|
Device ablt adv novasure
|
$2,324.10 |
$2,324.10 |
$20,937.45 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,214.23 |
$2,214.23 |
$10,792.50 |
$4,200.00
|
|
Device sut capio slim opn
|
$917.34 |
$917.34 |
$4,938.65 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$1,142.30 |
$1,142.30 |
$3,998.62 |
$2,541.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$119.50 |
$119.50 |
$119.50 |
$200.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$331.50 |
$331.50 |
$388.20 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$137.38 |
$137.38 |
$137.38 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$24.00 |
$24.00 |
$24.00 |
$21.17
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,028.48 |
$1,028.48 |
$1,028.48 |
$858.00
|
|
Dextran 40 infusion
|
$426.93 |
$426.93 |
$426.93 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$78.00 |
$78.00 |
$78.00 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$78.00 |
$78.00 |
$78.00 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$78.00 |
$78.00 |
$78.00 |
$47.48
|
|
Dhea-s (dehydroepiand sulfate)
|
$142.20 |
$142.20 |
$156.50 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$109.50 |
$109.50 |
$120.00 |
$79.20
|
|
Diabetes training group per 30 min g0109
|
$37.00 |
$37.00 |
$37.00 |
$35.25
|
|
Diab manage trn ind/group
|
$24.00 |
$24.00 |
$24.00 |
$56.55
|
|
Diagnostic anoscopy & biopsy
|
$1,586.50 |
$1,586.50 |
$1,586.50 |
$1,905.00
|
|
Diagnostic anoscopy spx 46600
|
$162.00 |
$162.00 |
$195.50 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$104.50 |
$104.50 |
$104.50 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$249.00 |
$249.00 |
$392.50 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$487.50 |
$487.50 |
$584.40 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$383.00 |
$383.00 |
$455.40 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$869.50 |
$869.50 |
$869.50 |
$5,419.00
|
|
Dialysis one evaluation
|
$514.00 |
$514.00 |
$514.00 |
$919.55
|
|
Dialysis repeated eval
|
$514.00 |
$514.00 |
$514.00 |
$1,267.50
|
|
Diathermy eg microwave
|
$59.00 |
$59.00 |
$59.00 |
$29.68
|
|
Diatrizoate meglumine 18 % urethral solution
|
$266.33 |
$266.33 |
$266.33 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$27.82 |
$27.82 |
$27.82 |
$74.76
|
|
Dicyclomine injection
|
$77.81 |
$77.81 |
$77.81 |
$153.29
|
|
Diffusing capacity
|
$375.50 |
$375.50 |
$375.50 |
$332.00
|
|
Digital analysis of eeg
|
$463.00 |
$463.00 |
$463.00 |
$605.60
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$24.00 |
$24.00 |
$24.00 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$18,652.50 |
$18,652.50 |
$18,652.50 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$97.20 |
$97.20 |
$119.50 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$212.83 |
$212.83 |
$212.83 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$460.50 |
$460.50 |
$460.50 |
$1,866.73
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$6,257.00 |
$6,257.00 |
$6,257.00 |
$3,033.08
|
|
Dilate ic vasospasm ea add vsl same territory
|
$6,257.00 |
$6,257.00 |
$6,257.00 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$8,761.50 |
$8,761.50 |
$8,761.50 |
$5,250.40
|
|
Dilate tear duct opening
|
$330.00 |
$330.00 |
$330.00 |
$472.21
|
|
Dilate urethra stricture
|
$469.00 |
$469.00 |
$469.00 |
$490.00
|
|
Dilate urethra stricture
|
$242.00 |
$242.00 |
$242.00 |
$200.80
|
|
Dilation/female urethra/initial 53660
|
$299.50 |
$299.50 |
$299.50 |
$235.61
|
|
Dilation salivary duct 42650
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,498.32
|
|
Dilation/urethral strict/male/ini 53620
|
$869.40 |
$869.40 |
$1,214.00 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$402.10 |
$402.10 |
$1,763.50 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$3,737.00 |
$3,737.00 |
$3,737.00 |
$4,061.71
|
|
Dilat xst trc new access rcs
|
$4,111.00 |
$4,111.00 |
$4,111.00 |
$4,213.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$73.26 |
$73.26 |
$73.26 |
$47.94
|
|
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 |
$17.75
|
|
Dipyridamole injection
|
$117.02 |
$117.02 |
$117.02 |
$47.87
|
|
Disability dlco
|
$202.00 |
$202.00 |
$202.00 |
$282.40
|
|
Disaccharidases
|
$367.00 |
$367.00 |
$367.00 |
$216.00
|
|
Discography cerv/thor spine
|
$1,989.00 |
$1,989.00 |
$3,745.80 |
$2,565.00
|
|
Division of fallopian tube 58605
|
$1,486.00 |
$1,486.00 |
$1,486.00 |
$832.00
|
|
Dlyd plmt xtn prosth ea addl
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$1,582.68
|
|
Dna antibody native/double stranded
|
$127.20 |
$127.20 |
$150.50 |
$97.50
|
|
Dna gardnerella
|
$168.50 |
$168.50 |
$168.50 |
$62.50
|
|
Dna trichomonas
|
$168.50 |
$168.50 |
$168.50 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$250.38 |
$250.38 |
$250.38 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,179.00 |
$1,179.00 |
$1,179.00 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$147.66 |
$147.66 |
$147.66 |
$65.40
|
|
Doppler echo complete
|
$842.00 |
$842.00 |
$842.00 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$1,779.50 |
$1,779.50 |
$1,779.50 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$571.20 |
$571.20 |
$750.00 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$360.00 |
$360.00 |
$415.80 |
$471.17
|
|
Dornase alfa non-comp unit
|
$858.80 |
$858.80 |
$858.80 |
$446.75
|
|
Dornhoffer fixed part w/window
|
$111,162.75 |
$111,162.75 |
$111,162.75 |
$34,278.00
|
|
Dorsi & plantar flex ass/res
|
$67.28 |
$67.28 |
$67.28 |
$163.50
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$1,033.71 |
$1,033.71 |
$1,033.71 |
$423.95
|
|
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
|
|
Dpyd gene common variants
|
$774.50 |
$774.50 |
$774.50 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$498.00 |
$498.00 |
$901.80 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$475.00 |
$475.00 |
$901.80 |
$914.34
|
|
Drainage external ear complex 69005
|
$1,452.60 |
$1,452.60 |
$2,201.00 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$475.00 |
$475.00 |
$901.80 |
$789.60
|
|
Drainage lymph node lesion 38300
|
$1,615.00 |
$1,615.00 |
$1,615.00 |
$3,088.80
|
|
Drainage mouth roof lesion
|
$289.20 |
$289.20 |
$401.50 |
$390.39
|
|
Drainage of arm bursa 23931
|
$2,083.80 |
$2,083.80 |
$4,034.50 |
$2,197.48
|
|
Drainage of bladder abscess
|
$2,033.00 |
$2,033.00 |
$2,033.00 |
$3,127.88
|
|
Drainage of eye
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$2,360.00
|
|
Drainage of eye
|
$3,170.00 |
$3,170.00 |
$3,170.00 |
$3,170.00
|
|
Drainage of kidney lesion
|
$1,506.00 |
$1,506.00 |
$1,602.60 |
$1,506.00
|
|
Drainage of mouth lesion
|
$467.50 |
$467.50 |
$467.50 |
$489.00
|
|
Drainage of mouth lesion
|
$2,681.00 |
$2,681.00 |
$2,681.00 |
$2,423.85
|
|
Drainage of mouth lesion
|
$2,741.00 |
$2,741.00 |
$2,741.00 |
$3,900.60
|
|
Drainage of mouth lesion
|
$769.00 |
$769.00 |
$962.40 |
$962.40
|
|
Drainage of mouth lesion
|
$3,821.00 |
$3,821.00 |
$3,821.00 |
$6,781.90
|
|
Drainage of mouth lesion
|
$1,818.00 |
$1,818.00 |
$1,818.00 |
$3,544.29
|
|
Drainage of mouth lesion
|
$2,443.00 |
$2,443.00 |
$2,443.00 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$2,258.50 |
$2,258.50 |
$2,258.50 |
$491.40
|
|
Drainage of nose lesion sept 30020
|
$861.00 |
$861.00 |
$861.00 |
$781.44
|
|
Drainage of rectal abscess
|
$1,648.50 |
$1,648.50 |
$4,205.40 |
$2,111.46
|
|
Drainage of urethra abscess 53060
|
$2,117.00 |
$2,117.00 |
$2,117.00 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$112.80 |
$112.80 |
$189.00 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,101.00 |
$2,101.00 |
$2,101.00 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,166.00 |
$2,166.00 |
$3,501.60 |
$2,850.35
|
