|
D&c/diagnostic/therapeutic/non ob 58120
|
$13,422.24 |
$13,422.24 |
$13,422.24 |
$3,774.81
|
|
Dch glucoscan
|
$35,194.04 |
$35,194.04 |
$35,194.04 |
$27.50
|
|
Dch validity tests
|
$39.00 |
$39.00 |
$39.00 |
$24.00
|
|
Dcmprn plantar digital nerve
|
$39,134.39 |
$39,134.39 |
$39,134.39 |
$2,310.83
|
|
Deamidated gliadin antibody iga
|
$30.60 |
$30.60 |
$30.60 |
$44.00
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$610.20 |
$610.20 |
$610.20 |
$668.55
|
|
Debridement bone <= 20 sq cm
|
$28,219.44 |
$28,219.44 |
$28,219.44 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$18,412.80 |
$18,412.80 |
$18,412.80 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,471.40 |
$2,471.40 |
$2,471.40 |
$1,407.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$28,751.04 |
$28,751.04 |
$28,751.04 |
$814.80
|
|
Debride nail1-5 11720
|
$143.40 |
$143.40 |
$143.40 |
$148.80
|
|
Debride nail6 or more 11721
|
$198.60 |
$198.60 |
$198.60 |
$166.17
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$28,751.04 |
$28,751.04 |
$28,751.04 |
$639.60
|
|
Debr musc/fascia 20sq cm/< 11043
|
$51,017.86 |
$51,017.86 |
$51,017.86 |
$1,193.40
|
|
Decalcification
|
$68.40 |
$68.40 |
$68.40 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$399.00 |
$399.00 |
$399.00 |
$1,026.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$601.20 |
$601.20 |
$601.20 |
$540.00
|
|
Decompression of tibia nerve
|
$48,020.30 |
$48,020.30 |
$48,020.30 |
$2,625.60
|
|
Deep muscle biopsy 20205
|
$27,270.48 |
$27,270.48 |
$27,270.48 |
$3,339.00
|
|
Deferoxamine 500 mg solution for injection
|
$476.46 |
$476.46 |
$476.46 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$3,040.74 |
$3,040.74 |
$3,040.74 |
$1,856.85
|
|
Delayed breast prosthesis 19342
|
$64,285.93 |
$64,285.93 |
$64,285.93 |
$7,698.09
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$2,962.80 |
$2,962.80 |
$2,962.80 |
$6,670.30
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$13,350.54 |
$13,350.54 |
$13,350.54 |
$6,324.98
|
|
Dermapure 1 square cm
|
$8,950.57 |
$8,950.57 |
$8,950.57 |
$2,319.00
|
|
Descend thora aorta rpr/lt sub art 33880
|
$28,114.80 |
$28,114.80 |
$28,114.80 |
$6,288.45
|
|
Design mlc device for imrt
|
$2,385.60 |
$2,385.60 |
$2,385.60 |
$1,641.90
|
|
Desmopressin 4 mcg/ml injection solution
|
$111.18 |
$111.18 |
$111.18 |
$70.80
|
|
Desoxycorticosterone
|
$82.80 |
$82.80 |
$82.80 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$30,004.80 |
$30,004.80 |
$30,004.80 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$5,980.20 |
$5,980.20 |
$5,980.20 |
$2,727.20
|
|
Destroy cervthor facet jnt 64633
|
$11,023.98 |
$11,023.98 |
$11,023.98 |
$2,998.30
|
|
Destroy cth facet jnt addl 64634
|
$11,023.98 |
$11,023.98 |
$11,023.98 |
$1,426.75
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$11,007.90 |
$11,007.90 |
$11,007.90 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$10,981.80 |
$10,981.80 |
$10,981.80 |
$3,148.11
|
|
Detect agent nos dna dir
|
$181.80 |
$181.80 |
$181.80 |
$150.60
|
|
Detect agnt mult dna direc
|
$162.00 |
$162.00 |
$162.00 |
$147.75
|
|
Device ablt adv novasure
|
$17,145.14 |
$17,145.14 |
$17,145.14 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$11,216.25 |
$11,216.25 |
$11,216.25 |
$4,265.58
|
|
Device sut capio slim opn
|
$5,838.78 |
$5,838.78 |
$5,838.78 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$7,299.16 |
$7,299.16 |
$7,299.16 |
$2,518.78
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$303.00 |
$303.00 |
$303.00 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$4.80 |
$4.80 |
$4.80 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$44.22 |
$44.22 |
$44.22 |
$21.20
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$522.84 |
$522.84 |
$522.84 |
$849.53
|
|
Dextran 40 infusion
|
$778.08 |
$778.08 |
$778.08 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$37.80
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$43.65
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$65.28 |
$65.28 |
$65.28 |
$44.16
|
|
Dextrose 5 % IV bolus
|
$90.00 |
$90.00 |
$90.00 |
$47.69
|
|
Dhea-s (dehydroepiand sulfate)
|
$113.40 |
$113.40 |
$113.40 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$124.20 |
$124.20 |
$124.20 |
$79.30
|
|
Diag laparo separate proc 49320
|
$21,452.92 |
$21,452.92 |
$21,452.92 |
$6,904.15
|
|
Diagnostic laryngoscopy 31575
|
$16,323.73 |
$16,323.73 |
$16,323.73 |
$338.00
|
|
Diagnostic radio unlisted proc
|
$187.80 |
$187.80 |
$187.80 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$18,336.60 |
$18,336.60 |
$18,336.60 |
$5,663.50
|
|
Diatrizoate meglumine 18 % urethral solution
|
$99.36 |
$99.36 |
$99.36 |
$122.25
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$98.52 |
$98.52 |
$98.52 |
$73.22
|
|
Dicyclomine injection
|
$228.18 |
$228.18 |
$228.18 |
$153.53
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$16.14 |
$16.14 |
$16.14 |
$66.92
|
|
Digoxin immune fab 40 mg intravenous solution
|
$19,249.38 |
$19,249.38 |
$19,249.38 |
$9,684.65
|
|
Digoxin total therapeutic drug level
|
$67.20 |
$67.20 |
$67.20 |
$99.35
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$456.30 |
$456.30 |
$456.30 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$4,843.20 |
$4,843.20 |
$4,843.20 |
$1,866.73
|
|
Dilate esophagus 1/mult pass
|
$7,592.52 |
$7,592.52 |
$7,592.52 |
$1,484.17
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$486.60 |
$486.60 |
$486.60 |
$3,183.60
|
|
Dilate ic vasospasm ea add vsl same territory
|
$166.80 |
$166.80 |
$166.80 |
$2,145.00
|
|
Dilate ic vasospasm init
|
$466.20 |
$466.20 |
$466.20 |
$5,605.00
|
|
Dilator fascial 10fx20cm
|
$3,066.60 |
$3,066.60 |
$3,066.60 |
$403.61
|
|
Dilat xst trc ndurlgc px
|
$97,870.34 |
$97,870.34 |
$97,870.34 |
$4,061.71
|
|
Diltiazem 5 mg/ml intravenous solution
|
$9.00 |
$9.00 |
$9.00 |
$48.75
|
|
Dimethyl sulfoxide 50% 50 ml
|
$8,538.12 |
$8,538.12 |
$8,538.12 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$16.80
|
|
Dipyridamole injection
|
$299.40 |
$299.40 |
$299.40 |
$46.97
|
|
Disaccharidases
|
$243.60 |
$243.60 |
$243.60 |
$216.00
|
|
Discography cerv/thor spine
|
$3,825.60 |
$3,825.60 |
$3,825.60 |
$2,404.00
|
|
Dise eval slp do brth flx dx
|
$39,677.18 |
$39,677.18 |
$39,677.18 |
$1,120.00
|
|
Dlyd plmt xtn prosth ea addl
|
$2,916.00 |
$2,916.00 |
$2,916.00 |
$1,631.87
|
|
Dmd dup/delet analysis
|
$496.20 |
$496.20 |
$496.20 |
$385.02
|
|
Dmpk gene charac alleles
|
$454.20 |
$454.20 |
$454.20 |
$302.31
|
|
Dmpk gene detc abnor allele
|
$362.40 |
$362.40 |
$362.40 |
$313.60
|
|
Dna antibody native/double stranded
|
$87.00 |
$87.00 |
$87.00 |
$100.00
|
|
Dna gardnerella
|
$52.80 |
$52.80 |
$52.80 |
$62.50
|
|
Dna probe chlamydia
|
$260.40 |
$260.40 |
$260.40 |
$82.20
|
|
Dna trichomonas
|
$52.80 |
$52.80 |
$52.80 |
$66.05
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$468.00 |
$468.00 |
$468.00 |
$100.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$638.40 |
$638.40 |
$638.40 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$266.22 |
$266.22 |
$266.22 |
$65.76
|
|
Dornhoffer fixed part w/window
|
$52,282.80 |
$52,282.80 |
$52,282.80 |
$34,278.00
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,795.50 |
$1,795.50 |
$1,795.50 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$308.10 |
$308.10 |
$308.10 |
$84.80
|
|
Dpyd gene common variants
|
$248.40 |
$248.40 |
$248.40 |
$380.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$3,403.20 |
$3,403.20 |
$3,403.20 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$3,687.00 |
$3,687.00 |
$3,687.00 |
$2,869.76
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$654.00 |
$654.00 |
$654.00 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$516.00 |
$516.00 |
$516.00 |
$343.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$688.20 |
$688.20 |
$688.20 |
$515.45
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$27,994.27 |
$27,994.27 |
$27,994.27 |
$6,026.40
|
|
Drill hole implt ventricular cath/device 61107
|
$7,060.20 |
$7,060.20 |
$7,060.20 |
$1,532.85
|
|
Dronabinol 2.5mg oral
|
$8.70 |
$8.70 |
$8.70 |
$10.10
|