|
Description not available
|
$19.50 |
$19.50 |
$19.50 |
$19.50
|
|
Design mlc device for imrt
|
$2,153.45 |
$2,153.45 |
$4,854.00 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$115.05 |
$115.05 |
$843.00 |
$91.84
|
|
Desoxycorticosterone
|
$464.00 |
$464.00 |
$464.00 |
$109.28
|
|
Des thora aorta/ea add prox prosth 33884
|
$4,216.55 |
$4,216.55 |
$4,216.55 |
$1,304.05
|
|
Des thora aorta rpr without left sub art 33881
|
$15,165.15 |
$15,165.15 |
$15,165.15 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$11,389.30 |
$11,389.30 |
$11,389.30 |
$3,273.55
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$1,075.75 |
$1,075.75 |
$1,075.75 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$1,075.75 |
$1,075.75 |
$1,075.75 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$1,075.75 |
$1,075.75 |
$1,075.75 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$634.40 |
$634.40 |
$634.40 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$634.40 |
$634.40 |
$634.40 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$634.40 |
$634.40 |
$634.40 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$604.50 |
$604.50 |
$604.50 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$604.50 |
$604.50 |
$604.50 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$604.50 |
$604.50 |
$604.50 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$1,024.40 |
$1,024.40 |
$1,024.40 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$15,751.45 |
$15,751.45 |
$15,751.45 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$3,030.30 |
$3,030.30 |
$3,030.30 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$193.05 |
$193.05 |
$193.05 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$8,175.05 |
$8,175.05 |
$8,175.05 |
$3,058.98
|
|
Destroy vulva lesion simple 56501
|
$5,137.60 |
$5,137.60 |
$5,137.60 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$161.20 |
$161.20 |
$161.20 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$58.50 |
$58.50 |
$58.50 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$576.55 |
$576.55 |
$576.55 |
$240.24
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$17,531.80 |
$17,531.80 |
$17,531.80 |
$3,296.80
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$598.65 |
$598.65 |
$598.65 |
$375.87
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$604.50 |
$604.50 |
$604.50 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$1,147.25 |
$1,147.25 |
$1,147.25 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$5,055.70 |
$5,055.70 |
$5,055.70 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$5,709.60 |
$5,709.60 |
$5,709.60 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$306.80 |
$306.80 |
$306.80 |
$442.61
|
|
Destruction vag lesions simple 57061
|
$6,806.80 |
$6,806.80 |
$6,806.80 |
$4,006.38
|
|
Destruct penis les/smp/electrodesi 54055
|
$4,423.25 |
$4,423.25 |
$4,423.25 |
$2,837.09
|
|
Detect agent nos dna dir
|
$326.30 |
$326.30 |
$326.30 |
$138.00
|
|
Developmental screen/score/document 96110
|
$259.35 |
$259.35 |
$259.35 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$226.85 |
$226.85 |
$1,639.00 |
$350.40
|
|
Device ablt adv novasure
|
$19,318.00 |
$19,318.00 |
$19,318.00 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$181.35 |
$181.35 |
$181.35 |
$4,200.00
|
|
Device intraute mirena
|
$3,365.70 |
$3,365.70 |
$3,365.70 |
$2,125.00
|
|
Device sut capio slim opn
|
$7,201.35 |
$7,201.35 |
$7,201.35 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$6,752.20 |
$6,752.20 |
$6,752.20 |
$2,515.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$113.75 |
$113.75 |
$822.00 |
$199.50
|
|
Dexamethasone 4 mg tablet
|
$3.90 |
$3.90 |
$3.90 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$33.80 |
$33.80 |
$33.80 |
$20.76
|
|
Dexamethasone panel
|
$223.00 |
$223.00 |
$223.00 |
$223.39
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,893.45 |
$1,893.45 |
$6,013.00 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$215.80 |
$215.80 |
$215.80 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$22.83 |
$215.80 |
$215.80 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$185.25 |
$185.25 |
$185.25 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$215.80 |
$215.80 |
$227.00 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$26.65 |
$26.65 |
$26.65 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$309.40 |
$309.40 |
$990.00 |
$79.30
|
|
Diabetes training group per 30 min g0109
|
$75.40 |
$75.40 |
$75.40 |
$35.43
|
|
Diab manage trn ind/group
|
$45.50 |
$45.50 |
$1,572.00 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$1,049.10 |
$1,049.10 |
$1,049.10 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$162.50 |
$162.50 |
$162.50 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$162.50 |
$162.50 |
$162.50 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$512.20 |
$512.20 |
$512.20 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$1,467.05 |
$1,467.05 |
$1,467.05 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$560.30 |
$560.30 |
$583.00 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$432.25 |
$432.25 |
$432.25 |
$314.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,437.85 |
$3,437.85 |
$3,437.85 |
$5,741.00
|
|
Dialysis one evaluation
|
$2,858.70 |
$2,858.70 |
$2,858.70 |
$936.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$194.00 |
$230.75 |
$230.75 |
$79.71
|
|
Dicyclomine injection
|
$318.50 |
$318.50 |
$357.00 |
$154.33
|
|
Diffusing capacity
|
$326.30 |
$326.30 |
$1,719.00 |
$336.80
|
|
Digital analysis of eeg
|
$904.80 |
$904.80 |
$6,250.00 |
$593.40
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$1,078.35 |
$1,078.35 |
$1,078.35 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$21,362.25 |
$21,362.25 |
$37,188.00 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$199.55 |
$199.55 |
$690.00 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$260.00 |
$778.70 |
$778.70 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$1,217.45 |
$1,217.45 |
$1,217.45 |
$1,866.73
|
|
Dilate esophagus
|
$1,421.55 |
$1,421.55 |
$1,421.55 |
$2,142.40
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$1,931.80 |
$1,931.80 |
$1,931.80 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,931.80 |
$1,931.80 |
$1,931.80 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$4,689.10 |
$4,689.10 |
$4,689.10 |
$5,151.95
|
|
Dilate urethra stricture
|
$661.70 |
$661.70 |
$661.70 |
$513.00
|
|
Dilate urethra stricture
|
$304.85 |
$304.85 |
$304.85 |
$200.80
|
|
Dilate urethra stricture
|
$661.70 |
$661.70 |
$661.70 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$388.05 |
$388.05 |
$388.05 |
$235.61
|
|
Dilation of cervical canal 57800
|
$7,146.75 |
$7,146.75 |
$7,146.75 |
$4,446.00
|
|
Dilation of salivary duct
|
$1,321.45 |
$1,321.45 |
$1,321.45 |
$790.00
|
|
Dilation of urethra
|
$304.85 |
$304.85 |
$304.85 |
$172.00
|
|
Dilation of vagina
|
$8,745.10 |
$8,745.10 |
$8,745.10 |
$4,446.00
|
|
Dilation salivary duct 42650
|
$4,017.65 |
$4,017.65 |
$4,017.65 |
$2,675.71
|
|
Dilation/urethral strict/male/ini 53620
|
$1,606.15 |
$1,606.15 |
$1,606.15 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$1,030.90 |
$1,030.90 |
$1,030.90 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$12,504.05 |
$12,504.05 |
$12,504.05 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$21,035.30 |
$21,035.30 |
$21,035.30 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$2.60 |
$2.60 |
$69.00 |
$45.60
|
|
Dimecaprol injection
|
$473.20 |
$473.20 |
$473.20 |
$314.63
|
|
Dimethyl sulfoxide 50% 50 ml
|
$859.30 |
$859.30 |
$5,246.52 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$24.70 |
$24.70 |
$91.00 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$114.40 |
$114.40 |
$114.40 |
$98.15
|
|
Dipyridamole injection
|
$764.00 |
$764.00 |
$764.00 |
$48.04
|
|
Disability dlco
|
$680.55 |
$680.55 |
$1,833.00 |
$293.76
|
