|
Dacarbazine 100 mg intravenous solution
|
$142.61 |
$160.53 |
$201.27 |
|
|
Dalbavancin 500 mg intravenous solution
|
$3,643.02 |
$4,100.79 |
$5,141.56 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,049.21 |
$1,181.06 |
$1,480.80 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$20,496.42 |
$24,370.46 |
$77,794.61 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$4,000.49 |
$4,756.63 |
$13,707.91 |
|
|
Darbepoetin alfa, esrd use
|
$135.62 |
$152.66 |
$191.40 |
|
|
D&c after delivery 59160
|
$299.97 |
$1,025.33 |
$3,047.91 |
|
|
Dch glucoscan
|
$5.14 |
$6.27 |
$8.57 |
|
|
Dch pulmonary stress test
|
$367.54 |
$367.54 |
$431.05 |
|
|
Dch validity tests
|
$0.74 |
$17.84 |
$53.46 |
|
|
Deamidated gliadin antibody iga
|
$4.83 |
$5.66 |
$435.65 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$120.21 |
$219.82 |
$356.24 |
|
|
Debridement (>20 cm) charge pt
|
$88.70 |
$224.66 |
$934.77 |
|
|
Debridement bone <= 20 sq cm
|
$879.60 |
$923.66 |
$4,905.10 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$244.08 |
$449.08 |
$1,332.11 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$195.71 |
$226.57 |
$3,678.83 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$383.72 |
$473.98 |
$1,141.80 |
|
|
Debride nail1-5 11720
|
$55.67 |
$94.19 |
$188.91 |
|
|
Debride nail6 or more 11721
|
$83.15 |
$161.08 |
$188.91 |
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$357.21 |
$357.21 |
$357.21 |
|
|
Debride skin bone at fx site
|
$859.99 |
$1,052.79 |
$1,319.99 |
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$857.18 |
$857.18 |
$1,005.30 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$109.55 |
$199.64 |
$856.36 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$372.95 |
$416.14 |
$587.00 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$449.08 |
$715.46 |
$1,776.15 |
|
|
Decalcification
|
$18.70 |
$54.00 |
$84.22 |
|
|
Decitabine 50 mg intravenous solution
|
$999.52 |
$1,125.12 |
$1,410.67 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$500.27 |
$500.27 |
$500.27 |
|
|
Decompress fasciotomyhand 26037
|
$887.95 |
$992.94 |
$1,164.52 |
|
|
Deferoxamine 500 mg solution for injection
|
$48.20 |
$57.31 |
$686.93 |
|
|
Degarelix 120 mg subcutaneous solution
|
$1,225.13 |
$1,379.08 |
$1,729.09 |
|
|
Delivery of placenta 59414
|
$1,062.80 |
$1,225.11 |
$9,089.82 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$17.36 |
$59.45 |
$140.16 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$6,179.14 |
$7,347.06 |
$21,673.52 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$149.92 |
$188.91 |
$255.85 |
|
|
Depo-estradiol cypionate inj
|
$44.76 |
$50.38 |
$63.16 |
|
|
Derma-fat-fascia graft 15770
|
$1,096.98 |
$1,286.53 |
$1,370.00 |
|
|
Dermagraft
|
$39.97 |
$44.99 |
$54.00 |
|
|
Design mlc device for imrt
|
$1,037.80 |
$2,093.91 |
$4,949.84 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$688.51 |
$818.64 |
$1,532.01 |
|
|
Desoxycorticosterone
|
$152.24 |
$170.93 |
$178.55 |
|
|
Destroy cervthor facet jnt 64633
|
$1,055.19 |
$1,182.54 |
$1,386.87 |
|
|
Destroy cth facet jnt addl 64634
|
$146.66 |
$201.99 |
$252.88 |
|
|
Destroy premlg lesns;1st lesn 17000
|
$69.49 |
$73.76 |
$140.44 |
|
|
Destruction benign lesions < 14 lesions
|
$95.28 |
$110.32 |
$141.80 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$146.66 |
$201.99 |
$252.88 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$778.05 |
$958.19 |
$1,485.84 |
|
|
Detect agent nos dna dir
|
$79.54 |
$79.54 |
$79.54 |
|
|
Detect agnt mult dna direc
|
$16.47 |
$16.47 |
$19.32 |
|
|
Developmental screen/score/document 96110
|
$146.23 |
$146.23 |
$198.93 |
|
|
Device ablt adv novasure
|
$1,589.71 |
$1,789.47 |
$2,243.62 |
|
|
Device sut capio slim opn
|
$187.34 |
$210.88 |
$264.40 |
|
|
Device tiss remov myosure reach
|
$355.06 |
$399.67 |
$501.11 |
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$48.86 |
$209.22 |
$459.08 |
|
|
Dexamethasone 4 mg tablet
|
$35.10 |
$39.51 |
$49.53 |
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$30.09 |
$35.78 |
$43.69 |
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$356.90 |
$401.75 |
$503.71 |
|
|
Dextran 40 infusion
|
$32.80 |
$36.92 |
$46.29 |
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$8.87 |
$10.55 |
$66.59 |
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$8.87 |
$10.55 |
$66.59 |
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$9.23 |
$10.97 |
$24.04 |
|
|
Dextrose 5 % IV bolus
|
$8.87 |
$10.55 |
$66.59 |
|
|
Dhea-s (dehydroepiand sulfate)
|
$10.61 |
$92.78 |
$787.28 |
|
|
Diabetes (HbA1c) Test
|
$46.76 |
$87.57 |
$193.18 |
|
|
Diab manage trn ind/group
|
$31.74 |
$38.54 |
$45.40 |
|
|
Diagnostic anoscopy spx 46600
|
$105.99 |
$120.51 |
$145.59 |
|
|
Diagnostic digital breast tomosynthesis bil
|
$298.70 |
$298.70 |
$298.70 |
|
|
Diagnostic digital breast tomosynthesis unil
|
$207.45 |
$207.45 |
$251.05 |
|
|
Diagnostic laryngoscopy 31505
|
$134.08 |
$164.15 |
$770.23 |
|
|
Diagnostic laryngoscopy 31575
|
$183.97 |
$251.16 |
$770.23 |
|
|
Diagnostic Mammogram (both breasts)
|
$146.23 |
$219.72 |
$1,523.40 |
|
|
Diagnostic Mammogram (one breast)
|
$118.38 |
$159.96 |
$994.26 |
|
|
Diagnostic radio unlisted proc
|
$451.09 |
$529.03 |
$546.65 |
|
|
Dialysis circuit perm vascular embolization 36909
|
$999.37 |
$999.37 |
$1,172.06 |
|
|
Dialysis one evaluation
|
$341.50 |
$390.03 |
$489.02 |
|
|
Diathermy eg microwave
|
$31.34 |
$31.34 |
$36.75 |
|
|
Diatrizoate meglumine 18 % urethral solution
|
$510.98 |
$510.98 |
$510.98 |
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$48.11 |
$57.20 |
$86.17 |
|
|
Dicyclomine injection
|
$125.10 |
$148.75 |
$281.35 |
|
|
Diffusing capacity
|
$64.60 |
$82.32 |
$198.80 |
|
|
Digital analysis of eeg
|
$312.59 |
$355.09 |
$416.44 |
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$42.64 |
$201.66 |
$252.84 |
|
|
Digoxin immune fab 40 mg intravenous solution
|
$9,429.77 |
$10,614.70 |
$13,308.67 |
|
|
Digoxin total therapeutic drug level
|
$32.78 |
$67.49 |
$125.00 |
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$153.17 |
$172.41 |
$216.17 |
|
|
Dilate urethra stricture
|
$122.45 |
$181.17 |
$245.27 |
|
|
Dilation/female urethra/initial 53660
|
$120.97 |
$136.17 |
$170.73 |
|
|
Dilator fascial 10fx20cm
|
$42.86 |
$48.25 |
$60.49 |
|
|
Dimethyl sulfoxide 50% 50 ml
|
$808.11 |
$909.66 |
$1,140.52 |
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.27 |
$1.43 |
$1.79 |
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$19.32 |
$22.97 |
$33.95 |
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$98.15 |
$110.48 |
$138.52 |
|
|
Disability dlco
|
$64.92 |
$114.73 |
$234.60 |
|
|
Disaccharidases
|
$149.83 |
$187.85 |
$375.20 |
|
|
Discography cerv/thor spine
|
$1,360.88 |
$1,360.88 |
$1,360.88 |
|
|
Dissolve clot heart vessel
|
$522.77 |
$732.66 |
$859.26 |
|
|
#d/lmeth-l-methamphetamine
|
$105.27 |
$119.30 |
$144.62 |
|
|
Dmpk gene detc abnor allele
|
$197.54 |
$197.54 |
$197.54 |
|
|
Dna antibody native/double stranded
|
$81.89 |
$105.24 |
$258.02 |
|
|
Dna gardnerella
|
$26.73 |
$26.73 |
$26.73 |
|