
|
Drainage of rectal abscess
|
$1,241.94 |
$1,241.94 |
$1,241.94 |
$2,299.90
|
|
Drainage of salivary gland
|
$3,793.02 |
$3,793.02 |
$3,793.02 |
$3,837.72
|
|
Drainage of salivary gland
|
$609.42 |
$609.42 |
$609.42 |
$629.60
|
|
Drainage of urethra abscess 53060
|
$2,472.96 |
$2,472.96 |
$2,472.96 |
$2,459.34
|
|
Drain bladder by trocar/cath
|
$1,245.72 |
$1,245.72 |
$1,245.72 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$204.54 |
$204.54 |
$204.54 |
$190.33
|
|
Drain cath image guided visceral pq
|
$2,881.20 |
$2,881.20 |
$2,881.20 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$747.18 |
$747.18 |
$747.18 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$158.34 |
$158.34 |
$158.34 |
$492.81
|
|
Drain lower leg bursa
|
$4,326.00 |
$4,326.00 |
$4,326.00 |
$3,839.54
|
|
Drain lower leg lesion 27603
|
$2,995.02 |
$2,995.02 |
$2,995.02 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$3,444.42 |
$3,444.42 |
$3,444.42 |
$3,386.84
|
|
Drain penis lesion
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
$2,005.32
|
|
Drain shoulder lesion
|
$3,444.42 |
$3,444.42 |
$3,444.42 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$3,444.42 |
$3,444.42 |
$3,444.42 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$426.72 |
$426.72 |
$426.72 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$426.72 |
$426.72 |
$426.72 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$497.70 |
$497.70 |
$497.70 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$774.90 |
$774.90 |
$774.90 |
$790.56
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$15,247.86 |
$15,247.86 |
$15,247.86 |
$9,390.80
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$131.88 |
$131.88 |
$131.88 |
$1,667.40
|
|
Drill hole implt ventricular cath/device 61107
|
$1,465.38 |
$1,465.38 |
$1,465.38 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$353.22 |
$353.22 |
$353.22 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
$2,048.00
|
|
Drng of mouth lesion 40801
|
$609.42 |
$609.42 |
$609.42 |
$1,145.97
|
|
Drng of pelvic abscess transrectal 45000
|
$1,443.96 |
$1,443.96 |
$1,443.96 |
$1,614.45
|
|
Drng of scrotum abscess 55100
|
$2,921.94 |
$2,921.94 |
$2,921.94 |
$2,069.60
|
|
Drng salivary gland simple 42300
|
$1,850.94 |
$1,850.94 |
$1,850.94 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$609.42 |
$609.42 |
$609.42 |
$602.63
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,372.29 |
$2,372.29 |
$2,372.29 |
$1,778.40
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$3,964.00 |
$3,964.00 |
$3,964.00 |
$3,374.24
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$886.80 |
$886.80 |
$886.80 |
$468.29
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$7,156.03 |
$7,156.03 |
$7,156.03 |
$6,581.45
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$28,551.05 |
$28,551.05 |
$28,551.05 |
$18,384.03
|
|
Drug of abuse screen urine
|
$54.44 |
$54.44 |
$54.44 |
$63.75
|