|
Dentoalveolar/drain abs/cyst/hema 41800
|
$800.80 |
$800.80 |
$800.80 |
$399.93
|
|
Depo-estradiol cypionate inj
|
$36.48 |
$36.48 |
$36.48 |
$87.27
|
|
Dermabrasion other than face
|
$3,214.40 |
$3,214.40 |
$3,214.40 |
$3,214.40
|
|
Dermabrasion segmental face 15781
|
$3,214.40 |
$3,214.40 |
$3,214.40 |
$1,290.07
|
|
Dermabrasion suprfl any site
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$1,144.80
|
|
Dermabrasion total face
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$3,425.00
|
|
Derma-fat-fascia graft 15770
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,332.25
|
|
Derma-gide, 1 sq cm
|
$16.80 |
$16.80 |
$16.80 |
$16.80
|
|
Dermapure 1 square cm
|
$4,116.00 |
$4,116.00 |
$4,116.00 |
$3,822.00
|
|
Derm autograft face/nck/hf/g
|
$9,469.60 |
$9,469.60 |
$9,469.60 |
$4,055.70
|
|
Derm autograft trnk/arm/leg
|
$7,705.60 |
$7,705.60 |
$7,705.60 |
$2,984.90
|
|
Descend thora aorta rpr/lt sub art 33880
|
$5,088.00 |
$5,088.00 |
$5,088.00 |
$5,958.60
|
|
Design custom breast implant
|
$8,114.40 |
$8,114.40 |
$8,114.40 |
$4,531.42
|
|
Design mlc device for imrt
|
$793.95 |
$793.95 |
$4,188.80 |
$1,739.10
|
|
Desmopressin 4 mcg/ml injection solution
|
$58.82 |
$58.82 |
$70.80 |
$93.84
|
|
Desoxycorticosterone
|
$4.76 |
$4.76 |
$84.00 |
$98.80
|
|
Des thora aorta rpr without left sub art 33881
|
$3,644.40 |
$3,644.40 |
$3,644.40 |
$4,937.50
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$717.00 |
$717.00 |
$5,314.40 |
$2,906.00
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$1,114.40 |
$1,114.40 |
$1,114.40 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$576.80 |
$576.80 |
$576.80 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$576.80 |
$576.80 |
$576.80 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$470.40 |
$470.40 |
$470.40 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$767.20 |
$767.20 |
$767.20 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$537.60 |
$537.60 |
$537.60 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$638.40 |
$638.40 |
$638.40 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$968.80 |
$968.80 |
$968.80 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$4,424.00 |
$4,424.00 |
$4,424.00 |
$3,018.00
|
|
Destroy cth facet jnt addl 64634
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$4,127.20 |
$4,127.20 |
$4,127.20 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$397.60 |
$397.60 |
$397.60 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$8,736.00 |
$8,736.00 |
$8,736.00 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$7,683.20 |
$7,683.20 |
$7,683.20 |
$3,556.00
|
|
Destruct ben lesion 15/> 17111
|
$744.80 |
$744.80 |
$744.80 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$4,844.00 |
$4,844.00 |
$4,844.00 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$115.92 |
$115.92 |
$115.92 |
$78.61
|
|
Destruction anal lesion(s)
|
$7,621.60 |
$7,621.60 |
$7,621.60 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$7,005.60 |
$7,005.60 |
$7,005.60 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$2,077.60 |
$2,077.60 |
$2,077.60 |
$557.90
|
|
Destruction benign lesions < 14 lesions
|
$358.40 |
$358.40 |
$358.40 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$4,575.20 |
$4,575.20 |
$4,575.20 |
$1,626.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,867.20 |
$2,867.20 |
$2,867.20 |
$1,618.65
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$5,426.40 |
$5,426.40 |
$5,426.40 |
$3,295.50
|
|
Destruction ciliary body
|
$6,535.20 |
$6,535.20 |
$6,535.20 |
$3,173.34
|
|
Destruction ciliary body
|
$6,244.00 |
$6,244.00 |
$6,244.00 |
$3,228.83
|
|
Destruction ciliary body
|
$7,694.40 |
$7,694.40 |
$7,694.40 |
$2,760.73
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$582.40 |
$582.40 |
$582.40 |
$364.50
|
|
Destruction laser surgery anal lesions 46917
|
$4,552.80 |
$4,552.80 |
$4,552.80 |
$3,640.00
|
|
Destruction les conjunctiva
|
$4,810.40 |
$4,810.40 |
$4,810.40 |
$2,760.73
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$358.40 |
$358.40 |
$358.40 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$5,504.80 |
$5,504.80 |
$5,504.80 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$1,052.80 |
$1,052.80 |
$1,052.80 |
$442.61
|
|
Destruction rectal tumor 45190
|
$8,909.60 |
$8,909.60 |
$8,909.60 |
$3,245.23
|
|
Destruction vag lesions complex 57065
|
$8,573.60 |
$8,573.60 |
$8,573.60 |
$3,762.53
|
|
Destruction vag lesions simple 57061
|
$9,312.80 |
$9,312.80 |
$9,312.80 |
$3,815.20
|
|
Destruct penis les/smp/electrodesi 54055
|
$6,725.60 |
$6,725.60 |
$6,725.60 |
$2,837.09
|
|
Detect agent nos dna dir
|
$80.08 |
$80.08 |
$80.08 |
$145.80
|
|
Detect agnt mult dna direc
|
$487.20 |
$487.20 |
$487.20 |
$166.77
|
|
Determination venous press
|
$31.36 |
$31.36 |
$31.36 |
$166.56
|
|
Developmental screen/score/document 96110
|
$397.60 |
$397.60 |
$397.60 |
$143.13
|
|
Devel tst phys/qhp 1st hr
|
$845.60 |
$845.60 |
$845.60 |
$350.40
|
|
Device ablt adv novasure
|
$337.50 |
$337.50 |
$5,285.00 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,250.00 |
$2,250.00 |
$4,200.00 |
$4,200.00
|
|
Device intraute mirena
|
$1,235.28 |
$1,235.28 |
$2,125.00 |
$2,125.00
|
|
Device sut capio slim opn
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$4,788.00 |
$4,788.00 |
$4,788.00 |
$2,466.14
|
|
Dev interrog remote 1/2/mlt
|
$21.15 |
$21.15 |
$21.15 |
$115.20
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$543.20 |
$543.20 |
$543.20 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$276.64 |
$276.64 |
$276.64 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$2.25 |
$2.25 |
$108.23 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$14.18 |
$14.18 |
$17.91 |
$21.20
|
|
Dexamethasone intra implant
|
$2,538.20 |
$2,538.20 |
$2,538.20 |
$2,356.90
|
|
Dexamethasone panel
|
$694.40 |
$694.40 |
$694.40 |
$223.39
|
|
Dexmedetomidine film, 1 mcg
|
$184.58 |
$184.58 |
$184.58 |
$171.39
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$961.16 |
$961.16 |
$961.16 |
$884.80
|
|
Dextran 40 infusion
|
$159.88 |
$159.88 |
$159.88 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$13.83 |
$13.83 |
$21.73 |
$36.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$13.94 |
$13.94 |
$32.93 |
$42.50
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$10.46 |
$10.46 |
$74.56 |
$46.12
|
|
Dextrose 5 % IV bolus
|
$12.92 |
$12.92 |
$12.92 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$61.50 |
$61.50 |
$132.72 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$47.85 |
$47.85 |
$79.52 |
$79.20
|
|
Diabetic custom molded shoe
|
$269.36 |
$269.36 |
$269.36 |
$269.36
|
|
Diab manage trn ind/group
|
$128.24 |
$128.24 |
$128.24 |
$54.99
|
|
Diag bronchoscope/catheter
|
$3,808.00 |
$3,808.00 |
$3,808.00 |
$2,360.15
|
|
Diag laparo separate proc 49320
|
$12,174.40 |
$12,174.40 |
$12,174.40 |
$6,904.15
|
|
Diagnostic anoscopy
|
$250.32 |
$250.32 |
$250.32 |
$392.70
|
|
Diagnostic anoscopy & biopsy
|
$3,483.20 |
$3,483.20 |
$3,483.20 |
$2,288.00
|
|
Diagnostic anoscopy spx 46600
|
$32.10 |
$32.10 |
$806.40 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$509.60 |
$509.60 |
$509.60 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$336.00 |
$336.00 |
$336.00 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$767.20 |
$767.20 |
$767.20 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$212.55 |
$212.55 |
$627.20 |
$334.95
|
