|
Dilate esophagus 1/mult pass
|
$189.83 |
$189.83 |
$189.83 |
$1,490.36
|
|
Dilate tear duct opening
|
$560.00 |
$560.00 |
$560.00 |
$454.40
|
|
Dilate urethra stricture
|
$287.50 |
$287.50 |
$287.50 |
$496.00
|
|
Dilate urethra stricture
|
$153.00 |
$153.00 |
$153.00 |
$200.80
|
|
Dilate urethra stricture
|
$287.50 |
$287.50 |
$287.50 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$149.50 |
$149.50 |
$149.50 |
$235.61
|
|
Dilation of cervical canal 57800
|
$3,721.00 |
$3,721.00 |
$3,721.00 |
$4,376.00
|
|
Dilation of urethra
|
$153.00 |
$153.00 |
$153.00 |
$172.00
|
|
Dilation salivary duct 42650
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$2,675.71
|
|
Dilation/urethral strict/male/ini 53620
|
$801.50 |
$801.50 |
$801.50 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$155.50 |
$155.50 |
$155.50 |
$402.10
|
|
Dilat xst trc new access rcs
|
$345.00 |
$345.00 |
$345.00 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$4.37 |
$4.37 |
$4.37 |
$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)
|
$6.10 |
$6.10 |
$6.10 |
$18.35
|
|
Disability dlco
|
$264.00 |
$264.00 |
$264.00 |
$292.03
|
|
Disaccharidases
|
$415.00 |
$415.00 |
$415.00 |
$224.31
|
|
Discography cerv/thor spine
|
$3,343.50 |
$3,343.50 |
$3,343.50 |
$2,481.50
|
|
Dlyd plmt xtn prosth ea addl
|
$1,208.50 |
$1,208.50 |
$1,208.50 |
$1,875.00
|
|
Dna antibody native/double stranded
|
$97.50 |
$97.50 |
$97.50 |
$100.00
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$165.39 |
$165.39 |
$165.39 |
$949.39
|
|
Doppler echo complete
|
$475.00 |
$475.00 |
$475.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$4,117.50 |
$4,117.50 |
$4,117.50 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$695.00 |
$695.00 |
$695.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$309.50 |
$309.50 |
$309.50 |
$473.76
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$23,126.24 |
$23,126.24 |
$23,126.24 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$516.51 |
$516.51 |
$516.51 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$629.69 |
$629.69 |
$629.69 |
$1,718.24
|
|
Dpyd gene common variants
|
$800.00 |
$800.00 |
$800.00 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,058.50 |
$1,058.50 |
$1,058.50 |
$794.82
|
|
Drainage ext aud canal abscess 69020
|
$1,058.50 |
$1,058.50 |
$1,058.50 |
$914.34
|
|
Drainage external ear complex 69005
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$1,370.00 |
$1,370.00 |
$1,370.00 |
$779.45
|
|
Drainage of eye
|
$3,522.50 |
$3,522.50 |
$3,522.50 |
$2,415.65
|
|
Drainage of eye
|
$2,653.00 |
$2,653.00 |
$2,653.00 |
$3,170.00
|
|
Drainage of forearm bursa
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$2,170.50
|
|
Drainage of kidney lesion
|
$1,142.00 |
$1,142.00 |
$1,142.00 |
$1,506.00
|
|
Drainage of nose lesion int 30000
|
$272.50 |
$272.50 |
$272.50 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$745.00 |
$745.00 |
$745.00 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$4,495.50 |
$4,495.50 |
$4,495.50 |
$3,863.70
|
|
Drain blood from under nail 11740
|
$195.00 |
$195.00 |
$195.00 |
$177.04
|
|
Drain cath image guided visceral pq
|
$4,292.00 |
$4,292.00 |
$4,292.00 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$1,246.50 |
$1,246.50 |
$1,246.50 |
$1,025.00
|
|
Drain finger abscess;simple 26010
|
$2,896.50 |
$2,896.50 |
$2,896.50 |
$428.40
|
|
Drain lower leg bursa
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$3,958.50
|
|
Drain lower leg lesion 27603
|
$3,751.00 |
$3,751.00 |
$3,751.00 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$3,339.00 |
$3,339.00 |
$3,339.00 |
$3,301.20
|
|
Drain thigh/knee lesion 27301
|
$3,824.50 |
$3,824.50 |
$3,824.50 |
$3,824.50
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$331.00 |
$331.00 |
$331.00 |
$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
|
$553.00 |
$553.00 |
$553.00 |
$540.80
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$5,857.52
|
|
Drill hole implt ventricular cath/device 61107
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,485.75
|
|
Drng hand tendon sheath 26020
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$679.00 |
$679.00 |
$679.00 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$2,029.60
|
|
Drng of hydrocele 55000
|
$814.00 |
$814.00 |
$814.00 |
$832.60
|
|
Drng of mouth lesion 40801
|
$707.50 |
$707.50 |
$707.50 |
$1,350.97
|
|
Drng of scrotum abscess 55100
|
$2,059.00 |
$2,059.00 |
$2,059.00 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$2,039.50
|
|
Dronabinol 2.5mg oral
|
$10.50 |
$10.50 |
$10.50 |
$13.36
|
|
Droperidol 2.5 mg/ml injection solution
|
$16.37 |
$16.37 |
$16.37 |
$31.26
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$637.50 |
$637.50 |
$637.50 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$153.50 |
$153.50 |
$153.50 |
$58.20
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$289.05
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$3,496.45 |
$3,496.45 |
$3,496.45 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$160.50 |
$160.50 |
$160.50 |
$578.59
|
|
Drug assay caffeine
|
$42.00 |
$42.00 |
$42.00 |
$81.61
|
|
Drug assay posaconazole
|
$150.00 |
$150.00 |
$150.00 |
$96.75
|
|
Drug assay rufinamide
|
$66.50 |
$66.50 |
$66.50 |
$85.80
|
|
Drug assay vedolizumab
|
$455.00 |
$455.00 |
$455.00 |
$157.00
|
|
Drug assay voriconazole
|
$119.50 |
$119.50 |
$119.50 |
$96.75
|
|
Drug of abuse screen urine
|
$355.50 |
$355.50 |
$355.50 |
$64.50
|
|
Drug screening tapentadol
|
$20.00 |
$20.00 |
$20.00 |
$44.25
|
|
Drug screen quant tiagabine
|
$50.00 |
$50.00 |
$50.00 |
$107.59
|
|
Drug test def 15-21 classes
|
$216.50 |
$216.50 |
$216.50 |
$316.00
|
|
Drug test def 1-7 classes
|
$205.00 |
$205.00 |
$205.00 |
$263.25
|
|
Drug test def 22+ classes
|
$421.50 |
$421.50 |
$421.50 |
$423.00
|
|
Drug test def 8-14 classes
|
$162.00 |
$162.00 |
$162.00 |
$289.80
|
|
Drug test prsmv instrmnt
|
$44.00 |
$44.00 |
$44.00 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$415.50 |
$415.50 |
$415.50 |
$280.95
|
|
Dstrj extensive retinopathy
|
$3,862.50 |
$3,862.50 |
$3,862.50 |
$4,462.45
|
|
Dstrj nulyt agt gnclr nrv
|
$7,449.00 |
$7,449.00 |
$7,449.00 |
$2,967.48
|
|
Dstr mal les s/n/h/f/g >4.0
|
$467.50 |
$467.50 |
$467.50 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$467.50 |
$467.50 |
$467.50 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$849.50 |
$849.50 |
$849.50 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$849.50 |
$849.50 |
$849.50 |
$886.40
|
|
Ductogram sgl duct
|
$567.50 |
$567.50 |
$567.50 |
$469.44
|
|
Duplex scan bilateral study 93985
|
$424.50 |
$424.50 |
$424.50 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$200.50 |
$200.50 |
$200.50 |
$375.60
|
|
Dup scan/hemodialysis access 93990
|
$765.00 |
$765.00 |
$765.00 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$695.00 |
$695.00 |
$695.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$539.50 |
$539.50 |
$539.50 |
$903.50
|
|
Durvalumab 50 mg/ml intravenous solution
|
$24,767.40 |
$24,767.40 |
$24,767.40 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$4,188.50 |
$4,188.50 |
$4,188.50 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$2,251.00 |
$2,251.00 |
$2,251.00 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$2,046.50 |
$2,046.50 |
$2,046.50 |
$2,322.60
|
|
Dx gastr intub w/asp spec
|
$377.00 |
$377.00 |
$377.00 |
$441.60
|
