|
Debrid mastoidectomy cavity simple 69220
|
$887.00 |
$887.00 |
$887.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$983.00 |
$983.00 |
$983.00 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$10,409.34 |
$10,409.34 |
$10,409.34 |
$1,160.00
|
|
Decalcification
|
$76.50 |
$76.50 |
$76.50 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$3,314.64 |
$3,314.64 |
$3,314.64 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$565.25
|
|
Decomp forearm 1 space 25020
|
$5,285.50 |
$5,285.50 |
$5,285.50 |
$3,137.60
|
|
Decompression of tibia nerve
|
$3,955.63 |
$3,955.63 |
$3,955.63 |
$2,625.60
|
|
Deep muscle biopsy 20205
|
$5,791.50 |
$5,791.50 |
$5,791.50 |
$3,339.00
|
|
Deferoxamine 500 mg solution for injection
|
$46.13 |
$46.13 |
$46.13 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,151.09 |
$2,151.09 |
$2,151.09 |
$1,807.08
|
|
Delayed breast prosthesis 19342
|
$15,688.34 |
$15,688.34 |
$15,688.34 |
$10,457.82
|
|
Delay flap eye/nos/ear/lip
|
$2,404.50 |
$2,404.50 |
$2,404.50 |
$2,190.24
|
|
Delay flap fccnaxghf 15620
|
$12,523.00 |
$12,523.00 |
$12,523.00 |
$2,164.64
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$2,843.50 |
$2,843.50 |
$2,843.50 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$428.50 |
$428.50 |
$428.50 |
$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
|
$157.50 |
$157.50 |
$157.50 |
$401.60
|
|
Dermabrasion segmental face 15781
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$1,290.07
|
|
Dermabrasion suprfl any site
|
$965.00 |
$965.00 |
$965.00 |
$1,144.80
|
|
Dermapure 1 square cm
|
$47.00 |
$47.00 |
$47.00 |
$3,822.00
|
|
Descend thora aorta rpr/lt sub art 33880
|
$7,774.50 |
$7,774.50 |
$7,774.50 |
$6,288.45
|
|
Design mlc device for imrt
|
$3,097.50 |
$3,097.50 |
$3,097.50 |
$1,712.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$404.23 |
$404.23 |
$404.23 |
$91.56
|
|
Des thora aorta rpr without left sub art 33881
|
$6,664.50 |
$6,664.50 |
$6,664.50 |
$5,698.68
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$3,140.92 |
$3,140.92 |
$3,140.92 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$355.00 |
$355.00 |
$355.00 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$410.00 |
$410.00 |
$410.00 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$299.50 |
$299.50 |
$299.50 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$326.00 |
$326.00 |
$326.00 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$371.50 |
$371.50 |
$371.50 |
$317.00
|
|
Dest mal lesion tal <0.5 17260
|
$229.00 |
$229.00 |
$229.00 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$418.00 |
$418.00 |
$418.00 |
$262.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$347.50 |
$347.50 |
$347.50 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$380.50 |
$380.50 |
$380.50 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$5,988.00 |
$5,988.00 |
$5,988.00 |
$3,122.45
|
|
Destroy cth facet jnt addl 64634
|
$3,613.00 |
$3,613.00 |
$3,613.00 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$3,903.50 |
$3,903.50 |
$3,903.50 |
$203.04
|
|
Destroy vulva lesion extensive 56515
|
$6,783.00 |
$6,783.00 |
$6,783.00 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$3,801.00 |
$3,801.00 |
$3,801.00 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$16,208.00 |
$16,208.00 |
$16,208.00 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$874.00 |
$874.00 |
$874.00 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$690.50 |
$690.50 |
$690.50 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$2,404.50 |
$2,404.50 |
$2,404.50 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$3,903.50 |
$3,903.50 |
$3,903.50 |
$78.61
|
|
Destruction anal lesion(s)
|
$7,524.00 |
$7,524.00 |
$7,524.00 |
$3,363.79
|
|
Destruction benign lesions < 14 lesions
|
$2,704.17 |
$2,704.17 |
$2,704.17 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$3,613.00 |
$3,613.00 |
$3,613.00 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$11,656.00 |
$11,656.00 |
$11,656.00 |
$3,296.80
|
|
Destruction les conjunctiva
|
$882.75 |
$882.75 |
$882.75 |
$2,760.73
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$466.50 |
$466.50 |
$466.50 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$493.00 |
$493.00 |
$493.00 |
$558.97
|
|
Destruction mal lsn t/a/l >4cm
|
$466.50 |
$466.50 |
$466.50 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$744.50 |
$744.50 |
$744.50 |
$332.00
|
|
Destruction premal lesions 15/> 17004
|
$466.50 |
$466.50 |
$466.50 |
$442.61
|
|
Destruction vag lesions simple 57061
|
$8,621.00 |
$8,621.00 |
$8,621.00 |
$3,815.20
|
|
Destruct penis les/smp/electrodesi 54055
|
$4,093.00 |
$4,093.00 |
$4,093.00 |
$2,837.09
|
|
Detect agent nos dna dir
|
$198.00 |
$198.00 |
$198.00 |
$150.60
|
|
Determine refractive state
|
$25.50 |
$25.50 |
$25.50 |
$19.80
|
|
Developmental screen/score/document 96110
|
$14.50 |
$14.50 |
$14.50 |
$136.64
|
|
Device ablt adv novasure
|
$3,235.00 |
$3,235.00 |
$3,235.00 |
$6,148.80
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$396.21 |
$396.21 |
$396.21 |
$4,265.58
|
|
Device intraute mirena
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$2,125.00
|
|
Device tiss remov myosure reach
|
$1,815.88 |
$1,815.88 |
$1,815.88 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$141.50 |
$141.50 |
$141.50 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$6.62 |
$6.62 |
$6.62 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$5.00 |
$5.00 |
$5.00 |
$20.52
|
|
Dexamethasone intra implant
|
$441.50 |
$441.50 |
$441.50 |
$2,538.20
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$60.00 |
$60.00 |
$60.00 |
$47.66
|
|
Dhea-s (dehydroepiand sulfate)
|
$139.00 |
$139.00 |
$139.00 |
$113.40
|
|
Diabetes (HbA1c) Test
|
$26.50 |
$26.50 |
$26.50 |
$79.52
|
|
Diab manage trn ind/group
|
$63.50 |
$63.50 |
$63.50 |
$57.75
|
|
Diag laparo separate proc 49320
|
$9,140.50 |
$9,140.50 |
$9,140.50 |
$6,904.15
|
|
Diagnostic anoscopy spx 46600
|
$3,503.50 |
$3,503.50 |
$3,503.50 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$570.50 |
$570.50 |
$570.50 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$570.50 |
$570.50 |
$570.50 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$242.50 |
$242.50 |
$242.50 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$251.50 |
$251.50 |
$251.50 |
$319.80
|
|
Diagnostic Mammogram (both breasts)
|
$348.50 |
$348.50 |
$348.50 |
$407.04
|
|
Diagnostic Mammogram (one breast)
|
$276.00 |
$276.00 |
$276.00 |
$310.20
|
|
Dialysis circuit perm vascular embolization 36909
|
$2,806.00 |
$2,806.00 |
$2,806.00 |
$5,663.50
|
|
Dialysis one evaluation
|
$582.50 |
$582.50 |
$582.50 |
$936.00
|
|
Dialysis repeated eval
|
$1,363.00 |
$1,363.00 |
$1,363.00 |
$1,267.50
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$53.31 |
$53.31 |
$53.31 |
$76.76
|
|
Dicyclomine injection
|
$173.76 |
$173.76 |
$173.76 |
$153.53
|
|
Diffusing capacity
|
$424.00 |
$424.00 |
$424.00 |
$337.60
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$6.36 |
$6.36 |
$6.36 |
$69.03
|
|
Digoxin total therapeutic drug level
|
$85.00 |
$85.00 |
$85.00 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$97.50 |
$97.50 |
$97.50 |
$304.16
|
|
Dilate esophagus 1/mult pass
|
$2,095.50 |
$2,095.50 |
$2,095.50 |
$1,484.17
|
|
Dilate tear duct opening
|
$1,695.75 |
$1,695.75 |
$1,695.75 |
$472.21
|
|
Dilate urethra stricture
|
$490.00 |
$490.00 |
$490.00 |
$496.00
|
|
Dilate urethra stricture
|
$224.50 |
$224.50 |
$224.50 |
$200.80
|
|
Dilate urethra stricture
|
$288.50 |
$288.50 |
$288.50 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$291.50 |
$291.50 |
$291.50 |
$235.61
|
|
Dilation of cervical canal 57800
|
$5,526.50 |
$5,526.50 |
$5,526.50 |
$4,376.00
|
|
Dilation of urethra
|
$224.50 |
$224.50 |
$224.50 |
$172.00
|
|
Dilation/urethral strict/male/ini 53620
|
$798.00 |
$798.00 |
$798.00 |
$1,372.80
|
|
Dilat xst trc ndurlgc px
|
$6,237.17 |
$6,237.17 |
$6,237.17 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$4,706.83 |
$4,706.83 |
$4,706.83 |
$4,258.20
|
