|
Diabetes training group per 30 min g0109
|
$16.80 |
$16.80 |
$36.00 |
|
|
Diab manage trn ind/group
|
$25.00 |
$58.08 |
$163.80 |
|
|
Diab shoe for density insert
|
$178.40 |
$178.40 |
$178.40 |
|
|
Diag bronchoscope/catheter
|
$448.00 |
$448.00 |
$448.00 |
|
|
Diag laparo separate proc 49320
|
$619.80 |
$27,494.26 |
$31,699.56 |
|
|
Diagnostic anoscopy
|
$137.50 |
$618.80 |
$15,536.98 |
|
|
Diagnostic anoscopy & biopsy
|
$496.80 |
$3,735.90 |
$22,103.91 |
|
|
Diagnostic anoscopy spx 46600
|
$117.00 |
$252.00 |
$34,715.94 |
|
|
Diagnostic digital breast tomosynthesis bil
|
$31.20 |
$80.85 |
$382.40 |
|
|
Diagnostic digital breast tomosynthesis unil
|
$31.20 |
$50.00 |
$382.40 |
|
|
Diagnostic laryngoscopy 31505
|
$122.40 |
$220.20 |
$1,633.80 |
|
|
Diagnostic laryngoscopy 31575
|
$154.20 |
$440.40 |
$16,495.64 |
|
|
Diagnostic Mammogram (both breasts)
|
$125.00 |
$513.80 |
$831.00 |
|
|
Diagnostic Mammogram (one breast)
|
$68.75 |
$375.84 |
$604.00 |
|
|
Diagnostic radio unlisted proc
|
$123.00 |
$310.00 |
$5,055.40 |
|
|
Dialysis circuit perm vascular embolization 36909
|
$347.40 |
$7,145.00 |
$37,692.94 |
|
|
Dialysis one evaluation
|
$405.00 |
$1,067.22 |
$3,361.80 |
|
|
Dialysis repeated eval
|
$280.00 |
$774.40 |
$774.40 |
|
|
Dialysis training complete
|
$789.60 |
$789.60 |
$789.60 |
|
|
Dialysis training incompl
|
$172.00 |
$172.00 |
$172.00 |
|
|
Diathermy eg microwave
|
$13.60 |
$57.75 |
$139.68 |
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.11 |
$4.80 |
$868.35 |
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$21.42 |
$74.17 |
$1,802.85 |
|
|
Dicyclomine injection
|
$20.47 |
$134.78 |
$412.78 |
|
|
Diffusing capacity
|
$107.58 |
$272.50 |
$1,076.40 |
|
|
Digital analysis of eeg
|
$149.40 |
$850.00 |
$1,295.00 |
|
|
Digit nerve surgery add-on
|
$450.40 |
$450.40 |
$38,893.41 |
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$17.15 |
$68.16 |
$868.00 |
|
|
Digoxin immune fab 40 mg intravenous solution
|
$3,340.91 |
$12,892.61 |
$28,858.37 |
|
|
Digoxin total therapeutic drug level
|
$35.00 |
$140.00 |
$1,296.00 |
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$80.67 |
$285.80 |
$645.84 |
|
|
Dilate biliary duct/ampulla
|
$1,000.00 |
$4,296.00 |
$26,132.94 |
|
|
Dilate esophagus
|
$2,142.40 |
$3,413.20 |
$10,752.30 |
|
|
Dilate esophagus 1/mult pass
|
$303.60 |
$4,187.40 |
$11,460.13 |
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$1,161.00 |
$2,824.80 |
$7,320.00 |
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,161.00 |
$2,824.80 |
$7,745.00 |
|
|
Dilate ic vasospasm init
|
$1,161.00 |
$2,824.80 |
$9,350.00 |
|
|
Dilate tear duct opening
|
$454.40 |
$16,530.02 |
$16,530.02 |
|
|
Dilate urethra stricture
|
$380.00 |
$719.10 |
$32,065.35 |
|
|
Dilate urethra stricture
|
$200.80 |
$200.80 |
$200.80 |
|
|
Dilate urethra stricture
|
$164.00 |
$11,455.55 |
$89,208.53 |
|
|
Dilate urethra stricture
|
$565.77 |
$565.77 |
$565.77 |
|
|
Dilation/female urethra/initial 53660
|
$138.60 |
$138.60 |
$180.00 |
|
|
Dilation of anal sphincter
|
$352.80 |
$4,790.10 |
$13,635.08 |
|
|
Dilation of cervical canal 57800
|
$115.80 |
$4,780.30 |
$20,016.41 |
|
|
Dilation of rectal stricture 45910
|
$476.80 |
$3,345.30 |
$13,830.95 |
|
|
Dilation of salivary duct
|
$296.80 |
$6,040.30 |
$42,403.84 |
|
|
Dilation of urethra
|
$172.00 |
$172.00 |
$172.00 |
|
|
Dilation of urethra
|
$97.60 |
$97.60 |
$14,117.74 |
|
|
Dilation of vagina
|
$328.80 |
$328.80 |
$12,421.56 |
|
|
Dilation salivary duct 42650
|
$164.40 |
$3,729.60 |
$53,725.15 |
|
|
Dilation/urethral strict/male/ini 53620
|
$231.00 |
$740.00 |
$26,798.39 |
|
|
Dilator fascial 10fx20cm
|
$65.69 |
$405.97 |
$2,386.42 |
|
|
Dilat xst trc ndurlgc px
|
$2,110.00 |
$3,150.00 |
$90,727.17 |
|
|
Dilat xst trc new access rcs
|
$1,670.00 |
$4,052.95 |
$77,067.52 |
|
|
Diltiazem 5 mg/ml intravenous solution
|
$0.26 |
$3.56 |
$387.62 |
|
|
Dimecaprol injection
|
$107.90 |
$107.90 |
$158.35 |
|
|
Dimenhydrinate injection
|
$22.22 |
$24.68 |
$24.68 |
|
|
Dimethyl sulfoxide 50% 50 ml
|
$98.40 |
$746.40 |
$5,789.52 |
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.35 |
$0.35 |
$4.71 |
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.40 |
$19.27 |
$74.16 |
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$20.32 |
$91.33 |
$91.33 |
|
|
Dipyridamole injection
|
$18.57 |
$18.57 |
$102.20 |
|
|
Direct advanced life support
|
$236.00 |
$241.20 |
$241.20 |
|
|
Dir nsl mucous membrane test
|
$76.80 |
$76.80 |
$76.80 |
|
|
Disability dlco
|
$101.25 |
$326.70 |
$810.40 |
|
|
Disaccharidases
|
$50.00 |
$390.50 |
$1,866.40 |
|
|
Disarticulation sho sec clsr
|
$2,300.80 |
$2,300.80 |
$2,300.80 |
|
|
Discectomy ant dcmprn cord thoracic 1 ntrspc 63077
|
$2,813.40 |
$2,813.40 |
$3,636.00 |
|
|
Discectomy ant dcmprn cord thoracic ea ntrsp 63078
|
$370.20 |
$370.20 |
$370.20 |
|
|
Discography cerv/thor spine
|
$375.20 |
$2,565.00 |
$5,983.80 |
|
|
Dise eval slp do brth flx dx
|
$288.80 |
$7,427.35 |
$9,288.05 |
|
|
Dis site tele svcs rhc/fqhc
|
$94.80 |
$94.80 |
$94.80 |
|
|
Dissolve clot heart vessel
|
$813.60 |
$1,688.40 |
$1,688.40 |
|
|
Dist revas ligation hemo
|
$2,282.40 |
$2,282.40 |
$58,160.61 |
|
|
Diverticulectomy/hypophar/esoph 43130
|
$1,542.60 |
$1,943.20 |
$51,531.32 |
|
|
Division of fallopian tube 58605
|
$641.40 |
$641.40 |
$832.00 |
|
|
#d/lmeth-l-methamphetamine
|
$43.20 |
$73.50 |
$229.68 |
|
|
Dlyd plmt xtn prosth ea addl
|
$730.40 |
$4,360.20 |
$11,743.80 |
|
|
Dmd dup/delet analysis
|
$267.84 |
$644.70 |
$1,010.35 |
|
|
Dmpk gene detc abnor allele
|
$153.56 |
$316.40 |
$564.48 |
|
|
Dna antibody native/double stranded
|
$35.00 |
$124.30 |
$445.60 |
|
|
Dna gardnerella
|
$17.50 |
$77.00 |
$184.00 |
|
|
Dna probe chlamydia
|
$57.00 |
$85.80 |
$130.40 |
|
|
Dna probe gc
|
$56.40 |
$56.40 |
$92.88 |
|
|
Dna trichomonas
|
$17.50 |
$87.50 |
$184.00 |
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$6.47 |
$94.50 |
$453.95 |
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$4.23 |
$712.02 |
$9,205.17 |
|
|
Dolasetron mesylate
|
$116.27 |
$116.27 |
$116.27 |
|
|
Dolasetron mesylate oral
|
$114.21 |
$114.21 |
$114.21 |
|
|
Domicil/r-home visit est pat
|
$117.00 |
$117.00 |
$117.00 |
|
|
Domicil/r-home visit est pat
|
$183.60 |
$183.60 |
$183.60 |
|
|
Domicil/r-home visit est pat
|
$259.80 |
$259.80 |
$259.80 |
|
|
Domicil/r-home visit est pat
|
$372.60 |
$372.60 |
$372.60 |
|
|
Domicil/r-home visit new pat
|
$110.40 |
$110.40 |
$110.40 |
|
|
Domicil/r-home visit new pat
|
$159.00 |
$159.00 |
$159.00 |
|
|
Domicil/r-home visit new pat
|
$271.80 |
$271.80 |
$271.80 |
|
|
Domicil/r-home visit new pat
|
$360.60 |
$360.60 |
$360.60 |
|
|
Domicil/r-home visit new pat
|
$418.80 |
$418.80 |
$418.80 |
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$6.55 |
$19.51 |
$295.40 |
|
