|
Dest mal lesion tal 0.6-1.0cm 17261
|
$351.78 |
$351.78 |
$351.78 |
$262.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$421.08 |
$421.08 |
$421.08 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$455.40 |
$455.40 |
$455.40 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$439.56 |
$439.56 |
$439.56 |
$3,018.00
|
|
Destroy cth facet jnt addl 64634
|
$150.48 |
$150.48 |
$150.48 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$363.00 |
$363.00 |
$363.00 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$161.70 |
$161.70 |
$161.70 |
$203.04
|
|
Destroy vulva lesion extensive 56515
|
$639.54 |
$639.54 |
$639.54 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$448.80 |
$448.80 |
$448.80 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$316.14 |
$316.14 |
$316.14 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$1,058.64 |
$1,058.64 |
$1,058.64 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$813.12 |
$813.12 |
$813.12 |
$666.75
|
|
Destruction 2-14 lesions 17003
|
$15.84 |
$15.84 |
$15.84 |
$78.61
|
|
Destruction anal lesion(s)
|
$311.52 |
$311.52 |
$311.52 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$1,319.34 |
$1,319.34 |
$1,319.34 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$574.20 |
$574.20 |
$574.20 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$271.26 |
$271.26 |
$271.26 |
$239.22
|
|
Destruction by injection tx of nerve 64630
|
$595.32 |
$595.32 |
$595.32 |
$1,626.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$132.00 |
$132.00 |
$132.00 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$660.00 |
$660.00 |
$660.00 |
$3,205.20
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$613.14 |
$613.14 |
$613.14 |
$364.50
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$493.02 |
$493.02 |
$493.02 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$574.86 |
$574.86 |
$574.86 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$488.40 |
$488.40 |
$488.40 |
$472.79
|
|
Destruction mal lsn t/a/l >4cm
|
$554.40 |
$554.40 |
$554.40 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$344.52 |
$344.52 |
$344.52 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$528.66 |
$528.66 |
$528.66 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$394.02 |
$394.02 |
$394.02 |
$442.61
|
|
Destruction rectal tumor 45190
|
$1,599.18 |
$1,599.18 |
$1,599.18 |
$3,245.23
|
|
Destruction vag lesions complex 57065
|
$568.92 |
$568.92 |
$568.92 |
$3,762.53
|
|
Destruction vag lesions simple 57061
|
$391.38 |
$391.38 |
$391.38 |
$3,815.20
|
|
Destruct penis les/smp/electrodesi 54055
|
$227.70 |
$227.70 |
$227.70 |
$2,837.09
|
|
Determine refractive state
|
$43.56 |
$43.56 |
$43.56 |
$19.80
|
|
Developmental screen/score/document 96110
|
$176.88 |
$176.88 |
$176.88 |
$136.64
|
|
Devel tst phys/qhp 1st hr
|
$196.02 |
$196.02 |
$196.02 |
$331.80
|
|
Device ablt adv novasure
|
$6,296.40 |
$6,296.40 |
$6,296.40 |
$6,237.48
|
|
Device intraute mirena
|
$2,143.02 |
$2,143.02 |
$2,143.02 |
$2,125.00
|
|
Dev interrog remote 1/2/mlt
|
$99.00 |
$99.00 |
$99.00 |
$115.20
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$310.86 |
$310.86 |
$310.86 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$11.22 |
$11.22 |
$11.22 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$18.54 |
$18.54 |
$18.54 |
$21.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$49.14 |
$49.14 |
$49.14 |
$37.50
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$49.55 |
$49.55 |
$49.55 |
$45.38
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$37.18 |
$37.18 |
$37.18 |
$47.22
|
|
Dextrose 5 % IV bolus
|
$46.02 |
$46.02 |
$46.02 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$12.95 |
$12.95 |
$12.95 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$109.56 |
$109.56 |
$109.56 |
$79.30
|
|
Diabetes training group per 30 min g0109
|
$32.34 |
$32.34 |
$32.34 |
$35.25
|
|
Diab manage trn ind/group
|
$26.40 |
$26.40 |
$26.40 |
$54.99
|
|
Diag laparo separate proc 49320
|
$739.86 |
$739.86 |
$739.86 |
$6,904.15
|
|
Diagnostic anoscopy
|
$211.86 |
$211.86 |
$211.86 |
$391.20
|
|
Diagnostic anoscopy & biopsy
|
$278.52 |
$278.52 |
$278.52 |
$1,905.00
|
|
Diagnostic anoscopy spx 46600
|
$273.90 |
$273.90 |
$273.90 |
$187.00
|
|
Diagnostic digital breast tomosynthesis bil
|
$178.86 |
$178.86 |
$178.86 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$178.86 |
$178.86 |
$178.86 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$209.22 |
$209.22 |
$209.22 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$300.96 |
$300.96 |
$300.96 |
$321.00
|
|
Diagnostic Mammogram (both breasts)
|
$578.16 |
$578.16 |
$578.16 |
$415.80
|
|
Diagnostic Mammogram (one breast)
|
$451.44 |
$451.44 |
$451.44 |
$311.04
|
|
Diagnostic radio unlisted proc
|
$33.00 |
$33.00 |
$33.00 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$427.68 |
$427.68 |
$427.68 |
$5,770.50
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$68.98 |
$68.98 |
$68.98 |
$75.95
|
|
Diffusing capacity
|
$313.50 |
$313.50 |
$313.50 |
$337.60
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$19.80 |
$19.80 |
$19.80 |
$66.92
|
|
Digoxin total therapeutic drug level
|
$136.62 |
$136.62 |
$136.62 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$79.86 |
$79.86 |
$79.86 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$295.02 |
$295.02 |
$295.02 |
$1,866.73
|
|
Dilate esophagus
|
$196.02 |
$196.02 |
$196.02 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$443.52 |
$443.52 |
$443.52 |
$1,484.17
|
|
Dilate tear duct opening
|
$225.72 |
$225.72 |
$225.72 |
$472.21
|
|
Dilate urethra stricture
|
$204.60 |
$204.60 |
$204.60 |
$496.08
|
|
Dilate urethra stricture
|
$200.64 |
$200.64 |
$200.64 |
$200.80
|
|
Dilate urethra stricture
|
$141.24 |
$141.24 |
$141.24 |
$3,863.60
|
|
Dilate urethra stricture
|
$377.52 |
$377.52 |
$377.52 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$178.20 |
$178.20 |
$178.20 |
$235.61
|
|
Dilation of anal sphincter
|
$392.04 |
$392.04 |
$392.04 |
$1,969.12
|
|
Dilation of cervical canal 57800
|
$179.52 |
$179.52 |
$179.52 |
$4,376.00
|
|
Dilation of rectal stricture 45910
|
$442.86 |
$442.86 |
$442.86 |
$1,645.43
|
|
Dilation of urethra
|
$175.56 |
$175.56 |
$175.56 |
$172.00
|
|
Dilation of vagina
|
$291.06 |
$291.06 |
$291.06 |
$3,786.00
|
|
Dilation salivary duct 42650
|
$174.24 |
$174.24 |
$174.24 |
$2,498.32
|
|
Dilation/urethral strict/male/ini 53620
|
$391.38 |
$391.38 |
$391.38 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$2,097.48 |
$2,097.48 |
$2,097.48 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$338.58 |
$338.58 |
$338.58 |
$4,081.37
|
|
Diltiazem 5 mg/ml intravenous solution
|
$19.80 |
$19.80 |
$19.80 |
$44.96
|
|
Dimethyl sulfoxide 50% 50 ml
|
$927.96 |
$927.96 |
$927.96 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$19.51 |
$19.51 |
$19.51 |
$18.35
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$73.92 |
$73.92 |
$73.92 |
$98.15
|
|
Disability dlco
|
$392.70 |
$392.70 |
$392.70 |
$294.55
|
|
Disaccharidases
|
$11.71 |
$11.71 |
$11.71 |
$224.31
|
|
Discography cerv/thor spine
|
$145.20 |
$145.20 |
$145.20 |
$2,595.00
|
|
Dise eval slp do brth flx dx
|
$220.44 |
$220.44 |
$220.44 |
$1,120.00
|
|
Diverticulectomy/hypophar/esoph 43130
|
$1,792.56 |
$1,792.56 |
$1,792.56 |
$6,465.11
|
|
Division of fallopian tube 58605
|
$764.28 |
$764.28 |
$764.28 |
$832.00
|
|
Dna antibody native/double stranded
|
$20.46 |
$20.46 |
$20.46 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$104.16 |
$104.16 |
$104.16 |
$98.29
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$22.44 |
$22.44 |
$22.44 |
$944.35
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$50.62 |
$50.62 |
$50.62 |
$65.40
|
|
Doppler echo complete
|
$605.22 |
$605.22 |
$605.22 |
$548.00
|
|
Doppler intravascular pressure flow initial vessel
|
$110.22 |
$110.22 |
$110.22 |
$2,777.60
|
