|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$567.77 |
$567.77 |
$567.77 |
$1,206.20
|
|
Debride skin bone at fx site
|
$2,379.93 |
$2,379.93 |
$2,379.93 |
$3,127.88
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$363.80 |
$363.80 |
$363.80 |
$728.40
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$847.49 |
$847.49 |
$847.49 |
$1,146.60
|
|
Debr inf skin add-on 11001
|
$280.00 |
$280.00 |
$280.00 |
$106.86
|
|
Debr musc/fascia 20sq cm/< 11043
|
$381.66 |
$381.66 |
$381.66 |
$1,101.10
|
|
Decalcification
|
$7.31 |
$7.31 |
$7.31 |
$72.15
|
|
Decitabine 50 mg intravenous solution
|
$81.81 |
$81.81 |
$81.81 |
$225.55
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$165.58 |
$165.58 |
$165.58 |
$482.35
|
|
Deferoxamine 500 mg solution for injection
|
$23.75 |
$23.75 |
$23.75 |
$47.62
|
|
Degarelix 120 mg subcutaneous solution
|
$30.47 |
$30.47 |
$30.47 |
$2,303.24
|
|
Delivery of placenta 59414
|
$1,017.13 |
$1,017.13 |
$1,017.13 |
$3,135.14
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$85.56 |
$85.56 |
$85.56 |
$165.60
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$2,257.70 |
$2,257.70 |
$2,257.70 |
$4,681.80
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$223.76 |
$223.76 |
$223.76 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$17.80 |
$17.80 |
$17.80 |
$337.07
|
|
Dermagraft
|
$67.62 |
$67.62 |
$67.62 |
$100.50
|
|
Design mlc device for imrt
|
$1,282.33 |
$1,282.33 |
$1,282.33 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$69.11 |
$69.11 |
$69.11 |
$37.26
|
|
Destroy cervthor facet jnt 64633
|
$2,998.30 |
$2,998.30 |
$2,998.30 |
$2,963.07
|
|
Destroy cth facet jnt addl 64634
|
$1,616.72 |
$1,616.72 |
$1,616.72 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$693.94 |
$693.94 |
$693.94 |
$900.53
|
|
Destroy premlg lesns;1st lesn 17000
|
$79.64 |
$79.64 |
$79.64 |
$199.50
|
|
Destroy vulva lesion simple 56501
|
$106.47 |
$106.47 |
$106.47 |
$3,458.00
|
|
Destruction benign lesions < 14 lesions
|
$104.90 |
$104.90 |
$104.90 |
$231.52
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,616.72 |
$1,616.72 |
$1,616.72 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,998.30 |
$2,998.30 |
$2,998.30 |
$3,101.88
|
|
Developmental screen/score/document 96110
|
$76.59 |
$76.59 |
$76.59 |
$126.75
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$80.11 |
$80.11 |
$80.11 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$8.88 |
$8.88 |
$8.88 |
$4.87
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$9.25 |
$9.25 |
$9.25 |
$8.23
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$240.74 |
$240.74 |
$240.74 |
$465.34
|
|
Dextran 40 infusion
|
$34.02 |
$34.02 |
$34.02 |
$173.97
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$31.45 |
$31.45 |
$31.45 |
$37.50
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$48.56 |
$48.56 |
$48.56 |
$48.56
|
|
Dextrose 5 % IV bolus
|
$48.58 |
$48.58 |
$48.58 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$75.48 |
$75.48 |
$75.48 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$137.09 |
$137.09 |
$137.09 |
$70.00
|
|
Diab manage trn ind/group
|
$21.28 |
$21.28 |
$21.28 |
$56.55
|
|
Diagnostic anoscopy spx 46600
|
$93.89 |
$93.89 |
$93.89 |
$252.00
|
|
Diagnostic laryngoscopy 31505
|
$95.83 |
$95.83 |
$95.83 |
$229.07
|
|
Diagnostic laryngoscopy 31575
|
$229.40 |
$229.40 |
$229.40 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$208.87 |
$208.87 |
$208.87 |
$381.60
|
|
Diagnostic Mammogram (one breast)
|
$161.69 |
$161.69 |
$161.69 |
$276.60
|
|
Diagnostic radio unlisted proc
|
$59.39 |
$59.39 |
$59.39 |
$310.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$14,037.62 |
$14,037.62 |
$14,037.62 |
$9,395.77
|
|
Dialysis one evaluation
|
$532.43 |
$532.43 |
$532.43 |
$920.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$101.58 |
$101.58 |
$101.58 |
$58.24
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$50.35 |
$50.35 |
$50.35 |
$42.12
|
|
Dicyclomine injection
|
$67.84 |
$67.84 |
$67.84 |
$153.53
|
|
Diffusing capacity
|
$71.04 |
$71.04 |
$71.04 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$166.61 |
$166.61 |
$166.61 |
$29.85
|
|
Digoxin immune fab 40 mg intravenous solution
|
$3,856.16 |
$3,856.16 |
$3,856.16 |
$6,815.78
|
|
Digoxin total therapeutic drug level
|
$57.72 |
$57.72 |
$57.72 |
$92.95
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$162.23 |
$162.23 |
$162.23 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$1,356.51 |
$1,356.51 |
$1,356.51 |
$1,866.73
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$822.14 |
$822.14 |
$822.14 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$822.14 |
$822.14 |
$822.14 |
$1,670.90
|
|
Dilate ic vasospasm init
|
$1,974.69 |
$1,974.69 |
$1,974.69 |
$6,280.95
|
|
Dilate tear duct opening
|
$547.97 |
$547.97 |
$547.97 |
$454.40
|
|
Dilate urethra stricture
|
$254.65 |
$254.65 |
$254.65 |
$514.79
|
|
Dilate urethra stricture
|
$269.73 |
$269.73 |
$269.73 |
$344.80
|
|
Dilation/female urethra/initial 53660
|
$207.39 |
$207.39 |
$207.39 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$1,310.45 |
$1,310.45 |
$1,310.45 |
$1,606.15
|
|
Dimecaprol injection
|
$147.91 |
$147.91 |
$147.91 |
$147.91
|
|
Dimethyl sulfoxide 50% 50 ml
|
$807.90 |
$807.90 |
$807.90 |
$1,001.55
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.56 |
$9.56 |
$9.56 |
$9.29
|
|
Disability dlco
|
$89.45 |
$89.45 |
$89.45 |
$289.08
|
|
Disaccharidases
|
$174.09 |
$174.09 |
$174.09 |
$224.58
|
|
Dissolve clot heart vessel
|
$423.47 |
$423.47 |
$423.47 |
$1,623.17
|
|
Dna antibody native/double stranded
|
$65.77 |
$65.77 |
$65.77 |
$101.40
|
|
Dna gardnerella
|
$66.05 |
$66.05 |
$66.05 |
$67.68
|
|
Dna trichomonas
|
$66.05 |
$66.05 |
$66.05 |
$69.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$33.23 |
$33.23 |
$33.23 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$32.38 |
$32.38 |
$32.38 |
$131.40
|
|
Dolasetron mesylate
|
$33.30 |
$33.30 |
$33.30 |
$33.30
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$31.45 |
$31.45 |
$31.45 |
$60.21
|
|
Doppler echo complete
|
$265.66 |
$265.66 |
$265.66 |
$517.94
|
|
Doppler intravascular pressure flow initial vessel
|
$208.03 |
$208.03 |
$208.03 |
$3,026.62
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$280.46 |
$280.46 |
$280.46 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$194.71 |
$194.71 |
$194.71 |
$463.20
|
|
Doripenem 50 mg/ml inj 10 ml
|
$70.91 |
$70.91 |
$70.91 |
$70.91
|
|
Dornhoffer fixed part w/window
|
$32,112.76 |
$32,112.76 |
$32,112.76 |
$53,356.20
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$87.26 |
$87.26 |
$87.26 |
$97.83
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,469.31 |
$2,469.31 |
$2,469.31 |
$715.22
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$579.70 |
$579.70 |
$579.70 |
$800.00
|
|
Drainage external ear simple 69000
|
$579.70 |
$579.70 |
$579.70 |
$800.00
|
|
Drainage lymph node lesion 38300
|
$1,062.27 |
$1,062.27 |
$1,062.27 |
$1,779.65
|
|
Drainage mouth roof lesion
|
$315.33 |
$315.33 |
$315.33 |
$408.80
|
|
Drainage of arm bursa 23931
|
$228.48 |
$228.48 |
$228.48 |
$2,437.50
|
|
Drainage of eye
|
$1,095.20 |
$1,095.20 |
$1,095.20 |
$1,824.02
|
|
Drainage of eye
|
$3,667.81 |
$3,667.81 |
$3,667.81 |
$2,702.25
|
|
Drainage of kidney lesion
|
$685.43 |
$685.43 |
$685.43 |
$1,578.89
|
|
Drainage of nose lesion int 30000
|
$326.80 |
$326.80 |
$326.80 |
$615.20
|
|
Drainage of nose lesion sept 30020
|
$425.59 |
$425.59 |
$425.59 |
$637.50
|
|
Drainage of rectal abscess
|
$1,318.50 |
$1,318.50 |
$1,318.50 |
$2,299.90
|
|
Drainage of urethra abscess
|
$2,186.61 |
$2,186.61 |
$2,186.61 |
$3,663.43
|
|
Drain blood from under nail 11740
|
$64.29 |
$64.29 |
$64.29 |
$173.21
|
|
Drain cath image guided visceral pq
|
$817.05 |
$817.05 |
$817.05 |
$2,999.34
|
|
Drain cerebro spinal fluid 62272
|
$735.84 |
$735.84 |
$735.84 |
$1,025.00
|