|
D&c/diagnostic/therapeutic/non ob 58120
|
$2,940.00 |
$2,940.00 |
$2,940.00 |
$3,774.81
|
|
Dch pulmonary stress test
|
$695.00 |
$695.00 |
$695.00 |
$963.30
|
|
Dch validity tests
|
$25.00 |
$25.00 |
$25.00 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$72.50 |
$72.50 |
$72.50 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$230.00 |
$230.00 |
$230.00 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$2,030.00 |
$2,030.00 |
$2,030.00 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$580.00 |
$580.00 |
$580.00 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$665.00 |
$665.00 |
$665.00 |
$835.20
|
|
Debride nail1-5 11720
|
$95.00 |
$95.00 |
$95.00 |
$149.60
|
|
Debride nail6 or more 11721
|
$120.00 |
$120.00 |
$120.00 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$685.00 |
$685.00 |
$685.00 |
$1,163.24
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,280.00 |
$1,280.00 |
$1,280.00 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$332.50 |
$332.50 |
$332.50 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$1,165.50
|
|
Decalcification
|
$67.50 |
$67.50 |
$67.50 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$472.50 |
$472.50 |
$472.50 |
$572.95
|
|
Delivery of placenta 59414
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$127.50 |
$127.50 |
$127.50 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$73.61 |
$73.61 |
$73.61 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$150.00 |
$150.00 |
$150.00 |
$401.60
|
|
Design mlc device for imrt
|
$1,345.00 |
$1,345.00 |
$1,345.00 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$17.89 |
$17.89 |
$17.89 |
$91.84
|
|
Destroy cervthor facet jnt 64633
|
$2,720.00 |
$2,720.00 |
$2,720.00 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,420.00 |
$1,420.00 |
$1,420.00 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,840.00 |
$2,840.00 |
$2,840.00 |
$3,296.80
|
|
Determination venous press
|
$82.50 |
$82.50 |
$82.50 |
$166.56
|
|
Developmental screen/score/document 96110
|
$105.00 |
$105.00 |
$105.00 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$290.00 |
$290.00 |
$290.00 |
$350.40
|
|
Device ablt adv novasure
|
$18,189.00 |
$18,189.00 |
$18,189.00 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,675.75 |
$3,675.75 |
$3,675.75 |
$4,200.00
|
|
Device intraute mirena
|
$2,942.97 |
$2,942.97 |
$2,942.97 |
$2,125.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$145.00 |
$145.00 |
$145.00 |
$199.50
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$15.44 |
$15.44 |
$15.44 |
$20.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$33.30 |
$33.30 |
$33.30 |
$36.05
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$50.94 |
$50.94 |
$50.94 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$61.85 |
$61.85 |
$61.85 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$107.50 |
$107.50 |
$107.50 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$70.00 |
$70.00 |
$70.00 |
$79.30
|
|
Diagnostic anoscopy spx 46600
|
$145.00 |
$145.00 |
$145.00 |
$195.50
|
|
Diagnostic laryngoscopy 31505
|
$215.00 |
$215.00 |
$215.00 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$215.00 |
$215.00 |
$215.00 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$282.50 |
$282.50 |
$282.50 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$282.50 |
$282.50 |
$282.50 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$310.00 |
$310.00 |
$310.00 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$8,150.00 |
$8,150.00 |
$8,150.00 |
$5,741.00
|
|
Dialysis one evaluation
|
$835.00 |
$835.00 |
$835.00 |
$936.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$66.43 |
$66.43 |
$66.43 |
$79.71
|
|
Diffusing capacity
|
$272.50 |
$272.50 |
$272.50 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$67.04 |
$67.04 |
$67.04 |
$65.84
|
|
Digoxin total therapeutic drug level
|
$95.00 |
$95.00 |
$95.00 |
$102.07
|
|
Dilate biliary duct/ampulla
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,866.73
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$4,450.00 |
$4,450.00 |
$4,450.00 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$5,605.00 |
$5,605.00 |
$5,605.00 |
$5,151.95
|
|
Dilate urethra stricture
|
$380.00 |
$380.00 |
$380.00 |
$513.00
|
|
Dilation of cervical canal 57800
|
$3,105.00 |
$3,105.00 |
$3,105.00 |
$4,446.00
|
|
Dilation/urethral strict/male/ini 53620
|
$740.00 |
$740.00 |
$740.00 |
$1,372.80
|
|
Dilat xst trc ndurlgc px
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$3,365.00 |
$3,365.00 |
$3,365.00 |
$4,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$59.77 |
$59.77 |
$59.77 |
$18.32
|
|
Disability dlco
|
$275.00 |
$275.00 |
$275.00 |
$293.76
|
|
Disaccharidases
|
$357.50 |
$357.50 |
$357.50 |
$230.40
|
|
Discography cerv/thor spine
|
$2,565.00 |
$2,565.00 |
$2,565.00 |
$2,565.00
|
|
Dna antibody native/double stranded
|
$92.50 |
$92.50 |
$92.50 |
$100.00
|
|
Dna gardnerella
|
$85.00 |
$85.00 |
$85.00 |
$61.83
|
|
Dna trichomonas
|
$87.50 |
$87.50 |
$87.50 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$52.46 |
$52.46 |
$52.46 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$4.40 |
$4.40 |
$4.40 |
$949.39
|
|
Doppler echo complete
|
$302.50 |
$302.50 |
$302.50 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$600.00 |
$600.00 |
$600.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$400.00 |
$400.00 |
$400.00 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$34,328.60 |
$34,328.60 |
$34,328.60 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$451.54 |
$451.54 |
$451.54 |
$23,613.78
|
|
Dpyd gene common variants
|
$175.00 |
$175.00 |
$175.00 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$800.00 |
$800.00 |
$800.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$800.00 |
$800.00 |
$800.00 |
$964.00
|
|
Drainage external ear complex 69005
|
$2,030.00 |
$2,030.00 |
$2,030.00 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$800.00 |
$800.00 |
$800.00 |
$790.40
|
|
Drainage mouth roof lesion
|
$275.00 |
$275.00 |
$275.00 |
$405.60
|
|
Drainage of kidney lesion
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$1,506.00
|
|
Drainage of mouth lesion
|
$275.00 |
$275.00 |
$275.00 |
$535.20
|
|
Drainage of mouth lesion
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
$3,459.00
|
|
Drainage of nose lesion sept 30020
|
$580.00 |
$580.00 |
$580.00 |
$781.44
|
|
Drain blood from under nail 11740
|
$145.00 |
$145.00 |
$145.00 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,370.00 |
$1,370.00 |
$1,370.00 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,195.00 |
$1,195.00 |
$1,195.00 |
$2,903.44
|
|
Drain finger abscess;simple 26010
|
$240.00 |
$240.00 |
$240.00 |
$428.40
|
|
Drain lower leg lesion 27603
|
$3,035.00 |
$3,035.00 |
$3,035.00 |
$3,994.09
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$442.50 |
$442.50 |
$442.50 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$337.50 |
$337.50 |
$337.50 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$515.00 |
$515.00 |
$515.00 |
$541.00
|
|
Drill hole implt ventricular cath/device 61107
|
$1,850.00 |
$1,850.00 |
$1,850.00 |
$1,485.75
|
|
Drng of eyelid abscess 67700
|
$287.50 |
$287.50 |
$287.50 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,079.50
|
|
Drng of mouth lesion 40801
|
$800.00 |
$800.00 |
$800.00 |
$1,350.97
|
|
Drng of scrotum abscess 55100
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,997.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$717.29 |
$717.29 |
$717.29 |
$1,818.32
|
