|
Deamidated gliadin antibody iga
|
$19.80 |
$19.80 |
$19.80 |
$44.20
|
|
Debridement (>20 cm) charge pt
|
$688.20 |
$688.20 |
$688.20 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$654.75
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$1,313.25
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$810.50
|
|
Debride nail1-5 11720
|
$366.00 |
$366.00 |
$366.00 |
$144.95
|
|
Debride nail6 or more 11721
|
$366.00 |
$366.00 |
$366.00 |
$167.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$639.60
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,160.00
|
|
Decalcification
|
$150.00 |
$150.00 |
$150.00 |
$71.00
|
|
Decitabine 50 mg intravenous solution
|
$372.00 |
$372.00 |
$372.00 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$612.00 |
$612.00 |
$612.00 |
$540.00
|
|
Deferoxamine 500 mg solution for injection
|
$64.26 |
$64.26 |
$64.26 |
$95.85
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$193.80 |
$193.80 |
$193.80 |
$185.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$12,977.94 |
$12,977.94 |
$12,977.94 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$163.80 |
$163.80 |
$163.80 |
$404.25
|
|
Dermapure 1 square cm
|
$5,235.32 |
$5,235.32 |
$5,235.32 |
$2,319.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$42.96 |
$42.96 |
$42.96 |
$70.80
|
|
Desoxycorticosterone
|
$351.60 |
$351.60 |
$351.60 |
$109.28
|
|
Detect agent nos dna dir
|
$181.80 |
$181.80 |
$181.80 |
$115.20
|
|
Detect agnt mult dna direc
|
$146.40 |
$146.40 |
$146.40 |
$147.75
|
|
Device ablt adv novasure
|
$12,727.47 |
$12,727.47 |
$12,727.47 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$6,560.55 |
$6,560.55 |
$6,560.55 |
$4,235.56
|
|
Device sut capio slim opn
|
$3,002.11 |
$3,002.11 |
$3,002.11 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$2,430.68 |
$2,430.68 |
$2,430.68 |
$2,447.55
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$147.60 |
$147.60 |
$147.60 |
$225.60
|
|
Dexamethasone 4 mg tablet
|
$3.90 |
$3.90 |
$3.90 |
$5.98
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$16.32 |
$16.32 |
$16.32 |
$21.64
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$39.60 |
$39.60 |
$39.60 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$39.60 |
$39.60 |
$39.60 |
$45.80
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$29.04 |
$29.04 |
$29.04 |
$46.12
|
|
Dextrose 5 % IV bolus
|
$39.60 |
$39.60 |
$39.60 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$172.80 |
$172.80 |
$172.80 |
$110.38
|
|
Diabetes (HbA1c) Test
|
$113.40 |
$113.40 |
$113.40 |
$79.52
|
|
Diab manage trn ind/group
|
$82.20 |
$82.20 |
$82.20 |
$56.58
|
|
Diagnostic laryngoscopy 31575
|
$234.00 |
$234.00 |
$234.00 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$268.80 |
$268.80 |
$268.80 |
$395.52
|
|
Diagnostic Mammogram (one breast)
|
$209.40 |
$209.40 |
$209.40 |
$297.05
|
|
Diagnostic radio unlisted proc
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$214.08
|
|
Dialysis one evaluation
|
$2,986.20 |
$2,986.20 |
$2,986.20 |
$845.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$117.00 |
$117.00 |
$117.00 |
$114.18
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$26.82 |
$26.82 |
$26.82 |
$74.02
|
|
Diffusing capacity
|
$316.80 |
$316.80 |
$316.80 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$7.50 |
$7.50 |
$7.50 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$18,712.20 |
$18,712.20 |
$18,712.20 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$128.40 |
$128.40 |
$128.40 |
$99.35
|
|
Dilator fascial 10fx20cm
|
$832.93 |
$832.93 |
$832.93 |
$408.24
|
|
Diltiazem 5 mg/ml intravenous solution
|
$49.68 |
$49.68 |
$49.68 |
$48.75
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$7.50 |
$7.50 |
$7.50 |
$17.75
|
|
Disability dlco
|
$240.60 |
$240.60 |
$240.60 |
$279.75
|
|
Disaccharidases
|
$435.00 |
$435.00 |
$435.00 |
$222.63
|
|
Discography cerv/thor spine
|
$1,456.80 |
$1,456.80 |
$1,456.80 |
$2,404.00
|
|
Dmd dup/delet analysis
|
$496.20 |
$496.20 |
$496.20 |
$385.02
|
|
Dna antibody native/double stranded
|
$184.80 |
$184.80 |
$184.80 |
$100.00
|
|
Dna gardnerella
|
$44.40 |
$44.40 |
$44.40 |
$62.50
|
|
Dna probe chlamydia
|
$247.80 |
$247.80 |
$247.80 |
$82.20
|
|
Dna trichomonas
|
$44.40 |
$44.40 |
$44.40 |
$67.20
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$174.00 |
$174.00 |
$174.00 |
$99.36
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$316.20 |
$316.20 |
$316.20 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$85.92 |
$85.92 |
$85.92 |
$69.52
|
|
Doppler echo complete
|
$858.60 |
$858.60 |
$858.60 |
$554.68
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,948.80 |
$1,948.80 |
$1,948.80 |
$653.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$937.80 |
$937.80 |
$937.80 |
$463.20
|
|
Dornhoffer fixed part w/window
|
$67,573.67 |
$67,573.67 |
$67,573.67 |
$34,278.00
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$91.44 |
$91.44 |
$91.44 |
$423.95
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$69.60 |
$69.60 |
$69.60 |
$84.80
|
|
Dpyd gene common variants
|
$423.60 |
$423.60 |
$423.60 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$678.00 |
$678.00 |
$678.00 |
$800.00
|
|
Drainage external ear simple 69000
|
$912.00 |
$912.00 |
$912.00 |
$779.45
|
|
Drainage of kidney lesion
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$1,506.00
|
|
Drainage of mouth lesion
|
$4,705.20 |
$4,705.20 |
$4,705.20 |
$3,837.72
|
|
Drainage of mouth lesion
|
$763.80 |
$763.80 |
$763.80 |
$962.40
|
|
Drainage of nose lesion sept 30020
|
$802.80 |
$802.80 |
$802.80 |
$755.95
|
|
Drainage of rectal abscess
|
$1,890.60 |
$1,890.60 |
$1,890.60 |
$1,985.40
|
|
Drain blood from under nail 11740
|
$121.80 |
$121.80 |
$121.80 |
$171.20
|
|
Drain finger abscess;simple 26010
|
$261.60 |
$261.60 |
$261.60 |
$426.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$532.20 |
$532.20 |
$532.20 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$456.60 |
$456.60 |
$456.60 |
$338.25
|
|
Dress/debrid prtl-thick burn l 16030
|
$608.40 |
$608.40 |
$608.40 |
$515.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$32,557.04 |
$32,557.04 |
$32,557.04 |
$5,857.52
|
|
Drill hole implt ventricular cath/device 61107
|
$7,523.40 |
$7,523.40 |
$7,523.40 |
$1,519.57
|
|
Droperidol 2.5 mg/ml injection solution
|
$7.50 |
$7.50 |
$7.50 |
$31.00
|
|
Drop lock knee
|
$204.95 |
$204.95 |
$204.95 |
$204.95
|
|
Drop lock retainer each
|
$70.12 |
$70.12 |
$70.12 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$6,822.97 |
$6,822.97 |
$6,822.97 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$4,523.50 |
$4,523.50 |
$4,523.50 |
$2,567.36
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$18,303.94 |
$18,303.94 |
$18,303.94 |
$134.00
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$4,277.66 |
$4,277.66 |
$4,277.66 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$25,588.77 |
$25,588.77 |
$25,588.77 |
$25,588.77
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$36,446.01 |
$36,446.01 |
$36,446.01 |
$7,612.97
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$25,691.11 |
$25,691.11 |
$25,691.11 |
$400.98
|
|
Drug assay caffeine
|
$64.80 |
$64.80 |
$64.80 |
$80.00
|
|
Drug assay rufinamide
|
$140.40 |
$140.40 |
$140.40 |
$81.60
|
|
Drug assay vedolizumab
|
$165.60 |
$165.60 |
$165.60 |
$141.75
|
|
Drug of abuse screen urine
|
$107.40 |
$107.40 |
$107.40 |
$61.60
|
|
Drug screen quant tiagabine
|
$132.60 |
$132.60 |
$132.60 |
$108.48
|
|
Drug test def 1-7 classes
|
$273.60 |
$273.60 |
$273.60 |
$263.25
|
|
Drug test prsmv instrmnt
|
$177.60 |
$177.60 |
$177.60 |
$78.65
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$309.60 |
$309.60 |
$309.60 |
$286.55
|
