|
Dch glucoscan
|
$13.86 |
$13.86 |
$13.86 |
$28.10
|
|
Dch pulmonary stress test
|
$1,145.10 |
$1,145.10 |
$1,190.00 |
$963.30
|
|
Dch validity tests
|
$15.00 |
$15.00 |
$15.00 |
$24.50
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$3,500.00 |
$3,500.00 |
$7,118.76 |
$4,952.36
|
|
Deamidated gliadin antibody iga
|
$28.38 |
$28.38 |
$85.00 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$237.50 |
$237.50 |
$237.50 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$180.84 |
$180.84 |
$227.50 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$2,175.36 |
$2,175.36 |
$2,175.36 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$721.38 |
$721.38 |
$721.38 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,373.46 |
$1,373.46 |
$1,373.46 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$533.28 |
$533.28 |
$533.28 |
$810.50
|
|
Debride nail1-5 11720
|
$67.50 |
$67.50 |
$89.10 |
$148.80
|
|
Debride nail6 or more 11721
|
$90.00 |
$90.00 |
$90.00 |
$169.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$114.84 |
$114.84 |
$114.84 |
$639.60
|
|
Debr musc/fascia 20sq cm/< 11043
|
$988.02 |
$988.02 |
$988.02 |
$1,160.00
|
|
Decalcification
|
$75.00 |
$79.86 |
$79.86 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$23.39 |
$23.39 |
$23.39 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$272.50 |
$583.44 |
$583.44 |
$543.00
|
|
Degarelix 120 mg subcutaneous solution
|
$6.14 |
$6.14 |
$6.14 |
$1,807.08
|
|
Delivery of placenta 59414
|
$635.00 |
$3,672.24 |
$3,672.24 |
$3,070.56
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$748.44 |
$748.44 |
$3,975.00 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$70.00 |
$70.00 |
$234.96 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$60.65 |
$60.65 |
$67.31 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$384.78 |
$384.78 |
$384.78 |
$408.10
|
|
Dermagraft
|
$64.68 |
$64.68 |
$85.00 |
$85.00
|
|
Descend thora aorta rpr/lt sub art 33880
|
$17,216.76 |
$17,216.76 |
$17,216.76 |
$6,687.93
|
|
Design mlc device for imrt
|
$1,785.00 |
$2,045.34 |
$2,045.34 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$98.82 |
$98.82 |
$185.10 |
$89.78
|
|
Desoxycorticosterone
|
$184.14 |
$184.14 |
$184.14 |
$109.28
|
|
Des thora aorta/ea add prox prosth 33884
|
$2,769.36 |
$2,769.36 |
$2,769.36 |
$1,285.78
|
|
Des thora aorta rpr without left sub art 33881
|
$3,960.00 |
$17,216.76 |
$17,216.76 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$2,469.72 |
$2,469.72 |
$2,469.72 |
$2,727.20
|
|
Destruction benign lesions < 14 lesions
|
$229.68 |
$229.68 |
$229.68 |
$235.13
|
|
Developmental screen/score/document 96110
|
$87.50 |
$87.50 |
$87.50 |
$130.65
|
|
Devel tst phys/qhp 1st hr
|
$234.30 |
$234.30 |
$234.30 |
$337.50
|
|
Device ablt adv novasure
|
$3,335.64 |
$3,335.64 |
$4,021.92 |
$6,097.50
|
|
Device intraute mirena
|
$2,190.05 |
$2,190.05 |
$2,190.05 |
$2,125.00
|
|
Device tiss remov myosure reach
|
$858.73 |
$858.73 |
$858.73 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$270.00 |
$270.00 |
$544.50 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$1.76 |
$1.76 |
$2.64 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$4.05 |
$8.09 |
$8.09 |
$21.17
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$858.00 |
$858.00 |
$858.00 |
$858.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$69.96 |
$69.96 |
$69.96 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$57.65 |
$69.96 |
$69.96 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$64.03 |
$69.96 |
$69.96 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$134.64 |
$134.64 |
$137.50 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$62.70 |
$62.70 |
$82.50 |
$79.20
|
|
Diab manage trn ind/group
|
$45.00 |
$45.00 |
$45.00 |
$56.55
|
|
Diagnostic anoscopy spx 46600
|
$160.00 |
$160.38 |
$160.38 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$344.52 |
$344.52 |
$344.52 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$224.40 |
$224.40 |
$224.40 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$369.60 |
$369.60 |
$475.00 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$310.20 |
$310.20 |
$412.50 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$212.52 |
$258.72 |
$590.00 |
$214.08
|
|
Dialysis circuit perm vascular embolization 36909
|
$4,535.00 |
$6,662.04 |
$6,662.04 |
$5,419.00
|
|
Dialysis one evaluation
|
$489.72 |
$489.72 |
$845.00 |
$919.55
|
|
Diathermy eg microwave
|
$47.50 |
$47.50 |
$47.50 |
$29.68
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.32 |
$0.32 |
$0.32 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$59.95 |
$59.95 |
$59.96 |
$74.76
|
|
Dicyclomine injection
|
$197.90 |
$197.90 |
$409.46 |
$153.29
|
|
Diffusing capacity
|
$285.00 |
$286.44 |
$286.44 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$32.34 |
$32.34 |
$670.86 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$12,409.16 |
$12,409.16 |
$12,409.16 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$77.50 |
$114.18 |
$114.18 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$491.40 |
$491.40 |
$491.40 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$2,312.64 |
$2,312.64 |
$4,815.00 |
$1,866.73
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$2,444.64 |
$2,444.64 |
$2,444.64 |
$3,033.08
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,640.76 |
$1,640.76 |
$1,640.76 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$1,640.76 |
$1,640.76 |
$1,895.00 |
$5,250.40
|
|
Dilate urethra stricture
|
$492.36 |
$492.36 |
$492.36 |
$490.00
|
|
Dilator fascial 10fx20cm
|
$147.84 |
$147.84 |
$147.84 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$2,075.00 |
$8,539.08 |
$8,539.08 |
$4,061.71
|
|
Dilat xst trc new access rcs
|
$3,110.00 |
$8,714.64 |
$8,714.64 |
$4,213.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$0.65 |
$0.65 |
$0.65 |
$47.94
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$18.34 |
$32.34 |
$32.34 |
$17.75
|
|
Disability dlco
|
$240.00 |
$276.54 |
$276.54 |
$282.40
|
|
Disaccharidases
|
$207.24 |
$207.24 |
$357.50 |
$216.00
|
|
Discography cerv/thor spine
|
$1,911.36 |
$1,911.36 |
$1,940.00 |
$2,565.00
|
|
Dlyd plmt xtn prosth ea addl
|
$730.00 |
$2,469.72 |
$2,469.72 |
$1,582.68
|
|
Dmd dup/delet analysis
|
$368.28 |
$368.28 |
$368.28 |
$404.03
|
|
Dmpk gene detc abnor allele
|
$368.94 |
$368.94 |
$368.94 |
$313.60
|
|
Dna antibody native/double stranded
|
$89.10 |
$89.10 |
$100.00 |
$97.50
|
|
Dna gardnerella
|
$62.50 |
$138.60 |
$138.60 |
$62.50
|
|
Dna trichomonas
|
$62.50 |
$138.60 |
$138.60 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$127.97 |
$127.97 |
$129.99 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$2.45 |
$2.45 |
$3.70 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$9.75 |
$9.75 |
$9.75 |
$65.40
|
|
Doppler echo complete
|
$456.06 |
$456.06 |
$540.00 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$1,496.88 |
$1,496.88 |
$1,496.88 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$540.00 |
$582.12 |
$582.12 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$362.50 |
$410.52 |
$410.52 |
$471.17
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$452.98 |
$452.98 |
$516.76 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$158.16 |
$158.16 |
$158.16 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,497.74 |
$1,497.74 |
$1,497.74 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$1.23 |
$1.23 |
$1.23 |
$84.80
|
|
Dpyd gene common variants
|
$175.00 |
$822.36 |
$822.36 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,663.86 |
$1,663.86 |
$1,663.86 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,325.28 |
$1,325.28 |
$1,325.28 |
$914.34
|
|
Drainage external ear complex 69005
|
$1,871.10 |
$1,871.10 |
$1,871.10 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$812.46 |
$812.46 |
$812.46 |
$789.60
|
