|
Decompression of thigh/knee
|
$920.83 |
$920.83 |
$920.83 |
$3,839.54
|
|
Decompression of thigh/knee
|
$1,026.19 |
$1,026.19 |
$1,026.19 |
$3,217.60
|
|
Decompression of tibia nerve
|
$557.99 |
$557.99 |
$557.99 |
$2,625.60
|
|
Decompression unspecified nerve 64722
|
$568.38 |
$568.38 |
$568.38 |
$2,310.83
|
|
Decompressive craniotomy
|
$3,675.13 |
$3,675.13 |
$3,675.13 |
$5,584.80
|
|
Decompress spinal cord lmbr
|
$2,306.88 |
$2,306.88 |
$2,306.88 |
$7,913.97
|
|
Decomp spinal cord/transped/ad seg 63057
|
$495.66 |
$495.66 |
$495.66 |
$768.00
|
|
Deep muscle biopsy 20205
|
$223.35 |
$223.35 |
$223.35 |
$3,370.52
|
|
Degarelix 120 mg subcutaneous solution
|
$2,138.45 |
$2,138.45 |
$2,138.45 |
$1,856.85
|
|
Delivery of placenta 59414
|
$5,386.18 |
$5,386.18 |
$5,386.18 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$8,639.85 |
$8,639.85 |
$8,639.85 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$366.55 |
$366.55 |
$366.55 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$10,836.91 |
$10,836.91 |
$10,836.91 |
$6,359.20
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$555.76 |
$555.76 |
$555.76 |
$460.50
|
|
Descend thora aorta rpr/lt sub art 33880
|
$7,420.00 |
$7,420.00 |
$7,420.00 |
$5,702.04
|
|
Desmopressin 4 mcg/ml injection solution
|
$174.37 |
$174.37 |
$174.37 |
$116.22
|
|
Desoxycorticosterone
|
$207.76 |
$207.76 |
$207.76 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$7,630.73 |
$7,630.73 |
$7,630.73 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$7,420.00 |
$7,420.00 |
$7,420.00 |
$2,498.88
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$134.31 |
$134.31 |
$134.31 |
$269.60
|
|
Destroy cervthor facet jnt 64633
|
$325.74 |
$325.74 |
$325.74 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$103.14 |
$103.14 |
$103.14 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$94.98 |
$94.98 |
$94.98 |
$220.12
|
|
Destruct ben lesion 15/> 17111
|
$191.44 |
$191.44 |
$191.44 |
$238.20
|
|
Destruction 2-14 lesions 17003
|
$8.91 |
$8.91 |
$8.91 |
$72.60
|
|
Destruction benign lesions < 14 lesions
|
$163.24 |
$163.24 |
$163.24 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$91.27 |
$91.27 |
$91.27 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$320.55 |
$320.55 |
$320.55 |
$3,375.00
|
|
Destruction penis lesion(s) chem 54050
|
$223.35 |
$223.35 |
$223.35 |
$332.00
|
|
Destruction premal lesions 15/> 17004
|
$237.44 |
$237.44 |
$237.44 |
$470.51
|
|
Developmental screen/score/document 96110
|
$14.84 |
$14.84 |
$14.84 |
$139.10
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$192.92 |
$192.92 |
$192.92 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$10.39 |
$10.39 |
$10.39 |
$5.98
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$24.49 |
$24.49 |
$24.49 |
$27.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$23.01 |
$23.01 |
$23.01 |
$43.65
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$48.98 |
$48.98 |
$48.98 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$17.81 |
$17.81 |
$17.81 |
$48.58
|
|
Dhea-s (dehydroepiand sulfate)
|
$65.98 |
$65.98 |
$65.98 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$171.41 |
$171.41 |
$171.41 |
$78.03
|
|
Diag laparo separate proc 49320
|
$463.75 |
$463.75 |
$463.75 |
$5,855.00
|
|
Diagnostic anoscopy
|
$141.73 |
$141.73 |
$141.73 |
$441.68
|
|
Diagnostic anoscopy & biopsy
|
$180.31 |
$180.31 |
$180.31 |
$1,395.28
|
|
Diagnostic anoscopy spx 46600
|
$172.15 |
$172.15 |
$172.15 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$145.44 |
$145.44 |
$145.44 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$63.82 |
$63.82 |
$63.82 |
$75.93
|
|
Diagnostic Mammogram (both breasts)
|
$399.94 |
$399.94 |
$399.94 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$316.10 |
$316.10 |
$316.10 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$172.89 |
$172.89 |
$172.89 |
$239.25
|
|
Dialysis one evaluation
|
$2,438.22 |
$2,438.22 |
$2,438.22 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$211.47 |
$211.47 |
$211.47 |
$73.22
|
|
Dicyclomine injection
|
$67.53 |
$67.53 |
$67.53 |
$203.85
|
|
Diffusing capacity
|
$405.14 |
$405.14 |
$405.14 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$31.17 |
$31.17 |
$31.17 |
$71.09
|
|
Digoxin immune fab 40 mg intravenous solution
|
$15,847.64 |
$15,847.64 |
$15,847.64 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$154.34 |
$154.34 |
$154.34 |
$102.00
|
|
Dilate esophagus
|
$132.82 |
$132.82 |
$132.82 |
$2,003.04
|
|
Dilate esophagus 1/mult pass
|
$1,966.30 |
$1,966.30 |
$1,966.30 |
$1,484.17
|
|
Dilate urethra stricture
|
$138.02 |
$138.02 |
$138.02 |
$514.79
|
|
Dilate urethra stricture
|
$131.34 |
$131.34 |
$131.34 |
$185.58
|
|
Dilate urethra stricture
|
$100.92 |
$100.92 |
$100.92 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$117.24 |
$117.24 |
$117.24 |
$207.39
|
|
Dilation of urethra
|
$115.01 |
$115.01 |
$115.01 |
$172.00
|
|
Dilation/urethral strict/male/ini 53620
|
$122.43 |
$122.43 |
$122.43 |
$1,550.25
|
|
Dilat xst trc ndurlgc px
|
$4,897.95 |
$4,897.95 |
$4,897.95 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$8,239.17 |
$8,239.17 |
$8,239.17 |
$5,020.00
|
|
Diltiazem 5 mg/ml intravenous solution
|
$99.43 |
$99.43 |
$99.43 |
$54.21
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$14.84 |
$14.84 |
$14.84 |
$25.12
|
|
Disability dlco
|
$547.60 |
$547.60 |
$547.60 |
$307.58
|
|
Disaccharidases
|
$508.27 |
$508.27 |
$508.27 |
$223.80
|
|
Discectomy ant dcmprn cord thoracic 1 ntrspc 63077
|
$2,358.82 |
$2,358.82 |
$2,358.82 |
$3,636.00
|
|
Discectomy ant dcmprn cord thoracic ea ntrsp 63078
|
$316.10 |
$316.10 |
$316.10 |
$370.20
|
|
Dissolve clot heart vessel
|
$566.89 |
$566.89 |
$566.89 |
$1,396.47
|
|
Dist revas ligation hemo
|
$1,765.96 |
$1,765.96 |
$1,765.96 |
$5,988.54
|
|
Dlyd plmt xtn prosth ea addl
|
$411.81 |
$411.81 |
$411.81 |
$2,001.55
|
|
Dna antibody native/double stranded
|
$130.60 |
$130.60 |
$130.60 |
$102.60
|
|
Dna gardnerella
|
$162.50 |
$162.50 |
$162.50 |
$67.68
|
|
Dna probe chlamydia
|
$149.89 |
$149.89 |
$149.89 |
$82.20
|
|
Dna probe gc
|
$182.54 |
$182.54 |
$182.54 |
$88.67
|
|
Dna trichomonas
|
$172.89 |
$172.89 |
$172.89 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$87.56 |
$87.56 |
$87.56 |
$99.10
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$95.72 |
$95.72 |
$95.72 |
$76.20
|
|
Doppler echo complete
|
$647.03 |
$647.03 |
$647.03 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$3,641.74 |
$3,641.74 |
$3,641.74 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,293.31 |
$1,293.31 |
$1,293.31 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$851.08 |
$851.08 |
$851.08 |
$482.03
|
|
Dpyd gene common variants
|
$718.26 |
$718.26 |
$718.26 |
$380.50
|
|
Drainage of arm bursa 23931
|
$237.44 |
$237.44 |
$237.44 |
$2,419.30
|
|
Drainage of kidney lesion
|
$2,120.64 |
$2,120.64 |
$2,120.64 |
$1,706.65
|
|
Drainage of rectal abscess
|
$422.94 |
$422.94 |
$422.94 |
$2,299.90
|
|
Drain blood from under nail 11740
|
$467.46 |
$467.46 |
$467.46 |
$190.33
|
|
Drain cath image guided visceral pq
|
$3,147.57 |
$3,147.57 |
$3,147.57 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$1,210.95 |
$1,210.95 |
$1,210.95 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$663.35 |
$663.35 |
$663.35 |
$492.81
|
|
Drain lower leg lesion 27603
|
$608.44 |
$608.44 |
$608.44 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$761.30 |
$761.30 |
$761.30 |
$3,386.84
|
|
Drain open lung lesion 32200
|
$1,738.51 |
$1,738.51 |
$1,738.51 |
$2,765.60
|
|
Drain thigh/knee lesion 27301
|
$790.23 |
$790.23 |
$790.23 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$737.55 |
$737.55 |
$737.55 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$609.19 |
$609.19 |
$609.19 |
$365.60
|
|
Dressing change not for burn w/anes 15852
|
$70.49 |
$70.49 |
$70.49 |
$790.56
|