|
Debridement bone <= 20 sq cm
|
$2,035.41 |
$2,035.41 |
$2,035.41 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$186.66 |
$186.66 |
$186.66 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$315.69 |
$315.69 |
$315.69 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,117.41 |
$1,117.41 |
$1,117.41 |
$810.50
|
|
Debride nail1-5 11720
|
$211.14 |
$211.14 |
$211.14 |
$173.25
|
|
Debride nail6 or more 11721
|
$209.10 |
$209.10 |
$209.10 |
$195.20
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$797.64 |
$797.64 |
$797.64 |
$1,265.16
|
|
Debride skin bone at fx site
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$119.85 |
$119.85 |
$119.85 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$797.64 |
$797.64 |
$797.64 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$1,539.18 |
$1,539.18 |
$1,539.18 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,023.57 |
$1,023.57 |
$1,023.57 |
$1,193.40
|
|
Decalcification
|
$75.99 |
$75.99 |
$75.99 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$963.39 |
$963.39 |
$963.39 |
$545.90
|
|
Decompress fasciotomyhand 26037
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$3,594.44
|
|
Decompression of lower leg
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,839.54
|
|
Decompression of thigh/knee
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,839.54
|
|
Delivery of placenta 59414
|
$553.86 |
$553.86 |
$553.86 |
$3,271.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$245.82 |
$245.82 |
$245.82 |
$196.26
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$726.24 |
$726.24 |
$726.24 |
$460.50
|
|
Derma-fat-fascia graft 15770
|
$3,318.06 |
$3,318.06 |
$3,318.06 |
$4,326.42
|
|
Destroy cervthor facet jnt 64633
|
$723.69 |
$723.69 |
$723.69 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$217.77 |
$217.77 |
$217.77 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,435.65 |
$1,435.65 |
$1,435.65 |
$1,344.85
|
|
Destroy premlg lesns;1st lesn 17000
|
$483.99 |
$483.99 |
$483.99 |
$220.12
|
|
Destruct cut vasl lesions <10cm 17106
|
$458.49 |
$458.49 |
$458.49 |
$658.40
|
|
Destruction 2-14 lesions 17003
|
$35.19 |
$35.19 |
$35.19 |
$72.60
|
|
Destruction anal lesion(s)
|
$293.76 |
$293.76 |
$293.76 |
$2,772.60
|
|
Destruction anal lesion(s) smpl chem 46900
|
$458.49 |
$458.49 |
$458.49 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$546.72 |
$546.72 |
$546.72 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$189.72 |
$189.72 |
$189.72 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$761.43 |
$761.43 |
$761.43 |
$3,375.00
|
|
Destruction vag lesions simple 57061
|
$4,053.99 |
$4,053.99 |
$4,053.99 |
$3,762.53
|
|
Device ablt adv novasure
|
$4,896.00 |
$4,896.00 |
$4,896.00 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$4,207.50 |
$4,207.50 |
$4,207.50 |
$4,298.87
|
|
Device intraute mirena
|
$3,363.57 |
$3,363.57 |
$3,363.57 |
$2,618.91
|
|
Device sut capio slim opn
|
$1,421.08 |
$1,421.08 |
$1,421.08 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$8,134.50 |
$8,134.50 |
$8,134.50 |
$2,440.98
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$379.95 |
$379.95 |
$379.95 |
$220.43
|
|
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
|
|
Diabetes (HbA1c) Test
|
$79.56 |
$79.56 |
$79.56 |
$78.03
|
|
Diag laparo separate proc 49320
|
$694.11 |
$694.11 |
$694.11 |
$5,855.00
|
|
Diagnostic anoscopy
|
$200.43 |
$200.43 |
$200.43 |
$441.68
|
|
Diagnostic anoscopy spx 46600
|
$200.43 |
$200.43 |
$200.43 |
$245.35
|
|
Diagnostic laryngoscopy 31505
|
$308.04 |
$308.04 |
$308.04 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$574.77 |
$574.77 |
$574.77 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$539.58 |
$539.58 |
$539.58 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$314.16 |
$314.16 |
$314.16 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$314.67 |
$314.67 |
$314.67 |
$239.25
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$85.68 |
$85.68 |
$85.68 |
$72.34
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$84.15 |
$84.15 |
$84.15 |
$69.79
|
|
Digoxin total therapeutic drug level
|
$143.31 |
$143.31 |
$143.31 |
$102.00
|
|
Dilate urethra stricture
|
$264.18 |
$264.18 |
$264.18 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$179.01 |
$179.01 |
$179.01 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$768.57 |
$768.57 |
$768.57 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$422.43 |
$422.43 |
$422.43 |
$305.68
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$2.55 |
$2.55 |
$2.55 |
$2.10
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$26.87
|
|
Dissolve clot heart vessel
|
$2,101.71 |
$2,101.71 |
$2,101.71 |
$1,396.47
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$191.76 |
$191.76 |
$191.76 |
$101.04
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$145.35 |
$145.35 |
$145.35 |
$84.30
|
|
Doppler echo complete
|
$675.75 |
$675.75 |
$675.75 |
$608.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$283.05 |
$283.05 |
$283.05 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$187.68 |
$187.68 |
$187.68 |
$482.03
|
|
Dornhoffer fixed part w/window
|
$20,206.20 |
$20,206.20 |
$20,206.20 |
$28,091.95
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$102.90 |
$102.90 |
$102.90 |
$99.99
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$469.20 |
$469.20 |
$469.20 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$797.64 |
$797.64 |
$797.64 |
$900.80
|
|
Drainage external ear complex 69005
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$797.64 |
$797.64 |
$797.64 |
$809.25
|
|
Drainage lymph node lesion 38300
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$255.51 |
$255.51 |
$255.51 |
$474.39
|
|
Drainage of arm bursa 23931
|
$1,529.49 |
$1,529.49 |
$1,529.49 |
$2,419.30
|
|
Drainage of eye
|
$2,863.65 |
$2,863.65 |
$2,863.65 |
$2,503.62
|
|
Drainage of mouth lesion
|
$255.51 |
$255.51 |
$255.51 |
$455.56
|
|
Drainage of mouth lesion
|
$1,705.95 |
$1,705.95 |
$1,705.95 |
$2,320.03
|
|
Drainage of mouth lesion
|
$3,496.05 |
$3,496.05 |
$3,496.05 |
$3,986.00
|
|
Drainage of mouth lesion
|
$561.51 |
$561.51 |
$561.51 |
$799.40
|
|
Drainage of mouth lesion
|
$3,496.05 |
$3,496.05 |
$3,496.05 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$255.51 |
$255.51 |
$255.51 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$561.51 |
$561.51 |
$561.51 |
$755.95
|
|
Drainage of pelvis lesion 26990
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,969.00
|
|
Drainage of rectal abscess
|
$1,331.10 |
$1,331.10 |
$1,331.10 |
$2,299.90
|
|
Drainage of salivary gland
|
$3,496.05 |
$3,496.05 |
$3,496.05 |
$3,837.72
|
|
Drainage of salivary gland
|
$561.51 |
$561.51 |
$561.51 |
$629.60
|
|
Drainage of urethra abscess 53060
|
$2,279.70 |
$2,279.70 |
$2,279.70 |
$2,459.34
|
|
Drain bladder by trocar/cath
|
$1,148.52 |
$1,148.52 |
$1,148.52 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$359.55 |
$359.55 |
$359.55 |
$190.33
|
|
Drain cerebro spinal fluid 62272
|
$792.03 |
$792.03 |
$792.03 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$651.27 |
$651.27 |
$651.27 |
$492.81
|
|
Drain lower leg bursa
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$3,839.54
|
|
Drain lower leg lesion 27603
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,386.84
|
|
Drain penis lesion
|
$844.05 |
$844.05 |
$844.05 |
$2,005.32
|
|
Drain shoulder lesion
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,571.53
|