|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$283.20 |
$283.20 |
$283.20 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$5,451.99 |
$5,451.99 |
$5,451.99 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$507.20 |
$507.20 |
$507.20 |
$401.60
|
|
Depo-estradiol cypionate inj
|
$336.68 |
$336.68 |
$336.68 |
$71.51
|
|
Descend thora aorta rpr/lt sub art 33880
|
$10,212.80 |
$10,212.80 |
$10,212.80 |
$6,288.45
|
|
Design mlc device for imrt
|
$3,862.40 |
$3,862.40 |
$3,862.40 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$324.47 |
$324.47 |
$324.47 |
$91.84
|
|
Des thora aorta rpr without left sub art 33881
|
$10,212.80 |
$10,212.80 |
$10,212.80 |
$5,267.20
|
|
Destroy cervthor facet jnt 64633
|
$3,476.80 |
$3,476.80 |
$3,476.80 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$1,319.20 |
$1,319.20 |
$1,319.20 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$220.80 |
$220.80 |
$220.80 |
$202.40
|
|
Destroy vulva lesion simple 56501
|
$4,597.60 |
$4,597.60 |
$4,597.60 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$240.00 |
$240.00 |
$240.00 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$197.60 |
$197.60 |
$197.60 |
$78.61
|
|
Destruction anal lesion(s)
|
$3,416.00 |
$3,416.00 |
$3,416.00 |
$3,363.79
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,648.00 |
$1,648.00 |
$1,648.00 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,059.20 |
$3,059.20 |
$3,059.20 |
$3,296.80
|
|
Devel tst phys/qhp 1st hr
|
$412.80 |
$412.80 |
$412.80 |
$350.40
|
|
Device ablt adv novasure
|
$13,500.00 |
$13,500.00 |
$13,500.00 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$9,000.00 |
$9,000.00 |
$9,000.00 |
$4,200.00
|
|
Device intraute mirena
|
$1,244.00 |
$1,244.00 |
$1,244.00 |
$2,125.00
|
|
Device sut capio slim opn
|
$3,244.80 |
$3,244.80 |
$3,244.80 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$5,382.40 |
$5,382.40 |
$5,382.40 |
$2,515.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$208.00 |
$208.00 |
$208.00 |
$199.50
|
|
Dexamethasone 4 mg tablet
|
$53.56 |
$53.56 |
$53.56 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$316.32 |
$316.32 |
$316.32 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$904.56 |
$904.56 |
$904.56 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$125.44 |
$125.44 |
$125.44 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$125.44 |
$125.44 |
$125.44 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$133.60 |
$133.60 |
$133.60 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$125.44 |
$125.44 |
$125.44 |
$48.00
|
|
Diab manage trn ind/group
|
$36.80 |
$36.80 |
$36.80 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$304.00 |
$304.00 |
$304.00 |
$195.50
|
|
Diagnostic laryngoscopy 31505
|
$306.40 |
$306.40 |
$306.40 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$558.40 |
$558.40 |
$558.40 |
$338.00
|
|
Diagnostic radio unlisted proc
|
$951.20 |
$951.20 |
$951.20 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$14,717.60 |
$14,717.60 |
$14,717.60 |
$5,741.00
|
|
Dialysis one evaluation
|
$1,328.00 |
$1,328.00 |
$1,328.00 |
$936.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$313.77 |
$313.77 |
$313.77 |
$79.71
|
|
Dicyclomine injection
|
$324.76 |
$324.76 |
$324.76 |
$154.33
|
|
Difelikefalin, esrd on dialy
|
$540.00 |
$540.00 |
$540.00 |
$264.88
|
|
Diffusing capacity
|
$408.80 |
$408.80 |
$408.80 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$416.32 |
$416.32 |
$416.32 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$12,067.47 |
$12,067.47 |
$12,067.47 |
$10,279.62
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$374.24 |
$374.24 |
$374.24 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$4,858.40 |
$4,858.40 |
$4,858.40 |
$1,866.73
|
|
Dilate esophagus
|
$3,715.20 |
$3,715.20 |
$3,715.20 |
$2,142.40
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$2,932.80 |
$2,932.80 |
$2,932.80 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$4,609.60 |
$4,609.60 |
$4,609.60 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$10,529.60 |
$10,529.60 |
$10,529.60 |
$5,151.95
|
|
Dilate urethra stricture
|
$564.80 |
$564.80 |
$564.80 |
$513.00
|
|
Dilation of anal sphincter
|
$2,344.80 |
$2,344.80 |
$2,344.80 |
$2,166.04
|
|
Dilation of cervical canal 57800
|
$3,953.60 |
$3,953.60 |
$3,953.60 |
$4,446.00
|
|
Dilation/urethral strict/male/ini 53620
|
$2,191.20 |
$2,191.20 |
$2,191.20 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$1,353.60 |
$1,353.60 |
$1,353.60 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$3,725.60 |
$3,725.60 |
$3,725.60 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$6,207.20 |
$6,207.20 |
$6,207.20 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$319.28 |
$319.28 |
$319.28 |
$45.60
|
|
Dimenhydrinate injection
|
$313.77 |
$313.77 |
$313.77 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$381.48 |
$381.48 |
$381.48 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.82 |
$0.82 |
$0.82 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$313.24 |
$313.24 |
$313.24 |
$18.32
|
|
Dipyridamole injection
|
$324.90 |
$324.90 |
$324.90 |
$48.04
|
|
Discography cerv/thor spine
|
$3,407.20 |
$3,407.20 |
$3,407.20 |
$2,565.00
|
|
Dlyd plmt xtn prosth ea addl
|
$5,290.40 |
$5,290.40 |
$5,290.40 |
$1,810.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$319.00 |
$319.00 |
$319.00 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$4,023.68 |
$4,023.68 |
$4,023.68 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$325.60 |
$325.60 |
$325.60 |
$65.40
|
|
Doppler echo complete
|
$747.20 |
$747.20 |
$747.20 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,712.80 |
$3,712.80 |
$3,712.80 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,106.40 |
$1,106.40 |
$1,106.40 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$685.60 |
$685.60 |
$685.60 |
$481.65
|
|
Dornase alfa non-comp unit
|
$86.83 |
$86.83 |
$86.83 |
$356.00
|
|
Dornhoffer fixed part w/window
|
$50,876.00 |
$50,876.00 |
$50,876.00 |
$34,278.00
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$670.60 |
$670.60 |
$670.60 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$5,470.37 |
$5,470.37 |
$5,470.37 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$326.19 |
$326.19 |
$326.19 |
$89.34
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$842.40 |
$842.40 |
$842.40 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$865.60 |
$865.60 |
$865.60 |
$964.00
|
|
Drainage external ear complex 69005
|
$2,640.80 |
$2,640.80 |
$2,640.80 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$842.40 |
$842.40 |
$842.40 |
$790.40
|
|
Drainage of kidney lesion
|
$1,878.40 |
$1,878.40 |
$1,878.40 |
$1,506.00
|
|
Drainage of nose lesion sept 30020
|
$1,488.00 |
$1,488.00 |
$1,488.00 |
$781.44
|
|
Drainage of rectal abscess
|
$2,912.80 |
$2,912.80 |
$2,912.80 |
$2,135.10
|
|
Drain blood from under nail 11740
|
$173.60 |
$173.60 |
$173.60 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$5,720.80 |
$5,720.80 |
$5,720.80 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$6,008.80 |
$6,008.80 |
$6,008.80 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$1,614.40 |
$1,614.40 |
$1,614.40 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$607.20 |
$607.20 |
$607.20 |
$428.40
|
|
Drain neck/chest lesion 21501
|
$5,098.40 |
$5,098.40 |
$5,098.40 |
$3,339.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$375.20 |
$375.20 |
$375.20 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$454.40 |
$454.40 |
$454.40 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$588.80 |
$588.80 |
$588.80 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$382.40 |
$382.40 |
$382.40 |
$3,789.86
|
|
Drill hole implt ventricular cath/device 61107
|
$8,888.00 |
$8,888.00 |
$8,888.00 |
$1,485.75
|
|
Drng hand tendon sheath 26020
|
$5,048.80 |
$5,048.80 |
$5,048.80 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$662.40 |
$662.40 |
$662.40 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,860.80 |
$1,860.80 |
$1,860.80 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$918.40 |
$918.40 |
$918.40 |
$867.90
|