|
Cytopath smear other source
|
$230.52 |
$230.52 |
$230.52 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$105.06 |
$105.06 |
$105.06 |
$95.89
|
|
Dacarbazine 100 mg intravenous solution
|
$167.50 |
$167.50 |
$167.50 |
$82.91
|
|
Dalbavancin 500 mg intravenous solution
|
$2,496.02 |
$2,496.02 |
$2,496.02 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$168.53 |
$168.53 |
$168.53 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$24,096.92 |
$24,096.92 |
$24,096.92 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$8,626.41 |
$8,626.41 |
$8,626.41 |
$5,546.48
|
|
D&c after delivery 59160
|
$6,230.16 |
$6,230.16 |
$6,230.16 |
$3,762.53
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$6,364.29 |
$6,364.29 |
$6,364.29 |
$3,774.81
|
|
Dch validity tests
|
$86.19 |
$86.19 |
$86.19 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$43.35 |
$43.35 |
$43.35 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,308.15 |
$1,308.15 |
$1,308.15 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$359.04 |
$359.04 |
$359.04 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$3,404.25 |
$3,404.25 |
$3,404.25 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$941.46 |
$941.46 |
$941.46 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,412.70 |
$1,412.70 |
$1,412.70 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,008.78 |
$1,008.78 |
$1,008.78 |
$810.50
|
|
Debride nail1-5 11720
|
$129.54 |
$129.54 |
$129.54 |
$173.25
|
|
Debride nail6 or more 11721
|
$129.54 |
$129.54 |
$129.54 |
$195.20
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,461.15 |
$1,461.15 |
$1,461.15 |
$1,265.16
|
|
Debride skin bone at fx site
|
$3,577.65 |
$3,577.65 |
$3,577.65 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$995.01 |
$995.01 |
$995.01 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,461.15 |
$1,461.15 |
$1,461.15 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$289.68 |
$289.68 |
$289.68 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$910.35 |
$910.35 |
$910.35 |
$1,193.40
|
|
Decalcification
|
$81.60 |
$81.60 |
$81.60 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$386.77 |
$386.77 |
$386.77 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$2,152.20 |
$2,152.20 |
$2,152.20 |
$545.90
|
|
Decompress fasciotomyhand 26037
|
$6,559.11 |
$6,559.11 |
$6,559.11 |
$3,594.44
|
|
Decompression of lower leg
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,839.54
|
|
Decompression of thigh/knee
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,839.54
|
|
Deferoxamine 500 mg solution for injection
|
$84.15 |
$84.15 |
$84.15 |
$110.82
|
|
Degarelix 120 mg subcutaneous solution
|
$1,674.82 |
$1,674.82 |
$1,674.82 |
$2,086.82
|
|
Delivery of placenta 59414
|
$6,364.29 |
$6,364.29 |
$6,364.29 |
$3,271.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$902.70 |
$902.70 |
$902.70 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$7,703.58 |
$7,703.58 |
$7,703.58 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$1,554.48 |
$1,554.48 |
$1,554.48 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$219.70 |
$219.70 |
$219.70 |
$132.72
|
|
Derma-fat-fascia graft 15770
|
$7,168.56 |
$7,168.56 |
$7,168.56 |
$4,326.42
|
|
Design mlc device for imrt
|
$1,831.92 |
$1,831.92 |
$1,831.92 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$116.22 |
$116.22 |
$116.22 |
$102.32
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$2,261.34 |
$2,261.34 |
$2,261.34 |
$2,498.88
|
|
Destroy premlg lesns;1st lesn 17000
|
$406.98 |
$406.98 |
$406.98 |
$220.12
|
|
Destruct cut vasl lesions <10cm 17106
|
$839.97 |
$839.97 |
$839.97 |
$658.40
|
|
Destruction anal lesion(s) smpl chem 46900
|
$839.97 |
$839.97 |
$839.97 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$406.98 |
$406.98 |
$406.98 |
$250.60
|
|
Destruction vag lesions simple 57061
|
$6,055.74 |
$6,055.74 |
$6,055.74 |
$3,762.53
|
|
Device ablt adv novasure
|
$9,394.20 |
$9,394.20 |
$9,394.20 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$7,854.00 |
$7,854.00 |
$7,854.00 |
$4,298.87
|
|
Device intraute mirena
|
$3,363.57 |
$3,363.57 |
$3,363.57 |
$2,618.91
|
|
Device sut capio slim opn
|
$7,929.48 |
$7,929.48 |
$7,929.48 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$12,762.75 |
$12,762.75 |
$12,762.75 |
$2,440.98
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$629.85 |
$629.85 |
$629.85 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$5.61 |
$5.61 |
$5.61 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,016.45 |
$1,016.45 |
$1,016.45 |
$560.92
|
|
Dextran 40 infusion
|
$65.33 |
$65.33 |
$65.33 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$65.33 |
$65.33 |
$65.33 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$65.33 |
$65.33 |
$65.33 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$76.50 |
$76.50 |
$76.50 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$477.87 |
$477.87 |
$477.87 |
$78.03
|
|
Diab manage trn ind/group
|
$35.19 |
$35.19 |
$35.19 |
$49.50
|
|
Diagnostic anoscopy
|
$999.60 |
$999.60 |
$999.60 |
$441.68
|
|
Diagnostic anoscopy spx 46600
|
$337.62 |
$337.62 |
$337.62 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$50.49 |
$50.49 |
$50.49 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$50.49 |
$50.49 |
$50.49 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$520.71 |
$520.71 |
$520.71 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$1,014.39 |
$1,014.39 |
$1,014.39 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$574.26 |
$574.26 |
$574.26 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$427.38 |
$427.38 |
$427.38 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$2,759.10 |
$2,759.10 |
$2,759.10 |
$7,145.00
|
|
Dialysis one evaluation
|
$1,532.55 |
$1,532.55 |
$1,532.55 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$45.90 |
$45.90 |
$45.90 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$85.68 |
$85.68 |
$85.68 |
$72.34
|
|
Diffusing capacity
|
$1,195.44 |
$1,195.44 |
$1,195.44 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$444.22 |
$444.22 |
$444.22 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$11,090.02 |
$11,090.02 |
$11,090.02 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$525.30 |
$525.30 |
$525.30 |
$102.00
|
|
Dilate urethra stricture
|
$1,523.88 |
$1,523.88 |
$1,523.88 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$327.93 |
$327.93 |
$327.93 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$1,408.11 |
$1,408.11 |
$1,408.11 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$652.85 |
$652.85 |
$652.85 |
$305.68
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$2.55 |
$2.55 |
$2.55 |
$2.10
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$26.87
|
|
Disability dlco
|
$755.82 |
$755.82 |
$755.82 |
$307.58
|
|
Disaccharidases
|
$41.95 |
$41.95 |
$41.95 |
$223.80
|
|
Dissolve clot heart vessel
|
$7,822.38 |
$7,822.38 |
$7,822.38 |
$1,396.47
|
|
Dna antibody native/double stranded
|
$3.88 |
$3.88 |
$3.88 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$191.76 |
$191.76 |
$191.76 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$784.45 |
$784.45 |
$784.45 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$145.35 |
$145.35 |
$145.35 |
$84.30
|
|
Doppler echo complete
|
$842.52 |
$842.52 |
$842.52 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$17,408.85 |
$17,408.85 |
$17,408.85 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$230.52 |
$230.52 |
$230.52 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$263.16 |
$263.16 |
$263.16 |
$482.03
|
|
Dornase alfa non-comp unit
|
$495.28 |
$495.28 |
$495.28 |
$479.80
|
|
Dornhoffer fixed part w/window
|
$43,731.99 |
$43,731.99 |
$43,731.99 |
$28,091.95
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$27,547.93 |
$27,547.93 |
$27,547.93 |
$32,490.15
|