|
D&c after delivery 59160
|
$204.50 |
$204.50 |
$204.50 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$255.00 |
$255.00 |
$255.00 |
$3,774.81
|
|
Dch validity tests
|
$16.50 |
$16.50 |
$16.50 |
$24.50
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$1,870.50 |
$1,870.50 |
$1,870.50 |
$4,952.36
|
|
Deamidated gliadin antibody iga
|
$38.50 |
$38.50 |
$38.50 |
$43.60
|
|
Debr g/per/abd wall 11006
|
$769.00 |
$769.00 |
$769.00 |
$1,357.80
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$30.00 |
$30.00 |
$30.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$27.00 |
$27.00 |
$27.00 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$246.50 |
$246.50 |
$246.50 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$59.00 |
$59.00 |
$59.00 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$105.00 |
$105.00 |
$105.00 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$506.00 |
$506.00 |
$506.00 |
$810.50
|
|
Debride nail1-5 11720
|
$114.50 |
$114.50 |
$114.50 |
$148.80
|
|
Debride nail6 or more 11721
|
$114.50 |
$114.50 |
$114.50 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$323.00 |
$323.00 |
$323.00 |
$1,012.80
|
|
Debride skin bone at fx site
|
$443.00 |
$443.00 |
$443.00 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$622.50 |
$622.50 |
$622.50 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$854.50 |
$854.50 |
$854.50 |
$1,820.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$255.50 |
$255.50 |
$255.50 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$54.00 |
$54.00 |
$54.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$302.50 |
$302.50 |
$302.50 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$15.50 |
$15.50 |
$15.50 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$708.00 |
$708.00 |
$708.00 |
$1,160.00
|
|
Decalcification
|
$33.50 |
$33.50 |
$33.50 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$403.50 |
$403.50 |
$403.50 |
$543.00
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$541.50 |
$541.50 |
$541.50 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$850.00 |
$850.00 |
$850.00 |
$3,137.60
|
|
Decompress forearm 1 space
|
$1,502.50 |
$1,502.50 |
$1,502.50 |
$3,957.20
|
|
Decompression of leg
|
$920.50 |
$920.50 |
$920.50 |
$3,839.54
|
|
Decompression of lower leg
|
$503.00 |
$503.00 |
$503.00 |
$3,839.54
|
|
Decompression of tibia nerve
|
$413.50 |
$413.50 |
$413.50 |
$2,625.60
|
|
Decompress small bowel
|
$1,110.50 |
$1,110.50 |
$1,110.50 |
$1,503.60
|
|
Deep muscle biopsy 20205
|
$178.50 |
$178.50 |
$178.50 |
$3,339.00
|
|
Degarelix 120 mg subcutaneous solution
|
$6.00 |
$6.00 |
$6.00 |
$1,807.08
|
|
Delivery of placenta 59414
|
$101.50 |
$101.50 |
$101.50 |
$3,070.56
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$731.50 |
$731.50 |
$731.50 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$214.00 |
$214.00 |
$214.00 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$2,714.69 |
$2,714.69 |
$2,714.69 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$221.50 |
$221.50 |
$221.50 |
$408.10
|
|
Dermapure 1 square cm
|
$119.50 |
$119.50 |
$119.50 |
$3,822.00
|
|
Derm autograft face/nck/hf/g
|
$814.50 |
$814.50 |
$814.50 |
$4,055.70
|
|
Desmopressin 4 mcg/ml injection solution
|
$187.74 |
$187.74 |
$187.74 |
$89.78
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$90.00 |
$90.00 |
$90.00 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$120.50 |
$120.50 |
$120.50 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$138.00 |
$138.00 |
$138.00 |
$408.50
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$108.00 |
$108.00 |
$108.00 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$123.00 |
$123.00 |
$123.00 |
$317.00
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$90.00 |
$90.00 |
$90.00 |
$262.60
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$124.00 |
$124.00 |
$124.00 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$210.00 |
$210.00 |
$210.00 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$71.00 |
$71.00 |
$71.00 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,146.50 |
$1,146.50 |
$1,146.50 |
$1,344.85
|
|
Destroy premlg lesns;1st lesn 17000
|
$83.00 |
$83.00 |
$83.00 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$230.00 |
$230.00 |
$230.00 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$143.50 |
$143.50 |
$143.50 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$88.00 |
$88.00 |
$88.00 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$371.50 |
$371.50 |
$371.50 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$288.00 |
$288.00 |
$288.00 |
$660.00
|
|
Destruct cut vasl lesions >50cm 17108
|
$548.00 |
$548.00 |
$548.00 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$15.00 |
$15.00 |
$15.00 |
$72.60
|
|
Destruction anal lesion(s)
|
$156.00 |
$156.00 |
$156.00 |
$3,711.00
|
|
Destruction anal lesion(s) smpl chem 46900
|
$158.50 |
$158.50 |
$158.50 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$198.50 |
$198.50 |
$198.50 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$222.50 |
$222.50 |
$222.50 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$62.50 |
$62.50 |
$62.50 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$210.50 |
$210.50 |
$210.50 |
$3,202.98
|
|
Destruction mal lsn t/a/l >4cm
|
$155.00 |
$155.00 |
$155.00 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$115.50 |
$115.50 |
$115.50 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$181.50 |
$181.50 |
$181.50 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$99.50 |
$99.50 |
$99.50 |
$436.64
|
|
Destruction vag lesions complex 57065
|
$200.50 |
$200.50 |
$200.50 |
$3,762.53
|
|
Destruction vag lesions simple 57061
|
$126.00 |
$126.00 |
$126.00 |
$3,815.20
|
|
Destruct penis les/smp/electrodesi 54055
|
$764.00 |
$764.00 |
$764.00 |
$2,837.09
|
|
Detect agent nos dna dir
|
$198.00 |
$198.00 |
$198.00 |
$115.20
|
|
Determine refractive state
|
$20.50 |
$20.50 |
$20.50 |
$19.80
|
|
Developmental screen/score/document 96110
|
$43.50 |
$43.50 |
$43.50 |
$130.65
|
|
Device intraute mirena
|
$1,822.00 |
$1,822.00 |
$1,822.00 |
$2,125.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$11.50 |
$11.50 |
$11.50 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$2.13 |
$2.13 |
$2.13 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$8.00 |
$8.00 |
$8.00 |
$21.17
|
|
Dexamethasone intra implant
|
$294.50 |
$294.50 |
$294.50 |
$2,538.20
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$7.50 |
$7.50 |
$7.50 |
$47.48
|
|
Dhea-s (dehydroepiand sulfate)
|
$94.50 |
$94.50 |
$94.50 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$87.50 |
$87.50 |
$87.50 |
$79.20
|
|
Diag laparo separate proc 49320
|
$384.00 |
$384.00 |
$384.00 |
$6,904.15
|
|
Diagnostic anoscopy
|
$428.00 |
$428.00 |
$428.00 |
$391.20
|
|
Diagnostic anoscopy spx 46600
|
$48.50 |
$48.50 |
$48.50 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$79.00 |
$79.00 |
$79.00 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$39.50 |
$39.50 |
$39.50 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$73.50 |
$73.50 |
$73.50 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$359.50 |
$359.50 |
$359.50 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$262.00 |
$262.00 |
$262.00 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$218.00 |
$218.00 |
$218.00 |
$5,419.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$74.76 |
$74.76 |
$74.76 |
$74.76
|
|
Dicyclomine injection
|
$11.03 |
$11.03 |
$11.03 |
$153.29
|
|
Diffusing capacity
|
$143.50 |
$143.50 |
$143.50 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$4.25 |
$4.25 |
$4.25 |
$69.03
|
|
Digoxin total therapeutic drug level
|
$77.00 |
$77.00 |
$77.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$65.00 |
$65.00 |
$65.00 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$145.00 |
$145.00 |
$145.00 |
$1,866.73
|
