|
Dilate urethra stricture
|
$65.00 |
$67.00 |
$2,531.67 |
|
|
Dilate urethra stricture
|
$228.00 |
$287.50 |
$383.20 |
|
|
Dilation/female urethra/initial 53660
|
$42.50 |
$43.00 |
$291.50 |
|
|
Dilation of anal sphincter
|
$178.50 |
$188.50 |
$3,868.00 |
|
|
Dilation of cervical canal 57800
|
$150.00 |
$3,721.00 |
$5,526.50 |
|
|
Dilation of rectal stricture 45910
|
$203.00 |
$211.50 |
$895.33 |
|
|
Dilation of salivary duct
|
$14,469.50 |
$14,469.50 |
$14,469.50 |
|
|
Dilation of urethra
|
$41.00 |
$77.50 |
$224.50 |
|
|
Dilation salivary duct 42650
|
$730.80 |
$1,783.50 |
$6,207.00 |
|
|
Dilation/urethral strict/male/ini 53620
|
$626.00 |
$789.00 |
$1,068.80 |
|
|
Dilator fascial 10fx20cm
|
$64.50 |
$155.50 |
$308.70 |
|
|
Dilat xst trc ndurlgc px
|
$6,237.17 |
$6,237.17 |
$8,169.17 |
|
|
Dilat xst trc new access rcs
|
$345.00 |
$3,619.00 |
$4,706.83 |
|
|
Diltiazem 5 mg/ml intravenous solution
|
$3.38 |
$5.00 |
$22.20 |
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,005.50 |
$1,508.50 |
$1,608.80 |
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.00 |
$1.00 |
$1.60 |
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.22 |
$2.50 |
$6.10 |
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$16.80 |
$16.80 |
$16.80 |
|
|
Disability dlco
|
$13.50 |
$264.00 |
$698.00 |
|
|
Disaccharidases
|
$187.00 |
$415.00 |
$664.00 |
|
|
Discography cerv/thor spine
|
$2,126.00 |
$2,139.50 |
$3,343.50 |
|
|
Dise eval slp do brth flx dx
|
$66.00 |
$3,066.00 |
$3,385.83 |
|
|
Dis site tele svcs rhc/fqhc
|
$60.50 |
$103.00 |
$106.50 |
|
|
Dist revas ligation hemo
|
$1,220.00 |
$1,247.00 |
$3,813.63 |
|
|
Diverticulectomy/hypophar/esoph 43130
|
$9,596.00 |
$9,596.00 |
$9,596.00 |
|
|
Dlyd plmt xtn prosth ea addl
|
$1,208.50 |
$1,208.50 |
$1,517.50 |
|
|
Dmpk gene detc abnor allele
|
$287.50 |
$287.50 |
$287.50 |
|
|
Dna antibody native/double stranded
|
$7.50 |
$91.54 |
$304.20 |
|
|
Dna gardnerella
|
$36.50 |
$37.20 |
$118.00 |
|
|
Dna probe chlamydia
|
$29.00 |
$53.00 |
$114.00 |
|
|
Dna probe gc
|
$29.00 |
$29.00 |
$44.50 |
|
|
Dna trichomonas
|
$36.50 |
$37.20 |
$118.00 |
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$11.25 |
$11.25 |
$66.00 |
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1.00 |
$78.60 |
$1,834.20 |
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$16.13 |
$60.00 |
$65.40 |
|
|
Doppler echo complete
|
$18.00 |
$234.00 |
$841.75 |
|
|
Doppler intravascular pressure flow initial vessel
|
$97.50 |
$3,046.80 |
$8,137.50 |
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$25.00 |
$322.50 |
$772.00 |
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$13.50 |
$295.50 |
$769.00 |
|
|
Dornhoffer fixed part w/window
|
$4,814.27 |
$4,814.27 |
$26,206.96 |
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$23,126.24 |
$23,126.24 |
$46,252.48 |
|
|
Double transfer toe-hand
|
$3,942.50 |
$3,942.50 |
$6,308.00 |
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$12.27 |
$81.60 |
$543.67 |
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$629.69 |
$878.52 |
$2,733.75 |
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$20.67 |
$41.35 |
$96.60 |
|
|
Dpyd gene common variants
|
$800.00 |
$800.00 |
$1,280.00 |
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$121.00 |
$1,028.00 |
$5,614.50 |
|
|
Drainage ext aud canal abscess 69020
|
$144.00 |
$145.50 |
$1,249.50 |
|
|
Drainage external ear complex 69005
|
$1,898.50 |
$1,968.50 |
$4,500.00 |
|
|
Drainage external ear simple 69000
|
$129.00 |
$855.50 |
$3,137.50 |
|
|
Drainage lymph node lesion 38300
|
$220.00 |
$239.50 |
$383.20 |
|
|
Drainage mouth roof lesion
|
$109.00 |
$174.40 |
$1,746.50 |
|
|
Drainage of arm bursa 23931
|
$279.20 |
$1,744.00 |
$8,589.00 |
|
|
Drainage of eye
|
$81.00 |
$129.60 |
$9,318.00 |
|
|
Drainage of eye
|
$2,653.00 |
$2,834.50 |
$4,082.00 |
|
|
Drainage of eye
|
$448.50 |
$448.50 |
$4,433.34 |
|
|
Drainage of forearm bursa
|
$390.00 |
$1,809.00 |
$2,170.50 |
|
|
Drainage of kidney lesion
|
$369.50 |
$1,142.00 |
$3,050.00 |
|
|
Drainage of mouth lesion
|
$227.00 |
$227.00 |
$363.20 |
|
|
Drainage of mouth lesion
|
$497.40 |
$497.40 |
$497.40 |
|
|
Drainage of mouth lesion
|
$4,103.00 |
$4,103.00 |
$4,699.50 |
|
|
Drainage of mouth lesion
|
$3,920.50 |
$3,920.50 |
$3,920.50 |
|
|
Drainage of mouth lesion
|
$496.80 |
$496.80 |
$8,386.50 |
|
|
Drainage of mouth lesion
|
$349.00 |
$352.00 |
$3,843.50 |
|
|
Drainage of nose lesion int 30000
|
$121.50 |
$272.50 |
$4,672.00 |
|
|
Drainage of nose lesion sept 30020
|
$232.20 |
$745.00 |
$4,998.50 |
|
|
Drainage of pelvis lesion 26990
|
$707.00 |
$1,172.00 |
$10,118.25 |
|
|
Drainage of rectal abscess
|
$194.00 |
$1,190.50 |
$1,946.40 |
|
|
Drainage of urethra abscess 53060
|
$2,151.50 |
$2,151.50 |
$2,313.00 |
|
|
Drain blood from under nail 11740
|
$112.00 |
$183.00 |
$281.60 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$211.00 |
$214.00 |
$11,395.50 |
|
|
Drain cath image guided visceral pq
|
$194.50 |
$1,757.50 |
$11,395.50 |
|
|
Drain cerebro spinal fluid 62272
|
$102.00 |
$1,246.50 |
$1,995.50 |
|
|
Drain finger abscess;simple 26010
|
$192.50 |
$335.50 |
$7,131.25 |
|
|
Drain lower leg bursa
|
$3,643.00 |
$3,761.00 |
$4,372.00 |
|
|
Drain lower leg lesion 27603
|
$405.50 |
$425.50 |
$13,127.50 |
|
|
Drain neck/chest lesion 21501
|
$353.50 |
$3,339.00 |
$11,851.50 |
|
|
Drain ovary abscess open
|
$342.50 |
$342.50 |
$548.00 |
|
|
Drain shoulder lesion
|
$269.00 |
$275.00 |
$6,185.00 |
|
|
Drain thigh/knee lesion 27301
|
$546.50 |
$2,740.50 |
$8,369.50 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$115.50 |
$318.00 |
$554.00 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$199.20 |
$342.00 |
$3,739.00 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$141.00 |
$488.00 |
$683.00 |
|
|
Dressing change not for burn w/anes 15852
|
$45.50 |
$813.00 |
$3,435.00 |
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$119.50 |
$143.50 |
$3,413.19 |
|
|
Drill hole implt ventricular cath/device 61107
|
$916.50 |
$1,100.00 |
$1,466.40 |
|
|
Drng hand tendon sheath 26020
|
$586.00 |
$946.40 |
$10,187.50 |
|
|
Drng of eyelid abscess 67700
|
$111.50 |
$356.00 |
$679.00 |
|
|
Drng of finger abscess comp 26011
|
$200.50 |
$1,980.50 |
$5,928.00 |
|
|
Drng of hydrocele 55000
|
$87.50 |
$814.00 |
$4,233.50 |
|
|
Drng of mouth lesion 40801
|
$206.00 |
$605.50 |
$1,438.20 |
|
|
Drng of scrotum abscess 55100
|
$175.50 |
$2,015.50 |
$6,570.50 |
|
|
Drng open retroperitoneal abscess 49060
|
$1,183.00 |
$1,202.50 |
$1,924.00 |
|
|
Drng peritoneal abscess open 49020
|
$1,708.50 |
$1,791.50 |
$3,800.00 |
|
|
Drng salivary gland simple 42300
|
$1,783.50 |
$1,822.00 |
$2,623.50 |
|
|
Drng salivary gland submax/subling 42310
|
$804.00 |
$804.00 |
$804.00 |
|
|
Dronabinol 2.5mg oral
|
$7.10 |
$10.50 |
$38.29 |
|
|
Droperidol 2.5 mg/ml injection solution
|
$2.73 |
$8.19 |
$20.01 |
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$597.50 |
$699.00 |
$1,740.77 |
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$119.50 |
$143.50 |
$745.40 |
|