|
Debride nail6 or more 11721
|
$257.76 |
$257.76 |
$257.76 |
$195.20
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,152.96 |
$1,152.96 |
$1,152.96 |
$1,265.16
|
|
Debride skin bone at fx site
|
$5,235.84 |
$5,235.84 |
$5,235.84 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$248.64 |
$248.64 |
$248.64 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,152.96 |
$1,152.96 |
$1,152.96 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$248.64 |
$248.64 |
$248.64 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,315.20 |
$1,315.20 |
$1,315.20 |
$1,193.40
|
|
Decalcification
|
$50.88 |
$50.88 |
$50.88 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$401.08 |
$401.08 |
$401.08 |
$634.17
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$545.90
|
|
Decompress fasciotomyhand 26037
|
$4,893.60 |
$4,893.60 |
$4,893.60 |
$3,594.44
|
|
Decompression of lower leg
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$3,839.54
|
|
Decompression of thigh/knee
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$3,839.54
|
|
Deep muscle biopsy 20205
|
$4,093.44 |
$4,093.44 |
$4,093.44 |
$3,370.52
|
|
Deferoxamine 500 mg solution for injection
|
$151.88 |
$151.88 |
$151.88 |
$112.80
|
|
Delivery of placenta 59414
|
$2,369.28 |
$2,369.28 |
$2,369.28 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$3,702.24 |
$3,702.24 |
$3,702.24 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$470.88 |
$470.88 |
$470.88 |
$196.26
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$484.32 |
$484.32 |
$484.32 |
$460.50
|
|
Derma-fat-fascia graft 15770
|
$5,243.04 |
$5,243.04 |
$5,243.04 |
$4,326.42
|
|
Descend thora aorta rpr/lt sub art 33880
|
$5,035.20 |
$5,035.20 |
$5,035.20 |
$5,702.04
|
|
Design mlc device for imrt
|
$1,800.48 |
$1,800.48 |
$1,800.48 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$49.08 |
$49.08 |
$49.08 |
$103.25
|
|
Des thora aorta/ea add prox prosth 33884
|
$2,324.64 |
$2,324.64 |
$2,324.64 |
$1,285.78
|
|
Des thora aorta rpr without left sub art 33881
|
$3,624.96 |
$3,624.96 |
$3,624.96 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$2,324.64 |
$2,324.64 |
$2,324.64 |
$2,498.88
|
|
Destroy cervthor facet jnt 64633
|
$3,003.84 |
$3,003.84 |
$3,003.84 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$1,138.56 |
$1,138.56 |
$1,138.56 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$918.72 |
$918.72 |
$918.72 |
$220.12
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,195.68 |
$1,195.68 |
$1,195.68 |
$658.40
|
|
Destruction anal lesion(s) smpl chem 46900
|
$1,195.68 |
$1,195.68 |
$1,195.68 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$286.56 |
$286.56 |
$286.56 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,003.84 |
$3,003.84 |
$3,003.84 |
$3,375.00
|
|
Destruction vag lesions simple 57061
|
$6,003.84 |
$6,003.84 |
$6,003.84 |
$3,762.53
|
|
Device ablt adv novasure
|
$9,199.08 |
$9,199.08 |
$9,199.08 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$6,180.00 |
$6,180.00 |
$6,180.00 |
$4,298.87
|
|
Device intraute mirena
|
$3,165.72 |
$3,165.72 |
$3,165.72 |
$2,618.91
|
|
Device sut capio slim opn
|
$6,226.99 |
$6,226.99 |
$6,226.99 |
$1,825.12
|
|
Device tiss remov myosure reach
|
$13,068.00 |
$13,068.00 |
$13,068.00 |
$2,229.99
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$444.00 |
$444.00 |
$444.00 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$53.86 |
$53.86 |
$53.86 |
$5.61
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$44.76 |
$44.76 |
$44.76 |
$26.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$61.49 |
$61.49 |
$61.49 |
$49.79
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$61.49 |
$61.49 |
$61.49 |
$66.59
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$61.49 |
$61.49 |
$61.49 |
$48.56
|
|
Dextrose 5 % IV bolus
|
$61.49 |
$61.49 |
$61.49 |
$65.33
|
|
Dhea-s (dehydroepiand sulfate)
|
$72.00 |
$72.00 |
$72.00 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$52.32 |
$52.32 |
$52.32 |
$78.03
|
|
Diagnostic anoscopy
|
$391.20 |
$391.20 |
$391.20 |
$441.68
|
|
Diagnostic anoscopy spx 46600
|
$133.92 |
$133.92 |
$133.92 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$36.96 |
$36.96 |
$36.96 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$36.96 |
$36.96 |
$36.96 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$386.40 |
$386.40 |
$386.40 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$386.40 |
$386.40 |
$386.40 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$702.72 |
$702.72 |
$702.72 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$548.64 |
$548.64 |
$548.64 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$122.88 |
$122.88 |
$122.88 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$7,802.40 |
$7,802.40 |
$7,802.40 |
$7,145.00
|
|
Dialysis one evaluation
|
$1,081.92 |
$1,081.92 |
$1,081.92 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$60.00 |
$60.00 |
$60.00 |
$73.22
|
|
Dicyclomine injection
|
$145.99 |
$145.99 |
$145.99 |
$205.57
|
|
Diffusing capacity
|
$375.36 |
$375.36 |
$375.36 |
$360.10
|
|
Digital analysis of eeg
|
$1,216.32 |
$1,216.32 |
$1,216.32 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$337.01 |
$337.01 |
$337.01 |
$56.70
|
|
Digoxin immune fab 40 mg intravenous solution
|
$10,945.58 |
$10,945.58 |
$10,945.58 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$59.04 |
$59.04 |
$59.04 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$404.62 |
$404.62 |
$404.62 |
$321.30
|
|
Dilate biliary duct/ampulla
|
$2,304.96 |
$2,304.96 |
$2,304.96 |
$2,304.60
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$6,840.48 |
$6,840.48 |
$6,840.48 |
$4,322.56
|
|
Dilate ic vasospasm init
|
$6,840.48 |
$6,840.48 |
$6,840.48 |
$6,280.95
|
|
Dilate urethra stricture
|
$554.88 |
$554.88 |
$554.88 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$375.84 |
$375.84 |
$375.84 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$1,210.56 |
$1,210.56 |
$1,210.56 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$460.47 |
$460.47 |
$460.47 |
$305.68
|
|
Dimecaprol injection
|
$521.83 |
$521.83 |
$521.83 |
$183.58
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$44.76 |
$44.76 |
$44.76 |
$25.12
|
|
Disability dlco
|
$220.80 |
$220.80 |
$220.80 |
$307.58
|
|
Disaccharidases
|
$42.24 |
$42.24 |
$42.24 |
$223.80
|
|
Dissolve clot heart vessel
|
$995.04 |
$995.04 |
$995.04 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$2,417.28 |
$2,417.28 |
$2,417.28 |
$2,001.55
|
|
Dna antibody native/double stranded
|
$23.04 |
$23.04 |
$23.04 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$120.12 |
$120.12 |
$120.12 |
$100.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$306.29 |
$306.29 |
$306.29 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$119.88 |
$119.88 |
$119.88 |
$77.41
|
|
Doppler echo complete
|
$514.56 |
$514.56 |
$514.56 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$1,774.56 |
$1,774.56 |
$1,774.56 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$528.00 |
$528.00 |
$528.00 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$473.76 |
$473.76 |
$473.76 |
$482.03
|
|
Dornase alfa non-comp unit
|
$466.14 |
$466.14 |
$466.14 |
$479.80
|
|
Dornhoffer fixed part w/window
|
$33,280.80 |
$33,280.80 |
$33,280.80 |
$28,335.38
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$398.25 |
$398.25 |
$398.25 |
$338.12
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$87.58 |
$87.58 |
$87.58 |
$90.47
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$779.52 |
$779.52 |
$779.52 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$1,152.96 |
$1,152.96 |
$1,152.96 |
$900.80
|
|
Drainage external ear complex 69005
|
$2,412.48 |
$2,412.48 |
$2,412.48 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$779.52 |
$779.52 |
$779.52 |
$809.25
|
|
Drainage lymph node lesion 38300
|
$4,987.68 |
$4,987.68 |
$4,987.68 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$559.68 |
$559.68 |
$559.68 |
$474.39
|
|
Drainage of arm bursa 23931
|
$4,839.36 |
$4,839.36 |
$4,839.36 |
$2,419.30
|
|
Drainage of eye
|
$5,063.04 |
$5,063.04 |
$5,063.04 |
$2,503.62
|