|
Dest mal lesion tal 1.1-2.0cm 17262
|
$435.20 |
$435.20 |
$435.20 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$472.80 |
$472.80 |
$472.80 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$2,070.40 |
$2,070.40 |
$5,544.50 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$923.20 |
$923.20 |
$6,056.70 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$526.40 |
$526.40 |
$526.40 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$160.80 |
$160.80 |
$160.80 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$623.20 |
$623.20 |
$623.20 |
$3,058.98
|
|
Destroy vulva lesion simple 56501
|
$403.20 |
$403.20 |
$403.20 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$321.60 |
$321.60 |
$321.60 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$843.20 |
$843.20 |
$843.20 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$1,572.80 |
$1,572.80 |
$20,778.75 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$15.20 |
$15.20 |
$15.20 |
$78.61
|
|
Destruction anal lesion(s)
|
$633.60 |
$633.60 |
$4,427.80 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$661.00 |
$661.00 |
$1,316.80 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$581.60 |
$581.60 |
$581.60 |
$557.90
|
|
Destruction benign lesions < 14 lesions
|
$272.80 |
$272.80 |
$13,781.80 |
$240.24
|
|
Destruction by injection tx of nerve 64630
|
$600.00 |
$600.00 |
$600.00 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$849.60 |
$849.60 |
$27,136.69 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,048.00 |
$2,048.00 |
$26,986.06 |
$3,296.80
|
|
Destruction ciliary body
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$3,173.34
|
|
Destruction ciliary body
|
$2,283.20 |
$2,283.20 |
$2,283.20 |
$3,228.83
|
|
Destruction ciliary body
|
$2,177.60 |
$2,177.60 |
$2,177.60 |
$2,760.73
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$605.60 |
$605.60 |
$605.60 |
$375.87
|
|
Destruction laser surgery anal lesions 46917
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$3,640.00
|
|
Destruction les conjunctiva
|
$782.40 |
$782.40 |
$782.40 |
$2,760.73
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$513.60 |
$513.60 |
$513.60 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$605.60 |
$605.60 |
$605.60 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$507.20 |
$507.20 |
$507.20 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$578.40 |
$578.40 |
$578.40 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$332.00 |
$332.00 |
$332.00 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$544.80 |
$544.80 |
$544.80 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$388.80 |
$388.80 |
$388.80 |
$442.61
|
|
Destruction rectal tumor 45190
|
$1,743.20 |
$1,743.20 |
$2,556.00 |
$3,245.23
|
|
Destruction vag lesions complex 57065
|
$547.20 |
$547.20 |
$547.20 |
$3,986.00
|
|
Destruction vag lesions simple 57061
|
$347.20 |
$347.20 |
$347.20 |
$4,006.38
|
|
Destruct penis les/smp/electrodesi 54055
|
$311.20 |
$311.20 |
$311.20 |
$2,837.09
|
|
Detect agent nos dna dir
|
$67.15 |
$67.15 |
$67.15 |
$138.00
|
|
Detect agnt mult dna direc
|
$109.60 |
$109.60 |
$109.60 |
$166.77
|
|
Determination venous press
|
$18.40 |
$18.40 |
$18.40 |
$166.56
|
|
Developmental screen/score/document 96110
|
$56.80 |
$56.80 |
$56.80 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$307.20 |
$307.20 |
$307.20 |
$350.40
|
|
Device ablt adv novasure
|
$6,237.48 |
$6,237.48 |
$20,652.62 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,599.67 |
$2,599.67 |
$2,599.67 |
$4,200.00
|
|
Device intraute mirena
|
$3,819.33 |
$3,819.33 |
$6,362.20 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,534.26 |
$1,534.26 |
$1,534.26 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$3,961.70 |
$3,961.70 |
$3,961.70 |
$2,515.00
|
|
Dev interrog remote 1/2/mlt
|
$115.20 |
$115.20 |
$157.00 |
$115.20
|
|
Devise bowel pouch
|
$3,464.00 |
$3,464.00 |
$3,464.00 |
$3,464.00
|
|
Devlopment test interpt&rep
|
$49.60 |
$49.60 |
$49.60 |
$109.46
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$137.60 |
$137.60 |
$137.60 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$305.54 |
$305.54 |
$654.00 |
$227.25
|
|
Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr
|
$21.00 |
$21.00 |
$21.00 |
$21.00
|
|
Dexamethasone 4 mg tablet
|
$6.23 |
$6.23 |
$130,837.85 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$20.76 |
$20.76 |
$23,929.11 |
$20.76
|
|
Dexamethasone panel
|
$324.00 |
$324.00 |
$324.00 |
$223.39
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$556.88 |
$556.88 |
$884.80 |
$884.80
|
|
Dextran 40 infusion
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$20.00 |
$20.00 |
$48.00 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$20.00 |
$20.00 |
$48.00 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$5.60 |
$5.60 |
$5.60 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$30.00 |
$30.00 |
$48.00 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$56.00 |
$56.00 |
$175.50 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$33.57 |
$33.57 |
$317.00 |
$79.30
|
|
Diabetes training group per 30 min g0109
|
$36.00 |
$36.00 |
$49.00 |
$35.43
|
|
Diab manage trn ind/group
|
$35.20 |
$35.20 |
$35.20 |
$54.99
|
|
Diab shoe for density insert
|
$178.40 |
$178.40 |
$178.40 |
$147.56
|
|
Diag bronchoscope/catheter
|
$1,889.16 |
$1,889.16 |
$1,889.16 |
$2,360.15
|
|
Diag laparo separate proc 49320
|
$807.20 |
$807.20 |
$35,313.39 |
$7,104.72
|
|
Diagnostic anoscopy
|
$355.20 |
$355.20 |
$355.20 |
$392.70
|
|
Diagnostic anoscopy & biopsy
|
$496.80 |
$496.80 |
$496.80 |
$2,288.00
|
|
Diagnostic anoscopy spx 46600
|
$271.68 |
$271.68 |
$580.00 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$382.40 |
$382.40 |
$382.40 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$382.40 |
$382.40 |
$2,302.00 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$509.85 |
$509.85 |
$509.85 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$628.55 |
$628.55 |
$908.96 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$413.31 |
$413.31 |
$437.45 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$334.03 |
$334.03 |
$354.90 |
$314.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$13,562.93 |
$13,562.93 |
$13,562.93 |
$5,741.00
|
|
Dialysis one evaluation
|
$1,124.50 |
$1,124.50 |
$1,646.24 |
$936.00
|
|
Dialysis repeated eval
|
$280.00 |
$280.00 |
$3,749.20 |
$1,332.80
|
|
Dialysis training complete
|
$789.60 |
$789.60 |
$789.60 |
$783.36
|
|
Dialysis training incompl
|
$172.00 |
$172.00 |
$172.00 |
$391.67
|
|
Diathermy eg microwave
|
$13.60 |
$13.60 |
$13.60 |
$29.68
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.11 |
$0.11 |
$103.50 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$92.06 |
$92.06 |
$111.85 |
$79.71
|
|
Dicyclomine injection
|
$198.04 |
$198.04 |
$198.04 |
$154.33
|
|
Diffusing capacity
|
$276.25 |
$276.25 |
$510.27 |
$336.80
|
|
Digital analysis of eeg
|
$605.60 |
$605.60 |
$605.60 |
$593.40
|
|
Digit nerve surgery add-on
|
$450.40 |
$450.40 |
$450.40 |
$1,832.59
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$137.60 |
$137.60 |
$503.10 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$8,028.40 |
$8,028.40 |
$13,725.30 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$66.43 |
$66.43 |
$195.65 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$219.51 |
$219.51 |
$358.75 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$3,833.70 |
$3,833.70 |
$4,826.09 |
$1,866.73
|
|
Dilate esophagus
|
$2,142.40 |
$2,142.40 |
$2,142.40 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$1,339.19 |
$1,339.19 |
$1,339.19 |
$1,548.00
|
|
Dilate tear duct opening
|
$454.40 |
$454.40 |
$454.40 |
$454.40
|
|
Dilate urethra stricture
|
$530.08 |
$530.08 |
$530.08 |
$513.00
|
|
Dilate urethra stricture
|
$200.80 |
$200.80 |
$200.80 |
$200.80
|
