|
Dacarbazine 100 mg intravenous solution
|
$182.06 |
$182.06 |
$182.06 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$3,019.83 |
$3,019.83 |
$3,019.83 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$3,070.44 |
$3,070.44 |
$3,070.44 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$647.87 |
$647.87 |
$647.87 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$15,683.37 |
$15,683.37 |
$15,683.37 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$5,500.25 |
$5,500.25 |
$5,500.25 |
$6,281.29
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$363.03 |
$363.03 |
$363.03 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$15.55 |
$15.55 |
$15.55 |
$259.58
|
|
Dch glucoscan
|
$79.80 |
$79.80 |
$79.80 |
$29.16
|
|
Dch pulmonary stress test
|
$477.60 |
$477.60 |
$477.60 |
$963.30
|
|
Dch validity tests
|
$15.60 |
$15.60 |
$15.60 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$21.60 |
$21.60 |
$21.60 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$559.20 |
$559.20 |
$559.20 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$3,168.60 |
$3,168.60 |
$3,168.60 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$681.60 |
$681.60 |
$681.60 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,699.80 |
$1,699.80 |
$1,699.80 |
$835.20
|
|
Debride nail1-5 11720
|
$188.40 |
$188.40 |
$188.40 |
$149.60
|
|
Debride nail6 or more 11721
|
$214.80 |
$214.80 |
$214.80 |
$169.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$949.80 |
$949.80 |
$949.80 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,829.40 |
$1,829.40 |
$1,829.40 |
$1,165.50
|
|
Decalcification
|
$85.20 |
$85.20 |
$85.20 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$41.80 |
$41.80 |
$41.80 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$237.60 |
$237.60 |
$237.60 |
$572.95
|
|
Deferoxamine 500 mg solution for injection
|
$192.68 |
$192.68 |
$192.68 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,303.24 |
$2,303.24 |
$2,303.24 |
$1,856.85
|
|
Demonstrate use home inr mon
|
$423.60 |
$423.60 |
$423.60 |
$294.75
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$159.00 |
$159.00 |
$159.00 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,681.80 |
$4,681.80 |
$4,681.80 |
$6,324.98
|
|
Dermagraft
|
$2,998.80 |
$2,998.80 |
$2,998.80 |
$85.00
|
|
Design mlc device for imrt
|
$852.60 |
$852.60 |
$852.60 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$20.43 |
$20.43 |
$20.43 |
$91.84
|
|
Destroy premlg lesns;1st lesn 17000
|
$156.00 |
$156.00 |
$156.00 |
$202.40
|
|
Destruction benign lesions < 14 lesions
|
$253.80 |
$253.80 |
$253.80 |
$240.24
|
|
Detect agent nos dna dir
|
$150.60 |
$150.60 |
$150.60 |
$138.00
|
|
Developmental screen/score/document 96110
|
$163.80 |
$163.80 |
$163.80 |
$142.38
|
|
Device intraute mirena
|
$1,803.72 |
$1,803.72 |
$1,803.72 |
$2,125.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$319.80 |
$319.80 |
$319.80 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$4,745.71 |
$4,745.71 |
$4,745.71 |
$884.80
|
|
Dextran 40 infusion
|
$173.97 |
$173.97 |
$173.97 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$58.32 |
$58.32 |
$58.32 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$78.65 |
$78.65 |
$78.65 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$79.76 |
$79.76 |
$79.76 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$78.86 |
$78.86 |
$78.86 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$280.20 |
$280.20 |
$280.20 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$48.00 |
$48.00 |
$48.00 |
$79.30
|
|
Diagnostic laryngoscopy 31575
|
$845.40 |
$845.40 |
$845.40 |
$338.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$9,522.60 |
$9,522.60 |
$9,522.60 |
$5,741.00
|
|
Dialysis one evaluation
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$216.88 |
$216.88 |
$216.88 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$80.83 |
$80.83 |
$80.83 |
$79.71
|
|
Dicyclomine injection
|
$193.54 |
$193.54 |
$193.54 |
$154.33
|
|
Diffusing capacity
|
$311.40 |
$311.40 |
$311.40 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$191.62 |
$191.62 |
$191.62 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$6,815.78 |
$6,815.78 |
$6,815.78 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$88.80 |
$88.80 |
$88.80 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$308.90 |
$308.90 |
$308.90 |
$297.86
|
|
Dilat xst trc ndurlgc px
|
$6,734.40 |
$6,734.40 |
$6,734.40 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$9,424.80 |
$9,424.80 |
$9,424.80 |
$4,258.20
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,001.55 |
$1,001.55 |
$1,001.55 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$38.75 |
$38.75 |
$38.75 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$43.03 |
$43.03 |
$43.03 |
$98.15
|
|
Dipyridamole injection
|
$101.05 |
$101.05 |
$101.05 |
$48.04
|
|
Disability dlco
|
$182.40 |
$182.40 |
$182.40 |
$293.76
|
|
Disaccharidases
|
$253.20 |
$253.20 |
$253.20 |
$230.40
|
|
Discography cerv/thor spine
|
$1,227.60 |
$1,227.60 |
$1,227.60 |
$2,565.00
|
|
Dissolve clot heart vessel
|
$943.80 |
$943.80 |
$943.80 |
$1,579.93
|
|
Dlyd plmt xtn prosth ea addl
|
$3,409.80 |
$3,409.80 |
$3,409.80 |
$1,810.80
|
|
Dna antibody native/double stranded
|
$157.20 |
$157.20 |
$157.20 |
$100.00
|
|
Dna gardnerella
|
$75.00 |
$75.00 |
$75.00 |
$61.83
|
|
Dna probe chlamydia
|
$183.00 |
$183.00 |
$183.00 |
$82.20
|
|
Dna trichomonas
|
$84.60 |
$84.60 |
$84.60 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$101.04 |
$101.04 |
$101.04 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$472.96 |
$472.96 |
$472.96 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$104.59 |
$104.59 |
$104.59 |
$65.40
|
|
Doppler echo complete
|
$865.80 |
$865.80 |
$865.80 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$6,677.40 |
$6,677.40 |
$6,677.40 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$845.40 |
$845.40 |
$845.40 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$513.60 |
$513.60 |
$513.60 |
$481.65
|
|
Doripenem 50 mg/ml inj 10 ml
|
$129.74 |
$129.74 |
$129.74 |
$73.80
|
|
Dornhoffer fixed part w/window
|
$21,447.60 |
$21,447.60 |
$21,447.60 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$17,344.68 |
$17,344.68 |
$17,344.68 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$1,988.63 |
$1,988.63 |
$1,988.63 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$99.43 |
$99.43 |
$99.43 |
$1,718.24
|
|
Drainage of kidney lesion
|
$1,534.80 |
$1,534.80 |
$1,534.80 |
$1,506.00
|
|
Drain cath image guided visceral pq
|
$2,850.00 |
$2,850.00 |
$2,850.00 |
$2,903.44
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$691.80 |
$691.80 |
$691.80 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$450.00 |
$450.00 |
$450.00 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$426.60 |
$426.60 |
$426.60 |
$541.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$8,546.40 |
$8,546.40 |
$8,546.40 |
$3,789.86
|
|
Drill hole implt ventricular cath/device 61107
|
$1,945.20 |
$1,945.20 |
$1,945.20 |
$1,485.75
|
|
Droperidol 2.5 mg/ml injection solution
|
$20.78 |
$20.78 |
$20.78 |
$31.25
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$462.60 |
$462.60 |
$462.60 |
$53.60
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$15,214.80 |
$15,214.80 |
$15,214.80 |
$7,465.97
|
|
Drug admin & hemodynmic meas
|
$279.00 |
$279.00 |
$279.00 |
$569.75
|
|
Drug assay caffeine
|
$252.00 |
$252.00 |
$252.00 |
$80.00
|
|
Drug of abuse screen urine
|
$257.40 |
$257.40 |
$257.40 |
$67.89
|
|
Drug test def 1-7 classes
|
$209.40 |
$209.40 |
$209.40 |
$263.25
|
|
Drug test def 22+ classes
|
$439.20 |
$439.20 |
$439.20 |
$426.24
|
|
Drug test def 8-14 classes
|
$289.20 |
$289.20 |
$289.20 |
$289.80
|