|
Decalcification
|
$46.87 |
$46.87 |
$46.87 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$4,250.55 |
$4,250.55 |
$4,250.55 |
$975.45
|
|
Deferoxamine 500 mg solution for injection
|
$157.81 |
$157.81 |
$157.81 |
$110.82
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$97.18 |
$97.18 |
$97.18 |
$196.26
|
|
Depo-estradiol cypionate inj
|
$269.18 |
$269.18 |
$269.18 |
$132.72
|
|
Dermagraft
|
$3,450.75 |
$3,450.75 |
$3,450.75 |
$1,912.31
|
|
Design mlc device for imrt
|
$481.60 |
$481.60 |
$481.60 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$2,009.82 |
$2,009.82 |
$2,009.82 |
$102.32
|
|
Detect agent nos dna dir
|
$14.65 |
$14.65 |
$14.65 |
$67.15
|
|
Device ablt adv novasure
|
$5,835.10 |
$5,835.10 |
$5,835.10 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$5,835.10 |
$5,835.10 |
$5,835.10 |
$4,298.87
|
|
Device intraute mirena
|
$4,123.70 |
$4,123.70 |
$4,123.70 |
$2,618.91
|
|
Device sut capio slim opn
|
$3,450.75 |
$3,450.75 |
$3,450.75 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$3,450.75 |
$3,450.75 |
$3,450.75 |
$2,440.98
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$202.10 |
$202.10 |
$202.10 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$5.16 |
$5.16 |
$5.16 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$35.26 |
$35.26 |
$35.26 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$2,333.18 |
$2,333.18 |
$2,333.18 |
$560.92
|
|
Dextran 40 infusion
|
$148.78 |
$148.78 |
$148.78 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$42.57 |
$42.57 |
$42.57 |
$60.00
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$39.99 |
$39.99 |
$39.99 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$23.65 |
$23.65 |
$23.65 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$2.58 |
$2.58 |
$2.58 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$85.57 |
$85.57 |
$85.57 |
$78.03
|
|
Diab manage trn ind/group
|
$44.29 |
$44.29 |
$44.29 |
$49.50
|
|
Diagnostic Mammogram (both breasts)
|
$313.04 |
$313.04 |
$313.04 |
$424.00
|
|
Diagnostic radio unlisted proc
|
$236.93 |
$236.93 |
$236.93 |
$239.25
|
|
Dialysis one evaluation
|
$490.63 |
$490.63 |
$490.63 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$267.89 |
$267.89 |
$267.89 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$56.33 |
$56.33 |
$56.33 |
$72.34
|
|
Diffusing capacity
|
$283.80 |
$283.80 |
$283.80 |
$360.10
|
|
Digital analysis of eeg
|
$135.45 |
$135.45 |
$135.45 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$668.65 |
$668.65 |
$668.65 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,250.55 |
$4,250.55 |
$4,250.55 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$129.00 |
$129.00 |
$129.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$396.89 |
$396.89 |
$396.89 |
$334.68
|
|
Dilator fascial 10fx20cm
|
$247.25 |
$247.25 |
$247.25 |
$305.68
|
|
Diltiazem 5 mg/ml intravenous solution
|
$68.37 |
$68.37 |
$68.37 |
$60.25
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$14.19 |
$14.19 |
$14.19 |
$26.87
|
|
Disability dlco
|
$294.55 |
$294.55 |
$294.55 |
$307.58
|
|
Disaccharidases
|
$105.35 |
$105.35 |
$105.35 |
$223.80
|
|
Dissolve clot heart vessel
|
$595.98 |
$595.98 |
$595.98 |
$1,396.47
|
|
Dna antibody native/double stranded
|
$5.33 |
$5.33 |
$5.33 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$132.87 |
$132.87 |
$132.87 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$2,662.56 |
$2,662.56 |
$2,662.56 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$74.39 |
$74.39 |
$74.39 |
$84.30
|
|
Doppler echo complete
|
$858.71 |
$858.71 |
$858.71 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$2,736.95 |
$2,736.95 |
$2,736.95 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$216.72 |
$216.72 |
$216.72 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$304.44 |
$304.44 |
$304.44 |
$482.03
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$169.85 |
$169.85 |
$169.85 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$4,250.55 |
$4,250.55 |
$4,250.55 |
$2,417.38
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$122.98 |
$122.98 |
$122.98 |
$99.99
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$3,450.75 |
$3,450.75 |
$3,450.75 |
$1,778.40
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$926.65 |
$926.65 |
$926.65 |
$468.29
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$2,653.10 |
$2,653.10 |
$2,653.10 |
$318.13
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$5,835.10 |
$5,835.10 |
$5,835.10 |
$6,581.45
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$21,676.30 |
$21,676.30 |
$21,676.30 |
$18,384.03
|
|
Drug admin & hemodynmic meas
|
$162.11 |
$162.11 |
$162.11 |
$528.50
|
|
Drug assay caffeine
|
$15.24 |
$15.24 |
$15.24 |
$81.61
|
|
Drug assay posaconazole
|
$24.51 |
$24.51 |
$24.51 |
$96.39
|
|
Drug assay rufinamide
|
$25.31 |
$25.31 |
$25.31 |
$93.60
|
|
Drug assay voriconazole
|
$22.79 |
$22.79 |
$22.79 |
$96.75
|
|
Drug screen quant tiagabine
|
$37.41 |
$37.41 |
$37.41 |
$91.80
|
|
Drug test def 15-21 classes
|
$53.75 |
$53.75 |
$53.75 |
$144.42
|
|
Drug test def 1-7 classes
|
$338.84 |
$338.84 |
$338.84 |
$250.52
|
|
Drug test def 22+ classes
|
$77.40 |
$77.40 |
$77.40 |
$246.92
|
|
Drug test def 8-14 classes
|
$463.54 |
$463.54 |
$463.54 |
$172.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$111.37 |
$111.37 |
$111.37 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$886.23 |
$886.23 |
$886.23 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$329.81 |
$329.81 |
$329.81 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$329.81 |
$329.81 |
$329.81 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$624.36 |
$624.36 |
$624.36 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$368.08 |
$368.08 |
$368.08 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$21,676.30 |
$21,676.30 |
$21,676.30 |
$14,438.37
|
|
Ecg 12 lead tracing only
|
$197.37 |
$197.37 |
$197.37 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$74.39 |
$74.39 |
$74.39 |
$129.83
|
|
Ecg external < 48 hours recording
|
$357.33 |
$357.33 |
$357.33 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$525.46 |
$525.46 |
$525.46 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,266.53 |
$2,266.53 |
$2,266.53 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$360.77 |
$360.77 |
$360.77 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,266.53 |
$2,266.53 |
$2,266.53 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$813.99 |
$813.99 |
$813.99 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$813.99 |
$813.99 |
$813.99 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$429.14 |
$429.14 |
$429.14 |
$353.46
|
|
Echo exam of fetal heart
|
$619.20 |
$619.20 |
$619.20 |
$855.38
|
|
Echo exam of fetal heart
|
$361.20 |
$361.20 |
$361.20 |
$503.80
|
|
Echo exam of fetal heart
|
$139.32 |
$139.32 |
$139.32 |
$431.41
|
|
Echo exam of fetal heart
|
$219.73 |
$219.73 |
$219.73 |
$323.40
|
|
Echo exam uterus 76831-
|
$375.39 |
$375.39 |
$375.39 |
$547.20
|
|
Echo guide for amniocentesis
|
$120.83 |
$120.83 |
$120.83 |
$384.65
|
|
Echo guide for artery repair
|
$418.39 |
$418.39 |
$418.39 |
$680.28
|
|
Echo stress
|
$2,506.90 |
$2,506.90 |
$2,506.90 |
$1,582.75
|
|
Echo tee guidance
|
$2,582.58 |
$2,582.58 |
$2,582.58 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,352.10 |
$2,352.10 |
$2,352.10 |
$1,871.10
|
|
Echo transesophageal
|
$494.07 |
$494.07 |
$494.07 |
$913.33
|
|
Echo transesophageal
|
$643.71 |
$643.71 |
$643.71 |
$1,734.10
|
|
Echo transesophageal intraop
|
$1,404.81 |
$1,404.81 |
$1,404.81 |
$1,571.70
|
|
Echo transthoracic
|
$1,376.86 |
$1,376.86 |
$1,376.86 |
$1,492.50
|
|
Echo transthoracic
|
$798.51 |
$798.51 |
$798.51 |
$953.10
|