|
Daunorubicin 5 mg/ml intravenous solution
|
$220.42 |
$220.42 |
$220.42 |
$260.95
|
|
D&c after delivery 59160
|
$4,757.76 |
$4,757.76 |
$4,757.76 |
$3,762.53
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,930.24 |
$3,930.24 |
$3,930.24 |
$3,774.81
|
|
Dch glucoscan
|
$17.28 |
$17.28 |
$17.28 |
$24.85
|
|
Dch validity tests
|
$52.32 |
$52.32 |
$52.32 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$40.80 |
$40.80 |
$40.80 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$562.56 |
$562.56 |
$562.56 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$95.52 |
$95.52 |
$95.52 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,160.48 |
$2,160.48 |
$2,160.48 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$236.16 |
$236.16 |
$236.16 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$236.16 |
$236.16 |
$236.16 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$425.28 |
$425.28 |
$425.28 |
$810.50
|
|
Debride nail1-5 11720
|
$121.92 |
$121.92 |
$121.92 |
$173.25
|
|
Debride nail6 or more 11721
|
$170.88 |
$170.88 |
$170.88 |
$195.20
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$581.28 |
$581.28 |
$581.28 |
$1,265.16
|
|
Debride skin bone at fx site
|
$3,648.96 |
$3,648.96 |
$3,648.96 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$236.16 |
$236.16 |
$236.16 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$581.28 |
$581.28 |
$581.28 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$236.16 |
$236.16 |
$236.16 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$824.64 |
$824.64 |
$824.64 |
$1,193.40
|
|
Decalcification
|
$106.56 |
$106.56 |
$106.56 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$308.23 |
$308.23 |
$308.23 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$468.96 |
$468.96 |
$468.96 |
$545.90
|
|
Decompress fasciotomyhand 26037
|
$5,214.24 |
$5,214.24 |
$5,214.24 |
$3,594.44
|
|
Decompression of lower leg
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$3,839.54
|
|
Decompression of thigh/knee
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$3,839.54
|
|
Deep muscle biopsy 20205
|
$2,547.84 |
$2,547.84 |
$2,547.84 |
$3,370.52
|
|
Deferoxamine 500 mg solution for injection
|
$129.88 |
$129.88 |
$129.88 |
$110.82
|
|
Degarelix 120 mg subcutaneous solution
|
$1,105.44 |
$1,105.44 |
$1,105.44 |
$2,086.82
|
|
Delivery of placenta 59414
|
$3,796.80 |
$3,796.80 |
$3,796.80 |
$3,271.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$202.08 |
$202.08 |
$202.08 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$7,590.60 |
$7,590.60 |
$7,590.60 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$271.68 |
$271.68 |
$271.68 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$183.61 |
$183.61 |
$183.61 |
$132.72
|
|
Derma-fat-fascia graft 15770
|
$6,019.20 |
$6,019.20 |
$6,019.20 |
$4,326.42
|
|
Design mlc device for imrt
|
$641.76 |
$641.76 |
$641.76 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$102.32
|
|
Destroy cervthor facet jnt 64633
|
$4,317.60 |
$4,317.60 |
$4,317.60 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$331.68 |
$331.68 |
$331.68 |
$220.12
|
|
Destruct cut vasl lesions <10cm 17106
|
$396.00 |
$396.00 |
$396.00 |
$658.40
|
|
Destruction anal lesion(s) smpl chem 46900
|
$396.00 |
$396.00 |
$396.00 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$124.32 |
$124.32 |
$124.32 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$4,317.60 |
$4,317.60 |
$4,317.60 |
$3,375.00
|
|
Destruction vag lesions simple 57061
|
$5,003.52 |
$5,003.52 |
$5,003.52 |
$3,762.53
|
|
Device ablt adv novasure
|
$22,113.51 |
$22,113.51 |
$22,113.51 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$6,828.00 |
$6,828.00 |
$6,828.00 |
$4,298.87
|
|
Device intraute mirena
|
$3,165.72 |
$3,165.72 |
$3,165.72 |
$2,618.91
|
|
Device sut capio slim opn
|
$6,419.82 |
$6,419.82 |
$6,419.82 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$13,860.00 |
$13,860.00 |
$13,860.00 |
$2,440.98
|
|
Dexamethasone 4 mg tablet
|
$5.29 |
$5.29 |
$5.29 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$44.76 |
$44.76 |
$44.76 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$466.62 |
$466.62 |
$466.62 |
$560.92
|
|
Dextran 40 infusion
|
$61.49 |
$61.49 |
$61.49 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$61.49 |
$61.49 |
$61.49 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$61.49 |
$61.49 |
$61.49 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$61.49 |
$61.49 |
$61.49 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$61.49 |
$61.49 |
$61.49 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$72.00 |
$72.00 |
$72.00 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$57.12 |
$57.12 |
$57.12 |
$78.03
|
|
Diagnostic anoscopy
|
$248.64 |
$248.64 |
$248.64 |
$441.68
|
|
Diagnostic anoscopy spx 46600
|
$110.88 |
$110.88 |
$110.88 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$37.44 |
$37.44 |
$37.44 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$37.44 |
$37.44 |
$37.44 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$133.92 |
$133.92 |
$133.92 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$119.04 |
$119.04 |
$119.04 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$633.60 |
$633.60 |
$633.60 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$494.88 |
$494.88 |
$494.88 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$156.96 |
$156.96 |
$156.96 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$1,693.44 |
$1,693.44 |
$1,693.44 |
$7,145.00
|
|
Dialysis one evaluation
|
$840.96 |
$840.96 |
$840.96 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$43.20 |
$43.20 |
$43.20 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$60.00 |
$60.00 |
$60.00 |
$72.34
|
|
Dicyclomine injection
|
$258.88 |
$258.88 |
$258.88 |
$211.81
|
|
Diffusing capacity
|
$67.20 |
$67.20 |
$67.20 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$424.18 |
$424.18 |
$424.18 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$10,945.58 |
$10,945.58 |
$10,945.58 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$111.36 |
$111.36 |
$111.36 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$404.62 |
$404.62 |
$404.62 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$4,678.56 |
$4,678.56 |
$4,678.56 |
$2,304.60
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$17,743.68 |
$17,743.68 |
$17,743.68 |
$4,322.56
|
|
Dilate ic vasospasm init
|
$21,684.96 |
$21,684.96 |
$21,684.96 |
$6,280.95
|
|
Dilate urethra stricture
|
$420.48 |
$420.48 |
$420.48 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$299.04 |
$299.04 |
$299.04 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$747.84 |
$747.84 |
$747.84 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$524.09 |
$524.09 |
$524.09 |
$305.68
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$2.40 |
$2.40 |
$2.40 |
$2.10
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$44.76 |
$44.76 |
$44.76 |
$26.87
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$204.15 |
$204.15 |
$204.15 |
$106.59
|
|
Disability dlco
|
$163.68 |
$163.68 |
$163.68 |
$307.58
|
|
Disaccharidases
|
$42.24 |
$42.24 |
$42.24 |
$223.80
|
|
Dissolve clot heart vessel
|
$1,339.20 |
$1,339.20 |
$1,339.20 |
$1,396.47
|
|
Dna antibody native/double stranded
|
$237.12 |
$237.12 |
$237.12 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$72.00 |
$72.00 |
$72.00 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$274.72 |
$274.72 |
$274.72 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$119.88 |
$119.88 |
$119.88 |
$84.30
|
|
Doppler echo complete
|
$264.48 |
$264.48 |
$264.48 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$866.88 |
$866.88 |
$866.88 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$163.20 |
$163.20 |
$163.20 |
$696.80
|