|
Destruction premal lesions 15/> 17004
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$442.61
|
|
Destruction rectal tumor 45190
|
$7,499.82 |
$7,499.82 |
$7,499.82 |
$3,245.23
|
|
Detect agnt mult dna direc
|
$145.18 |
$145.18 |
$145.18 |
$166.77
|
|
Determination venous press
|
$194.12 |
$194.12 |
$194.12 |
$166.56
|
|
Developmental screen/score/document 96110
|
$141.93 |
$141.93 |
$141.93 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$391.54 |
$391.54 |
$391.54 |
$350.40
|
|
Device ablt adv novasure
|
$8,775.00 |
$8,775.00 |
$8,775.00 |
$6,237.48
|
|
Device intraute mirena
|
$2,565.91 |
$2,565.91 |
$2,565.91 |
$2,125.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$195.78 |
$195.78 |
$195.78 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$201.75 |
$201.75 |
$201.75 |
$227.25
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$0.32 |
$0.32 |
$0.32 |
$20.76
|
|
Dexamethasone intra implant
|
$414.35 |
$414.35 |
$414.35 |
$2,356.90
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$7.40 |
$7.40 |
$7.40 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$80.47 |
$80.47 |
$80.47 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$35.15 |
$35.15 |
$35.15 |
$79.30
|
|
Diab manage trn ind/group
|
$44.10 |
$44.10 |
$44.10 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$335.52 |
$335.52 |
$335.52 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$76.37 |
$76.37 |
$76.37 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$76.37 |
$76.37 |
$76.37 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$563.86 |
$563.86 |
$563.86 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$563.86 |
$563.86 |
$563.86 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$311.47 |
$311.47 |
$311.47 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$248.64 |
$248.64 |
$248.64 |
$314.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$6,547.37 |
$6,547.37 |
$6,547.37 |
$5,741.00
|
|
Dialysis one evaluation
|
$1,251.44 |
$1,251.44 |
$1,251.44 |
$936.00
|
|
Dialysis training complete
|
$1,033.55 |
$1,033.55 |
$1,033.55 |
$783.36
|
|
Dialysis training incompl
|
$1,033.55 |
$1,033.55 |
$1,033.55 |
$391.67
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.18 |
$0.18 |
$0.18 |
$115.15
|
|
Diffusing capacity
|
$227.90 |
$227.90 |
$227.90 |
$336.80
|
|
Digoxin total therapeutic drug level
|
$48.04 |
$48.04 |
$48.04 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$164.78 |
$164.78 |
$164.78 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$542.37 |
$542.37 |
$542.37 |
$1,866.73
|
|
Dilate esophagus
|
$4,441.33 |
$4,441.33 |
$4,441.33 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$2,195.76 |
$2,195.76 |
$2,195.76 |
$1,548.00
|
|
Dilate ic vasospasm init
|
$2,650.22 |
$2,650.22 |
$2,650.22 |
$5,151.95
|
|
Dilate tear duct opening
|
$440.81 |
$440.81 |
$440.81 |
$454.40
|
|
Dilate urethra stricture
|
$324.29 |
$324.29 |
$324.29 |
$513.00
|
|
Dilate urethra stricture
|
$335.52 |
$335.52 |
$335.52 |
$200.80
|
|
Dilation/female urethra/initial 53660
|
$482.35 |
$482.35 |
$482.35 |
$235.61
|
|
Dilation of rectal stricture 45910
|
$3,186.98 |
$3,186.98 |
$3,186.98 |
$2,491.80
|
|
Dilation of urethra
|
$335.52 |
$335.52 |
$335.52 |
$172.00
|
|
Dilation of vagina
|
$7,627.40 |
$7,627.40 |
$7,627.40 |
$4,446.00
|
|
Dilation salivary duct 42650
|
$3,453.20 |
$3,453.20 |
$3,453.20 |
$2,675.71
|
|
Dilat xst trc ndurlgc px
|
$4,335.25 |
$4,335.25 |
$4,335.25 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$7,428.10 |
$7,428.10 |
$7,428.10 |
$4,258.20
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,121.44 |
$1,121.44 |
$1,121.44 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.16 |
$1.16 |
$1.16 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.18 |
$1.18 |
$1.18 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$98.56 |
$98.56 |
$98.56 |
$98.15
|
|
Dipyridamole injection
|
$1.44 |
$1.44 |
$1.44 |
$48.04
|
|
Disability dlco
|
$482.35 |
$482.35 |
$482.35 |
$293.76
|
|
Disaccharidases
|
$65.34 |
$65.34 |
$65.34 |
$230.40
|
|
Division of fallopian tube 58605
|
$1,847.98 |
$1,847.98 |
$1,847.98 |
$976.50
|
|
Dlyd plmt xtn prosth ea addl
|
$5,864.93 |
$5,864.93 |
$5,864.93 |
$1,810.80
|
|
Dmpk gene detc abnor allele
|
$364.25 |
$364.25 |
$364.25 |
$313.60
|
|
Dna antibody native/double stranded
|
$49.75 |
$49.75 |
$49.75 |
$100.00
|
|
Dna gardnerella
|
$72.57 |
$72.57 |
$72.57 |
$61.83
|
|
Dna trichomonas
|
$72.57 |
$72.57 |
$72.57 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$11.50 |
$11.50 |
$11.50 |
$95.06
|
|
Doppler echo complete
|
$408.75 |
$408.75 |
$408.75 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,909.45 |
$3,909.45 |
$3,909.45 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$482.35 |
$482.35 |
$482.35 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$335.52 |
$335.52 |
$335.52 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$36,623.70 |
$36,623.70 |
$36,623.70 |
$34,278.00
|
|
Dorsi & plantar flex ass/res
|
$166.66 |
$166.66 |
$166.66 |
$163.44
|
|
Dpyd gene common variants
|
$488.01 |
$488.01 |
$488.01 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,899.40 |
$1,899.40 |
$1,899.40 |
$964.00
|
|
Drainage external ear complex 69005
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$790.40
|
|
Drainage mouth roof lesion
|
$618.08 |
$618.08 |
$618.08 |
$405.60
|
|
Drainage of arm bursa 23931
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,271.01
|
|
Drainage of eye
|
$4,946.91 |
$4,946.91 |
$4,946.91 |
$2,415.65
|
|
Drainage of eye
|
$3,549.34 |
$3,549.34 |
$3,549.34 |
$3,170.00
|
|
Drainage of kidney lesion
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$1,506.00
|
|
Drainage of mouth lesion
|
$586.66 |
$586.66 |
$586.66 |
$535.20
|
|
Drainage of mouth lesion
|
$3,762.02 |
$3,762.02 |
$3,762.02 |
$2,320.03
|
|
Drainage of mouth lesion
|
$7,267.74 |
$7,267.74 |
$7,267.74 |
$3,837.72
|
|
Drainage of mouth lesion
|
$1,628.32 |
$1,628.32 |
$1,628.32 |
$1,008.80
|
|
Drainage of mouth lesion
|
$11,200.30 |
$11,200.30 |
$11,200.30 |
$6,781.90
|
|
Drainage of mouth lesion
|
$4,858.50 |
$4,858.50 |
$4,858.50 |
$3,459.00
|
|
Drainage of nose lesion int 30000
|
$618.08 |
$618.08 |
$618.08 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,628.32 |
$1,628.32 |
$1,628.32 |
$781.44
|
|
Drainage of rectal abscess
|
$3,186.98 |
$3,186.98 |
$3,186.98 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$7,499.82 |
$7,499.82 |
$7,499.82 |
$3,816.64
|
|
Drainage of throat abscess
|
$9,633.61 |
$9,633.61 |
$9,633.61 |
$6,499.33
|
|
Drain bladder by trocar/cath
|
$3,243.02 |
$3,243.02 |
$3,243.02 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$335.52 |
$335.52 |
$335.52 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$852.20 |
$852.20 |
$852.20 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$584.21 |
$584.21 |
$584.21 |
$428.40
|
|
Drain lower leg lesion 27603
|
$7,746.22 |
$7,746.22 |
$7,746.22 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$5,754.62 |
$5,754.62 |
$5,754.62 |
$3,339.00
|
|
Drain ovarn cyst abd
|
$7,627.40 |
$7,627.40 |
$7,627.40 |
$3,786.00
|
|
Drain thigh/knee lesion 27301
|
$5,776.90 |
$5,776.90 |
$5,776.90 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$584.21 |
$584.21 |
$584.21 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$584.21 |
$584.21 |
$584.21 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$541.00
|
|
Drm agrft t/a/l ea addl
|
$4,141.43 |
$4,141.43 |
$4,141.43 |
$1,793.59
|