|
Decitabine 50 mg intravenous solution
|
$3,902.00 |
$3,902.00 |
$3,902.00 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$572.95
|
|
Deferoxamine 500 mg solution for injection
|
$145.83 |
$145.83 |
$145.83 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,886.05 |
$1,886.05 |
$1,886.05 |
$1,856.85
|
|
Delivery of placenta 59414
|
$11,360.00 |
$11,360.00 |
$11,360.00 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$581.00 |
$581.00 |
$581.00 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$11,844.96 |
$11,844.96 |
$11,844.96 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$466.00 |
$466.00 |
$466.00 |
$401.60
|
|
Depo-estradiol cypionate inj
|
$206.35 |
$206.35 |
$206.35 |
$71.51
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,971.62 |
$1,971.62 |
$1,971.62 |
$91.84
|
|
Destruction benign lesions < 14 lesions
|
$726.00 |
$726.00 |
$726.00 |
$240.24
|
|
Detect agnt mult dna direc
|
$201.00 |
$201.00 |
$201.00 |
$166.77
|
|
Device intraute mirena
|
$2,915.12 |
$2,915.12 |
$2,915.12 |
$2,125.00
|
|
Device tiss remov myosure reach
|
$721.00 |
$721.00 |
$721.00 |
$2,515.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$440.00 |
$440.00 |
$440.00 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$223.14 |
$223.14 |
$223.14 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$194.88 |
$194.88 |
$194.88 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,675.80 |
$1,675.80 |
$1,675.80 |
$884.80
|
|
Dextran 40 infusion
|
$292.25 |
$292.25 |
$292.25 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$35.00 |
$35.00 |
$35.00 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$32.44 |
$32.44 |
$32.44 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$35.00 |
$35.00 |
$35.00 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$35.00 |
$35.00 |
$35.00 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$102.00 |
$102.00 |
$102.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$48.00 |
$48.00 |
$48.00 |
$79.30
|
|
Diab manage trn ind/group
|
$379.00 |
$379.00 |
$379.00 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$423.00 |
$423.00 |
$423.00 |
$195.50
|
|
Diagnostic Mammogram (both breasts)
|
$499.00 |
$499.00 |
$499.00 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$391.00 |
$391.00 |
$391.00 |
$314.00
|
|
Dialysis one evaluation
|
$1,393.00 |
$1,393.00 |
$1,393.00 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$232.05 |
$232.05 |
$232.05 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$243.08 |
$243.08 |
$243.08 |
$79.71
|
|
Dicyclomine injection
|
$317.74 |
$317.74 |
$317.74 |
$154.33
|
|
Diffusing capacity
|
$804.00 |
$804.00 |
$804.00 |
$336.80
|
|
Digital analysis of eeg
|
$549.00 |
$549.00 |
$549.00 |
$593.40
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$578.47 |
$578.47 |
$578.47 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$17,053.09 |
$17,053.09 |
$17,053.09 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$61.00 |
$61.00 |
$61.00 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$627.90 |
$627.90 |
$627.90 |
$297.86
|
|
Dilate urethra stricture
|
$946.00 |
$946.00 |
$946.00 |
$513.00
|
|
Diltiazem 5 mg/ml intravenous solution
|
$33.74 |
$33.74 |
$33.74 |
$45.60
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,751.40 |
$1,751.40 |
$1,751.40 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$2,420.18 |
$2,420.18 |
$2,420.18 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$12.64 |
$12.64 |
$12.64 |
$18.32
|
|
Disaccharidases
|
$102.00 |
$102.00 |
$102.00 |
$230.40
|
|
Dna antibody native/double stranded
|
$63.00 |
$63.00 |
$63.00 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$168.00 |
$168.00 |
$168.00 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$9,382.29 |
$9,382.29 |
$9,382.29 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$95.38 |
$95.38 |
$95.38 |
$65.40
|
|
Doppler echo complete
|
$155.00 |
$155.00 |
$155.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$562.00 |
$562.00 |
$562.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$795.00 |
$795.00 |
$795.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$635.00 |
$635.00 |
$635.00 |
$481.65
|
|
Dornase alfa non-comp unit
|
$561.86 |
$561.86 |
$561.86 |
$356.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$28,872.64 |
$28,872.64 |
$28,872.64 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$1,104.74 |
$1,104.74 |
$1,104.74 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$8,982.94 |
$8,982.94 |
$8,982.94 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$110.60 |
$110.60 |
$110.60 |
$89.34
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$964.00
|
|
Drainage external ear complex 69005
|
$6,025.00 |
$6,025.00 |
$6,025.00 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$790.40
|
|
Drainage lymph node lesion 38300
|
$10,379.00 |
$10,379.00 |
$10,379.00 |
$3,088.80
|
|
Drainage of mouth lesion
|
$871.00 |
$871.00 |
$871.00 |
$535.20
|
|
Drainage of mouth lesion
|
$1,862.00 |
$1,862.00 |
$1,862.00 |
$1,008.80
|
|
Drainage of rectal abscess
|
$4,351.00 |
$4,351.00 |
$4,351.00 |
$2,135.10
|
|
Drainage of throat abscess
|
$21,453.00 |
$21,453.00 |
$21,453.00 |
$6,499.33
|
|
Drain bladder by trocar/cath
|
$3,754.00 |
$3,754.00 |
$3,754.00 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$466.00 |
$466.00 |
$466.00 |
$182.40
|
|
Drain finger abscess;simple 26010
|
$726.00 |
$726.00 |
$726.00 |
$428.40
|
|
Drain thigh/knee lesion 27301
|
$10,379.00 |
$10,379.00 |
$10,379.00 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$726.00 |
$726.00 |
$726.00 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$726.00 |
$726.00 |
$726.00 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,499.00 |
$1,499.00 |
$1,499.00 |
$541.00
|
|
Drng hand tendon sheath 26020
|
$11,959.00 |
$11,959.00 |
$11,959.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$6,025.00 |
$6,025.00 |
$6,025.00 |
$2,079.50
|
|
Drng of mouth lesion 40801
|
$1,862.00 |
$1,862.00 |
$1,862.00 |
$1,350.97
|
|
Drng of scrotum abscess 55100
|
$6,025.00 |
$6,025.00 |
$6,025.00 |
$1,997.89
|
|
Dronabinol 2.5mg oral
|
$60.14 |
$60.14 |
$60.14 |
$17.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$44.66 |
$44.66 |
$44.66 |
$31.25
|
|
Drug admin & hemodynmic meas
|
$300.00 |
$300.00 |
$300.00 |
$569.75
|
|
Drug assay vedolizumab
|
$154.00 |
$154.00 |
$154.00 |
$154.00
|
|
Drug assay voriconazole
|
$108.00 |
$108.00 |
$108.00 |
$96.75
|
|
Drug test def 1-7 classes
|
$988.00 |
$988.00 |
$988.00 |
$263.25
|
|
Drug test def 22+ classes
|
$988.00 |
$988.00 |
$988.00 |
$426.24
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$249.00 |
$249.00 |
$249.00 |
$278.85
|
|
Ductogram sgl duct
|
$851.00 |
$851.00 |
$851.00 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$691.08
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,531.00 |
$1,531.00 |
$1,531.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$14,932.92 |
$14,932.92 |
$14,932.92 |
$8,445.90
|
|
Dx bronchoscope/wash 31622
|
$5,826.00 |
$5,826.00 |
$5,826.00 |
$2,410.50
|
|
Ear irrigation 69209
|
$231.00 |
$231.00 |
$231.00 |
$154.70
|
|
Ecg external > 48 hours up to 7 days recording
|
$766.00 |
$766.00 |
$766.00 |
$147.28
|
|
Echocardiogram (Heart Ultrasound)
|
$2,407.00 |
$2,407.00 |
$2,407.00 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$1,117.00 |
$1,117.00 |
$1,117.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$150.00 |
$150.00 |
$150.00 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,543.00 |
$3,543.00 |
$3,543.00 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,762.00 |
$1,762.00 |
$1,762.00 |
$866.87
|
