|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,233.38 |
$2,233.38 |
$2,233.38 |
$5,121.00
|
|
Deamidated gliadin antibody iga
|
$11.21 |
$14.46 |
$25.98 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$136.23 |
$163.97 |
$280.77 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$2,153.33 |
$2,153.33 |
$2,510.89 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$411.29 |
$411.29 |
$887.01 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$725.72 |
$725.72 |
$2,410.81 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$577.57 |
$577.57 |
$624.57 |
$835.20
|
|
Debride nail1-5 11720
|
$107.23 |
$107.23 |
$119.19 |
$149.60
|
|
Debride nail6 or more 11721
|
$144.52 |
$144.52 |
$166.17 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,541.05 |
$1,541.05 |
$1,541.05 |
$1,163.24
|
|
Debride skin bone at fx site
|
$940.69 |
$940.69 |
$940.69 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$248.64 |
$248.64 |
$786.92 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$498.32 |
$498.32 |
$498.32 |
$1,149.50
|
|
Debr musc/fascia 20sq cm/< 11043
|
$974.49 |
$974.49 |
$1,467.49 |
$1,165.50
|
|
Decalcification
|
$10.62 |
$11.95 |
$62.27 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$2,980.75 |
$2,980.75 |
$2,980.75 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$203.56 |
$244.58 |
$5,126.44 |
$572.95
|
|
Decompression of leg
|
$3,932.14 |
$3,932.14 |
$3,932.14 |
$6,588.00
|
|
Decompression of lower leg
|
$3,173.27 |
$3,173.27 |
$3,173.27 |
$3,969.00
|
|
Deep muscle biopsy 20205
|
$2,143.48 |
$2,143.48 |
$3,625.95 |
$3,386.84
|
|
Deferoxamine 500 mg solution for injection
|
$57.30 |
$57.30 |
$57.30 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,397.74 |
$1,397.74 |
$1,397.74 |
$1,856.85
|
|
Delay flap arms/legs
|
$2,493.13 |
$2,493.13 |
$2,493.13 |
$4,054.55
|
|
Delay flap fccnaxghf 15620
|
$2,559.44 |
$2,559.44 |
$2,559.44 |
$2,837.09
|
|
Delay flap trunk 15600
|
$2,731.41 |
$2,731.41 |
$2,731.41 |
$4,332.25
|
|
Delivery of placenta 59414
|
$3,047.22 |
$3,447.36 |
$3,531.59 |
$2,912.46
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$2,367.10 |
$2,367.10 |
$2,558.84 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$66.87 |
$67.90 |
$98.56 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,187.49 |
$4,187.49 |
$4,187.49 |
$6,324.98
|
|
Descend thora aorta rpr/lt sub art 33880
|
$4,614.20 |
$4,614.20 |
$4,614.20 |
$6,288.45
|
|
Design mlc device for imrt
|
$729.76 |
$729.76 |
$1,807.25 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$128.74 |
$128.74 |
$163.74 |
$91.84
|
|
Desoxycorticosterone
|
$14.69 |
$14.88 |
$309.81 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$5,864.99 |
$5,864.99 |
$5,864.99 |
$5,267.20
|
|
Destroy cervthor facet jnt 64633
|
$2,091.74 |
$2,091.74 |
$2,091.74 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$843.66 |
$843.66 |
$843.66 |
$1,441.44
|
|
Destruction by injection tx of nerve 64630
|
$482.94 |
$482.94 |
$482.94 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$740.33 |
$740.33 |
$740.33 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,234.93 |
$2,234.93 |
$2,234.93 |
$3,296.80
|
|
Developmental screen/score/document 96110
|
$44.77 |
$44.77 |
$67.16 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$167.48 |
$167.48 |
$230.73 |
$350.40
|
|
Device ablt adv novasure
|
$2,095.98 |
$3,876.54 |
$4,709.36 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,515.00 |
$2,848.96 |
$2,987.42 |
$4,200.00
|
|
Device intraute mirena
|
$1,244.18 |
$1,244.18 |
$1,244.18 |
$2,125.00
|
|
Device sut capio slim opn
|
$2,191.54 |
$3,172.92 |
$3,311.88 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$961.35 |
$2,440.98 |
$2,987.42 |
$2,515.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$76.99 |
$76.99 |
$138.29 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$70.47 |
$70.47 |
$76.14 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$1.38 |
$1.38 |
$3.06 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$11.85 |
$11.85 |
$14.66 |
$20.76
|
|
Dexmedetomidine film, 1 mcg
|
$186.04 |
$186.04 |
$186.04 |
$171.39
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$731.92 |
$731.92 |
$731.92 |
$884.80
|
|
Dextran 40 infusion
|
$46.23 |
$46.23 |
$46.23 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$22.54 |
$22.54 |
$80.15 |
$36.05
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$22.54 |
$22.54 |
$80.15 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$22.54 |
$22.54 |
$80.15 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$10.59 |
$10.72 |
$70.29 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$27.97 |
$28.32 |
$91.68 |
$79.30
|
|
Diagnostic anoscopy spx 46600
|
$247.92 |
$247.92 |
$247.92 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$146.31 |
$146.31 |
$146.31 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$72.97 |
$72.97 |
$72.97 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$564.98 |
$564.98 |
$564.98 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$165.75 |
$179.18 |
$184.51 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$281.67 |
$281.67 |
$349.53 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$185.95 |
$185.95 |
$276.19 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$119.57 |
$119.57 |
$119.57 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,641.58 |
$3,641.58 |
$3,936.56 |
$5,741.00
|
|
Dialysis one evaluation
|
$338.24 |
$338.24 |
$1,838.57 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.77 |
$0.77 |
$0.77 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$25.88 |
$25.88 |
$35.15 |
$79.71
|
|
Dicyclomine injection
|
$154.33 |
$154.33 |
$196.26 |
$154.33
|
|
Diffusing capacity
|
$119.14 |
$216.98 |
$227.33 |
$336.80
|
|
Digital analysis of eeg
|
$234.77 |
$268.55 |
$340.09 |
$593.40
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$10.32 |
$10.32 |
$13.06 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$3,621.36 |
$3,621.36 |
$4,613.21 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$8.37 |
$8.48 |
$113.46 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$143.25 |
$143.25 |
$182.29 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$694.10 |
$1,710.17 |
$1,848.70 |
$1,866.73
|
|
Dilate esophagus
|
$460.39 |
$460.39 |
$497.68 |
$2,142.40
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$4,431.20 |
$4,431.20 |
$5,532.17 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$4,431.20 |
$4,431.20 |
$5,532.17 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$5,893.50 |
$5,893.50 |
$7,376.23 |
$5,151.95
|
|
Dilate urethra stricture
|
$373.98 |
$373.98 |
$373.98 |
$513.00
|
|
Dilate urethra stricture
|
$193.30 |
$193.30 |
$193.30 |
$200.80
|
|
Dilation/female urethra/initial 53660
|
$236.46 |
$236.46 |
$236.46 |
$235.61
|
|
Dilation of urethra
|
$193.30 |
$193.30 |
$193.30 |
$172.00
|
|
Dilation of urethra
|
$3,084.27 |
$3,084.27 |
$3,084.27 |
$2,424.12
|
|
Dilator fascial 10fx20cm
|
$127.56 |
$390.42 |
$515.70 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$1,253.36 |
$1,253.36 |
$1,354.89 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$2,124.37 |
$2,124.37 |
$2,296.46 |
$4,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.94 |
$9.94 |
$12.37 |
$18.32
|
|
Disability dlco
|
$135.55 |
$135.55 |
$241.81 |
$293.76
|
|
Disaccharidases
|
$48.09 |
$57.20 |
$536.71 |
$230.40
|
|
Discography cerv/thor spine
|
$927.59 |
$927.59 |
$927.59 |
$2,565.00
|
|
Dissolve clot heart vessel
|
$1,623.17 |
$1,754.66 |
$1,900.07 |
$1,579.93
|
|
Dlyd plmt xtn prosth ea addl
|
$2,483.80 |
$2,483.80 |
$2,685.01 |
$1,810.80
|
|
Dmpk gene detc abnor allele
|
$230.18 |
$230.18 |
$1,103.22 |
$313.60
|
|
Dna antibody native/double stranded
|
$11.78 |
$15.19 |
$63.90 |
$100.00
|
|
Dna gardnerella
|
$13.48 |
$16.53 |
$63.80 |
$61.83
|
|
Dna trichomonas
|
$13.48 |
$16.53 |
$67.62 |
$63.00
|
