|
Dermapure 1 square cm
|
$47.00 |
$47.00 |
$47.00 |
$3,822.00
|
|
Design mlc device for imrt
|
$236.50 |
$236.50 |
$236.50 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$346.48 |
$346.48 |
$346.48 |
$89.78
|
|
Destroy cervthor facet jnt 64633
|
$2,197.00 |
$2,197.00 |
$2,197.00 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$1,098.50 |
$1,098.50 |
$1,098.50 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$119.00 |
$119.00 |
$119.00 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$3,447.00 |
$3,447.00 |
$3,447.00 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$5,379.00 |
$5,379.00 |
$5,379.00 |
$3,562.00
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$849.50 |
$849.50 |
$849.50 |
$966.60
|
|
Destruct cut vasl lesions >50cm 17108
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$37.00 |
$37.00 |
$37.00 |
$72.60
|
|
Destruction anal lesion(s)
|
$2,751.00 |
$2,751.00 |
$2,751.00 |
$3,711.00
|
|
Destruction benign lesions < 14 lesions
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$1,001.50 |
$1,001.50 |
$1,001.50 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,098.50 |
$1,098.50 |
$1,098.50 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,295.50 |
$3,295.50 |
$3,295.50 |
$3,202.98
|
|
Destruction vag lesions simple 57061
|
$3,283.00 |
$3,283.00 |
$3,283.00 |
$3,815.20
|
|
Detect agent nos dna dir
|
$198.00 |
$198.00 |
$198.00 |
$115.20
|
|
Determine refractive state
|
$22.50 |
$22.50 |
$22.50 |
$19.80
|
|
Developmental screen/score/document 96110
|
$25.00 |
$25.00 |
$25.00 |
$130.65
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,145.00 |
$3,145.00 |
$3,145.00 |
$4,200.00
|
|
Device intraute mirena
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$2,125.00
|
|
Device tiss remov myosure reach
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$172.50 |
$172.50 |
$172.50 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$18.50 |
$18.50 |
$18.50 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$6.72 |
$6.72 |
$6.72 |
$21.17
|
|
Dexamethasone intra implant
|
$441.50 |
$441.50 |
$441.50 |
$2,538.20
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$60.00 |
$60.00 |
$60.00 |
$47.48
|
|
Dhea-s (dehydroepiand sulfate)
|
$115.00 |
$115.00 |
$115.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$51.50 |
$51.50 |
$51.50 |
$79.20
|
|
Diag laparo separate proc 49320
|
$4,367.34 |
$4,367.34 |
$4,367.34 |
$6,904.15
|
|
Diagnostic anoscopy
|
$173.50 |
$173.50 |
$173.50 |
$391.20
|
|
Diagnostic digital breast tomosynthesis bil
|
$29.00 |
$29.00 |
$29.00 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$29.00 |
$29.00 |
$29.00 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$2,067.00 |
$2,067.00 |
$2,067.00 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$298.50 |
$298.50 |
$298.50 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$232.00 |
$232.00 |
$232.00 |
$301.55
|
|
Dialysis one evaluation
|
$745.00 |
$745.00 |
$745.00 |
$919.55
|
|
Dialysis repeated eval
|
$1,267.50 |
$1,267.50 |
$1,267.50 |
$1,267.50
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$32.04 |
$32.04 |
$32.04 |
$74.76
|
|
Dicyclomine injection
|
$34.44 |
$34.44 |
$34.44 |
$153.29
|
|
Diffusing capacity
|
$202.00 |
$202.00 |
$202.00 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$6.37 |
$6.37 |
$6.37 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$26,364.84 |
$26,364.84 |
$26,364.84 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$69.00 |
$69.00 |
$69.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$105.14 |
$105.14 |
$105.14 |
$297.86
|
|
Dilate urethra stricture
|
$273.50 |
$273.50 |
$273.50 |
$343.55
|
|
Dilation of urethra
|
$153.00 |
$153.00 |
$153.00 |
$172.00
|
|
Dilation/urethral strict/male/ini 53620
|
$751.00 |
$751.00 |
$751.00 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$197.50 |
$197.50 |
$197.50 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$7.50 |
$7.50 |
$7.50 |
$47.94
|
|
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 |
$17.75
|
|
Disability dlco
|
$223.50 |
$223.50 |
$223.50 |
$282.40
|
|
Disaccharidases
|
$446.00 |
$446.00 |
$446.00 |
$216.00
|
|
Dis site tele svcs rhc/fqhc
|
$106.50 |
$106.50 |
$106.50 |
$94.80
|
|
Dna antibody native/double stranded
|
$71.00 |
$71.00 |
$71.00 |
$97.50
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$414.41 |
$414.41 |
$414.41 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$60.00 |
$60.00 |
$60.00 |
$65.40
|
|
Doppler echo complete
|
$234.00 |
$234.00 |
$234.00 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$4,453.00 |
$4,453.00 |
$4,453.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$772.00 |
$772.00 |
$772.00 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$346.00 |
$346.00 |
$346.00 |
$471.17
|
|
Dornhoffer fixed part w/window
|
$4,814.27 |
$4,814.27 |
$4,814.27 |
$34,278.00
|
|
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)
|
$88.76 |
$88.76 |
$88.76 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,733.75 |
$2,733.75 |
$2,733.75 |
$1,718.24
|
|
Dpyd gene common variants
|
$800.00 |
$800.00 |
$800.00 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,143.50 |
$1,143.50 |
$1,143.50 |
$800.00
|
|
Drainage of arm bursa 23931
|
$4,575.00 |
$4,575.00 |
$4,575.00 |
$2,197.48
|
|
Drainage of forearm bursa
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$2,054.00
|
|
Drainage of kidney lesion
|
$2,631.50 |
$2,631.50 |
$2,631.50 |
$1,506.00
|
|
Drainage of nose lesion int 30000
|
$382.00 |
$382.00 |
$382.00 |
$491.40
|
|
Drainage of pelvis lesion 26990
|
$5,943.00 |
$5,943.00 |
$5,943.00 |
$3,958.50
|
|
Drain blood from under nail 11740
|
$205.00 |
$205.00 |
$205.00 |
$170.50
|
|
Drain cath image guided visceral pq
|
$3,241.50 |
$3,241.50 |
$3,241.50 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$1,601.50 |
$1,601.50 |
$1,601.50 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$318.00 |
$318.00 |
$318.00 |
$419.00
|
|
Drain lower leg bursa
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$3,958.50
|
|
Drain neck/chest lesion 21501
|
$5,639.00 |
$5,639.00 |
$5,639.00 |
$3,339.00
|
|
Drain thigh/knee lesion 27301
|
$6,247.00 |
$6,247.00 |
$6,247.00 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$318.00 |
$318.00 |
$318.00 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$3,739.00 |
$3,739.00 |
$3,739.00 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$658.00 |
$658.00 |
$658.00 |
$523.00
|
|
Dressing change not for burn w/anes 15852
|
$3,435.00 |
$3,435.00 |
$3,435.00 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,515.00
|
|
Drng of finger abscess comp 26011
|
$2,497.50 |
$2,497.50 |
$2,497.50 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$1,917.33
|
|
Dronabinol 2.5mg oral
|
$7.10 |
$7.10 |
$7.10 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$10.01 |
$10.01 |
$10.01 |
$31.07
|
|
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
|
$143.50 |
$143.50 |
$143.50 |
$127.14
|
|
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
|
$997.50 |
$997.50 |
$997.50 |
$8,040.27
|
|
Drug assay caffeine
|
$73.50 |
$73.50 |
$73.50 |
$83.40
|
|
Drug assay posaconazole
|
$150.00 |
$150.00 |
$150.00 |
$96.75
|
|
Drug assay rufinamide
|
$103.00 |
$103.00 |
$103.00 |
$85.80
|
|
Drug assay vedolizumab
|
$455.00 |
$455.00 |
$455.00 |
$152.79
|
