|
Cytopath tbs c/v manual
|
$34.86 |
$34.86 |
$34.86 |
$59.28
|
|
Cytotoxic antibody screening
|
$940.38 |
$940.38 |
$940.38 |
$133.25
|
|
Dacarbazine 100 mg intravenous solution
|
$41.79 |
$41.79 |
$41.79 |
$58.22
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,345.62 |
$1,345.62 |
$1,345.62 |
$3,024.59
|
|
Dalbavancin 500 mg intravenous solution
|
$3,246.25 |
$3,246.25 |
$3,246.25 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$61.51 |
$61.51 |
$61.51 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$22,089.92 |
$22,089.92 |
$22,089.92 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$7,832.44 |
$7,832.44 |
$7,832.44 |
$6,072.48
|
|
Dark field exam spec collj
|
$142.80 |
$142.80 |
$142.80 |
$31.20
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$173.52 |
$173.52 |
$173.52 |
$257.10
|
|
Dch glucoscan
|
$40.74 |
$40.74 |
$40.74 |
$28.10
|
|
Dch pulmonary stress test
|
$893.76 |
$893.76 |
$893.76 |
$963.30
|
|
Dch validity tests
|
$24.36 |
$24.36 |
$24.36 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$50.82 |
$50.82 |
$50.82 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$338.10 |
$338.10 |
$338.10 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$224.70 |
$224.70 |
$224.70 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$1,451.52 |
$1,451.52 |
$1,451.52 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$433.44 |
$433.44 |
$433.44 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$729.12 |
$729.12 |
$729.12 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$656.88 |
$656.88 |
$656.88 |
$810.50
|
|
Debride nail1-5 11720
|
$89.04 |
$89.04 |
$89.04 |
$148.80
|
|
Debride skin bone at fx site
|
$811.86 |
$811.86 |
$811.86 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$433.44 |
$433.44 |
$433.44 |
$639.60
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$601.02 |
$601.02 |
$601.02 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,011.36 |
$1,011.36 |
$1,011.36 |
$1,160.00
|
|
Decalcification
|
$76.86 |
$76.86 |
$76.86 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$1,152.40 |
$1,152.40 |
$1,152.40 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$354.90 |
$354.90 |
$354.90 |
$543.00
|
|
Deep muscle biopsy 20205
|
$1,748.46 |
$1,748.46 |
$1,748.46 |
$3,339.00
|
|
Deferoxamine 500 mg solution for injection
|
$101.12 |
$101.12 |
$101.12 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,927.45 |
$2,927.45 |
$2,927.45 |
$1,807.08
|
|
Delivery of placenta 59414
|
$954.66 |
$954.66 |
$954.66 |
$3,070.56
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$150.36 |
$150.36 |
$150.36 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$6,990.21 |
$6,990.21 |
$6,990.21 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$195.30 |
$195.30 |
$195.30 |
$408.10
|
|
Depo-estradiol cypionate inj
|
$428.47 |
$428.47 |
$428.47 |
$71.51
|
|
Dermagraft
|
$1,587.60 |
$1,587.60 |
$1,587.60 |
$85.00
|
|
Descend thora aorta rpr/lt sub art 33880
|
$11,108.58 |
$11,108.58 |
$11,108.58 |
$6,687.93
|
|
Design mlc device for imrt
|
$2,918.58 |
$2,918.58 |
$2,918.58 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,577.84 |
$1,577.84 |
$1,577.84 |
$89.78
|
|
Des thora aorta rpr without left sub art 33881
|
$2,078.16 |
$2,078.16 |
$2,078.16 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$12,859.98 |
$12,859.98 |
$12,859.98 |
$2,727.20
|
|
Destroy cervthor facet jnt 64633
|
$1,509.48 |
$1,509.48 |
$1,509.48 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$1,509.48 |
$1,509.48 |
$1,509.48 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$127.68 |
$127.68 |
$127.68 |
$199.50
|
|
Destruct cut vasl lesions <10cm 17106
|
$150.36 |
$150.36 |
$150.36 |
$660.00
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,509.48 |
$1,509.48 |
$1,509.48 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,509.48 |
$1,509.48 |
$1,509.48 |
$3,202.98
|
|
Detect agent nos dna dir
|
$80.64 |
$80.64 |
$80.64 |
$115.20
|
|
Device ablt adv novasure
|
$5,321.87 |
$5,321.87 |
$5,321.87 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$1,916.46 |
$1,916.46 |
$1,916.46 |
$4,200.00
|
|
Device intraute mirena
|
$1,836.53 |
$1,836.53 |
$1,836.53 |
$2,125.00
|
|
Device sut capio slim opn
|
$623.91 |
$623.91 |
$623.91 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$1,044.75 |
$1,044.75 |
$1,044.75 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$57.96 |
$57.96 |
$57.96 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$228.48 |
$228.48 |
$228.48 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$65.21 |
$65.21 |
$65.21 |
$21.17
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,053.51 |
$1,053.51 |
$1,053.51 |
$858.00
|
|
Dextran 40 infusion
|
$86.84 |
$86.84 |
$86.84 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$86.84 |
$86.84 |
$86.84 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$86.84 |
$86.84 |
$86.84 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$86.84 |
$86.84 |
$86.84 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$86.84 |
$86.84 |
$86.84 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$141.96 |
$141.96 |
$141.96 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$81.06 |
$81.06 |
$81.06 |
$79.20
|
|
Diab manage trn ind/group
|
$25.20 |
$25.20 |
$25.20 |
$56.55
|
|
Diag bronchoscope/catheter
|
$1,824.90 |
$1,824.90 |
$1,824.90 |
$2,766.40
|
|
Diagnostic anoscopy spx 46600
|
$238.14 |
$238.14 |
$238.14 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$42.00 |
$42.00 |
$42.00 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$28.14 |
$28.14 |
$28.14 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$96.18 |
$96.18 |
$96.18 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$252.00 |
$252.00 |
$252.00 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$128.10 |
$128.10 |
$128.10 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$100.38 |
$100.38 |
$100.38 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$45.36 |
$45.36 |
$45.36 |
$214.08
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,521.28 |
$3,521.28 |
$3,521.28 |
$5,419.00
|
|
Dialysis one evaluation
|
$1,695.12 |
$1,695.12 |
$1,695.12 |
$919.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$41.79 |
$41.79 |
$41.79 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$76.76 |
$76.76 |
$76.76 |
$74.76
|
|
Dicyclomine injection
|
$161.45 |
$161.45 |
$161.45 |
$153.29
|
|
Diffusing capacity
|
$348.18 |
$348.18 |
$348.18 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$265.49 |
$265.49 |
$265.49 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$10,079.82 |
$10,079.82 |
$10,079.82 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$91.14 |
$91.14 |
$91.14 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$2,351.83 |
$2,351.83 |
$2,351.83 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$1,196.16 |
$1,196.16 |
$1,196.16 |
$1,866.73
|
|
Dilate esophagus 1/mult pass
|
$378.42 |
$378.42 |
$378.42 |
$1,484.17
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$7,378.56 |
$7,378.56 |
$7,378.56 |
$3,033.08
|
|
Dilate ic vasospasm ea add vsl same territory
|
$5,903.10 |
$5,903.10 |
$5,903.10 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$14,759.22 |
$14,759.22 |
$14,759.22 |
$5,250.40
|
|
Dilate urethra stricture
|
$191.94 |
$191.94 |
$191.94 |
$490.00
|
|
Dilate urethra stricture
|
$231.00 |
$231.00 |
$231.00 |
$200.80
|
|
Dilation of salivary duct
|
$162.12 |
$162.12 |
$162.12 |
$741.60
|
|
Dilation/urethral strict/male/ini 53620
|
$844.62 |
$844.62 |
$844.62 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$408.24 |
$408.24 |
$408.24 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$1,491.84 |
$1,491.84 |
$1,491.84 |
$4,061.71
|
|
Dilat xst trc new access rcs
|
$2,509.50 |
$2,509.50 |
$2,509.50 |
$4,213.20
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,121.24 |
$1,121.24 |
$1,121.24 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$41.79 |
$41.79 |
$41.79 |
$17.75
|
|
Disability dlco
|
$254.94 |
$254.94 |
$254.94 |
$282.40
|