|
Cytopathology fna adequacy evaluation first episode each site
|
$453.33 |
$453.33 |
$453.33 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$159.39 |
$159.39 |
$159.39 |
$213.85
|
|
Cytopath smear oth prep screen & interp
|
$114.67 |
$114.67 |
$114.67 |
$96.20
|
|
Dalbavancin 500 mg intravenous solution
|
$26.40 |
$26.40 |
$26.40 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.06 |
$0.06 |
$0.06 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$11.70 |
$11.70 |
$11.70 |
$6,281.29
|
|
D&c after delivery 59160
|
$8,297.80 |
$8,297.80 |
$8,297.80 |
$3,827.25
|
|
Dch validity tests
|
$21.71 |
$21.71 |
$21.71 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$28.89 |
$28.89 |
$28.89 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$394.61 |
$394.61 |
$394.61 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$305.69 |
$305.69 |
$305.69 |
$2,320.80
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$933.42 |
$933.42 |
$933.42 |
$835.20
|
|
Debride nail1-5 11720
|
$143.81 |
$143.81 |
$143.81 |
$149.60
|
|
Debride nail6 or more 11721
|
$143.81 |
$143.81 |
$143.81 |
$169.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$728.59 |
$728.59 |
$728.59 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$187.92 |
$187.92 |
$187.92 |
$235.13
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,453.52 |
$1,453.52 |
$1,453.52 |
$1,165.50
|
|
Decalcification
|
$63.43 |
$63.43 |
$63.43 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$130.30 |
$130.30 |
$130.30 |
$572.95
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$566.10 |
$566.10 |
$566.10 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$38.79 |
$38.79 |
$38.79 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$341.59 |
$341.59 |
$341.59 |
$401.60
|
|
Design mlc device for imrt
|
$1,356.38 |
$1,356.38 |
$1,356.38 |
$1,753.00
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$440.09 |
$440.09 |
$440.09 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$876.79 |
$876.79 |
$876.79 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$488.59 |
$488.59 |
$488.59 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$440.09 |
$440.09 |
$440.09 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$440.09 |
$440.09 |
$440.09 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$338.26 |
$338.26 |
$338.26 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$253.91 |
$253.91 |
$253.91 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$440.09 |
$440.09 |
$440.09 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$377.52 |
$377.52 |
$377.52 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$339.10 |
$339.10 |
$339.10 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$2,407.40 |
$2,407.40 |
$2,407.40 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$803.05 |
$803.05 |
$803.05 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$108.58 |
$108.58 |
$108.58 |
$202.40
|
|
Destroy vulva lesion simple 56501
|
$2,209.01 |
$2,209.01 |
$2,209.01 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$270.61 |
$270.61 |
$270.61 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$18.38 |
$18.38 |
$18.38 |
$78.61
|
|
Destruction anal lesion(s)
|
$2,396.21 |
$2,396.21 |
$2,396.21 |
$3,363.79
|
|
Destruction benign lesions < 14 lesions
|
$131.97 |
$131.97 |
$131.97 |
$240.24
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$803.05 |
$803.05 |
$803.05 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,407.40 |
$2,407.40 |
$2,407.40 |
$3,296.80
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$487.76 |
$487.76 |
$487.76 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$548.98 |
$548.98 |
$548.98 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$1,093.55 |
$1,093.55 |
$1,093.55 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$857.10 |
$857.10 |
$857.10 |
$569.80
|
|
Destruction penis lesion(s) exten 54065
|
$1,697.14 |
$1,697.14 |
$1,697.14 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$436.81 |
$436.81 |
$436.81 |
$442.61
|
|
Destruction vag lesions simple 57061
|
$6,276.20 |
$6,276.20 |
$6,276.20 |
$4,006.38
|
|
Developmental screen/score/document 96110
|
$145.18 |
$145.18 |
$145.18 |
$142.38
|
|
Device intraute mirena
|
$1,773.21 |
$1,773.21 |
$1,773.21 |
$2,125.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$0.31 |
$0.31 |
$0.31 |
$20.76
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$5.19 |
$5.19 |
$5.19 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$208.93 |
$208.93 |
$208.93 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$151.59 |
$151.59 |
$151.59 |
$79.30
|
|
Diagnostic anoscopy spx 46600
|
$348.09 |
$348.09 |
$348.09 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$75.56 |
$75.56 |
$75.56 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$79.23 |
$79.23 |
$79.23 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$299.83 |
$299.83 |
$299.83 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$535.08 |
$535.08 |
$535.08 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$427.79 |
$427.79 |
$427.79 |
$314.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.23 |
$0.23 |
$0.23 |
$115.15
|
|
Diffusing capacity
|
$233.23 |
$233.23 |
$233.23 |
$336.80
|
|
Digoxin total therapeutic drug level
|
$105.57 |
$105.57 |
$105.57 |
$102.07
|
|
Dilate esophagus 1/mult pass
|
$1,025.43 |
$1,025.43 |
$1,025.43 |
$1,548.00
|
|
Dilation of cervical canal 57800
|
$1,493.19 |
$1,493.19 |
$1,493.19 |
$4,446.00
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.05 |
$0.05 |
$0.05 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.55 |
$1.55 |
$1.55 |
$18.32
|
|
Disability dlco
|
$251.47 |
$251.47 |
$251.47 |
$293.76
|
|
Disaccharidases
|
$368.74 |
$368.74 |
$368.74 |
$230.40
|
|
Dna antibody native/double stranded
|
$130.30 |
$130.30 |
$130.30 |
$100.00
|
|
Dna gardnerella
|
$50.24 |
$50.24 |
$50.24 |
$61.83
|
|
Dna trichomonas
|
$50.24 |
$50.24 |
$50.24 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$10.08 |
$10.08 |
$10.08 |
$95.06
|
|
Doppler echo complete
|
$332.24 |
$332.24 |
$332.24 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$363.87 |
$363.87 |
$363.87 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$290.50 |
$290.50 |
$290.50 |
$481.65
|
|
Dpyd gene common variants
|
$506.30 |
$506.30 |
$506.30 |
$423.60
|
|
Drainage external ear simple 69000
|
$1,925.76 |
$1,925.76 |
$1,925.76 |
$790.40
|
|
Drainage mouth roof lesion
|
$648.30 |
$648.30 |
$648.30 |
$405.60
|
|
Drainage of arm bursa 23931
|
$4,753.85 |
$4,753.85 |
$4,753.85 |
$2,271.01
|
|
Drainage of eye
|
$3,682.33 |
$3,682.33 |
$3,682.33 |
$3,170.00
|
|
Drainage of kidney lesion
|
$1,480.47 |
$1,480.47 |
$1,480.47 |
$1,506.00
|
|
Drainage of mouth lesion
|
$6,352.40 |
$6,352.40 |
$6,352.40 |
$3,837.72
|
|
Drain blood from under nail 11740
|
$178.73 |
$178.73 |
$178.73 |
$182.40
|
|
Drain cath image guided visceral pq
|
$3,146.56 |
$3,146.56 |
$3,146.56 |
$2,903.44
|
|
Drain finger abscess;simple 26010
|
$451.81 |
$451.81 |
$451.81 |
$428.40
|
|
Drain neck/chest lesion 21501
|
$7,541.73 |
$7,541.73 |
$7,541.73 |
$3,339.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$440.09 |
$440.09 |
$440.09 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$451.81 |
$451.81 |
$451.81 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$563.77 |
$563.77 |
$563.77 |
$541.00
|
|
Drng of eyelid abscess 67700
|
$726.00 |
$726.00 |
$726.00 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$3,286.71 |
$3,286.71 |
$3,286.71 |
$2,079.50
|
|
Drng of scrotum abscess 55100
|
$2,262.57 |
$2,262.57 |
$2,262.57 |
$1,997.89
|
|
Drug assay caffeine
|
$111.89 |
$111.89 |
$111.89 |
$80.00
|
|
Drug assay posaconazole
|
$73.74 |
$73.74 |
$73.74 |
$96.75
|
|
Drug assay rufinamide
|
$66.25 |
$66.25 |
$66.25 |
$87.10
|
|
Drug assay vedolizumab
|
$106.39 |
$106.39 |
$106.39 |
$154.00
|
