|
Dalteparin sodium
|
$124.09 |
$124.09 |
$124.09 |
$124.09
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,150.92 |
$1,150.92 |
$1,150.92 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$27,169.47 |
$27,169.47 |
$27,169.47 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$3,903.74 |
$3,903.74 |
$3,903.74 |
$5,546.48
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$26,349.55 |
$26,349.55 |
$26,349.55 |
$26,349.55
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$419.11 |
$419.11 |
$419.11 |
$260.95
|
|
Dch validity tests
|
$13.65 |
$13.65 |
$13.65 |
$25.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$518.00 |
$518.00 |
$518.00 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$286.65 |
$286.65 |
$286.65 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,955.05 |
$2,955.05 |
$2,955.05 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$688.80 |
$688.80 |
$688.80 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,220.45 |
$1,220.45 |
$1,220.45 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$778.05 |
$778.05 |
$778.05 |
$810.50
|
|
Debride nail1-5 11720
|
$37.80 |
$37.80 |
$37.80 |
$173.25
|
|
Debride nail6 or more 11721
|
$58.10 |
$58.10 |
$58.10 |
$195.20
|
|
Debride skin bone at fx site
|
$2,342.90 |
$2,342.90 |
$2,342.90 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$336.00 |
$336.00 |
$336.00 |
$663.30
|
|
Debr inf skin add-on 11001
|
$64.40 |
$64.40 |
$64.40 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,977.15 |
$1,977.15 |
$1,977.15 |
$1,193.40
|
|
Decalcification
|
$127.05 |
$127.05 |
$127.05 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$2,903.28 |
$2,903.28 |
$2,903.28 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$274.40 |
$274.40 |
$274.40 |
$545.90
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$1,780.10 |
$1,780.10 |
$1,780.10 |
$4,963.98
|
|
Deferoxamine 500 mg solution for injection
|
$241.97 |
$241.97 |
$241.97 |
$110.82
|
|
Degarelix 120 mg subcutaneous solution
|
$1,354.83 |
$1,354.83 |
$1,354.83 |
$2,086.82
|
|
Delivery of placenta 59414
|
$1,294.65 |
$1,294.65 |
$1,294.65 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$54.95 |
$54.95 |
$54.95 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$172.55 |
$172.55 |
$172.55 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$7,933.81 |
$7,933.81 |
$7,933.81 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$90.65 |
$90.65 |
$90.65 |
$460.50
|
|
Descend thora aorta rpr/lt sub art 33880
|
$6,288.45 |
$6,288.45 |
$6,288.45 |
$5,702.04
|
|
Design mlc device for imrt
|
$7,167.30 |
$7,167.30 |
$7,167.30 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$820.41 |
$820.41 |
$820.41 |
$102.32
|
|
Des thora aorta/ea add prox prosth 33884
|
$87.85 |
$87.85 |
$87.85 |
$1,285.78
|
|
Des thora aorta rpr without left sub art 33881
|
$6,783.35 |
$6,783.35 |
$6,783.35 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$383.25 |
$383.25 |
$383.25 |
$2,498.88
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,344.85
|
|
Destruction anal lesion(s)
|
$1,563.45 |
$1,563.45 |
$1,563.45 |
$2,772.60
|
|
Destruction anal lesion(s)
|
$2,327.85 |
$2,327.85 |
$2,327.85 |
$3,245.23
|
|
Device ablt adv novasure
|
$8,530.41 |
$8,530.41 |
$8,530.41 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$4,265.58 |
$4,265.58 |
$4,265.58 |
$4,298.87
|
|
Device intraute mirena
|
$2,900.62 |
$2,900.62 |
$2,900.62 |
$2,618.91
|
|
Device sut capio slim opn
|
$2,028.09 |
$2,028.09 |
$2,028.09 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$2,229.99 |
$2,229.99 |
$2,229.99 |
$2,440.98
|
|
Dexametha opth insert 0.1 mg
|
$888.47 |
$888.47 |
$888.47 |
$354.00
|
|
Dexamethasone 4 mg tablet
|
$14.82 |
$14.82 |
$14.82 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$32.21 |
$32.21 |
$32.21 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$221.36 |
$221.36 |
$221.36 |
$560.92
|
|
Dextran 40 infusion
|
$49.56 |
$49.56 |
$49.56 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$9.19 |
$9.19 |
$9.19 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$10.11 |
$10.11 |
$10.11 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$22.03 |
$22.03 |
$22.03 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$10.75 |
$10.75 |
$10.75 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$39.20 |
$39.20 |
$39.20 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$74.90 |
$74.90 |
$74.90 |
$78.03
|
|
Diabetes training group per 30 min g0109
|
$9.47 |
$9.47 |
$9.47 |
$34.50
|
|
Diab manage trn ind/group
|
$21.00 |
$21.00 |
$21.00 |
$49.50
|
|
Diagnostic anoscopy spx 46600
|
$114.45 |
$114.45 |
$114.45 |
$245.35
|
|
Diagnostic laryngoscopy 31505
|
$113.05 |
$113.05 |
$113.05 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$123.20 |
$123.20 |
$123.20 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$680.75 |
$680.75 |
$680.75 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$449.40 |
$449.40 |
$449.40 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$92.75 |
$92.75 |
$92.75 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,442.25 |
$3,442.25 |
$3,442.25 |
$7,145.00
|
|
Dialysis one evaluation
|
$776.30 |
$776.30 |
$776.30 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$46.09 |
$46.09 |
$46.09 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$65.78 |
$65.78 |
$65.78 |
$72.34
|
|
Dicyclomine injection
|
$75.79 |
$75.79 |
$75.79 |
$211.81
|
|
Diffusing capacity
|
$556.15 |
$556.15 |
$556.15 |
$360.10
|
|
Digital analysis of eeg
|
$713.30 |
$713.30 |
$713.30 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$124.49 |
$124.49 |
$124.49 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$10,731.50 |
$10,731.50 |
$10,731.50 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$166.95 |
$166.95 |
$166.95 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$812.39 |
$812.39 |
$812.39 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$3,228.40 |
$3,228.40 |
$3,228.40 |
$2,304.60
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$3,026.10 |
$3,026.10 |
$3,026.10 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$3,026.10 |
$3,026.10 |
$3,026.10 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$4,034.80 |
$4,034.80 |
$4,034.80 |
$6,280.95
|
|
Dilation of cervical canal 57800
|
$2,068.15 |
$2,068.15 |
$2,068.15 |
$4,096.04
|
|
Dilator fascial 10fx20cm
|
$382.20 |
$382.20 |
$382.20 |
$305.68
|
|
Dilat xst trc ndurlgc px
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$5,020.00
|
|
Dimethyl sulfoxide 50% 50 ml
|
$956.10 |
$956.10 |
$956.10 |
$1,155.52
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.70 |
$0.70 |
$0.70 |
$2.10
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$20.55 |
$20.55 |
$20.55 |
$26.87
|
|
Dissolve clot heart vessel
|
$14.35 |
$14.35 |
$14.35 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$663.25 |
$663.25 |
$663.25 |
$2,001.55
|
|
Dna antibody native/double stranded
|
$166.60 |
$166.60 |
$166.60 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$71.44 |
$71.44 |
$71.44 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$526.94 |
$526.94 |
$526.94 |
$712.02
|
|
Dolasetron mesylate
|
$76.59 |
$76.59 |
$76.59 |
$76.59
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$49.33 |
$49.33 |
$49.33 |
$84.30
|
|
Doppler echo complete
|
$687.05 |
$687.05 |
$687.05 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$1,577.80 |
$1,577.80 |
$1,577.80 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,284.50 |
$1,284.50 |
$1,284.50 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$885.85 |
$885.85 |
$885.85 |
$482.03
|
|
Doripenem 50 mg/ml inj 10 ml
|
$73.80 |
$73.80 |
$73.80 |
$70.91
|
|
Dornhoffer fixed part w/window
|
$147,735.00 |
$147,735.00 |
$147,735.00 |
$28,091.95
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$29,270.33 |
$29,270.33 |
$29,270.33 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$751.77 |
$751.77 |
$751.77 |
$299.52
|