|
Debridement bone <= 20 sq cm
|
$1,815.45 |
$1,815.45 |
$1,815.45 |
$2,481.05
|
|
Debridement/bone/20 sq cm or less 11046
|
$460.20 |
$460.20 |
$460.20 |
$717.92
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$295.10 |
$295.10 |
$295.10 |
$1,738.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$616.85 |
$616.85 |
$616.85 |
$779.35
|
|
Debride skin bone at fx site
|
$1,408.55 |
$1,408.55 |
$1,408.55 |
$3,127.88
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$321.75 |
$321.75 |
$321.75 |
$728.40
|
|
Debr musc/fascia 20sq cm/< 11043
|
$542.10 |
$542.10 |
$542.10 |
$1,101.10
|
|
Decalcification
|
$4,093.46 |
$4,093.46 |
$4,093.46 |
$72.15
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$332.80 |
$332.80 |
$332.80 |
$482.35
|
|
Deferoxamine 500 mg solution for injection
|
$124.53 |
$124.53 |
$124.53 |
$47.62
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$134.55 |
$134.55 |
$134.55 |
$165.60
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,214.06 |
$4,214.06 |
$4,214.06 |
$4,681.80
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$442.00 |
$442.00 |
$442.00 |
$460.50
|
|
Desmopressin 4 mcg/ml injection solution
|
$29.85 |
$29.85 |
$29.85 |
$37.26
|
|
Desoxycorticosterone
|
$118.95 |
$118.95 |
$118.95 |
$109.28
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$219.05 |
$219.05 |
$219.05 |
$307.26
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$291.20 |
$291.20 |
$291.20 |
$440.00
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$315.90 |
$315.90 |
$315.90 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$193.05 |
$193.05 |
$193.05 |
$286.20
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$275.60 |
$275.60 |
$275.60 |
$312.00
|
|
Dest mal lesion tal <0.5 17260
|
$165.10 |
$165.10 |
$165.10 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$255.45 |
$255.45 |
$255.45 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$292.50 |
$292.50 |
$292.50 |
$332.25
|
|
Destroy cervthor facet jnt 64633
|
$3,736.01 |
$3,736.01 |
$3,736.01 |
$2,963.07
|
|
Destroy cth facet jnt addl 64634
|
$3,736.01 |
$3,736.01 |
$3,736.01 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$117.00 |
$117.00 |
$117.00 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$612.30 |
$612.30 |
$612.30 |
$2,108.87
|
|
Destruct ben lesion 15/> 17111
|
$228.80 |
$228.80 |
$228.80 |
$250.20
|
|
Destruction 2-14 lesions 17003
|
$29.25 |
$29.25 |
$29.25 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$176.15 |
$176.15 |
$176.15 |
$231.52
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$3,803.33 |
$3,803.33 |
$3,803.33 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,803.33 |
$3,803.33 |
$3,803.33 |
$3,101.88
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$310.70 |
$310.70 |
$310.70 |
$513.60
|
|
Destruction premal lesions 15/> 17004
|
$341.25 |
$341.25 |
$341.25 |
$442.61
|
|
Developmental screen/score/document 96110
|
$330.85 |
$330.85 |
$330.85 |
$126.75
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$150.80 |
$150.80 |
$150.80 |
$220.43
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$8.23
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$68.25 |
$68.25 |
$68.25 |
$37.50
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$68.25 |
$68.25 |
$68.25 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$68.25 |
$68.25 |
$68.25 |
$48.56
|
|
Dextrose 5 % IV bolus
|
$68.25 |
$68.25 |
$68.25 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$159.90 |
$159.90 |
$159.90 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$81.90 |
$81.90 |
$81.90 |
$70.00
|
|
Diab manage trn ind/group
|
$58.50 |
$58.50 |
$58.50 |
$56.55
|
|
Diagnostic anoscopy spx 46600
|
$166.40 |
$166.40 |
$166.40 |
$252.00
|
|
Diagnostic Mammogram (both breasts)
|
$226.20 |
$226.20 |
$226.20 |
$381.60
|
|
Diagnostic Mammogram (one breast)
|
$204.75 |
$204.75 |
$204.75 |
$276.60
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$13.34 |
$13.34 |
$13.34 |
$42.12
|
|
Dicyclomine injection
|
$126.87 |
$126.87 |
$126.87 |
$153.53
|
|
Diffusing capacity
|
$219.05 |
$219.05 |
$219.05 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$7.15 |
$7.15 |
$7.15 |
$29.85
|
|
Digoxin total therapeutic drug level
|
$111.15 |
$111.15 |
$111.15 |
$92.95
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.10 |
$9.10 |
$9.10 |
$9.29
|
|
Disaccharidases
|
$18.85 |
$18.85 |
$18.85 |
$224.58
|
|
Dna antibody native/double stranded
|
$144.30 |
$144.30 |
$144.30 |
$101.40
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$66.49 |
$66.49 |
$66.49 |
$95.06
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$47.61 |
$47.61 |
$47.61 |
$60.21
|
|
Doppler echo complete
|
$403.00 |
$403.00 |
$403.00 |
$517.94
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$612.30 |
$612.30 |
$612.30 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$377.00 |
$377.00 |
$377.00 |
$463.20
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$394.55 |
$394.55 |
$394.55 |
$800.00
|
|
Drainage external ear complex 69005
|
$578.50 |
$578.50 |
$578.50 |
$3,016.11
|
|
Drainage external ear simple 69000
|
$370.50 |
$370.50 |
$370.50 |
$800.00
|
|
Drainage lymph node lesion 38300
|
$526.50 |
$526.50 |
$526.50 |
$1,779.65
|
|
Drainage of arm bursa 23931
|
$736.45 |
$736.45 |
$736.45 |
$2,437.50
|
|
Drainage of mouth lesion
|
$681.20 |
$681.20 |
$681.20 |
$3,723.23
|
|
Drain blood from under nail 11740
|
$74.10 |
$74.10 |
$74.10 |
$173.21
|
|
Drain finger abscess;simple 26010
|
$495.95 |
$495.95 |
$495.95 |
$451.20
|
|
Drain thigh/knee lesion 27301
|
$1,608.75 |
$1,608.75 |
$1,608.75 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$261.30 |
$261.30 |
$261.30 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$171.60 |
$171.60 |
$171.60 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$393.90 |
$393.90 |
$393.90 |
$515.00
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$1,791.40 |
$1,791.40 |
$1,791.40 |
$1,791.40
|
|
Drng of eyelid abscess 67700
|
$387.40 |
$387.40 |
$387.40 |
$718.05
|
|
Drng of finger abscess comp 26011
|
$909.35 |
$909.35 |
$909.35 |
$1,908.09
|
|
Drng of scrotum abscess 55100
|
$662.35 |
$662.35 |
$662.35 |
$1,997.89
|
|
Drng salivary gland submax/subling 42310
|
$374.40 |
$374.40 |
$374.40 |
$564.16
|
|
Droperidol 2.5 mg/ml injection solution
|
$32.13 |
$32.13 |
$32.13 |
$32.82
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$14.30 |
$14.30 |
$14.30 |
$57.00
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$203.45 |
$203.45 |
$203.45 |
$448.16
|
|
Drug assay caffeine
|
$118.30 |
$118.30 |
$118.30 |
$89.17
|
|
Drug assay posaconazole
|
$124.80 |
$124.80 |
$124.80 |
$96.75
|
|
Drug assay voriconazole
|
$98.15 |
$98.15 |
$98.15 |
$96.75
|
|
Drug of abuse screen urine
|
$97.50 |
$97.50 |
$97.50 |
$58.50
|
|
Drug test prsmv instrmnt
|
$107.25 |
$107.25 |
$107.25 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$227.50 |
$227.50 |
$227.50 |
$278.85
|
|
Drvvt confirm - quest
|
$116.35 |
$116.35 |
$116.35 |
$108.55
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$885.30 |
$885.30 |
$885.30 |
$852.57
|
|
Dxa bone density axl vrt fx
|
$443.95 |
$443.95 |
$443.95 |
$365.14
|
|
Ear irrigation 69209
|
$174.85 |
$174.85 |
$174.85 |
$152.50
|
|
Ecg 12 lead tracing only
|
$190.45 |
$190.45 |
$190.45 |
$222.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$120.90 |
$120.90 |
$120.90 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$531.05 |
$531.05 |
$531.05 |
$404.21
|
|
Ecg external < 48 hours recording
|
$399.75 |
$399.75 |
$399.75 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$504.40 |
$504.40 |
$504.40 |
$541.73
|
|
Echocardiogram (Heart Ultrasound)
|
$1,496.95 |
$1,496.95 |
$1,496.95 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$516.10 |
$516.10 |
$516.10 |
$450.40
|
|
Echocardiography transthoracic 2d followup/limited
|
$488.80 |
$488.80 |
$488.80 |
$720.60
|
|
Echocardiograpy doppler follow up/limited study
|
$289.25 |
$289.25 |
$289.25 |
$348.80
|
|
Echo guide for amniocentesis
|
$432.25 |
$432.25 |
$432.25 |
$355.17
|