|
Debridement/bone/ea add 20 sq cm 11047
|
$88.14 |
$88.14 |
$88.14 |
$1,407.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,375.14 |
$1,375.14 |
$1,375.14 |
$810.50
|
|
Debride nail1-5 11720
|
$127.92 |
$127.92 |
$127.92 |
$173.25
|
|
Debride nail6 or more 11721
|
$134.16 |
$134.16 |
$134.16 |
$200.21
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,265.16 |
$1,265.16 |
$1,265.16 |
$1,288.00
|
|
Debride skin bone at fx site
|
$2,902.38 |
$2,902.38 |
$2,902.38 |
$3,035.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$632.58 |
$632.58 |
$632.58 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,049.10 |
$1,049.10 |
$1,049.10 |
$1,160.00
|
|
Debr inf skin add-on 11001
|
$176.28 |
$176.28 |
$176.28 |
$78.00
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,719.90 |
$1,719.90 |
$1,719.90 |
$1,193.40
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,226.16 |
$1,226.16 |
$1,226.16 |
$510.95
|
|
Decomp forearm 1 space 25020
|
$2,985.84 |
$2,985.84 |
$2,985.84 |
$3,137.60
|
|
Decompress fasciotomyhand 26037
|
$6,675.24 |
$6,675.24 |
$6,675.24 |
$2,788.80
|
|
Decompression of lower leg
|
$5,804.76 |
$5,804.76 |
$5,804.76 |
$3,591.33
|
|
Decompression of thigh/knee
|
$5,804.76 |
$5,804.76 |
$5,804.76 |
$3,591.33
|
|
Deferoxamine 500 mg solution for injection
|
$204.85 |
$204.85 |
$204.85 |
$112.87
|
|
Delivery of placenta 59414
|
$5,513.82 |
$5,513.82 |
$5,513.82 |
$3,135.14
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$373.62 |
$373.62 |
$373.62 |
$180.00
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$791.70 |
$791.70 |
$791.70 |
$460.50
|
|
Derma-fat-fascia graft 15770
|
$7,295.34 |
$7,295.34 |
$7,295.34 |
$3,703.68
|
|
Desoxycorticosterone
|
$39.00 |
$39.00 |
$39.00 |
$114.02
|
|
Destroy premlg lesns;1st lesn 17000
|
$403.26 |
$403.26 |
$403.26 |
$199.50
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,328.34 |
$1,328.34 |
$1,328.34 |
$666.75
|
|
Destruction 2-14 lesions 17003
|
$202.80 |
$202.80 |
$202.80 |
$78.61
|
|
Destruction anal lesion(s) smpl chem 46900
|
$727.74 |
$727.74 |
$727.74 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$351.78 |
$351.78 |
$351.78 |
$233.20
|
|
Destruction vag lesions simple 57061
|
$6,200.22 |
$6,200.22 |
$6,200.22 |
$3,504.00
|
|
Device intraute mirena
|
$6,235.51 |
$6,235.51 |
$6,235.51 |
$2,289.60
|
|
Dexamethasone 4 mg tablet
|
$24.96 |
$24.96 |
$24.96 |
$5.17
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$50.70 |
$50.70 |
$50.70 |
$23.27
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$214.50 |
$214.50 |
$214.50 |
$43.65
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$214.50 |
$214.50 |
$214.50 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$214.50 |
$214.50 |
$214.50 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$234.78 |
$234.78 |
$234.78 |
$108.00
|
|
Diabetes (HbA1c) Test
|
$125.58 |
$125.58 |
$125.58 |
$79.30
|
|
Diagnostic anoscopy
|
$708.24 |
$708.24 |
$708.24 |
$469.93
|
|
Diagnostic anoscopy spx 46600
|
$538.20 |
$538.20 |
$538.20 |
$245.35
|
|
Diagnostic laryngoscopy 31505
|
$645.06 |
$645.06 |
$645.06 |
$239.30
|
|
Diagnostic laryngoscopy 31575
|
$645.06 |
$645.06 |
$645.06 |
$403.24
|
|
Diagnostic Mammogram (both breasts)
|
$808.86 |
$808.86 |
$808.86 |
$421.20
|
|
Diagnostic Mammogram (one breast)
|
$735.54 |
$735.54 |
$735.54 |
$289.85
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$72.34 |
$72.34 |
$72.34 |
$67.89
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$50.70 |
$50.70 |
$50.70 |
$53.00
|
|
Digoxin total therapeutic drug level
|
$151.32 |
$151.32 |
$151.32 |
$99.35
|
|
Dilate urethra stricture
|
$418.86 |
$418.86 |
$418.86 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$283.92 |
$283.92 |
$283.92 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$1,219.14 |
$1,219.14 |
$1,219.14 |
$1,995.50
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$3.92 |
$3.92 |
$3.92 |
$1.62
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$50.70 |
$50.70 |
$50.70 |
$22.58
|
|
Disaccharidases
|
$600.60 |
$600.60 |
$600.60 |
$231.67
|
|
Dissolve clot heart vessel
|
$429.78 |
$429.78 |
$429.78 |
$1,274.40
|
|
Dna antibody native/double stranded
|
$212.16 |
$212.16 |
$212.16 |
$103.20
|
|
Dna gardnerella
|
$28.08 |
$28.08 |
$28.08 |
$68.25
|
|
Dna trichomonas
|
$28.08 |
$28.08 |
$28.08 |
$71.50
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$175.70 |
$175.70 |
$175.70 |
$98.43
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$107.64 |
$107.64 |
$107.64 |
$64.77
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$301.86 |
$301.86 |
$301.86 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$766.74 |
$766.74 |
$766.74 |
$495.30
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$138.14 |
$138.14 |
$138.14 |
$89.34
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$791.70 |
$791.70 |
$791.70 |
$813.63
|
|
Drainage ext aud canal abscess 69020
|
$791.70 |
$791.70 |
$791.70 |
$865.60
|
|
Drainage external ear complex 69005
|
$2,924.22 |
$2,924.22 |
$2,924.22 |
$3,016.11
|
|
Drainage external ear simple 69000
|
$791.70 |
$791.70 |
$791.70 |
$800.00
|
|
Drainage lymph node lesion 38300
|
$5,037.24 |
$5,037.24 |
$5,037.24 |
$1,859.43
|
|
Drainage mouth roof lesion
|
$405.60 |
$405.60 |
$405.60 |
$528.80
|
|
Drainage of arm bursa 23931
|
$5,387.46 |
$5,387.46 |
$5,387.46 |
$2,419.30
|
|
Drainage of eye
|
$4,843.02 |
$4,843.02 |
$4,843.02 |
$2,017.15
|
|
Drainage of mouth lesion
|
$412.62 |
$412.62 |
$412.62 |
$535.20
|
|
Drainage of mouth lesion
|
$2,706.60 |
$2,706.60 |
$2,706.60 |
$2,320.03
|
|
Drainage of mouth lesion
|
$4,196.40 |
$4,196.40 |
$4,196.40 |
$3,819.23
|
|
Drainage of mouth lesion
|
$890.76 |
$890.76 |
$890.76 |
$741.60
|
|
Drainage of mouth lesion
|
$5,548.14 |
$5,548.14 |
$5,548.14 |
$3,589.62
|
|
Drainage of nose lesion int 30000
|
$405.60 |
$405.60 |
$405.60 |
$615.20
|
|
Drainage of nose lesion sept 30020
|
$890.76 |
$890.76 |
$890.76 |
$755.95
|
|
Drainage of pelvis lesion 26990
|
$5,804.76 |
$5,804.76 |
$5,804.76 |
$3,594.44
|
|
Drainage of rectal abscess
|
$2,111.46 |
$2,111.46 |
$2,111.46 |
$2,299.90
|
|
Drainage of salivary gland
|
$5,548.14 |
$5,548.14 |
$5,548.14 |
$3,710.62
|
|
Drainage of salivary gland
|
$890.76 |
$890.76 |
$890.76 |
$629.60
|
|
Drainage of urethra abscess 53060
|
$3,616.86 |
$3,616.86 |
$3,616.86 |
$2,412.45
|
|
Drain bladder by trocar/cath
|
$1,822.08 |
$1,822.08 |
$1,822.08 |
$1,078.00
|
|
Drain blood from under nail 11740
|
$170.04 |
$170.04 |
$170.04 |
$190.10
|
|
Drain cerebro spinal fluid 62272
|
$1,256.58 |
$1,256.58 |
$1,256.58 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$733.20 |
$733.20 |
$733.20 |
$492.81
|
|
Drain lower leg bursa
|
$6,675.24 |
$6,675.24 |
$6,675.24 |
$3,705.22
|
|
Drain lower leg lesion 27603
|
$5,037.24 |
$5,037.24 |
$5,037.24 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$5,037.24 |
$5,037.24 |
$5,037.24 |
$3,220.39
|
|
Drain penis lesion
|
$2,924.22 |
$2,924.22 |
$2,924.22 |
$1,794.93
|
|
Drain shoulder lesion
|
$5,037.24 |
$5,037.24 |
$5,037.24 |
$3,285.96
|
|
Drain thigh/knee lesion 27301
|
$5,037.24 |
$5,037.24 |
$5,037.24 |
$3,606.86
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$780.78 |
$780.78 |
$780.78 |
$403.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$709.80 |
$709.80 |
$709.80 |
$359.45
|
|
Dress/debrid prtl-thick burn l 16030
|
$858.78 |
$858.78 |
$858.78 |
$523.00
|
|
Dressing change not for burn w/anes 15852
|
$1,132.56 |
$1,132.56 |
$1,132.56 |
$720.88
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$1,445.34 |
$1,445.34 |
$1,445.34 |
$1,689.93
|
|
Drill hole implt ventricular cath/device 61107
|
$1,445.34 |
$1,445.34 |
$1,445.34 |
$1,723.80
|
|
Drng hand tendon sheath 26020
|
$5,804.76 |
$5,804.76 |
$5,804.76 |
$3,743.15
|
|
Drng of eyelid abscess 67700
|
$907.92 |
$907.92 |
$907.92 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$2,329.86 |
$2,329.86 |
$2,329.86 |
$1,894.80
|
|
Drng of mouth lesion 40801
|
$890.76 |
$890.76 |
$890.76 |
$1,350.97
|
|
Drng of pelvic abscess transrectal 45000
|
$2,111.46 |
$2,111.46 |
$2,111.46 |
$1,614.45
|
