|
Decompress fasciotomyhand 26037
|
$3,795.42 |
$3,795.42 |
$3,795.42 |
$3,594.44
|
|
Decompression of lower leg
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$3,839.54
|
|
Decompression of thigh/knee
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$3,839.54
|
|
Deferoxamine 500 mg solution for injection
|
$95.26 |
$95.26 |
$95.26 |
$110.82
|
|
Delivery of placenta 59414
|
$5,224.44 |
$5,224.44 |
$5,224.44 |
$3,271.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$297.84 |
$297.84 |
$297.84 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,207.50 |
$4,207.50 |
$4,207.50 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$518.67 |
$518.67 |
$518.67 |
$460.50
|
|
Derma-fat-fascia graft 15770
|
$4,147.83 |
$4,147.83 |
$4,147.83 |
$4,326.42
|
|
Desmopressin 4 mcg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$102.32
|
|
Destroy premlg lesns;1st lesn 17000
|
$292.23 |
$292.23 |
$292.23 |
$220.12
|
|
Destruct ben lesion 15/> 17111
|
$209.61 |
$209.61 |
$209.61 |
$238.20
|
|
Destruct cut vasl lesions <10cm 17106
|
$499.29 |
$499.29 |
$499.29 |
$658.40
|
|
Destruction 2-14 lesions 17003
|
$13.77 |
$13.77 |
$13.77 |
$72.60
|
|
Destruction anal lesion(s) smpl chem 46900
|
$499.29 |
$499.29 |
$499.29 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$292.23 |
$292.23 |
$292.23 |
$250.60
|
|
Destruction vag lesions simple 57061
|
$4,053.99 |
$4,053.99 |
$4,053.99 |
$3,762.53
|
|
Device ablt adv novasure
|
$5,322.49 |
$5,322.49 |
$5,322.49 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,888.75 |
$3,888.75 |
$3,888.75 |
$4,298.87
|
|
Device sut capio slim opn
|
$1,860.95 |
$1,860.95 |
$1,860.95 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$6,816.15 |
$6,816.15 |
$6,816.15 |
$2,440.98
|
|
Dexamethasone 4 mg tablet
|
$5.61 |
$5.61 |
$5.61 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$30.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$65.33 |
$65.33 |
$65.33 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$65.33 |
$65.33 |
$65.33 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$76.50 |
$76.50 |
$76.50 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$145.35 |
$145.35 |
$145.35 |
$78.03
|
|
Diagnostic anoscopy spx 46600
|
$143.82 |
$143.82 |
$143.82 |
$245.35
|
|
Diagnostic laryngoscopy 31505
|
$273.36 |
$273.36 |
$273.36 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$294.27 |
$294.27 |
$294.27 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$506.43 |
$506.43 |
$506.43 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$412.59 |
$412.59 |
$412.59 |
$301.55
|
|
Dialysis one evaluation
|
$440.13 |
$440.13 |
$440.13 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$85.68 |
$85.68 |
$85.68 |
$72.34
|
|
Dicyclomine injection
|
$84.15 |
$84.15 |
$84.15 |
$211.81
|
|
Diffusing capacity
|
$272.85 |
$272.85 |
$272.85 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$84.15 |
$84.15 |
$84.15 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$11,090.02 |
$11,090.02 |
$11,090.02 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$181.05 |
$181.05 |
$181.05 |
$102.00
|
|
Dilate urethra stricture
|
$287.64 |
$287.64 |
$287.64 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$194.82 |
$194.82 |
$194.82 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$836.91 |
$836.91 |
$836.91 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$618.29 |
$618.29 |
$618.29 |
$305.68
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$26.87
|
|
Disability dlco
|
$925.14 |
$925.14 |
$925.14 |
$307.58
|
|
Disaccharidases
|
$41.95 |
$41.95 |
$41.95 |
$223.80
|
|
Dissolve clot heart vessel
|
$23,467.14 |
$23,467.14 |
$23,467.14 |
$1,396.47
|
|
Dna antibody native/double stranded
|
$3.88 |
$3.88 |
$3.88 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$145.35 |
$145.35 |
$145.35 |
$101.04
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$145.35 |
$145.35 |
$145.35 |
$84.30
|
|
Doppler echo complete
|
$405.45 |
$405.45 |
$405.45 |
$608.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$864.96 |
$864.96 |
$864.96 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$508.98 |
$508.98 |
$508.98 |
$482.03
|
|
Dornase alfa non-comp unit
|
$495.28 |
$495.28 |
$495.28 |
$479.80
|
|
Dornhoffer fixed part w/window
|
$17,175.27 |
$17,175.27 |
$17,175.27 |
$28,091.95
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$126.66 |
$126.66 |
$126.66 |
$99.99
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$774.18 |
$774.18 |
$774.18 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$868.02 |
$868.02 |
$868.02 |
$900.80
|
|
Drainage external ear complex 69005
|
$2,267.46 |
$2,267.46 |
$2,267.46 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$868.02 |
$868.02 |
$868.02 |
$809.25
|
|
Drainage lymph node lesion 38300
|
$3,455.25 |
$3,455.25 |
$3,455.25 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$524.28 |
$524.28 |
$524.28 |
$474.39
|
|
Drainage of arm bursa 23931
|
$1,911.99 |
$1,911.99 |
$1,911.99 |
$2,419.30
|
|
Drainage of eye
|
$2,753.49 |
$2,753.49 |
$2,753.49 |
$2,503.62
|
|
Drainage of mouth lesion
|
$277.95 |
$277.95 |
$277.95 |
$455.56
|
|
Drainage of mouth lesion
|
$1,856.91 |
$1,856.91 |
$1,856.91 |
$2,320.03
|
|
Drainage of mouth lesion
|
$4,339.59 |
$4,339.59 |
$4,339.59 |
$3,986.00
|
|
Drainage of mouth lesion
|
$611.49 |
$611.49 |
$611.49 |
$799.40
|
|
Drainage of mouth lesion
|
$3,805.11 |
$3,805.11 |
$3,805.11 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$705.33 |
$705.33 |
$705.33 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$611.49 |
$611.49 |
$611.49 |
$755.95
|
|
Drainage of pelvis lesion 26990
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$3,969.00
|
|
Drainage of rectal abscess
|
$1,448.91 |
$1,448.91 |
$1,448.91 |
$2,299.90
|
|
Drainage of salivary gland
|
$3,805.11 |
$3,805.11 |
$3,805.11 |
$3,837.72
|
|
Drainage of salivary gland
|
$611.49 |
$611.49 |
$611.49 |
$629.60
|
|
Drainage of urethra abscess 53060
|
$2,481.15 |
$2,481.15 |
$2,481.15 |
$2,459.34
|
|
Drain bladder by trocar/cath
|
$1,249.50 |
$1,249.50 |
$1,249.50 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$404.94 |
$404.94 |
$404.94 |
$190.33
|
|
Drain cerebro spinal fluid 62272
|
$2,775.93 |
$2,775.93 |
$2,775.93 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$518.67 |
$518.67 |
$518.67 |
$492.81
|
|
Drain lower leg bursa
|
$3,795.42 |
$3,795.42 |
$3,795.42 |
$3,839.54
|
|
Drain lower leg lesion 27603
|
$3,455.25 |
$3,455.25 |
$3,455.25 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$3,455.25 |
$3,455.25 |
$3,455.25 |
$3,386.84
|
|
Drain penis lesion
|
$2,005.32 |
$2,005.32 |
$2,005.32 |
$2,005.32
|
|
Drain shoulder lesion
|
$3,455.25 |
$3,455.25 |
$3,455.25 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$3,455.25 |
$3,455.25 |
$3,455.25 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$958.80 |
$958.80 |
$958.80 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$786.93 |
$786.93 |
$786.93 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$958.80 |
$958.80 |
$958.80 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$777.24 |
$777.24 |
$777.24 |
$790.56
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$9,706.23 |
$9,706.23 |
$9,706.23 |
$9,390.80
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$2,408.73 |
$2,408.73 |
$2,408.73 |
$1,667.40
|
|
Drill hole implt ventricular cath/device 61107
|
$3,510.33 |
$3,510.33 |
$3,510.33 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$638.01 |
$638.01 |
$638.01 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$2,665.26 |
$2,665.26 |
$2,665.26 |
$2,048.00
|
|
Drng of mouth lesion 40801
|
$774.18 |
$774.18 |
$774.18 |
$1,145.97
|
|
Drng of pelvic abscess transrectal 45000
|
$1,448.91 |
$1,448.91 |
$1,448.91 |
$1,614.45
|