|
Dilation of salivary duct
|
$750.00 |
$750.00 |
$750.00 |
$790.00
|
|
Dilation/urethral strict/male/ini 53620
|
$3,826.00 |
$3,826.00 |
$3,826.00 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$181.50 |
$181.50 |
$181.50 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$4,594.00 |
$4,594.00 |
$4,594.00 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$7,728.00 |
$7,728.00 |
$7,728.00 |
$4,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$16.16 |
$16.16 |
$16.16 |
$18.32
|
|
Disability dlco
|
$251.50 |
$251.50 |
$251.50 |
$293.76
|
|
Disaccharidases
|
$267.00 |
$267.00 |
$267.00 |
$230.40
|
|
Discography cerv/thor spine
|
$1,186.00 |
$1,186.00 |
$1,186.00 |
$2,565.00
|
|
Dlyd plmt xtn prosth ea addl
|
$732.50 |
$732.50 |
$732.50 |
$1,810.80
|
|
Dmd dup/delet analysis
|
$418.50 |
$418.50 |
$418.50 |
$418.50
|
|
Dmpk gene detc abnor allele
|
$325.00 |
$325.00 |
$325.00 |
$313.60
|
|
Dna antibody native/double stranded
|
$174.50 |
$174.50 |
$174.50 |
$100.00
|
|
Dna gardnerella
|
$129.00 |
$129.00 |
$129.00 |
$61.83
|
|
Dna probe chlamydia
|
$206.50 |
$206.50 |
$206.50 |
$82.20
|
|
Dna probe gc
|
$206.50 |
$206.50 |
$206.50 |
$79.38
|
|
Dna trichomonas
|
$131.00 |
$131.00 |
$131.00 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$23.67 |
$23.67 |
$23.67 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$7.04 |
$7.04 |
$7.04 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$30.14 |
$30.14 |
$30.14 |
$65.40
|
|
Doppler echo complete
|
$656.00 |
$656.00 |
$656.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$1,826.00 |
$1,826.00 |
$1,826.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$642.00 |
$642.00 |
$642.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$622.50 |
$622.50 |
$622.50 |
$481.65
|
|
Dornase alfa non-comp unit
|
$62.74 |
$62.74 |
$62.74 |
$356.00
|
|
Dornhoffer fixed part w/window
|
$36,072.59 |
$36,072.59 |
$36,072.59 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$329.30 |
$329.30 |
$329.30 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$19.63 |
$19.63 |
$19.63 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$281.09 |
$281.09 |
$281.09 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$45.45 |
$45.45 |
$45.45 |
$89.34
|
|
Dpyd gene common variants
|
$513.50 |
$513.50 |
$513.50 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$2,380.00 |
$2,380.00 |
$2,380.00 |
$964.00
|
|
Drainage external ear complex 69005
|
$9,006.00 |
$9,006.00 |
$9,006.00 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$2,380.00 |
$2,380.00 |
$2,380.00 |
$790.40
|
|
Drainage mouth roof lesion
|
$381.00 |
$381.00 |
$381.00 |
$405.60
|
|
Drainage of arm bursa 23931
|
$4,894.00 |
$4,894.00 |
$4,894.00 |
$2,271.01
|
|
Drainage of bladder abscess
|
$1,101.50 |
$1,101.50 |
$1,101.50 |
$3,127.88
|
|
Drainage of kidney lesion
|
$1,340.00 |
$1,340.00 |
$1,340.00 |
$1,506.00
|
|
Drainage of nose lesion int 30000
|
$381.00 |
$381.00 |
$381.00 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$6,885.50 |
$6,885.50 |
$6,885.50 |
$3,863.70
|
|
Drainage of rectal abscess
|
$3,572.00 |
$3,572.00 |
$3,572.00 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$5,178.00 |
$5,178.00 |
$5,178.00 |
$3,816.64
|
|
Drainage of urethra abscess 53060
|
$3,494.00 |
$3,494.00 |
$3,494.00 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$145.00 |
$145.00 |
$145.00 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$168.50 |
$168.50 |
$168.50 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,576.00 |
$1,576.00 |
$1,576.00 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,376.50 |
$2,376.50 |
$2,376.50 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$744.50 |
$744.50 |
$744.50 |
$1,044.00
|
|
Drain chst dry seal exp thorastat
|
$77.83 |
$77.83 |
$77.83 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$543.50 |
$543.50 |
$543.50 |
$428.40
|
|
Drain lower leg lesion 27603
|
$15,178.00 |
$15,178.00 |
$15,178.00 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$2,130.00 |
$2,130.00 |
$2,130.00 |
$3,339.00
|
|
Drain ovarn cyst abd
|
$1,261.50 |
$1,261.50 |
$1,261.50 |
$3,786.00
|
|
Drain thigh/knee lesion 27301
|
$4,934.00 |
$4,934.00 |
$4,934.00 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$403.00 |
$403.00 |
$403.00 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$396.00 |
$396.00 |
$396.00 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$416.50 |
$416.50 |
$416.50 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$1,077.50 |
$1,077.50 |
$1,077.50 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$80.50 |
$80.50 |
$80.50 |
$3,789.86
|
|
Drill hole implt ventricular cath/device 61107
|
$928.00 |
$928.00 |
$928.00 |
$1,485.75
|
|
Drng hand tendon sheath 26020
|
$5,671.00 |
$5,671.00 |
$5,671.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$2,707.00 |
$2,707.00 |
$2,707.00 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$1,900.00 |
$1,900.00 |
$1,900.00 |
$867.90
|
|
Drng of ovarian cyst(s) 58800
|
$2,930.00 |
$2,930.00 |
$2,930.00 |
$3,474.84
|
|
Drng of pelvic abscess transrectal 45000
|
$921.50 |
$921.50 |
$921.50 |
$2,295.30
|
|
Drng of scrotum abscess 55100
|
$4,812.00 |
$4,812.00 |
$4,812.00 |
$1,997.89
|
|
Drng open retroperitoneal abscess 49060
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$1,924.00
|
|
Drng peritoneal abscess open 49020
|
$2,481.00 |
$2,481.00 |
$2,481.00 |
$2,520.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$18.52 |
$18.52 |
$18.52 |
$31.25
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$16,042.50 |
$16,042.50 |
$16,042.50 |
$119.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$22.50 |
$22.50 |
$22.50 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$154.85 |
$154.85 |
$154.85 |
$193.15
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$27.00 |
$27.00 |
$27.00 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$19,031.17 |
$19,031.17 |
$19,031.17 |
$7,465.97
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$973.79 |
$973.79 |
$973.79 |
$376.50
|
|
Drug admin & hemodynmic meas
|
$590.00 |
$590.00 |
$590.00 |
$569.75
|
|
Drug assay caffeine
|
$141.00 |
$141.00 |
$141.00 |
$80.00
|
|
Drug assay posaconazole
|
$141.00 |
$141.00 |
$141.00 |
$96.75
|
|
Drug assay rufinamide
|
$188.00 |
$188.00 |
$188.00 |
$87.10
|
|
Drug assay vedolizumab
|
$201.00 |
$201.00 |
$201.00 |
$154.00
|
|
Drug assay voriconazole
|
$141.00 |
$141.00 |
$141.00 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$173.00 |
$173.00 |
$173.00 |
$66.43
|
|
Drug of abuse screen urine
|
$104.50 |
$104.50 |
$104.50 |
$67.89
|
|
Drug screen quant tiagabine
|
$188.00 |
$188.00 |
$188.00 |
$107.59
|
|
Drug test def 15-21 classes
|
$875.50 |
$875.50 |
$875.50 |
$322.50
|
|
Drug test def 1-7 classes
|
$403.00 |
$403.00 |
$403.00 |
$263.25
|
|
Drug test def 22+ classes
|
$1,087.50 |
$1,087.50 |
$1,087.50 |
$426.24
|
|
Drug test def 8-14 classes
|
$621.00 |
$621.00 |
$621.00 |
$289.80
|
|
Drug test prsmv instrmnt
|
$159.50 |
$159.50 |
$159.50 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$296.50 |
$296.50 |
$296.50 |
$278.85
|
|
Drvvt confirm - quest
|
$156.50 |
$156.50 |
$156.50 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$10,909.00 |
$10,909.00 |
$10,909.00 |
$2,980.00
|
|
Dstr mal les s/n/h/f/g >4.0
|
$1,152.50 |
$1,152.50 |
$1,152.50 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$1,152.50 |
$1,152.50 |
$1,152.50 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$1,810.00 |
$1,810.00 |
$1,810.00 |
$886.40
|
|
Ductogram sgl duct
|
$283.50 |
$283.50 |
$283.50 |
$469.80
|
