|
D&c after delivery 59160
|
$6,824.69 |
$6,824.69 |
$6,824.69 |
$3,441.98
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$12,263.15 |
$12,263.15 |
$12,263.15 |
$3,627.00
|
|
Dch glucoscan
|
$35.75 |
$35.75 |
$35.75 |
$28.10
|
|
Dch validity tests
|
$28.60 |
$28.60 |
$28.60 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$201.50 |
$201.50 |
$201.50 |
$53.95
|
|
Debridement (>20 cm) charge pt
|
$608.40 |
$608.40 |
$608.40 |
$313.30
|
|
Debridement bone <= 20 sq cm
|
$1,634.75 |
$1,634.75 |
$1,634.75 |
$2,481.05
|
|
Debridement/bone/20 sq cm or less 11046
|
$3,582.15 |
$3,582.15 |
$3,582.15 |
$717.92
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$3,185.00 |
$3,185.00 |
$3,185.00 |
$1,738.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$698.75 |
$698.75 |
$698.75 |
$779.35
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$369.85 |
$369.85 |
$369.85 |
$728.40
|
|
Debr musc/fascia 20sq cm/< 11043
|
$4,011.80 |
$4,011.80 |
$4,011.80 |
$1,101.10
|
|
Decalcification
|
$5,545.79 |
$5,545.79 |
$5,545.79 |
$72.15
|
|
Decitabine 50 mg intravenous solution
|
$759.04 |
$759.04 |
$759.04 |
$225.55
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$24,488.16 |
$24,488.16 |
$24,488.16 |
$482.35
|
|
Deferoxamine 500 mg solution for injection
|
$180.23 |
$180.23 |
$180.23 |
$47.62
|
|
Degarelix 120 mg subcutaneous solution
|
$5,603.58 |
$5,603.58 |
$5,603.58 |
$2,303.24
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$379.60 |
$379.60 |
$379.60 |
$165.60
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$13,015.70 |
$13,015.70 |
$13,015.70 |
$4,681.80
|
|
Depo-estradiol cypionate inj
|
$1,128.36 |
$1,128.36 |
$1,128.36 |
$337.07
|
|
Design mlc device for imrt
|
$41,990.00 |
$41,990.00 |
$41,990.00 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$88.74 |
$88.74 |
$88.74 |
$37.26
|
|
Desoxycorticosterone
|
$209.95 |
$209.95 |
$209.95 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$4,782.59 |
$4,782.59 |
$4,782.59 |
$2,963.07
|
|
Destroy cth facet jnt addl 64634
|
$4,782.59 |
$4,782.59 |
$4,782.59 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$2,728.22 |
$2,728.22 |
$2,728.22 |
$900.53
|
|
Destruction anal lesion(s)
|
$4,353.78 |
$4,353.78 |
$4,353.78 |
$3,035.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$6,463.05 |
$6,463.05 |
$6,463.05 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$6,460.90 |
$6,460.90 |
$6,460.90 |
$3,101.88
|
|
Destruction penis lesion(s) exten 54065
|
$6,986.00 |
$6,986.00 |
$6,986.00 |
$2,507.31
|
|
Developmental screen/score/document 96110
|
$209.30 |
$209.30 |
$209.30 |
$126.75
|
|
Device ablt adv novasure
|
$6,067.10 |
$6,067.10 |
$6,067.10 |
$7,153.60
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,737.50 |
$3,737.50 |
$3,737.50 |
$4,298.87
|
|
Device intraute mirena
|
$3,556.47 |
$3,556.47 |
$3,556.47 |
$3,052.80
|
|
Device sut capio slim opn
|
$781.30 |
$781.30 |
$781.30 |
$1,454.07
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$234.65 |
$234.65 |
$234.65 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$123.21 |
$123.21 |
$123.21 |
$4.87
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$24.28 |
$24.28 |
$24.28 |
$8.23
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,199.75 |
$1,199.75 |
$1,199.75 |
$465.34
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$37.50
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$42.25 |
$42.25 |
$42.25 |
$48.56
|
|
Dextrose 5 % IV bolus
|
$42.25 |
$42.25 |
$42.25 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$104.00 |
$104.00 |
$104.00 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$98.15 |
$98.15 |
$98.15 |
$70.00
|
|
Diab manage trn ind/group
|
$85.80 |
$85.80 |
$85.80 |
$56.55
|
|
Diag laparo separate proc 49320
|
$8,359.45 |
$8,359.45 |
$8,359.45 |
$6,376.26
|
|
Diagnostic anoscopy spx 46600
|
$4,110.34 |
$4,110.34 |
$4,110.34 |
$252.00
|
|
Diagnostic laryngoscopy 31575
|
$429.65 |
$429.65 |
$429.65 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$409.50 |
$409.50 |
$409.50 |
$381.60
|
|
Diagnostic Mammogram (one breast)
|
$202.15 |
$202.15 |
$202.15 |
$276.60
|
|
Dialysis circuit perm vascular embolization 36909
|
$15,305.41 |
$15,305.41 |
$15,305.41 |
$9,395.77
|
|
Dialysis one evaluation
|
$1,194.70 |
$1,194.70 |
$1,194.70 |
$920.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$141.74 |
$141.74 |
$141.74 |
$58.24
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$13.97 |
$13.97 |
$13.97 |
$42.12
|
|
Dicyclomine injection
|
$85.31 |
$85.31 |
$85.31 |
$153.53
|
|
Diffusing capacity
|
$713.05 |
$713.05 |
$713.05 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$626.55 |
$626.55 |
$626.55 |
$29.85
|
|
Digoxin total therapeutic drug level
|
$66.95 |
$66.95 |
$66.95 |
$92.95
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$229.66 |
$229.66 |
$229.66 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$11,621.85 |
$11,621.85 |
$11,621.85 |
$1,866.73
|
|
Dilate esophagus 1/mult pass
|
$4,757.35 |
$4,757.35 |
$4,757.35 |
$1,349.05
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$2,350.40 |
$2,350.40 |
$2,350.40 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$2,299.05 |
$2,299.05 |
$2,299.05 |
$1,670.90
|
|
Dilate urethra stricture
|
$6,179.16 |
$6,179.16 |
$6,179.16 |
$514.79
|
|
Dilation of anal sphincter
|
$3,758.08 |
$3,758.08 |
$3,758.08 |
$1,305.08
|
|
Dilator fascial 10fx20cm
|
$189.15 |
$189.15 |
$189.15 |
$291.87
|
|
Dilat xst trc new access rcs
|
$7,972.25 |
$7,972.25 |
$7,972.25 |
$5,842.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$49.92 |
$49.92 |
$49.92 |
$49.92
|
|
Dimethyl sulfoxide 50% 50 ml
|
$3,192.29 |
$3,192.29 |
$3,192.29 |
$1,001.55
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$11.37 |
$11.37 |
$11.37 |
$9.29
|
|
Disability dlco
|
$429.65 |
$429.65 |
$429.65 |
$289.08
|
|
Disaccharidases
|
$486.85 |
$486.85 |
$486.85 |
$224.58
|
|
Discography cerv/thor spine
|
$2,375.10 |
$2,375.10 |
$2,375.10 |
$2,161.44
|
|
Dise eval slp do brth flx dx
|
$3,197.94 |
$3,197.94 |
$3,197.94 |
$288.80
|
|
Dna antibody native/double stranded
|
$37.05 |
$37.05 |
$37.05 |
$101.40
|
|
Dna gardnerella
|
$101.40 |
$101.40 |
$101.40 |
$67.68
|
|
Dna probe chlamydia
|
$169.00 |
$169.00 |
$169.00 |
$98.40
|
|
Dna probe gc
|
$144.95 |
$144.95 |
$144.95 |
$88.67
|
|
Dna trichomonas
|
$101.40 |
$101.40 |
$101.40 |
$69.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$174.98 |
$174.98 |
$174.98 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$16,854.16 |
$16,854.16 |
$16,854.16 |
$131.40
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$108.27 |
$108.27 |
$108.27 |
$60.21
|
|
Doppler echo complete
|
$737.75 |
$737.75 |
$737.75 |
$517.94
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$736.45 |
$736.45 |
$736.45 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$544.05 |
$544.05 |
$544.05 |
$463.20
|
|
Doripenem 50 mg/ml inj 10 ml
|
$167.68 |
$167.68 |
$167.68 |
$70.91
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$44,861.28 |
$44,861.28 |
$44,861.28 |
$326.36
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$996.60 |
$996.60 |
$996.60 |
$97.83
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$4,602.00 |
$4,602.00 |
$4,602.00 |
$715.22
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$75.79 |
$75.79 |
$75.79 |
$81.30
|
|
Dpyd gene common variants
|
$475.15 |
$475.15 |
$475.15 |
$380.50
|
|
Drainage of kidney lesion
|
$3,604.91 |
$3,604.91 |
$3,604.91 |
$1,578.89
|
|
Drainage of mouth lesion
|
$13,966.96 |
$13,966.96 |
$13,966.96 |
$3,379.20
|
|
Drainage of mouth lesion
|
$16,956.84 |
$16,956.84 |
$16,956.84 |
$1,304.89
|
|
Drainage of rectal abscess 45020
|
$7,029.58 |
$7,029.58 |
$7,029.58 |
$2,061.30
|
|
Drain bladder by trocar/cath
|
$5,698.90 |
$5,698.90 |
$5,698.90 |
$948.13
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$8,009.64 |
$8,009.64 |
$8,009.64 |
$2,595.00
|
|
Drain cath image guided visceral pq
|
$7,347.61 |
$7,347.61 |
$7,347.61 |
$2,999.34
|
|
Drain cerebro spinal fluid 62272
|
$6,953.70 |
$6,953.70 |
$6,953.70 |
$1,025.00
|