|
Debride skin bone at fx site
|
$6,102.89 |
$6,102.89 |
$6,102.89 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$60.83 |
$2,105.51 |
$2,105.51 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$289.22 |
$289.22 |
$289.22 |
|
|
Debr inf skin add-on 11001
|
$205.74 |
$205.74 |
$205.74 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$728.60 |
$2,807.34 |
$2,807.34 |
|
|
Decalcification
|
$12.82 |
$167.63 |
$882.00 |
|
|
Decitabine 50 mg intravenous solution
|
$3.24 |
$17,440.06 |
$22,065.68 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$162.20 |
$1,784.10 |
$1,784.10 |
|
|
Decompression of tibia nerve
|
$5,239.05 |
$5,239.05 |
$5,239.05 |
|
|
Decompres spinal cord;thoracic 63055
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
|
|
Decompress spinal cord lmbr
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
|
|
Deferoxamine 500 mg solution for injection
|
$0.87 |
$570.00 |
$2,272.10 |
|
|
Degarelix 120 mg subcutaneous solution
|
$6,348.44 |
$6,348.44 |
$12,678.09 |
|
|
Delivery of placenta 59414
|
$1,035.82 |
$5,813.68 |
$5,813.68 |
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$9,561.95 |
$9,561.95 |
$9,561.95 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$61.06 |
$632.27 |
$1,093.00 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$14,105.35 |
$14,105.35 |
$14,105.35 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$158.95 |
$1,632.08 |
$1,632.08 |
|
|
Derma-gide, 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
|
|
Dermagraft
|
$220.24 |
$220.24 |
$220.24 |
|
|
Dermapure 1 square cm
|
$351.00 |
$351.00 |
$497.00 |
|
|
Dermavest, plurivest sq cm
|
$1.00 |
$1.00 |
$1.00 |
|
|
Derm-maxx, per sq cm
|
$1.00 |
$1.00 |
$1.00 |
|
|
Descend thora aorta rpr/lt sub art 33880
|
$2,081.80 |
$2,081.80 |
$2,081.80 |
|
|
Design mlc device for imrt
|
$224.22 |
$29,991.75 |
$67,564.75 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$270.00 |
$2,296.67 |
$2,296.67 |
|
|
Desoxycorticosterone
|
$21.39 |
$465.68 |
$866.05 |
|
|
Des thora aorta rpr without left sub art 33881
|
$2,007.40 |
$2,007.40 |
$2,007.40 |
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$273.72 |
$273.72 |
$273.72 |
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$328.46 |
$328.46 |
$328.46 |
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$394.17 |
$394.17 |
$394.17 |
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$273.72 |
$273.72 |
$273.72 |
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$328.46 |
$328.46 |
$328.46 |
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$394.17 |
$394.17 |
$394.17 |
|
|
Dest mal lesion tal <0.5 17260
|
$1,660.41 |
$1,660.41 |
$1,660.41 |
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$2,052.02 |
$2,052.02 |
$2,052.02 |
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$2,592.44 |
$2,592.44 |
$2,592.44 |
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$2,866.56 |
$2,866.56 |
$2,866.56 |
|
|
Destroy cervthor facet jnt 64633
|
$1,955.18 |
$5,071.14 |
$5,071.14 |
|
|
Destroy cth facet jnt addl 64634
|
$781.36 |
$2,535.56 |
$2,535.56 |
|
|
Destroy premlg lesns;1st lesn 17000
|
$292.05 |
$292.05 |
$292.05 |
|
|
Destroy vulva lesion extensive 56515
|
$5,030.19 |
$5,030.19 |
$5,030.19 |
|
|
Destroy vulva lesion simple 56501
|
$5,030.19 |
$5,030.19 |
$5,030.19 |
|
|
Destruct ben lesion 15/> 17111
|
$526.32 |
$526.32 |
$526.32 |
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$1,693.24 |
$1,693.24 |
$1,693.24 |
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,087.35 |
$1,087.35 |
$1,087.35 |
|
|
Destruct cut vasl lesions >50cm 17108
|
$5,030.19 |
$5,030.19 |
$5,030.19 |
|
|
Destruction 2-14 lesions 17003
|
$48.17 |
$48.17 |
$48.17 |
|
|
Destruction anal lesion(s)
|
$5,030.19 |
$5,030.19 |
$5,030.19 |
|
|
Destruction anal lesion(s) smpl chem 46900
|
$1,087.35 |
$1,087.35 |
$1,087.35 |
|
|
Destruction benign lesions < 14 lesions
|
$273.45 |
$273.45 |
$273.45 |
|
|
Destruction by injection tx of nerve 64630
|
$555.93 |
$1,845.91 |
$1,845.91 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$754.54 |
$2,535.56 |
$2,535.56 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,955.18 |
$5,071.14 |
$5,071.14 |
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$526.32 |
$526.32 |
$526.32 |
|
|
Destruction laser surgery anal lesions 46917
|
$7,488.98 |
$7,488.98 |
$7,488.98 |
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$472.99 |
$472.99 |
$472.99 |
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$567.59 |
$567.59 |
$567.59 |
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$3,062.36 |
$3,062.36 |
$3,062.36 |
|
|
Destruction mal lsn t/a/l >4cm
|
$3,587.12 |
$3,587.12 |
$3,587.12 |
|
|
Destruction premal lesions 15/> 17004
|
$510.36 |
$510.36 |
$510.36 |
|
|
Detect agent nos dna dir
|
$1,395.85 |
$1,395.85 |
$1,395.85 |
|
|
Determination venous press
|
$3,387.43 |
$3,387.43 |
$3,387.43 |
|
|
Devel tst phys/qhp 1st hr
|
$204.00 |
$464.50 |
$1,812.25 |
|
|
Device ablt adv novasure
|
$1,422.47 |
$1,422.47 |
$3,416.10 |
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,237.54 |
$3,237.54 |
$4,099.02 |
|
|
Device intraute mirena
|
$6,384.19 |
$7,175.00 |
$10,984.51 |
|
|
Device sut capio slim opn
|
$4,296.18 |
$4,666.74 |
$6,195.30 |
|
|
Device tiss remov myosure reach
|
$3,237.54 |
$4,099.02 |
$6,905.81 |
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$213.67 |
$213.67 |
$213.67 |
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$94.34 |
$1,283.97 |
$3,167.00 |
|
|
Dexamethasone 4 mg tablet
|
$2.39 |
$16.94 |
$58.50 |
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$0.66 |
$95.54 |
$95.54 |
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$202.06 |
$3,871.13 |
$16,715.00 |
|
|
Dextran 40 infusion
|
$910.65 |
$1,257.76 |
$3,058.25 |
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$192.72 |
$192.72 |
$293.91 |
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$12.50 |
$192.72 |
$1,011.00 |
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$61.55 |
$61.55 |
$61.55 |
|
|
Dextrose 5 % IV bolus
|
$13.00 |
$192.72 |
$785.12 |
|
|
Dhea-s (dehydroepiand sulfate)
|
$15.21 |
$624.56 |
$1,878.69 |
|
|
Diabetes (HbA1c) Test
|
$6.81 |
$155.43 |
$1,194.52 |
|
|
Diab manage trn ind/group
|
$19.49 |
$67.77 |
$343.00 |
|
|
Diagnostic anoscopy spx 46600
|
$42.76 |
$1,504.69 |
$1,504.69 |
|
|
Diagnostic digital breast tomosynthesis bil
|
$269.66 |
$269.66 |
$269.66 |
|
|
Diagnostic digital breast tomosynthesis unil
|
$192.39 |
$192.39 |
$192.39 |
|
|
Diagnostic laryngoscopy 31505
|
$50.80 |
$427.17 |
$427.17 |
|
|
Diagnostic laryngoscopy 31575
|
$124.82 |
$1,827.51 |
$1,827.51 |
|
|
Diagnostic Mammogram (both breasts)
|
$283.82 |
$600.62 |
$970.67 |
|
|
Diagnostic Mammogram (one breast)
|
$125.15 |
$391.23 |
$391.23 |
|
|
Diagnostic radio unlisted proc
|
$99.00 |
$99.00 |
$99.00 |
|
|
Dialysis circuit perm vascular embolization 36909
|
$4,787.89 |
$34,442.20 |
$34,442.20 |
|
|
Dialysis one evaluation
|
$2,714.13 |
$2,714.13 |
$2,714.13 |
|
|
Diatrizoate meglumine 18 % urethral solution
|
$106.27 |
$509.22 |
$2,800.77 |
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$109.50 |
$225.84 |
$440.72 |
|
|
Dicyclomine injection
|
$260.16 |
$912.29 |
$1,276.80 |
|
|
Diffusing capacity
|
$142.80 |
$1,588.00 |
$2,645.96 |
|
|
Digital analysis of eeg
|
$1,243.00 |
$2,270.28 |
$2,270.28 |
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$93.18 |
$93.18 |
$165.37 |
|
|
Digoxin immune fab 40 mg intravenous solution
|
$13,462.88 |
$24,624.51 |
$28,919.00 |
|
|
Digoxin total therapeutic drug level
|
$12.03 |
$249.45 |
$1,308.50 |
|