|
D&c/diagnostic/therapeutic/non ob 58120
|
$1,787.33 |
$1,787.33 |
$1,787.33 |
$3,774.81
|
|
Dch validity tests
|
$12.00 |
$12.00 |
$12.00 |
$24.61
|
|
Deamidated gliadin antibody iga
|
$29.00 |
$29.00 |
$29.00 |
$43.60
|
|
Debridement (>20 cm) charge pt
|
$278.50 |
$278.50 |
$278.50 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$3,961.50 |
$3,961.50 |
$3,961.50 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$836.00 |
$836.00 |
$836.00 |
$663.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$810.50
|
|
Debride nail6 or more 11721
|
$128.00 |
$128.00 |
$128.00 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$950.50 |
$950.50 |
$950.50 |
$1,149.50
|
|
Debride skin bone at fx site
|
$4,975.50 |
$4,975.50 |
$4,975.50 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$668.00 |
$668.00 |
$668.00 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$443.00 |
$443.00 |
$443.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,272.50 |
$1,272.50 |
$1,272.50 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$6,214.00 |
$6,214.00 |
$6,214.00 |
$1,160.00
|
|
Decalcification
|
$40.50 |
$40.50 |
$40.50 |
$67.50
|
|
Decitabine 50 mg intravenous solution
|
$93.02 |
$93.02 |
$93.02 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$763.50 |
$763.50 |
$763.50 |
$546.84
|
|
Deep muscle biopsy 20205
|
$4,882.50 |
$4,882.50 |
$4,882.50 |
$3,339.00
|
|
Degarelix 120 mg subcutaneous solution
|
$689.36 |
$689.36 |
$689.36 |
$1,807.08
|
|
Delay flap eye/nos/ear/lip
|
$2,463.00 |
$2,463.00 |
$2,463.00 |
$2,190.24
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$194.50 |
$194.50 |
$194.50 |
$184.00
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$7,489.51 |
$7,489.51 |
$7,489.51 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$169.00 |
$169.00 |
$169.00 |
$401.60
|
|
Dermabrasion suprfl any site
|
$706.00 |
$706.00 |
$706.00 |
$1,144.80
|
|
Dermapure 1 square cm
|
$47.00 |
$47.00 |
$47.00 |
$3,822.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$265.64 |
$265.64 |
$265.64 |
$86.77
|
|
Desoxycorticosterone
|
$44.00 |
$44.00 |
$44.00 |
$109.28
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$205.50 |
$205.50 |
$205.50 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$732.00 |
$732.00 |
$732.00 |
$362.58
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$309.50 |
$309.50 |
$309.50 |
$317.00
|
|
Dest mal lesion tal <0.5 17260
|
$400.50 |
$400.50 |
$400.50 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$206.50 |
$206.50 |
$206.50 |
$262.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$241.50 |
$241.50 |
$241.50 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$285.00 |
$285.00 |
$285.00 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$2,494.00 |
$2,494.00 |
$2,494.00 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$1,503.00 |
$1,503.00 |
$1,503.00 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$285.00 |
$285.00 |
$285.00 |
$203.04
|
|
Destroy vulva lesion extensive 56515
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,837.09
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$785.50 |
$785.50 |
$785.50 |
$966.60
|
|
Destruct cut vasl lesions >50cm 17108
|
$2,281.00 |
$2,281.00 |
$2,281.00 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$38.00 |
$38.00 |
$38.00 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$4,637.00 |
$4,637.00 |
$4,637.00 |
$240.24
|
|
Destruction by injection tx of nerve 64630
|
$1,860.50 |
$1,860.50 |
$1,860.50 |
$1,626.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,986.00 |
$2,986.00 |
$2,986.00 |
$1,618.65
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,481.50 |
$3,481.50 |
$3,481.50 |
$3,221.60
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$250.50 |
$250.50 |
$250.50 |
$364.50
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$588.00 |
$588.00 |
$588.00 |
$558.97
|
|
Destruction mal lsn t/a/l >4cm
|
$706.00 |
$706.00 |
$706.00 |
$569.80
|
|
Destruction premal lesions 15/> 17004
|
$668.00 |
$668.00 |
$668.00 |
$442.61
|
|
Detect agent nos dna dir
|
$198.00 |
$198.00 |
$198.00 |
$148.50
|
|
Detect agnt mult dna direc
|
$39.50 |
$39.50 |
$39.50 |
$162.00
|
|
Determine refractive state
|
$24.00 |
$24.00 |
$24.00 |
$19.80
|
|
Developmental screen/score/document 96110
|
$13.50 |
$13.50 |
$13.50 |
$139.10
|
|
Device ablt adv novasure
|
$1,993.50 |
$1,993.50 |
$1,993.50 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$396.21 |
$396.21 |
$396.21 |
$4,200.00
|
|
Device intraute mirena
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,301.39 |
$1,301.39 |
$1,301.39 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$2,670.00 |
$2,670.00 |
$2,670.00 |
$2,466.14
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$166.50 |
$166.50 |
$166.50 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$6.62 |
$6.62 |
$6.62 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$6.08 |
$6.08 |
$6.08 |
$21.25
|
|
Dexamethasone intra implant
|
$441.50 |
$441.50 |
$441.50 |
$2,538.20
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$636.80 |
$636.80 |
$636.80 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$31.00 |
$31.00 |
$31.00 |
$37.20
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$71.25 |
$71.25 |
$71.25 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$43.50 |
$43.50 |
$43.50 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$67.50 |
$67.50 |
$67.50 |
$79.28
|
|
Diab manage trn ind/group
|
$112.00 |
$112.00 |
$112.00 |
$54.99
|
|
Diag laparo separate proc 49320
|
$3,760.00 |
$3,760.00 |
$3,760.00 |
$6,904.15
|
|
Diagnostic anoscopy
|
$192.00 |
$192.00 |
$192.00 |
$391.20
|
|
Diagnostic digital breast tomosynthesis bil
|
$343.00 |
$343.00 |
$343.00 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$238.00 |
$238.00 |
$238.00 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$338.00 |
$338.00 |
$338.00 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$340.00 |
$340.00 |
$340.00 |
$327.60
|
|
Diagnostic Mammogram (both breasts)
|
$301.00 |
$301.00 |
$301.00 |
$413.31
|
|
Diagnostic Mammogram (one breast)
|
$191.00 |
$191.00 |
$191.00 |
$310.20
|
|
Diagnostic radio unlisted proc
|
$303.50 |
$303.50 |
$303.50 |
$258.72
|
|
Dialysis repeated eval
|
$1,267.50 |
$1,267.50 |
$1,267.50 |
$1,332.80
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$18.08 |
$18.08 |
$18.08 |
$75.23
|
|
Dicyclomine injection
|
$32.16 |
$32.16 |
$32.16 |
$150.40
|
|
Diffusing capacity
|
$388.50 |
$388.50 |
$388.50 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$5.18 |
$5.18 |
$5.18 |
$66.86
|
|
Digoxin total therapeutic drug level
|
$109.50 |
$109.50 |
$109.50 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$97.50 |
$97.50 |
$97.50 |
$297.86
|
|
Dilate esophagus 1/mult pass
|
$207.33 |
$207.33 |
$207.33 |
$1,484.17
|
|
Dilate tear duct opening
|
$404.00 |
$404.00 |
$404.00 |
$472.21
|
|
Dilate urethra stricture
|
$216.00 |
$216.00 |
$216.00 |
$496.08
|
|
Dilate urethra stricture
|
$287.50 |
$287.50 |
$287.50 |
$343.55
|
|
Dilation of cervical canal 57800
|
$5,344.50 |
$5,344.50 |
$5,344.50 |
$4,376.00
|
|
Dilation of urethra
|
$160.00 |
$160.00 |
$160.00 |
$172.00
|
|
Dilation salivary duct 42650
|
$3,090.00 |
$3,090.00 |
$3,090.00 |
$2,498.32
|
|
Dilation/urethral strict/male/ini 53620
|
$789.00 |
$789.00 |
$789.00 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$155.50 |
$155.50 |
$155.50 |
$403.61
|
|
Diltiazem 5 mg/ml intravenous solution
|
$20.17 |
$20.17 |
$20.17 |
$42.04
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,508.50 |
$1,508.50 |
$1,508.50 |
$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)
|
$2.50 |
$2.50 |
$2.50 |
$19.01
|
|
Disability dlco
|
$397.00 |
$397.00 |
$397.00 |
$293.76
|
|
Disaccharidases
|
$415.00 |
$415.00 |
$415.00 |
$223.80
|
|
Dis site tele svcs rhc/fqhc
|
$60.50 |
$60.50 |
$60.50 |
$94.80
|
