|
Dch pulmonary stress test
|
$449.08 |
$449.08 |
$593.28 |
$964.41
|
|
Dch validity tests
|
$9.81 |
$9.81 |
$12.96 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$2.12 |
$2.12 |
$2.80 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$98.98 |
$98.98 |
$130.76 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$695.42 |
$695.42 |
$918.72 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$185.09 |
$185.09 |
$244.52 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$316.32 |
$316.32 |
$417.89 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$345.32 |
$345.32 |
$456.20 |
$810.50
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$148.90 |
$148.90 |
$196.71 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$458.24 |
$458.24 |
$605.38 |
$1,193.40
|
|
Decalcification
|
$23.98 |
$23.98 |
$31.68 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$1,701.28 |
$1,701.28 |
$1,701.28 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$133.64 |
$133.64 |
$176.55 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$37.16 |
$37.16 |
$109.22 |
$110.82
|
|
Delivery of placenta 59414
|
$1,237.59 |
$1,237.59 |
$1,634.98 |
$3,271.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$154.13 |
$154.13 |
$203.62 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$2,389.72 |
$2,389.72 |
$2,389.72 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$166.77 |
$166.77 |
$220.32 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$55.38 |
$55.38 |
$55.38 |
$132.72
|
|
Dermagraft
|
$1,749.45 |
$1,749.45 |
$2,311.20 |
$1,912.31
|
|
Desmopressin 4 mcg/ml injection solution
|
$741.86 |
$741.86 |
$980.07 |
$102.32
|
|
Desoxycorticosterone
|
$7.36 |
$7.36 |
$9.72 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$1,089.13 |
$1,089.13 |
$1,438.85 |
$5,698.68
|
|
Destroy cervthor facet jnt 64633
|
$1,620.62 |
$1,620.62 |
$2,141.00 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$1,080.41 |
$1,080.41 |
$1,427.33 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,080.41 |
$1,080.41 |
$1,427.33 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,620.62 |
$1,620.62 |
$2,141.00 |
$3,375.00
|
|
Device ablt adv novasure
|
$6,501.85 |
$6,501.85 |
$8,589.60 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,958.26 |
$2,958.26 |
$3,908.16 |
$4,298.87
|
|
Device intraute mirena
|
$495.52 |
$495.52 |
$972.00 |
$2,618.91
|
|
Device sut capio slim opn
|
$1,749.45 |
$1,749.45 |
$2,311.20 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$1,749.45 |
$1,749.45 |
$2,311.20 |
$2,440.98
|
|
Dexamethasone 4 mg tablet
|
$22.89 |
$22.89 |
$30.24 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$11.56 |
$11.56 |
$15.27 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,543.44 |
$1,543.44 |
$2,039.04 |
$560.92
|
|
Dextran 40 infusion
|
$30.09 |
$30.09 |
$30.09 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$17.01 |
$17.01 |
$22.47 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$13.08 |
$13.08 |
$13.08 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$113.15 |
$113.15 |
$149.48 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$17.01 |
$17.01 |
$22.47 |
$68.93
|
|
Diabetes (HbA1c) Test
|
$118.60 |
$118.60 |
$156.68 |
$78.03
|
|
Diab manage trn ind/group
|
$35.54 |
$35.54 |
$46.95 |
$49.50
|
|
Diag bronchoscope/catheter
|
$1,029.84 |
$1,029.84 |
$1,360.52 |
$2,040.67
|
|
Diagnostic laryngoscopy 31575
|
$143.88 |
$143.88 |
$190.08 |
$385.20
|
|
Dialysis circuit perm vascular embolization 36909
|
$475.46 |
$475.46 |
$628.13 |
$7,145.00
|
|
Dialysis one evaluation
|
$532.14 |
$532.14 |
$703.01 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$14.40 |
$14.40 |
$55.16 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$25.95 |
$25.95 |
$55.30 |
$72.34
|
|
Dicyclomine injection
|
$88.08 |
$88.08 |
$116.36 |
$211.81
|
|
Diffusing capacity
|
$141.27 |
$141.27 |
$186.63 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$137.56 |
$137.56 |
$181.73 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$2,066.64 |
$2,066.64 |
$2,730.24 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$96.36 |
$96.36 |
$127.30 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$1,231.49 |
$1,231.49 |
$1,626.92 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$462.82 |
$462.82 |
$611.43 |
$2,304.60
|
|
Dilator fascial 10fx20cm
|
$360.79 |
$360.79 |
$476.64 |
$305.68
|
|
Dilat xst trc ndurlgc px
|
$1,965.49 |
$1,965.49 |
$2,596.61 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$1,965.49 |
$1,965.49 |
$2,596.61 |
$5,020.00
|
|
Dimenhydrinate injection
|
$10.90 |
$10.90 |
$14.40 |
$24.68
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$10.90 |
$10.90 |
$16.71 |
$26.87
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$59.74 |
$59.74 |
$78.92 |
$106.59
|
|
Disability dlco
|
$144.97 |
$144.97 |
$191.52 |
$307.58
|
|
Disaccharidases
|
$28.78 |
$28.78 |
$38.02 |
$223.80
|
|
Dna antibody native/double stranded
|
$2.71 |
$2.71 |
$3.57 |
$102.60
|
|
Dna gardnerella
|
$75.87 |
$75.87 |
$100.23 |
$67.68
|
|
Dna probe gc
|
$1.75 |
$1.75 |
$2.31 |
$88.67
|
|
Dna trichomonas
|
$81.97 |
$81.97 |
$108.29 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$75.21 |
$75.21 |
$99.36 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$2,190.25 |
$2,190.25 |
$2,190.25 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$16.57 |
$16.57 |
$21.89 |
$84.30
|
|
Doppler echo complete
|
$281.22 |
$281.22 |
$371.52 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$1,269.64 |
$1,269.64 |
$1,677.32 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$368.42 |
$368.42 |
$486.72 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$250.70 |
$250.70 |
$331.20 |
$482.03
|
|
Doripenem 50 mg/ml inj 10 ml
|
$53.00 |
$53.00 |
$53.00 |
$70.91
|
|
Dornhoffer fixed part w/window
|
$37,936.36 |
$37,936.36 |
$50,117.76 |
$28,091.95
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$18.15 |
$18.15 |
$269.02 |
$299.52
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$2,528.15 |
$2,528.15 |
$3,339.94 |
$99.99
|
|
Dpyd gene common variants
|
$52.76 |
$52.76 |
$69.70 |
$380.50
|
|
Drainage of kidney lesion
|
$866.55 |
$866.55 |
$1,144.80 |
$1,706.65
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$793.31 |
$793.31 |
$1,048.04 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$907.97 |
$907.97 |
$1,199.52 |
$3,073.90
|
|
Dress/debrid prtl-thick burn l 16030
|
$148.03 |
$148.03 |
$195.56 |
$554.40
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$6,501.85 |
$6,501.85 |
$8,589.60 |
$9,390.80
|
|
Drill hole implt ventricular cath/device 61107
|
$561.79 |
$561.79 |
$742.18 |
$1,594.26
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$3,846.61 |
$3,846.61 |
$5,081.76 |
$1,778.40
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$276.86 |
$276.86 |
$365.76 |
$468.29
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$469.79 |
$469.79 |
$620.64 |
$318.13
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$14,626.71 |
$14,626.71 |
$19,323.36 |
$18,384.03
|
|
Drug admin & hemodynmic meas
|
$365.59 |
$365.59 |
$482.98 |
$528.50
|
|
Drug assay caffeine
|
$3.36 |
$3.36 |
$4.44 |
$81.61
|
|
Drug assay voriconazole
|
$11.56 |
$11.56 |
$15.27 |
$96.75
|
|
Drug test def 15-21 classes
|
$27.25 |
$27.25 |
$36.00 |
$144.42
|
|
Drug test def 1-7 classes
|
$140.40 |
$140.40 |
$185.48 |
$250.52
|
|
Drug test def 22+ classes
|
$39.24 |
$39.24 |
$51.84 |
$246.92
|
|
Drug test def 8-14 classes
|
$88.29 |
$88.29 |
$116.64 |
$172.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$162.20 |
$162.20 |
$214.28 |
$278.85
|
|
Drvvt confirm - quest
|
$4.27 |
$4.27 |
$5.64 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$1,426.16 |
$1,426.16 |
$1,884.10 |
$3,390.00
|
|
Duplex scan bilateral study 93985
|
$594.93 |
$594.93 |
$785.96 |
$673.00
|