|
Cytopath smear other source
|
$161.76 |
$161.76 |
$161.76 |
$85.80
|
|
Cytopath smear other source
|
$114.72 |
$114.72 |
$114.72 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$249.12 |
$249.12 |
$249.12 |
$95.89
|
|
Dacarbazine 100 mg intravenous solution
|
$154.08 |
$154.08 |
$154.08 |
$82.91
|
|
Dactinomycin 0.5 mg intravenous solution
|
$579.87 |
$579.87 |
$579.87 |
$2,526.62
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$58.06 |
$58.06 |
$58.06 |
$315.32
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$220.42 |
$220.42 |
$220.42 |
$260.95
|
|
D&c after delivery 59160
|
$4,177.44 |
$4,177.44 |
$4,177.44 |
$3,762.53
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,902.88 |
$3,902.88 |
$3,902.88 |
$3,774.81
|
|
Dch validity tests
|
$63.84 |
$63.84 |
$63.84 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$40.80 |
$40.80 |
$40.80 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$684.48 |
$684.48 |
$684.48 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$442.08 |
$442.08 |
$442.08 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,714.40 |
$2,714.40 |
$2,714.40 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$828.96 |
$828.96 |
$828.96 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,608.80 |
$2,608.80 |
$2,608.80 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,109.28 |
$1,109.28 |
$1,109.28 |
$810.50
|
|
Debride nail1-5 11720
|
$251.04 |
$251.04 |
$251.04 |
$173.25
|
|
Debride nail6 or more 11721
|
$272.16 |
$272.16 |
$272.16 |
$195.20
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,136.64 |
$1,136.64 |
$1,136.64 |
$1,265.16
|
|
Debride skin bone at fx site
|
$4,326.72 |
$4,326.72 |
$4,326.72 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$828.96 |
$828.96 |
$828.96 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,136.64 |
$1,136.64 |
$1,136.64 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$233.76 |
$233.76 |
$233.76 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,511.36 |
$2,511.36 |
$2,511.36 |
$1,193.40
|
|
Decalcification
|
$76.80 |
$76.80 |
$76.80 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$213.29 |
$213.29 |
$213.29 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,009.92 |
$1,009.92 |
$1,009.92 |
$545.90
|
|
Decompress fasciotomyhand 26037
|
$4,919.04 |
$4,919.04 |
$4,919.04 |
$3,594.44
|
|
Decompression of lower leg
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
$3,839.54
|
|
Decompression of thigh/knee
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
$3,839.54
|
|
Deep muscle biopsy 20205
|
$5,081.76 |
$5,081.76 |
$5,081.76 |
$3,370.52
|
|
Deferoxamine 500 mg solution for injection
|
$122.73 |
$122.73 |
$122.73 |
$110.82
|
|
Delivery of placenta 59414
|
$3,070.56 |
$3,070.56 |
$3,070.56 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$4,158.24 |
$4,158.24 |
$4,158.24 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$408.00 |
$408.00 |
$408.00 |
$196.26
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$401.76 |
$401.76 |
$401.76 |
$460.50
|
|
Derma-fat-fascia graft 15770
|
$5,270.40 |
$5,270.40 |
$5,270.40 |
$4,326.42
|
|
Dermagraft
|
$1,856.66 |
$1,856.66 |
$1,856.66 |
$1,912.31
|
|
Descend thora aorta rpr/lt sub art 33880
|
$2,168.16 |
$2,168.16 |
$2,168.16 |
$5,702.04
|
|
Description not available
|
$3,065.39 |
$3,065.39 |
$3,065.39 |
$225.37
|
|
Design mlc device for imrt
|
$831.84 |
$831.84 |
$831.84 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$102.32
|
|
Des thora aorta/ea add prox prosth 33884
|
$419.04 |
$419.04 |
$419.04 |
$1,285.78
|
|
Des thora aorta rpr without left sub art 33881
|
$1,868.16 |
$1,868.16 |
$1,868.16 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
$2,498.88
|
|
Destroy cervthor facet jnt 64633
|
$3,724.80 |
$3,724.80 |
$3,724.80 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$906.24 |
$906.24 |
$906.24 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$489.60 |
$489.60 |
$489.60 |
$220.12
|
|
Destruct cut vasl lesions <10cm 17106
|
$566.40 |
$566.40 |
$566.40 |
$658.40
|
|
Destruction anal lesion(s) smpl chem 46900
|
$566.40 |
$566.40 |
$566.40 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$251.04 |
$251.04 |
$251.04 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$932.16 |
$932.16 |
$932.16 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,836.16 |
$3,836.16 |
$3,836.16 |
$3,375.00
|
|
Device ablt adv novasure
|
$9,072.00 |
$9,072.00 |
$9,072.00 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$5,880.00 |
$5,880.00 |
$5,880.00 |
$4,298.87
|
|
Device intraute mirena
|
$3,165.72 |
$3,165.72 |
$3,165.72 |
$2,618.91
|
|
Device sut capio slim opn
|
$2,232.34 |
$2,232.34 |
$2,232.34 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$10,190.40 |
$10,190.40 |
$10,190.40 |
$2,440.98
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$294.72 |
$294.72 |
$294.72 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$5.29 |
$5.29 |
$5.29 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$44.76 |
$44.76 |
$44.76 |
$30.00
|
|
Dextran 40 infusion
|
$61.49 |
$61.49 |
$61.49 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$61.49 |
$61.49 |
$61.49 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$61.49 |
$61.49 |
$61.49 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$61.49 |
$61.49 |
$61.49 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$61.49 |
$61.49 |
$61.49 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$72.00 |
$72.00 |
$72.00 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$62.40 |
$62.40 |
$62.40 |
$78.03
|
|
Diab manage trn ind/group
|
$52.80 |
$52.80 |
$52.80 |
$49.50
|
|
Diagnostic anoscopy
|
$288.00 |
$288.00 |
$288.00 |
$441.68
|
|
Diagnostic anoscopy spx 46600
|
$285.12 |
$285.12 |
$285.12 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$34.56 |
$34.56 |
$34.56 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$34.56 |
$34.56 |
$34.56 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$151.68 |
$151.68 |
$151.68 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$1,344.48 |
$1,344.48 |
$1,344.48 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$395.52 |
$395.52 |
$395.52 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$309.60 |
$309.60 |
$309.60 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$145.92 |
$145.92 |
$145.92 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$11,068.32 |
$11,068.32 |
$11,068.32 |
$7,145.00
|
|
Dialysis one evaluation
|
$648.96 |
$648.96 |
$648.96 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$43.20 |
$43.20 |
$43.20 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$60.00 |
$60.00 |
$60.00 |
$72.34
|
|
Dicyclomine injection
|
$44.76 |
$44.76 |
$44.76 |
$211.81
|
|
Diffusing capacity
|
$418.08 |
$418.08 |
$418.08 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$44.76 |
$44.76 |
$44.76 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$10,945.58 |
$10,945.58 |
$10,945.58 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$178.56 |
$178.56 |
$178.56 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$404.62 |
$404.62 |
$404.62 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$1,623.84 |
$1,623.84 |
$1,623.84 |
$2,304.60
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$8,589.60 |
$8,589.60 |
$8,589.60 |
$4,322.56
|
|
Dilate ic vasospasm init
|
$10,604.64 |
$10,604.64 |
$10,604.64 |
$6,280.95
|
|
Dilate urethra stricture
|
$519.36 |
$519.36 |
$519.36 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$273.12 |
$273.12 |
$273.12 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$378.72 |
$378.72 |
$378.72 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$572.52 |
$572.52 |
$572.52 |
$305.68
|
|
Dimecaprol injection
|
$521.83 |
$521.83 |
$521.83 |
$199.46
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,927.01 |
$1,927.01 |
$1,927.01 |
$1,155.52
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$2.40 |
$2.40 |
$2.40 |
$2.10
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$44.76 |
$44.76 |
$44.76 |
$26.87
|