|
Delivery of placenta 59414
|
$5,333.00 |
$5,333.00 |
$5,333.00 |
$2,912.46
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$3,473.00 |
$3,473.00 |
$3,473.00 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$402.00 |
$402.00 |
$402.00 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$74.17 |
$74.17 |
$74.17 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$452.00 |
$452.00 |
$452.00 |
$401.60
|
|
Derma-fat-fascia graft 15770
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$4,402.30
|
|
Descend thora aorta rpr/lt sub art 33880
|
$7,548.00 |
$7,548.00 |
$7,548.00 |
$6,288.45
|
|
Design mlc device for imrt
|
$2,102.00 |
$2,102.00 |
$2,102.00 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$87.71 |
$87.71 |
$87.71 |
$91.84
|
|
Desoxycorticosterone
|
$680.00 |
$680.00 |
$680.00 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$6,490.00 |
$6,490.00 |
$6,490.00 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$4,805.00 |
$4,805.00 |
$4,805.00 |
$3,273.55
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$408.50
|
|
Destroy cervthor facet jnt 64633
|
$10,780.00 |
$10,780.00 |
$10,780.00 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$5,778.00 |
$5,778.00 |
$5,778.00 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$9,290.00 |
$9,290.00 |
$9,290.00 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$3,058.98
|
|
Destroy vulva lesion simple 56501
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$3,562.00
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$666.75
|
|
Destruction anal lesion(s)
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$3,363.79
|
|
Destruction benign lesions < 14 lesions
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$240.24
|
|
Destruction by injection tx of nerve 64630
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
$3,296.80
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$604.00 |
$604.00 |
$604.00 |
$375.87
|
|
Destruction les conjunctiva
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$2,760.73
|
|
Destruction rectal tumor 45190
|
$15,686.00 |
$15,686.00 |
$15,686.00 |
$3,245.23
|
|
Destruction vag lesions complex 57065
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$3,986.00
|
|
Destruction vag lesions simple 57061
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$4,006.38
|
|
Device ablt adv novasure
|
$11,951.50 |
$11,951.50 |
$11,951.50 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,850.00 |
$3,850.00 |
$3,850.00 |
$4,200.00
|
|
Device intraute mirena
|
$3,053.60 |
$3,053.60 |
$3,053.60 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,137.40 |
$1,137.40 |
$1,137.40 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$2,623.50 |
$2,623.50 |
$2,623.50 |
$2,515.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$237.00 |
$237.00 |
$237.00 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$2.45 |
$2.45 |
$2.45 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$3.36 |
$3.36 |
$3.36 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$770.96 |
$770.96 |
$770.96 |
$884.80
|
|
Dextran 40 infusion
|
$174.02 |
$174.02 |
$174.02 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$36.05 |
$36.05 |
$36.05 |
$36.05
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$60.32 |
$60.32 |
$60.32 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$36.05 |
$36.05 |
$36.05 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$499.00 |
$499.00 |
$499.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$158.00 |
$158.00 |
$158.00 |
$79.30
|
|
Diabetes training group per 30 min g0109
|
$66.00 |
$66.00 |
$66.00 |
$35.43
|
|
Diab manage trn ind/group
|
$64.00 |
$64.00 |
$64.00 |
$54.99
|
|
Diag laparo separate proc 49320
|
$8,661.00 |
$8,661.00 |
$8,661.00 |
$7,104.72
|
|
Diagnostic anoscopy
|
$8,264.00 |
$8,264.00 |
$8,264.00 |
$392.70
|
|
Diagnostic anoscopy & biopsy
|
$4,894.00 |
$4,894.00 |
$4,894.00 |
$2,288.00
|
|
Diagnostic anoscopy spx 46600
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$195.50
|
|
Diagnostic digital breast tomosynthesis unil
|
$268.00 |
$268.00 |
$268.00 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$478.00 |
$478.00 |
$478.00 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$668.00 |
$668.00 |
$668.00 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$612.00 |
$612.00 |
$612.00 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$550.00 |
$550.00 |
$550.00 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$1,481.00 |
$1,481.00 |
$1,481.00 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$8,687.00 |
$8,687.00 |
$8,687.00 |
$5,741.00
|
|
Dialysis one evaluation
|
$1,327.00 |
$1,327.00 |
$1,327.00 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$1.33 |
$1.33 |
$1.33 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$110.23 |
$110.23 |
$110.23 |
$79.71
|
|
Dicyclomine injection
|
$312.30 |
$312.30 |
$312.30 |
$154.33
|
|
Diffusing capacity
|
$1,719.00 |
$1,719.00 |
$1,719.00 |
$336.80
|
|
Digital analysis of eeg
|
$2,811.00 |
$2,811.00 |
$2,811.00 |
$593.40
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$14.36 |
$14.36 |
$14.36 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$11,823.58 |
$11,823.58 |
$11,823.58 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$397.00 |
$397.00 |
$397.00 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$646.73 |
$646.73 |
$646.73 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$1,866.73
|
|
Dilate esophagus
|
$6,234.00 |
$6,234.00 |
$6,234.00 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,548.00
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$8,507.00 |
$8,507.00 |
$8,507.00 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$7,291.00 |
$7,291.00 |
$7,291.00 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$9,720.00 |
$9,720.00 |
$9,720.00 |
$5,151.95
|
|
Dilate urethra stricture
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$513.00
|
|
Dilation of anal sphincter
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$2,166.04
|
|
Dilation of cervical canal 57800
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$4,446.00
|
|
Dilation of rectal stricture 45910
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$2,491.80
|
|
Dilation of salivary duct
|
$1,525.00 |
$1,525.00 |
$1,525.00 |
$790.00
|
|
Dilation of vagina
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$4,446.00
|
|
Dilator fascial 10fx20cm
|
$104.50 |
$104.50 |
$104.50 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$7,301.00 |
$7,301.00 |
$7,301.00 |
$3,900.60
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$106.09 |
$106.09 |
$106.09 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$12.73 |
$12.73 |
$12.73 |
$18.32
|
|
Disability dlco
|
$848.00 |
$848.00 |
$848.00 |
$293.76
|
|
Disaccharidases
|
$757.00 |
$757.00 |
$757.00 |
$230.40
|
|
Discography cerv/thor spine
|
$10,421.00 |
$10,421.00 |
$10,421.00 |
$2,565.00
|
|
Dise eval slp do brth flx dx
|
$404.00 |
$404.00 |
$404.00 |
$1,120.00
|
|
Dissolve clot heart vessel
|
$3,242.00 |
$3,242.00 |
$3,242.00 |
$1,579.93
|
|
Division of fallopian tube 58605
|
$2,348.00 |
$2,348.00 |
$2,348.00 |
$976.50
|
|
Dlyd plmt xtn prosth ea addl
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$1,810.80
|
|
Dna antibody native/double stranded
|
$356.00 |
$356.00 |
$356.00 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$86.72 |
$86.72 |
$86.72 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$40.03 |
$40.03 |
$40.03 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$16.48 |
$16.48 |
$16.48 |
$65.40
|
|
Doppler echo complete
|
$4,390.00 |
$4,390.00 |
$4,390.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,424.00 |
$3,424.00 |
$3,424.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$2,417.00 |
$2,417.00 |
$2,417.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$481.65
|
