|
Debride nail6 or more 11721
|
$195.20 |
$195.20 |
$195.20 |
$195.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$267.19 |
$267.19 |
$267.19 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,316.68 |
$1,316.68 |
$1,316.68 |
$1,193.40
|
|
Decalcification
|
$25.86 |
$25.86 |
$25.86 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$289.50 |
$289.50 |
$289.50 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$285.45 |
$285.45 |
$285.45 |
$110.82
|
|
Degarelix 120 mg subcutaneous solution
|
$2,086.82 |
$2,086.82 |
$2,086.82 |
$2,086.82
|
|
Delivery of placenta 59414
|
$3,302.60 |
$3,302.60 |
$3,302.60 |
$3,271.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$144.50 |
$144.50 |
$144.50 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$7,933.81
|
|
Dermagraft
|
$59.16 |
$59.16 |
$59.16 |
$1,912.31
|
|
Desmopressin 4 mcg/ml injection solution
|
$192.16 |
$192.16 |
$192.16 |
$102.32
|
|
Desoxycorticosterone
|
$77.17 |
$77.17 |
$77.17 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$1,362.82 |
$1,362.82 |
$1,362.82 |
$3,164.80
|
|
Destroy premlg lesns;1st lesn 17000
|
$118.64 |
$118.64 |
$118.64 |
$220.12
|
|
Destruct ben lesion 15/> 17111
|
$118.64 |
$118.64 |
$118.64 |
$238.20
|
|
Destruction 2-14 lesions 17003
|
$29.41 |
$29.41 |
$29.41 |
$72.60
|
|
Destruction benign lesions < 14 lesions
|
$113.07 |
$113.07 |
$113.07 |
$250.60
|
|
Device ablt adv novasure
|
$7,201.94 |
$7,201.94 |
$7,201.94 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,275.73 |
$3,275.73 |
$3,275.73 |
$4,298.87
|
|
Device sut capio slim opn
|
$1,936.74 |
$1,936.74 |
$1,936.74 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$2,518.78 |
$2,518.78 |
$2,518.78 |
$2,440.98
|
|
Dexamethasone 4 mg tablet
|
$59.83 |
$59.83 |
$59.83 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$30.42 |
$30.42 |
$30.42 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$560.92
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$29.92 |
$29.92 |
$29.92 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$27.38 |
$27.38 |
$27.38 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$296.09 |
$296.09 |
$296.09 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$27.38 |
$27.38 |
$27.38 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$3.05 |
$3.05 |
$3.05 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$165.29 |
$165.29 |
$165.29 |
$78.03
|
|
Diab manage trn ind/group
|
$18.26 |
$18.26 |
$18.26 |
$49.50
|
|
Diagnostic anoscopy spx 46600
|
$35.49 |
$35.49 |
$35.49 |
$245.35
|
|
Diagnostic radio unlisted proc
|
$116.61 |
$116.61 |
$116.61 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$968.88 |
$968.88 |
$968.88 |
$7,145.00
|
|
Dialysis one evaluation
|
$2,074.65 |
$2,074.65 |
$2,074.65 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$69.46 |
$69.46 |
$69.46 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$67.44 |
$67.44 |
$67.44 |
$72.34
|
|
Dicyclomine injection
|
$230.18 |
$230.18 |
$230.18 |
$211.81
|
|
Diffusing capacity
|
$402.06 |
$402.06 |
$402.06 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$359.97 |
$359.97 |
$359.97 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$234.75 |
$234.75 |
$234.75 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$334.68
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,393.75 |
$1,393.75 |
$1,393.75 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$2,787.49 |
$2,787.49 |
$2,787.49 |
$6,280.95
|
|
Dilator fascial 10fx20cm
|
$519.17 |
$519.17 |
$519.17 |
$305.68
|
|
Dimecaprol injection
|
$439.57 |
$439.57 |
$439.57 |
$199.46
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$13.69 |
$13.69 |
$13.69 |
$26.87
|
|
Disability dlco
|
$346.29 |
$346.29 |
$346.29 |
$307.58
|
|
Disaccharidases
|
$169.85 |
$169.85 |
$169.85 |
$223.80
|
|
Dmd dup/delet analysis
|
$263.30 |
$263.30 |
$263.30 |
$385.02
|
|
Dna antibody native/double stranded
|
$5.07 |
$5.07 |
$5.07 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$196.72 |
$196.72 |
$196.72 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$43.10 |
$43.10 |
$43.10 |
$84.30
|
|
Doppler echo complete
|
$1,094.11 |
$1,094.11 |
$1,094.11 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$1,035.30 |
$1,035.30 |
$1,035.30 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$828.95 |
$828.95 |
$828.95 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$534.89 |
$534.89 |
$534.89 |
$482.03
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$9,463.16 |
$9,463.16 |
$9,463.16 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$128.78 |
$128.78 |
$128.78 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,849.85 |
$2,849.85 |
$2,849.85 |
$2,417.38
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$71.49 |
$71.49 |
$71.49 |
$99.99
|
|
Dpyd gene common variants
|
$122.70 |
$122.70 |
$122.70 |
$380.50
|
|
Drainage of kidney lesion
|
$1,599.59 |
$1,599.59 |
$1,599.59 |
$1,706.65
|
|
Drain cath image guided visceral pq
|
$3,922.16 |
$3,922.16 |
$3,922.16 |
$3,073.90
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$550.10 |
$550.10 |
$550.10 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$267.19 |
$267.19 |
$267.19 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$665.19 |
$665.19 |
$665.19 |
$554.40
|
|
Drill hole implt ventricular cath/device 61107
|
$1,307.05 |
$1,307.05 |
$1,307.05 |
$1,594.26
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$676.34 |
$676.34 |
$676.34 |
$1,778.40
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$7.95 |
$7.95 |
$7.95 |
$468.29
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$3,275.73 |
$3,275.73 |
$3,275.73 |
$318.13
|
|
Drug admin & hemodynmic meas
|
$410.17 |
$410.17 |
$410.17 |
$528.50
|
|
Drug assay caffeine
|
$17.96 |
$17.96 |
$17.96 |
$81.61
|
|
Drug assay posaconazole
|
$28.90 |
$28.90 |
$28.90 |
$96.39
|
|
Drug assay vedolizumab
|
$72.13 |
$72.13 |
$72.13 |
$164.16
|
|
Drug assay voriconazole
|
$26.88 |
$26.88 |
$26.88 |
$96.75
|
|
Drug of abuse screen urine
|
$6.39 |
$6.39 |
$6.39 |
$63.75
|
|
Drug test def 15-21 classes
|
$50.70 |
$50.70 |
$50.70 |
$144.42
|
|
Drug test def 1-7 classes
|
$309.27 |
$309.27 |
$309.27 |
$250.52
|
|
Drug test def 22+ classes
|
$91.26 |
$91.26 |
$91.26 |
$246.92
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$450.73 |
$450.73 |
$450.73 |
$278.85
|
|
Drvvt confirm - quest
|
$54.35 |
$54.35 |
$54.35 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$2,967.48 |
$2,967.48 |
$2,967.48 |
$3,390.00
|
|
Duplex scan bilateral study 93985
|
$282.40 |
$282.40 |
$282.40 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$136.89 |
$136.89 |
$136.89 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$806.64 |
$806.64 |
$806.64 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,037.83 |
$1,037.83 |
$1,037.83 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,448.50 |
$1,448.50 |
$1,448.50 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$3,246.83 |
$3,246.83 |
$3,246.83 |
$10,021.12
|
|
Dx bronchoscope/brush 31623
|
$473.04 |
$473.04 |
$473.04 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$915.14 |
$915.14 |
$915.14 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,993.02 |
$1,993.02 |
$1,993.02 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$449.21 |
$449.21 |
$449.21 |
$368.50
|
|
Ear irrigation 69209
|
$138.42 |
$138.42 |
$138.42 |
$165.42
|
|
Ecg 12 lead tracing only
|
$323.98 |
$323.98 |
$323.98 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$44.62 |
$44.62 |
$44.62 |
$129.83
|