|
Diagnostic anoscopy
|
$570.50 |
$570.50 |
$570.50 |
$392.70
|
|
Diagnostic anoscopy & biopsy
|
$1,324.67 |
$1,324.67 |
$1,324.67 |
$2,288.00
|
|
Diagnostic anoscopy spx 46600
|
$1,565.50 |
$1,565.50 |
$1,565.50 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$108.00 |
$108.00 |
$108.00 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$72.00 |
$72.00 |
$72.00 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$313.00 |
$313.00 |
$313.00 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$1,971.13 |
$1,971.13 |
$1,971.13 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$495.00 |
$495.00 |
$495.00 |
$312.72
|
|
Diagnostic radio unlisted proc
|
$236.50 |
$236.50 |
$236.50 |
$243.60
|
|
Dialysis circuit perm vascular embolization 36909
|
$5,663.50 |
$5,663.50 |
$5,663.50 |
$5,663.50
|
|
Dialysis one evaluation
|
$823.00 |
$823.00 |
$823.00 |
$936.00
|
|
Dialysis repeated eval
|
$1,643.00 |
$1,643.00 |
$1,643.00 |
$1,332.80
|
|
Diatrizoate meglumine 18 % urethral solution
|
$47.25 |
$47.25 |
$47.25 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$44.24 |
$44.24 |
$44.24 |
$77.25
|
|
Dicyclomine injection
|
$34.44 |
$34.44 |
$34.44 |
$150.91
|
|
Diffusing capacity
|
$403.50 |
$403.50 |
$403.50 |
$335.20
|
|
Digital analysis of eeg
|
$231.50 |
$231.50 |
$231.50 |
$551.20
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$6.47 |
$6.47 |
$6.47 |
$65.84
|
|
Digoxin total therapeutic drug level
|
$81.50 |
$81.50 |
$81.50 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$111.06 |
$111.06 |
$111.06 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$1,264.50 |
$1,264.50 |
$1,264.50 |
$1,729.70
|
|
Dilate esophagus
|
$2,054.67 |
$2,054.67 |
$2,054.67 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$469.75 |
$469.75 |
$469.75 |
$1,490.36
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$3,169.00 |
$3,169.00 |
$3,169.00 |
$3,026.10
|
|
Dilate ic vasospasm ea add vsl same territory
|
$3,124.00 |
$3,124.00 |
$3,124.00 |
$1,895.00
|
|
Dilate ic vasospasm init
|
$3,169.00 |
$3,169.00 |
$3,169.00 |
$4,627.52
|
|
Dilate tear duct opening
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$454.40
|
|
Dilate urethra stricture
|
$3,799.25 |
$3,799.25 |
$3,799.25 |
$496.00
|
|
Dilate urethra stricture
|
$170.00 |
$170.00 |
$170.00 |
$200.80
|
|
Dilate urethra stricture
|
$2,531.67 |
$2,531.67 |
$2,531.67 |
$3,863.60
|
|
Dilate urethra stricture
|
$319.00 |
$319.00 |
$319.00 |
$343.55
|
|
Dilation of anal sphincter
|
$3,868.00 |
$3,868.00 |
$3,868.00 |
$1,995.20
|
|
Dilation of cervical canal 57800
|
$4,594.00 |
$4,594.00 |
$4,594.00 |
$4,376.00
|
|
Dilation of rectal stricture 45910
|
$895.33 |
$895.33 |
$895.33 |
$2,263.80
|
|
Dilation of salivary duct
|
$14,469.50 |
$14,469.50 |
$14,469.50 |
$750.00
|
|
Dilation of urethra
|
$170.00 |
$170.00 |
$170.00 |
$172.00
|
|
Dilation salivary duct 42650
|
$6,207.00 |
$6,207.00 |
$6,207.00 |
$2,675.71
|
|
Dilation/urethral strict/male/ini 53620
|
$890.50 |
$890.50 |
$890.50 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$158.50 |
$158.50 |
$158.50 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$8,169.17 |
$8,169.17 |
$8,169.17 |
$3,883.16
|
|
Dilat xst trc new access rcs
|
$3,619.00 |
$3,619.00 |
$3,619.00 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$6.25 |
$6.25 |
$6.25 |
$46.56
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,508.50 |
$1,508.50 |
$1,508.50 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.00 |
$1.00 |
$1.00 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$2.50 |
$2.50 |
$2.50 |
$18.35
|
|
Disability dlco
|
$377.50 |
$377.50 |
$377.50 |
$292.03
|
|
Disaccharidases
|
$415.00 |
$415.00 |
$415.00 |
$224.31
|
|
Discography cerv/thor spine
|
$2,139.50 |
$2,139.50 |
$2,139.50 |
$2,481.50
|
|
Dise eval slp do brth flx dx
|
$3,385.83 |
$3,385.83 |
$3,385.83 |
$1,120.00
|
|
Dist revas ligation hemo
|
$3,813.63 |
$3,813.63 |
$3,813.63 |
$6,396.89
|
|
Diverticulectomy/hypophar/esoph 43130
|
$9,596.00 |
$9,596.00 |
$9,596.00 |
$6,547.81
|
|
Dlyd plmt xtn prosth ea addl
|
$1,517.50 |
$1,517.50 |
$1,517.50 |
$1,875.00
|
|
Dna antibody native/double stranded
|
$209.00 |
$209.00 |
$209.00 |
$100.00
|
|
Dna probe chlamydia
|
$53.00 |
$53.00 |
$53.00 |
$82.20
|
|
Dna probe gc
|
$44.50 |
$44.50 |
$44.50 |
$84.80
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,153.53 |
$1,153.53 |
$1,153.53 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$60.00 |
$60.00 |
$60.00 |
$67.28
|
|
Doppler echo complete
|
$484.00 |
$484.00 |
$484.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$7,750.00 |
$7,750.00 |
$7,750.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$651.00 |
$651.00 |
$651.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$503.50 |
$503.50 |
$503.50 |
$473.76
|
|
Dornhoffer fixed part w/window
|
$26,206.96 |
$26,206.96 |
$26,206.96 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$46,252.48 |
$46,252.48 |
$46,252.48 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$543.67 |
$543.67 |
$543.67 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$878.52 |
$878.52 |
$878.52 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$41.35 |
$41.35 |
$41.35 |
$84.80
|
|
Dpyd gene common variants
|
$800.00 |
$800.00 |
$800.00 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$5,614.50 |
$5,614.50 |
$5,614.50 |
$794.82
|
|
Drainage ext aud canal abscess 69020
|
$1,133.50 |
$1,133.50 |
$1,133.50 |
$914.34
|
|
Drainage external ear complex 69005
|
$4,500.00 |
$4,500.00 |
$4,500.00 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$3,137.50 |
$3,137.50 |
$3,137.50 |
$779.45
|
|
Drainage mouth roof lesion
|
$357.00 |
$357.00 |
$357.00 |
$405.60
|
|
Drainage of arm bursa 23931
|
$3,585.00 |
$3,585.00 |
$3,585.00 |
$2,271.01
|
|
Drainage of eye
|
$9,318.00 |
$9,318.00 |
$9,318.00 |
$2,415.65
|
|
Drainage of eye
|
$2,985.33 |
$2,985.33 |
$2,985.33 |
$3,170.00
|
|
Drainage of eye
|
$4,433.34 |
$4,433.34 |
$4,433.34 |
$3,222.78
|
|
Drainage of forearm bursa
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$2,170.50
|
|
Drainage of kidney lesion
|
$3,050.00 |
$3,050.00 |
$3,050.00 |
$1,506.00
|
|
Drainage of mouth lesion
|
$4,699.50 |
$4,699.50 |
$4,699.50 |
$3,837.72
|
|
Drainage of mouth lesion
|
$3,920.50 |
$3,920.50 |
$3,920.50 |
$905.30
|
|
Drainage of mouth lesion
|
$8,386.50 |
$8,386.50 |
$8,386.50 |
$6,781.90
|
|
Drainage of mouth lesion
|
$3,843.50 |
$3,843.50 |
$3,843.50 |
$3,459.00
|
|
Drainage of nose lesion int 30000
|
$465.00 |
$465.00 |
$465.00 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$4,998.50 |
$4,998.50 |
$4,998.50 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$10,118.25 |
$10,118.25 |
$10,118.25 |
$3,863.70
|
|
Drainage of rectal abscess
|
$1,723.00 |
$1,723.00 |
$1,723.00 |
$2,135.10
|
|
Drainage of urethra abscess 53060
|
$2,313.00 |
$2,313.00 |
$2,313.00 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$203.00 |
$203.00 |
$203.00 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$11,395.50 |
$11,395.50 |
$11,395.50 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$11,395.50 |
$11,395.50 |
$11,395.50 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$1,995.50 |
$1,995.50 |
$1,995.50 |
$1,025.00
|
|
Drain finger abscess;simple 26010
|
$5,460.50 |
$5,460.50 |
$5,460.50 |
$428.40
|
|
Drain lower leg bursa
|
$4,179.00 |
$4,179.00 |
$4,179.00 |
$3,958.50
|
|
Drain lower leg lesion 27603
|
$13,127.50 |
$13,127.50 |
$13,127.50 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$11,851.50 |
$11,851.50 |
$11,851.50 |
$3,301.20
|
|
Drain thigh/knee lesion 27301
|
$5,531.00 |
$5,531.00 |
$5,531.00 |
$3,824.50
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$390.50 |
$390.50 |
$390.50 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$343.00 |
$343.00 |
$343.00 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$595.50 |
$595.50 |
$595.50 |
$540.80
|
