|
Daunorubicin 5 mg/ml intravenous solution
|
$271.25 |
$271.25 |
$332.00 |
$250.29
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$13,338.00 |
$13,338.00 |
$13,338.00 |
$3,774.81
|
|
Dch glucoscan
|
$11.33 |
$11.33 |
$11.33 |
$24.85
|
|
Dch pulmonary stress test
|
$2,195.00 |
$2,195.00 |
$5,756.55 |
$966.00
|
|
Dch validity tests
|
$55.00 |
$55.00 |
$103.00 |
$25.20
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$6,863.00 |
$6,863.00 |
$6,863.00 |
$4,021.68
|
|
Deamidated gliadin antibody iga
|
$284.00 |
$284.00 |
$284.00 |
$44.00
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$684.48
|
|
Debridement (>20 cm) charge pt
|
$460.00 |
$460.00 |
$460.00 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$5,498.00 |
$5,498.00 |
$5,498.00 |
$2,546.04
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,992.00 |
$1,992.00 |
$1,992.00 |
$683.25
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$5,498.00 |
$5,498.00 |
$5,498.00 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$2,391.00 |
$2,391.00 |
$2,391.00 |
$810.50
|
|
Debride nail1-5 11720
|
$220.00 |
$220.00 |
$220.00 |
$173.25
|
|
Debride nail6 or more 11721
|
$220.00 |
$220.00 |
$220.00 |
$195.00
|
|
Debride skin bone at fx site
|
$7,146.00 |
$7,146.00 |
$7,146.00 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,280.00 |
$1,280.00 |
$1,280.00 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,992.00 |
$1,992.00 |
$1,992.00 |
$1,176.57
|
|
Decalcification
|
$260.00 |
$455.86 |
$465.65 |
$73.71
|
|
Decitabine 50 mg intravenous solution
|
$4,320.00 |
$4,320.00 |
$4,320.00 |
$999.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$541.60
|
|
Decompression of tibia nerve
|
$8,833.00 |
$8,833.00 |
$8,833.00 |
$2,625.60
|
|
Decompres spinal cord;thoracic 63055
|
$44,052.00 |
$44,052.00 |
$44,052.00 |
$7,907.11
|
|
Decompress spinal cord lmbr
|
$44,052.00 |
$44,052.00 |
$44,052.00 |
$7,913.97
|
|
Decomp spinal cord/transped/ad seg 63057
|
$3,108.00 |
$3,108.00 |
$3,108.00 |
$768.00
|
|
Deferoxamine 500 mg solution for injection
|
$77.00 |
$82.25 |
$1,591.94 |
$112.80
|
|
Delivery of placenta 59414
|
$5,632.00 |
$5,632.00 |
$5,632.00 |
$3,274.05
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$9,793.00 |
$9,793.00 |
$9,793.00 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$536.00 |
$536.00 |
$536.00 |
$195.78
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$34,812.25 |
$34,812.25 |
$34,812.25 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$460.50
|
|
Dermagraft
|
$114.00 |
$114.00 |
$114.00 |
$1,043.70
|
|
Descend thora aorta rpr/lt sub art 33880
|
$77,238.00 |
$77,238.00 |
$77,238.00 |
$5,735.00
|
|
Design mlc device for imrt
|
$1,691.43 |
$1,691.43 |
$11,887.00 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$241.00 |
$241.00 |
$2,437.54 |
$111.80
|
|
Desoxycorticosterone
|
$140.00 |
$140.00 |
$140.00 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$89,210.00 |
$89,210.00 |
$89,210.00 |
$5,698.68
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$621.00 |
$621.00 |
$621.00 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$394.17
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$621.00 |
$621.00 |
$621.00 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$621.00 |
$621.00 |
$621.00 |
$297.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$621.00 |
$621.00 |
$621.00 |
$275.88
|
|
Dest mal lesion tal <0.5 17260
|
$608.00 |
$608.00 |
$608.00 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$608.00 |
$608.00 |
$608.00 |
$262.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$608.00 |
$608.00 |
$608.00 |
$318.00
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$608.00 |
$608.00 |
$608.00 |
$354.00
|
|
Destroy cervthor facet jnt 64633
|
$6,863.00 |
$6,863.00 |
$6,863.00 |
$3,122.45
|
|
Destroy cth facet jnt addl 64634
|
$6,863.00 |
$6,863.00 |
$6,863.00 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$659.00 |
$659.00 |
$659.00 |
$219.93
|
|
Destroy vulva lesion extensive 56515
|
$11,453.00 |
$11,453.00 |
$11,453.00 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$11,453.00 |
$11,453.00 |
$11,453.00 |
$3,691.50
|
|
Destruct ben lesion 15/> 17111
|
$977.00 |
$977.00 |
$977.00 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$1,977.00 |
$1,977.00 |
$1,977.00 |
$1,016.25
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$658.40
|
|
Destruct cut vasl lesions >50cm 17108
|
$6,465.00 |
$6,465.00 |
$6,465.00 |
$1,999.13
|
|
Destruction 2-14 lesions 17003
|
$114.00 |
$114.00 |
$114.00 |
$77.25
|
|
Destruction anal lesion(s)
|
$11,261.00 |
$11,261.00 |
$11,261.00 |
$2,772.60
|
|
Destruction anal lesion(s)
|
$8,471.00 |
$8,471.00 |
$8,471.00 |
$3,245.23
|
|
Destruction anal lesion(s) smpl chem 46900
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$977.00 |
$977.00 |
$977.00 |
$250.60
|
|
Destruction by injection tx of nerve 64630
|
$5,675.00 |
$5,675.00 |
$5,675.00 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$6,863.00 |
$6,863.00 |
$6,863.00 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$6,863.00 |
$6,863.00 |
$6,863.00 |
$3,375.00
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$678.00 |
$678.00 |
$678.00 |
$331.20
|
|
Destruction laser surgery anal lesions 46917
|
$9,246.00 |
$9,246.00 |
$9,246.00 |
$3,038.07
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$472.79
|
|
Destruction mal lsn t/a/l >4cm
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$578.40
|
|
Destruction penis lesion(s) chem 54050
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$332.00
|
|
Destruction premal lesions 15/> 17004
|
$114.00 |
$114.00 |
$114.00 |
$470.51
|
|
Destruct penis les/smp/electrodesi 54055
|
$6,465.00 |
$6,465.00 |
$6,465.00 |
$2,236.85
|
|
Detect agnt mult dna direc
|
$43.00 |
$43.00 |
$43.00 |
$109.60
|
|
Device intraute mirena
|
$2,364.00 |
$2,364.00 |
$3,146.00 |
$2,618.91
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$868.00 |
$868.00 |
$2,973.11 |
$220.43
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$64.70 |
$64.70 |
$64.70 |
$28.04
|
|
Dextran 40 infusion
|
$215.00 |
$215.00 |
$232.25 |
$173.97
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$11.00 |
$11.00 |
$184.80 |
$58.60
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$122.00 |
$122.00 |
$184.80 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$40.38 |
$40.38 |
$40.38 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$12.00 |
$13.00 |
$184.80 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$168.74 |
$168.74 |
$782.00 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$555.00 |
$555.00 |
$571.50 |
$78.41
|
|
Diab manage trn ind/group
|
$103.00 |
$103.00 |
$103.00 |
$49.50
|
|
Diagnostic anoscopy spx 46600
|
$281.00 |
$281.00 |
$281.00 |
$242.45
|
|
Diagnostic digital breast tomosynthesis bil
|
$341.00 |
$341.00 |
$341.00 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$341.00 |
$341.00 |
$341.00 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$583.00 |
$583.00 |
$583.00 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$909.00 |
$909.00 |
$909.00 |
$381.00
|
|
Diagnostic Mammogram (both breasts)
|
$960.30 |
$1,510.00 |
$3,211.65 |
$423.92
|
|
Diagnostic Mammogram (one breast)
|
$1,303.00 |
$1,303.00 |
$1,303.00 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$2,284.05 |
$2,284.05 |
$2,284.05 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$46,236.00 |
$46,236.00 |
$46,236.00 |
$7,145.00
|
|
Dialysis one evaluation
|
$2,793.00 |
$2,793.00 |
$2,793.00 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$83.50 |
$83.50 |
$541.02 |
$101.58
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$73.00 |
$78.50 |
$162.07 |
$72.34
|
|
Dicyclomine injection
|
$190.00 |
$205.25 |
$630.31 |
$211.81
|
|
Diffusing capacity
|
$397.00 |
$1,227.05 |
$1,259.45 |
$360.10
|
|
Digital analysis of eeg
|
$2,587.00 |
$2,587.00 |
$2,587.00 |
$641.56
|
