|
Debridement/bone/20 sq cm or less 11046
|
$6,882.25 |
$6,882.25 |
$6,882.25 |
$687.35
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,228.50 |
$1,228.50 |
$1,228.50 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$7,916.51 |
$7,916.51 |
$7,916.51 |
$820.15
|
|
Debride nail1-5 11720
|
$123.50 |
$123.50 |
$123.50 |
$149.04
|
|
Debride nail6 or more 11721
|
$167.00 |
$167.00 |
$167.00 |
$167.63
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$8,775.00 |
$8,775.00 |
$8,775.00 |
$1,149.50
|
|
Debride skin bone at fx site
|
$10,519.75 |
$10,519.75 |
$10,519.75 |
$2,921.60
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$28,291.00 |
$28,291.00 |
$28,291.00 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$2,685.50 |
$2,685.50 |
$2,685.50 |
$641.52
|
|
Debrid mastoidectomy cavity simple 69220
|
$639.00 |
$639.00 |
$639.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,808.83 |
$1,808.83 |
$1,808.83 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$6,923.50 |
$6,923.50 |
$6,923.50 |
$1,160.00
|
|
Decalcification
|
$51.50 |
$51.50 |
$51.50 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$140.57 |
$140.57 |
$140.57 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$507.50 |
$507.50 |
$507.50 |
$546.84
|
|
Decomp forearm 1 space 25020
|
$5,922.50 |
$5,922.50 |
$5,922.50 |
$3,137.60
|
|
Decompression of lower leg
|
$2,174.75 |
$2,174.75 |
$2,174.75 |
$3,839.54
|
|
Decompression of tibia nerve
|
$8,311.67 |
$8,311.67 |
$8,311.67 |
$2,625.60
|
|
Decompression unspecified nerve 64722
|
$1,442.13 |
$1,442.13 |
$1,442.13 |
$2,163.32
|
|
Decompress optic nerve
|
$9,398.00 |
$9,398.00 |
$9,398.00 |
$5,482.40
|
|
Deep muscle biopsy 20205
|
$3,806.00 |
$3,806.00 |
$3,806.00 |
$3,370.52
|
|
Degarelix 120 mg subcutaneous solution
|
$2,151.09 |
$2,151.09 |
$2,151.09 |
$1,855.50
|
|
Delayed breast prosthesis 19342
|
$62,540.00 |
$62,540.00 |
$62,540.00 |
$10,457.82
|
|
Delay flap eye/nos/ear/lip
|
$6,784.00 |
$6,784.00 |
$6,784.00 |
$2,190.24
|
|
Delay flap fccnaxghf 15620
|
$6,504.00 |
$6,504.00 |
$6,504.00 |
$2,164.64
|
|
Delivery of placenta 59414
|
$399.50 |
$399.50 |
$399.50 |
$2,822.68
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$3,523.00 |
$3,523.00 |
$3,523.00 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$463.00 |
$463.00 |
$463.00 |
$182.40
|
|
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
|
$3,784.75 |
$3,784.75 |
$3,784.75 |
$399.93
|
|
Dermabrasion other than face
|
$3,710.00 |
$3,710.00 |
$3,710.00 |
$3,214.40
|
|
Dermabrasion segmental face 15781
|
$2,909.50 |
$2,909.50 |
$2,909.50 |
$1,290.07
|
|
Dermabrasion suprfl any site
|
$519.50 |
$519.50 |
$519.50 |
$1,144.80
|
|
Dermabrasion total face
|
$3,710.00 |
$3,710.00 |
$3,710.00 |
$3,425.00
|
|
Derma-fat-fascia graft 15770
|
$2,465.25 |
$2,465.25 |
$2,465.25 |
$4,332.25
|
|
Dermapure 1 square cm
|
$48.50 |
$48.50 |
$48.50 |
$3,822.00
|
|
Derm autograft face/nck/hf/g
|
$3,488.50 |
$3,488.50 |
$3,488.50 |
$4,055.70
|
|
Descend thora aorta rpr/lt sub art 33880
|
$4,970.00 |
$4,970.00 |
$4,970.00 |
$5,958.60
|
|
Design mlc device for imrt
|
$2,544.00 |
$2,544.00 |
$2,544.00 |
$1,739.10
|
|
Desmopressin 4 mcg/ml injection solution
|
$277.19 |
$277.19 |
$277.19 |
$93.84
|
|
Desoxycorticosterone
|
$87.50 |
$87.50 |
$87.50 |
$98.80
|
|
Des thora aorta rpr without left sub art 33881
|
$7,788.00 |
$7,788.00 |
$7,788.00 |
$4,937.50
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$5,743.00 |
$5,743.00 |
$5,743.00 |
$2,906.00
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$505.00 |
$505.00 |
$505.00 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$501.00 |
$501.00 |
$501.00 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$257.00 |
$257.00 |
$257.00 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$293.50 |
$293.50 |
$293.50 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$639.00 |
$639.00 |
$639.00 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$718.00 |
$718.00 |
$718.00 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$256.50 |
$256.50 |
$256.50 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$257.00 |
$257.00 |
$257.00 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$587.00 |
$587.00 |
$587.00 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$6,991.00 |
$6,991.00 |
$6,991.00 |
$3,018.00
|
|
Destroy cth facet jnt addl 64634
|
$4,194.00 |
$4,194.00 |
$4,194.00 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,641.00 |
$1,641.00 |
$1,641.00 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$484.00 |
$484.00 |
$484.00 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$2,877.50 |
$2,877.50 |
$2,877.50 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$4,431.00 |
$4,431.00 |
$4,431.00 |
$3,556.00
|
|
Destruct ben lesion 15/> 17111
|
$3,345.00 |
$3,345.00 |
$3,345.00 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$2,652.34 |
$2,652.34 |
$2,652.34 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$3,766.50 |
$3,766.50 |
$3,766.50 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$5,240.00 |
$5,240.00 |
$5,240.00 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$346.50 |
$346.50 |
$346.50 |
$78.61
|
|
Destruction anal lesion(s)
|
$2,996.50 |
$2,996.50 |
$2,996.50 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$19,782.50 |
$19,782.50 |
$19,782.50 |
$3,363.79
|
|
Destruction benign lesions < 14 lesions
|
$3,150.50 |
$3,150.50 |
$3,150.50 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$1,487.50 |
$1,487.50 |
$1,487.50 |
$1,626.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$9,699.00 |
$9,699.00 |
$9,699.00 |
$1,618.65
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$8,440.50 |
$8,440.50 |
$8,440.50 |
$3,295.50
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$293.00 |
$293.00 |
$293.00 |
$364.50
|
|
Destruction les conjunctiva
|
$3,036.50 |
$3,036.50 |
$3,036.50 |
$2,760.73
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$520.50 |
$520.50 |
$520.50 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$650.50 |
$650.50 |
$650.50 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$541.50 |
$541.50 |
$541.50 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$925.50 |
$925.50 |
$925.50 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$518.50 |
$518.50 |
$518.50 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$1,076.92 |
$1,076.92 |
$1,076.92 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$708.50 |
$708.50 |
$708.50 |
$442.61
|
|
Destruction vag lesions complex 57065
|
$4,473.00 |
$4,473.00 |
$4,473.00 |
$3,762.53
|
|
Destruction vag lesions simple 57061
|
$4,340.50 |
$4,340.50 |
$4,340.50 |
$3,815.20
|
|
Detect agent nos dna dir
|
$198.00 |
$198.00 |
$198.00 |
$145.80
|
|
Determine refractive state
|
$159.50 |
$159.50 |
$159.50 |
$21.50
|
|
Developmental screen/score/document 96110
|
$50.50 |
$50.50 |
$50.50 |
$143.13
|
|
Devel tst phys/qhp 1st hr
|
$1,217.50 |
$1,217.50 |
$1,217.50 |
$350.40
|
|
Device ablt adv novasure
|
$5,489.15 |
$5,489.15 |
$5,489.15 |
$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
|
$1,211.77 |
$1,211.77 |
$1,211.77 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$1,256.06 |
$1,256.06 |
$1,256.06 |
$2,466.14
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$155.00 |
$155.00 |
$155.00 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$221.50 |
$221.50 |
$221.50 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$11.30 |
$11.30 |
$11.30 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$20.00 |
$20.00 |
$20.00 |
$21.20
|
|
Dexamethasone intra implant
|
$6,181.00 |
$6,181.00 |
$6,181.00 |
$2,356.90
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$702.79 |
$702.79 |
$702.79 |
$884.80
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$120.00 |
$120.00 |
$120.00 |
$46.12
|
|
Dhea-s (dehydroepiand sulfate)
|
$268.50 |
$268.50 |
$268.50 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$86.50 |
$86.50 |
$86.50 |
$79.20
|
|
Diab manage trn ind/group
|
$147.00 |
$147.00 |
$147.00 |
$54.99
|
|
Diag laparo separate proc 49320
|
$8,422.50 |
$8,422.50 |
$8,422.50 |
$6,904.15
|
