|
Deamidated gliadin antibody iga
|
$63.00 |
$93.60 |
$201.50 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$555.65 |
$555.65 |
$555.65 |
|
|
Debridement (>20 cm) charge pt
|
$186.76 |
$286.00 |
$608.40 |
|
|
Debridement bone <= 20 sq cm
|
$776.75 |
$1,036.00 |
$1,634.75 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$213.85 |
$363.80 |
$3,582.15 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,283.44 |
$1,283.44 |
$3,185.00 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$222.30 |
$406.35 |
$698.75 |
|
|
Debride nail1-5 11720
|
$110.35 |
$110.35 |
$110.35 |
|
|
Debride nail6 or more 11721
|
$64.84 |
$64.84 |
$64.84 |
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$567.77 |
$567.77 |
$567.77 |
|
|
Debride skin bone at fx site
|
$1,429.35 |
$2,379.93 |
$2,379.93 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$107.90 |
$363.80 |
$369.85 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$847.49 |
$847.49 |
$847.49 |
|
|
Debr inf skin add-on 11001
|
$280.00 |
$280.00 |
$280.00 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$381.66 |
$381.66 |
$4,011.80 |
|
|
Decalcification
|
$7.31 |
$7.31 |
$6,016.25 |
|
|
Decitabine 50 mg intravenous solution
|
$81.81 |
$81.81 |
$759.04 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$165.58 |
$323.70 |
$24,488.16 |
|
|
Deferoxamine 500 mg solution for injection
|
$23.75 |
$23.75 |
$180.23 |
|
|
Degarelix 120 mg subcutaneous solution
|
$30.47 |
$30.47 |
$5,603.58 |
|
|
Delivery of placenta 59414
|
$348.40 |
$1,017.13 |
$1,017.13 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$85.56 |
$126.75 |
$379.60 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$2,257.70 |
$5,656.70 |
$13,015.70 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$105.64 |
$223.76 |
$396.50 |
|
|
Depo-estradiol cypionate inj
|
$17.80 |
$17.80 |
$1,257.46 |
|
|
Dermagraft
|
$67.62 |
$67.62 |
$67.62 |
|
|
Design mlc device for imrt
|
$1,282.33 |
$1,282.33 |
$41,990.00 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$18.28 |
$69.11 |
$88.74 |
|
|
Desoxycorticosterone
|
$142.35 |
$142.35 |
$209.95 |
|
|
Destroy cervthor facet jnt 64633
|
$2,998.30 |
$2,998.30 |
$4,782.59 |
|
|
Destroy cth facet jnt addl 64634
|
$808.36 |
$1,616.72 |
$4,782.59 |
|
|
Destroy internal hemorrhoids destroy 46930
|
$693.94 |
$693.94 |
$2,728.22 |
|
|
Destroy premlg lesns;1st lesn 17000
|
$79.64 |
$79.64 |
$133.25 |
|
|
Destroy vulva lesion simple 56501
|
$106.47 |
$106.47 |
$106.47 |
|
|
Destruct ben lesion 15/> 17111
|
$175.50 |
$175.50 |
$175.50 |
|
|
Destruction 2-14 lesions 17003
|
$146.25 |
$146.25 |
$146.25 |
|
|
Destruction anal lesion(s)
|
$4,353.78 |
$4,353.78 |
$4,353.78 |
|
|
Destruction benign lesions < 14 lesions
|
$104.90 |
$104.90 |
$193.70 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$808.36 |
$1,616.72 |
$6,463.05 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,998.30 |
$2,998.30 |
$6,460.90 |
|
|
Destruction penis lesion(s) exten 54065
|
$6,986.00 |
$6,986.00 |
$6,986.00 |
|
|
Destruction premal lesions 15/> 17004
|
$259.35 |
$259.35 |
$259.35 |
|
|
Developmental screen/score/document 96110
|
$76.59 |
$76.59 |
$209.30 |
|
|
Device ablt adv novasure
|
$3,250.00 |
$3,250.00 |
$6,067.10 |
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,737.50 |
$3,737.50 |
$3,737.50 |
|
|
Device intraute mirena
|
$3,556.47 |
$3,556.47 |
$3,556.47 |
|
|
Device sut capio slim opn
|
$696.80 |
$696.80 |
$781.30 |
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$80.11 |
$80.11 |
$234.65 |
|
|
Dexamethasone 4 mg tablet
|
$4.87 |
$8.88 |
$123.21 |
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$7.15 |
$11.00 |
$24.28 |
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$240.74 |
$240.74 |
$1,337.02 |
|
|
Dextran 40 infusion
|
$34.02 |
$34.02 |
$234.51 |
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$31.45 |
$42.25 |
$42.25 |
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$42.25 |
$48.56 |
$65.00 |
|
|
Dextrose 5 % IV bolus
|
$42.25 |
$42.25 |
$48.58 |
|
|
Dhea-s (dehydroepiand sulfate)
|
$75.48 |
$99.45 |
$124.15 |
|
|
Diabetes (HbA1c) Test
|
$60.45 |
$98.15 |
$137.09 |
|
|
Diab manage trn ind/group
|
$21.28 |
$48.75 |
$85.80 |
|
|
Diag laparo separate proc 49320
|
$7,500.96 |
$7,500.96 |
$8,359.45 |
|
|
Diagnostic anoscopy spx 46600
|
$93.89 |
$93.89 |
$4,110.34 |
|
|
Diagnostic laryngoscopy 31505
|
$95.83 |
$95.83 |
$95.83 |
|
|
Diagnostic laryngoscopy 31575
|
$229.40 |
$229.40 |
$429.65 |
|
|
Diagnostic Mammogram (both breasts)
|
$208.87 |
$208.87 |
$431.60 |
|
|
Diagnostic Mammogram (one breast)
|
$161.69 |
$161.69 |
$280.15 |
|
|
Diagnostic radio unlisted proc
|
$59.39 |
$59.39 |
$360.75 |
|
|
Dialysis circuit perm vascular embolization 36909
|
$4,197.70 |
$14,037.62 |
$15,305.41 |
|
|
Dialysis one evaluation
|
$532.43 |
$978.90 |
$1,194.70 |
|
|
Diatrizoate meglumine 18 % urethral solution
|
$101.58 |
$101.58 |
$157.95 |
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$13.97 |
$22.70 |
$50.35 |
|
|
Dicyclomine injection
|
$53.02 |
$59.96 |
$85.31 |
|
|
Diffusing capacity
|
$71.04 |
$71.04 |
$713.05 |
|
|
Digital analysis of eeg
|
$313.95 |
$432.90 |
$666.00 |
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$7.15 |
$11.22 |
$626.55 |
|
|
Digoxin immune fab 40 mg intravenous solution
|
$3,856.16 |
$3,856.16 |
$3,856.16 |
|
|
Digoxin total therapeutic drug level
|
$57.72 |
$67.00 |
$126.10 |
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$162.23 |
$162.23 |
$229.66 |
|
|
Dilate biliary duct/ampulla
|
$1,356.51 |
$1,356.51 |
$11,621.85 |
|
|
Dilate esophagus 1/mult pass
|
$1,684.80 |
$1,684.80 |
$4,757.35 |
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$822.14 |
$822.14 |
$2,350.40 |
|
|
Dilate ic vasospasm ea add vsl same territory
|
$822.14 |
$822.14 |
$2,299.05 |
|
|
Dilate ic vasospasm init
|
$1,974.69 |
$1,974.69 |
$1,974.69 |
|
|
Dilate tear duct opening
|
$547.97 |
$547.97 |
$547.97 |
|
|
Dilate urethra stricture
|
$254.65 |
$254.65 |
$6,179.16 |
|
|
Dilate urethra stricture
|
$269.73 |
$269.73 |
$269.73 |
|
|
Dilation/female urethra/initial 53660
|
$207.39 |
$207.39 |
$207.39 |
|
|
Dilation of anal sphincter
|
$3,758.08 |
$3,758.08 |
$3,758.08 |
|
|
Dilation/urethral strict/male/ini 53620
|
$1,310.45 |
$1,310.45 |
$1,310.45 |
|
|
Dilator fascial 10fx20cm
|
$138.45 |
$138.45 |
$189.15 |
|
|
Dilat xst trc new access rcs
|
$5,842.20 |
$5,842.20 |
$7,972.25 |
|
|
Diltiazem 5 mg/ml intravenous solution
|
$7.15 |
$49.92 |
$55.63 |
|
|
Dimecaprol injection
|
$147.91 |
$147.91 |
$147.91 |
|
|
Dimethyl sulfoxide 50% 50 ml
|
$807.90 |
$807.90 |
$3,557.53 |
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$7.15 |
$9.56 |
$38.00 |
|
|
Disability dlco
|
$89.45 |
$89.45 |
$495.95 |
|
|
Disaccharidases
|
$21.45 |
$174.09 |
$486.85 |
|
|
Discography cerv/thor spine
|
$1,777.75 |
$1,777.75 |
$2,375.10 |
|
|
Dise eval slp do brth flx dx
|
$3,197.94 |
$3,197.94 |
$3,197.94 |
|
|
Dissolve clot heart vessel
|
$423.47 |
$423.47 |
$423.47 |
|
|
Dna antibody native/double stranded
|
$37.05 |
$65.77 |
$104.00 |
|