|
Debr musc/fascia 20sq cm/< 11043
|
$772.80 |
$772.80 |
$772.80 |
$1,193.40
|
|
Decalcification
|
$102.48 |
$102.48 |
$102.48 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$442.26 |
$442.26 |
$442.26 |
$545.90
|
|
Decompress fasciotomyhand 26037
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,594.44
|
|
Decompression of lower leg
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,839.54
|
|
Decompression of thigh/knee
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,839.54
|
|
Deferoxamine 500 mg solution for injection
|
$118.96 |
$118.96 |
$118.96 |
$110.82
|
|
Delivery of placenta 59414
|
$3,760.68 |
$3,760.68 |
$3,760.68 |
$3,271.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$254.52 |
$254.52 |
$254.52 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$11,335.22 |
$11,335.22 |
$11,335.22 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$444.78 |
$444.78 |
$444.78 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$360.07 |
$360.07 |
$360.07 |
$132.72
|
|
Derma-fat-fascia graft 15770
|
$4,326.42 |
$4,326.42 |
$4,326.42 |
$4,326.42
|
|
Dest mal lesion tal <0.5 17260
|
$100.80 |
$100.80 |
$100.80 |
$238.40
|
|
Destroy premlg lesns;1st lesn 17000
|
$240.24 |
$240.24 |
$240.24 |
$220.12
|
|
Destruct ben lesion 15/> 17111
|
$106.68 |
$106.68 |
$106.68 |
$238.20
|
|
Destruct cut vasl lesions <10cm 17106
|
$496.02 |
$496.02 |
$496.02 |
$658.40
|
|
Destruction 2-14 lesions 17003
|
$4.20 |
$4.20 |
$4.20 |
$72.60
|
|
Destruction anal lesion(s) smpl chem 46900
|
$496.02 |
$496.02 |
$496.02 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$240.24 |
$240.24 |
$240.24 |
$250.60
|
|
Destruction vag lesions simple 57061
|
$3,707.76 |
$3,707.76 |
$3,707.76 |
$3,762.53
|
|
Developmental screen/score/document 96110
|
$17.22 |
$17.22 |
$17.22 |
$139.10
|
|
Device ablt adv novasure
|
$6,148.80 |
$6,148.80 |
$6,148.80 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$5,386.50 |
$5,386.50 |
$5,386.50 |
$4,298.87
|
|
Device intraute mirena
|
$315.00 |
$315.00 |
$315.00 |
$2,618.91
|
|
Device sut capio slim opn
|
$1,825.12 |
$1,825.12 |
$1,825.12 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$10,602.90 |
$10,602.90 |
$10,602.90 |
$2,440.98
|
|
Dexamethasone 4 mg tablet
|
$215.35 |
$215.35 |
$215.35 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$56.70 |
$56.70 |
$56.70 |
$30.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$47.27 |
$47.27 |
$47.27 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$46.85 |
$46.85 |
$46.85 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$47.48 |
$47.48 |
$47.48 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$47.69 |
$47.69 |
$47.69 |
$68.93
|
|
Diabetes (HbA1c) Test
|
$54.18 |
$54.18 |
$54.18 |
$78.03
|
|
Diagnostic anoscopy
|
$134.40 |
$134.40 |
$134.40 |
$441.68
|
|
Diagnostic anoscopy spx 46600
|
$134.40 |
$134.40 |
$134.40 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$44.10 |
$44.10 |
$44.10 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$33.18 |
$33.18 |
$33.18 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$206.64 |
$206.64 |
$206.64 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$229.74 |
$229.74 |
$229.74 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$263.76 |
$263.76 |
$263.76 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$205.80 |
$205.80 |
$205.80 |
$301.55
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$96.23 |
$96.23 |
$96.23 |
$72.34
|
|
Dicyclomine injection
|
$155.46 |
$155.46 |
$155.46 |
$211.81
|
|
Diffusing capacity
|
$750.12 |
$750.12 |
$750.12 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$56.70 |
$56.70 |
$56.70 |
$69.79
|
|
Digoxin total therapeutic drug level
|
$23.52 |
$23.52 |
$23.52 |
$102.00
|
|
Dilate urethra stricture
|
$286.02 |
$286.02 |
$286.02 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$193.20 |
$193.20 |
$193.20 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$831.60 |
$831.60 |
$831.60 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$669.20 |
$669.20 |
$669.20 |
$305.68
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$2.10 |
$2.10 |
$2.10 |
$2.10
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$56.70 |
$56.70 |
$56.70 |
$26.87
|
|
Dissolve clot heart vessel
|
$105.00 |
$105.00 |
$105.00 |
$1,396.47
|
|
Dna antibody native/double stranded
|
$91.56 |
$91.56 |
$91.56 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$60.89 |
$60.89 |
$60.89 |
$101.04
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$84.30 |
$84.30 |
$84.30 |
$84.30
|
|
Doppler echo complete
|
$546.42 |
$546.42 |
$546.42 |
$608.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$524.16 |
$524.16 |
$524.16 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$438.90 |
$438.90 |
$438.90 |
$482.03
|
|
Dornhoffer fixed part w/window
|
$26,981.22 |
$26,981.22 |
$26,981.22 |
$28,091.95
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$171.75 |
$171.75 |
$171.75 |
$99.99
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$607.74 |
$607.74 |
$607.74 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$863.10 |
$863.10 |
$863.10 |
$900.80
|
|
Drainage external ear complex 69005
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$1,181.04 |
$1,181.04 |
$1,181.04 |
$809.25
|
|
Drainage lymph node lesion 38300
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$276.36 |
$276.36 |
$276.36 |
$474.39
|
|
Drainage of arm bursa 23931
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$2,419.30
|
|
Drainage of eye
|
$2,497.32 |
$2,497.32 |
$2,497.32 |
$2,503.62
|
|
Drainage of mouth lesion
|
$276.36 |
$276.36 |
$276.36 |
$455.56
|
|
Drainage of mouth lesion
|
$1,845.90 |
$1,845.90 |
$1,845.90 |
$2,320.03
|
|
Drainage of mouth lesion
|
$5,066.04 |
$5,066.04 |
$5,066.04 |
$3,986.00
|
|
Drainage of mouth lesion
|
$607.74 |
$607.74 |
$607.74 |
$799.40
|
|
Drainage of mouth lesion
|
$3,783.78 |
$3,783.78 |
$3,783.78 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$276.36 |
$276.36 |
$276.36 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$607.74 |
$607.74 |
$607.74 |
$755.95
|
|
Drainage of pelvis lesion 26990
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,969.00
|
|
Drainage of rectal abscess
|
$1,942.92 |
$1,942.92 |
$1,942.92 |
$2,299.90
|
|
Drainage of salivary gland
|
$3,783.78 |
$3,783.78 |
$3,783.78 |
$3,837.72
|
|
Drainage of salivary gland
|
$607.74 |
$607.74 |
$607.74 |
$629.60
|
|
Drainage of urethra abscess 53060
|
$2,467.08 |
$2,467.08 |
$2,467.08 |
$2,459.34
|
|
Drain bladder by trocar/cath
|
$1,242.78 |
$1,242.78 |
$1,242.78 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$120.96 |
$120.96 |
$120.96 |
$190.33
|
|
Drain cerebro spinal fluid 62272
|
$856.80 |
$856.80 |
$856.80 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$154.14 |
$154.14 |
$154.14 |
$492.81
|
|
Drain lower leg bursa
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,839.54
|
|
Drain lower leg lesion 27603
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$3,386.84
|
|
Drain penis lesion
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$2,005.32
|
|
Drain shoulder lesion
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$338.10 |
$338.10 |
$338.10 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$222.60 |
$222.60 |
$222.60 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$496.02 |
$496.02 |
$496.02 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$772.80 |
$772.80 |
$772.80 |
$790.56
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$15,247.86 |
$15,247.86 |
$15,247.86 |
$9,390.80
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$120.96 |
$120.96 |
$120.96 |
$1,667.40
|
|
Drill hole implt ventricular cath/device 61107
|
$120.96 |
$120.96 |
$120.96 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,981.06
|
