|
Dacarbazine 100 mg intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$58.22
|
|
Dalbavancin 500 mg intravenous solution
|
$2,431.44 |
$2,431.44 |
$2,431.44 |
$3,480.35
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$33,555.12 |
$33,555.12 |
$33,555.12 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$11,377.80 |
$11,377.80 |
$11,377.80 |
$6,072.48
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$257.10
|
|
Dch glucoscan
|
$16.80 |
$16.80 |
$16.80 |
$28.10
|
|
Dch validity tests
|
$16.80 |
$16.80 |
$16.80 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$19.80 |
$19.80 |
$19.80 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,133.40 |
$1,133.40 |
$1,133.40 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$873.00 |
$873.00 |
$873.00 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$3,121.20 |
$3,121.20 |
$3,121.20 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,453.80 |
$1,453.80 |
$1,453.80 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,772.60 |
$2,772.60 |
$2,772.60 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$2,871.00 |
$2,871.00 |
$2,871.00 |
$810.50
|
|
Debride skin bone at fx site
|
$5,394.60 |
$5,394.60 |
$5,394.60 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,662.00 |
$1,662.00 |
$1,662.00 |
$639.60
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,452.20 |
$2,452.20 |
$2,452.20 |
$1,160.00
|
|
Decalcification
|
$103.20 |
$103.20 |
$103.20 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$317.40 |
$317.40 |
$317.40 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$921.60 |
$921.60 |
$921.60 |
$543.00
|
|
Deep muscle biopsy 20205
|
$5,017.20 |
$5,017.20 |
$5,017.20 |
$3,339.00
|
|
Deferoxamine 500 mg solution for injection
|
$170.88 |
$170.88 |
$170.88 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,418.90 |
$2,418.90 |
$2,418.90 |
$1,807.08
|
|
Delayed breast prosthesis 19342
|
$29,750.22 |
$29,750.22 |
$29,750.22 |
$10,457.82
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$163.20 |
$163.20 |
$163.20 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$10,142.28 |
$10,142.28 |
$10,142.28 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$676.20 |
$676.20 |
$676.20 |
$408.10
|
|
Depo-estradiol cypionate inj
|
$76.68 |
$76.68 |
$76.68 |
$71.51
|
|
Dermapure 1 square cm
|
$6,324.95 |
$6,324.95 |
$6,324.95 |
$3,822.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$53.82 |
$53.82 |
$53.82 |
$89.78
|
|
Desoxycorticosterone
|
$82.80 |
$82.80 |
$82.80 |
$109.28
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$7,644.29 |
$7,644.29 |
$7,644.29 |
$262.60
|
|
Destroy cervthor facet jnt 64633
|
$3,984.00 |
$3,984.00 |
$3,984.00 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$2,991.60 |
$2,991.60 |
$2,991.60 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$266.40 |
$266.40 |
$266.40 |
$199.50
|
|
Destruction benign lesions < 14 lesions
|
$303.00 |
$303.00 |
$303.00 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,991.60 |
$2,991.60 |
$2,991.60 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,112.80 |
$3,112.80 |
$3,112.80 |
$3,202.98
|
|
Detect agent nos dna dir
|
$181.80 |
$181.80 |
$181.80 |
$115.20
|
|
Detect agnt mult dna direc
|
$153.60 |
$153.60 |
$153.60 |
$162.00
|
|
Device ablt adv novasure
|
$8,636.88 |
$8,636.88 |
$8,636.88 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$4,452.00 |
$4,452.00 |
$4,452.00 |
$4,200.00
|
|
Device sut capio slim opn
|
$2,037.23 |
$2,037.23 |
$2,037.23 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$1,649.47 |
$1,649.47 |
$1,649.47 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$499.80 |
$499.80 |
$499.80 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$14.22 |
$14.22 |
$14.22 |
$21.17
|
|
Dextran 40 infusion
|
$327.18 |
$327.18 |
$327.18 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$25.20 |
$25.20 |
$25.20 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$25.20 |
$25.20 |
$25.20 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$25.20 |
$25.20 |
$25.20 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$25.20 |
$25.20 |
$25.20 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$150.00 |
$150.00 |
$150.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$52.80 |
$52.80 |
$52.80 |
$79.20
|
|
Diag laparo separate proc 49320
|
$20,093.46 |
$20,093.46 |
$20,093.46 |
$6,904.15
|
|
Diagnostic anoscopy spx 46600
|
$174.00 |
$174.00 |
$174.00 |
$190.68
|
|
Diagnostic laryngoscopy 31575
|
$340.80 |
$340.80 |
$340.80 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$338.40 |
$338.40 |
$338.40 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$331.80 |
$331.80 |
$331.80 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$141.60 |
$141.60 |
$141.60 |
$214.08
|
|
Dialysis circuit perm vascular embolization 36909
|
$16,813.80 |
$16,813.80 |
$16,813.80 |
$5,419.00
|
|
Dialysis one evaluation
|
$544.80 |
$544.80 |
$544.80 |
$919.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$68.04 |
$68.04 |
$68.04 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$41.46 |
$41.46 |
$41.46 |
$74.76
|
|
Dicyclomine injection
|
$95.94 |
$95.94 |
$95.94 |
$153.29
|
|
Diffusing capacity
|
$399.60 |
$399.60 |
$399.60 |
$332.00
|
|
Digital analysis of eeg
|
$593.40 |
$593.40 |
$593.40 |
$605.60
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$9.00 |
$9.00 |
$9.00 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$14,623.56 |
$14,623.56 |
$14,623.56 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$108.60 |
$108.60 |
$108.60 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$258.30 |
$258.30 |
$258.30 |
$297.86
|
|
Dilate esophagus 1/mult pass
|
$7,204.44 |
$7,204.44 |
$7,204.44 |
$1,484.17
|
|
Dilation/urethral strict/male/ini 53620
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$729.13 |
$729.13 |
$729.13 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$5,889.60 |
$5,889.60 |
$5,889.60 |
$4,061.71
|
|
Diltiazem 5 mg/ml intravenous solution
|
$9.00 |
$9.00 |
$9.00 |
$47.94
|
|
Dimethyl sulfoxide 50% 50 ml
|
$3,590.40 |
$3,590.40 |
$3,590.40 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$17.75
|
|
Disability dlco
|
$243.60 |
$243.60 |
$243.60 |
$282.40
|
|
Disaccharidases
|
$235.20 |
$235.20 |
$235.20 |
$216.00
|
|
Discography cerv/thor spine
|
$2,698.80 |
$2,698.80 |
$2,698.80 |
$2,565.00
|
|
Dmd dup/delet analysis
|
$463.20 |
$463.20 |
$463.20 |
$404.03
|
|
Dna antibody native/double stranded
|
$114.00 |
$114.00 |
$114.00 |
$97.50
|
|
Dna gardnerella
|
$49.20 |
$49.20 |
$49.20 |
$62.50
|
|
Dna probe chlamydia
|
$260.40 |
$260.40 |
$260.40 |
$79.38
|
|
Dna trichomonas
|
$103.20 |
$103.20 |
$103.20 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$196.80 |
$196.80 |
$196.80 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,380.72 |
$1,380.72 |
$1,380.72 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$70.14 |
$70.14 |
$70.14 |
$65.40
|
|
Doppler echo complete
|
$504.60 |
$504.60 |
$504.60 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,196.20 |
$3,196.20 |
$3,196.20 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$865.80 |
$865.80 |
$865.80 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,080.60 |
$1,080.60 |
$1,080.60 |
$471.17
|
|
Dornase alfa non-comp unit
|
$658.20 |
$658.20 |
$658.20 |
$446.75
|
|
Dornhoffer fixed part w/window
|
$81,637.80 |
$81,637.80 |
$81,637.80 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$38,184.12 |
$38,184.12 |
$38,184.12 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$834.90 |
$834.90 |
$834.90 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,559.76 |
$1,559.76 |
$1,559.76 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$82.08 |
$82.08 |
$82.08 |
$84.80
|
|
Dpyd gene common variants
|
$463.20 |
$463.20 |
$463.20 |
$380.50
|