|
Cytopath smear other source
|
$43.40 |
$43.40 |
$43.40 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$24.80 |
$24.80 |
$24.80 |
$96.20
|
|
Cytp urine 3-5 probes cmptr
|
$89.40 |
$89.40 |
$89.40 |
$690.00
|
|
Dalbavancin 500 mg intravenous solution
|
$1,437.98 |
$1,437.98 |
$1,437.98 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$52.20 |
$52.20 |
$52.20 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$6,000.00 |
$6,000.00 |
$6,000.00 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$2.20 |
$2.20 |
$2.20 |
$6,072.48
|
|
D&c after delivery 59160
|
$185.80 |
$185.80 |
$185.80 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$207.60 |
$207.60 |
$207.60 |
$3,774.81
|
|
Dch glucoscan
|
$12.20 |
$12.20 |
$12.20 |
$28.10
|
|
Dch pulmonary stress test
|
$32.80 |
$32.80 |
$32.80 |
$963.30
|
|
Dch validity tests
|
$9.00 |
$9.00 |
$9.00 |
$24.50
|
|
Dcmprn plantar digital nerve
|
$191.80 |
$191.80 |
$191.80 |
$2,375.24
|
|
D&c of cervical stump
|
$89.40 |
$89.40 |
$89.40 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$2.21 |
$2.21 |
$2.21 |
$43.60
|
|
Debr g/per/abd wall 11006
|
$460.00 |
$460.00 |
$460.00 |
$1,357.80
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$201.00 |
$201.00 |
$201.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$104.20 |
$104.20 |
$104.20 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$1,752.00 |
$1,752.00 |
$1,752.00 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$848.60 |
$848.60 |
$848.60 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,016.20 |
$1,016.20 |
$1,016.20 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,357.60 |
$1,357.60 |
$1,357.60 |
$810.50
|
|
Debride nail1-5 11720
|
$225.20 |
$225.20 |
$225.20 |
$148.80
|
|
Debride nail6 or more 11721
|
$225.20 |
$225.20 |
$225.20 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$201.40 |
$201.40 |
$201.40 |
$1,012.80
|
|
Debride skin bone at fx site
|
$280.60 |
$280.60 |
$280.60 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$374.40 |
$374.40 |
$374.40 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$503.40 |
$503.40 |
$503.40 |
$1,820.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$731.60 |
$731.60 |
$731.60 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$83.80 |
$83.80 |
$83.80 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$189.80 |
$189.80 |
$189.80 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$19.20 |
$19.20 |
$19.20 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,357.60 |
$1,357.60 |
$1,357.60 |
$1,160.00
|
|
Decalcification
|
$16.20 |
$16.20 |
$16.20 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$128.40 |
$128.40 |
$128.40 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$108.40 |
$108.40 |
$108.40 |
$543.00
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$318.00 |
$318.00 |
$318.00 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$525.20 |
$525.20 |
$525.20 |
$3,137.60
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$847.80 |
$847.80 |
$847.80 |
$4,664.40
|
|
Decompress fasciotomyhand 26037
|
$398.00 |
$398.00 |
$398.00 |
$3,839.54
|
|
Decompress fingers/hand
|
$605.80 |
$605.80 |
$605.80 |
$3,839.54
|
|
Decompress forearm 1 space
|
$919.80 |
$919.80 |
$919.80 |
$3,957.20
|
|
Decompress forearm 2 spaces
|
$543.80 |
$543.80 |
$543.80 |
$3,851.20
|
|
Decompression fasct forearm
|
$649.80 |
$649.80 |
$649.80 |
$5,886.74
|
|
Decompression of leg
|
$375.20 |
$375.20 |
$375.20 |
$3,839.54
|
|
Decompression of leg
|
$434.60 |
$434.60 |
$434.60 |
$7,907.11
|
|
Decompression of leg
|
$560.20 |
$560.20 |
$560.20 |
$3,839.54
|
|
Decompression of lower leg
|
$276.00 |
$276.00 |
$276.00 |
$3,839.54
|
|
Decompression of lower leg
|
$306.40 |
$306.40 |
$306.40 |
$3,839.54
|
|
Decompression of thigh/knee
|
$464.40 |
$464.40 |
$464.40 |
$3,217.60
|
|
Decompression of tibia nerve
|
$256.80 |
$256.80 |
$256.80 |
$2,625.60
|
|
Decompression unspecified nerve 64722
|
$260.60 |
$260.60 |
$260.60 |
$2,163.32
|
|
Decompres spinal cord;thoracic 63055
|
$1,082.00 |
$1,082.00 |
$1,082.00 |
$8,412.89
|
|
Decompress small bowel
|
$650.60 |
$650.60 |
$650.60 |
$1,503.60
|
|
Decompress spinal cord lmbr
|
$997.00 |
$997.00 |
$997.00 |
$8,446.03
|
|
Decompress spinal cord thrc
|
$1,176.20 |
$1,176.20 |
$1,176.20 |
$6,817.20
|
|
Decompress spine cord add-on
|
$131.40 |
$131.40 |
$131.40 |
$847.60
|
|
Decomp spinal cord/transped/ad seg 63057
|
$208.60 |
$208.60 |
$208.60 |
$1,365.00
|
|
Deep muscle biopsy 20205
|
$211.80 |
$211.80 |
$211.80 |
$3,339.00
|
|
Degarelix 120 mg subcutaneous solution
|
$627.17 |
$627.17 |
$627.17 |
$1,807.08
|
|
Delay flap eye/nos/ear/lip
|
$245.00 |
$245.00 |
$245.00 |
$2,190.24
|
|
Delay flap fccnaxghf 15620
|
$232.80 |
$232.80 |
$232.80 |
$2,164.64
|
|
Delivery of placenta 59414
|
$1,298.00 |
$1,298.00 |
$1,298.00 |
$3,070.56
|
|
Delivery only failed vbac 59620
|
$605.80 |
$605.80 |
$605.80 |
$1,809.60
|
|
Delivery only/pp care/failed vbac 59622
|
$905.00 |
$905.00 |
$905.00 |
$2,639.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$152.60 |
$152.60 |
$152.60 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$3,146.16 |
$3,146.16 |
$3,146.16 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$114.20 |
$114.20 |
$114.20 |
$408.10
|
|
Depo-estradiol cypionate inj
|
$12.40 |
$12.40 |
$12.40 |
$71.51
|
|
Dermabrasion segmental face 15781
|
$297.60 |
$297.60 |
$297.60 |
$1,290.07
|
|
Derm autograft face/nck/hf/g
|
$528.00 |
$528.00 |
$528.00 |
$4,055.70
|
|
Design mlc device for imrt
|
$181.40 |
$181.40 |
$181.40 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$49.70 |
$49.70 |
$49.70 |
$89.78
|
|
Desoxycorticosterone
|
$6.35 |
$6.35 |
$6.35 |
$109.28
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$101.20 |
$101.20 |
$101.20 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$128.60 |
$128.60 |
$128.60 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$146.60 |
$146.60 |
$146.60 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$107.40 |
$107.40 |
$107.40 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$119.40 |
$119.40 |
$119.40 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$134.60 |
$134.60 |
$134.60 |
$317.00
|
|
Dest mal lesion tal <0.5 17260
|
$71.40 |
$71.40 |
$71.40 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$106.60 |
$106.60 |
$106.60 |
$262.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$127.60 |
$127.60 |
$127.60 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$138.00 |
$138.00 |
$138.00 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$133.20 |
$133.20 |
$133.20 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$45.60 |
$45.60 |
$45.60 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$110.00 |
$110.00 |
$110.00 |
$1,344.85
|
|
Destroy premlg lesns;1st lesn 17000
|
$55.20 |
$55.20 |
$55.20 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$193.80 |
$193.80 |
$193.80 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$136.00 |
$136.00 |
$136.00 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$95.80 |
$95.80 |
$95.80 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$320.80 |
$320.80 |
$320.80 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$246.40 |
$246.40 |
$246.40 |
$660.00
|
|
Destruction 2-14 lesions 17003
|
$4.80 |
$4.80 |
$4.80 |
$72.60
|
|
Destruction anal lesion(s)
|
$94.40 |
$94.40 |
$94.40 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$399.80 |
$399.80 |
$399.80 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$174.00 |
$174.00 |
$174.00 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$82.20 |
$82.20 |
$82.20 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$180.40 |
$180.40 |
$180.40 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$40.00 |
$40.00 |
$40.00 |
$1,616.72
|
