|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,096.98 |
$1,096.98 |
$1,096.98 |
$2,291.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$185.30 |
$185.30 |
$185.30 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$960.82 |
$960.82 |
$960.82 |
$1,193.40
|
|
Decalcification
|
$44.40 |
$44.40 |
$44.40 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$311.54 |
$311.54 |
$311.54 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$433.94 |
$433.94 |
$433.94 |
$545.90
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$1,625.64 |
$1,625.64 |
$1,625.64 |
$4,963.98
|
|
Decompression fasct forearm
|
$6,983.24 |
$6,983.24 |
$6,983.24 |
$5,855.00
|
|
Decompression of lower leg
|
$3,010.32 |
$3,010.32 |
$3,010.32 |
$3,839.54
|
|
Decompression of lower leg
|
$3,214.86 |
$3,214.86 |
$3,214.86 |
$3,839.54
|
|
Deferoxamine 500 mg solution for injection
|
$63.16 |
$63.16 |
$63.16 |
$110.82
|
|
Degarelix 120 mg subcutaneous solution
|
$1,145.81 |
$1,145.81 |
$1,145.81 |
$2,086.82
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$1,664.71 |
$1,664.71 |
$1,664.71 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$116.63 |
$116.63 |
$116.63 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$6,709.74 |
$6,709.74 |
$6,709.74 |
$7,933.81
|
|
Depo-estradiol cypionate inj
|
$49.14 |
$49.14 |
$49.14 |
$132.72
|
|
Dermagraft
|
$252.49 |
$252.49 |
$252.49 |
$1,912.31
|
|
Descend thora aorta rpr/lt sub art 33880
|
$3,379.73 |
$3,379.73 |
$3,379.73 |
$5,702.04
|
|
Design mlc device for imrt
|
$178.49 |
$178.49 |
$178.49 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$728.80 |
$728.80 |
$728.80 |
$102.32
|
|
Desoxycorticosterone
|
$216.08 |
$216.08 |
$216.08 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$3,068.64 |
$3,068.64 |
$3,068.64 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$2,113.44 |
$2,113.44 |
$2,113.44 |
$2,498.88
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$84.96 |
$84.96 |
$84.96 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$29.12 |
$29.12 |
$29.12 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$21.26 |
$21.26 |
$21.26 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$187.21 |
$187.21 |
$187.21 |
$560.92
|
|
Dextran 40 infusion
|
$41.92 |
$41.92 |
$41.92 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$6.22 |
$6.22 |
$6.22 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$4.67 |
$4.67 |
$4.67 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$22.16 |
$22.16 |
$22.16 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$7.77 |
$7.77 |
$7.77 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$35.82 |
$35.82 |
$35.82 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$24.57 |
$24.57 |
$24.57 |
$78.03
|
|
Diab manage trn ind/group
|
$14.80 |
$14.80 |
$14.80 |
$49.50
|
|
Diag bronchoscope/catheter
|
$1,647.84 |
$1,647.84 |
$1,647.84 |
$2,040.67
|
|
Diag laparo separate proc 49320
|
$5,630.22 |
$5,630.22 |
$5,630.22 |
$5,855.00
|
|
Diagnostic laryngoscopy 31505
|
$166.95 |
$166.95 |
$166.95 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$737.93 |
$737.93 |
$737.93 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$126.99 |
$126.99 |
$126.99 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$97.68 |
$97.68 |
$97.68 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$4,064.38 |
$4,064.38 |
$4,064.38 |
$7,145.00
|
|
Dialysis one evaluation
|
$570.99 |
$570.99 |
$570.99 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$55.63 |
$55.63 |
$55.63 |
$72.34
|
|
Dicyclomine injection
|
$112.02 |
$112.02 |
$112.02 |
$211.81
|
|
Diffusing capacity
|
$208.68 |
$208.68 |
$208.68 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$22.65 |
$22.65 |
$22.65 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$9,075.78 |
$9,075.78 |
$9,075.78 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$111.00 |
$111.00 |
$111.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$137.09 |
$137.09 |
$137.09 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$185.30 |
$185.30 |
$185.30 |
$2,304.60
|
|
Dilate ic vasospasm init
|
$3,012.10 |
$3,012.10 |
$3,012.10 |
$6,280.95
|
|
Dimethyl sulfoxide 50% 50 ml
|
$808.59 |
$808.59 |
$808.59 |
$1,155.52
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.13 |
$1.13 |
$1.13 |
$2.10
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$17.38 |
$17.38 |
$17.38 |
$26.87
|
|
Disaccharidases
|
$30.49 |
$30.49 |
$30.49 |
$223.80
|
|
#d/lmeth-l-methamphetamine
|
$150.08 |
$150.08 |
$150.08 |
$72.14
|
|
Dlyd plmt xtn prosth ea addl
|
$1,057.02 |
$1,057.02 |
$1,057.02 |
$2,001.55
|
|
Dmpk gene detc abnor allele
|
$167.84 |
$167.84 |
$167.84 |
$318.75
|
|
Dna antibody native/double stranded
|
$21.91 |
$21.91 |
$21.91 |
$102.60
|
|
Dna gardnerella
|
$25.76 |
$25.76 |
$25.76 |
$67.68
|
|
Dna trichomonas
|
$25.76 |
$25.76 |
$25.76 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$41.10 |
$41.10 |
$41.10 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,310.67 |
$1,310.67 |
$1,310.67 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$31.75 |
$31.75 |
$31.75 |
$84.30
|
|
Doppler echo complete
|
$312.58 |
$312.58 |
$312.58 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$340.40 |
$340.40 |
$340.40 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$271.14 |
$271.14 |
$271.14 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$162.80 |
$162.80 |
$162.80 |
$482.03
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$24,754.34 |
$24,754.34 |
$24,754.34 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$204.29 |
$204.29 |
$204.29 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,759.64 |
$2,759.64 |
$2,759.64 |
$2,417.38
|
|
Drainage of kidney lesion
|
$700.34 |
$700.34 |
$700.34 |
$1,706.65
|
|
Drainage of pelvis lesion 26990
|
$3,344.51 |
$3,344.51 |
$3,344.51 |
$3,969.00
|
|
Drain cath image guided visceral pq
|
$517.71 |
$517.71 |
$517.71 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$597.04 |
$597.04 |
$597.04 |
$1,113.06
|
|
Drain lower leg lesion 27603
|
$1,306.25 |
$1,306.25 |
$1,306.25 |
$3,631.18
|
|
Drain thigh/knee lesion 27301
|
$2,914.42 |
$2,914.42 |
$2,914.42 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$565.36 |
$565.36 |
$565.36 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$325.60 |
$325.60 |
$325.60 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$243.02 |
$243.02 |
$243.02 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$606.80 |
$606.80 |
$606.80 |
$790.56
|
|
Drill hole implt ventricular cath/device 61107
|
$338.33 |
$338.33 |
$338.33 |
$1,594.26
|
|
Drng of scrotum abscess 55100
|
$1,611.72 |
$1,611.72 |
$1,611.72 |
$2,069.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$25.41 |
$25.41 |
$25.41 |
$39.60
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$10.96 |
$10.96 |
$10.96 |
$3,374.24
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$156.29 |
$156.29 |
$156.29 |
$468.29
|
|
Drug admin & hemodynmic meas
|
$87.32 |
$87.32 |
$87.32 |
$528.50
|
|
Drug assay posaconazole
|
$32.56 |
$32.56 |
$32.56 |
$96.39
|
|
Drug assay vedolizumab
|
$49.73 |
$49.73 |
$49.73 |
$164.16
|
|
Drug assay voriconazole
|
$35.23 |
$35.23 |
$35.23 |
$96.75
|
|
Drug of abuse screen urine
|
$21.32 |
$21.32 |
$21.32 |
$63.75
|
|
Drug test def 1-7 classes
|
$159.25 |
$159.25 |
$159.25 |
$250.52
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$103.60 |
$103.60 |
$103.60 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$285.35 |
$285.35 |
$285.35 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$137.35 |
$137.35 |
$137.35 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$221.12 |
$221.12 |
$221.12 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$271.14 |
$271.14 |
$271.14 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$417.96 |
$417.96 |
$417.96 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$9,080.81 |
$9,080.81 |
$9,080.81 |
$10,021.12
|