|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$2,059.50 |
$2,059.50 |
$2,059.50 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$72.00 |
$72.00 |
$72.00 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,406.25 |
$1,406.25 |
$1,406.25 |
$1,160.00
|
|
Decalcification
|
$107.25 |
$107.25 |
$107.25 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$1,437.75 |
$1,437.75 |
$1,437.75 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$846.75 |
$846.75 |
$846.75 |
$543.00
|
|
Deferoxamine 500 mg solution for injection
|
$128.37 |
$128.37 |
$128.37 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,817.04 |
$1,817.04 |
$1,817.04 |
$1,807.08
|
|
Delivery of placenta 59414
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$3,070.56
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$296.25 |
$296.25 |
$296.25 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$8,076.15 |
$8,076.15 |
$8,076.15 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$378.00 |
$378.00 |
$378.00 |
$408.10
|
|
Depo-estradiol cypionate inj
|
$48.86 |
$48.86 |
$48.86 |
$71.51
|
|
Dermapure 1 square cm
|
$2.25 |
$2.25 |
$2.25 |
$3,822.00
|
|
Design mlc device for imrt
|
$1,945.50 |
$1,945.50 |
$1,945.50 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$94.82 |
$94.82 |
$94.82 |
$89.78
|
|
Desoxycorticosterone
|
$189.00 |
$189.00 |
$189.00 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$387.00 |
$387.00 |
$387.00 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,180.50 |
$1,180.50 |
$1,180.50 |
$1,344.85
|
|
Destruction benign lesions < 14 lesions
|
$528.00 |
$528.00 |
$528.00 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$2,232.00 |
$2,232.00 |
$2,232.00 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$747.75 |
$747.75 |
$747.75 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,525.50 |
$1,525.50 |
$1,525.50 |
$3,202.98
|
|
Detect agent nos dna dir
|
$148.50 |
$148.50 |
$148.50 |
$115.20
|
|
Detect agnt mult dna direc
|
$243.75 |
$243.75 |
$243.75 |
$162.00
|
|
Device ablt adv novasure
|
$675.00 |
$675.00 |
$675.00 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$56.25 |
$56.25 |
$56.25 |
$4,200.00
|
|
Device intraute mirena
|
$2,845.99 |
$2,845.99 |
$2,845.99 |
$2,125.00
|
|
Device sut capio slim opn
|
$745.01 |
$745.01 |
$745.01 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$744.98 |
$744.98 |
$744.98 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$232.50 |
$232.50 |
$232.50 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$144.95 |
$144.95 |
$144.95 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$24.00 |
$24.00 |
$24.00 |
$21.17
|
|
Dexamethasone intra implant
|
$3,216.57 |
$3,216.57 |
$3,216.57 |
$2,538.20
|
|
Dexamethasone panel
|
$798.75 |
$798.75 |
$798.75 |
$223.39
|
|
Dexmedetomidine film, 1 mcg
|
$247.20 |
$247.20 |
$247.20 |
$171.39
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,287.27 |
$1,287.27 |
$1,287.27 |
$858.00
|
|
Dextran 40 infusion
|
$214.13 |
$214.13 |
$214.13 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$29.10 |
$29.10 |
$29.10 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$44.10 |
$44.10 |
$44.10 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$99.87 |
$99.87 |
$99.87 |
$47.48
|
|
Dhea-s (dehydroepiand sulfate)
|
$139.50 |
$139.50 |
$139.50 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$67.50 |
$67.50 |
$67.50 |
$79.20
|
|
Diag bronchoscope/catheter
|
$4,758.00 |
$4,758.00 |
$4,758.00 |
$2,766.40
|
|
Diagnostic anoscopy & biopsy
|
$1,905.00 |
$1,905.00 |
$1,905.00 |
$1,905.00
|
|
Diagnostic anoscopy spx 46600
|
$206.25 |
$206.25 |
$206.25 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$702.75 |
$702.75 |
$702.75 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$553.50 |
$553.50 |
$553.50 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$526.50 |
$526.50 |
$526.50 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$370.50 |
$370.50 |
$370.50 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$540.75 |
$540.75 |
$540.75 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$393.00 |
$393.00 |
$393.00 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$87.00 |
$87.00 |
$87.00 |
$214.08
|
|
Dialysis circuit perm vascular embolization 36909
|
$5,770.50 |
$5,770.50 |
$5,770.50 |
$5,419.00
|
|
Dialysis one evaluation
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$919.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$152.93 |
$152.93 |
$152.93 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$106.76 |
$106.76 |
$106.76 |
$74.76
|
|
Dicyclomine injection
|
$117.24 |
$117.24 |
$117.24 |
$153.29
|
|
Difelikefalin, esrd on dialy
|
$354.75 |
$354.75 |
$354.75 |
$264.88
|
|
Diffusing capacity
|
$264.00 |
$264.00 |
$264.00 |
$332.00
|
|
Digital analysis of eeg
|
$980.25 |
$980.25 |
$980.25 |
$605.60
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$326.04 |
$326.04 |
$326.04 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$11,642.91 |
$11,642.91 |
$11,642.91 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$129.75 |
$129.75 |
$129.75 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$249.45 |
$249.45 |
$249.45 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$1,334.25 |
$1,334.25 |
$1,334.25 |
$1,866.73
|
|
Dilate esophagus 1/mult pass
|
$2,283.00 |
$2,283.00 |
$2,283.00 |
$1,484.17
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$1,102.50 |
$1,102.50 |
$1,102.50 |
$3,033.08
|
|
Dilate ic vasospasm ea add vsl same territory
|
$550.50 |
$550.50 |
$550.50 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$1,566.00 |
$1,566.00 |
$1,566.00 |
$5,250.40
|
|
Dilation/female urethra/initial 53660
|
$268.50 |
$268.50 |
$268.50 |
$235.61
|
|
Dilator fascial 10fx20cm
|
$736.88 |
$736.88 |
$736.88 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$6,298.50 |
$6,298.50 |
$6,298.50 |
$4,061.71
|
|
Diltiazem 5 mg/ml intravenous solution
|
$73.73 |
$73.73 |
$73.73 |
$47.94
|
|
Dimecaprol injection
|
$379.18 |
$379.18 |
$379.18 |
$293.38
|
|
Dimenhydrinate injection
|
$43.96 |
$43.96 |
$43.96 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,711.37 |
$1,711.37 |
$1,711.37 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$7.34 |
$7.34 |
$7.34 |
$17.75
|
|
Dipyridamole injection
|
$64.34 |
$64.34 |
$64.34 |
$47.87
|
|
Disability dlco
|
$279.75 |
$279.75 |
$279.75 |
$282.40
|
|
Disaccharidases
|
$113.25 |
$113.25 |
$113.25 |
$216.00
|
|
Discography cerv/thor spine
|
$5,006.25 |
$5,006.25 |
$5,006.25 |
$2,565.00
|
|
#d/lmeth-l-methamphetamine
|
$86.25 |
$86.25 |
$86.25 |
$72.14
|
|
Dmd dup/delet analysis
|
$27.75 |
$27.75 |
$27.75 |
$404.03
|
|
Dna antibody native/double stranded
|
$105.00 |
$105.00 |
$105.00 |
$97.50
|
|
Dna gardnerella
|
$105.75 |
$105.75 |
$105.75 |
$62.50
|
|
Dna probe chlamydia
|
$122.25 |
$122.25 |
$122.25 |
$79.38
|
|
Dna probe gc
|
$132.75 |
$132.75 |
$132.75 |
$80.80
|
|
Dna trichomonas
|
$105.75 |
$105.75 |
$105.75 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$126.15 |
$126.15 |
$126.15 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,211.80 |
$1,211.80 |
$1,211.80 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$73.88 |
$73.88 |
$73.88 |
$65.40
|
|
Doppler echo complete
|
$382.50 |
$382.50 |
$382.50 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$675.00 |
$675.00 |
$675.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$468.00 |
$468.00 |
$468.00 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$373.50 |
$373.50 |
$373.50 |
$471.17
|
|
Dornhoffer fixed part w/window
|
$12,072.00 |
$12,072.00 |
$12,072.00 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$26,019.13 |
$26,019.13 |
$26,019.13 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$649.25 |
$649.25 |
$649.25 |
$423.95
|