|
Dacarbazine 100 mg intravenous solution
|
$54.60 |
$54.60 |
$54.60 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$3,047.85 |
$3,047.85 |
$3,047.85 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$83.85 |
$83.85 |
$83.85 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$2.60 |
$2.60 |
$2.60 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$252.20 |
$252.20 |
$252.20 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$44.20 |
$44.20 |
$44.20 |
$6,281.29
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$995.80 |
$995.80 |
$995.80 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$477.10 |
$477.10 |
$477.10 |
$259.58
|
|
Dch pulmonary stress test
|
$2,206.75 |
$2,206.75 |
$2,206.75 |
$963.30
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$12,273.95 |
$12,273.95 |
$12,273.95 |
$5,121.00
|
|
Deamidated gliadin antibody iga
|
$22.75 |
$22.75 |
$22.75 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$262.60 |
$262.60 |
$262.60 |
$284.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,582.10 |
$1,582.10 |
$1,582.10 |
$835.20
|
|
Decalcification
|
$102.70 |
$102.70 |
$102.70 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$86.45 |
$86.45 |
$86.45 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$924.95 |
$924.95 |
$924.95 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$11,532.30 |
$11,532.30 |
$11,532.30 |
$4,914.00
|
|
Decompression of lower leg
|
$18,983.25 |
$18,983.25 |
$18,983.25 |
$3,969.00
|
|
Decompression of lower leg
|
$18,983.25 |
$18,983.25 |
$18,983.25 |
$3,839.54
|
|
Deferoxamine 500 mg solution for injection
|
$146.25 |
$146.25 |
$146.25 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$44.85 |
$44.85 |
$44.85 |
$1,856.85
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$24,336.00 |
$24,336.00 |
$24,336.00 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$193.05 |
$193.05 |
$193.05 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$137.15 |
$137.15 |
$137.15 |
$6,324.98
|
|
Dermagraft
|
$7,159.10 |
$7,159.10 |
$7,159.10 |
$85.00
|
|
Derm-maxx, per sq cm
|
$12,972.05 |
$12,972.05 |
$12,972.05 |
$1.00
|
|
Descend thora aorta rpr/lt sub art 33880
|
$17,497.35 |
$17,497.35 |
$17,497.35 |
$6,288.45
|
|
Description not available
|
$19.50 |
$19.50 |
$19.50 |
$19.50
|
|
Desmopressin 4 mcg/ml injection solution
|
$115.05 |
$115.05 |
$115.05 |
$91.84
|
|
Des thora aorta/ea add prox prosth 33884
|
$4,216.55 |
$4,216.55 |
$4,216.55 |
$1,304.05
|
|
Des thora aorta rpr without left sub art 33881
|
$15,165.15 |
$15,165.15 |
$15,165.15 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$11,389.30 |
$11,389.30 |
$11,389.30 |
$3,273.55
|
|
Destroy cervthor facet jnt 64633
|
$15,751.45 |
$15,751.45 |
$15,751.45 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$3,030.30 |
$3,030.30 |
$3,030.30 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$17,531.80 |
$17,531.80 |
$17,531.80 |
$3,296.80
|
|
Detect agent nos dna dir
|
$326.30 |
$326.30 |
$326.30 |
$138.00
|
|
Device ablt adv novasure
|
$19,318.00 |
$19,318.00 |
$19,318.00 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$181.35 |
$181.35 |
$181.35 |
$4,200.00
|
|
Device intraute mirena
|
$3,365.70 |
$3,365.70 |
$3,365.70 |
$2,125.00
|
|
Device sut capio slim opn
|
$7,201.35 |
$7,201.35 |
$7,201.35 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$6,752.20 |
$6,752.20 |
$6,752.20 |
$2,515.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$493.35 |
$493.35 |
$493.35 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$3.90 |
$3.90 |
$3.90 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$33.80 |
$33.80 |
$33.80 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,893.45 |
$1,893.45 |
$1,893.45 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$215.80 |
$215.80 |
$215.80 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$215.80 |
$215.80 |
$215.80 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$185.25 |
$185.25 |
$185.25 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$215.80 |
$215.80 |
$215.80 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$26.65 |
$26.65 |
$26.65 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$309.40 |
$309.40 |
$309.40 |
$79.30
|
|
Diab manage trn ind/group
|
$45.50 |
$45.50 |
$45.50 |
$54.99
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,437.85 |
$3,437.85 |
$3,437.85 |
$5,741.00
|
|
Dialysis one evaluation
|
$2,858.70 |
$2,858.70 |
$2,858.70 |
$936.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$230.75 |
$230.75 |
$230.75 |
$79.71
|
|
Dicyclomine injection
|
$318.50 |
$318.50 |
$318.50 |
$154.33
|
|
Diffusing capacity
|
$326.30 |
$326.30 |
$326.30 |
$336.80
|
|
Digital analysis of eeg
|
$904.80 |
$904.80 |
$904.80 |
$593.40
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$1,078.35 |
$1,078.35 |
$1,078.35 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$21,362.25 |
$21,362.25 |
$21,362.25 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$199.55 |
$199.55 |
$199.55 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$778.70 |
$778.70 |
$778.70 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$1,217.45 |
$1,217.45 |
$1,217.45 |
$1,866.73
|
|
Dilate esophagus
|
$1,421.55 |
$1,421.55 |
$1,421.55 |
$2,142.40
|
|
Dilator fascial 10fx20cm
|
$1,030.90 |
$1,030.90 |
$1,030.90 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$12,504.05 |
$12,504.05 |
$12,504.05 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$21,035.30 |
$21,035.30 |
$21,035.30 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$2.60 |
$2.60 |
$2.60 |
$45.60
|
|
Dimecaprol injection
|
$473.20 |
$473.20 |
$473.20 |
$314.63
|
|
Dimethyl sulfoxide 50% 50 ml
|
$859.30 |
$859.30 |
$859.30 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$24.70 |
$24.70 |
$24.70 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$114.40 |
$114.40 |
$114.40 |
$98.15
|
|
Disability dlco
|
$680.55 |
$680.55 |
$680.55 |
$293.76
|
|
Disaccharidases
|
$656.50 |
$656.50 |
$656.50 |
$230.40
|
|
Discography cerv/thor spine
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$2,565.00
|
|
Dlyd plmt xtn prosth ea addl
|
$10,671.05 |
$10,671.05 |
$10,671.05 |
$1,810.80
|
|
Dna antibody native/double stranded
|
$87.10 |
$87.10 |
$87.10 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$669.50 |
$669.50 |
$669.50 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$31.85 |
$31.85 |
$31.85 |
$949.39
|
|
Docetaxel (docivyx), 1 mg
|
$242.45 |
$242.45 |
$242.45 |
$108.86
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$185.25 |
$185.25 |
$185.25 |
$65.40
|
|
Doppler echo complete
|
$1,043.90 |
$1,043.90 |
$1,043.90 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$830.70 |
$830.70 |
$830.70 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$403.65 |
$403.65 |
$403.65 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$86,724.95 |
$86,724.95 |
$86,724.95 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$973.70 |
$973.70 |
$973.70 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$48.75 |
$48.75 |
$48.75 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,415.70 |
$1,415.70 |
$1,415.70 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$2.60 |
$2.60 |
$2.60 |
$89.34
|
|
Dpyd gene common variants
|
$362.05 |
$362.05 |
$362.05 |
$423.60
|
|
Drainage of kidney lesion
|
$3,857.10 |
$3,857.10 |
$3,857.10 |
$1,506.00
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,418.95 |
$1,418.95 |
$1,418.95 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,250.30 |
$2,250.30 |
$2,250.30 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$1,210.30 |
$1,210.30 |
$1,210.30 |
$1,044.00
|
|
Drain ostomy pouch w/flange
|
$9.75 |
$9.75 |
$9.75 |
$8.80
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$39,711.10 |
$39,711.10 |
$39,711.10 |
$3,789.86
|
|
Droperidol 2.5 mg/ml injection solution
|
$102.05 |
$102.05 |
$102.05 |
$31.25
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$193.15
|