|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$2,850.11 |
$2,850.11 |
$2,850.11 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$914.76 |
$914.76 |
$1,115.25 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,728.86 |
$1,728.86 |
$1,728.86 |
$1,149.50
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,266.60 |
$1,353.12 |
$1,353.12 |
$1,165.50
|
|
Decalcification
|
$88.31 |
$88.31 |
$698.52 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$1,188.00 |
$3,109.80 |
$32,126.03 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$540.00 |
$635.93 |
$635.93 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$7,088.32 |
$7,088.32 |
$7,088.32 |
$4,914.00
|
|
Decompression of lower leg
|
$3,408.30 |
$3,408.30 |
$3,408.30 |
$3,969.00
|
|
Deep muscle biopsy 20205
|
$3,111.06 |
$3,111.06 |
$3,111.06 |
$3,386.84
|
|
Deferoxamine 500 mg solution for injection
|
$34.05 |
$34.05 |
$85.92 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,318.82 |
$1,318.82 |
$1,508.94 |
$1,856.85
|
|
Delivery of placenta 59414
|
$1,907.85 |
$3,135.14 |
$3,135.14 |
$2,912.46
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$8,127.00 |
$8,127.00 |
$8,127.00 |
$6,670.30
|
|
Demonstrate use home inr mon
|
$949.95 |
$949.95 |
$949.95 |
$294.75
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$155.55 |
$235.79 |
$1,028.34 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$5,913.85 |
$5,913.85 |
$15,247.47 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$217.20 |
$488.60 |
$488.60 |
$401.60
|
|
Deodorant ostmy adapt lube 8ml
|
$1.98 |
$1.98 |
$1.98 |
$1.98
|
|
Depo-estradiol cypionate inj
|
$16.04 |
$16.04 |
$673.93 |
$71.51
|
|
Dermagraft
|
$193.11 |
$193.11 |
$317.66 |
$85.00
|
|
Dermapure 1 square cm
|
$266.63 |
$266.63 |
$774.00 |
$3,300.73
|
|
Descend thora aorta rpr/lt sub art 33880
|
$8,684.65 |
$8,684.65 |
$55,958.27 |
$6,288.45
|
|
Design mlc device for imrt
|
$1,980.92 |
$1,980.92 |
$1,980.92 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$68.79 |
$1,071.36 |
$1,071.36 |
$91.84
|
|
Desoxycorticosterone
|
$202.78 |
$202.78 |
$202.78 |
$109.28
|
|
Des thora aorta/ea add prox prosth 33884
|
$2,025.15 |
$2,025.15 |
$2,025.15 |
$1,304.05
|
|
Des thora aorta rpr without left sub art 33881
|
$2,591.05 |
$2,591.05 |
$55,579.82 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$1,831.72 |
$1,831.72 |
$55,132.03 |
$3,273.55
|
|
Destroy cervthor facet jnt 64633
|
$2,520.05 |
$2,520.05 |
$3,138.15 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$1,569.15 |
$1,573.93 |
$1,573.93 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$159.78 |
$159.78 |
$159.78 |
$202.40
|
|
Destruct cut vasl lesions <10cm 17106
|
$406.42 |
$406.42 |
$406.42 |
$666.75
|
|
Destruction 2-14 lesions 17003
|
$52.72 |
$52.72 |
$52.72 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$210.98 |
$210.98 |
$210.98 |
$240.24
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,313.66 |
$1,313.66 |
$1,569.15 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,101.88 |
$3,101.88 |
$3,138.15 |
$3,296.80
|
|
Destruction vag lesions simple 57061
|
$3,504.00 |
$3,504.00 |
$3,504.00 |
$4,006.38
|
|
Detect agent nos dna dir
|
$186.00 |
$186.00 |
$2,200.09 |
$138.00
|
|
Detect agnt mult dna direc
|
$452.70 |
$452.70 |
$452.70 |
$166.77
|
|
Determination venous press
|
$246.34 |
$246.34 |
$246.34 |
$166.56
|
|
Device ablt adv novasure
|
$9,177.30 |
$9,177.30 |
$12,003.00 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$4,867.20 |
$5,098.50 |
$74,764.00 |
$4,200.00
|
|
Device intraute mirena
|
$2,082.22 |
$2,082.22 |
$2,236.07 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,894.50 |
$1,894.50 |
$1,894.50 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$2,515.00
|
|
Dev interrog remote 1/2/mlt
|
$127.80 |
$127.80 |
$127.80 |
$115.20
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$203.19 |
$203.19 |
$203.19 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$143.25 |
$220.43 |
$478.63 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$33.77 |
$40.47 |
$85.86 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$20.52 |
$27.00 |
$27.00 |
$20.76
|
|
Dexmedetomidine film, 1 mcg
|
$56.70 |
$56.70 |
$56.70 |
$171.39
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,086.05 |
$1,268.38 |
$7,544.70 |
$884.80
|
|
Dextran 40 infusion
|
$100.80 |
$151.20 |
$1,218.79 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$28.80 |
$28.80 |
$39.82 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$28.80 |
$28.80 |
$39.82 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$30.00 |
$31.32 |
$31.32 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$28.80 |
$28.80 |
$41.19 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$82.95 |
$157.70 |
$1,460.38 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$111.51 |
$111.51 |
$828.40 |
$79.30
|
|
Diabetes training group per 30 min g0109
|
$32.81 |
$32.81 |
$32.81 |
$35.43
|
|
Diab manage trn ind/group
|
$59.36 |
$59.36 |
$84.00 |
$54.99
|
|
Diab shoe for density insert
|
$147.56 |
$147.56 |
$147.56 |
$147.56
|
|
Diagnostic anoscopy spx 46600
|
$136.80 |
$358.84 |
$358.84 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$117.94 |
$117.94 |
$117.94 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$75.93 |
$75.93 |
$75.93 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$163.35 |
$325.51 |
$325.51 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$163.05 |
$450.28 |
$450.28 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$340.20 |
$340.20 |
$1,451.37 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$272.16 |
$272.16 |
$889.78 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$2,679.11 |
$2,679.11 |
$2,679.11 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$10,828.35 |
$10,842.14 |
$10,842.14 |
$5,741.00
|
|
Dialysis one evaluation
|
$1,775.84 |
$1,775.84 |
$2,127.45 |
$936.00
|
|
Dialysis repeated eval
|
$1,087.50 |
$1,087.50 |
$2,195.40 |
$1,332.80
|
|
Diatrizoate meglumine 18 % urethral solution
|
$133.56 |
$149.04 |
$900.00 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$84.83 |
$95.27 |
$135.30 |
$79.71
|
|
Dicyclomine injection
|
$90.79 |
$229.36 |
$376.34 |
$154.33
|
|
Diffusing capacity
|
$395.37 |
$395.37 |
$1,475.23 |
$336.80
|
|
Digital analysis of eeg
|
$744.70 |
$744.70 |
$744.70 |
$593.40
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$41.20 |
$297.50 |
$371.87 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,553.01 |
$8,613.00 |
$21,562.02 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$140.84 |
$140.84 |
$410.24 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$322.92 |
$357.05 |
$485.88 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$1,866.73 |
$1,866.73 |
$3,895.65 |
$1,866.73
|
|
Dilate esophagus
|
$1,641.50 |
$1,641.50 |
$1,641.50 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$562.65 |
$1,484.17 |
$1,484.17 |
$1,548.00
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$4,322.56 |
$4,322.56 |
$7,703.40 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,670.90 |
$1,670.90 |
$7,703.40 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$9,260.60 |
$9,260.60 |
$12,849.75 |
$5,151.95
|
|
Dilate urethra stricture
|
$514.79 |
$514.79 |
$577.80 |
$513.00
|
|
Dilate urethra stricture
|
$3,745.07 |
$3,745.07 |
$3,745.07 |
$3,863.60
|
|
Dilation/female urethra/initial 53660
|
$204.60 |
$204.60 |
$204.60 |
$235.61
|
|
Dilation of cervical canal 57800
|
$4,715.67 |
$4,715.67 |
$4,715.67 |
$4,446.00
|
|
Dilation/urethral strict/male/ini 53620
|
$1,386.89 |
$1,386.89 |
$1,386.89 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$596.68 |
$1,277.43 |
$1,277.43 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$7,694.84 |
$7,694.84 |
$7,694.84 |
$3,900.60
|
|
Diltiazem 5 mg/ml intravenous solution
|
$138.24 |
$138.24 |
$138.24 |
$45.60
|
|
Dimecaprol injection
|
$457.03 |
$457.03 |
$699.79 |
$314.63
|
|
Dimenhydrinate injection
|
$31.55 |
$31.55 |
$31.55 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$27.53 |
$1,258.20 |
$1,258.20 |
$1,258.20
|
