|
Desoxycorticosterone
|
$112.12 |
$112.12 |
$138.00 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$12,051.32 |
$12,051.32 |
$12,051.32 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$12,051.32 |
$12,051.32 |
$14,832.40 |
$3,273.55
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$584.21 |
$584.21 |
$584.21 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$303.83 |
$303.83 |
$373.94 |
$408.50
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$584.21 |
$584.21 |
$584.21 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$584.21 |
$584.21 |
$584.21 |
$311.20
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$497.06 |
$497.06 |
$611.77 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$473.39 |
$473.39 |
$473.39 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$584.21 |
$584.21 |
$584.21 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$5,482.43 |
$5,482.43 |
$5,885.82 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$578.85 |
$578.85 |
$583.90 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$3,186.98 |
$3,186.98 |
$3,186.98 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$584.21 |
$584.21 |
$627.20 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$2,699.50 |
$2,699.50 |
$2,898.12 |
$3,058.98
|
|
Destroy vulva lesion simple 56501
|
$2,699.50 |
$2,699.50 |
$2,898.12 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$584.21 |
$584.21 |
$627.20 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$1,651.23 |
$1,651.23 |
$1,651.23 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$2,699.50 |
$2,699.50 |
$2,699.50 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$99.37 |
$99.37 |
$238.66 |
$78.61
|
|
Destruction anal lesion(s)
|
$7,499.82 |
$7,499.82 |
$7,499.82 |
$3,363.79
|
|
Destruction benign lesions < 14 lesions
|
$584.21 |
$584.21 |
$627.20 |
$240.24
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$571.28 |
$571.28 |
$1,739.66 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$5,482.43 |
$5,482.43 |
$5,885.82 |
$3,296.80
|
|
Destruction laser surgery anal lesions 46917
|
$7,499.82 |
$7,499.82 |
$7,499.82 |
$3,640.00
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$1,188.79 |
$1,188.79 |
$1,188.79 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$2,699.50 |
$2,699.50 |
$2,699.50 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$442.61
|
|
Destruction rectal tumor 45190
|
$7,499.82 |
$7,499.82 |
$7,499.82 |
$3,245.23
|
|
Destruction vag lesions complex 57065
|
$8,188.62 |
$8,188.62 |
$8,188.62 |
$3,986.00
|
|
Destruction vag lesions simple 57061
|
$8,188.62 |
$8,188.62 |
$8,188.62 |
$4,006.38
|
|
Detect agnt mult dna direc
|
$145.18 |
$145.18 |
$178.69 |
$166.77
|
|
Determination venous press
|
$194.12 |
$194.12 |
$238.91 |
$166.56
|
|
Developmental screen/score/document 96110
|
$141.93 |
$141.93 |
$174.69 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$391.54 |
$391.54 |
$481.90 |
$350.40
|
|
Device ablt adv novasure
|
$8,775.00 |
$8,775.00 |
$10,800.00 |
$6,237.48
|
|
Device intraute mirena
|
$2,565.91 |
$2,565.91 |
$3,158.04 |
$2,125.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$195.78 |
$195.78 |
$240.96 |
$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 |
$0.39 |
$20.76
|
|
Dexamethasone intra implant
|
$414.35 |
$414.35 |
$509.97 |
$2,356.90
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$7.40 |
$7.40 |
$9.11 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$80.47 |
$80.47 |
$99.04 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$35.15 |
$35.15 |
$43.26 |
$79.30
|
|
Diab manage trn ind/group
|
$44.10 |
$44.10 |
$794.18 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$335.52 |
$335.52 |
$360.21 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$76.37 |
$76.37 |
$76.37 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$76.37 |
$76.37 |
$93.99 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$563.86 |
$563.86 |
$605.37 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$563.86 |
$563.86 |
$605.37 |
$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
|
|
Diagnostic radio unlisted proc
|
$248.30 |
$248.30 |
$248.30 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$6,547.37 |
$6,547.37 |
$8,058.30 |
$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 |
$1,272.06 |
$783.36
|
|
Dialysis training incompl
|
$1,033.55 |
$1,033.55 |
$1,272.06 |
$391.67
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.18 |
$0.18 |
$0.22 |
$115.15
|
|
Diffusing capacity
|
$139.21 |
$139.21 |
$227.90 |
$336.80
|
|
Digoxin total therapeutic drug level
|
$48.04 |
$48.04 |
$59.13 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$164.78 |
$164.78 |
$202.80 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$542.37 |
$542.37 |
$602.49 |
$1,866.73
|
|
Dilate esophagus
|
$4,437.10 |
$4,437.10 |
$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 |
$399.13 |
$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 cervical canal 57800
|
$8,188.62 |
$8,188.62 |
$8,188.62 |
$4,446.00
|
|
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 |
$5,335.69 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$7,428.10 |
$7,428.10 |
$9,142.27 |
$4,258.20
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,040.49 |
$1,040.49 |
$1,121.44 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.16 |
$1.16 |
$1.43 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.18 |
$1.18 |
$1.46 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$91.44 |
$91.44 |
$98.56 |
$98.15
|
|
Dipyridamole injection
|
$1.34 |
$1.34 |
$1.44 |
$48.04
|
|
Disability dlco
|
$482.35 |
$482.35 |
$517.84 |
$293.76
|
|
Disaccharidases
|
$65.34 |
$65.34 |
$80.42 |
$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 |
$7,218.38 |
$1,810.80
|
|
Dmpk gene detc abnor allele
|
$364.25 |
$364.25 |
$448.31 |
$313.60
|
|
Dna antibody native/double stranded
|
$49.75 |
$49.75 |
$61.23 |
$100.00
|
|
Dna gardnerella
|
$72.57 |
$72.57 |
$89.32 |
$61.83
|
|
Dna probe chlamydia
|
$89.32 |
$89.32 |
$89.32 |
$82.20
|
|
Dna probe gc
|
$96.97 |
$96.97 |
$96.97 |
$79.38
|
|
Dna trichomonas
|
$72.57 |
$72.57 |
$89.32 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$11.50 |
$11.50 |
$14.15 |
$95.06
|
|
Doppler echo complete
|
$218.76 |
$218.76 |
$408.75 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$812.74 |
$812.74 |
$3,909.45 |
$2,777.60
|