|
Debrid mastoidectomy cavity simple 69220
|
$646.10 |
$646.10 |
$646.10 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,149.50
|
|
Debr inf skin add-on 11001
|
$243.10 |
$243.10 |
$243.10 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$1,165.50
|
|
Decalcification
|
$67.60 |
$67.60 |
$67.60 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,549.60 |
$1,549.60 |
$1,549.60 |
$572.95
|
|
Decompression fasct forearm
|
$2,186.60 |
$2,186.60 |
$2,186.60 |
$5,886.74
|
|
Decompression of tibia nerve
|
$1,359.80 |
$1,359.80 |
$1,359.80 |
$2,685.07
|
|
Decompressive craniotomy
|
$8,907.60 |
$8,907.60 |
$8,907.60 |
$5,584.80
|
|
Decompress small bowel
|
$4,240.60 |
$4,240.60 |
$4,240.60 |
$1,503.60
|
|
Deep muscle biopsy 20205
|
$10,696.40 |
$10,696.40 |
$10,696.40 |
$3,386.84
|
|
Deferoxamine 500 mg solution for injection
|
$96.41 |
$96.41 |
$96.41 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,377.73 |
$2,377.73 |
$2,377.73 |
$1,856.85
|
|
Delayed breast prosthesis 19342
|
$2,997.15 |
$2,997.15 |
$2,997.15 |
$7,906.00
|
|
Delay flap eye/nos/ear/lip
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$2,371.50
|
|
Delay flap fccnaxghf 15620
|
$975.00 |
$975.00 |
$975.00 |
$2,837.09
|
|
Delivery of placenta 59414
|
$10,333.70 |
$10,333.70 |
$10,333.70 |
$2,912.46
|
|
Delivery only failed vbac 59620
|
$4,331.60 |
$4,331.60 |
$4,331.60 |
$1,809.60
|
|
Delivery only/pp care/failed vbac 59622
|
$6,063.20 |
$6,063.20 |
$6,063.20 |
$2,639.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$8,338.20 |
$8,338.20 |
$8,338.20 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$760.50 |
$760.50 |
$760.50 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,748.46 |
$4,748.46 |
$4,748.46 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$481.65 |
$481.65 |
$481.65 |
$401.60
|
|
Depo-estradiol cypionate inj
|
$120.72 |
$120.72 |
$120.72 |
$71.51
|
|
Derma-fat-fascia graft 15770
|
$2,562.30 |
$2,562.30 |
$2,562.30 |
$4,402.30
|
|
Dermal filler injection(s)
|
$340.60 |
$340.60 |
$340.60 |
$2,024.70
|
|
Descend thora aorta rpr/lt sub art 33880
|
$10,230.35 |
$10,230.35 |
$10,230.35 |
$6,288.45
|
|
Design mlc device for imrt
|
$2,052.70 |
$2,052.70 |
$2,052.70 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$185.38 |
$185.38 |
$185.38 |
$91.84
|
|
Desoxycorticosterone
|
$162.50 |
$162.50 |
$162.50 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$7,690.80 |
$7,690.80 |
$7,690.80 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$5,483.40 |
$5,483.40 |
$5,483.40 |
$3,273.55
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$484.25 |
$484.25 |
$484.25 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$484.25 |
$484.25 |
$484.25 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$543.40 |
$543.40 |
$543.40 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$484.25 |
$484.25 |
$484.25 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$484.25 |
$484.25 |
$484.25 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$484.25 |
$484.25 |
$484.25 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$484.25 |
$484.25 |
$484.25 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$484.25 |
$484.25 |
$484.25 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$484.25 |
$484.25 |
$484.25 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$526.50 |
$526.50 |
$526.50 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$10,947.95 |
$10,947.95 |
$10,947.95 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$742.95 |
$742.95 |
$742.95 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$484.25 |
$484.25 |
$484.25 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$6,836.70 |
$6,836.70 |
$6,836.70 |
$3,058.98
|
|
Destroy vulva lesion simple 56501
|
$6,836.70 |
$6,836.70 |
$6,836.70 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$484.25 |
$484.25 |
$484.25 |
$235.13
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$666.75
|
|
Destruction 2-14 lesions 17003
|
$271.70 |
$271.70 |
$271.70 |
$78.61
|
|
Destruction anal lesion(s)
|
$6,836.70 |
$6,836.70 |
$6,836.70 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$1,493.70 |
$1,493.70 |
$1,493.70 |
$557.90
|
|
Destruction benign lesions < 14 lesions
|
$484.25 |
$484.25 |
$484.25 |
$240.24
|
|
Destruction by injection tx of nerve 64630
|
$872.30 |
$872.30 |
$872.30 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,654.60 |
$2,654.60 |
$2,654.60 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$10,947.95 |
$10,947.95 |
$10,947.95 |
$3,296.80
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$974.35 |
$974.35 |
$974.35 |
$513.60
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$974.35 |
$974.35 |
$974.35 |
$482.00
|
|
Destruction penis lesion(s) exten 54065
|
$6,836.70 |
$6,836.70 |
$6,836.70 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$974.35 |
$974.35 |
$974.35 |
$442.61
|
|
Destruction vag lesions complex 57065
|
$760.50 |
$760.50 |
$760.50 |
$3,986.00
|
|
Destruction vag lesions simple 57061
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$4,006.38
|
|
Destruct penis les/smp/electrodesi 54055
|
$6,836.70 |
$6,836.70 |
$6,836.70 |
$2,837.09
|
|
Developmental screen/score/document 96110
|
$256.75 |
$256.75 |
$256.75 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$877.50 |
$877.50 |
$877.50 |
$350.40
|
|
Device intraute mirena
|
$1,894.83 |
$1,894.83 |
$1,894.83 |
$2,125.00
|
|
Dev interrog remote 1/2/mlt
|
$211.90 |
$211.90 |
$211.90 |
$115.20
|
|
Devlopment test interpt&rep
|
$345.15 |
$345.15 |
$345.15 |
$109.46
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$245.70 |
$245.70 |
$245.70 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$494.00 |
$494.00 |
$494.00 |
$227.25
|
|
Dexametha opth insert 0.1 mg
|
$998.40 |
$998.40 |
$998.40 |
$888.47
|
|
Dexamethasone 4 mg tablet
|
$2.47 |
$2.47 |
$2.47 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$17.55 |
$17.55 |
$17.55 |
$20.76
|
|
Dexamethasone intra implant
|
$3,119.22 |
$3,119.22 |
$3,119.22 |
$2,356.90
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$641.76 |
$641.76 |
$641.76 |
$884.80
|
|
Dextran 40 infusion
|
$1.54 |
$1.54 |
$1.54 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$45.50 |
$45.50 |
$45.50 |
$36.05
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$0.27 |
$0.27 |
$0.27 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$0.88 |
$0.88 |
$0.88 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$25.35 |
$25.35 |
$25.35 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$69.55 |
$69.55 |
$69.55 |
$79.30
|
|
Diabetes training group per 30 min g0109
|
$51.35 |
$51.35 |
$51.35 |
$35.43
|
|
Diab manage trn ind/group
|
$71.50 |
$71.50 |
$71.50 |
$54.99
|
|
Diag laparo separate proc 49320
|
$1,470.30 |
$1,470.30 |
$1,470.30 |
$7,104.72
|
|
Diagnostic anoscopy & biopsy
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,288.00
|
|
Diagnostic anoscopy spx 46600
|
$481.65 |
$481.65 |
$481.65 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$109.20 |
$109.20 |
$109.20 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$90.35 |
$90.35 |
$90.35 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$725.40 |
$725.40 |
$725.40 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$725.40 |
$725.40 |
$725.40 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$573.95 |
$573.95 |
$573.95 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$457.60 |
$457.60 |
$457.60 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$17,667.00 |
$17,667.00 |
$17,667.00 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$18,500.95 |
$18,500.95 |
$18,500.95 |
$5,741.00
|
|
Dialysis one evaluation
|
$2,387.45 |
$2,387.45 |
$2,387.45 |
$936.00
|
|
Dialysis repeated eval
|
$655.20 |
$655.20 |
$655.20 |
$1,332.80
|
|
Diatrizoate meglumine 18 % urethral solution
|
$1.30 |
$1.30 |
$1.30 |
$115.15
|