|
Deamidated gliadin antibody iga
|
$79.95 |
$79.95 |
$79.95 |
$44.00
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$505.05 |
$505.05 |
$505.05 |
$684.48
|
|
Debridement (>20 cm) charge pt
|
$204.75 |
$204.75 |
$204.75 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,095.60 |
$2,095.60 |
$2,095.60 |
$2,546.04
|
|
Debridement/bone/20 sq cm or less 11046
|
$841.75 |
$841.75 |
$841.75 |
$683.25
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$915.20 |
$915.20 |
$915.20 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$726.05 |
$726.05 |
$726.05 |
$810.50
|
|
Debride nail1-5 11720
|
$55.90 |
$55.90 |
$55.90 |
$173.25
|
|
Debride nail6 or more 11721
|
$118.30 |
$118.30 |
$118.30 |
$195.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$456.95 |
$456.95 |
$456.95 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$798.20 |
$798.20 |
$798.20 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,615.25 |
$1,615.25 |
$1,615.25 |
$1,176.57
|
|
Decalcification
|
$69.55 |
$69.55 |
$69.55 |
$73.71
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$434.20 |
$434.20 |
$434.20 |
$541.60
|
|
Deferoxamine 500 mg solution for injection
|
$65.88 |
$65.88 |
$65.88 |
$112.80
|
|
Degarelix 120 mg subcutaneous solution
|
$4,855.38 |
$4,855.38 |
$4,855.38 |
$1,963.06
|
|
Delivery of placenta 59414
|
$834.60 |
$834.60 |
$834.60 |
$3,274.05
|
|
Demonstrate use home inr mon
|
$107.90 |
$107.90 |
$107.90 |
$152.50
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$120.25 |
$120.25 |
$120.25 |
$195.78
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$10,954.38 |
$10,954.38 |
$10,954.38 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$514.15 |
$514.15 |
$514.15 |
$460.50
|
|
Design mlc device for imrt
|
$714.35 |
$714.35 |
$714.35 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$112.85 |
$112.85 |
$112.85 |
$111.80
|
|
Desoxycorticosterone
|
$348.40 |
$348.40 |
$348.40 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$6,650.15 |
$6,650.15 |
$6,650.15 |
$3,122.45
|
|
Destroy cth facet jnt addl 64634
|
$1,329.90 |
$1,329.90 |
$1,329.90 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$3,881.80 |
$3,881.80 |
$3,881.80 |
$1,344.85
|
|
Destruction benign lesions < 14 lesions
|
$139.75 |
$139.75 |
$139.75 |
$250.60
|
|
Destruction by injection tx of nerve 64630
|
$1,299.35 |
$1,299.35 |
$1,299.35 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,329.90 |
$1,329.90 |
$1,329.90 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$6,650.15 |
$6,650.15 |
$6,650.15 |
$3,375.00
|
|
Developmental screen/score/document 96110
|
$129.35 |
$129.35 |
$129.35 |
$139.10
|
|
Devel tst phys/qhp 1st hr
|
$339.30 |
$339.30 |
$339.30 |
$339.30
|
|
Device intraute mirena
|
$2,211.85 |
$2,211.85 |
$2,211.85 |
$2,618.91
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$169.65 |
$169.65 |
$169.65 |
$196.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$369.20 |
$369.20 |
$369.20 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$66.36 |
$66.36 |
$66.36 |
$5.98
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$26.68 |
$26.68 |
$26.68 |
$28.04
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$368.06 |
$368.06 |
$368.06 |
$506.56
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$51.80 |
$51.80 |
$51.80 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$51.16 |
$51.16 |
$51.16 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$51.80 |
$51.80 |
$51.80 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$82.55 |
$82.55 |
$82.55 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$26.00 |
$26.00 |
$26.00 |
$78.41
|
|
Diab manage trn ind/group
|
$57.85 |
$57.85 |
$57.85 |
$49.50
|
|
Diag bronchoscope/catheter
|
$3,023.80 |
$3,023.80 |
$3,023.80 |
$2,040.67
|
|
Diagnostic anoscopy spx 46600
|
$142.35 |
$142.35 |
$142.35 |
$242.45
|
|
Diagnostic digital breast tomosynthesis bil
|
$61.75 |
$61.75 |
$61.75 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$61.75 |
$61.75 |
$61.75 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$509.60 |
$509.60 |
$509.60 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$239.85 |
$239.85 |
$239.85 |
$381.00
|
|
Diagnostic Mammogram (both breasts)
|
$491.40 |
$491.40 |
$491.40 |
$423.92
|
|
Diagnostic Mammogram (one breast)
|
$440.05 |
$440.05 |
$440.05 |
$301.55
|
|
Dialysis one evaluation
|
$410.15 |
$410.15 |
$410.15 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$99.68 |
$99.68 |
$99.68 |
$72.34
|
|
Dicyclomine injection
|
$284.58 |
$284.58 |
$284.58 |
$211.81
|
|
Diffusing capacity
|
$230.75 |
$230.75 |
$230.75 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$23.76 |
$23.76 |
$23.76 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$15,014.28 |
$15,014.28 |
$15,014.28 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$92.30 |
$92.30 |
$92.30 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$96.75 |
$96.75 |
$96.75 |
$329.81
|
|
Dilate biliary duct/ampulla
|
$8,580.00 |
$8,580.00 |
$8,580.00 |
$2,304.60
|
|
Dilate esophagus 1/mult pass
|
$2,968.55 |
$2,968.55 |
$2,968.55 |
$1,484.17
|
|
Dilation of salivary duct
|
$187.85 |
$187.85 |
$187.85 |
$599.72
|
|
Dilator fascial 10fx20cm
|
$335.13 |
$335.13 |
$335.13 |
$291.87
|
|
Dilat xst trc ndurlgc px
|
$5,912.40 |
$5,912.40 |
$5,912.40 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$11,824.80 |
$11,824.80 |
$11,824.80 |
$4,952.80
|
|
Diltiazem 5 mg/ml intravenous solution
|
$92.66 |
$92.66 |
$92.66 |
$60.25
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$21.71 |
$21.71 |
$21.71 |
$26.20
|
|
Disability dlco
|
$267.15 |
$267.15 |
$267.15 |
$304.99
|
|
Disaccharidases
|
$674.70 |
$674.70 |
$674.70 |
$224.31
|
|
Discography cerv/thor spine
|
$3,316.30 |
$3,316.30 |
$3,316.30 |
$2,375.10
|
|
Dmd dup/delet analysis
|
$1,745.25 |
$1,745.25 |
$1,745.25 |
$385.02
|
|
Dmpk gene detc abnor allele
|
$1,414.40 |
$1,414.40 |
$1,414.40 |
$239.85
|
|
Dna antibody native/double stranded
|
$74.10 |
$74.10 |
$74.10 |
$102.60
|
|
Dna gardnerella
|
$80.60 |
$80.60 |
$80.60 |
$66.05
|
|
Dna probe chlamydia
|
$23.40 |
$23.40 |
$23.40 |
$82.20
|
|
Dna probe gc
|
$122.20 |
$122.20 |
$122.20 |
$88.67
|
|
Dna trichomonas
|
$80.60 |
$80.60 |
$80.60 |
$68.32
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$130.68 |
$130.68 |
$130.68 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$261.85 |
$261.85 |
$261.85 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$64.77 |
$64.77 |
$64.77 |
$80.15
|
|
Doppler echo complete
|
$354.90 |
$354.90 |
$354.90 |
$608.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$468.65 |
$468.65 |
$468.65 |
$697.23
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$341.90 |
$341.90 |
$341.90 |
$490.82
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$32,490.15 |
$32,490.15 |
$32,490.15 |
$33,181.17
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$100.85 |
$100.85 |
$100.85 |
$297.33
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,181.02 |
$1,181.02 |
$1,181.02 |
$2,469.31
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$48.59 |
$48.59 |
$48.59 |
$100.10
|
|
Dpyd gene common variants
|
$1,097.20 |
$1,097.20 |
$1,097.20 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$337.35 |
$337.35 |
$337.35 |
$820.50
|
|
Drainage external ear simple 69000
|
$692.90 |
$692.90 |
$692.90 |
$800.00
|
|
Drainage of kidney lesion
|
$4,427.80 |
$4,427.80 |
$4,427.80 |
$1,619.40
|
|
Drain blood from under nail 11740
|
$337.35 |
$337.35 |
$337.35 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$952.90 |
$952.90 |
$952.90 |
$2,595.00
|
|
Drain cath image guided visceral pq
|
$1,278.55 |
$1,278.55 |
$1,278.55 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$739.70 |
$739.70 |
$739.70 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$791.05 |
$791.05 |
$791.05 |
$492.81
|
|
Drain lower leg lesion 27603
|
$3,001.05 |
$3,001.05 |
$3,001.05 |
$3,631.18
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$215.80 |
$215.80 |
$215.80 |
$420.00
|