|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$994.50 |
$994.50 |
$994.50 |
$1,193.40
|
|
Decalcification
|
$101.40 |
$101.40 |
$101.40 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$124.80 |
$124.80 |
$124.80 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,120.60 |
$1,120.60 |
$1,120.60 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$65.88 |
$65.88 |
$65.88 |
$110.82
|
|
Degarelix 120 mg subcutaneous solution
|
$1,963.06 |
$1,963.06 |
$1,963.06 |
$2,086.82
|
|
Delivery of placenta 59414
|
$2,485.60 |
$2,485.60 |
$2,485.60 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$9,568.65 |
$9,568.65 |
$9,568.65 |
$7,763.47
|
|
Demonstrate use home inr mon
|
$82.55 |
$82.55 |
$82.55 |
$152.50
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$187.20 |
$187.20 |
$187.20 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$10,954.38 |
$10,954.38 |
$10,954.38 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$677.30 |
$677.30 |
$677.30 |
$460.50
|
|
Descend thora aorta rpr/lt sub art 33880
|
$2,172.30 |
$2,172.30 |
$2,172.30 |
$5,702.04
|
|
Design mlc device for imrt
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$37.93 |
$37.93 |
$37.93 |
$102.32
|
|
Desoxycorticosterone
|
$447.85 |
$447.85 |
$447.85 |
$109.28
|
|
Des thora aorta/ea add prox prosth 33884
|
$795.60 |
$795.60 |
$795.60 |
$1,285.78
|
|
Des thora aorta rpr without left sub art 33881
|
$2,172.30 |
$2,172.30 |
$2,172.30 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$795.60 |
$795.60 |
$795.60 |
$2,498.88
|
|
Destroy cervthor facet jnt 64633
|
$5,665.40 |
$5,665.40 |
$5,665.40 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$1,347.45 |
$1,347.45 |
$1,347.45 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,344.85 |
$1,344.85 |
$1,344.85 |
$1,344.85
|
|
Destruction benign lesions < 14 lesions
|
$369.20 |
$369.20 |
$369.20 |
$250.60
|
|
Destruction by injection tx of nerve 64630
|
$1,205.75 |
$1,205.75 |
$1,205.75 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,626.95 |
$1,626.95 |
$1,626.95 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,861.00 |
$3,861.00 |
$3,861.00 |
$3,375.00
|
|
Developmental screen/score/document 96110
|
$73.45 |
$73.45 |
$73.45 |
$139.10
|
|
Devel tst phys/qhp 1st hr
|
$192.40 |
$192.40 |
$192.40 |
$339.30
|
|
Device intraute mirena
|
$2,211.85 |
$2,211.85 |
$2,211.85 |
$2,618.91
|
|
Device tiss remov myosure reach
|
$1,104.70 |
$1,104.70 |
$1,104.70 |
$2,440.98
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$96.20 |
$96.20 |
$96.20 |
$196.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$503.10 |
$503.10 |
$503.10 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$4.42 |
$4.42 |
$4.42 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$25.68 |
$25.68 |
$25.68 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$322.82 |
$322.82 |
$322.82 |
$560.92
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$43.65 |
$43.65 |
$43.65 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$43.65 |
$43.65 |
$43.65 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$50.90 |
$50.90 |
$50.90 |
$49.75
|
|
Dhea-s (dehydroepiand sulfate)
|
$45.50 |
$45.50 |
$45.50 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$52.65 |
$52.65 |
$52.65 |
$78.03
|
|
Diab manage trn ind/group
|
$70.85 |
$70.85 |
$70.85 |
$49.50
|
|
Diag bronchoscope/catheter
|
$2,360.15 |
$2,360.15 |
$2,360.15 |
$2,040.67
|
|
Diagnostic anoscopy spx 46600
|
$227.50 |
$227.50 |
$227.50 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$61.75 |
$61.75 |
$61.75 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$61.75 |
$61.75 |
$61.75 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$397.80 |
$397.80 |
$397.80 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$387.40 |
$387.40 |
$387.40 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$526.50 |
$526.50 |
$526.50 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$473.85 |
$473.85 |
$473.85 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$9,176.70 |
$9,176.70 |
$9,176.70 |
$7,145.00
|
|
Dialysis one evaluation
|
$485.55 |
$485.55 |
$485.55 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$40.14 |
$40.14 |
$40.14 |
$72.34
|
|
Dicyclomine injection
|
$31.43 |
$31.43 |
$31.43 |
$211.81
|
|
Diffusing capacity
|
$323.05 |
$323.05 |
$323.05 |
$360.10
|
|
Digital analysis of eeg
|
$249.60 |
$249.60 |
$249.60 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$383.82 |
$383.82 |
$383.82 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$15,014.28 |
$15,014.28 |
$15,014.28 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$35.75 |
$35.75 |
$35.75 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$89.21 |
$89.21 |
$89.21 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$8,630.70 |
$8,630.70 |
$8,630.70 |
$2,304.60
|
|
Dilate esophagus 1/mult pass
|
$1,803.75 |
$1,803.75 |
$1,803.75 |
$1,484.17
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$5,650.45 |
$5,650.45 |
$5,650.45 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$5,650.45 |
$5,650.45 |
$5,650.45 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$8,685.95 |
$8,685.95 |
$8,685.95 |
$6,280.95
|
|
Dilation of salivary duct
|
$248.30 |
$248.30 |
$248.30 |
$599.72
|
|
Dilator fascial 10fx20cm
|
$126.45 |
$126.45 |
$126.45 |
$305.68
|
|
Dilat xst trc ndurlgc px
|
$7,931.30 |
$7,931.30 |
$7,931.30 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$7,931.30 |
$7,931.30 |
$7,931.30 |
$5,020.00
|
|
Diltiazem 5 mg/ml intravenous solution
|
$92.66 |
$92.66 |
$92.66 |
$60.25
|
|
Dimethyl sulfoxide 50% 50 ml
|
$2,221.08 |
$2,221.08 |
$2,221.08 |
$1,155.52
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$25.12 |
$25.12 |
$25.12 |
$26.87
|
|
Disability dlco
|
$315.90 |
$315.90 |
$315.90 |
$307.58
|
|
Disaccharidases
|
$807.30 |
$807.30 |
$807.30 |
$223.80
|
|
Discography cerv/thor spine
|
$2,418.00 |
$2,418.00 |
$2,418.00 |
$2,404.00
|
|
#d/lmeth-l-methamphetamine
|
$13.65 |
$13.65 |
$13.65 |
$72.14
|
|
Dlyd plmt xtn prosth ea addl
|
$9,989.85 |
$9,989.85 |
$9,989.85 |
$2,001.55
|
|
Dmd dup/delet analysis
|
$2,901.60 |
$2,901.60 |
$2,901.60 |
$385.02
|
|
Dmpk gene detc abnor allele
|
$2,353.00 |
$2,353.00 |
$2,353.00 |
$318.75
|
|
Dna antibody native/double stranded
|
$143.65 |
$143.65 |
$143.65 |
$102.60
|
|
Dna gardnerella
|
$124.80 |
$124.80 |
$124.80 |
$67.68
|
|
Dna probe chlamydia
|
$42.90 |
$42.90 |
$42.90 |
$82.20
|
|
Dna probe gc
|
$218.40 |
$218.40 |
$218.40 |
$88.67
|
|
Dna trichomonas
|
$124.80 |
$124.80 |
$124.80 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$68.15 |
$68.15 |
$68.15 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$285.38 |
$285.38 |
$285.38 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$64.77 |
$64.77 |
$64.77 |
$84.30
|
|
Doppler echo complete
|
$261.95 |
$261.95 |
$261.95 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$4,550.65 |
$4,550.65 |
$4,550.65 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$806.65 |
$806.65 |
$806.65 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$642.20 |
$642.20 |
$642.20 |
$482.03
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$32,490.15 |
$32,490.15 |
$32,490.15 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$75.89 |
$75.89 |
$75.89 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$728.72 |
$728.72 |
$728.72 |
$2,417.38
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$54.86 |
$54.86 |
$54.86 |
$99.99
|
|
Dpyd gene common variants
|
$1,609.40 |
$1,609.40 |
$1,609.40 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$443.30 |
$443.30 |
$443.30 |
$820.50
|
|
Drainage external ear simple 69000
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$809.25
|
|
Drainage of kidney lesion
|
$5,850.00 |
$5,850.00 |
$5,850.00 |
$1,706.65
|
|
Drain blood from under nail 11740
|
$442.65 |
$442.65 |
$442.65 |
$190.33
|