|
Cytopath smear other source
|
$33.20 |
$33.20 |
$33.20 |
$91.20
|
|
Dacarbazine 100 mg intravenous solution
|
$17.52 |
$17.52 |
$17.52 |
$62.70
|
|
Dalbavancin 500 mg intravenous solution
|
$32.67 |
$32.67 |
$32.67 |
$3,480.87
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.44 |
$0.44 |
$0.44 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$107.63 |
$107.63 |
$107.63 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$32.54 |
$32.54 |
$32.54 |
$6,273.69
|
|
Darbepoetin alfa, esrd use
|
$14.26 |
$14.26 |
$14.26 |
$6.28
|
|
D&c after delivery 59160
|
$2,656.80 |
$2,656.80 |
$2,656.80 |
$3,827.25
|
|
Dch glucoscan
|
$2.80 |
$2.80 |
$2.80 |
$29.16
|
|
Dch pulmonary stress test
|
$335.60 |
$335.60 |
$335.60 |
$963.30
|
|
Dch validity tests
|
$27.20 |
$27.20 |
$27.20 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$18.40 |
$18.40 |
$18.40 |
$42.75
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$665.60 |
$665.60 |
$665.60 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$156.80 |
$156.80 |
$156.80 |
$278.50
|
|
Debridement bone <= 20 sq cm
|
$3,213.60 |
$3,213.60 |
$3,213.60 |
$2,293.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$652.80 |
$652.80 |
$652.80 |
$687.35
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,210.80 |
$1,210.80 |
$1,210.80 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$733.60 |
$733.60 |
$733.60 |
$820.15
|
|
Debride nail1-5 11720
|
$104.40 |
$104.40 |
$104.40 |
$149.04
|
|
Debride nail6 or more 11721
|
$107.60 |
$107.60 |
$107.60 |
$167.63
|
|
Debride skin bone at fx site
|
$3,010.80 |
$3,010.80 |
$3,010.80 |
$2,921.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$418.40 |
$418.40 |
$418.40 |
$641.52
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$982.00 |
$982.00 |
$982.00 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,863.60 |
$1,863.60 |
$1,863.60 |
$1,160.00
|
|
Decalcification
|
$29.60 |
$29.60 |
$29.60 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$394.80 |
$394.80 |
$394.80 |
$546.84
|
|
Degarelix 120 mg subcutaneous solution
|
$22.64 |
$22.64 |
$22.64 |
$1,855.50
|
|
Delivery of placenta 59414
|
$3,332.40 |
$3,332.40 |
$3,332.40 |
$2,822.68
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$238.40 |
$238.40 |
$238.40 |
$182.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$52.98 |
$52.98 |
$52.98 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$142.40 |
$142.40 |
$142.40 |
$399.93
|
|
Depo-estradiol cypionate inj
|
$103.50 |
$103.50 |
$103.50 |
$87.27
|
|
Design mlc device for imrt
|
$1,223.20 |
$1,223.20 |
$1,223.20 |
$1,739.10
|
|
Desmopressin 4 mcg/ml injection solution
|
$36.98 |
$36.98 |
$36.98 |
$93.84
|
|
Dest mal lesion tal <0.5 17260
|
$380.40 |
$380.40 |
$380.40 |
$238.40
|
|
Destroy cervthor facet jnt 64633
|
$2,238.80 |
$2,238.80 |
$2,238.80 |
$3,018.00
|
|
Destroy cth facet jnt addl 64634
|
$586.80 |
$586.80 |
$586.80 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$212.00 |
$212.00 |
$212.00 |
$202.40
|
|
Destruction 2-14 lesions 17003
|
$127.20 |
$127.20 |
$127.20 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$228.00 |
$228.00 |
$228.00 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,086.80 |
$1,086.80 |
$1,086.80 |
$1,618.65
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,173.60 |
$2,173.60 |
$2,173.60 |
$3,295.50
|
|
Destruction premal lesions 15/> 17004
|
$377.20 |
$377.20 |
$377.20 |
$442.61
|
|
Devel tst phys/qhp 1st hr
|
$442.40 |
$442.40 |
$442.40 |
$350.40
|
|
Device ablt adv novasure
|
$6,048.00 |
$6,048.00 |
$6,048.00 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$4,200.00
|
|
Device intraute mirena
|
$2,054.04 |
$2,054.04 |
$2,054.04 |
$2,125.00
|
|
Device sut capio slim opn
|
$756.40 |
$756.40 |
$756.40 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$928.00 |
$928.00 |
$928.00 |
$2,466.14
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$221.20 |
$221.20 |
$221.20 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$117.60 |
$117.60 |
$117.60 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$1.96 |
$1.96 |
$1.96 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$30.20 |
$30.20 |
$30.20 |
$21.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$1,970.14 |
$1,970.14 |
$1,970.14 |
$36.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$20.00 |
$20.00 |
$20.00 |
$42.50
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$20.00 |
$20.00 |
$20.00 |
$46.12
|
|
Dextrose 5 % IV bolus
|
$20.00 |
$20.00 |
$20.00 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$35.60 |
$35.60 |
$35.60 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$57.20 |
$57.20 |
$57.20 |
$79.20
|
|
Diab manage trn ind/group
|
$16.00 |
$16.00 |
$16.00 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$142.40 |
$142.40 |
$142.40 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$56.80 |
$56.80 |
$56.80 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$34.00 |
$34.00 |
$34.00 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$208.80 |
$208.80 |
$208.80 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$228.40 |
$228.40 |
$228.40 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$277.20 |
$277.20 |
$277.20 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$186.00 |
$186.00 |
$186.00 |
$312.72
|
|
Dialysis circuit perm vascular embolization 36909
|
$2,101.20 |
$2,101.20 |
$2,101.20 |
$5,663.50
|
|
Dialysis one evaluation
|
$520.80 |
$520.80 |
$520.80 |
$936.00
|
|
Dialysis repeated eval
|
$802.00 |
$802.00 |
$802.00 |
$1,332.80
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.06 |
$0.06 |
$0.06 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$39.86 |
$39.86 |
$39.86 |
$77.25
|
|
Dicyclomine injection
|
$86.42 |
$86.42 |
$86.42 |
$150.91
|
|
Diffusing capacity
|
$184.80 |
$184.80 |
$184.80 |
$335.20
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$7.50 |
$7.50 |
$7.50 |
$65.84
|
|
Digoxin total therapeutic drug level
|
$37.20 |
$37.20 |
$37.20 |
$102.07
|
|
Dilate biliary duct/ampulla
|
$2,780.80 |
$2,780.80 |
$2,780.80 |
$1,729.70
|
|
Dilate urethra stricture
|
$316.40 |
$316.40 |
$316.40 |
$496.00
|
|
Dilator fascial 10fx20cm
|
$370.00 |
$370.00 |
$370.00 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$3.05 |
$3.05 |
$3.05 |
$46.56
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$34.06 |
$34.06 |
$34.06 |
$18.35
|
|
Disability dlco
|
$238.40 |
$238.40 |
$238.40 |
$292.03
|
|
Disaccharidases
|
$33.60 |
$33.60 |
$33.60 |
$224.31
|
|
Discography cerv/thor spine
|
$3,660.40 |
$3,660.40 |
$3,660.40 |
$2,481.50
|
|
Disconnect insert locking wr
|
$48.80 |
$48.80 |
$48.80 |
$75.60
|
|
Disconnect locking wrist uni
|
$133.20 |
$133.20 |
$133.20 |
$207.20
|
|
Dise eval slp do brth flx dx
|
$1,906.40 |
$1,906.40 |
$1,906.40 |
$1,120.00
|
|
Dna antibody native/double stranded
|
$30.00 |
$30.00 |
$30.00 |
$100.00
|
|
Dna gardnerella
|
$43.60 |
$43.60 |
$43.60 |
$61.80
|
|
Dna trichomonas
|
$43.60 |
$43.60 |
$43.60 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$52.20 |
$52.20 |
$52.20 |
$98.29
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$6.96 |
$6.96 |
$6.96 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$10.16 |
$10.16 |
$10.16 |
$67.28
|
|
Doppler echo complete
|
$371.60 |
$371.60 |
$371.60 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$320.40 |
$320.40 |
$320.40 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$376.00 |
$376.00 |
$376.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$244.40 |
$244.40 |
$244.40 |
$473.76
|
|
Dornase alfa non-comp unit
|
$44.02 |
$44.02 |
$44.02 |
$386.42
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$456.29 |
$456.29 |
$456.29 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$21.40 |
$21.40 |
$21.40 |
$450.14
|