|
Dilation salivary duct 42650
|
$2,675.71 |
$2,675.71 |
$2,675.71 |
$2,675.71
|
|
Dilation/urethral strict/male/ini 53620
|
$2,140.31 |
$2,140.31 |
$2,140.31 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$1,277.43 |
$1,277.43 |
$1,277.43 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$7,184.73 |
$7,184.73 |
$7,184.73 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$7,184.73 |
$7,184.73 |
$7,184.73 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$138.24 |
$138.24 |
$138.24 |
$45.60
|
|
Dimecaprol injection
|
$457.03 |
$457.03 |
$457.03 |
$314.63
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,258.20 |
$1,258.20 |
$1,258.20 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$10.84 |
$10.84 |
$10.84 |
$18.32
|
|
Disability dlco
|
$345.62 |
$345.62 |
$345.62 |
$293.76
|
|
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
|
$5,618.23 |
$5,618.23 |
$5,618.23 |
$2,565.00
|
|
Dise eval slp do brth flx dx
|
$196.32 |
$196.32 |
$196.32 |
$1,120.00
|
|
Dissolve clot heart vessel
|
$922.72 |
$922.72 |
$922.72 |
$1,579.93
|
|
Dist revas ligation hemo
|
$8,273.87 |
$8,273.87 |
$8,273.87 |
$6,396.89
|
|
Diverticulectomy/hypophar/esoph 43130
|
$5,817.32 |
$5,817.32 |
$5,817.32 |
$6,547.81
|
|
#d/lmeth-l-methamphetamine
|
$52.50 |
$52.50 |
$52.50 |
$72.14
|
|
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
|
$131.71 |
$131.71 |
$131.71 |
$100.00
|
|
Dna probe chlamydia
|
$99.55 |
$99.55 |
$99.55 |
$82.20
|
|
Dna probe gc
|
$88.67 |
$88.67 |
$88.67 |
$79.38
|
|
Dna trichomonas
|
$85.78 |
$85.78 |
$85.78 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$146.40 |
$146.40 |
$146.40 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$76.20 |
$76.20 |
$76.20 |
$65.40
|
|
Doppler echo complete
|
$823.00 |
$823.00 |
$823.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,725.18 |
$3,725.18 |
$3,725.18 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$738.05 |
$738.05 |
$738.05 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$547.85 |
$547.85 |
$547.85 |
$481.65
|
|
Dornase alfa non-comp unit
|
$350.67 |
$350.67 |
$350.67 |
$356.00
|
|
Dornhoffer fixed part w/window
|
$50,985.00 |
$50,985.00 |
$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)
|
$740.18 |
$740.18 |
$740.18 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,278.13 |
$2,278.13 |
$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
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$718.77 |
$718.77 |
$718.77 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$750.31 |
$750.31 |
$750.31 |
$964.00
|
|
Drainage external ear complex 69005
|
$2,996.52 |
$2,996.52 |
$2,996.52 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$1,005.88 |
$1,005.88 |
$1,005.88 |
$790.40
|
|
Drainage lymph node lesion 38300
|
$1,687.94 |
$1,687.94 |
$1,687.94 |
$3,088.80
|
|
Drainage lymph node lesion 38305
|
$2,901.50 |
$2,901.50 |
$2,901.50 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$601.96 |
$601.96 |
$601.96 |
$405.60
|
|
Drainage of arm bursa 23931
|
$1,697.35 |
$1,697.35 |
$1,697.35 |
$2,271.01
|
|
Drainage of bladder abscess
|
$2,902.06 |
$2,902.06 |
$2,902.06 |
$3,127.88
|
|
Drainage of eye
|
$2,017.15 |
$2,017.15 |
$2,017.15 |
$2,415.65
|
|
Drainage of eye
|
$2,785.66 |
$2,785.66 |
$2,785.66 |
$3,170.00
|
|
Drainage of eye
|
$2,984.06 |
$2,984.06 |
$2,984.06 |
$3,494.40
|
|
Drainage of forearm bursa
|
$2,509.30 |
$2,509.30 |
$2,509.30 |
$2,170.50
|
|
Drainage of kidney lesion
|
$1,783.27 |
$1,783.27 |
$1,783.27 |
$1,506.00
|
|
Drainage of mouth lesion
|
$455.56 |
$455.56 |
$455.56 |
$535.20
|
|
Drainage of mouth lesion
|
$3,710.62 |
$3,710.62 |
$3,710.62 |
$2,304.00
|
|
Drainage of mouth lesion
|
$2,209.55 |
$2,209.55 |
$2,209.55 |
$2,320.03
|
|
Drainage of mouth lesion
|
$2,125.36 |
$2,125.36 |
$2,125.36 |
$3,837.72
|
|
Drainage of mouth lesion
|
$601.34 |
$601.34 |
$601.34 |
$905.30
|
|
Drainage of mouth lesion
|
$482.86 |
$482.86 |
$482.86 |
$1,008.80
|
|
Drainage of mouth lesion
|
$4,555.73 |
$4,555.73 |
$4,555.73 |
$6,781.90
|
|
Drainage of mouth lesion
|
$2,309.02 |
$2,309.02 |
$2,309.02 |
$3,459.00
|
|
Drainage of mouth lesion
|
$1,195.09 |
$1,195.09 |
$1,195.09 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$733.94 |
$733.94 |
$733.94 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$529.16 |
$529.16 |
$529.16 |
$781.44
|
|
Drainage of pelvis bursa
|
$3,763.91 |
$3,763.91 |
$3,763.91 |
$2,840.80
|
|
Drainage of pelvis lesion 26990
|
$2,953.76 |
$2,953.76 |
$2,953.76 |
$3,863.70
|
|
Drainage of prostate abscess
|
$3,891.34 |
$3,891.34 |
$3,891.34 |
$4,081.37
|
|
Drainage of rectal abscess
|
$2,382.16 |
$2,382.16 |
$2,382.16 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$1,556.37 |
$1,556.37 |
$1,556.37 |
$3,816.64
|
|
Drainage of salivary gland
|
$3,710.62 |
$3,710.62 |
$3,710.62 |
$4,560.40
|
|
Drainage of salivary gland
|
$482.86 |
$482.86 |
$482.86 |
$890.76
|
|
Drainage of throat abscess
|
$6,499.33 |
$6,499.33 |
$6,499.33 |
$6,499.33
|
|
Drainage of urethra abscess
|
$3,891.34 |
$3,891.34 |
$3,891.34 |
$4,081.37
|
|
Drainage of urethra abscess 53060
|
$1,780.46 |
$1,780.46 |
$1,780.46 |
$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
|
$948.13 |
$948.13 |
$948.13 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$190.10 |
$190.10 |
$190.10 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,477.16 |
$1,477.16 |
$1,477.16 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,550.61 |
$2,550.61 |
$2,550.61 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$1,312.35 |
$1,312.35 |
$1,312.35 |
$1,044.00
|
|
Drain chest lesion
|
$2,997.08 |
$2,997.08 |
$2,997.08 |
$3,839.54
|
|
Drain finger abscess;simple 26010
|
$551.70 |
$551.70 |
$551.70 |
$428.40
|
|
Drain lower leg bursa
|
$3,721.84 |
$3,721.84 |
$3,721.84 |
$4,289.60
|
|
Drain lower leg lesion 27603
|
$3,186.11 |
$3,186.11 |
$3,186.11 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$3,074.02 |
$3,074.02 |
$3,074.02 |
$3,339.00
|
|
Drain ovarn cyst abd
|
$3,964.27 |
$3,964.27 |
$3,964.27 |
$3,786.00
|
|
Drain penis lesion
|
$4,259.14 |
$4,259.14 |
$4,259.14 |
$2,244.20
|
|
Drain shoulder bone lesion
|
$3,366.64 |
$3,366.64 |
$3,366.64 |
$3,345.60
|
|
Drain shoulder bursa 23031
|
$2,719.83 |
$2,719.83 |
$2,719.83 |
$3,322.80
|
|
Drain shoulder lesion
|
$3,904.61 |
$3,904.61 |
$3,904.61 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$3,620.47 |
$3,620.47 |
$3,620.47 |
$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
|
$504.09 |
$504.09 |
$504.09 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$525.71 |
$525.71 |
$525.71 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$467.27 |
$467.27 |
$467.27 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$592.93 |
$592.93 |
$592.93 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$306.77 |
$306.77 |
$306.77 |
$3,789.86
|
|
Drill hole implt ventricular cath/device 61107
|
$1,303.31 |
$1,303.31 |
$1,303.31 |
$1,485.75
|
|
Drm agrft t/a/l ea addl
|
$1,793.59 |
$1,793.59 |
$1,793.59 |
$1,793.59
|