|
Deferoxamine 500 mg solution for injection
|
$45.57 |
$45.57 |
$107.20 |
|
|
Degarelix 120 mg subcutaneous solution
|
$3,474.01 |
$3,474.01 |
$3,474.01 |
|
|
Delivery of placenta 59414
|
$382.20 |
$382.20 |
$382.20 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$117.65 |
$117.65 |
$126.10 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,401.10 |
$4,401.10 |
$8,090.10 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$358.80 |
$358.80 |
$433.55 |
|
|
Depo-estradiol cypionate inj
|
$796.39 |
$796.39 |
$796.39 |
|
|
Design mlc device for imrt
|
$35,160.48 |
$35,160.48 |
$35,160.48 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$11.34 |
$463.12 |
$2,536.42 |
|
|
Desoxycorticosterone
|
$74.10 |
$74.10 |
$122.20 |
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$200.20 |
$200.20 |
$200.20 |
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$251.55 |
$251.55 |
$251.55 |
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$287.95 |
$287.95 |
$287.95 |
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$186.55 |
$186.55 |
$186.55 |
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$199.55 |
$199.55 |
$199.55 |
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$239.20 |
$239.20 |
$239.20 |
|
|
Dest mal lesion tal <0.5 17260
|
$135.85 |
$135.85 |
$135.85 |
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$191.75 |
$195.00 |
$195.00 |
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$224.25 |
$224.25 |
$224.25 |
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$243.75 |
$243.75 |
$243.75 |
|
|
Destroy cervthor facet jnt 64633
|
$2,568.11 |
$2,568.11 |
$2,568.11 |
|
|
Destroy cth facet jnt addl 64634
|
$2,568.11 |
$2,568.11 |
$2,568.11 |
|
|
Destroy premlg lesns;1st lesn 17000
|
$100.10 |
$100.10 |
$100.10 |
|
|
Destroy vulva lesion extensive 56515
|
$5,952.89 |
$5,952.89 |
$5,952.89 |
|
|
Destroy vulva lesion simple 56501
|
$6,183.84 |
$6,183.84 |
$6,183.84 |
|
|
Destruct ben lesion 15/> 17111
|
$206.70 |
$206.70 |
$206.70 |
|
|
Destruct cut vasl lesions <10cm 17106
|
$484.90 |
$484.90 |
$484.90 |
|
|
Destruction 2-14 lesions 17003
|
$14.30 |
$14.30 |
$14.30 |
|
|
Destruction anal lesion(s)
|
$431.60 |
$431.60 |
$431.60 |
|
|
Destruction anal lesion(s)
|
$5,952.89 |
$5,952.89 |
$5,952.89 |
|
|
Destruction benign lesions < 14 lesions
|
$157.30 |
$177.45 |
$177.45 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,601.99 |
$2,601.99 |
$2,601.99 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,598.70 |
$2,598.70 |
$2,598.70 |
|
|
Destruction laser surgery anal lesions 46917
|
$4,499.50 |
$4,499.50 |
$4,499.50 |
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$279.50 |
$279.50 |
$279.50 |
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$138.45 |
$138.45 |
$138.45 |
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$261.95 |
$261.95 |
$523.25 |
|
|
Destruction mal lsn t/a/l >4cm
|
$302.90 |
$302.90 |
$302.90 |
|
|
Destruction premal lesions 15/> 17004
|
$299.65 |
$299.65 |
$299.65 |
|
|
Developmental screen/score/document 96110
|
$126.75 |
$126.75 |
$210.60 |
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$229.45 |
$229.45 |
$229.45 |
|
|
Dexamethasone 4 mg tablet
|
$4.87 |
$4.87 |
$50.39 |
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$7.15 |
$7.15 |
$9.26 |
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$617.50 |
$617.50 |
$617.50 |
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$37.50 |
$37.50 |
$68.25 |
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$37.50 |
$37.50 |
$68.25 |
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$37.50 |
$37.50 |
$68.25 |
|
|
Dextrose 5 % IV bolus
|
$37.50 |
$37.50 |
$68.25 |
|
|
Dhea-s (dehydroepiand sulfate)
|
$79.30 |
$110.50 |
$146.90 |
|
|
Diabetes (HbA1c) Test
|
$46.15 |
$46.15 |
$74.75 |
|
|
Diab manage trn ind/group
|
$50.70 |
$50.70 |
$64.35 |
|
|
Diag laparo separate proc 49320
|
$6,713.90 |
$6,713.90 |
$6,962.80 |
|
|
Diagnostic anoscopy spx 46600
|
$159.90 |
$159.90 |
$159.90 |
|
|
Diagnostic Mammogram (both breasts)
|
$175.50 |
$175.50 |
$228.15 |
|
|
Diagnostic Mammogram (one breast)
|
$162.50 |
$162.50 |
$206.70 |
|
|
Dialysis one evaluation
|
$713.05 |
$713.05 |
$713.05 |
|
|
Diathermy eg microwave
|
$29.90 |
$34.45 |
$34.45 |
|
|
Diatrizoate meglumine 18 % urethral solution
|
$100.03 |
$100.03 |
$100.03 |
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$13.00 |
$13.00 |
$59.80 |
|
|
Diffusing capacity
|
$292.50 |
$292.50 |
$308.75 |
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$7.15 |
$7.15 |
$7.15 |
|
|
Digoxin total therapeutic drug level
|
$63.05 |
$75.40 |
$113.75 |
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$120.41 |
$120.41 |
$158.68 |
|
|
Dilate esophagus
|
$4,905.07 |
$4,905.07 |
$4,905.07 |
|
|
Dilate esophagus 1/mult pass
|
$263.90 |
$263.90 |
$4,214.62 |
|
|
Diltiazem 5 mg/ml intravenous solution
|
$35.24 |
$35.24 |
$35.24 |
|
|
Dimethyl sulfoxide 50% 50 ml
|
$2,205.67 |
$2,253.11 |
$2,253.11 |
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$7.15 |
$9.29 |
$9.29 |
|
|
Disability dlco
|
$287.30 |
$287.30 |
$287.30 |
|
|
Disaccharidases
|
$19.50 |
$298.35 |
$352.30 |
|
|
Discography cerv/thor spine
|
$1,330.55 |
$1,330.55 |
$1,330.55 |
|
|
Dise eval slp do brth flx dx
|
$2,157.90 |
$2,157.90 |
$2,157.90 |
|
|
Dna antibody native/double stranded
|
$120.90 |
$121.55 |
$144.30 |
|
|
Dna gardnerella
|
$37.70 |
$39.00 |
$39.00 |
|
|
Dna probe chlamydia
|
$59.80 |
$59.80 |
$70.85 |
|
|
Dna probe gc
|
$96.20 |
$96.20 |
$113.75 |
|
|
Dna trichomonas
|
$37.70 |
$39.00 |
$39.00 |
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$69.47 |
$120.90 |
$123.50 |
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$996.12 |
$996.12 |
$996.12 |
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$43.08 |
$60.98 |
$60.98 |
|
|
Doppler echo complete
|
$645.45 |
$645.45 |
$645.45 |
|
|
Doppler intravascular pressure flow initial vessel
|
$2,018.90 |
$2,018.90 |
$2,018.90 |
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$696.80 |
$696.80 |
$822.90 |
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$354.25 |
$403.00 |
$432.90 |
|
|
Doripenem 50 mg/ml inj 10 ml
|
$118.35 |
$118.35 |
$118.35 |
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$27,922.75 |
$27,922.75 |
$27,922.75 |
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$604.90 |
$604.90 |
$604.90 |
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,030.25 |
$1,030.25 |
$1,030.25 |
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$49.40 |
$53.49 |
$81.30 |
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$299.65 |
$299.65 |
$386.10 |
|
|
Drainage ext aud canal abscess 69020
|
$301.60 |
$301.60 |
$301.60 |
|
|
Drainage external ear complex 69005
|
$525.20 |
$525.20 |
$3,255.75 |
|
|
Drainage external ear simple 69000
|
$340.60 |
$340.60 |
$3,618.21 |
|
|
Drainage mouth roof lesion
|
$310.70 |
$310.70 |
$310.70 |
|
|
Drainage of arm bursa 23931
|
$2,437.50 |
$2,437.50 |
$2,437.50 |
|
|
Drainage of kidney lesion
|
$5,664.22 |
$5,664.22 |
$5,664.22 |
|
|
Drainage of mouth lesion
|
$602.55 |
$602.55 |
$602.55 |
|
|
Drainage of urethra abscess 53060
|
$749.45 |
$749.45 |
$749.45 |
|
|
Drain blood from under nail 11740
|
$68.90 |
$74.10 |
$80.60 |
|
|
Drain cath image guided visceral pq
|
$5,664.22 |
$5,664.22 |
$5,664.22 |
|