|
Debr musc/fascia 20sq cm/< 11043
|
$449.08 |
$449.08 |
$1,046.28 |
$1,193.40
|
|
Decalcification
|
$52.62 |
$52.62 |
$61.72 |
$75.38
|
|
Decitabine 50 mg intravenous solution
|
$1,125.12 |
$1,125.12 |
$1,410.67 |
$1,026.60
|
|
Decompress fasciotomyhand 26037
|
$992.94 |
$992.94 |
$1,164.52 |
$3,545.97
|
|
Deferoxamine 500 mg solution for injection
|
$54.26 |
$54.26 |
$68.03 |
$112.87
|
|
Degarelix 120 mg subcutaneous solution
|
$1,379.08 |
$1,379.08 |
$1,729.09 |
$1,963.06
|
|
Delivery of placenta 59414
|
$1,225.11 |
$1,225.11 |
$1,225.11 |
$3,135.14
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$59.45 |
$59.45 |
$69.73 |
$182.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$6,955.60 |
$6,955.60 |
$8,720.90 |
$7,737.00
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$161.08 |
$161.08 |
$188.91 |
$448.50
|
|
Depo-estradiol cypionate inj
|
$50.38 |
$50.38 |
$63.16 |
$87.27
|
|
Derma-fat-fascia graft 15770
|
$1,096.98 |
$1,096.98 |
$1,286.53 |
$3,786.00
|
|
Dermagraft
|
$44.99 |
$44.99 |
$52.77 |
$220.24
|
|
Design mlc device for imrt
|
$2,902.82 |
$2,902.82 |
$4,949.84 |
$1,641.90
|
|
Desmopressin 4 mcg/ml injection solution
|
$775.02 |
$775.02 |
$971.72 |
$172.46
|
|
Desoxycorticosterone
|
$152.24 |
$152.24 |
$178.55 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$1,182.54 |
$1,182.54 |
$1,386.87 |
$2,998.30
|
|
Destroy cth facet jnt addl 64634
|
$202.45 |
$202.45 |
$237.43 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$69.49 |
$69.49 |
$87.13 |
$199.50
|
|
Destruction benign lesions < 14 lesions
|
$120.91 |
$120.91 |
$141.80 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$202.45 |
$202.45 |
$237.43 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$778.05 |
$778.05 |
$958.19 |
$3,375.00
|
|
Detect agnt mult dna direc
|
$16.47 |
$16.47 |
$19.32 |
$109.60
|
|
Developmental screen/score/document 96110
|
$198.93 |
$198.93 |
$198.93 |
$136.64
|
|
Device ablt adv novasure
|
$1,789.47 |
$1,789.47 |
$2,243.62 |
$5,201.82
|
|
Device sut capio slim opn
|
$210.88 |
$210.88 |
$264.40 |
$1,350.00
|
|
Device tiss remov myosure reach
|
$399.67 |
$399.67 |
$501.11 |
$1,280.86
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$48.86 |
$48.86 |
$260.69 |
$222.30
|
|
Dexamethasone 4 mg tablet
|
$39.51 |
$39.51 |
$49.53 |
$5.17
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$33.87 |
$33.87 |
$42.47 |
$23.27
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$401.75 |
$401.75 |
$503.71 |
$465.34
|
|
Dextran 40 infusion
|
$36.92 |
$36.92 |
$46.29 |
$173.97
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$9.99 |
$9.99 |
$12.52 |
$43.65
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$9.99 |
$9.99 |
$12.52 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$10.39 |
$10.39 |
$13.02 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$9.99 |
$9.99 |
$12.52 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$15.67 |
$15.67 |
$18.38 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$87.57 |
$87.57 |
$109.79 |
$78.03
|
|
Diab manage trn ind/group
|
$31.74 |
$31.74 |
$39.79 |
$49.50
|
|
Diagnostic anoscopy spx 46600
|
$120.51 |
$120.51 |
$141.33 |
$245.35
|
|
Diagnostic digital breast tomosynthesis unil
|
$251.05 |
$251.05 |
$251.05 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$656.74 |
$656.74 |
$770.23 |
$231.71
|
|
Diagnostic laryngoscopy 31575
|
$183.97 |
$183.97 |
$770.23 |
$381.00
|
|
Diagnostic Mammogram (both breasts)
|
$219.72 |
$219.72 |
$257.69 |
$403.32
|
|
Diagnostic Mammogram (one breast)
|
$179.96 |
$179.96 |
$211.05 |
$282.50
|
|
Diagnostic radio unlisted proc
|
$451.09 |
$451.09 |
$529.03 |
$236.93
|
|
Dialysis circuit perm vascular embolization 36909
|
$999.37 |
$999.37 |
$1,172.06 |
$7,822.05
|
|
Dialysis one evaluation
|
$390.03 |
$390.03 |
$489.02 |
$827.97
|
|
Diathermy eg microwave
|
$31.34 |
$31.34 |
$36.75 |
$13.60
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$54.15 |
$54.15 |
$67.89 |
$67.89
|
|
Dicyclomine injection
|
$140.82 |
$140.82 |
$176.56 |
$210.00
|
|
Diffusing capacity
|
$169.51 |
$169.51 |
$198.80 |
$357.50
|
|
Digital analysis of eeg
|
$355.09 |
$355.09 |
$416.44 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$201.66 |
$201.66 |
$252.84 |
$53.00
|
|
Digoxin immune fab 40 mg intravenous solution
|
$10,614.70 |
$10,614.70 |
$13,308.67 |
$9,684.65
|
|
Digoxin total therapeutic drug level
|
$67.49 |
$67.49 |
$84.61 |
$99.35
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$172.41 |
$172.41 |
$216.17 |
$308.90
|
|
Dilate urethra stricture
|
$195.62 |
$195.62 |
$245.27 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$136.17 |
$136.17 |
$170.73 |
$204.60
|
|
Dilator fascial 10fx20cm
|
$48.25 |
$48.25 |
$60.49 |
$266.65
|
|
Dimethyl sulfoxide 50% 50 ml
|
$909.66 |
$909.66 |
$1,140.52 |
$1,001.55
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.43 |
$1.43 |
$1.79 |
$1.62
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$21.75 |
$21.75 |
$27.27 |
$22.58
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$110.48 |
$110.48 |
$138.52 |
$100.80
|
|
Disability dlco
|
$200.04 |
$200.04 |
$234.60 |
$302.40
|
|
Disaccharidases
|
$149.83 |
$149.83 |
$187.85 |
$224.58
|
|
Discography cerv/thor spine
|
$1,360.88 |
$1,360.88 |
$1,360.88 |
$2,360.70
|
|
Dissolve clot heart vessel
|
$732.66 |
$732.66 |
$859.26 |
$1,274.40
|
|
#d/lmeth-l-methamphetamine
|
$119.30 |
$119.30 |
$139.92 |
$72.14
|
|
Dna antibody native/double stranded
|
$105.24 |
$105.24 |
$131.95 |
$101.40
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$71.33 |
$71.33 |
$89.43 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$353.93 |
$353.93 |
$443.75 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$52.14 |
$52.14 |
$65.37 |
$64.77
|
|
Doppler echo complete
|
$548.82 |
$548.82 |
$703.74 |
$644.00
|
|
Doppler intravascular pressure flow initial vessel
|
$738.68 |
$738.68 |
$866.33 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$592.48 |
$592.48 |
$694.85 |
$681.20
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$242.21 |
$242.21 |
$265.22 |
$490.82
|
|
Dornhoffer fixed part w/window
|
$4,225.62 |
$4,225.62 |
$5,298.07 |
$32,112.76
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$247.75 |
$247.75 |
$310.63 |
$232.80
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,101.54 |
$1,101.54 |
$1,381.11 |
$2,469.31
|
|
Dpyd gene common variants
|
$146.21 |
$146.21 |
$171.48 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$185.58 |
$185.58 |
$232.68 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$189.19 |
$189.19 |
$221.89 |
$832.60
|
|
Drainage external ear complex 69005
|
$1,469.73 |
$1,469.73 |
$1,723.70 |
$2,996.52
|
|
Drainage external ear simple 69000
|
$202.05 |
$202.05 |
$253.32 |
$812.80
|
|
Drainage mouth roof lesion
|
$208.47 |
$208.47 |
$244.50 |
$481.80
|
|
Drainage of arm bursa 23931
|
$1,072.07 |
$1,072.07 |
$1,257.33 |
$2,271.01
|
|
Drainage of eye
|
$1,250.42 |
$1,250.42 |
$1,466.49 |
$2,702.25
|
|
Drainage of kidney lesion
|
$16,776.35 |
$16,776.35 |
$19,675.26 |
$1,619.40
|
|
Drainage of mouth lesion
|
$2,857.92 |
$2,857.92 |
$3,351.76 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$317.73 |
$317.73 |
$372.63 |
$586.64
|
|
Drainage of urethra abscess 53060
|
$2,021.23 |
$2,021.23 |
$2,370.49 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$91.99 |
$91.99 |
$107.88 |
$182.95
|
|
Drain cath image guided visceral pq
|
$1,566.54 |
$1,566.54 |
$1,837.23 |
$2,996.80
|
|
Drain cerebro spinal fluid 62272
|
$568.37 |
$568.37 |
$666.59 |
$1,082.90
|
|
Drain finger abscess;simple 26010
|
$186.38 |
$186.38 |
$233.68 |
$490.80
|
|
Drain lower leg lesion 27603
|
$1,798.30 |
$1,798.30 |
$2,254.70 |
$3,631.18
|
|
Drain thigh/knee lesion 27301
|
$1,417.92 |
$1,417.92 |
$1,662.93 |
$3,606.86
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$248.64 |
$248.64 |
$311.74 |
$403.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$243.42 |
$243.42 |
$305.20 |
$355.80
|
