|
Debridement (>20 cm) charge pt
|
$115.20 |
$239.78 |
$5,358.44 |
|
|
Debridement bone <= 20 sq cm
|
$609.00 |
$2,291.20 |
$13,838.05 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$178.00 |
$466.05 |
$3,798.60 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$231.00 |
$1,192.18 |
$24,300.10 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$198.00 |
$976.26 |
$17,324.90 |
|
|
Debride nail1-5 11720
|
$57.60 |
$112.91 |
$739.00 |
|
|
Debride nail6 or more 11721
|
$44.85 |
$204.69 |
$624.00 |
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$964.80 |
$1,288.00 |
$1,288.00 |
|
|
Debride skin bone at fx site
|
$811.86 |
$2,324.20 |
$20,058.05 |
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,063.80 |
$1,427.20 |
$4,401.29 |
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,417.20 |
$1,914.40 |
$4,966.40 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$83.00 |
$458.21 |
$11,956.02 |
|
|
Debrid mastoidectomy cavity simple 69220
|
$182.00 |
$488.00 |
$1,124.50 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$601.02 |
$1,160.00 |
$51,856.87 |
|
|
Debr inf skin add-on 11001
|
$50.40 |
$58.40 |
$115.80 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$332.64 |
$994.80 |
$13,364.95 |
|
|
Decalcification
|
$31.20 |
$98.56 |
$176.00 |
|
|
Decitabine 50 mg intravenous solution
|
$28.80 |
$224.90 |
$1,930.68 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$324.63 |
$433.44 |
$1,079.00 |
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$921.00 |
$2,368.00 |
$2,368.00 |
|
|
Decomp forearm 1 space 25020
|
$1,045.80 |
$3,137.60 |
$3,137.60 |
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$2,393.40 |
$5,931.20 |
$5,931.20 |
|
|
Decompress fasciotomyhand 26037
|
$1,082.40 |
$2,788.80 |
$2,788.80 |
|
|
Decompress fingers/hand
|
$2,107.20 |
$2,107.20 |
$2,913.01 |
|
|
Decompress forearm 1 space
|
$4,514.00 |
$5,883.20 |
$5,883.20 |
|
|
Decompress forearm 2 spaces
|
$3,851.20 |
$3,851.20 |
$3,851.20 |
|
|
Decompression fasct forearm
|
$3,988.80 |
$3,988.80 |
$3,988.80 |
|
|
Decompression of leg
|
$2,705.60 |
$2,705.60 |
$2,705.60 |
|
|
Decompression of leg
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
|
|
Decompression of leg
|
$1,263.60 |
$4,134.40 |
$4,134.40 |
|
|
Decompression of lower leg
|
$595.20 |
$1,990.40 |
$1,990.40 |
|
|
Decompression of lower leg
|
$691.80 |
$2,196.80 |
$6,917.10 |
|
|
Decompression of thigh/knee
|
$2,676.80 |
$2,676.80 |
$2,676.80 |
|
|
Decompression of thigh/knee
|
$2,857.60 |
$2,857.60 |
$2,857.60 |
|
|
Decompression of thigh/knee
|
$3,217.60 |
$3,217.60 |
$3,217.60 |
|
|
Decompression of thigh/knee
|
$3,443.20 |
$3,443.20 |
$3,443.20 |
|
|
Decompression of tibia nerve
|
$739.20 |
$2,625.60 |
$2,625.60 |
|
|
Decompression unspecified nerve 64722
|
$744.00 |
$886.40 |
$886.40 |
|
|
Decompressive craniotomy
|
$5,584.80 |
$5,584.80 |
$8,052.13 |
|
|
Decompress optic nerve
|
$6,134.40 |
$6,134.40 |
$6,134.40 |
|
|
Decompres spinal cord;thoracic 63055
|
$3,207.60 |
$3,861.60 |
$3,861.60 |
|
|
Decompress small bowel
|
$1,503.60 |
$2,394.40 |
$2,394.40 |
|
|
Decompress spinal cord lmbr
|
$2,950.80 |
$3,568.00 |
$36,239.74 |
|
|
Decompress spinal cord thrc
|
$4,239.20 |
$4,239.20 |
$4,239.20 |
|
|
Decompress spine cord add-on
|
$483.20 |
$483.20 |
$483.20 |
|
|
Decomp spinal cord/transped/ad seg 63057
|
$575.40 |
$768.00 |
$768.00 |
|
|
Deep muscle biopsy 20205
|
$406.08 |
$716.00 |
$28,075.68 |
|
|
Deferoxamine 500 mg solution for injection
|
$59.60 |
$117.97 |
$187.30 |
|
|
Degarelix 120 mg subcutaneous solution
|
$6.40 |
$2,927.45 |
$4,556.35 |
|
|
Delayed breast prosthesis 19342
|
$1,698.60 |
$4,585.60 |
$45,769.55 |
|
|
Delay flap arms/legs
|
$880.00 |
$880.00 |
$880.00 |
|
|
Delay flap eye/nos/ear/lip
|
$842.40 |
$1,125.60 |
$1,125.60 |
|
|
Delay flap fccnaxghf 15620
|
$801.00 |
$1,081.60 |
$1,081.60 |
|
|
Delay flap trunk 15600
|
$594.60 |
$809.60 |
$809.60 |
|
|
Delivery of placenta 59414
|
$216.60 |
$1,133.60 |
$6,158.60 |
|
|
Delivery only failed vbac 59620
|
$1,866.00 |
$1,904.80 |
$3,001.00 |
|
|
Delivery only/pp care/failed vbac 59622
|
$2,528.40 |
$2,639.20 |
$4,345.00 |
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$1,619.20 |
$2,181.00 |
$12,159.87 |
|
|
Demonstrate use home inr mon
|
$77.35 |
$176.00 |
$242.00 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$68.40 |
$184.60 |
$22,387.69 |
|
|
Denervation of hip joint
|
$5,857.60 |
$5,857.60 |
$5,857.60 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$44.40 |
$6,990.21 |
$16,341.40 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$195.30 |
$716.00 |
$14,868.10 |
|
|
Deodorant ostmy adapt lube 8ml
|
$0.05 |
$0.06 |
$0.26 |
|
|
Depo-estradiol cypionate inj
|
$36.00 |
$36.00 |
$499.88 |
|
|
Dermabrasion other than face
|
$1,328.80 |
$1,328.80 |
$1,328.80 |
|
|
Dermabrasion segmental face 15781
|
$993.60 |
$1,344.00 |
$1,344.00 |
|
|
Dermabrasion suprfl any site
|
$1,144.80 |
$1,144.80 |
$1,144.80 |
|
|
Dermabrasion total face
|
$2,188.80 |
$2,188.80 |
$2,188.80 |
|
|
Derma-fat-fascia graft 15770
|
$1,230.00 |
$1,644.00 |
$1,644.00 |
|
|
Dermagraft
|
$42.40 |
$42.40 |
$3,015.00 |
|
|
Dermal filler injection(s)
|
$57.00 |
$240.80 |
$240.80 |
|
|
Derm autograft face/nck/hf/g
|
$2,156.80 |
$2,156.80 |
$2,156.80 |
|
|
Derm autograft trnk/arm/leg
|
$1,764.80 |
$1,764.80 |
$1,764.80 |
|
|
Descend thora aorta rpr/lt sub art 33880
|
$3,397.20 |
$4,383.20 |
$26,920.40 |
|
|
Description not available
|
$2,226.16 |
$2,226.16 |
$12,944.00 |
|
|
Design custom breast implant
|
$1,401.60 |
$1,401.60 |
$1,401.60 |
|
|
Design mlc device for imrt
|
$504.60 |
$1,000.27 |
$58,718.00 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$12.00 |
$65.48 |
$1,840.81 |
|
|
Desoxycorticosterone
|
$109.28 |
$109.28 |
$193.80 |
|
|
Des thora aorta/ea add prox prosth 33884
|
$772.80 |
$963.20 |
$6,413.00 |
|
|
Des thora aorta rpr without left sub art 33881
|
$2,078.16 |
$3,761.60 |
$32,504.33 |
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$2,119.80 |
$2,727.20 |
$16,769.01 |
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$252.85 |
$341.60 |
$420.25 |
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$252.85 |
$440.00 |
$440.00 |
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$261.30 |
$505.60 |
$505.60 |
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$272.40 |
$366.40 |
$366.40 |
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$297.00 |
$404.00 |
$404.00 |
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$339.00 |
$461.60 |
$461.60 |
|
|
Dest mal lesion tal <0.5 17260
|
$172.20 |
$238.40 |
$2,001.00 |
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$261.60 |
$358.40 |
$358.40 |
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$318.00 |
$435.20 |
$435.20 |
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$280.15 |
$472.80 |
$472.80 |
|
|
Destroy cervthor facet jnt 64633
|
$1,509.48 |
$4,091.97 |
$9,671.33 |
|
|
Destroy cth facet jnt addl 64634
|
$923.20 |
$1,695.20 |
$7,416.45 |
|
|
Destroy internal hemorrhoids destroy 46930
|
$393.60 |
$526.40 |
$526.40 |
|
|
Destroy premlg lesns;1st lesn 17000
|
$90.72 |
$160.80 |
$2,001.00 |
|
|
Destroy vulva lesion extensive 56515
|
$414.60 |
$623.20 |
$3,867.50 |
|
|
Destroy vulva lesion simple 56501
|
$240.60 |
$403.20 |
$460.20 |
|
|
Destruct ben lesion 15/> 17111
|
$99.84 |
$321.60 |
$455.00 |
|
