|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$208.00 |
$208.00 |
$208.00 |
$182.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$5,599.46 |
$5,599.46 |
$5,599.46 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$410.80 |
$410.80 |
$410.80 |
$399.93
|
|
Depo-estradiol cypionate inj
|
$33.87 |
$33.87 |
$33.87 |
$87.27
|
|
Dermapure 1 square cm
|
$3,822.00 |
$3,822.00 |
$3,822.00 |
$3,822.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$65.74 |
$65.74 |
$65.74 |
$93.84
|
|
Desoxycorticosterone
|
$240.24 |
$240.24 |
$240.24 |
$98.80
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$722.80 |
$722.80 |
$722.80 |
$408.50
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$369.20 |
$369.20 |
$369.20 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$2,626.00 |
$2,626.00 |
$2,626.00 |
$3,018.00
|
|
Destroy cth facet jnt addl 64634
|
$1,336.40 |
$1,336.40 |
$1,336.40 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$2,158.00 |
$2,158.00 |
$2,158.00 |
$1,395.28
|
|
Destroy vulva lesion simple 56501
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$3,556.00
|
|
Destruct cut vasl lesions <10cm 17106
|
$722.80 |
$722.80 |
$722.80 |
$666.75
|
|
Destruction anal lesion(s)
|
$3,796.00 |
$3,796.00 |
$3,796.00 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$4,472.00 |
$4,472.00 |
$4,472.00 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$884.00 |
$884.00 |
$884.00 |
$557.90
|
|
Destruction benign lesions < 14 lesions
|
$374.40 |
$374.40 |
$374.40 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$1,710.80 |
$1,710.80 |
$1,710.80 |
$1,626.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$1,618.65
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,296.80 |
$3,296.80 |
$3,296.80 |
$3,295.50
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$416.00 |
$416.00 |
$416.00 |
$364.50
|
|
Destruction laser surgery anal lesions 46917
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$3,640.00
|
|
Destruction les conjunctiva
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$2,760.73
|
|
Destruction penis lesion(s) chem 54050
|
$728.00 |
$728.00 |
$728.00 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$2,507.31
|
|
Destruction rectal tumor 45190
|
$4,836.00 |
$4,836.00 |
$4,836.00 |
$3,245.23
|
|
Destruction vag lesions complex 57065
|
$4,877.60 |
$4,877.60 |
$4,877.60 |
$3,762.53
|
|
Destruction vag lesions simple 57061
|
$4,347.20 |
$4,347.20 |
$4,347.20 |
$3,815.20
|
|
Destruct penis les/smp/electrodesi 54055
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$2,837.09
|
|
Detect agent nos dna dir
|
$161.20 |
$161.20 |
$161.20 |
$145.80
|
|
Detect agnt mult dna direc
|
$321.88 |
$321.88 |
$321.88 |
$166.77
|
|
Determination venous press
|
$260.00 |
$260.00 |
$260.00 |
$166.56
|
|
Developmental screen/score/document 96110
|
$250.12 |
$250.12 |
$250.12 |
$143.13
|
|
Devel tst phys/qhp 1st hr
|
$492.44 |
$492.44 |
$492.44 |
$350.40
|
|
Device ablt adv novasure
|
$4,907.50 |
$4,907.50 |
$4,907.50 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$4,200.00
|
|
Device intraute mirena
|
$1,973.22 |
$1,973.22 |
$1,973.22 |
$2,125.00
|
|
Device sut capio slim opn
|
$4,348.50 |
$4,348.50 |
$4,348.50 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$2,466.14
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$303.16 |
$303.16 |
$303.16 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$265.20 |
$265.20 |
$265.20 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$100.50 |
$100.50 |
$100.50 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$16.63 |
$16.63 |
$16.63 |
$21.20
|
|
Dexamethasone intra implant
|
$2,356.90 |
$2,356.90 |
$2,356.90 |
$2,356.90
|
|
Dexmedetomidine film, 1 mcg
|
$171.39 |
$171.39 |
$171.39 |
$171.39
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$892.50 |
$892.50 |
$892.50 |
$884.80
|
|
Dextran 40 infusion
|
$148.46 |
$148.46 |
$148.46 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$20.18 |
$20.18 |
$20.18 |
$36.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$30.58 |
$30.58 |
$30.58 |
$42.50
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$69.24 |
$69.24 |
$69.24 |
$46.12
|
|
Dhea-s (dehydroepiand sulfate)
|
$140.40 |
$140.40 |
$140.40 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$64.48 |
$64.48 |
$64.48 |
$79.20
|
|
Diab manage trn ind/group
|
$54.60 |
$54.60 |
$54.60 |
$54.99
|
|
Diag bronchoscope/catheter
|
$2,766.40 |
$2,766.40 |
$2,766.40 |
$2,360.15
|
|
Diag laparo separate proc 49320
|
$7,243.60 |
$7,243.60 |
$7,243.60 |
$6,904.15
|
|
Diagnostic anoscopy
|
$416.00 |
$416.00 |
$416.00 |
$392.70
|
|
Diagnostic anoscopy & biopsy
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$2,288.00
|
|
Diagnostic anoscopy spx 46600
|
$312.00 |
$312.00 |
$312.00 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$274.56 |
$274.56 |
$274.56 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$140.40 |
$140.40 |
$140.40 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$395.20 |
$395.20 |
$395.20 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$530.40 |
$530.40 |
$530.40 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$421.72 |
$421.72 |
$421.72 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$353.08 |
$353.08 |
$353.08 |
$312.72
|
|
Diagnostic radio unlisted proc
|
$124.80 |
$124.80 |
$124.80 |
$243.60
|
|
Dialysis circuit perm vascular embolization 36909
|
$2,813.20 |
$2,813.20 |
$2,813.20 |
$5,663.50
|
|
Dialysis one evaluation
|
$936.00 |
$936.00 |
$936.00 |
$936.00
|
|
Diathermy eg microwave
|
$83.20 |
$83.20 |
$83.20 |
$29.68
|
|
Diatrizoate meglumine 18 % urethral solution
|
$106.03 |
$106.03 |
$106.03 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$74.02 |
$74.02 |
$74.02 |
$77.25
|
|
Dicyclomine injection
|
$81.28 |
$81.28 |
$81.28 |
$150.91
|
|
Difelikefalin, esrd on dialy
|
$245.96 |
$245.96 |
$245.96 |
$264.88
|
|
Diffusing capacity
|
$448.76 |
$448.76 |
$448.76 |
$335.20
|
|
Digital analysis of eeg
|
$551.20 |
$551.20 |
$551.20 |
$551.20
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$226.05 |
$226.05 |
$226.05 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$8,072.42 |
$8,072.42 |
$8,072.42 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$77.48 |
$77.48 |
$77.48 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$172.95 |
$172.95 |
$172.95 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$2,230.80 |
$2,230.80 |
$2,230.80 |
$1,729.70
|
|
Dilate esophagus
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$1,768.00 |
$1,768.00 |
$1,768.00 |
$1,490.36
|
|
Dilate tear duct opening
|
$561.60 |
$561.60 |
$561.60 |
$454.40
|
|
Dilate urethra stricture
|
$551.20 |
$551.20 |
$551.20 |
$496.00
|
|
Dilate urethra stricture
|
$286.00 |
$286.00 |
$286.00 |
$200.80
|
|
Dilate urethra stricture
|
$3,863.60 |
$3,863.60 |
$3,863.60 |
$3,863.60
|
|
Dilate urethra stricture
|
$551.20 |
$551.20 |
$551.20 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$291.20 |
$291.20 |
$291.20 |
$235.61
|
|
Dilation of anal sphincter
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$1,995.20
|
|
Dilation of cervical canal 57800
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$4,376.00
|
|
Dilation of rectal stricture 45910
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$2,263.80
|
|
Dilation of salivary duct
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$750.00
|
|
Dilation of urethra
|
$286.00 |
$286.00 |
$286.00 |
$172.00
|
|
Dilation of vagina
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$3,986.00
|
|
Dilation salivary duct 42650
|
$3,062.80 |
$3,062.80 |
$3,062.80 |
$2,675.71
|
|
Dilation/urethral strict/male/ini 53620
|
$1,372.80 |
$1,372.80 |
$1,372.80 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$4,175.60 |
$4,175.60 |
$4,175.60 |
$3,883.16
|
|
Dilat xst trc new access rcs
|
$4,175.60 |
$4,175.60 |
$4,175.60 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$51.12 |
$51.12 |
$51.12 |
$46.56
|
