|
Des thora aorta rpr without left sub art 33881
|
$4,834.44 |
$5,607.26 |
$7,630.73 |
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$6,445.71 |
$6,445.71 |
$7,420.00 |
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$134.31 |
$134.31 |
$134.31 |
|
|
Destroy cervthor facet jnt 64633
|
$325.74 |
$1,664.74 |
$2,091.74 |
|
|
Destroy cth facet jnt addl 64634
|
$103.14 |
$671.44 |
$946.49 |
|
|
Destroy internal hemorrhoids destroy 46930
|
$184.16 |
$184.16 |
$184.16 |
|
|
Destroy premlg lesns;1st lesn 17000
|
$61.69 |
$61.69 |
$94.98 |
|
|
Destruct ben lesion 15/> 17111
|
$99.85 |
$99.85 |
$191.44 |
|
|
Destruct cut vasl lesions <10cm 17106
|
$243.05 |
$243.05 |
$264.79 |
|
|
Destruction 2-14 lesions 17003
|
$5.38 |
$5.38 |
$8.91 |
|
|
Destruction anal lesion(s)
|
$163.44 |
$163.44 |
$163.44 |
|
|
Destruction anal lesion(s) smpl chem 46900
|
$166.73 |
$166.73 |
$166.73 |
|
|
Destruction benign lesions < 14 lesions
|
$163.24 |
$163.24 |
$163.24 |
|
|
Destruction by injection tx of nerve 64630
|
$482.94 |
$482.94 |
$489.69 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$91.27 |
$654.25 |
$1,188.38 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$320.55 |
$1,778.70 |
$2,372.17 |
|
|
Destruction penis lesion(s) chem 54050
|
$127.17 |
$127.17 |
$223.35 |
|
|
Destruction premal lesions 15/> 17004
|
$237.44 |
$237.44 |
$237.44 |
|
|
Detect agent nos dna dir
|
$38.61 |
$38.61 |
$38.61 |
|
|
Determine refractive state
|
$28.94 |
$28.94 |
$28.94 |
|
|
Developmental screen/score/document 96110
|
$14.84 |
$67.16 |
$151.81 |
|
|
Devel tst phys/qhp 1st hr
|
$144.41 |
$167.48 |
$230.73 |
|
|
Device ablt adv novasure
|
$1,806.48 |
$2,468.62 |
$9,422.08 |
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$1,306.47 |
$2,515.00 |
$4,285.86 |
|
|
Device intraute mirena
|
$1,244.18 |
$1,764.32 |
$1,922.10 |
|
|
Device sut capio slim opn
|
$2,191.54 |
$3,138.18 |
$6,369.00 |
|
|
Device tiss remov myosure reach
|
$961.35 |
$2,570.57 |
$9,087.33 |
|
|
Dev interrog remote 1/2/mlt
|
$56.40 |
$56.40 |
$56.40 |
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$76.99 |
$86.60 |
$138.29 |
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$62.91 |
$97.91 |
$192.92 |
|
|
Dexamethasone 4 mg tablet
|
$1.38 |
$3.06 |
$10.39 |
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$0.01 |
$13.29 |
$24.49 |
|
|
Dexmedetomidine film, 1 mcg
|
$186.04 |
$186.04 |
$186.04 |
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$731.92 |
$731.92 |
$731.92 |
|
|
Dextran 40 infusion
|
$46.23 |
$46.23 |
$93.80 |
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$22.54 |
$80.15 |
$93.80 |
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$22.54 |
$80.15 |
$93.80 |
|
|
Dextrose 5 % IV bolus
|
$17.81 |
$80.15 |
$93.80 |
|
|
Dhea-s (dehydroepiand sulfate)
|
$5.63 |
$11.12 |
$103.45 |
|
|
Diabetes (HbA1c) Test
|
$14.10 |
$27.97 |
$171.41 |
|
|
Diab manage trn ind/group
|
$15.84 |
$56.58 |
$61.64 |
|
|
Diag laparo separate proc 49320
|
$405.53 |
$405.53 |
$463.75 |
|
|
Diagnostic anoscopy
|
$141.73 |
$141.73 |
$141.73 |
|
|
Diagnostic anoscopy & biopsy
|
$180.31 |
$180.31 |
$180.31 |
|
|
Diagnostic anoscopy spx 46600
|
$49.93 |
$172.15 |
$247.92 |
|
|
Diagnostic digital breast tomosynthesis bil
|
$144.41 |
$145.44 |
$157.32 |
|
|
Diagnostic digital breast tomosynthesis unil
|
$63.82 |
$63.82 |
$72.97 |
|
|
Diagnostic laryngoscopy 31505
|
$564.98 |
$564.98 |
$564.98 |
|
|
Diagnostic laryngoscopy 31575
|
$87.97 |
$163.90 |
$244.00 |
|
|
Diagnostic Mammogram (both breasts)
|
$149.52 |
$236.16 |
$399.94 |
|
|
Diagnostic Mammogram (one breast)
|
$99.06 |
$169.30 |
$316.10 |
|
|
Diagnostic radio unlisted proc
|
$119.57 |
$172.89 |
$1,497.86 |
|
|
Dialysis circuit perm vascular embolization 36909
|
$2,878.68 |
$3,478.82 |
$15,553.35 |
|
|
Dialysis one evaluation
|
$181.74 |
$952.27 |
$2,438.22 |
|
|
Diathermy eg microwave
|
$11.96 |
$11.96 |
$11.96 |
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.01 |
$0.77 |
$143.92 |
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$21.90 |
$25.88 |
$211.47 |
|
|
Dicyclomine injection
|
$67.53 |
$196.26 |
$229.68 |
|
|
Diffusing capacity
|
$22.54 |
$151.09 |
$446.29 |
|
|
Digital analysis of eeg
|
$51.46 |
$243.21 |
$649.63 |
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$10.32 |
$14.03 |
$31.17 |
|
|
Digoxin immune fab 40 mg intravenous solution
|
$3,621.36 |
$4,955.67 |
$15,847.64 |
|
|
Digoxin total therapeutic drug level
|
$4.45 |
$8.80 |
$154.34 |
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$143.25 |
$195.82 |
$213.33 |
|
|
Dilate biliary duct/ampulla
|
$694.10 |
$1,471.32 |
$1,848.70 |
|
|
Dilate esophagus
|
$132.82 |
$396.09 |
$497.68 |
|
|
Dilate esophagus 1/mult pass
|
$96.55 |
$96.55 |
$1,966.30 |
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$2,661.52 |
$4,744.07 |
$5,532.17 |
|
|
Dilate ic vasospasm ea add vsl same territory
|
$2,661.52 |
$4,431.20 |
$5,532.17 |
|
|
Dilate ic vasospasm init
|
$3,548.69 |
$5,893.50 |
$7,376.23 |
|
|
Dilate urethra stricture
|
$138.02 |
$138.02 |
$373.98 |
|
|
Dilate urethra stricture
|
$131.34 |
$131.34 |
$193.30 |
|
|
Dilate urethra stricture
|
$100.92 |
$100.92 |
$100.92 |
|
|
Dilation/female urethra/initial 53660
|
$117.24 |
$117.24 |
$236.46 |
|
|
Dilation of urethra
|
$115.01 |
$115.01 |
$193.30 |
|
|
Dilation of urethra
|
$1,205.89 |
$1,205.89 |
$3,084.27 |
|
|
Dilation/urethral strict/male/ini 53620
|
$122.43 |
$122.43 |
$122.43 |
|
|
Dilator fascial 10fx20cm
|
$127.56 |
$429.24 |
$1,410.68 |
|
|
Dilat xst trc ndurlgc px
|
$969.78 |
$1,197.34 |
$4,897.95 |
|
|
Dilat xst trc new access rcs
|
$1,643.72 |
$2,100.64 |
$8,239.17 |
|
|
Diltiazem 5 mg/ml intravenous solution
|
$99.43 |
$99.43 |
$99.43 |
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.94 |
$13.29 |
$14.84 |
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$10.83 |
$10.83 |
$11.80 |
|
|
Disability dlco
|
$13.44 |
$106.19 |
$547.60 |
|
|
Disaccharidases
|
$30.41 |
$57.92 |
$536.71 |
|
|
Discectomy ant dcmprn cord thoracic 1 ntrspc 63077
|
$2,358.82 |
$2,358.82 |
$2,358.82 |
|
|
Discectomy ant dcmprn cord thoracic ea ntrsp 63078
|
$316.10 |
$316.10 |
$316.10 |
|
|
Discography cerv/thor spine
|
$675.26 |
$927.59 |
$1,474.91 |
|
|
Dissolve clot heart vessel
|
$526.69 |
$1,446.35 |
$4,220.74 |
|
|
Dist revas ligation hemo
|
$1,765.96 |
$1,765.96 |
$1,765.96 |
|
|
#d/lmeth-l-methamphetamine
|
$10.05 |
$10.59 |
$10.85 |
|
|
Dlyd plmt xtn prosth ea addl
|
$411.81 |
$2,213.22 |
$2,685.01 |
|
|
Dmd dup/delet analysis
|
$203.39 |
$203.39 |
$203.39 |
|
|
Dmpk gene detc abnor allele
|
$134.81 |
$200.48 |
$1,103.22 |
|
|
Dna antibody native/double stranded
|
$8.12 |
$15.19 |
$130.60 |
|
|
Dna gardnerella
|
$9.94 |
$14.88 |
$162.50 |
|
|
Dna probe chlamydia
|
$149.89 |
$149.89 |
$149.89 |
|
|
Dna probe gc
|
$182.54 |
$182.54 |
$182.54 |
|
|
Dna trichomonas
|
$9.94 |
$14.88 |
$172.89 |
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$0.07 |
$80.15 |
$93.80 |
|
