|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$6,468.50 |
$6,468.50 |
$6,468.50 |
$5,121.00
|
|
Deamidated gliadin antibody iga
|
$167.50 |
$167.50 |
$167.50 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,286.00 |
$1,286.00 |
$1,286.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$363.50 |
$363.50 |
$363.50 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$1,892.50 |
$1,892.50 |
$1,892.50 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$612.00 |
$612.00 |
$612.00 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,206.50 |
$1,206.50 |
$1,206.50 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$810.50 |
$810.50 |
$810.50 |
$835.20
|
|
Debride nail1-5 11720
|
$255.00 |
$255.00 |
$255.00 |
$149.60
|
|
Debride nail6 or more 11721
|
$266.50 |
$266.50 |
$266.50 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$1,163.24
|
|
Debride skin bone at fx site
|
$4,499.50 |
$4,499.50 |
$4,499.50 |
$3,015.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$2,328.50 |
$2,328.50 |
$2,328.50 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$597.00 |
$597.00 |
$597.00 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$1,149.50
|
|
Debr inf skin add-on 11001
|
$1,286.00 |
$1,286.00 |
$1,286.00 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$934.00 |
$934.00 |
$934.00 |
$1,165.50
|
|
Decalcification
|
$78.50 |
$78.50 |
$78.50 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$3.41 |
$3.41 |
$3.41 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$344.50 |
$344.50 |
$344.50 |
$572.95
|
|
Deep muscle biopsy 20205
|
$4,194.50 |
$4,194.50 |
$4,194.50 |
$3,386.84
|
|
Deferoxamine 500 mg solution for injection
|
$11.48 |
$11.48 |
$11.48 |
$95.85
|
|
Delivery of placenta 59414
|
$3,618.50 |
$3,618.50 |
$3,618.50 |
$2,912.46
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$1,193.00 |
$1,193.00 |
$1,193.00 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$103.00 |
$103.00 |
$103.00 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$41.78 |
$41.78 |
$41.78 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$630.50 |
$630.50 |
$630.50 |
$401.60
|
|
Descend thora aorta rpr/lt sub art 33880
|
$4,556.50 |
$4,556.50 |
$4,556.50 |
$6,288.45
|
|
Design mlc device for imrt
|
$2,569.00 |
$2,569.00 |
$2,569.00 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$18.53 |
$18.53 |
$18.53 |
$91.84
|
|
Desoxycorticosterone
|
$444.00 |
$444.00 |
$444.00 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$3,940.50 |
$3,940.50 |
$3,940.50 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$2,906.00 |
$2,906.00 |
$2,906.00 |
$3,273.55
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$463.00 |
$463.00 |
$463.00 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$602.00 |
$602.00 |
$602.00 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$768.00 |
$768.00 |
$768.00 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$463.00 |
$463.00 |
$463.00 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$602.00 |
$602.00 |
$602.00 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$618.50 |
$618.50 |
$618.50 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$316.00 |
$316.00 |
$316.00 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$325.00 |
$325.00 |
$325.00 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$335.50 |
$335.50 |
$335.50 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$354.00 |
$354.00 |
$354.00 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$2,059.00 |
$2,059.00 |
$2,059.00 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$718.00 |
$718.00 |
$718.00 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$120.00 |
$120.00 |
$120.00 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$3,164.50 |
$3,164.50 |
$3,164.50 |
$3,058.98
|
|
Destroy vulva lesion simple 56501
|
$3,164.50 |
$3,164.50 |
$3,164.50 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$191.00 |
$191.00 |
$191.00 |
$235.13
|
|
Destruct cut vasl lesions <10cm 17106
|
$821.00 |
$821.00 |
$821.00 |
$666.75
|
|
Destruction 2-14 lesions 17003
|
$72.00 |
$72.00 |
$72.00 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$150.50 |
$150.50 |
$150.50 |
$240.24
|
|
Destruction by injection tx of nerve 64630
|
$1,562.50 |
$1,562.50 |
$1,562.50 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,562.00 |
$2,562.00 |
$2,562.00 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$4,403.00 |
$4,403.00 |
$4,403.00 |
$3,296.80
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$976.00 |
$976.00 |
$976.00 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$1,010.50 |
$1,010.50 |
$1,010.50 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$817.00 |
$817.00 |
$817.00 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$1,152.50 |
$1,152.50 |
$1,152.50 |
$569.80
|
|
Destruction premal lesions 15/> 17004
|
$627.50 |
$627.50 |
$627.50 |
$442.61
|
|
Destruction vag lesions complex 57065
|
$6,221.00 |
$6,221.00 |
$6,221.00 |
$3,986.00
|
|
Destruction vag lesions simple 57061
|
$6,221.00 |
$6,221.00 |
$6,221.00 |
$4,006.38
|
|
Detect agent nos dna dir
|
$228.00 |
$228.00 |
$228.00 |
$138.00
|
|
Detect agnt mult dna direc
|
$453.00 |
$453.00 |
$453.00 |
$166.77
|
|
Developmental screen/score/document 96110
|
$408.50 |
$408.50 |
$408.50 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$650.50 |
$650.50 |
$650.50 |
$350.40
|
|
Device ablt adv novasure
|
$15,753.00 |
$15,753.00 |
$15,753.00 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$6,210.00 |
$6,210.00 |
$6,210.00 |
$4,200.00
|
|
Device tiss remov myosure reach
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$2,515.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$297.50 |
$297.50 |
$297.50 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$269.00 |
$269.00 |
$269.00 |
$227.25
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$10.65 |
$10.65 |
$10.65 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$162.18 |
$162.18 |
$162.18 |
$884.80
|
|
Dhea-s (dehydroepiand sulfate)
|
$141.00 |
$141.00 |
$141.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$109.00 |
$109.00 |
$109.00 |
$79.30
|
|
Diab manage trn ind/group
|
$79.00 |
$79.00 |
$79.00 |
$54.99
|
|
Diag laparo separate proc 49320
|
$10,893.50 |
$10,893.50 |
$10,893.50 |
$7,104.72
|
|
Diagnostic anoscopy spx 46600
|
$162.50 |
$162.50 |
$162.50 |
$195.50
|
|
Diagnostic laryngoscopy 31575
|
$338.00 |
$338.00 |
$338.00 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$364.50 |
$364.50 |
$364.50 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$270.50 |
$270.50 |
$270.50 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$259.00 |
$259.00 |
$259.00 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$6,185.00 |
$6,185.00 |
$6,185.00 |
$5,741.00
|
|
Dialysis one evaluation
|
$160.00 |
$160.00 |
$160.00 |
$936.00
|
|
Diathermy eg microwave
|
$22.00 |
$22.00 |
$22.00 |
$29.68
|
|
Diatrizoate meglumine 18 % urethral solution
|
$2.79 |
$2.79 |
$2.79 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$20.87 |
$20.87 |
$20.87 |
$79.71
|
|
Dicyclomine injection
|
$38.51 |
$38.51 |
$38.51 |
$154.33
|
|
Diffusing capacity
|
$350.00 |
$350.00 |
$350.00 |
$336.80
|
|
Digital analysis of eeg
|
$658.50 |
$658.50 |
$658.50 |
$593.40
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$15.60 |
$15.60 |
$15.60 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$6,550.77 |
$6,550.77 |
$6,550.77 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$141.50 |
$141.50 |
$141.50 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$50.64 |
$50.64 |
$50.64 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$1,167.00 |
$1,167.00 |
$1,167.00 |
$1,866.73
|
|
Dilate esophagus
|
$1,563.50 |
$1,563.50 |
$1,563.50 |
$2,142.40
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$1,717.50 |
$1,717.50 |
$1,717.50 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$858.50 |
$858.50 |
$858.50 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$1,731.50 |
$1,731.50 |
$1,731.50 |
$5,151.95
|
|
Dilate urethra stricture
|
$971.00 |
$971.00 |
$971.00 |
$513.00
|
