|
Dcmprn plantar digital nerve
|
$21,544.85 |
$21,544.85 |
$21,544.85 |
$2,375.24
|
|
Deamidated gliadin antibody iga
|
$163.10 |
$163.10 |
$163.10 |
$42.75
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,899.80 |
$1,899.80 |
$1,899.80 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$475.30 |
$475.30 |
$475.30 |
$278.50
|
|
Debridement bone <= 20 sq cm
|
$3,441.90 |
$3,441.90 |
$3,441.90 |
$2,293.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,572.20 |
$1,572.20 |
$1,572.20 |
$687.35
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$998.90 |
$998.90 |
$998.90 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$942.20 |
$942.20 |
$942.20 |
$820.15
|
|
Debride nail1-5 11720
|
$160.30 |
$160.30 |
$160.30 |
$149.04
|
|
Debride nail6 or more 11721
|
$260.40 |
$260.40 |
$260.40 |
$167.63
|
|
Debride skin bone at fx site
|
$1,523.20 |
$1,523.20 |
$1,523.20 |
$2,921.60
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,899.80 |
$1,899.80 |
$1,899.80 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,688.40 |
$1,688.40 |
$1,688.40 |
$641.52
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,985.90 |
$1,985.90 |
$1,985.90 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,599.10 |
$2,599.10 |
$2,599.10 |
$1,160.00
|
|
Decalcification
|
$25,191.35 |
$25,191.35 |
$25,191.35 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$4,426.10 |
$4,426.10 |
$4,426.10 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$26,001.85 |
$26,001.85 |
$26,001.85 |
$546.84
|
|
Decompression of leg
|
$7,102.90 |
$7,102.90 |
$7,102.90 |
$4,094.02
|
|
Decompression of lower leg
|
$7,102.90 |
$7,102.90 |
$7,102.90 |
$3,839.54
|
|
Deferoxamine 500 mg solution for injection
|
$152.07 |
$152.07 |
$152.07 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$4,338.77 |
$4,338.77 |
$4,338.77 |
$1,855.50
|
|
Delivery of placenta 59414
|
$2,444.40 |
$2,444.40 |
$2,444.40 |
$2,822.68
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$217.00 |
$217.00 |
$217.00 |
$182.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$15,907.32 |
$15,907.32 |
$15,907.32 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$473.90 |
$473.90 |
$473.90 |
$399.93
|
|
Derma-gide, 1 sq cm
|
$707.00 |
$707.00 |
$707.00 |
$16.80
|
|
Design mlc device for imrt
|
$37,020.20 |
$37,020.20 |
$37,020.20 |
$1,739.10
|
|
Desmopressin 4 mcg/ml injection solution
|
$705.07 |
$705.07 |
$705.07 |
$93.84
|
|
Desoxycorticosterone
|
$98.00 |
$98.00 |
$98.00 |
$98.80
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$425.60 |
$425.60 |
$425.60 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$4,565.57 |
$4,565.57 |
$4,565.57 |
$3,018.00
|
|
Destroy cth facet jnt addl 64634
|
$4,748.62 |
$4,748.62 |
$4,748.62 |
$1,441.44
|
|
Destruction anal lesion(s)
|
$13,367.84 |
$13,367.84 |
$13,367.84 |
$3,711.00
|
|
Destruction anal lesion(s) smpl chem 46900
|
$678.30 |
$678.30 |
$678.30 |
$557.90
|
|
Destruction benign lesions < 14 lesions
|
$154.70 |
$154.70 |
$154.70 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$2,856.00 |
$2,856.00 |
$2,856.00 |
$1,626.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$9,280.77 |
$9,280.77 |
$9,280.77 |
$1,618.65
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$9,266.95 |
$9,266.95 |
$9,266.95 |
$3,295.50
|
|
Detect agent nos dna dir
|
$105.00 |
$105.00 |
$105.00 |
$145.80
|
|
Detect agnt mult dna direc
|
$209.30 |
$209.30 |
$209.30 |
$166.77
|
|
Devel tst phys/qhp 1st hr
|
$399.00 |
$399.00 |
$399.00 |
$350.40
|
|
Device ablt adv novasure
|
$23,247.00 |
$23,247.00 |
$23,247.00 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$5,258.32 |
$5,258.32 |
$5,258.32 |
$4,200.00
|
|
Device intraute mirena
|
$2,364.43 |
$2,364.43 |
$2,364.43 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,374.58 |
$1,374.58 |
$1,374.58 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$2,263.44 |
$2,263.44 |
$2,263.44 |
$2,466.14
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$199.50 |
$199.50 |
$199.50 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$368.20 |
$368.20 |
$368.20 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$4.37 |
$4.37 |
$4.37 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$42.70 |
$42.70 |
$42.70 |
$21.20
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$631.75 |
$631.75 |
$631.75 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$28.70 |
$28.70 |
$28.70 |
$36.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$28.70 |
$28.70 |
$28.70 |
$42.50
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$28.70 |
$28.70 |
$28.70 |
$46.12
|
|
Dextrose 5 % IV bolus
|
$41.12 |
$41.12 |
$41.12 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$212.10 |
$212.10 |
$212.10 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$116.90 |
$116.90 |
$116.90 |
$79.20
|
|
Diag laparo separate proc 49320
|
$24,461.19 |
$24,461.19 |
$24,461.19 |
$6,904.15
|
|
Diagnostic anoscopy
|
$618.80 |
$618.80 |
$618.80 |
$392.70
|
|
Diagnostic anoscopy & biopsy
|
$3,735.90 |
$3,735.90 |
$3,735.90 |
$2,288.00
|
|
Diagnostic anoscopy spx 46600
|
$261.80 |
$261.80 |
$261.80 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$112.70 |
$112.70 |
$112.70 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$102.20 |
$102.20 |
$102.20 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$1,633.80 |
$1,633.80 |
$1,633.80 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$738.50 |
$738.50 |
$738.50 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$513.80 |
$513.80 |
$513.80 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$464.80 |
$464.80 |
$464.80 |
$312.72
|
|
Diagnostic radio unlisted proc
|
$5,055.40 |
$5,055.40 |
$5,055.40 |
$243.60
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,066.70 |
$3,066.70 |
$3,066.70 |
$5,663.50
|
|
Dialysis one evaluation
|
$977.90 |
$977.90 |
$977.90 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$242.37 |
$242.37 |
$242.37 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$213.15 |
$213.15 |
$213.15 |
$77.25
|
|
Dicyclomine injection
|
$107.80 |
$107.80 |
$107.80 |
$150.91
|
|
Diffusing capacity
|
$403.20 |
$403.20 |
$403.20 |
$335.20
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$479.15 |
$479.15 |
$479.15 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$21,782.95 |
$21,782.95 |
$21,782.95 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$224.00 |
$224.00 |
$224.00 |
$102.07
|
|
Dilate biliary duct/ampulla
|
$17,536.88 |
$17,536.88 |
$17,536.88 |
$1,729.70
|
|
Dilate esophagus
|
$3,379.60 |
$3,379.60 |
$3,379.60 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$11,460.13 |
$11,460.13 |
$11,460.13 |
$1,490.36
|
|
Dilate urethra stricture
|
$1,451.10 |
$1,451.10 |
$1,451.10 |
$496.00
|
|
Dilation of cervical canal 57800
|
$4,780.30 |
$4,780.30 |
$4,780.30 |
$4,376.00
|
|
Dilation of rectal stricture 45910
|
$3,345.30 |
$3,345.30 |
$3,345.30 |
$2,263.80
|
|
Dilation of salivary duct
|
$6,040.30 |
$6,040.30 |
$6,040.30 |
$750.00
|
|
Dilator fascial 10fx20cm
|
$990.50 |
$990.50 |
$990.50 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$47,928.27 |
$47,928.27 |
$47,928.27 |
$3,883.16
|
|
Dilat xst trc new access rcs
|
$54,213.56 |
$54,213.56 |
$54,213.56 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$36.05 |
$36.05 |
$36.05 |
$46.56
|
|
Dimenhydrinate injection
|
$22.22 |
$22.22 |
$22.22 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$3,196.02 |
$3,196.02 |
$3,196.02 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.40 |
$1.40 |
$1.40 |
$18.35
|
|
Disability dlco
|
$334.60 |
$334.60 |
$334.60 |
$292.03
|
|
Disaccharidases
|
$623.70 |
$623.70 |
$623.70 |
$224.31
|
|
Dissolve clot heart vessel
|
$1,688.40 |
$1,688.40 |
$1,688.40 |
$1,560.00
|
|
Diverticulectomy/hypophar/esoph 43130
|
$39,636.31 |
$39,636.31 |
$39,636.31 |
$6,547.81
|
|
#d/lmeth-l-methamphetamine
|
$73.50 |
$73.50 |
$73.50 |
$72.14
|
|
Dlyd plmt xtn prosth ea addl
|
$4,795.00 |
$4,795.00 |
$4,795.00 |
$1,875.00
|
|
Dmd dup/delet analysis
|
$644.70 |
$644.70 |
$644.70 |
$418.50
|
|
Dmpk gene detc abnor allele
|
$316.40 |
$316.40 |
$316.40 |
$313.60
|