|
Degarelix 120 mg subcutaneous solution
|
$2,377.73 |
$2,377.73 |
$2,377.73 |
$1,856.85
|
|
Delayed breast prosthesis 19342
|
$2,997.15 |
$2,997.15 |
$2,997.15 |
$7,906.00
|
|
Delay flap arms/legs
|
$655.20 |
$655.20 |
$655.20 |
$4,054.55
|
|
Delay flap eye/nos/ear/lip
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$2,371.50
|
|
Delay flap fccnaxghf 15620
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$2,837.09
|
|
Delay flap trunk 15600
|
$522.60 |
$522.60 |
$522.60 |
$4,332.25
|
|
Delivery of placenta 59414
|
$8,266.70 |
$8,266.70 |
$8,266.70 |
$2,912.46
|
|
Delivery only failed vbac 59620
|
$4,331.60 |
$4,331.60 |
$4,331.60 |
$1,809.60
|
|
Delivery only/pp care/failed vbac 59622
|
$6,063.20 |
$6,063.20 |
$6,063.20 |
$2,639.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$6,670.30 |
$6,670.30 |
$6,670.30 |
$6,670.30
|
|
Demonstrate use home inr mon
|
$859.30 |
$859.30 |
$859.30 |
$294.75
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$608.40 |
$608.40 |
$608.40 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$69.68 |
$4,748.46 |
$4,748.46 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$385.45 |
$385.45 |
$385.45 |
$401.60
|
|
Depo-estradiol cypionate inj
|
$120.72 |
$120.72 |
$120.72 |
$71.51
|
|
Dermabrasion other than face
|
$5,580.90 |
$5,580.90 |
$5,580.90 |
$3,214.40
|
|
Dermabrasion segmental face 15781
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,290.07
|
|
Dermabrasion suprfl any site
|
$779.35 |
$779.35 |
$779.35 |
$1,144.80
|
|
Dermabrasion total face
|
$5,580.90 |
$5,580.90 |
$5,580.90 |
$3,425.00
|
|
Derma-fat-fascia graft 15770
|
$2,562.30 |
$2,562.30 |
$2,562.30 |
$4,402.30
|
|
Dermapure 1 square cm
|
$1,592.50 |
$1,592.50 |
$1,859.00 |
$3,300.73
|
|
Derm autograft face/nck/hf/g
|
$2,867.80 |
$2,867.80 |
$2,867.80 |
$4,055.70
|
|
Derm autograft trnk/arm/leg
|
$1,957.80 |
$1,957.80 |
$1,957.80 |
$2,984.90
|
|
Descend thora aorta rpr/lt sub art 33880
|
$8,184.15 |
$8,184.15 |
$8,990.80 |
$6,288.45
|
|
Design mlc device for imrt
|
$1,641.90 |
$1,641.90 |
$2,869.10 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$23.41 |
$185.38 |
$185.38 |
$91.84
|
|
Desoxycorticosterone
|
$139.10 |
$139.10 |
$139.10 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$7,690.80 |
$7,690.80 |
$7,690.80 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$5,483.40 |
$5,483.40 |
$5,483.40 |
$3,273.55
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$387.40 |
$387.40 |
$387.40 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$460.20 |
$460.20 |
$460.20 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$543.40 |
$543.40 |
$543.40 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$387.40 |
$387.40 |
$387.40 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$400.40 |
$400.40 |
$400.40 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$473.20 |
$473.20 |
$473.20 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$387.40 |
$387.40 |
$387.40 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$387.40 |
$387.40 |
$387.40 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$466.05 |
$466.05 |
$466.05 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$526.50 |
$526.50 |
$526.50 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$8,758.10 |
$8,758.10 |
$8,758.10 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$594.10 |
$594.10 |
$594.10 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$387.40 |
$387.40 |
$387.40 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$5,469.10 |
$5,469.10 |
$5,469.10 |
$3,058.98
|
|
Destroy vulva lesion simple 56501
|
$5,469.10 |
$5,469.10 |
$5,469.10 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$387.40 |
$387.40 |
$387.40 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$1,370.20 |
$1,370.20 |
$1,370.20 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$217.10 |
$217.10 |
$217.10 |
$78.61
|
|
Destruction anal lesion(s)
|
$5,469.10 |
$5,469.10 |
$5,469.10 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$8,199.75 |
$8,199.75 |
$8,199.75 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$1,194.70 |
$1,194.70 |
$1,194.70 |
$557.90
|
|
Destruction benign lesions < 14 lesions
|
$387.40 |
$387.40 |
$387.40 |
$240.24
|
|
Destruction by injection tx of nerve 64630
|
$3,658.20 |
$3,658.20 |
$3,992.95 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,123.55 |
$2,123.55 |
$2,123.55 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$8,758.10 |
$8,758.10 |
$8,758.10 |
$3,296.80
|
|
Destruction ciliary body
|
$1,336.40 |
$1,336.40 |
$1,336.40 |
$3,173.34
|
|
Destruction ciliary body
|
$1,235.00 |
$1,235.00 |
$1,235.00 |
$3,228.83
|
|
Destruction ciliary body
|
$1,336.40 |
$1,336.40 |
$1,336.40 |
$2,760.73
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$594.10 |
$594.10 |
$594.10 |
$375.87
|
|
Destruction laser surgery anal lesions 46917
|
$8,199.75 |
$8,199.75 |
$8,199.75 |
$3,640.00
|
|
Destruction les conjunctiva
|
$6,975.80 |
$6,975.80 |
$6,975.80 |
$2,760.73
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$779.35 |
$779.35 |
$779.35 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$779.35 |
$779.35 |
$779.35 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$779.35 |
$779.35 |
$779.35 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$779.35 |
$779.35 |
$779.35 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$1,194.70 |
$1,194.70 |
$1,194.70 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$5,469.10 |
$5,469.10 |
$5,469.10 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$779.35 |
$779.35 |
$779.35 |
$442.61
|
|
Destruction rectal tumor 45190
|
$2,709.20 |
$2,709.20 |
$2,709.20 |
$3,245.23
|
|
Destruction vag lesions complex 57065
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$3,986.00
|
|
Destruction vag lesions simple 57061
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$4,006.38
|
|
Destruct penis les/smp/electrodesi 54055
|
$5,469.10 |
$5,469.10 |
$5,469.10 |
$2,837.09
|
|
Detect agent nos dna dir
|
$134.55 |
$134.55 |
$134.55 |
$138.00
|
|
Determine refractive state
|
$42.25 |
$42.25 |
$42.25 |
$21.50
|
|
Developmental screen/score/document 96110
|
$205.40 |
$205.40 |
$205.40 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$702.00 |
$702.00 |
$702.00 |
$350.40
|
|
Device ablt adv novasure
|
$2,581.80 |
$2,581.80 |
$2,581.80 |
$6,237.48
|
|
Device intraute mirena
|
$1,264.41 |
$1,894.83 |
$1,894.83 |
$2,125.00
|
|
Dev interrog remote 1/2/mlt
|
$211.90 |
$211.90 |
$211.90 |
$115.20
|
|
Devise bowel pouch
|
$6,133.40 |
$6,133.40 |
$6,133.40 |
$3,464.00
|
|
Devlopment test interpt&rep
|
$276.25 |
$276.25 |
$276.25 |
$109.46
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$196.30 |
$196.30 |
$301.60 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$395.20 |
$395.20 |
$452.40 |
$227.25
|
|
Dexametha opth insert 0.1 mg
|
$998.40 |
$998.40 |
$998.40 |
$888.47
|
|
Dexamethasone 4 mg tablet
|
$2.47 |
$2.47 |
$2.47 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$1.29 |
$17.55 |
$17.55 |
$20.76
|
|
Dexamethasone intra implant
|
$445.70 |
$3,119.22 |
$3,119.22 |
$2,356.90
|
|
Dexamethasone panel
|
$726.05 |
$726.05 |
$726.05 |
$223.39
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$641.76 |
$641.76 |
$641.76 |
$884.80
|
|
Dextran 40 infusion
|
$1.54 |
$1.54 |
$1.54 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$0.02 |
$1.37 |
$11.02 |
$36.05
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$0.27 |
$4.88 |
$4.88 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$0.88 |
$4.88 |
$17.55 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$99.45 |
$99.45 |
$99.45 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$43.55 |
$43.55 |
$43.55 |
$79.30
|
|
Diabetes training group per 30 min g0109
|
$51.35 |
$51.35 |
$51.35 |
$35.43
|
|
Diabetic custom molded shoe
|
$192.40 |
$192.40 |
$192.40 |
$269.36
|
|
Diab manage trn ind/group
|
$78.65 |
$78.65 |
$78.65 |
$54.99
|