|
Decompress spinal cord thrc
|
$1,117.39 |
$1,117.39 |
$1,117.39 |
$6,817.20
|
|
Decompress spine cord add-on
|
$124.83 |
$124.83 |
$124.83 |
$1,990.40
|
|
Decomp spinal cord/transped/ad seg 63057
|
$198.17 |
$198.17 |
$198.17 |
$1,365.00
|
|
Deep muscle biopsy 20205
|
$201.21 |
$201.21 |
$201.21 |
$3,370.52
|
|
Degarelix 120 mg subcutaneous solution
|
$1.71 |
$1.71 |
$1.71 |
$1,855.50
|
|
Delay flap eye/nos/ear/lip
|
$232.75 |
$232.75 |
$232.75 |
$2,190.24
|
|
Delay flap fccnaxghf 15620
|
$221.16 |
$221.16 |
$221.16 |
$2,164.64
|
|
Delivery of placenta 59414
|
$399.76 |
$399.76 |
$399.76 |
$2,822.68
|
|
Delivery only failed vbac 59620
|
$575.51 |
$575.51 |
$575.51 |
$1,809.60
|
|
Delivery only/pp care/failed vbac 59622
|
$859.75 |
$859.75 |
$859.75 |
$2,639.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$110.96 |
$110.96 |
$110.96 |
$182.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$8.36 |
$8.36 |
$8.36 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$108.49 |
$108.49 |
$108.49 |
$399.93
|
|
Depo-estradiol cypionate inj
|
$11.78 |
$11.78 |
$11.78 |
$87.27
|
|
Dermabrasion segmental face 15781
|
$282.72 |
$282.72 |
$282.72 |
$1,290.07
|
|
Derm autograft face/nck/hf/g
|
$501.60 |
$501.60 |
$501.60 |
$4,055.70
|
|
Design mlc device for imrt
|
$172.33 |
$172.33 |
$172.33 |
$1,712.00
|
|
Desoxycorticosterone
|
$6.03 |
$6.03 |
$6.03 |
$98.80
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$96.14 |
$96.14 |
$96.14 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$122.17 |
$122.17 |
$122.17 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$139.27 |
$139.27 |
$139.27 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$102.03 |
$102.03 |
$102.03 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$113.43 |
$113.43 |
$113.43 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$127.87 |
$127.87 |
$127.87 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$67.83 |
$67.83 |
$67.83 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$101.27 |
$101.27 |
$101.27 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$121.22 |
$121.22 |
$121.22 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$131.10 |
$131.10 |
$131.10 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$126.54 |
$126.54 |
$126.54 |
$3,018.00
|
|
Destroy cth facet jnt addl 64634
|
$43.32 |
$43.32 |
$43.32 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$104.50 |
$104.50 |
$104.50 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$46.55 |
$46.55 |
$46.55 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$184.11 |
$184.11 |
$184.11 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$129.20 |
$129.20 |
$129.20 |
$3,556.00
|
|
Destruct ben lesion 15/> 17111
|
$91.01 |
$91.01 |
$91.01 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$304.76 |
$304.76 |
$304.76 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$234.08 |
$234.08 |
$234.08 |
$666.75
|
|
Destruction 2-14 lesions 17003
|
$4.56 |
$4.56 |
$4.56 |
$78.61
|
|
Destruction anal lesion(s)
|
$89.68 |
$89.68 |
$89.68 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$379.81 |
$379.81 |
$379.81 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$165.30 |
$165.30 |
$165.30 |
$558.97
|
|
Destruction benign lesions < 14 lesions
|
$78.09 |
$78.09 |
$78.09 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$171.38 |
$171.38 |
$171.38 |
$1,626.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$38.00 |
$38.00 |
$38.00 |
$1,618.65
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$190.00 |
$190.00 |
$190.00 |
$3,295.50
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$176.51 |
$176.51 |
$176.51 |
$364.50
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$141.93 |
$141.93 |
$141.93 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$165.49 |
$165.49 |
$165.49 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$140.60 |
$140.60 |
$140.60 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$159.60 |
$159.60 |
$159.60 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$99.18 |
$99.18 |
$99.18 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$152.19 |
$152.19 |
$152.19 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$113.43 |
$113.43 |
$113.43 |
$442.61
|
|
Destruction rectal tumor 45190
|
$460.37 |
$460.37 |
$460.37 |
$3,245.23
|
|
Destruction vag lesions complex 57065
|
$163.78 |
$163.78 |
$163.78 |
$3,762.53
|
|
Destruction vag lesions simple 57061
|
$112.67 |
$112.67 |
$112.67 |
$3,815.20
|
|
Destruct penis les/smp/electrodesi 54055
|
$65.55 |
$65.55 |
$65.55 |
$2,837.09
|
|
Determine refractive state
|
$12.54 |
$12.54 |
$12.54 |
$21.50
|
|
Developmental screen/score/document 96110
|
$50.92 |
$50.92 |
$50.92 |
$143.13
|
|
Devel tst phys/qhp 1st hr
|
$56.43 |
$56.43 |
$56.43 |
$350.40
|
|
Device ablt adv novasure
|
$1,861.62 |
$1,861.62 |
$1,861.62 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,850.00 |
$2,850.00 |
$2,850.00 |
$4,200.00
|
|
Device intraute mirena
|
$616.93 |
$616.93 |
$616.93 |
$2,125.00
|
|
Device sut capio slim opn
|
$831.63 |
$831.63 |
$831.63 |
$1,894.50
|
|
Dev interrog remote 1/2/mlt
|
$28.50 |
$28.50 |
$28.50 |
$115.20
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$78.09 |
$78.09 |
$78.09 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$3.23 |
$3.23 |
$3.23 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$13.30 |
$13.30 |
$13.30 |
$21.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$19.79 |
$19.79 |
$19.79 |
$36.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$20.78 |
$20.78 |
$20.78 |
$42.50
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$15.11 |
$15.11 |
$15.11 |
$46.12
|
|
Dextrose 5 % IV bolus
|
$18.96 |
$18.96 |
$18.96 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$3.73 |
$3.73 |
$3.73 |
$111.50
|
|
Diabetes (HbA1c) Test
|
$53.01 |
$53.01 |
$53.01 |
$79.20
|
|
Diabetes training group per 30 min g0109
|
$9.31 |
$9.31 |
$9.31 |
$35.25
|
|
Diab manage trn ind/group
|
$7.60 |
$7.60 |
$7.60 |
$54.99
|
|
Diag laparo separate proc 49320
|
$212.99 |
$212.99 |
$212.99 |
$6,904.15
|
|
Diagnostic anoscopy
|
$60.99 |
$60.99 |
$60.99 |
$392.70
|
|
Diagnostic anoscopy & biopsy
|
$80.18 |
$80.18 |
$80.18 |
$2,288.00
|
|
Diagnostic anoscopy spx 46600
|
$78.85 |
$78.85 |
$78.85 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$57.76 |
$57.76 |
$57.76 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$57.76 |
$57.76 |
$57.76 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$60.23 |
$60.23 |
$60.23 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$86.64 |
$86.64 |
$86.64 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$181.64 |
$181.64 |
$181.64 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$142.50 |
$142.50 |
$142.50 |
$312.72
|
|
Diagnostic radio unlisted proc
|
$9.50 |
$9.50 |
$9.50 |
$243.60
|
|
Dialysis circuit perm vascular embolization 36909
|
$123.12 |
$123.12 |
$123.12 |
$5,598.45
|
|
Dialysis one evaluation
|
$1,022.39 |
$1,022.39 |
$1,022.39 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.42 |
$0.42 |
$0.42 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$47.93 |
$47.93 |
$47.93 |
$76.76
|
|
Dicyclomine injection
|
$60.99 |
$60.99 |
$60.99 |
$150.91
|
|
Diffusing capacity
|
$109.06 |
$109.06 |
$109.06 |
$332.01
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$12.27 |
$12.27 |
$12.27 |
$65.84
|
|
Digoxin total therapeutic drug level
|
$79.42 |
$79.42 |
$79.42 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$22.99 |
$22.99 |
$22.99 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$84.93 |
$84.93 |
$84.93 |
$1,841.15
|
|
Dilate esophagus
|
$56.43 |
$56.43 |
$56.43 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$127.68 |
$127.68 |
$127.68 |
$1,490.36
|
|
Dilate tear duct opening
|
$64.98 |
$64.98 |
$64.98 |
$454.40
|