|
Dch validity tests
|
$87.10 |
$87.10 |
$87.10 |
$25.20
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$1,547.65 |
$1,547.65 |
$1,547.65 |
$4,021.68
|
|
Deamidated gliadin antibody iga
|
$44.20 |
$44.20 |
$44.20 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$141.05 |
$141.05 |
$141.05 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$94.25 |
$94.25 |
$94.25 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$156.65 |
$156.65 |
$156.65 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$176.80 |
$176.80 |
$176.80 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$393.90 |
$393.90 |
$393.90 |
$810.50
|
|
Debride nail1-5 11720
|
$274.30 |
$274.30 |
$274.30 |
$173.25
|
|
Debride nail6 or more 11721
|
$421.85 |
$421.85 |
$421.85 |
$195.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$156.00 |
$156.00 |
$156.00 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$476.45 |
$476.45 |
$476.45 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$596.05 |
$596.05 |
$596.05 |
$1,193.40
|
|
Decalcification
|
$150.80 |
$150.80 |
$150.80 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$516.94 |
$516.94 |
$516.94 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$804.70 |
$804.70 |
$804.70 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$440.05 |
$440.05 |
$440.05 |
$110.82
|
|
Degarelix 120 mg subcutaneous solution
|
$1,963.06 |
$1,963.06 |
$1,963.06 |
$2,086.82
|
|
Delivery of placenta 59414
|
$1,988.35 |
$1,988.35 |
$1,988.35 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$12,358.45 |
$12,358.45 |
$12,358.45 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$128.05 |
$128.05 |
$128.05 |
$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
|
$312.00 |
$312.00 |
$312.00 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$50.99 |
$50.99 |
$50.99 |
$132.72
|
|
Descend thora aorta rpr/lt sub art 33880
|
$2,754.70 |
$2,754.70 |
$2,754.70 |
$5,702.04
|
|
Design mlc device for imrt
|
$1,789.45 |
$1,789.45 |
$1,789.45 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$32.89 |
$32.89 |
$32.89 |
$102.32
|
|
Desoxycorticosterone
|
$491.40 |
$491.40 |
$491.40 |
$109.28
|
|
Des thora aorta/ea add prox prosth 33884
|
$1,010.75 |
$1,010.75 |
$1,010.75 |
$1,285.78
|
|
Des thora aorta rpr without left sub art 33881
|
$2,754.70 |
$2,754.70 |
$2,754.70 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$1,010.75 |
$1,010.75 |
$1,010.75 |
$2,498.88
|
|
Destroy cervthor facet jnt 64633
|
$3,308.50 |
$3,308.50 |
$3,308.50 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$868.40 |
$868.40 |
$868.40 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$2,561.00 |
$2,561.00 |
$2,561.00 |
$1,344.85
|
|
Destruction benign lesions < 14 lesions
|
$1,012.05 |
$1,012.05 |
$1,012.05 |
$250.60
|
|
Destruction by injection tx of nerve 64630
|
$635.70 |
$635.70 |
$635.70 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,528.50 |
$2,528.50 |
$2,528.50 |
$3,375.00
|
|
Developmental screen/score/document 96110
|
$139.10 |
$139.10 |
$139.10 |
$139.10
|
|
Devel tst phys/qhp 1st hr
|
$366.60 |
$366.60 |
$366.60 |
$339.30
|
|
Device intraute mirena
|
$2,217.18 |
$2,217.18 |
$2,217.18 |
$2,618.91
|
|
Device tiss remov myosure reach
|
$1,404.28 |
$1,404.28 |
$1,404.28 |
$2,440.98
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$183.30 |
$183.30 |
$183.30 |
$196.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$312.65 |
$312.65 |
$312.65 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$6.01 |
$6.01 |
$6.01 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$23.72 |
$23.72 |
$23.72 |
$30.00
|
|
Dextran 40 infusion
|
$196.17 |
$196.17 |
$196.17 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$43.65 |
$43.65 |
$43.65 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$45.80 |
$45.80 |
$45.80 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$44.45 |
$44.45 |
$44.45 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$44.97 |
$44.97 |
$44.97 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$52.65 |
$52.65 |
$52.65 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$61.10 |
$61.10 |
$61.10 |
$78.03
|
|
Diab manage trn ind/group
|
$40.95 |
$40.95 |
$40.95 |
$49.50
|
|
Diag bronchoscope/catheter
|
$3,338.40 |
$3,338.40 |
$3,338.40 |
$2,040.67
|
|
Diagnostic anoscopy spx 46600
|
$321.10 |
$321.10 |
$321.10 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$44.85 |
$44.85 |
$44.85 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$44.85 |
$44.85 |
$44.85 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$558.35 |
$558.35 |
$558.35 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$558.35 |
$558.35 |
$558.35 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$531.70 |
$531.70 |
$531.70 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$474.50 |
$474.50 |
$474.50 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$11,631.10 |
$11,631.10 |
$11,631.10 |
$7,145.00
|
|
Dialysis one evaluation
|
$319.15 |
$319.15 |
$319.15 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$45.16 |
$45.16 |
$45.16 |
$72.34
|
|
Dicyclomine injection
|
$56.48 |
$56.48 |
$56.48 |
$211.81
|
|
Diffusing capacity
|
$367.90 |
$367.90 |
$367.90 |
$360.10
|
|
Digital analysis of eeg
|
$180.05 |
$180.05 |
$180.05 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$397.12 |
$397.12 |
$397.12 |
$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
|
$35.10 |
$35.10 |
$35.10 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$89.21 |
$89.21 |
$89.21 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$5,560.75 |
$5,560.75 |
$5,560.75 |
$2,304.60
|
|
Dilate esophagus 1/mult pass
|
$2,362.75 |
$2,362.75 |
$2,362.75 |
$1,484.17
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$3,641.30 |
$3,641.30 |
$3,641.30 |
$4,322.56
|
|
Dilate ic vasospasm init
|
$5,597.15 |
$5,597.15 |
$5,597.15 |
$6,280.95
|
|
Dilation of salivary duct
|
$112.45 |
$112.45 |
$112.45 |
$599.72
|
|
Dilator fascial 10fx20cm
|
$124.88 |
$124.88 |
$124.88 |
$305.68
|
|
Dilat xst trc ndurlgc px
|
$5,110.30 |
$5,110.30 |
$5,110.30 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$5,110.30 |
$5,110.30 |
$5,110.30 |
$5,020.00
|
|
Diltiazem 5 mg/ml intravenous solution
|
$92.66 |
$92.66 |
$92.66 |
$60.25
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$27.40 |
$27.40 |
$27.40 |
$26.87
|
|
Disability dlco
|
$360.10 |
$360.10 |
$360.10 |
$307.58
|
|
Disaccharidases
|
$936.00 |
$936.00 |
$936.00 |
$223.80
|
|
Discography cerv/thor spine
|
$557.70 |
$557.70 |
$557.70 |
$2,404.00
|
|
#d/lmeth-l-methamphetamine
|
$13.65 |
$13.65 |
$13.65 |
$72.14
|
|
Dlyd plmt xtn prosth ea addl
|
$12,500.15 |
$12,500.15 |
$12,500.15 |
$2,001.55
|
|
Dmd dup/delet analysis
|
$1,891.50 |
$1,891.50 |
$1,891.50 |
$385.02
|
|
Dmpk gene detc abnor allele
|
$1,592.50 |
$1,592.50 |
$1,592.50 |
$318.75
|
|
Dna antibody native/double stranded
|
$209.30 |
$209.30 |
$209.30 |
$102.60
|
|
Dna gardnerella
|
$93.60 |
$93.60 |
$93.60 |
$67.68
|
|
Dna probe chlamydia
|
$32.50 |
$32.50 |
$32.50 |
$82.20
|
|
Dna probe gc
|
$167.05 |
$167.05 |
$167.05 |
$88.67
|
|
Dna trichomonas
|
$93.60 |
$93.60 |
$93.60 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$140.34 |
$140.34 |
$140.34 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$261.85 |
$261.85 |
$261.85 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$64.77 |
$64.77 |
$64.77 |
$84.30
|
|
Doppler echo complete
|
$202.15 |
$202.15 |
$202.15 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$3,755.70 |
$3,755.70 |
$3,755.70 |
$3,006.25
|
