|
Desoxycorticosterone
|
$364.50 |
$364.50 |
$364.50 |
$139.10
|
|
Des thora aorta rpr without left sub art 33881
|
$15,243.75 |
$15,243.75 |
$15,243.75 |
$5,698.68
|
|
Dest mal lesion tal <0.5 17260
|
$366.75 |
$366.75 |
$366.75 |
$238.40
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$332.25 |
$332.25 |
$332.25 |
$332.25
|
|
Destroy cervthor facet jnt 64633
|
$2,381.25 |
$2,381.25 |
$2,381.25 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$1,879.50 |
$1,879.50 |
$1,879.50 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$199.50 |
$199.50 |
$199.50 |
$199.50
|
|
Destroy vulva lesion simple 56501
|
$3,691.50 |
$3,691.50 |
$3,691.50 |
$3,691.50
|
|
Destruct ben lesion 15/> 17111
|
$332.25 |
$332.25 |
$332.25 |
$275.88
|
|
Destruct cut vasl lesions <10cm 17106
|
$666.75 |
$666.75 |
$666.75 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$1,442.25 |
$1,442.25 |
$1,442.25 |
$1,572.80
|
|
Destruction 2-14 lesions 17003
|
$83.25 |
$83.25 |
$83.25 |
$78.61
|
|
Destruction anal lesion(s)
|
$3,711.00 |
$3,711.00 |
$3,711.00 |
$2,772.60
|
|
Destruction anal lesion(s) smpl chem 46900
|
$638.25 |
$638.25 |
$638.25 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$268.50 |
$268.50 |
$268.50 |
$261.23
|
|
Destruction by injection tx of nerve 64630
|
$915.75 |
$915.75 |
$915.75 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,879.50 |
$1,879.50 |
$1,879.50 |
$2,123.55
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,325.75 |
$2,325.75 |
$2,325.75 |
$3,375.00
|
|
Destruction mal lsn t/a/l >4cm
|
$954.75 |
$954.75 |
$954.75 |
$578.40
|
|
Destruction premal lesions 15/> 17004
|
$521.25 |
$521.25 |
$521.25 |
$470.51
|
|
Detect agnt mult dna direc
|
$147.75 |
$147.75 |
$147.75 |
$120.00
|
|
Developmental screen/score/document 96110
|
$573.75 |
$573.75 |
$573.75 |
$76.52
|
|
Devel tst phys/qhp 1st hr
|
$398.25 |
$398.25 |
$398.25 |
$364.48
|
|
Device ablt adv novasure
|
$11,239.88 |
$11,239.88 |
$11,239.88 |
$11,239.88
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$5,175.00 |
$5,175.00 |
$5,175.00 |
$4,298.87
|
|
Device intraute mirena
|
$4,491.10 |
$4,491.10 |
$4,491.10 |
$4,133.60
|
|
Device sut capio slim opn
|
$1,454.07 |
$1,454.07 |
$1,454.07 |
$1,454.07
|
|
Device tiss remov myosure reach
|
$1,070.85 |
$1,070.85 |
$1,070.85 |
$1,070.85
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$183.00 |
$183.00 |
$183.00 |
$203.19
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$417.00 |
$417.00 |
$417.00 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$554.26 |
$554.26 |
$554.26 |
$256.80
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$16.28 |
$16.28 |
$16.28 |
$16.28
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$465.34 |
$465.34 |
$465.34 |
$465.34
|
|
Dextran 40 infusion
|
$225.55 |
$225.55 |
$225.55 |
$225.55
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$22.19 |
$22.19 |
$22.19 |
$32.40
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$22.19 |
$22.19 |
$22.19 |
$29.00
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$36.98 |
$36.98 |
$36.98 |
$47.40
|
|
Dextrose 5 % IV bolus
|
$22.19 |
$22.19 |
$22.19 |
$26.80
|
|
Dhea-s (dehydroepiand sulfate)
|
$249.75 |
$249.75 |
$249.75 |
$113.40
|
|
Diabetes (HbA1c) Test
|
$114.75 |
$114.75 |
$114.75 |
$70.00
|
|
Diab manage trn ind/group
|
$57.75 |
$57.75 |
$57.75 |
$57.75
|
|
Diag bronchoscope/catheter
|
$4,125.75 |
$4,125.75 |
$4,125.75 |
$1,962.76
|
|
Diagnostic anoscopy spx 46600
|
$181.50 |
$181.50 |
$181.50 |
$252.00
|
|
Diagnostic digital breast tomosynthesis bil
|
$70.50 |
$70.50 |
$70.50 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$57.00 |
$57.00 |
$57.00 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$592.50 |
$592.50 |
$592.50 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$381.00 |
$381.00 |
$381.00 |
$408.87
|
|
Diagnostic Mammogram (both breasts)
|
$655.50 |
$655.50 |
$655.50 |
$437.45
|
|
Diagnostic Mammogram (one breast)
|
$502.50 |
$502.50 |
$502.50 |
$297.05
|
|
Diagnostic radio unlisted proc
|
$564.75 |
$564.75 |
$564.75 |
$326.43
|
|
Dialysis circuit perm vascular embolization 36909
|
$10,461.00 |
$10,461.00 |
$10,461.00 |
$9,279.66
|
|
Diatrizoate meglumine 18 % urethral solution
|
$58.24 |
$58.24 |
$58.24 |
$58.24
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$143.84 |
$143.84 |
$143.84 |
$127.20
|
|
Dicyclomine injection
|
$310.41 |
$310.41 |
$310.41 |
$310.41
|
|
Diffusing capacity
|
$504.00 |
$504.00 |
$504.00 |
$360.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$472.14 |
$472.14 |
$472.14 |
$62.20
|
|
Digoxin immune fab 40 mg intravenous solution
|
$17,050.66 |
$17,050.66 |
$17,050.66 |
$16,441.80
|
|
Digoxin total therapeutic drug level
|
$138.75 |
$138.75 |
$138.75 |
$99.35
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$297.86 |
$297.86 |
$297.86 |
$297.86
|
|
Dilate esophagus 1/mult pass
|
$1,548.00 |
$1,548.00 |
$1,548.00 |
$1,372.80
|
|
Dilate urethra stricture
|
$513.00 |
$513.00 |
$513.00 |
$534.00
|
|
Dilation/female urethra/initial 53660
|
$387.75 |
$387.75 |
$387.75 |
$235.61
|
|
Dilation of rectal stricture 45910
|
$1,375.50 |
$1,375.50 |
$1,375.50 |
$1,364.66
|
|
Dilator fascial 10fx20cm
|
$291.87 |
$291.87 |
$291.87 |
$291.87
|
|
Diltiazem 5 mg/ml intravenous solution
|
$107.23 |
$107.23 |
$107.23 |
$107.23
|
|
Dimenhydrinate injection
|
$17.32 |
$17.32 |
$17.32 |
$17.32
|
|
Dimethyl sulfoxide 50% 50 ml
|
$2,501.55 |
$2,501.55 |
$2,501.55 |
$2,501.55
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$36.98 |
$36.98 |
$36.98 |
$36.98
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$5.92 |
$5.92 |
$5.92 |
$5.92
|
|
Disability dlco
|
$340.50 |
$340.50 |
$340.50 |
$296.91
|
|
Disaccharidases
|
$1,265.25 |
$1,265.25 |
$1,265.25 |
$240.73
|
|
Discography cerv/thor spine
|
$2,691.00 |
$2,691.00 |
$2,691.00 |
$2,169.60
|
|
Dlyd plmt xtn prosth ea addl
|
$6,681.75 |
$6,681.75 |
$6,681.75 |
$2,213.22
|
|
Dmd dup/delet analysis
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$629.20
|
|
Dmpk gene detc abnor allele
|
$613.50 |
$613.50 |
$613.50 |
$318.75
|
|
Dna antibody native/double stranded
|
$131.25 |
$131.25 |
$131.25 |
$101.40
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$130.35 |
$130.35 |
$130.35 |
$130.35
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,164.72 |
$1,164.72 |
$1,164.72 |
$1,164.72
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$98.91 |
$98.91 |
$98.91 |
$89.40
|
|
Doppler echo complete
|
$498.00 |
$498.00 |
$498.00 |
$498.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,066.75 |
$3,066.75 |
$3,066.75 |
$3,026.62
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$946.50 |
$946.50 |
$946.50 |
$660.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$885.00 |
$885.00 |
$885.00 |
$500.80
|
|
Dornase alfa non-comp unit
|
$479.80 |
$479.80 |
$479.80 |
$479.80
|
|
Dornhoffer fixed part w/window
|
$77,636.25 |
$77,636.25 |
$77,636.25 |
$77,636.25
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$901.65 |
$901.65 |
$901.65 |
$631.20
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$89.34 |
$89.34 |
$89.34 |
$1.20
|
|
Dpyd gene common variants
|
$354.00 |
$354.00 |
$354.00 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$820.50 |
$820.50 |
$820.50 |
$813.63
|
|
Drainage ext aud canal abscess 69020
|
$820.50 |
$820.50 |
$820.50 |
$973.71
|
|
Drainage external ear complex 69005
|
$4,074.75 |
$4,074.75 |
$4,074.75 |
$3,541.97
|
|
Drainage external ear simple 69000
|
$741.00 |
$741.00 |
$741.00 |
$828.59
|
|
Drainage mouth roof lesion
|
$282.00 |
$282.00 |
$282.00 |
$570.40
|
|
Drainage of arm bursa 23931
|
$2,638.50 |
$2,638.50 |
$2,638.50 |
$2,638.50
|
|
Drainage of eye
|
$2,702.25 |
$2,702.25 |
$2,702.25 |
$2,702.25
|
|
Drainage of kidney lesion
|
$1,989.75 |
$1,989.75 |
$1,989.75 |
$1,719.93
|
|
Drainage of mouth lesion
|
$3,731.25 |
$3,731.25 |
$3,731.25 |
$3,731.25
|
|
Drainage of mouth lesion
|
$3,946.50 |
$3,946.50 |
$3,946.50 |
$3,162.00
|
|
Drainage of nose lesion int 30000
|
$283.50 |
$283.50 |
$283.50 |
$649.80
|
|
Drainage of nose lesion sept 30020
|
$637.50 |
$637.50 |
$637.50 |
$755.95
|