|
Dalbavancin 500 mg intravenous solution
|
$5,916.63 |
$5,916.63 |
$5,916.63 |
$3,469.30
|
|
Dalteparin sodium
|
$129.20 |
$129.20 |
$394.00 |
$124.09
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$47,661.63 |
$81,040.97 |
$81,668.94 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$17,110.93 |
$17,110.93 |
$19,021.98 |
$5,546.48
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$801.00 |
$801.00 |
$801.00 |
$260.95
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$30,377.57 |
$30,377.57 |
$30,377.57 |
$3,774.81
|
|
Dch glucoscan
|
$629.61 |
$629.61 |
$629.61 |
$24.85
|
|
Dch pulmonary stress test
|
$3,212.94 |
$3,212.94 |
$3,212.94 |
$964.41
|
|
Dch validity tests
|
$61.78 |
$61.78 |
$61.78 |
$25.20
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$20,662.96 |
$20,662.96 |
$20,662.96 |
$4,021.68
|
|
Deamidated gliadin antibody iga
|
$76.07 |
$76.07 |
$76.07 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$2,001.26 |
$2,001.26 |
$2,104.06 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$262.25 |
$262.25 |
$1,796.88 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$6,406.79 |
$6,406.79 |
$6,406.79 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,109.09 |
$1,109.09 |
$1,109.09 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$5,524.04 |
$5,524.04 |
$5,524.04 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$2,505.56 |
$2,505.56 |
$2,505.56 |
$810.50
|
|
Debride nail1-5 11720
|
$258.21 |
$258.21 |
$258.21 |
$173.25
|
|
Debride nail6 or more 11721
|
$670.29 |
$670.29 |
$670.29 |
$195.20
|
|
Debride skin bone at fx site
|
$27,561.20 |
$27,561.20 |
$27,561.20 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,522.77 |
$1,522.77 |
$1,522.77 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,978.81 |
$1,978.81 |
$2,025.45 |
$1,193.40
|
|
Decalcification
|
$198.67 |
$198.67 |
$1,179.45 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$5,742.00 |
$5,742.00 |
$5,742.00 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,659.36 |
$1,659.36 |
$1,659.36 |
$545.90
|
|
Decompression of tibia nerve
|
$20,662.96 |
$20,662.96 |
$20,662.96 |
$2,625.60
|
|
Decompres spinal cord;thoracic 63055
|
$59,420.49 |
$59,420.49 |
$59,420.49 |
$7,907.11
|
|
Decompress spinal cord lmbr
|
$59,420.49 |
$59,420.49 |
$59,420.49 |
$7,913.97
|
|
Decomp spinal cord/transped/ad seg 63057
|
$9,468.30 |
$9,468.30 |
$9,468.30 |
$768.00
|
|
Deferoxamine 500 mg solution for injection
|
$595.44 |
$662.00 |
$1,140.36 |
$110.82
|
|
Degarelix 120 mg subcutaneous solution
|
$2,522.00 |
$2,522.00 |
$3,606.06 |
$2,086.82
|
|
Delivery of placenta 59414
|
$9,457.44 |
$9,457.44 |
$10,014.20 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$8,599.12 |
$8,599.12 |
$8,599.12 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$325.49 |
$550.17 |
$805.26 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$6,945.52 |
$27,055.73 |
$30,078.55 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$460.50
|
|
Deodorant ostmy adapt lube 8ml
|
$2.41 |
$2.41 |
$24.64 |
$5.00
|
|
Dermagraft
|
$237.01 |
$237.01 |
$237.01 |
$1,912.31
|
|
Descend thora aorta rpr/lt sub art 33880
|
$10,551.58 |
$10,551.58 |
$10,551.58 |
$5,702.04
|
|
Design mlc device for imrt
|
$1,223.91 |
$1,223.91 |
$1,226.75 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$553.81 |
$1,909.72 |
$2,121.38 |
$102.32
|
|
Desoxycorticosterone
|
$71.40 |
$478.18 |
$478.18 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$16,983.47 |
$16,983.47 |
$16,983.47 |
$5,698.68
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$618.20 |
$618.20 |
$618.20 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$1,276.11 |
$1,276.11 |
$1,276.11 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$1,276.11 |
$1,276.11 |
$1,276.11 |
$394.17
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$618.20 |
$618.20 |
$618.20 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$618.20 |
$618.20 |
$618.20 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$618.20 |
$618.20 |
$618.20 |
$278.40
|
|
Dest mal lesion tal <0.5 17260
|
$3,199.31 |
$3,199.31 |
$3,199.31 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$3,953.87 |
$3,953.87 |
$3,953.87 |
$269.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$4,995.15 |
$4,995.15 |
$4,995.15 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$5,523.34 |
$5,523.34 |
$5,523.34 |
$354.00
|
|
Destroy cervthor facet jnt 64633
|
$22,464.50 |
$22,464.50 |
$22,464.50 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$2,650.61 |
$2,650.61 |
$2,650.61 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$2,130.07 |
$2,130.07 |
$2,130.07 |
$220.12
|
|
Destroy vulva lesion extensive 56515
|
$10,691.85 |
$10,691.85 |
$10,691.85 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$10,691.85 |
$10,691.85 |
$10,691.85 |
$3,691.50
|
|
Destruct ben lesion 15/> 17111
|
$2,130.07 |
$2,130.07 |
$2,130.07 |
$238.20
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,016.25
|
|
Destruct cut vasl lesions <10cm 17106
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$658.40
|
|
Destruct cut vasl lesions >50cm 17108
|
$10,691.85 |
$10,691.85 |
$10,691.85 |
$1,999.13
|
|
Destruction 2-14 lesions 17003
|
$126.75 |
$126.75 |
$126.75 |
$72.60
|
|
Destruction anal lesion(s)
|
$10,691.85 |
$10,691.85 |
$10,691.85 |
$2,772.60
|
|
Destruction anal lesion(s)
|
$8,174.40 |
$8,174.40 |
$8,174.40 |
$3,245.23
|
|
Destruction anal lesion(s) smpl chem 46900
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$2,130.07 |
$2,130.07 |
$2,130.07 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,955.21 |
$2,955.21 |
$2,955.21 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$22,464.50 |
$22,464.50 |
$22,464.50 |
$3,375.00
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$2,130.07 |
$2,130.07 |
$2,130.07 |
$331.20
|
|
Destruction laser surgery anal lesions 46917
|
$27,259.95 |
$27,259.95 |
$27,259.95 |
$3,038.07
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$1,276.11 |
$1,276.11 |
$1,276.11 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$1,276.11 |
$1,276.11 |
$1,276.11 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$5,900.62 |
$5,900.62 |
$5,900.62 |
$481.50
|
|
Destruction mal lsn t/a/l >4cm
|
$6,911.72 |
$6,911.72 |
$6,911.72 |
$578.40
|
|
Destruction penis lesion(s) chem 54050
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$332.00
|
|
Destruction premal lesions 15/> 17004
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$470.51
|
|
Destruct penis les/smp/electrodesi 54055
|
$10,691.85 |
$10,691.85 |
$10,691.85 |
$2,236.85
|
|
Detect agent nos dna dir
|
$190.75 |
$190.75 |
$190.75 |
$67.15
|
|
Detect agnt mult dna direc
|
$583.62 |
$583.62 |
$674.05 |
$109.60
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$837.72 |
$837.72 |
$837.72 |
$220.43
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$54.30 |
$54.30 |
$57.84 |
$30.00
|
|
Dextran 40 infusion
|
$464.98 |
$464.98 |
$518.00 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$45.15 |
$162.35 |
$239.91 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$24.42 |
$197.97 |
$267.75 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$57.15 |
$57.15 |
$63.34 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$192.78 |
$197.97 |
$250.00 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$110.38 |
$110.38 |
$110.38 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$10.89 |
$224.25 |
$263.92 |
$78.03
|
|
Diab manage trn ind/group
|
$143.50 |
$143.50 |
$144.84 |
$49.50
|
|
Diagnostic anoscopy spx 46600
|
$364.82 |
$364.82 |
$389.59 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$281.60 |
$281.60 |
$281.60 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$162.89 |
$162.89 |
$162.89 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$637.05 |
$637.05 |
$637.05 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$2,034.51 |
$2,034.51 |
$2,034.51 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$391.14 |
$687.12 |
$4,370.34 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$340.92 |
$559.51 |
$559.51 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,772.38 |
$3,772.38 |
$3,772.38 |
$7,145.00
|
|
Dialysis one evaluation
|
$1,396.77 |
$1,396.77 |
$1,406.82 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$84.66 |
$191.62 |
$510.98 |
$100.03
|