|
Dch pulmonary stress test
|
$432.60 |
$432.60 |
$3,041.40 |
$963.30
|
|
Dch validity tests
|
$21.60 |
$29.40 |
$70.80 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$99.00 |
$100.20 |
$780.60 |
$43.35
|
|
Debr g/per/abd wall 11006
|
$5,228.40 |
$6,204.00 |
$10,447.20 |
$1,562.83
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$404.40 |
$487.80 |
$622.20 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$289.20 |
$321.00 |
$753.00 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$2,199.00 |
$3,243.00 |
$4,173.60 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$466.20 |
$817.20 |
$2,680.20 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,523.60 |
$2,539.80 |
$2,680.20 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$2,169.60 |
$2,553.60 |
$5,052.60 |
$835.20
|
|
Debride nail1-5 11720
|
$133.20 |
$222.00 |
$347.40 |
$149.60
|
|
Debride nail6 or more 11721
|
$200.40 |
$369.60 |
$406.20 |
$169.80
|
|
Debride skin bone at fx site
|
$3,710.40 |
$3,785.40 |
$5,416.20 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$808.20 |
$811.20 |
$912.60 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$2,565.60 |
$2,565.60 |
$3,493.80 |
$1,149.50
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,199.00 |
$3,362.40 |
$5,416.80 |
$1,165.50
|
|
Decalcification
|
$111.60 |
$334.20 |
$645.60 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$82.80 |
$292.80 |
$14,635.80 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$239.40 |
$274.80 |
$843.60 |
$572.95
|
|
Deferoxamine 500 mg solution for injection
|
$112.80 |
$112.80 |
$234.40 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$18.60 |
$20.40 |
$4,902.00 |
$1,856.85
|
|
Delay flap eye/nos/ear/lip
|
$3,955.80 |
$3,955.80 |
$3,955.80 |
$2,371.50
|
|
Delivery of placenta 59414
|
$772.20 |
$772.20 |
$772.20 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$71.40 |
$91.20 |
$265.20 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$61.80 |
$3,433.80 |
$7,408.20 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$942.60 |
$2,716.80 |
$3,772.80 |
$401.60
|
|
Dermagraft
|
$87.60 |
$87.60 |
$87.60 |
$85.00
|
|
Design mlc device for imrt
|
$1,772.40 |
$1,785.00 |
$2,539.20 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$59.70 |
$238.80 |
$765.60 |
$91.84
|
|
Desoxycorticosterone
|
$261.00 |
$324.00 |
$390.00 |
$109.28
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$1,044.60 |
$1,044.60 |
$1,501.20 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$861.60 |
$1,168.80 |
$1,523.40 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$1,360.20 |
$1,360.20 |
$1,360.20 |
$408.50
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$808.80 |
$808.80 |
$808.80 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$935.40 |
$935.40 |
$1,216.20 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$754.80 |
$754.80 |
$754.80 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$686.40 |
$686.40 |
$893.40 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$860.40 |
$1,119.00 |
$1,306.20 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$952.80 |
$1,240.20 |
$1,451.40 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$2,841.60 |
$4,041.60 |
$4,776.60 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$2,014.80 |
$2,841.60 |
$4,438.20 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,322.40 |
$2,551.20 |
$3,971.40 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$615.00 |
$615.00 |
$777.60 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$3,491.40 |
$3,491.40 |
$3,491.40 |
$3,058.98
|
|
Destroy vulva lesion simple 56501
|
$5,772.60 |
$5,899.20 |
$6,178.80 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$550.80 |
$830.40 |
$2,706.60 |
$235.13
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,582.80 |
$1,848.00 |
$2,521.80 |
$666.75
|
|
Destruction 2-14 lesions 17003
|
$85.80 |
$85.80 |
$108.60 |
$78.61
|
|
Destruction anal lesion(s)
|
$512.40 |
$512.40 |
$988.80 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$2,145.60 |
$2,145.60 |
$2,145.60 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$366.60 |
$366.60 |
$451.80 |
$557.90
|
|
Destruction benign lesions < 14 lesions
|
$403.20 |
$513.60 |
$612.60 |
$240.24
|
|
Destruction by injection tx of nerve 64630
|
$3,040.20 |
$3,918.60 |
$5,502.00 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,148.00 |
$4,192.80 |
$7,348.20 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,615.40 |
$4,192.80 |
$7,348.20 |
$3,296.80
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$543.00 |
$543.00 |
$2,010.00 |
$375.87
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$1,378.20 |
$1,378.20 |
$2,389.80 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$1,033.80 |
$1,033.80 |
$1,444.80 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$1,717.80 |
$1,717.80 |
$2,730.60 |
$569.80
|
|
Destruction premal lesions 15/> 17004
|
$1,443.00 |
$1,664.40 |
$2,739.60 |
$442.61
|
|
Destruction rectal tumor 45190
|
$4,170.00 |
$4,170.00 |
$4,170.00 |
$3,245.23
|
|
Destruction vag lesions simple 57061
|
$5,142.60 |
$5,142.60 |
$5,142.60 |
$4,006.38
|
|
Detect agnt mult dna direc
|
$501.00 |
$501.00 |
$501.00 |
$166.77
|
|
Device ablt adv novasure
|
$4,141.20 |
$6,511.20 |
$14,299.20 |
$6,237.48
|
|
Device intraute mirena
|
$2,289.60 |
$2,317.80 |
$3,052.80 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,096.20 |
$1,450.20 |
$2,071.80 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$2,681.40 |
$2,842.20 |
$3,790.20 |
$2,515.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$121.20 |
$121.20 |
$192.00 |
$227.25
|
|
Dexametha opth insert 0.1 mg
|
$505.60 |
$1,430.40 |
$2,022.60 |
$888.47
|
|
Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr
|
$1,639.80 |
$1,639.80 |
$1,738.20 |
$21.00
|
|
Dexamethasone 4 mg tablet
|
$0.60 |
$18.00 |
$256.80 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$4.00 |
$11.40 |
$215.40 |
$20.76
|
|
Dexamethasone intra implant
|
$521.40 |
$521.40 |
$3,437.40 |
$2,356.90
|
|
Dexamethasone panel
|
$646.80 |
$646.80 |
$747.60 |
$223.39
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,470.40 |
$2,170.80 |
$5,923.80 |
$884.80
|
|
Dextran 40 infusion
|
$327.00 |
$327.00 |
$327.00 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$58.60 |
$96.60 |
$159.00 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$71.00 |
$118.20 |
$140.00 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$47.40 |
$119.40 |
$119.40 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$59.60 |
$60.60 |
$79.80 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$154.80 |
$225.60 |
$496.20 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$75.00 |
$114.60 |
$416.40 |
$79.30
|
|
Diab manage trn ind/group
|
$93.00 |
$93.00 |
$679.20 |
$54.99
|
|
Diagnostic anoscopy
|
$534.60 |
$534.60 |
$1,349.40 |
$392.70
|
|
Diagnostic anoscopy & biopsy
|
$209.40 |
$209.40 |
$3,235.80 |
$2,288.00
|
|
Diagnostic anoscopy spx 46600
|
$341.40 |
$477.60 |
$615.60 |
$195.50
|
|
Diagnostic laryngoscopy 31505
|
$609.00 |
$609.00 |
$609.00 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$615.00 |
$1,172.40 |
$1,651.80 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$511.80 |
$511.80 |
$572.40 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$421.80 |
$427.20 |
$543.00 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$686.40 |
$686.40 |
$2,070.60 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$4,614.60 |
$4,961.40 |
$13,276.80 |
$5,741.00
|
|
Dialysis one evaluation
|
$1,013.40 |
$1,098.60 |
$1,560.60 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.60 |
$0.60 |
$441.00 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$12.60 |
$33.45 |
$333.00 |
$79.71
|
|
Dicyclomine injection
|
$399.20 |
$691.20 |
$691.20 |
$154.33
|
|
Difelikefalin, esrd on dialy
|
$1.20 |
$1.20 |
$1.20 |
$264.88
|
|
Diffusing capacity
|
$125.40 |
$599.40 |
$1,176.60 |
$336.80
|
|
Digital analysis of eeg
|
$756.60 |
$756.60 |
$760.80 |
$593.40
|