|
D&c after delivery 59160
|
$3,721.00 |
$3,721.00 |
$3,721.00 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,780.50 |
$3,780.50 |
$3,780.50 |
$3,774.81
|
|
Dch glucoscan
|
$11.50 |
$11.50 |
$11.50 |
$29.16
|
|
Dch pulmonary stress test
|
$446.50 |
$446.50 |
$446.50 |
$963.30
|
|
Dch validity tests
|
$18.00 |
$18.00 |
$18.00 |
$24.61
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$4,952.36
|
|
Deamidated gliadin antibody iga
|
$32.50 |
$32.50 |
$32.50 |
$43.35
|
|
Debr g/per/abd wall 11006
|
$1,562.83 |
$1,562.83 |
$1,562.83 |
$1,357.80
|
|
Debridement (>20 cm) charge pt
|
$757.50 |
$757.50 |
$757.50 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,316.00 |
$2,316.00 |
$2,316.00 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,545.50 |
$1,545.50 |
$1,545.50 |
$668.37
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,561.00 |
$1,561.00 |
$1,561.00 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$2,563.50 |
$2,563.50 |
$2,563.50 |
$810.50
|
|
Debride nail1-5 11720
|
$83.50 |
$83.50 |
$83.50 |
$148.80
|
|
Debride nail6 or more 11721
|
$119.00 |
$119.00 |
$119.00 |
$167.63
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$814.00 |
$814.00 |
$814.00 |
$1,152.96
|
|
Debride skin bone at fx site
|
$3,338.50 |
$3,338.50 |
$3,338.50 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$3,546.00 |
$3,546.00 |
$3,546.00 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$295.00 |
$295.00 |
$295.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,872.33 |
$1,872.33 |
$1,872.33 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,188.50 |
$2,188.50 |
$2,188.50 |
$1,160.00
|
|
Decalcification
|
$44.50 |
$44.50 |
$44.50 |
$67.50
|
|
Decitabine 50 mg intravenous solution
|
$72.56 |
$72.56 |
$72.56 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$469.50 |
$469.50 |
$469.50 |
$546.84
|
|
Decompression of tibia nerve
|
$2,021.17 |
$2,021.17 |
$2,021.17 |
$2,625.60
|
|
Decompress spinal cord lmbr
|
$13,065.00 |
$13,065.00 |
$13,065.00 |
$8,446.03
|
|
Deep muscle biopsy 20205
|
$3,339.00 |
$3,339.00 |
$3,339.00 |
$3,370.52
|
|
Deferoxamine 500 mg solution for injection
|
$78.05 |
$78.05 |
$78.05 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,151.09 |
$2,151.09 |
$2,151.09 |
$1,807.08
|
|
Delayed breast prosthesis 19342
|
$5,144.00 |
$5,144.00 |
$5,144.00 |
$10,457.82
|
|
Delay flap eye/nos/ear/lip
|
$4,781.50 |
$4,781.50 |
$4,781.50 |
$2,190.24
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$176.50 |
$176.50 |
$176.50 |
$185.17
|
|
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
|
$171.50 |
$171.50 |
$171.50 |
$399.93
|
|
Dermabrasion suprfl any site
|
$467.50 |
$467.50 |
$467.50 |
$1,144.80
|
|
Dermapure 1 square cm
|
$48.50 |
$48.50 |
$48.50 |
$3,822.00
|
|
Design mlc device for imrt
|
$2,490.00 |
$2,490.00 |
$2,490.00 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$23.10 |
$23.10 |
$23.10 |
$85.60
|
|
Desoxycorticosterone
|
$44.00 |
$44.00 |
$44.00 |
$109.28
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$231.00 |
$231.00 |
$231.00 |
$290.50
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$231.00 |
$231.00 |
$231.00 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$231.00 |
$231.00 |
$231.00 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$231.00 |
$231.00 |
$231.00 |
$275.88
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$231.00 |
$231.00 |
$231.00 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$231.00 |
$231.00 |
$231.00 |
$338.00
|
|
Dest mal lesion tal <0.5 17260
|
$231.00 |
$231.00 |
$231.00 |
$238.40
|
|
Destroy cervthor facet jnt 64633
|
$4,621.00 |
$4,621.00 |
$4,621.00 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$261.50 |
$261.50 |
$261.50 |
$208.80
|
|
Destroy vulva lesion extensive 56515
|
$3,001.00 |
$3,001.00 |
$3,001.00 |
$2,699.50
|
|
Destroy vulva lesion simple 56501
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$4,781.00 |
$4,781.00 |
$4,781.00 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$849.50 |
$849.50 |
$849.50 |
$966.60
|
|
Destruct cut vasl lesions >50cm 17108
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$70.00 |
$70.00 |
$70.00 |
$78.61
|
|
Destruction anal lesion(s)
|
$1,728.67 |
$1,728.67 |
$1,728.67 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$467.50 |
$467.50 |
$467.50 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$3,185.00 |
$3,185.00 |
$3,185.00 |
$240.66
|
|
Destruction by injection tx of nerve 64630
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$1,626.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,911.00 |
$2,911.00 |
$2,911.00 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$6,601.00 |
$6,601.00 |
$6,601.00 |
$3,221.60
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$231.00 |
$231.00 |
$231.00 |
$364.50
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$467.50 |
$467.50 |
$467.50 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$467.50 |
$467.50 |
$467.50 |
$558.97
|
|
Destruction mal lsn t/a/l >4cm
|
$467.50 |
$467.50 |
$467.50 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$467.50 |
$467.50 |
$467.50 |
$332.00
|
|
Destruction premal lesions 15/> 17004
|
$467.50 |
$467.50 |
$467.50 |
$442.61
|
|
Destruction vag lesions simple 57061
|
$3,721.00 |
$3,721.00 |
$3,721.00 |
$4,006.38
|
|
Detect agent nos dna dir
|
$198.00 |
$198.00 |
$198.00 |
$148.50
|
|
Determine refractive state
|
$87.50 |
$87.50 |
$87.50 |
$19.80
|
|
Developmental screen/score/document 96110
|
$111.00 |
$111.00 |
$111.00 |
$141.93
|
|
Device ablt adv novasure
|
$2,483.73 |
$2,483.73 |
$2,483.73 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,012.00 |
$3,012.00 |
$3,012.00 |
$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
|
$4,166.25 |
$4,166.25 |
$4,166.25 |
$2,466.14
|
|
Dexamethasone 4 mg tablet
|
$12.02 |
$12.02 |
$12.02 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$5.37 |
$5.37 |
$5.37 |
$21.26
|
|
Dexamethasone intra implant
|
$441.50 |
$441.50 |
$441.50 |
$2,356.90
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$60.00 |
$60.00 |
$60.00 |
$46.12
|
|
Dhea-s (dehydroepiand sulfate)
|
$135.00 |
$135.00 |
$135.00 |
$111.78
|
|
Diabetes (HbA1c) Test
|
$75.00 |
$75.00 |
$75.00 |
$79.20
|
|
Diab manage trn ind/group
|
$186.00 |
$186.00 |
$186.00 |
$54.99
|
|
Diag laparo separate proc 49320
|
$3,500.50 |
$3,500.50 |
$3,500.50 |
$6,904.15
|
|
Diagnostic anoscopy
|
$513.50 |
$513.50 |
$513.50 |
$391.20
|
|
Diagnostic anoscopy spx 46600
|
$145.00 |
$145.00 |
$145.00 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$374.00 |
$374.00 |
$374.00 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$294.50 |
$294.50 |
$294.50 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$229.50 |
$229.50 |
$229.50 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$298.00 |
$298.00 |
$298.00 |
$327.60
|
|
Diagnostic Mammogram (both breasts)
|
$328.00 |
$328.00 |
$328.00 |
$409.50
|
|
Diagnostic Mammogram (one breast)
|
$263.50 |
$263.50 |
$263.50 |
$310.20
|
|
Dialysis one evaluation
|
$567.00 |
$567.00 |
$567.00 |
$920.00
|
|
Dialysis repeated eval
|
$1,267.50 |
$1,267.50 |
$1,267.50 |
$1,332.80
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$53.31 |
$53.31 |
$53.31 |
$74.17
|
|
Dicyclomine injection
|
$62.01 |
$62.01 |
$62.01 |
$149.15
|
|
Diffusing capacity
|
$176.50 |
$176.50 |
$176.50 |
$335.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$6.37 |
$6.37 |
$6.37 |
$65.91
|
|
Digoxin total therapeutic drug level
|
$94.00 |
$94.00 |
$94.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$97.50 |
$97.50 |
$97.50 |
$297.86
|
