|
Desoxycorticosterone
|
$225.73 |
$272.00 |
$465.68 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$2,007.40 |
$2,007.40 |
$2,007.40 |
$5,698.68
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$273.72 |
$273.72 |
$273.72 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$328.46 |
$328.46 |
$328.46 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$394.17 |
$394.17 |
$394.17 |
$394.17
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$273.72 |
$273.72 |
$273.72 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$328.46 |
$328.46 |
$328.46 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$394.17 |
$394.17 |
$394.17 |
$278.40
|
|
Dest mal lesion tal <0.5 17260
|
$1,660.41 |
$1,660.41 |
$1,660.41 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$2,052.02 |
$2,052.02 |
$2,052.02 |
$269.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$2,592.44 |
$2,592.44 |
$2,592.44 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$2,866.56 |
$2,866.56 |
$2,866.56 |
$354.00
|
|
Destroy cervthor facet jnt 64633
|
$5,071.14 |
$5,071.14 |
$5,071.14 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$2,535.56 |
$2,535.56 |
$2,535.56 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$292.05 |
$292.05 |
$292.05 |
$220.12
|
|
Destroy vulva lesion extensive 56515
|
$5,030.19 |
$5,030.19 |
$5,030.19 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$5,030.19 |
$5,030.19 |
$5,030.19 |
$3,691.50
|
|
Destruct ben lesion 15/> 17111
|
$526.32 |
$526.32 |
$526.32 |
$238.20
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$1,693.24 |
$1,693.24 |
$1,693.24 |
$1,016.25
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,087.35 |
$1,087.35 |
$1,087.35 |
$658.40
|
|
Destruct cut vasl lesions >50cm 17108
|
$5,030.19 |
$5,030.19 |
$5,030.19 |
$1,999.13
|
|
Destruction 2-14 lesions 17003
|
$48.17 |
$48.17 |
$48.17 |
$72.60
|
|
Destruction anal lesion(s)
|
$5,030.19 |
$5,030.19 |
$5,030.19 |
$2,772.60
|
|
Destruction anal lesion(s) smpl chem 46900
|
$1,087.35 |
$1,087.35 |
$1,087.35 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$273.45 |
$273.45 |
$273.45 |
$250.60
|
|
Destruction by injection tx of nerve 64630
|
$1,845.91 |
$1,845.91 |
$1,845.91 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,535.56 |
$2,535.56 |
$2,535.56 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$5,071.14 |
$5,071.14 |
$5,071.14 |
$3,375.00
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$526.32 |
$526.32 |
$526.32 |
$331.20
|
|
Destruction laser surgery anal lesions 46917
|
$7,488.98 |
$7,488.98 |
$7,488.98 |
$3,038.07
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$472.99 |
$472.99 |
$472.99 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$567.59 |
$567.59 |
$567.59 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$3,062.36 |
$3,062.36 |
$3,062.36 |
$481.50
|
|
Destruction mal lsn t/a/l >4cm
|
$3,587.12 |
$3,587.12 |
$3,587.12 |
$578.40
|
|
Destruction premal lesions 15/> 17004
|
$510.36 |
$510.36 |
$510.36 |
$470.51
|
|
Devel tst phys/qhp 1st hr
|
$204.00 |
$204.00 |
$204.00 |
$339.30
|
|
Device intraute mirena
|
$7,175.00 |
$7,175.00 |
$8,164.75 |
$2,618.91
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$625.27 |
$1,283.97 |
$3,167.00 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$9.75 |
$9.75 |
$17.00 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$95.54 |
$95.54 |
$95.54 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$202.06 |
$202.06 |
$202.06 |
$560.92
|
|
Dextran 40 infusion
|
$3,058.25 |
$3,058.25 |
$3,058.25 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$192.72 |
$192.72 |
$192.72 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$12.50 |
$89.03 |
$1,011.00 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$61.55 |
$61.55 |
$61.55 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$13.00 |
$89.03 |
$772.00 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$624.56 |
$674.14 |
$1,804.50 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$15.84 |
$27.00 |
$783.00 |
$78.03
|
|
Diab manage trn ind/group
|
$67.77 |
$67.77 |
$189.00 |
$49.50
|
|
Diagnostic anoscopy spx 46600
|
$1,504.69 |
$1,504.69 |
$1,504.69 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$269.66 |
$269.66 |
$269.66 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$192.39 |
$192.39 |
$192.39 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$427.17 |
$427.17 |
$427.17 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$1,827.51 |
$1,827.51 |
$1,827.51 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$600.62 |
$600.62 |
$970.67 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$391.23 |
$391.23 |
$391.23 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$99.00 |
$99.00 |
$99.00 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$34,442.20 |
$34,442.20 |
$34,442.20 |
$7,145.00
|
|
Dialysis one evaluation
|
$2,714.13 |
$2,714.13 |
$2,714.13 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$509.22 |
$509.22 |
$2,599.00 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$109.50 |
$168.84 |
$383.00 |
$72.34
|
|
Dicyclomine injection
|
$265.99 |
$502.00 |
$912.29 |
$211.81
|
|
Diffusing capacity
|
$2,645.96 |
$2,645.96 |
$2,645.96 |
$360.10
|
|
Digital analysis of eeg
|
$2,270.28 |
$2,270.28 |
$2,270.28 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$93.18 |
$93.18 |
$165.37 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$13,462.88 |
$27,875.25 |
$28,919.00 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$249.45 |
$432.52 |
$1,308.50 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$155.08 |
$444.00 |
$630.00 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$8,324.68 |
$8,324.68 |
$8,324.68 |
$2,304.60
|
|
Dilate esophagus 1/mult pass
|
$2,406.03 |
$2,406.03 |
$2,406.03 |
$1,484.17
|
|
Dilat xst trc ndurlgc px
|
$7,688.57 |
$7,688.57 |
$7,688.57 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$14,777.39 |
$14,777.39 |
$14,777.39 |
$5,020.00
|
|
Dimenhydrinate injection
|
$50.50 |
$50.50 |
$170.26 |
$24.68
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$73.56 |
$103.35 |
$212.00 |
$26.87
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$165.37 |
$179.00 |
$312.25 |
$106.59
|
|
Disability dlco
|
$872.00 |
$2,411.37 |
$5,653.00 |
$307.58
|
|
Disaccharidases
|
$413.25 |
$413.25 |
$413.25 |
$223.80
|
|
Discography cerv/thor spine
|
$7,308.79 |
$7,308.79 |
$7,308.79 |
$2,404.00
|
|
Dissolve clot heart vessel
|
$672.68 |
$672.68 |
$672.68 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$9,561.95 |
$9,561.95 |
$9,561.95 |
$2,001.55
|
|
Dmd dup/delet analysis
|
$1,615.25 |
$1,615.25 |
$1,615.25 |
$385.02
|
|
Dna antibody native/double stranded
|
$85.50 |
$220.03 |
$343.00 |
$102.60
|
|
Dna gardnerella
|
$299.13 |
$299.13 |
$299.13 |
$67.68
|
|
Dna probe chlamydia
|
$2,872.50 |
$2,872.50 |
$2,872.50 |
$82.20
|
|
Dna trichomonas
|
$299.13 |
$299.13 |
$299.13 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$803.28 |
$803.28 |
$995.00 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,734.29 |
$1,734.29 |
$1,734.29 |
$712.02
|
|
Dolasetron mesylate oral
|
$220.97 |
$698.00 |
$1,251.50 |
$910.67
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$84.16 |
$84.16 |
$296.60 |
$84.30
|
|
Doppler echo complete
|
$774.10 |
$774.10 |
$774.10 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$7,741.09 |
$7,741.09 |
$7,741.09 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$919.05 |
$919.05 |
$3,885.73 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$732.78 |
$2,348.25 |
$2,491.50 |
$482.03
|
|
Dornase alfa non-comp unit
|
$48.25 |
$378.97 |
$762.00 |
$479.80
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$48,320.30 |
$48,320.30 |
$48,320.30 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$165.84 |
$165.84 |
$411.34 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$9,663.00 |
$17,913.81 |
$31,780.45 |
$2,417.38
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$580.50 |
$617.00 |
$650.25 |
$99.99
|
|
Dpyd gene common variants
|
$1,031.38 |
$1,031.38 |
$1,031.38 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,635.15 |
$1,635.15 |
$1,635.15 |
$820.50
|