|
Dacarbazine 100 mg intravenous solution
|
$87.12 |
$87.12 |
$87.12 |
$58.22
|
|
Dactinomycin 0.5 mg intravenous solution
|
$401.20 |
$401.20 |
$401.20 |
$3,024.59
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$167.29 |
$167.29 |
$167.29 |
$168.53
|
|
Dark field exam without collj
|
$1.88 |
$1.88 |
$1.88 |
$28.80
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$93.99 |
$93.99 |
$93.99 |
$257.10
|
|
Dch glucoscan
|
$35.10 |
$35.10 |
$35.10 |
$28.10
|
|
Dch validity tests
|
$26.10 |
$26.10 |
$26.10 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$96.12 |
$96.12 |
$96.12 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$218.16 |
$218.16 |
$218.16 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$146.52 |
$146.52 |
$146.52 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$1,016.64 |
$1,016.64 |
$1,016.64 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$68.04 |
$68.04 |
$68.04 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$98.10 |
$98.10 |
$98.10 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$319.14 |
$319.14 |
$319.14 |
$810.50
|
|
Debride nail1-5 11720
|
$64.08 |
$64.08 |
$64.08 |
$148.80
|
|
Debride nail6 or more 11721
|
$64.08 |
$64.08 |
$64.08 |
$169.60
|
|
Debride skin bone at fx site
|
$268.74 |
$268.74 |
$268.74 |
$3,015.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$914.40 |
$914.40 |
$914.40 |
$1,820.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$54.00 |
$54.00 |
$54.00 |
$639.60
|
|
Debr inf skin add-on 11001
|
$9.54 |
$9.54 |
$9.54 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$472.50 |
$472.50 |
$472.50 |
$1,160.00
|
|
Decalcification
|
$42.48 |
$42.48 |
$42.48 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$110.10 |
$110.10 |
$110.10 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$359.82 |
$359.82 |
$359.82 |
$543.00
|
|
Decompression of lower leg
|
$265.14 |
$265.14 |
$265.14 |
$3,839.54
|
|
Decompression of lower leg
|
$295.02 |
$295.02 |
$295.02 |
$3,839.54
|
|
Decompres spinal cord;thoracic 63055
|
$1,045.80 |
$1,045.80 |
$1,045.80 |
$8,412.89
|
|
Decompress spinal cord lmbr
|
$962.28 |
$962.28 |
$962.28 |
$8,446.03
|
|
Deep muscle biopsy 20205
|
$100.08 |
$100.08 |
$100.08 |
$3,339.00
|
|
Deferoxamine 500 mg solution for injection
|
$15.87 |
$15.87 |
$15.87 |
$95.85
|
|
Delivery of placenta 59414
|
$1,229.40 |
$1,229.40 |
$1,229.40 |
$3,070.56
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$115.74 |
$115.74 |
$115.74 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$458.70 |
$458.70 |
$458.70 |
$6,324.98
|
|
Design mlc device for imrt
|
$676.62 |
$676.62 |
$676.62 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$31.78 |
$31.78 |
$31.78 |
$89.78
|
|
Desoxycorticosterone
|
$5.72 |
$5.72 |
$5.72 |
$109.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$154.80 |
$154.80 |
$154.80 |
$199.50
|
|
Destruct ben lesion 15/> 17111
|
$113.22 |
$113.22 |
$113.22 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$2.52 |
$2.52 |
$2.52 |
$72.60
|
|
Destruction anal lesion(s)
|
$121.68 |
$121.68 |
$121.68 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$142.56 |
$142.56 |
$142.56 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$146.70 |
$146.70 |
$146.70 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$37.98 |
$37.98 |
$37.98 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$127.08 |
$127.08 |
$127.08 |
$3,202.98
|
|
Destruction premal lesions 15/> 17004
|
$256.86 |
$256.86 |
$256.86 |
$436.64
|
|
Devel tst phys/qhp 1st hr
|
$93.78 |
$93.78 |
$93.78 |
$337.50
|
|
Device ablt adv novasure
|
$405.00 |
$405.00 |
$405.00 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$4,200.00
|
|
Device intraute mirena
|
$1,967.71 |
$1,967.71 |
$1,967.71 |
$2,125.00
|
|
Dev interrog remote 1/2/mlt
|
$16.74 |
$16.74 |
$16.74 |
$115.20
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$46.80 |
$46.80 |
$46.80 |
$200.00
|
|
Dexamethasone 4 mg tablet
|
$19.74 |
$19.74 |
$19.74 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$27.35 |
$27.35 |
$27.35 |
$21.17
|
|
Dextran 40 infusion
|
$309.55 |
$309.55 |
$309.55 |
$151.20
|
|
Dextran 75 infusion
|
$41.22 |
$41.22 |
$41.22 |
$1.15
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$13.41 |
$13.41 |
$13.41 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$13.41 |
$13.41 |
$13.41 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$28.44 |
$28.44 |
$28.44 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$13.41 |
$13.41 |
$13.41 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$3.53 |
$3.53 |
$3.53 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$87.30 |
$87.30 |
$87.30 |
$79.20
|
|
Diag laparo separate proc 49320
|
$215.46 |
$215.46 |
$215.46 |
$6,904.15
|
|
Diagnostic anoscopy & biopsy
|
$80.46 |
$80.46 |
$80.46 |
$1,905.00
|
|
Diagnostic anoscopy spx 46600
|
$121.86 |
$121.86 |
$121.86 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$33.84 |
$33.84 |
$33.84 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$218.52 |
$218.52 |
$218.52 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$364.86 |
$364.86 |
$364.86 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$263.52 |
$263.52 |
$263.52 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$217.26 |
$217.26 |
$217.26 |
$214.08
|
|
Dialysis circuit perm vascular embolization 36909
|
$4,630.50 |
$4,630.50 |
$4,630.50 |
$5,419.00
|
|
Dialysis one evaluation
|
$1,151.82 |
$1,151.82 |
$1,151.82 |
$919.55
|
|
Dialysis repeated eval
|
$673.56 |
$673.56 |
$673.56 |
$1,267.50
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.58 |
$0.58 |
$0.58 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$17.86 |
$17.86 |
$17.86 |
$74.76
|
|
Dicyclomine injection
|
$39.22 |
$39.22 |
$39.22 |
$153.29
|
|
Diffusing capacity
|
$167.40 |
$167.40 |
$167.40 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$15.92 |
$15.92 |
$15.92 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$433.94 |
$433.94 |
$433.94 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$140.40 |
$140.40 |
$140.40 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$33.48 |
$33.48 |
$33.48 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$367.56 |
$367.56 |
$367.56 |
$1,866.73
|
|
Dilator fascial 10fx20cm
|
$181.80 |
$181.80 |
$181.80 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$14.03 |
$14.03 |
$14.03 |
$47.94
|
|
Dimethyl sulfoxide 50% 50 ml
|
$50.40 |
$50.40 |
$50.40 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$11.70 |
$11.70 |
$11.70 |
$17.75
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$21.96 |
$21.96 |
$21.96 |
$91.53
|
|
Disability dlco
|
$207.00 |
$207.00 |
$207.00 |
$282.40
|
|
Disaccharidases
|
$60.62 |
$60.62 |
$60.62 |
$216.00
|
|
Disarticulation shoulder
|
$748.44 |
$748.44 |
$748.44 |
$13,116.76
|
|
Dmd dup/delet analysis
|
$50.22 |
$50.22 |
$50.22 |
$404.03
|
|
Dmpk gene detc abnor allele
|
$19.73 |
$19.73 |
$19.73 |
$313.60
|
|
Dna antibody native/double stranded
|
$9.54 |
$9.54 |
$9.54 |
$97.50
|
|
Dna gardnerella
|
$3.21 |
$3.21 |
$3.21 |
$62.50
|
|
Dna probe chlamydia
|
$93.24 |
$93.24 |
$93.24 |
$79.38
|
|
Dna trichomonas
|
$3.21 |
$3.21 |
$3.21 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$86.94 |
$86.94 |
$86.94 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$164.41 |
$164.41 |
$164.41 |
$904.81
|
|
Dolasetron mesylate
|
$42.30 |
$42.30 |
$42.30 |
$44.65
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$22.75 |
$22.75 |
$22.75 |
$65.40
|
|
Doppler echo complete
|
$547.20 |
$547.20 |
$547.20 |
$540.00
|