|
Delivery only/pp care/failed vbac 59622
|
$1,968.10 |
$1,968.10 |
$1,968.10 |
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$906.44 |
$906.44 |
$906.44 |
|
|
Demonstrate use home inr mon
|
$183.07 |
$183.07 |
$183.07 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$28.67 |
$301.10 |
$651.00 |
|
|
Denervation of hip joint
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$15.80 |
$40.65 |
$40.65 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$262.39 |
$394.00 |
$879.20 |
|
|
Deodorant ostmy adapt lube 8ml
|
$5.09 |
$5.09 |
$5.09 |
|
|
Depo-estradiol cypionate inj
|
$71.51 |
$71.51 |
$71.51 |
|
|
Dermabrasion other than face
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Dermabrasion segmental face 15781
|
$973.71 |
$973.71 |
$973.71 |
|
|
Dermabrasion suprfl any site
|
$558.97 |
$558.97 |
$558.97 |
|
|
Dermabrasion total face
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Derma-fat-fascia graft 15770
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
|
|
Derma-gide, 1 sq cm
|
$171.12 |
$171.12 |
$171.12 |
|
|
Dermagraft
|
$34.44 |
$55.44 |
$55.44 |
|
|
Dermal filler injection(s)
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Dermapure 1 square cm
|
$171.12 |
$171.12 |
$171.12 |
|
|
Derm autograft face/nck/hf/g
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
|
|
Derm autograft trnk/arm/leg
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Dermavest, plurivest sq cm
|
$171.12 |
$171.12 |
$171.12 |
|
|
Derm-maxx, per sq cm
|
$171.12 |
$171.12 |
$171.12 |
|
|
Descend thora aorta rpr/lt sub art 33880
|
$1,975.41 |
$1,975.41 |
$1,975.41 |
|
|
Design custom breast implant
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
|
|
Design mlc device for imrt
|
$514.85 |
$1,878.00 |
$4,506.00 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$4.71 |
$11.12 |
$121.30 |
|
|
Desoxycorticosterone
|
$23.12 |
$42.75 |
$471.20 |
|
|
Des thora aorta rpr without left sub art 33881
|
$1,657.27 |
$1,657.27 |
$6,951.00 |
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$1,470.75 |
$1,470.75 |
$1,470.75 |
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$275.88 |
$275.88 |
$275.88 |
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$275.88 |
$275.88 |
$275.88 |
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$275.88 |
$275.88 |
$275.88 |
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$275.88 |
$275.88 |
$275.88 |
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$275.88 |
$275.88 |
$275.88 |
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$275.88 |
$275.88 |
$275.88 |
|
|
Dest mal lesion tal <0.5 17260
|
$275.88 |
$275.88 |
$275.88 |
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$275.88 |
$275.88 |
$275.88 |
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$275.88 |
$275.88 |
$275.88 |
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$275.88 |
$275.88 |
$275.88 |
|
|
Destroy cervthor facet jnt 64633
|
$1,414.00 |
$4,565.00 |
$6,080.00 |
|
|
Destroy cth facet jnt addl 64634
|
$83.02 |
$863.00 |
$4,589.00 |
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Destroy premlg lesns;1st lesn 17000
|
$275.88 |
$724.00 |
$724.00 |
|
|
Destroy vulva lesion extensive 56515
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Destroy vulva lesion simple 56501
|
$2,837.09 |
$3,842.00 |
$6,712.00 |
|
|
Destruct ben lesion 15/> 17111
|
$275.88 |
$724.00 |
$724.00 |
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
|
|
Destruct cut vasl lesions <10cm 17106
|
$558.97 |
$558.97 |
$558.97 |
|
|
Destruct cut vasl lesions >50cm 17108
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Destruction 2-14 lesions 17003
|
$2.29 |
$167.00 |
$167.00 |
|
|
Destruction anal lesion(s)
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Destruction anal lesion(s)
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
|
|
Destruction anal lesion(s) smpl chem 46900
|
$558.97 |
$558.97 |
$558.97 |
|
|
Destruction benign lesions < 14 lesions
|
$183.00 |
$275.88 |
$724.00 |
|
|
Destruction by injection tx of nerve 64630
|
$1,216.18 |
$1,900.86 |
$3,026.00 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$73.08 |
$2,533.00 |
$4,589.00 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,430.40 |
$3,375.00 |
$7,982.00 |
|
|
Destruction ciliary body
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
|
|
Destruction ciliary body
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
|
|
Destruction ciliary body
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$275.88 |
$275.88 |
$275.88 |
|
|
Destruction laser surgery anal lesions 46917
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
|
|
Destruction les conjunctiva
|
$3,269.14 |
$8,150.00 |
$8,150.00 |
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$558.97 |
$558.97 |
$558.97 |
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$558.97 |
$558.97 |
$558.97 |
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$558.97 |
$558.97 |
$558.97 |
|
|
Destruction mal lsn t/a/l >4cm
|
$558.97 |
$558.97 |
$558.97 |
|
|
Destruction penis lesion(s) chem 54050
|
$558.97 |
$558.97 |
$558.97 |
|
|
Destruction penis lesion(s) exten 54065
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Destruction premal lesions 15/> 17004
|
$558.97 |
$558.97 |
$558.97 |
|
|
Destruction rectal tumor 45190
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
|
|
Destruction vag lesions complex 57065
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
Destruction vag lesions simple 57061
|
$4,451.18 |
$6,290.00 |
$6,290.00 |
|
|
Destruct penis les/smp/electrodesi 54055
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Detect agent nos dna dir
|
$14.10 |
$41.44 |
$41.44 |
|
|
Detect agnt mult dna direc
|
$60.26 |
$60.26 |
$60.26 |
|
|
Determine refractive state
|
$35.00 |
$35.00 |
$35.00 |
|
|
Developmental screen/score/document 96110
|
$19.00 |
$42.00 |
$219.20 |
|
|
Devel tst phys/qhp 1st hr
|
$155.12 |
$176.93 |
$442.40 |
|
|
Device ablt adv novasure
|
$2,963.52 |
$2,963.52 |
$3,572.00 |
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$1,640.80 |
$1,640.80 |
$1,640.80 |
|
|
Device intraute mirena
|
$1,259.69 |
$1,259.69 |
$1,259.69 |
|
|
Device sut capio slim opn
|
$576.24 |
$576.24 |
$576.24 |
|
|
Device tiss remov myosure reach
|
$787.36 |
$787.36 |
$1,067.92 |
|
|
Dev interrog remote 1/2/mlt
|
$50.87 |
$50.87 |
$154.56 |
|
|
Devise bowel pouch
|
$2,005.46 |
$2,005.46 |
$2,005.46 |
|
|
Devlopment test interpt&rep
|
$139.68 |
$139.68 |
$139.68 |
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$62.91 |
$62.91 |
$248.00 |
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$91.28 |
$158.00 |
$456.00 |
|
|
Dexametha opth insert 0.1 mg
|
$136.15 |
$136.15 |
$136.15 |
|
|
Dexamethasone 4 mg tablet
|
$0.01 |
$0.62 |
$4.52 |
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$0.14 |
$0.14 |
$3.82 |
|
|
Dexamethasone intra implant
|
$282.26 |
$282.26 |
$282.26 |
|
|
Dexamethasone panel
|
$76.14 |
$223.39 |
$223.39 |
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$80.06 |
$80.06 |
$168.56 |
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$1.81 |
$1.81 |
$21.71 |
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$21.58 |
$21.58 |
$21.58 |
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$2.00 |
$2.41 |
$24.29 |
|
|
Dextrose 5 % IV bolus
|
$4.05 |
$4.05 |
$13.99 |
|
|
Dhea-s (dehydroepiand sulfate)
|
$30.55 |
$84.00 |
$384.80 |
|