|
Deamidated gliadin antibody iga
|
$154.94 |
$154.94 |
$154.94 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,474.22 |
$1,474.22 |
$1,474.22 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$1,135.73 |
$1,135.73 |
$1,135.73 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$5,293.12 |
$5,293.12 |
$5,293.12 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,742.84 |
$1,742.84 |
$1,742.84 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$5,293.12 |
$5,293.12 |
$5,293.12 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,546.62 |
$1,546.62 |
$1,546.62 |
$810.50
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,710.52 |
$1,710.52 |
$1,710.52 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,742.84 |
$1,742.84 |
$1,742.84 |
$1,193.40
|
|
Decalcification
|
$199.78 |
$199.78 |
$199.78 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,885.06 |
$1,885.06 |
$1,885.06 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$1,708.52 |
$1,708.52 |
$1,708.52 |
$110.82
|
|
Delivery of placenta 59414
|
$6,249.60 |
$6,249.60 |
$6,249.60 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$26,837.27 |
$26,837.27 |
$26,837.27 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$801.80 |
$801.80 |
$801.80 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$46,886.42 |
$46,886.42 |
$46,886.42 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$1,139.04 |
$1,139.04 |
$1,139.04 |
$460.50
|
|
Descend thora aorta rpr/lt sub art 33880
|
$45,765.77 |
$45,765.77 |
$45,765.77 |
$5,702.04
|
|
Design mlc device for imrt
|
$2,525.97 |
$2,525.97 |
$2,525.97 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$3,297.95 |
$3,297.95 |
$3,297.95 |
$102.32
|
|
Des thora aorta rpr without left sub art 33881
|
$52,859.47 |
$52,859.47 |
$52,859.47 |
$5,698.68
|
|
Destroy cervthor facet jnt 64633
|
$4,643.83 |
$4,643.83 |
$4,643.83 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$1,480.11 |
$1,480.11 |
$1,480.11 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$4,221.33 |
$4,221.33 |
$4,221.33 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$9,428.20 |
$9,428.20 |
$9,428.20 |
$3,375.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$644.58 |
$644.58 |
$644.58 |
$220.43
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$71.86 |
$71.86 |
$71.86 |
$30.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$201.98 |
$201.98 |
$201.98 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$201.98 |
$201.98 |
$201.98 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$53.06 |
$53.06 |
$53.06 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$201.98 |
$201.98 |
$201.98 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$277.78 |
$277.78 |
$277.78 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$276.23 |
$276.23 |
$276.23 |
$78.03
|
|
Diab manage trn ind/group
|
$115.49 |
$115.49 |
$115.49 |
$49.50
|
|
Diagnostic anoscopy spx 46600
|
$111.28 |
$111.28 |
$111.28 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$142.24 |
$142.24 |
$142.24 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$98.79 |
$98.79 |
$98.79 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$763.35 |
$763.35 |
$763.35 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$712.08 |
$712.08 |
$712.08 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$535.14 |
$535.14 |
$535.14 |
$301.55
|
|
Dialysis one evaluation
|
$1,554.03 |
$1,554.03 |
$1,554.03 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$505.91 |
$505.91 |
$505.91 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$154.96 |
$154.96 |
$154.96 |
$72.34
|
|
Dicyclomine injection
|
$686.19 |
$686.19 |
$686.19 |
$211.81
|
|
Diffusing capacity
|
$1,504.03 |
$1,504.03 |
$1,504.03 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$69.79 |
$69.79 |
$69.79 |
$69.79
|
|
Digoxin total therapeutic drug level
|
$300.85 |
$300.85 |
$300.85 |
$102.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$52.57 |
$52.57 |
$52.57 |
$26.87
|
|
Disability dlco
|
$481.89 |
$481.89 |
$481.89 |
$307.58
|
|
Disaccharidases
|
$955.10 |
$955.10 |
$955.10 |
$223.80
|
|
Dna antibody native/double stranded
|
$505.14 |
$505.14 |
$505.14 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$779.15 |
$779.15 |
$779.15 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,420.03 |
$1,420.03 |
$1,420.03 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$257.14 |
$257.14 |
$257.14 |
$84.30
|
|
Doppler echo complete
|
$277.76 |
$277.76 |
$277.76 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$6,505.65 |
$6,505.65 |
$6,505.65 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,249.95 |
$1,249.95 |
$1,249.95 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,410.29 |
$1,410.29 |
$1,410.29 |
$482.03
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$106,630.89 |
$106,630.89 |
$106,630.89 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$394.25 |
$394.25 |
$394.25 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$18,166.38 |
$18,166.38 |
$18,166.38 |
$2,417.38
|
|
Dpyd gene common variants
|
$975.72 |
$975.72 |
$975.72 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$5,584.39 |
$5,584.39 |
$5,584.39 |
$820.50
|
|
Drainage external ear complex 69005
|
$10,122.14 |
$10,122.14 |
$10,122.14 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$762.70 |
$762.70 |
$762.70 |
$809.25
|
|
Drainage mouth roof lesion
|
$1,758.89 |
$1,758.89 |
$1,758.89 |
$474.39
|
|
Drainage of arm bursa 23931
|
$8,013.36 |
$8,013.36 |
$8,013.36 |
$2,419.30
|
|
Drainage of kidney lesion
|
$3,501.13 |
$3,501.13 |
$3,501.13 |
$1,706.65
|
|
Drainage of mouth lesion
|
$9,603.22 |
$9,603.22 |
$9,603.22 |
$2,320.03
|
|
Drainage of mouth lesion
|
$3,355.33 |
$3,355.33 |
$3,355.33 |
$1,022.40
|
|
Drainage of nose lesion int 30000
|
$1,557.29 |
$1,557.29 |
$1,557.29 |
$548.00
|
|
Drain bladder by trocar/cath
|
$6,894.98 |
$6,894.98 |
$6,894.98 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$277.34 |
$277.34 |
$277.34 |
$190.33
|
|
Drain cath image guided visceral pq
|
$3,192.80 |
$3,192.80 |
$3,192.80 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$3,692.96 |
$3,692.96 |
$3,692.96 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$1,480.74 |
$1,480.74 |
$1,480.74 |
$492.81
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$1,070.74 |
$1,070.74 |
$1,070.74 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$538.57 |
$538.57 |
$538.57 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,266.29 |
$1,266.29 |
$1,266.29 |
$554.40
|
|
Drng of eyelid abscess 67700
|
$1,911.53 |
$1,911.53 |
$1,911.53 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$10,122.14 |
$10,122.14 |
$10,122.14 |
$2,048.00
|
|
Drng of scrotum abscess 55100
|
$11,470.98 |
$11,470.98 |
$11,470.98 |
$2,069.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$83.26 |
$83.26 |
$83.26 |
$39.60
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$296.67 |
$296.67 |
$296.67 |
$18,384.03
|
|
Drug assay posaconazole
|
$374.40 |
$374.40 |
$374.40 |
$96.39
|
|
Drug assay voriconazole
|
$354.57 |
$354.57 |
$354.57 |
$96.75
|
|
Drug test prsmv instrmnt
|
$424.88 |
$424.88 |
$424.88 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$659.99 |
$659.99 |
$659.99 |
$278.85
|
|
Drvvt confirm - quest
|
$223.64 |
$223.64 |
$223.64 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$7,628.23 |
$7,628.23 |
$7,628.23 |
$3,390.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$2,096.30 |
$2,096.30 |
$2,096.30 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$117,079.46 |
$117,079.46 |
$117,079.46 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$1,515.52 |
$1,515.52 |
$1,515.52 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$9,569.86 |
$9,569.86 |
$9,569.86 |
$2,780.40
|
|
Ear irrigation 69209
|
$527.24 |
$527.24 |
$527.24 |
$165.42
|
|
Ecg 12 lead tracing only
|
$748.24 |
$748.24 |
$748.24 |
$245.00
|
|
Ecg < 30 days transmission & analysis
|
$2,928.14 |
$2,928.14 |
$2,928.14 |
$429.00
|
|
Ecg external < 48 hours recording
|
$489.98 |
$489.98 |
$489.98 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,507.40 |
$1,507.40 |
$1,507.40 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$732.03 |
$732.03 |
$732.03 |
$162.78
|