|
Dalbavancin 500 mg intravenous solution
|
$29.07 |
$29.07 |
$29.07 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.43 |
$0.43 |
$0.43 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$13.56 |
$13.56 |
$13.56 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$7.20 |
$7.20 |
$7.20 |
$7.20
|
|
Dark field exam spec collj
|
$31.20 |
$31.20 |
$31.20 |
$31.20
|
|
Dark field exam without collj
|
$28.80 |
$28.80 |
$28.80 |
$28.80
|
|
Dbrdmt prmlg les w/pdt
|
$575.20 |
$575.20 |
$575.20 |
$468.00
|
|
D&c after delivery 59160
|
$2,461.77 |
$2,461.77 |
$2,461.77 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$695.20 |
$695.20 |
$695.20 |
$3,774.81
|
|
Dch glucoscan
|
$33.57 |
$33.57 |
$33.57 |
$29.16
|
|
Dch pulmonary stress test
|
$345.60 |
$345.60 |
$345.60 |
$963.30
|
|
Dch validity tests
|
$25.72 |
$25.72 |
$25.72 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$4,679.85 |
$4,679.85 |
$4,679.85 |
$5,121.00
|
|
Dcmprn orbit only transcrnl
|
$8,420.80 |
$8,420.80 |
$8,420.80 |
$5,855.00
|
|
Dcmprn plantar digital nerve
|
$679.20 |
$679.20 |
$679.20 |
$2,685.07
|
|
D&c of cervical stump
|
$356.00 |
$356.00 |
$356.00 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$48.57 |
$48.57 |
$48.57 |
$43.35
|
|
Debr g/per/abd wall 11006
|
$1,742.40 |
$1,742.40 |
$1,742.40 |
$1,562.83
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$140.00 |
$140.00 |
$140.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$263.88 |
$263.88 |
$263.88 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$1,990.43 |
$1,990.43 |
$1,990.43 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$406.70 |
$406.70 |
$406.70 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,192.18 |
$1,192.18 |
$1,192.18 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$418.26 |
$418.26 |
$418.26 |
$835.20
|
|
Debride nail1-5 11720
|
$112.91 |
$112.91 |
$112.91 |
$149.60
|
|
Debride nail6 or more 11721
|
$112.91 |
$112.91 |
$112.91 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$1,163.24
|
|
Debride skin bone at fx site
|
$3,283.11 |
$3,283.11 |
$3,283.11 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,427.20 |
$1,427.20 |
$1,427.20 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,914.40 |
$1,914.40 |
$1,914.40 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$406.70 |
$406.70 |
$406.70 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$488.00 |
$488.00 |
$488.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$1,149.50
|
|
Debr inf skin add-on 11001
|
$58.40 |
$58.40 |
$58.40 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$605.40 |
$605.40 |
$605.40 |
$1,165.50
|
|
Decalcification
|
$98.56 |
$98.56 |
$98.56 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$28.80 |
$28.80 |
$28.80 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$362.98 |
$362.98 |
$362.98 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$2,368.00 |
$2,368.00 |
$2,368.00 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$3,137.60 |
$3,137.60 |
$3,137.60 |
$3,137.60
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$5,931.20 |
$5,931.20 |
$5,931.20 |
$4,664.40
|
|
Decompress fasciotomyhand 26037
|
$2,788.80 |
$2,788.80 |
$2,788.80 |
$3,839.54
|
|
Decompress fingers/hand
|
$2,107.20 |
$2,107.20 |
$2,107.20 |
$3,839.54
|
|
Decompress forearm 1 space
|
$5,883.20 |
$5,883.20 |
$5,883.20 |
$4,499.12
|
|
Decompress forearm 2 spaces
|
$3,851.20 |
$3,851.20 |
$3,851.20 |
$3,851.20
|
|
Decompression fasct forearm
|
$3,988.80 |
$3,988.80 |
$3,988.80 |
$5,886.74
|
|
Decompression of leg
|
$2,705.60 |
$2,705.60 |
$2,705.60 |
$3,839.54
|
|
Decompression of leg
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$6,588.00
|
|
Decompression of leg
|
$4,134.40 |
$4,134.40 |
$4,134.40 |
$4,134.40
|
|
Decompression of lower leg
|
$1,990.40 |
$1,990.40 |
$1,990.40 |
$3,969.00
|
|
Decompression of lower leg
|
$2,196.80 |
$2,196.80 |
$2,196.80 |
$3,839.54
|
|
Decompression of thigh/knee
|
$2,676.80 |
$2,676.80 |
$2,676.80 |
$4,192.86
|
|
Decompression of thigh/knee
|
$2,857.60 |
$2,857.60 |
$2,857.60 |
$3,839.54
|
|
Decompression of thigh/knee
|
$3,217.60 |
$3,217.60 |
$3,217.60 |
$3,217.60
|
|
Decompression of thigh/knee
|
$3,443.20 |
$3,443.20 |
$3,443.20 |
$7,807.24
|
|
Decompression of tibia nerve
|
$2,625.60 |
$2,625.60 |
$2,625.60 |
$2,685.07
|
|
Decompression unspecified nerve 64722
|
$886.40 |
$886.40 |
$886.40 |
$2,310.83
|
|
Decompressive craniotomy
|
$5,584.80 |
$5,584.80 |
$5,584.80 |
$5,584.80
|
|
Decompress optic nerve
|
$6,134.40 |
$6,134.40 |
$6,134.40 |
$5,482.40
|
|
Decompres spinal cord;thoracic 63055
|
$3,861.60 |
$3,861.60 |
$3,861.60 |
$8,412.89
|
|
Decompress small bowel
|
$2,394.40 |
$2,394.40 |
$2,394.40 |
$1,503.60
|
|
Decompress spinal cord lmbr
|
$3,568.00 |
$3,568.00 |
$3,568.00 |
$8,446.03
|
|
Decompress spinal cord thrc
|
$4,239.20 |
$4,239.20 |
$4,239.20 |
$6,817.20
|
|
Decompress spine cord add-on
|
$483.20 |
$483.20 |
$483.20 |
$1,990.40
|
|
Decomp spinal cord/transped/ad seg 63057
|
$768.00 |
$768.00 |
$768.00 |
$1,365.00
|
|
Deep muscle biopsy 20205
|
$716.00 |
$716.00 |
$716.00 |
$3,386.84
|
|
Degarelix 120 mg subcutaneous solution
|
$6.40 |
$6.40 |
$6.40 |
$1,856.85
|
|
Delayed breast prosthesis 19342
|
$4,585.60 |
$4,585.60 |
$4,585.60 |
$7,906.00
|
|
Delay flap arms/legs
|
$880.00 |
$880.00 |
$880.00 |
$4,054.55
|
|
Delay flap eye/nos/ear/lip
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$2,371.50
|
|
Delay flap fccnaxghf 15620
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$2,837.09
|
|
Delay flap trunk 15600
|
$809.60 |
$809.60 |
$809.60 |
$4,332.25
|
|
Delivery of placenta 59414
|
$221.60 |
$221.60 |
$221.60 |
$2,912.46
|
|
Delivery only failed vbac 59620
|
$1,904.80 |
$1,904.80 |
$1,904.80 |
$1,809.60
|
|
Delivery only/pp care/failed vbac 59622
|
$2,639.20 |
$2,639.20 |
$2,639.20 |
$2,639.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$1,619.20 |
$1,619.20 |
$1,619.20 |
$6,670.30
|
|
Demonstrate use home inr mon
|
$176.00 |
$176.00 |
$176.00 |
$294.75
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$253.83 |
$253.83 |
$253.83 |
$185.17
|
|
Denervation of hip joint
|
$5,857.60 |
$5,857.60 |
$5,857.60 |
$5,741.00
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$49.44 |
$49.44 |
$49.44 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$716.00 |
$716.00 |
$716.00 |
$401.60
|
|
Depo-estradiol cypionate inj
|
$36.00 |
$36.00 |
$36.00 |
$71.51
|
|
Dermabrasion other than face
|
$1,328.80 |
$1,328.80 |
$1,328.80 |
$3,214.40
|
|
Dermabrasion segmental face 15781
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,290.07
|
|
Dermabrasion suprfl any site
|
$1,144.80 |
$1,144.80 |
$1,144.80 |
$1,144.80
|
|
Dermabrasion total face
|
$2,188.80 |
$2,188.80 |
$2,188.80 |
$3,425.00
|
|
Derma-fat-fascia graft 15770
|
$1,644.00 |
$1,644.00 |
$1,644.00 |
$4,402.30
|
|
Dermagraft
|
$42.40 |
$42.40 |
$42.40 |
$85.00
|
|
Dermal filler injection(s)
|
$240.80 |
$240.80 |
$240.80 |
$2,024.70
|
|
Derm autograft face/nck/hf/g
|
$2,156.80 |
$2,156.80 |
$2,156.80 |
$4,055.70
|
|
Derm autograft trnk/arm/leg
|
$1,764.80 |
$1,764.80 |
$1,764.80 |
$2,984.90
|
|
Descend thora aorta rpr/lt sub art 33880
|
$4,383.20 |
$4,383.20 |
$4,383.20 |
$6,288.45
|
|
Design custom breast implant
|
$1,401.60 |
$1,401.60 |
$1,401.60 |
$4,531.42
|
|
Design mlc device for imrt
|
$9,021.08 |
$9,021.08 |
$9,021.08 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$44.89 |
$44.89 |
$44.89 |
$91.84
|
|
Desoxycorticosterone
|
$109.28 |
$109.28 |
$109.28 |
$109.28
|
|
Des thora aorta/ea add prox prosth 33884
|
$963.20 |
$963.20 |
$963.20 |
$1,304.05
|
|
Des thora aorta rpr without left sub art 33881
|
$3,761.60 |
$3,761.60 |
$3,761.60 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$2,727.20 |
$2,727.20 |
$2,727.20 |
$3,273.55
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$341.60 |
$341.60 |
$341.60 |
$275.88
|
