|
Dilate esophagus 1/mult pass
|
$4,413.78 |
$4,413.78 |
$4,413.78 |
$1,490.36
|
|
Dilation/urethral strict/male/ini 53620
|
$869.40 |
$869.40 |
$869.40 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$1,370.21 |
$1,370.21 |
$1,370.21 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$64,722.17 |
$64,722.17 |
$64,722.17 |
$3,883.16
|
|
Diltiazem 5 mg/ml intravenous solution
|
$73.26 |
$73.26 |
$73.26 |
$46.56
|
|
Dimethyl sulfoxide 50% 50 ml
|
$4,685.00 |
$4,685.00 |
$4,685.00 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$24.00 |
$24.00 |
$24.00 |
$18.35
|
|
Dipyridamole injection
|
$117.02 |
$117.02 |
$117.02 |
$48.04
|
|
Disaccharidases
|
$98.40 |
$98.40 |
$98.40 |
$224.31
|
|
Discography cerv/thor spine
|
$3,745.80 |
$3,745.80 |
$3,745.80 |
$2,481.50
|
|
Dise eval slp do brth flx dx
|
$5,079.35 |
$5,079.35 |
$5,079.35 |
$1,120.00
|
|
Dist revas ligation hemo
|
$15,966.75 |
$15,966.75 |
$15,966.75 |
$6,396.89
|
|
Dmpk gene detc abnor allele
|
$431.40 |
$431.40 |
$431.40 |
$313.60
|
|
Dna antibody native/double stranded
|
$127.20 |
$127.20 |
$127.20 |
$100.00
|
|
Dna gardnerella
|
$112.80 |
$112.80 |
$112.80 |
$61.80
|
|
Dna trichomonas
|
$112.80 |
$112.80 |
$112.80 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$250.38 |
$250.38 |
$250.38 |
$98.29
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,179.00 |
$1,179.00 |
$1,179.00 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$147.66 |
$147.66 |
$147.66 |
$67.28
|
|
Doppler echo complete
|
$663.00 |
$663.00 |
$663.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,467.40 |
$3,467.40 |
$3,467.40 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$571.20 |
$571.20 |
$571.20 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$415.80 |
$415.80 |
$415.80 |
$473.76
|
|
Dornase alfa non-comp unit
|
$858.80 |
$858.80 |
$858.80 |
$386.42
|
|
Dornhoffer fixed part w/window
|
$111,162.75 |
$111,162.75 |
$111,162.75 |
$34,278.00
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$1,033.71 |
$1,033.71 |
$1,033.71 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,569.16 |
$1,569.16 |
$1,569.16 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$107.04 |
$107.04 |
$107.04 |
$84.80
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$901.80 |
$901.80 |
$901.80 |
$794.82
|
|
Drainage ext aud canal abscess 69020
|
$901.80 |
$901.80 |
$901.80 |
$914.34
|
|
Drainage external ear complex 69005
|
$1,452.60 |
$1,452.60 |
$1,452.60 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$901.80 |
$901.80 |
$901.80 |
$779.45
|
|
Drainage mouth roof lesion
|
$289.20 |
$289.20 |
$289.20 |
$405.60
|
|
Drainage of arm bursa 23931
|
$2,083.80 |
$2,083.80 |
$2,083.80 |
$2,271.01
|
|
Drainage of kidney lesion
|
$1,602.60 |
$1,602.60 |
$1,602.60 |
$1,506.00
|
|
Drainage of mouth lesion
|
$962.40 |
$962.40 |
$962.40 |
$905.30
|
|
Drainage of rectal abscess
|
$4,205.40 |
$4,205.40 |
$4,205.40 |
$2,135.10
|
|
Drain blood from under nail 11740
|
$112.80 |
$112.80 |
$112.80 |
$177.04
|
|
Drain cath image guided visceral pq
|
$3,501.60 |
$3,501.60 |
$3,501.60 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$1,343.40 |
$1,343.40 |
$1,343.40 |
$1,025.00
|
|
Drain finger abscess;simple 26010
|
$428.40 |
$428.40 |
$428.40 |
$428.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$441.60 |
$441.60 |
$441.60 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$127.80 |
$127.80 |
$127.80 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$444.60 |
$444.60 |
$444.60 |
$540.80
|
|
Dressing change not for burn w/anes 15852
|
$137,317.79 |
$137,317.79 |
$137,317.79 |
$724.37
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$53,558.30 |
$53,558.30 |
$53,558.30 |
$5,857.52
|
|
Drng of eyelid abscess 67700
|
$368.40 |
$368.40 |
$368.40 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,083.80 |
$2,083.80 |
$2,083.80 |
$2,029.60
|
|
Drng of mouth lesion 40801
|
$952.20 |
$952.20 |
$952.20 |
$1,350.97
|
|
Drng of scrotum abscess 55100
|
$2,083.80 |
$2,083.80 |
$2,083.80 |
$1,997.89
|
|
Dronabinol 2.5mg oral
|
$19.79 |
$19.79 |
$19.79 |
$13.36
|
|
Droperidol 2.5 mg/ml injection solution
|
$24.00 |
$24.00 |
$24.00 |
$31.26
|
|
Drop lock knee
|
$337.16 |
$337.16 |
$337.16 |
$204.95
|
|
Drop lock retainer each
|
$115.35 |
$115.35 |
$115.35 |
$63.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$11,224.20 |
$11,224.20 |
$11,224.20 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$7,441.43 |
$7,441.43 |
$7,441.43 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$30,111.08 |
$30,111.08 |
$30,111.08 |
$58.20
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$7,037.01 |
$7,037.01 |
$7,037.01 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$42,095.07 |
$42,095.07 |
$42,095.07 |
$122.50
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$59,955.88 |
$59,955.88 |
$59,955.88 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$42,263.43 |
$42,263.43 |
$42,263.43 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$638.40 |
$638.40 |
$638.40 |
$578.59
|
|
Drug assay caffeine
|
$75.00 |
$75.00 |
$75.00 |
$81.61
|
|
Drug assay posaconazole
|
$184.20 |
$184.20 |
$184.20 |
$96.75
|
|
Drug assay rufinamide
|
$62.40 |
$62.40 |
$62.40 |
$85.80
|
|
Drug assay vedolizumab
|
$460.20 |
$460.20 |
$460.20 |
$157.00
|
|
Drug assay voriconazole
|
$90.60 |
$90.60 |
$90.60 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$127.80 |
$127.80 |
$127.80 |
$66.43
|
|
Drug of abuse screen urine
|
$10.80 |
$10.80 |
$10.80 |
$64.50
|
|
Drug test def 1-7 classes
|
$600.60 |
$600.60 |
$600.60 |
$263.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$235.20 |
$235.20 |
$235.20 |
$280.95
|
|
Drvvt confirm - quest
|
$72.00 |
$72.00 |
$72.00 |
$109.20
|
|
Dry needling (97799)
|
$35.40 |
$35.40 |
$35.40 |
$114.27
|
|
Duplex scan bilateral study 93985
|
$159.60 |
$159.60 |
$159.60 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$201.00 |
$201.00 |
$201.00 |
$375.60
|
|
Dup scan/hemodialysis access 93990
|
$464.40 |
$464.40 |
$464.40 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$594.60 |
$594.60 |
$594.60 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$740.40 |
$740.40 |
$740.40 |
$903.50
|
|
Duragen 1x1 5ea/bx
|
$29,275.82 |
$29,275.82 |
$29,275.82 |
$10,564.87
|
|
Durvalumab 50 mg/ml intravenous solution
|
$4,050.74 |
$4,050.74 |
$4,050.74 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$18,585.94 |
$18,585.94 |
$18,585.94 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$18,585.94 |
$18,585.94 |
$18,585.94 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$842.40 |
$842.40 |
$842.40 |
$2,322.60
|
|
Ear cartilage graft
|
$33,249.73 |
$33,249.73 |
$33,249.73 |
$6,311.00
|
|
Ear irrigation 69209
|
$142.80 |
$142.80 |
$142.80 |
$150.00
|
|
Ecg 12 lead tracing only
|
$216.60 |
$216.60 |
$216.60 |
$226.50
|
|
Ecg < 30 days transmission & analysis
|
$231.60 |
$231.60 |
$231.60 |
$466.20
|
|
Ecg external < 48 hours recording
|
$978.00 |
$978.00 |
$978.00 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$763.20 |
$763.20 |
$763.20 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$978.00 |
$978.00 |
$978.00 |
$147.28
|
|
Echocardiogram (Heart Ultrasound)
|
$1,941.60 |
$1,941.60 |
$1,941.60 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$874.80 |
$874.80 |
$874.80 |
$499.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,758.80 |
$2,758.80 |
$2,758.80 |
$1,935.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$772.20 |
$772.20 |
$772.20 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,415.40 |
$1,415.40 |
$1,415.40 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$372.60 |
$372.60 |
$372.60 |
$371.25
|
|
Echograp trans r pros study
|
$69.00 |
$69.00 |
$69.00 |
$466.20
|
|
Echo guide for artery repair
|
$583.20 |
$583.20 |
$583.20 |
$687.35
|
|
Echo stress
|
$1,886.40 |
$1,886.40 |
$1,886.40 |
$1,606.44
|
|
Echo tee guidance
|
$1,571.40 |
$1,571.40 |
$1,571.40 |
$1,847.00
|
