|
Debride skin bone at fx site
|
$422.50 |
$422.50 |
$422.50 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$600.50 |
$600.50 |
$600.50 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$832.50 |
$832.50 |
$832.50 |
$1,820.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$26.00 |
$26.00 |
$26.00 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$51.00 |
$51.00 |
$51.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$285.00 |
$285.00 |
$285.00 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$14.50 |
$14.50 |
$14.50 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$708.00 |
$708.00 |
$708.00 |
$1,160.00
|
|
Decalcification
|
$12.50 |
$12.50 |
$12.50 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$327.00 |
$327.00 |
$327.00 |
$543.00
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$520.50 |
$520.50 |
$520.50 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$772.50 |
$772.50 |
$772.50 |
$3,137.60
|
|
Decompress forearm 1 space
|
$1,384.50 |
$1,384.50 |
$1,384.50 |
$3,957.20
|
|
Decompression of leg
|
$875.50 |
$875.50 |
$875.50 |
$3,839.54
|
|
Decompression of lower leg
|
$469.50 |
$469.50 |
$469.50 |
$3,839.54
|
|
Decompression of tibia nerve
|
$381.50 |
$381.50 |
$381.50 |
$2,625.60
|
|
Decompress small bowel
|
$1,069.00 |
$1,069.00 |
$1,069.00 |
$1,503.60
|
|
Deep muscle biopsy 20205
|
$171.50 |
$171.50 |
$171.50 |
$3,339.00
|
|
Degarelix 120 mg subcutaneous solution
|
$6.00 |
$6.00 |
$6.00 |
$1,807.08
|
|
Delivery of placenta 59414
|
$100.50 |
$100.50 |
$100.50 |
$3,070.56
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$711.50 |
$711.50 |
$711.50 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$210.00 |
$210.00 |
$210.00 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$45.50 |
$45.50 |
$45.50 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$200.00 |
$200.00 |
$200.00 |
$408.10
|
|
Dermapure 1 square cm
|
$119.50 |
$119.50 |
$119.50 |
$3,822.00
|
|
Derm autograft face/nck/hf/g
|
$759.00 |
$759.00 |
$759.00 |
$4,055.70
|
|
Desmopressin 4 mcg/ml injection solution
|
$5.00 |
$5.00 |
$5.00 |
$89.78
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$82.50 |
$82.50 |
$82.50 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$111.50 |
$111.50 |
$111.50 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$128.00 |
$128.00 |
$128.00 |
$408.50
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$99.50 |
$99.50 |
$99.50 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$114.00 |
$114.00 |
$114.00 |
$317.00
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$82.50 |
$82.50 |
$82.50 |
$262.60
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$115.00 |
$115.00 |
$115.00 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$951.00 |
$951.00 |
$951.00 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,146.50 |
$1,146.50 |
$1,146.50 |
$1,344.85
|
|
Destroy premlg lesns;1st lesn 17000
|
$296.00 |
$296.00 |
$296.00 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$215.00 |
$215.00 |
$215.00 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$132.50 |
$132.50 |
$132.50 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$376.00 |
$376.00 |
$376.00 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$341.50 |
$341.50 |
$341.50 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$265.50 |
$265.50 |
$265.50 |
$660.00
|
|
Destruct cut vasl lesions >50cm 17108
|
$507.50 |
$507.50 |
$507.50 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$44.50 |
$44.50 |
$44.50 |
$72.60
|
|
Destruction anal lesion(s)
|
$145.00 |
$145.00 |
$145.00 |
$3,711.00
|
|
Destruction anal lesion(s) smpl chem 46900
|
$146.50 |
$146.50 |
$146.50 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$207.00 |
$207.00 |
$207.00 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$209.50 |
$209.50 |
$209.50 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$905.50 |
$905.50 |
$905.50 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$3,202.98
|
|
Destruction mal lsn t/a/l >4cm
|
$158.00 |
$158.00 |
$158.00 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$105.50 |
$105.50 |
$105.50 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$167.50 |
$167.50 |
$167.50 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$91.50 |
$91.50 |
$91.50 |
$436.64
|
|
Destruction vag lesions complex 57065
|
$188.00 |
$188.00 |
$188.00 |
$3,762.53
|
|
Destruction vag lesions simple 57061
|
$116.00 |
$116.00 |
$116.00 |
$3,815.20
|
|
Destruct penis les/smp/electrodesi 54055
|
$95.50 |
$95.50 |
$95.50 |
$2,837.09
|
|
Detect agent nos dna dir
|
$198.00 |
$198.00 |
$198.00 |
$115.20
|
|
Determine refractive state
|
$19.00 |
$19.00 |
$19.00 |
$19.80
|
|
Developmental screen/score/document 96110
|
$12.50 |
$12.50 |
$12.50 |
$130.65
|
|
Device ablt adv novasure
|
$2,074.00 |
$2,074.00 |
$2,074.00 |
$6,097.50
|
|
Device intraute mirena
|
$1,822.00 |
$1,822.00 |
$1,822.00 |
$2,125.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$10.50 |
$10.50 |
$10.50 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$0.50 |
$0.50 |
$0.50 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$0.50 |
$0.50 |
$0.50 |
$21.17
|
|
Dexamethasone intra implant
|
$294.50 |
$294.50 |
$294.50 |
$2,538.20
|
|
Dhea-s (dehydroepiand sulfate)
|
$30.50 |
$30.50 |
$30.50 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$62.00 |
$62.00 |
$62.00 |
$79.20
|
|
Diag laparo separate proc 49320
|
$369.00 |
$369.00 |
$369.00 |
$6,904.15
|
|
Diagnostic anoscopy
|
$428.00 |
$428.00 |
$428.00 |
$391.20
|
|
Diagnostic anoscopy spx 46600
|
$44.50 |
$44.50 |
$44.50 |
$190.68
|
|
Diagnostic laryngoscopy 31575
|
$68.00 |
$68.00 |
$68.00 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$225.00 |
$225.00 |
$225.00 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$181.50 |
$181.50 |
$181.50 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$209.50 |
$209.50 |
$209.50 |
$5,419.00
|
|
Diffusing capacity
|
$144.00 |
$144.00 |
$144.00 |
$332.00
|
|
Digoxin total therapeutic drug level
|
$59.50 |
$59.50 |
$59.50 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$65.00 |
$65.00 |
$65.00 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$137.50 |
$137.50 |
$137.50 |
$1,866.73
|
|
Dilate esophagus 1/mult pass
|
$86.00 |
$86.00 |
$86.00 |
$1,484.17
|
|
Dilate tear duct opening
|
$76.50 |
$76.50 |
$76.50 |
$472.21
|
|
Dilate urethra stricture
|
$239.50 |
$239.50 |
$239.50 |
$490.00
|
|
Dilate urethra stricture
|
$55.00 |
$55.00 |
$55.00 |
$200.80
|
|
Dilate urethra stricture
|
$65.00 |
$65.00 |
$65.00 |
$3,863.60
|
|
Dilate urethra stricture
|
$239.50 |
$239.50 |
$239.50 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$42.50 |
$42.50 |
$42.50 |
$235.61
|
|
Dilation of anal sphincter
|
$188.50 |
$188.50 |
$188.50 |
$1,969.12
|
|
Dilation of rectal stricture 45910
|
$211.50 |
$211.50 |
$211.50 |
$1,395.28
|
|
Dilation of urethra
|
$41.00 |
$41.00 |
$41.00 |
$172.00
|
|
Dilation/urethral strict/male/ini 53620
|
$668.00 |
$668.00 |
$668.00 |
$1,372.80
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,005.50 |
$1,005.50 |
$1,005.50 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.00 |
$1.00 |
$1.00 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.50 |
$1.50 |
$1.50 |
$17.75
|
|
Disability dlco
|
$51.00 |
$51.00 |
$51.00 |
$282.40
|
|
Disaccharidases
|
$277.50 |
$277.50 |
$277.50 |
$216.00
|
|
Dis site tele svcs rhc/fqhc
|
$106.50 |
$106.50 |
$106.50 |
$94.80
|
|
Dist revas ligation hemo
|
$1,247.00 |
$1,247.00 |
$1,247.00 |
$6,396.89
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1.00 |
$1.00 |
$1.00 |
$904.81
|
|
Doppler echo complete
|
$53.50 |
$53.50 |
$53.50 |
$540.00
|
