|
Decompress forearm 2 spaces
|
$5,136.00 |
$5,136.00 |
$5,136.00 |
|
|
Decompression fasct forearm
|
$5,772.00 |
$5,772.00 |
$5,772.00 |
|
|
Decompression of leg
|
$4,321.60 |
$4,321.60 |
$4,321.60 |
|
|
Decompression of leg
|
$6,712.80 |
$6,712.80 |
$6,712.80 |
|
|
Decompression of lower leg
|
$3,131.20 |
$3,131.20 |
$3,131.20 |
|
|
Decompression of thigh/knee
|
$4,041.60 |
$4,041.60 |
$4,041.60 |
|
|
Decompression of thigh/knee
|
$4,307.20 |
$4,307.20 |
$4,307.20 |
|
|
Decompression of thigh/knee
|
$4,845.60 |
$4,845.60 |
$4,845.60 |
|
|
Decompression of thigh/knee
|
$5,178.40 |
$5,178.40 |
$5,178.40 |
|
|
Decompression of tibia nerve
|
$346.09 |
$346.09 |
$3,784.80 |
|
|
Decompres spinal cord;thoracic 63055
|
$9,949.60 |
$9,949.60 |
$9,949.60 |
|
|
Decompress spinal cord lmbr
|
$9,949.60 |
$9,949.60 |
$9,949.60 |
|
|
Decompress spinal cord thrc
|
$9,948.80 |
$9,948.80 |
$9,948.80 |
|
|
Decompress spine cord add-on
|
$1,990.40 |
$1,990.40 |
$1,990.40 |
|
|
Decomp spinal cord/transped/ad seg 63057
|
$1,991.20 |
$1,991.20 |
$1,991.20 |
|
|
Deep muscle biopsy 20205
|
$2,406.40 |
$2,406.40 |
$2,406.40 |
|
|
Deferoxamine 500 mg solution for injection
|
$26.54 |
$51.38 |
$387.16 |
|
|
Degarelix 120 mg subcutaneous solution
|
$6.14 |
$11.20 |
$12.80 |
|
|
Delayed breast prosthesis 19342
|
$10,824.80 |
$10,824.80 |
$10,824.80 |
|
|
Delay flap eye/nos/ear/lip
|
$2,781.60 |
$2,781.60 |
$2,781.60 |
|
|
Delay flap fccnaxghf 15620
|
$2,781.60 |
$2,781.60 |
$2,781.60 |
|
|
Delivery of placenta 59414
|
$438.60 |
$635.00 |
$4,598.19 |
|
|
Delivery only failed vbac 59620
|
$3,413.60 |
$3,413.60 |
$3,413.60 |
|
|
Delivery only/pp care/failed vbac 59622
|
$4,600.80 |
$4,600.80 |
$4,600.80 |
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$748.44 |
$3,975.00 |
$11,476.65 |
|
|
Demonstrate use home inr mon
|
$311.20 |
$311.20 |
$340.79 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$70.00 |
$111.30 |
$305.14 |
|
|
Denervation of hip joint
|
$7,387.20 |
$7,387.20 |
$7,387.20 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$39.78 |
$60.65 |
$6,758.73 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$118.80 |
$305.52 |
$885.37 |
|
|
Depo-estradiol cypionate inj
|
$27.56 |
$27.56 |
$33.06 |
|
|
Dermabrasion other than face
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
|
|
Dermabrasion segmental face 15781
|
$524.70 |
$524.70 |
$868.80 |
|
|
Dermabrasion suprfl any site
|
$743.20 |
$743.20 |
$743.20 |
|
|
Dermabrasion total face
|
$904.71 |
$904.71 |
$2,454.40 |
|
|
Dermagraft
|
$64.68 |
$85.00 |
$1,557.14 |
|
|
Descend thora aorta rpr/lt sub art 33880
|
$4,539.98 |
$8,278.05 |
$30,814.20 |
|
|
Description not available
|
$93.36 |
$93.36 |
$225.37 |
|
|
Design custom breast implant
|
$5,616.00 |
$5,616.00 |
$5,616.00 |
|
|
Design mlc device for imrt
|
$757.90 |
$1,785.00 |
$2,532.20 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$18.27 |
$26.36 |
$487.68 |
|
|
Desoxycorticosterone
|
$66.78 |
$184.14 |
$184.14 |
|
|
Des thora aorta/ea add prox prosth 33884
|
$1,258.95 |
$1,285.78 |
$2,769.36 |
|
|
Des thora aorta rpr without left sub art 33881
|
$3,960.00 |
$7,202.25 |
$31,412.57 |
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$2,469.72 |
$2,571.56 |
$3,586.00 |
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$268.00 |
$268.00 |
$334.02 |
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$411.54 |
$411.54 |
$431.20 |
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$452.80 |
$452.80 |
$488.49 |
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$107.06 |
$107.06 |
$324.80 |
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$114.48 |
$316.00 |
$389.88 |
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$126.14 |
$311.20 |
$445.17 |
|
|
Dest mal lesion tal <0.5 17260
|
$234.40 |
$234.40 |
$234.40 |
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$269.60 |
$473.55 |
$473.55 |
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$297.60 |
$297.60 |
$413.82 |
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$313.60 |
$313.60 |
$454.29 |
|
|
Destroy cervthor facet jnt 64633
|
$515.16 |
$2,378.75 |
$7,196.02 |
|
|
Destroy cth facet jnt addl 64634
|
$326.48 |
$1,014.60 |
$4,792.40 |
|
|
Destroy premlg lesns;1st lesn 17000
|
$54.06 |
$193.23 |
$614.50 |
|
|
Destroy vulva lesion extensive 56515
|
$714.21 |
$714.21 |
$2,368.00 |
|
|
Destroy vulva lesion simple 56501
|
$356.00 |
$356.00 |
$356.00 |
|
|
Destruct ben lesion 15/> 17111
|
$100.70 |
$232.80 |
$312.36 |
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$748.80 |
$748.80 |
$748.80 |
|
|
Destruct cut vasl lesions <10cm 17106
|
$658.40 |
$658.40 |
$658.40 |
|
|
Destruct cut vasl lesions >50cm 17108
|
$1,888.80 |
$1,888.80 |
$1,888.80 |
|
|
Destruction 2-14 lesions 17003
|
$21.20 |
$25.74 |
$209.00 |
|
|
Destruction anal lesion(s)
|
$270.30 |
$270.30 |
$720.80 |
|
|
Destruction anal lesion(s)
|
$856.48 |
$856.48 |
$2,733.60 |
|
|
Destruction anal lesion(s) smpl chem 46900
|
$228.43 |
$228.43 |
$444.00 |
|
|
Destruction benign lesions < 14 lesions
|
$90.63 |
$229.68 |
$512.91 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$298.92 |
$1,318.98 |
$6,119.97 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$507.21 |
$3,148.11 |
$8,968.95 |
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$227.90 |
$227.90 |
$331.20 |
|
|
Destruction laser surgery anal lesions 46917
|
$835.28 |
$835.28 |
$835.28 |
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$137.80 |
$453.60 |
$494.19 |
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$148.40 |
$148.40 |
$569.60 |
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$146.28 |
$146.28 |
$341.60 |
|
|
Destruction mal lsn t/a/l >4cm
|
$156.88 |
$506.16 |
$555.20 |
|
|
Destruction penis lesion(s) chem 54050
|
$315.20 |
$315.20 |
$315.20 |
|
|
Destruction penis lesion(s) exten 54065
|
$200.34 |
$200.34 |
$2,335.20 |
|
|
Destruction premal lesions 15/> 17004
|
$86.92 |
$413.25 |
$438.40 |
|
|
Destruction vag lesions simple 57061
|
$1,997.60 |
$1,997.60 |
$1,997.60 |
|
|
Destruct penis les/smp/electrodesi 54055
|
$387.60 |
$387.60 |
$2,235.20 |
|
|
Detect agent nos dna dir
|
$65.72 |
$65.72 |
$65.72 |
|
|
Detect agnt mult dna direc
|
$102.82 |
$316.25 |
$1,213.70 |
|
|
Developmental screen/score/document 96110
|
$18.55 |
$87.50 |
$244.75 |
|
|
Devel tst phys/qhp 1st hr
|
$168.54 |
$400.00 |
$495.20 |
|
|
Device ablt adv novasure
|
$609.45 |
$3,649.27 |
$8,621.20 |
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$1,923.19 |
$3,432.00 |
$6,080.00 |
|
|
Device intraute mirena
|
$898.89 |
$1,999.72 |
$4,222.92 |
|
|
Device sut capio slim opn
|
$719.28 |
$719.28 |
$976.62 |
|
|
Device tiss remov myosure reach
|
$741.28 |
$1,324.53 |
$2,566.03 |
|
|
Dev interrog remote 1/2/mlt
|
$52.80 |
$52.80 |
$546.94 |
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$71.55 |
$200.00 |
$232.80 |
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$58.71 |
$270.00 |
$544.50 |
|
|
Dexametha opth insert 0.1 mg
|
$239.02 |
$239.02 |
$362.70 |
|
|
Dexamethasone 4 mg tablet
|
$0.04 |
$2.64 |
$7.08 |
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$1.25 |
$5.26 |
$30.22 |
|
|
Dexamethasone panel
|
$173.31 |
$173.31 |
$173.31 |
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$229.49 |
$390.89 |
$858.00 |
|
|
Dextran 40 infusion
|
$61.80 |
$65.30 |
$69.96 |
|
