|
Decompres spinal cord;thoracic 63055
|
$1,623.00 |
$1,623.00 |
$1,623.00 |
$8,412.89
|
|
Decompress small bowel
|
$975.90 |
$975.90 |
$975.90 |
$1,503.60
|
|
Decompress spinal cord lmbr
|
$1,495.50 |
$1,495.50 |
$1,495.50 |
$8,446.03
|
|
Decompress spinal cord thrc
|
$1,764.30 |
$1,764.30 |
$1,764.30 |
$6,817.20
|
|
Decompress spine cord add-on
|
$197.10 |
$197.10 |
$197.10 |
$847.60
|
|
Decomp spinal cord/transped/ad seg 63057
|
$312.90 |
$312.90 |
$312.90 |
$1,365.00
|
|
Deep muscle biopsy 20205
|
$317.70 |
$317.70 |
$317.70 |
$3,339.00
|
|
Degarelix 120 mg subcutaneous solution
|
$2.70 |
$2.70 |
$2.70 |
$1,807.08
|
|
Delay flap eye/nos/ear/lip
|
$367.50 |
$367.50 |
$367.50 |
$2,190.24
|
|
Delay flap fccnaxghf 15620
|
$349.20 |
$349.20 |
$349.20 |
$2,164.64
|
|
Delivery of placenta 59414
|
$87.90 |
$87.90 |
$87.90 |
$3,070.56
|
|
Delivery only failed vbac 59620
|
$908.70 |
$908.70 |
$908.70 |
$1,809.60
|
|
Delivery only/pp care/failed vbac 59622
|
$1,357.50 |
$1,357.50 |
$1,357.50 |
$2,639.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$186.00 |
$186.00 |
$186.00 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$6,921.56 |
$6,921.56 |
$6,921.56 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$171.30 |
$171.30 |
$171.30 |
$408.10
|
|
Depo-estradiol cypionate inj
|
$18.60 |
$18.60 |
$18.60 |
$71.51
|
|
Dermabrasion segmental face 15781
|
$446.40 |
$446.40 |
$446.40 |
$1,290.07
|
|
Derm autograft face/nck/hf/g
|
$792.00 |
$792.00 |
$792.00 |
$4,055.70
|
|
Design mlc device for imrt
|
$272.10 |
$272.10 |
$272.10 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$70.45 |
$70.45 |
$70.45 |
$89.78
|
|
Desoxycorticosterone
|
$9.53 |
$9.53 |
$9.53 |
$109.28
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$151.80 |
$151.80 |
$151.80 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$192.90 |
$192.90 |
$192.90 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$219.90 |
$219.90 |
$219.90 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$161.10 |
$161.10 |
$161.10 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$179.10 |
$179.10 |
$179.10 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$201.90 |
$201.90 |
$201.90 |
$317.00
|
|
Dest mal lesion tal <0.5 17260
|
$107.10 |
$107.10 |
$107.10 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$159.90 |
$159.90 |
$159.90 |
$262.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$191.40 |
$191.40 |
$191.40 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$207.00 |
$207.00 |
$207.00 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$199.80 |
$199.80 |
$199.80 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$68.40 |
$68.40 |
$68.40 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$165.00 |
$165.00 |
$165.00 |
$1,344.85
|
|
Destroy premlg lesns;1st lesn 17000
|
$94.80 |
$94.80 |
$94.80 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$290.70 |
$290.70 |
$290.70 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$823.20 |
$823.20 |
$823.20 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$143.70 |
$143.70 |
$143.70 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$481.20 |
$481.20 |
$481.20 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$369.60 |
$369.60 |
$369.60 |
$660.00
|
|
Destruction 2-14 lesions 17003
|
$9.30 |
$9.30 |
$9.30 |
$72.60
|
|
Destruction anal lesion(s)
|
$141.60 |
$141.60 |
$141.60 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$599.70 |
$599.70 |
$599.70 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$261.00 |
$261.00 |
$261.00 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$169.80 |
$169.80 |
$169.80 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$270.60 |
$270.60 |
$270.60 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$60.00 |
$60.00 |
$60.00 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$300.00 |
$300.00 |
$300.00 |
$3,202.98
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$278.70 |
$278.70 |
$278.70 |
$364.50
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$224.10 |
$224.10 |
$224.10 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$261.30 |
$261.30 |
$261.30 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$222.00 |
$222.00 |
$222.00 |
$472.79
|
|
Destruction mal lsn t/a/l >4cm
|
$252.00 |
$252.00 |
$252.00 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$156.60 |
$156.60 |
$156.60 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$240.30 |
$240.30 |
$240.30 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$215.70 |
$215.70 |
$215.70 |
$436.64
|
|
Destruction rectal tumor 45190
|
$726.90 |
$726.90 |
$726.90 |
$3,245.23
|
|
Destruction vag lesions complex 57065
|
$258.60 |
$258.60 |
$258.60 |
$3,762.53
|
|
Destruction vag lesions simple 57061
|
$177.90 |
$177.90 |
$177.90 |
$3,815.20
|
|
Destruct penis les/smp/electrodesi 54055
|
$103.50 |
$103.50 |
$103.50 |
$2,837.09
|
|
Determine refractive state
|
$19.80 |
$19.80 |
$19.80 |
$19.80
|
|
Developmental screen/score/document 96110
|
$80.40 |
$80.40 |
$80.40 |
$130.65
|
|
Devel tst phys/qhp 1st hr
|
$89.10 |
$89.10 |
$89.10 |
$337.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$4,500.00 |
$4,500.00 |
$4,500.00 |
$4,200.00
|
|
Device intraute mirena
|
$974.10 |
$974.10 |
$974.10 |
$2,125.00
|
|
Dev interrog remote 1/2/mlt
|
$45.00 |
$45.00 |
$45.00 |
$115.20
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$11.10 |
$11.10 |
$11.10 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$5.10 |
$5.10 |
$5.10 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$27.95 |
$27.95 |
$27.95 |
$21.17
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$12.90 |
$12.90 |
$12.90 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$12.90 |
$12.90 |
$12.90 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$12.90 |
$12.90 |
$12.90 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$12.90 |
$12.90 |
$12.90 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$146.40 |
$146.40 |
$146.40 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$78.90 |
$78.90 |
$78.90 |
$79.20
|
|
Diabetes training group per 30 min g0109
|
$14.70 |
$14.70 |
$14.70 |
$35.25
|
|
Diab manage trn ind/group
|
$12.00 |
$12.00 |
$12.00 |
$56.55
|
|
Diag laparo separate proc 49320
|
$336.30 |
$336.30 |
$336.30 |
$6,904.15
|
|
Diagnostic anoscopy
|
$96.30 |
$96.30 |
$96.30 |
$391.20
|
|
Diagnostic anoscopy & biopsy
|
$126.60 |
$126.60 |
$126.60 |
$1,905.00
|
|
Diagnostic anoscopy spx 46600
|
$168.90 |
$168.90 |
$168.90 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$95.10 |
$95.10 |
$95.10 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$136.80 |
$136.80 |
$136.80 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$306.60 |
$306.60 |
$306.60 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$225.00 |
$225.00 |
$225.00 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$15.00 |
$15.00 |
$15.00 |
$214.08
|
|
Dialysis circuit perm vascular embolization 36909
|
$194.40 |
$194.40 |
$194.40 |
$5,419.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$89.67 |
$89.67 |
$89.67 |
$74.76
|
|
Diffusing capacity
|
$149.70 |
$149.70 |
$149.70 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$20.49 |
$20.49 |
$20.49 |
$69.03
|
|
Digoxin total therapeutic drug level
|
$107.10 |
$107.10 |
$107.10 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$36.30 |
$36.30 |
$36.30 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$134.10 |
$134.10 |
$134.10 |
$1,866.73
|
|
Dilate esophagus
|
$89.10 |
$89.10 |
$89.10 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$201.60 |
$201.60 |
$201.60 |
$1,484.17
|
|
Dilate tear duct opening
|
$102.60 |
$102.60 |
$102.60 |
$472.21
|
|
Dilate urethra stricture
|
$93.00 |
$93.00 |
$93.00 |
$490.00
|
|
Dilate urethra stricture
|
$91.20 |
$91.20 |
$91.20 |
$200.80
|
|
Dilate urethra stricture
|
$64.20 |
$64.20 |
$64.20 |
$3,863.60
|
