|
Dactinomycin 0.5 mg intravenous solution
|
$13,542.70 |
$13,542.70 |
$13,542.70 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$2,460.50 |
$2,460.50 |
$2,460.50 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$127.00 |
$127.00 |
$127.00 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$33,713.70 |
$33,713.70 |
$33,713.70 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$18,648.65 |
$18,648.65 |
$18,648.65 |
$6,281.29
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$34,410.00 |
$34,410.00 |
$34,410.00 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$308.50 |
$308.50 |
$308.50 |
$259.58
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$58,308.84 |
$58,308.84 |
$58,308.84 |
$3,774.81
|
|
Dch pulmonary stress test
|
$884.00 |
$884.00 |
$884.00 |
$963.30
|
|
Dch validity tests
|
$13.65 |
$13.65 |
$13.65 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$141.70 |
$141.70 |
$141.70 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$4,109.00 |
$4,109.00 |
$4,109.00 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$2,200.90 |
$2,200.90 |
$2,200.90 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$466.05 |
$466.05 |
$466.05 |
$702.28
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$7,277.57 |
$7,277.57 |
$7,277.57 |
$835.20
|
|
Debride nail1-5 11720
|
$345.00 |
$345.00 |
$345.00 |
$149.60
|
|
Debride nail6 or more 11721
|
$44.85 |
$44.85 |
$44.85 |
$169.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$11,956.02 |
$11,956.02 |
$11,956.02 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$204.75 |
$204.75 |
$204.75 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$51,856.87 |
$51,856.87 |
$51,856.87 |
$1,149.50
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,345.00 |
$2,345.00 |
$2,345.00 |
$1,165.50
|
|
Decalcification
|
$38.35 |
$38.35 |
$38.35 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$459.90 |
$459.90 |
$459.90 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$996.45 |
$996.45 |
$996.45 |
$572.95
|
|
Decompressive craniotomy
|
$8,052.13 |
$8,052.13 |
$8,052.13 |
$5,584.80
|
|
Decompress spinal cord lmbr
|
$4,486.00 |
$4,486.00 |
$4,486.00 |
$8,446.03
|
|
Deferoxamine 500 mg solution for injection
|
$65.35 |
$65.35 |
$65.35 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$4,556.35 |
$4,556.35 |
$4,556.35 |
$1,856.85
|
|
Delivery of placenta 59414
|
$3,274.05 |
$3,274.05 |
$3,274.05 |
$2,912.46
|
|
Demonstrate use home inr mon
|
$242.00 |
$242.00 |
$242.00 |
$294.75
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$503.00 |
$503.00 |
$503.00 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$15,865.45 |
$15,865.45 |
$15,865.45 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$562.00 |
$562.00 |
$562.00 |
$401.60
|
|
Deodorant ostmy adapt lube 8ml
|
$0.05 |
$0.05 |
$0.05 |
$1.98
|
|
Description not available
|
$6,256.50 |
$6,256.50 |
$6,256.50 |
$19.50
|
|
Design mlc device for imrt
|
$30,903.00 |
$30,903.00 |
$30,903.00 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,478.20 |
$1,478.20 |
$1,478.20 |
$91.84
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$420.25 |
$420.25 |
$420.25 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$392.00 |
$392.00 |
$392.00 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$271.70 |
$271.70 |
$271.70 |
$408.50
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$349.00 |
$349.00 |
$349.00 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$401.00 |
$401.00 |
$401.00 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$2,001.00 |
$2,001.00 |
$2,001.00 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$287.00 |
$287.00 |
$287.00 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$366.00 |
$366.00 |
$366.00 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$405.00 |
$405.00 |
$405.00 |
$364.50
|
|
Destroy premlg lesns;1st lesn 17000
|
$2,001.00 |
$2,001.00 |
$2,001.00 |
$202.40
|
|
Destroy vulva lesion simple 56501
|
$403.00 |
$403.00 |
$403.00 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$455.00 |
$455.00 |
$455.00 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$603.00 |
$603.00 |
$603.00 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$639.00 |
$639.00 |
$639.00 |
$240.24
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$4,834.25 |
$4,834.25 |
$4,834.25 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,161.90 |
$2,161.90 |
$2,161.90 |
$3,296.80
|
|
Destruction premal lesions 15/> 17004
|
$474.00 |
$474.00 |
$474.00 |
$442.61
|
|
Destruction vag lesions simple 57061
|
$6,449.30 |
$6,449.30 |
$6,449.30 |
$4,006.38
|
|
Developmental screen/score/document 96110
|
$122.00 |
$122.00 |
$122.00 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$381.00 |
$381.00 |
$381.00 |
$350.40
|
|
Device ablt adv novasure
|
$6,237.48 |
$6,237.48 |
$6,237.48 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,599.67 |
$2,599.67 |
$2,599.67 |
$4,200.00
|
|
Device intraute mirena
|
$6,362.20 |
$6,362.20 |
$6,362.20 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,534.26 |
$1,534.26 |
$1,534.26 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$3,961.70 |
$3,961.70 |
$3,961.70 |
$2,515.00
|
|
Devlopment test interpt&rep
|
$65.65 |
$65.65 |
$65.65 |
$109.46
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$225.00 |
$225.00 |
$225.00 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$180.70 |
$180.70 |
$180.70 |
$227.25
|
|
Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr
|
$21.00 |
$21.00 |
$21.00 |
$21.00
|
|
Dexamethasone 4 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$25.95 |
$25.95 |
$25.95 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$689.90 |
$689.90 |
$689.90 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$20.00 |
$20.00 |
$20.00 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$20.00 |
$20.00 |
$20.00 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$35.00 |
$35.00 |
$35.00 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$34.50 |
$34.50 |
$34.50 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$145.60 |
$145.60 |
$145.60 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$550.00 |
$550.00 |
$550.00 |
$79.30
|
|
Diabetes training group per 30 min g0109
|
$49.00 |
$49.00 |
$49.00 |
$35.43
|
|
Diag laparo separate proc 49320
|
$58,543.15 |
$58,543.15 |
$58,543.15 |
$7,104.72
|
|
Diagnostic anoscopy spx 46600
|
$96.85 |
$96.85 |
$96.85 |
$195.50
|
|
Diagnostic laryngoscopy 31575
|
$130.00 |
$130.00 |
$130.00 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$421.20 |
$421.20 |
$421.20 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$295.10 |
$295.10 |
$295.10 |
$314.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$4,593.55 |
$4,593.55 |
$4,593.55 |
$5,741.00
|
|
Dialysis one evaluation
|
$745.55 |
$745.55 |
$745.55 |
$936.00
|
|
Dialysis repeated eval
|
$2,002.65 |
$2,002.65 |
$2,002.65 |
$1,332.80
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$111.85 |
$111.85 |
$111.85 |
$79.71
|
|
Diffusing capacity
|
$178.10 |
$178.10 |
$178.10 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$11.50 |
$11.50 |
$11.50 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$13,725.30 |
$13,725.30 |
$13,725.30 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$82.55 |
$82.55 |
$82.55 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$92.00 |
$92.00 |
$92.00 |
$297.86
|
|
Dilate esophagus 1/mult pass
|
$9,526.30 |
$9,526.30 |
$9,526.30 |
$1,548.00
|
|
Dilator fascial 10fx20cm
|
$274.98 |
$274.98 |
$274.98 |
$402.10
|
|
Dilat xst trc new access rcs
|
$7,634.25 |
$7,634.25 |
$7,634.25 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$41.90 |
$41.90 |
$41.90 |
$45.60
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$5.40 |
$5.40 |
$5.40 |
$18.32
|
|
Disability dlco
|
$129.00 |
$129.00 |
$129.00 |
$293.76
|
|
Disaccharidases
|
$526.50 |
$526.50 |
$526.50 |
$230.40
|
|
Dise eval slp do brth flx dx
|
$10,817.20 |
$10,817.20 |
$10,817.20 |
$1,120.00
|
|
Dna antibody native/double stranded
|
$88.40 |
$88.40 |
$88.40 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$183.75 |
$183.75 |
$183.75 |
$95.06
|