|
Dch pulmonary stress test
|
$223.80 |
$223.80 |
$223.80 |
$963.30
|
|
Dch validity tests
|
$12.00 |
$12.00 |
$12.00 |
$24.61
|
|
Deamidated gliadin antibody iga
|
$20.10 |
$20.10 |
$20.10 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$242.70 |
$242.70 |
$242.70 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$152.70 |
$152.70 |
$152.70 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$24,761.29 |
$24,761.29 |
$24,761.29 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$6,160.20 |
$6,160.20 |
$6,160.20 |
$668.37
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$3,077.10 |
$3,077.10 |
$3,077.10 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$21,154.59 |
$21,154.59 |
$21,154.59 |
$810.50
|
|
Debride nail1-5 11720
|
$44.70 |
$44.70 |
$44.70 |
$148.80
|
|
Debride nail6 or more 11721
|
$114.90 |
$114.90 |
$114.90 |
$169.60
|
|
Debride skin bone at fx site
|
$1,076.70 |
$1,076.70 |
$1,076.70 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$104,850.58 |
$104,850.58 |
$104,850.58 |
$639.60
|
|
Debr musc/fascia 20sq cm/< 11043
|
$7,006.80 |
$7,006.80 |
$7,006.80 |
$1,160.00
|
|
Decalcification
|
$39.30 |
$39.30 |
$39.30 |
$67.50
|
|
Decitabine 50 mg intravenous solution
|
$255.95 |
$255.95 |
$255.95 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,421.40 |
$1,421.40 |
$1,421.40 |
$546.84
|
|
Decompression of tibia nerve
|
$40,106.89 |
$40,106.89 |
$40,106.89 |
$2,625.60
|
|
Deferoxamine 500 mg solution for injection
|
$145.24 |
$145.24 |
$145.24 |
$95.85
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$275.40 |
$275.40 |
$275.40 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$8,495.70 |
$8,495.70 |
$8,495.70 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$48.60 |
$48.60 |
$48.60 |
$399.93
|
|
Dermapure 1 square cm
|
$5,311.69 |
$5,311.69 |
$5,311.69 |
$3,822.00
|
|
Design mlc device for imrt
|
$765.00 |
$765.00 |
$765.00 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$199.61 |
$199.61 |
$199.61 |
$85.94
|
|
Destroy internal hemorrhoids destroy 46930
|
$17,103.49 |
$17,103.49 |
$17,103.49 |
$1,395.28
|
|
Destruction benign lesions < 14 lesions
|
$75.30 |
$75.30 |
$75.30 |
$240.24
|
|
Destruction penis lesion(s) exten 54065
|
$32,399.72 |
$32,399.72 |
$32,399.72 |
$2,507.31
|
|
Device ablt adv novasure
|
$12,913.12 |
$12,913.12 |
$12,913.12 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$6,656.25 |
$6,656.25 |
$6,656.25 |
$4,200.00
|
|
Device sut capio slim opn
|
$3,045.90 |
$3,045.90 |
$3,045.90 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$2,466.14 |
$2,466.14 |
$2,466.14 |
$2,466.14
|
|
Dexamethasone 4 mg tablet
|
$220.37 |
$220.37 |
$220.37 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$48.00 |
$48.00 |
$48.00 |
$21.26
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,043.21 |
$1,043.21 |
$1,043.21 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$194.40 |
$194.40 |
$194.40 |
$37.20
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$194.40 |
$194.40 |
$194.40 |
$43.65
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$121.50 |
$121.50 |
$121.50 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$194.40 |
$194.40 |
$194.40 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$225.00 |
$225.00 |
$225.00 |
$111.78
|
|
Diabetes (HbA1c) Test
|
$82.20 |
$82.20 |
$82.20 |
$79.20
|
|
Diag laparo separate proc 49320
|
$16,720.09 |
$16,720.09 |
$16,720.09 |
$6,904.15
|
|
Diagnostic anoscopy spx 46600
|
$48.60 |
$48.60 |
$48.60 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$187.20 |
$187.20 |
$187.20 |
$238.58
|
|
Diagnostic laryngoscopy 31575
|
$74.70 |
$74.70 |
$74.70 |
$327.60
|
|
Diagnostic Mammogram (both breasts)
|
$637.50 |
$637.50 |
$637.50 |
$409.50
|
|
Diagnostic Mammogram (one breast)
|
$543.60 |
$543.60 |
$543.60 |
$310.20
|
|
Dialysis one evaluation
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
$923.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$196.20 |
$196.20 |
$196.20 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$82.81 |
$82.81 |
$82.81 |
$74.17
|
|
Dicyclomine injection
|
$119.26 |
$119.26 |
$119.26 |
$149.15
|
|
Diffusing capacity
|
$682.20 |
$682.20 |
$682.20 |
$332.01
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$1,409.35 |
$1,409.35 |
$1,409.35 |
$65.91
|
|
Digoxin immune fab 40 mg intravenous solution
|
$22,532.22 |
$22,532.22 |
$22,532.22 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$147.60 |
$147.60 |
$147.60 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$516.60 |
$516.60 |
$516.60 |
$297.86
|
|
Dilation/urethral strict/male/ini 53620
|
$260.70 |
$260.70 |
$260.70 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$845.08 |
$845.08 |
$845.08 |
$403.61
|
|
Dilat xst trc new access rcs
|
$43,682.95 |
$43,682.95 |
$43,682.95 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$112.28 |
$112.28 |
$112.28 |
$42.04
|
|
Dimethyl sulfoxide 50% 50 ml
|
$7,180.74 |
$7,180.74 |
$7,180.74 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$18.35
|
|
Dipyridamole injection
|
$117.02 |
$117.02 |
$117.02 |
$48.04
|
|
Disability dlco
|
$682.20 |
$682.20 |
$682.20 |
$294.00
|
|
Dise eval slp do brth flx dx
|
$7,075.15 |
$7,075.15 |
$7,075.15 |
$1,120.00
|
|
Dlyd plmt xtn prosth ea addl
|
$1,562.70 |
$1,562.70 |
$1,562.70 |
$1,748.16
|
|
Dmpk gene detc abnor allele
|
$215.70 |
$215.70 |
$215.70 |
$313.60
|
|
Dna antibody native/double stranded
|
$277.80 |
$277.80 |
$277.80 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$383.76 |
$383.76 |
$383.76 |
$94.53
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,391.39 |
$1,391.39 |
$1,391.39 |
$944.35
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$223.86 |
$223.86 |
$223.86 |
$65.40
|
|
Doppler echo complete
|
$371.10 |
$371.10 |
$371.10 |
$546.42
|
|
Doppler intravascular pressure flow initial vessel
|
$4,113.30 |
$4,113.30 |
$4,113.30 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,905.90 |
$1,905.90 |
$1,905.90 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$861.60 |
$861.60 |
$861.60 |
$479.46
|
|
Dornase alfa non-comp unit
|
$1,316.35 |
$1,316.35 |
$1,316.35 |
$423.32
|
|
Dornhoffer fixed part w/window
|
$68,559.37 |
$68,559.37 |
$68,559.37 |
$34,278.00
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$361.01 |
$361.01 |
$361.01 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,767.29 |
$1,767.29 |
$1,767.29 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$237.74 |
$237.74 |
$237.74 |
$84.80
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$270.60 |
$270.60 |
$270.60 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$270.60 |
$270.60 |
$270.60 |
$906.00
|
|
Drainage external ear complex 69005
|
$625.20 |
$625.20 |
$625.20 |
$2,876.50
|
|
Drainage external ear simple 69000
|
$270.60 |
$270.60 |
$270.60 |
$789.60
|
|
Drainage mouth roof lesion
|
$87.00 |
$87.00 |
$87.00 |
$402.00
|
|
Drainage of arm bursa 23931
|
$625.20 |
$625.20 |
$625.20 |
$2,271.01
|
|
Drainage of kidney lesion
|
$675.90 |
$675.90 |
$675.90 |
$1,537.43
|
|
Drainage of mouth lesion
|
$2,964.30 |
$2,964.30 |
$2,964.30 |
$3,891.00
|
|
Drainage of mouth lesion
|
$481.20 |
$481.20 |
$481.20 |
$962.40
|
|
Drainage of rectal abscess
|
$561.00 |
$561.00 |
$561.00 |
$2,135.10
|
|
Drain blood from under nail 11740
|
$137.10 |
$137.10 |
$137.10 |
$177.10
|
|
Drain cath image guided visceral pq
|
$1,562.40 |
$1,562.40 |
$1,562.40 |
$2,885.30
|
|
Drain finger abscess;simple 26010
|
$216.60 |
$216.60 |
$216.60 |
$435.32
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$75.30 |
$75.30 |
$75.30 |
$397.15
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$143.10 |
$143.10 |
$143.10 |
$351.45
|
|
Dress/debrid prtl-thick burn l 16030
|
$155.70 |
$155.70 |
$155.70 |
$530.40
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$33,031.96 |
$33,031.96 |
$33,031.96 |
$6,438.00
|
|
Drng of eyelid abscess 67700
|
$110.70 |
$110.70 |
$110.70 |
$656.88
|
|
Drng of finger abscess comp 26011
|
$625.20 |
$625.20 |
$625.20 |
$2,048.00
|
|
Drng of scrotum abscess 55100
|
$10,277.07 |
$10,277.07 |
$10,277.07 |
$1,977.60
|