|
Decomp spinal cord/transped/ad seg 63057
|
$575.40 |
$575.40 |
$604.20 |
$1,365.00
|
|
Deep muscle biopsy 20205
|
$499.20 |
$499.20 |
$524.40 |
$3,386.84
|
|
Deferoxamine 500 mg solution for injection
|
$119.33 |
$119.33 |
$119.33 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,391.21 |
$1,391.21 |
$1,391.21 |
$1,856.85
|
|
Delayed breast prosthesis 19342
|
$1,698.60 |
$1,698.60 |
$1,783.80 |
$7,906.00
|
|
Delay flap eye/nos/ear/lip
|
$842.40 |
$842.40 |
$884.40 |
$2,371.50
|
|
Delay flap fccnaxghf 15620
|
$801.00 |
$801.00 |
$841.20 |
$2,837.09
|
|
Delay flap trunk 15600
|
$594.60 |
$594.60 |
$624.60 |
$4,332.25
|
|
Delivery of placenta 59414
|
$216.60 |
$216.60 |
$227.40 |
$2,912.46
|
|
Delivery only failed vbac 59620
|
$1,866.00 |
$1,866.00 |
$1,959.60 |
$1,809.60
|
|
Delivery only/pp care/failed vbac 59622
|
$2,528.40 |
$2,528.40 |
$2,655.00 |
$2,639.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$2,181.00 |
$2,181.00 |
$2,290.20 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$68.40 |
$68.40 |
$82.80 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$5,305.19 |
$5,305.19 |
$6,122.60 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$475.80 |
$475.80 |
$499.80 |
$401.60
|
|
Depo-estradiol cypionate inj
|
$72.16 |
$72.16 |
$99.44 |
$71.51
|
|
Dermabrasion segmental face 15781
|
$993.60 |
$993.60 |
$1,043.40 |
$1,290.07
|
|
Derma-fat-fascia graft 15770
|
$1,230.00 |
$1,230.00 |
$1,291.80 |
$4,402.30
|
|
Dermagraft
|
$2,871.00 |
$2,871.00 |
$3,015.00 |
$85.00
|
|
Dermal filler injection(s)
|
$57.00 |
$57.00 |
$57.00 |
$2,024.70
|
|
Descend thora aorta rpr/lt sub art 33880
|
$3,397.20 |
$3,397.20 |
$3,567.00 |
$6,288.45
|
|
Description not available
|
$2,226.16 |
$2,226.16 |
$2,226.16 |
$19.50
|
|
Design mlc device for imrt
|
$504.60 |
$504.60 |
$551.40 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,066.64 |
$1,066.64 |
$1,066.64 |
$91.84
|
|
Desoxycorticosterone
|
$174.00 |
$174.00 |
$193.80 |
$109.28
|
|
Des thora aorta/ea add prox prosth 33884
|
$772.80 |
$772.80 |
$811.20 |
$1,304.05
|
|
Des thora aorta rpr without left sub art 33881
|
$2,925.00 |
$2,925.00 |
$3,071.40 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$2,119.80 |
$2,119.80 |
$2,226.00 |
$3,273.55
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$255.60 |
$255.60 |
$268.20 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$324.00 |
$324.00 |
$340.20 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$292.80 |
$292.80 |
$307.20 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$272.40 |
$272.40 |
$286.20 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$297.00 |
$297.00 |
$312.00 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$339.00 |
$339.00 |
$355.80 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$172.20 |
$172.20 |
$180.60 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$261.60 |
$261.60 |
$274.80 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$318.00 |
$318.00 |
$334.20 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$348.00 |
$348.00 |
$365.40 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$2,980.20 |
$2,980.20 |
$3,442.80 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$1,112.40 |
$1,112.40 |
$1,284.60 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$393.60 |
$393.60 |
$413.40 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$200.40 |
$200.40 |
$231.60 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$414.60 |
$414.60 |
$435.60 |
$3,058.98
|
|
Destroy vulva lesion simple 56501
|
$240.60 |
$240.60 |
$252.60 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$238.20 |
$238.20 |
$250.20 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$920.40 |
$920.40 |
$966.60 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$621.00 |
$621.00 |
$652.20 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$1,525.20 |
$1,525.20 |
$1,601.40 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$25.80 |
$25.80 |
$231.60 |
$78.61
|
|
Destruction anal lesion(s)
|
$452.40 |
$452.40 |
$475.20 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$962.40 |
$962.40 |
$1,010.40 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$429.00 |
$429.00 |
$450.60 |
$557.90
|
|
Destruction benign lesions < 14 lesions
|
$200.40 |
$200.40 |
$288.00 |
$240.24
|
|
Destruction by injection tx of nerve 64630
|
$423.60 |
$423.60 |
$444.60 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,180.20 |
$1,180.20 |
$1,363.80 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,980.20 |
$2,980.20 |
$3,442.80 |
$3,296.80
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$421.20 |
$421.20 |
$442.20 |
$375.87
|
|
Destruction laser surgery anal lesions 46917
|
$831.00 |
$831.00 |
$872.40 |
$3,640.00
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$411.00 |
$411.00 |
$411.00 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$376.20 |
$376.20 |
$376.20 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$395.40 |
$395.40 |
$395.40 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$475.20 |
$475.20 |
$475.20 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$239.40 |
$239.40 |
$251.40 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$403.80 |
$403.80 |
$424.20 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$312.00 |
$312.00 |
$327.60 |
$442.61
|
|
Destruction rectal tumor 45190
|
$1,041.60 |
$1,041.60 |
$1,093.80 |
$3,245.23
|
|
Destruction vag lesions complex 57065
|
$434.40 |
$434.40 |
$456.00 |
$3,986.00
|
|
Destruction vag lesions simple 57061
|
$210.00 |
$210.00 |
$220.80 |
$4,006.38
|
|
Destruct penis les/smp/electrodesi 54055
|
$378.60 |
$378.60 |
$397.80 |
$2,837.09
|
|
Detect agent nos dna dir
|
$49.20 |
$49.20 |
$55.20 |
$138.00
|
|
Detect agnt mult dna direc
|
$76.20 |
$76.20 |
$85.20 |
$166.77
|
|
Developmental screen/score/document 96110
|
$24.00 |
$24.00 |
$25.20 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$15.60 |
$15.60 |
$18.60 |
$350.40
|
|
Device ablt adv novasure
|
$2,287.80 |
$2,287.80 |
$2,287.80 |
$6,237.48
|
|
Device intraute mirena
|
$1,961.17 |
$1,961.17 |
$2,161.20 |
$2,125.00
|
|
Device tiss remov myosure reach
|
$2,122.80 |
$2,122.80 |
$2,122.80 |
$2,515.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$209.40 |
$209.40 |
$229.20 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$2.23 |
$2.23 |
$2.23 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$47.02 |
$47.02 |
$47.02 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$853.51 |
$853.51 |
$853.51 |
$884.80
|
|
Dextran 40 infusion
|
$28.53 |
$28.53 |
$28.53 |
$151.20
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$33.76 |
$33.76 |
$34.90 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$36.74 |
$36.74 |
$37.55 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$119.40 |
$119.40 |
$133.20 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$48.00 |
$48.00 |
$50.40 |
$79.30
|
|
Diabetes training group per 30 min g0109
|
$16.80 |
$16.80 |
$16.80 |
$35.43
|
|
Diab manage trn ind/group
|
$36.00 |
$36.00 |
$37.80 |
$54.99
|
|
Diag laparo separate proc 49320
|
$590.40 |
$590.40 |
$619.80 |
$7,104.72
|
|
Diagnostic anoscopy spx 46600
|
$157.20 |
$157.20 |
$165.00 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$23.40 |
$23.40 |
$31.20 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$23.40 |
$23.40 |
$31.20 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$154.80 |
$154.80 |
$162.60 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$286.80 |
$286.80 |
$301.20 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$270.60 |
$270.60 |
$295.80 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$211.80 |
$211.80 |
$231.60 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$804.60 |
$804.60 |
$879.00 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$7,548.00 |
$7,548.00 |
$8,242.80 |
$5,741.00
|
|
Dialysis one evaluation
|
$654.00 |
$654.00 |
$734.40 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$86.95 |
$86.95 |
$86.95 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$939.09 |
$939.09 |
$939.09 |
$79.71
|