|
Cytopath smear other source
|
$104.58 |
$104.58 |
$203.35 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$113.58 |
$113.58 |
$220.85 |
$95.89
|
|
Cytopath tbs c/v manual
|
$126.72 |
$126.72 |
$246.40 |
$57.94
|
|
Cytotoxic antibody screening
|
$189.00 |
$210.15 |
$367.50 |
$157.60
|
|
Cytotoxic antibody screening
|
$879.21 |
$879.21 |
$1,709.58 |
$75.20
|
|
Dacarbazine 100 mg intravenous solution
|
$28.53 |
$28.53 |
$55.48 |
$82.91
|
|
Dalbavancin 500 mg intravenous solution
|
$2,605.68 |
$2,605.68 |
$5,066.60 |
$3,469.30
|
|
Dalteparin sodium
|
$48.15 |
$48.15 |
$93.63 |
$124.09
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$2.07 |
$2.07 |
$13.13 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$3,272.04 |
$3,272.04 |
$6,362.30 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$334.35 |
$334.35 |
$650.13 |
$5,546.48
|
|
Darbepoetin alfa, esrd use
|
$5,145.12 |
$5,145.12 |
$10,004.40 |
$3.04
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$14,514.57 |
$14,514.57 |
$28,222.78 |
$26,349.55
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$107.10 |
$107.10 |
$208.25 |
$260.95
|
|
Dch glucoscan
|
$18.73 |
$18.73 |
$18.73 |
$24.85
|
|
Dch pulmonary stress test
|
$3,929.10 |
$8,006.67 |
$8,006.67 |
$964.41
|
|
Dch validity tests
|
$14.76 |
$14.76 |
$42.00 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$19.80 |
$19.80 |
$38.50 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$517.30 |
$517.30 |
$517.30 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$41.13 |
$76.86 |
$181.65 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,224.62 |
$2,224.62 |
$2,224.62 |
$2,553.60
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$517.30 |
$517.30 |
$526.50 |
$810.50
|
|
Debride nail1-5 11720
|
$98.19 |
$98.19 |
$98.19 |
$173.25
|
|
Debride nail6 or more 11721
|
$98.19 |
$98.19 |
$98.19 |
$195.20
|
|
Debr inf skin add-on 11001
|
$324.45 |
$324.45 |
$324.45 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$815.13 |
$815.13 |
$815.13 |
$1,193.40
|
|
Decalcification
|
$132.39 |
$132.39 |
$257.43 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$1,856.79 |
$1,856.79 |
$3,610.43 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$493.92 |
$493.92 |
$1,063.30 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$36.00 |
$36.00 |
$70.00 |
$110.82
|
|
Degarelix 120 mg subcutaneous solution
|
$658.53 |
$658.53 |
$658.53 |
$2,086.82
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$44.37 |
$44.37 |
$86.28 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$37.30 |
$37.80 |
$73.50 |
$7,933.81
|
|
Dermagraft
|
$310.50 |
$352.35 |
$685.13 |
$1,912.31
|
|
Dermal filler injection(s)
|
$678.96 |
$678.96 |
$678.96 |
$2,164.64
|
|
Design mlc device for imrt
|
$638.46 |
$638.46 |
$664.02 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$12.96 |
$12.96 |
$289.28 |
$102.32
|
|
Destroy cervthor facet jnt 64633
|
$2,963.07 |
$2,963.07 |
$2,963.07 |
$3,164.80
|
|
Destroy vulva lesion simple 56501
|
$551.43 |
$551.43 |
$551.43 |
$3,691.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,963.07 |
$2,963.07 |
$2,963.07 |
$3,375.00
|
|
Detect agent nos dna dir
|
$228.60 |
$253.98 |
$444.50 |
$67.15
|
|
Developmental screen/score/document 96110
|
$122.13 |
$122.13 |
$322.18 |
$139.10
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,534.04 |
$2,534.04 |
$4,023.60 |
$4,298.87
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$4.23 |
$4.23 |
$8.23 |
$30.00
|
|
Dexamethasone intra implant
|
$2,142.45 |
$2,142.45 |
$4,165.88 |
$205.62
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$743.31 |
$743.31 |
$1,445.33 |
$560.92
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$19.35 |
$19.35 |
$37.63 |
$60.00
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$31.05 |
$31.05 |
$60.38 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$19.35 |
$19.35 |
$40.60 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$95.04 |
$105.57 |
$351.93 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$63.27 |
$70.20 |
$151.73 |
$78.03
|
|
Diab manage trn ind/group
|
$84.24 |
$84.24 |
$84.24 |
$49.50
|
|
Diagnostic anoscopy spx 46600
|
$78.23 |
$78.23 |
$78.23 |
$245.35
|
|
Diagnostic Mammogram (both breasts)
|
$189.45 |
$189.45 |
$368.38 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$146.88 |
$146.88 |
$285.60 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$105.93 |
$105.93 |
$167.30 |
$239.25
|
|
Dialysis one evaluation
|
$434.34 |
$711.63 |
$1,820.53 |
$842.10
|
|
Diathermy eg microwave
|
$32.13 |
$32.13 |
$33.78 |
$13.60
|
|
Diatrizoate meglumine 18 % urethral solution
|
$1.62 |
$1.62 |
$19.89 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$105.12 |
$105.12 |
$204.40 |
$72.34
|
|
Dicyclomine injection
|
$211.81 |
$211.81 |
$211.81 |
$211.81
|
|
Diffusing capacity
|
$230.94 |
$230.94 |
$465.33 |
$360.10
|
|
Digital analysis of eeg
|
$1,810.53 |
$1,810.53 |
$1,912.75 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$11.97 |
$11.97 |
$23.28 |
$69.79
|
|
Digoxin total therapeutic drug level
|
$90.27 |
$90.27 |
$191.80 |
$102.00
|
|
Dimecaprol injection
|
$107.10 |
$107.10 |
$107.10 |
$199.46
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$5.78 |
$5.78 |
$5.78 |
$2.10
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$2.79 |
$2.79 |
$5.43 |
$26.87
|
|
Disability dlco
|
$160.74 |
$160.74 |
$312.55 |
$307.58
|
|
Disaccharidases
|
$163.35 |
$181.53 |
$618.45 |
$223.80
|
|
Discography cerv/thor spine
|
$5,291.37 |
$5,291.37 |
$7,676.55 |
$2,404.00
|
|
Dissolve clot heart vessel
|
$932.58 |
$1,072.44 |
$1,460.38 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$354.42 |
$354.42 |
$354.42 |
$2,001.55
|
|
Dna antibody native/double stranded
|
$110.70 |
$110.70 |
$411.60 |
$102.60
|
|
Dna gardnerella
|
$51.30 |
$51.30 |
$99.75 |
$67.68
|
|
Dna probe chlamydia
|
$18.90 |
$18.90 |
$149.28 |
$82.20
|
|
Dna probe gc
|
$20.97 |
$20.97 |
$471.28 |
$88.67
|
|
Dna trichomonas
|
$34.83 |
$34.83 |
$67.73 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$36.45 |
$36.45 |
$70.88 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$131.40 |
$131.40 |
$255.50 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$2.61 |
$2.61 |
$108.85 |
$84.30
|
|
Doppler echo complete
|
$724.41 |
$724.41 |
$1,408.58 |
$608.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$614.34 |
$614.34 |
$1,194.55 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$220.86 |
$319.50 |
$439.95 |
$482.03
|
|
Dornhoffer fixed part w/window
|
$74,960.82 |
$112,151.25 |
$145,757.15 |
$28,091.95
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$489.69 |
$489.69 |
$489.69 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$24.66 |
$24.66 |
$134.55 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$479.43 |
$491.40 |
$932.23 |
$2,417.38
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,401.29 |
$2,401.29 |
$4,669.18 |
$2,614.66
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$233.91 |
$233.91 |
$267.40 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$233.91 |
$233.91 |
$267.40 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$429.12 |
$429.12 |
$429.12 |
$554.40
|
|
Dronabinol 2.5mg oral
|
$1.53 |
$1.53 |
$2.98 |
$10.17
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$16.65 |
$112.05 |
$112.05 |
$468.29
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$16,750.80 |
$16,750.80 |
$16,750.80 |
$448.16
|
|
Drug admin & hemodynmic meas
|
$1,106.64 |
$1,106.64 |
$5,503.93 |
$528.50
|
|
Drug assay caffeine
|
$173.25 |
$173.25 |
$336.88 |
$81.61
|
|
Drug assay posaconazole
|
$96.39 |
$96.39 |
$187.43 |
$96.39
|
|
Drug assay rufinamide
|
$124.02 |
$137.88 |
$265.65 |
$93.60
|
|
Drug assay voriconazole
|
$63.45 |
$63.45 |
$123.38 |
$96.75
|