|
Destroy vulva lesion extensive 56515
|
$10,469.89 |
$10,469.89 |
$10,469.89 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$11,013.62 |
$11,013.62 |
$11,013.62 |
$3,691.50
|
|
Destruct ben lesion 15/> 17111
|
$1,110.31 |
$1,110.31 |
$1,110.31 |
$238.20
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$3,297.53 |
$3,297.53 |
$3,297.53 |
$1,016.25
|
|
Destruct cut vasl lesions <10cm 17106
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$658.40
|
|
Destruct cut vasl lesions >50cm 17108
|
$7,084.27 |
$7,084.27 |
$7,084.27 |
$1,999.13
|
|
Destruction 2-14 lesions 17003
|
$117.53 |
$117.53 |
$117.53 |
$72.60
|
|
Destruction anal lesion(s)
|
$11,013.62 |
$11,013.62 |
$11,013.62 |
$2,772.60
|
|
Destruction anal lesion(s) smpl chem 46900
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$1,110.31 |
$1,110.31 |
$1,110.31 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,228.61 |
$1,228.61 |
$1,228.61 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$6,491.02 |
$6,491.02 |
$6,491.02 |
$3,375.00
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$1,120.75 |
$1,120.75 |
$1,120.75 |
$331.20
|
|
Destruction laser surgery anal lesions 46917
|
$14,614.78 |
$14,614.78 |
$14,614.78 |
$3,038.07
|
|
Destruction penis lesion(s) chem 54050
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$332.00
|
|
Destruction premal lesions 15/> 17004
|
$2,190.98 |
$2,190.98 |
$2,190.98 |
$470.51
|
|
Destruct penis les/smp/electrodesi 54055
|
$7,084.27 |
$7,084.27 |
$7,084.27 |
$2,236.85
|
|
Detect agnt mult dna direc
|
$322.37 |
$322.37 |
$322.37 |
$109.60
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$218.49 |
$218.49 |
$218.49 |
$220.43
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$35.08 |
$35.08 |
$35.08 |
$30.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$98.42 |
$98.42 |
$98.42 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$98.42 |
$98.42 |
$98.42 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$30.65 |
$30.65 |
$30.65 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$98.42 |
$98.42 |
$98.42 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$272.25 |
$272.25 |
$272.25 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$258.48 |
$258.48 |
$258.48 |
$78.03
|
|
Diab manage trn ind/group
|
$100.82 |
$100.82 |
$100.82 |
$49.50
|
|
Diagnostic anoscopy spx 46600
|
$726.86 |
$726.86 |
$726.86 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$293.04 |
$293.04 |
$293.04 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$203.52 |
$203.52 |
$203.52 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$512.84 |
$512.84 |
$512.84 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$141.21 |
$141.21 |
$141.21 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$1,071.65 |
$1,071.65 |
$1,071.65 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$725.48 |
$725.48 |
$725.48 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$5,366.71 |
$5,366.71 |
$5,366.71 |
$7,145.00
|
|
Dialysis one evaluation
|
$3,207.61 |
$3,207.61 |
$3,207.61 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$501.68 |
$501.68 |
$501.68 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$64.23 |
$64.23 |
$64.23 |
$72.34
|
|
Dicyclomine injection
|
$228.46 |
$228.46 |
$228.46 |
$211.81
|
|
Diffusing capacity
|
$1,431.24 |
$1,431.24 |
$1,431.24 |
$360.10
|
|
Digital analysis of eeg
|
$4,106.67 |
$4,106.67 |
$4,106.67 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$34.31 |
$34.31 |
$34.31 |
$69.79
|
|
Digoxin total therapeutic drug level
|
$217.60 |
$217.60 |
$217.60 |
$102.00
|
|
Dilate biliary duct/ampulla
|
$2,109.39 |
$2,109.39 |
$2,109.39 |
$2,304.60
|
|
Dilate esophagus 1/mult pass
|
$8,421.06 |
$8,421.06 |
$8,421.06 |
$1,484.17
|
|
Dilate ic vasospasm init
|
$8,592.55 |
$8,592.55 |
$8,592.55 |
$6,280.95
|
|
Dilate urethra stricture
|
$928.03 |
$928.03 |
$928.03 |
$514.79
|
|
Dilate urethra stricture
|
$542.76 |
$542.76 |
$542.76 |
$185.58
|
|
Dilation/female urethra/initial 53660
|
$759.92 |
$759.92 |
$759.92 |
$207.39
|
|
Dilation of urethra
|
$542.76 |
$542.76 |
$542.76 |
$172.00
|
|
Dilat xst trc ndurlgc px
|
$17,953.63 |
$17,953.63 |
$17,953.63 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$20,984.37 |
$20,984.37 |
$20,984.37 |
$5,020.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$27.91 |
$27.91 |
$27.91 |
$26.87
|
|
Disability dlco
|
$607.94 |
$607.94 |
$607.94 |
$307.58
|
|
Disaccharidases
|
$1,341.87 |
$1,341.87 |
$1,341.87 |
$223.80
|
|
Discography cerv/thor spine
|
$21,284.82 |
$21,284.82 |
$21,284.82 |
$2,404.00
|
|
Dissolve clot heart vessel
|
$342.53 |
$342.53 |
$342.53 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$9,193.93 |
$9,193.93 |
$9,193.93 |
$2,001.55
|
|
Dna antibody native/double stranded
|
$111.46 |
$111.46 |
$111.46 |
$102.60
|
|
Dna gardnerella
|
$102.82 |
$102.82 |
$102.82 |
$67.68
|
|
Dna trichomonas
|
$116.77 |
$116.77 |
$116.77 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$455.51 |
$455.51 |
$455.51 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$828.06 |
$828.06 |
$828.06 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$123.78 |
$123.78 |
$123.78 |
$84.30
|
|
Doppler echo complete
|
$881.68 |
$881.68 |
$881.68 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$3,283.30 |
$3,283.30 |
$3,283.30 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,717.24 |
$1,717.24 |
$1,717.24 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,368.95 |
$1,368.95 |
$1,368.95 |
$482.03
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$47,633.70 |
$47,633.70 |
$47,633.70 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$222.49 |
$222.49 |
$222.49 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$8,796.30 |
$8,796.30 |
$8,796.30 |
$2,417.38
|
|
Dpyd gene common variants
|
$2,103.46 |
$2,103.46 |
$2,103.46 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$3,766.77 |
$3,766.77 |
$3,766.77 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$3,803.02 |
$3,803.02 |
$3,803.02 |
$900.80
|
|
Drainage external ear complex 69005
|
$8,688.98 |
$8,688.98 |
$8,688.98 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$693.77 |
$693.77 |
$693.77 |
$809.25
|
|
Drainage mouth roof lesion
|
$1,509.85 |
$1,509.85 |
$1,509.85 |
$474.39
|
|
Drainage of arm bursa 23931
|
$8,688.98 |
$8,688.98 |
$8,688.98 |
$2,419.30
|
|
Drainage of forearm bursa
|
$8,627.31 |
$8,627.31 |
$8,627.31 |
$1,893.86
|
|
Drainage of kidney lesion
|
$4,190.61 |
$4,190.61 |
$4,190.61 |
$1,706.65
|
|
Drainage of mouth lesion
|
$1,336.80 |
$1,336.80 |
$1,336.80 |
$455.56
|
|
Drainage of mouth lesion
|
$8,243.52 |
$8,243.52 |
$8,243.52 |
$2,320.03
|
|
Drainage of mouth lesion
|
$16,435.01 |
$16,435.01 |
$16,435.01 |
$3,986.00
|
|
Drainage of mouth lesion
|
$2,880.26 |
$2,880.26 |
$2,880.26 |
$1,022.40
|
|
Drainage of nose lesion int 30000
|
$1,336.80 |
$1,336.80 |
$1,336.80 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$2,880.26 |
$2,880.26 |
$2,880.26 |
$755.95
|
|
Drainage of pelvis lesion 26990
|
$20,632.24 |
$20,632.24 |
$20,632.24 |
$3,969.00
|
|
Drainage of rectal abscess
|
$6,421.63 |
$6,421.63 |
$6,421.63 |
$2,299.90
|
|
Drainage of rectal abscess 45020
|
$14,461.39 |
$14,461.39 |
$14,461.39 |
$3,245.23
|
|
Drain bladder by trocar/cath
|
$5,918.74 |
$5,918.74 |
$5,918.74 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$401.66 |
$401.66 |
$401.66 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$3,590.97 |
$3,590.97 |
$3,590.97 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$3,590.97 |
$3,590.97 |
$3,590.97 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$3,170.09 |
$3,170.09 |
$3,170.09 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$1,271.09 |
$1,271.09 |
$1,271.09 |
$492.81
|
|
Drain lower leg lesion 27603
|
$14,586.47 |
$14,586.47 |
$14,586.47 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$17,651.47 |
$17,651.47 |
$17,651.47 |
$3,386.84
|
|
Drain shoulder lesion
|
$24,073.17 |
$24,073.17 |
$24,073.17 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$17,727.26 |
$17,727.26 |
$17,727.26 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$676.25 |
$676.25 |
$676.25 |
$420.00
|