|
Dermabrasion total face
|
$2,188.80 |
$2,188.80 |
$2,188.80 |
$3,425.00
|
|
Derma-fat-fascia graft 15770
|
$1,644.00 |
$1,644.00 |
$1,644.00 |
$4,402.30
|
|
Dermagraft
|
$42.40 |
$42.40 |
$42.40 |
$85.00
|
|
Dermal filler injection(s)
|
$240.80 |
$240.80 |
$240.80 |
$2,024.70
|
|
Derm autograft face/nck/hf/g
|
$2,156.80 |
$2,156.80 |
$2,156.80 |
$4,055.70
|
|
Derm autograft trnk/arm/leg
|
$1,764.80 |
$1,764.80 |
$1,764.80 |
$2,984.90
|
|
Descend thora aorta rpr/lt sub art 33880
|
$4,383.20 |
$4,383.20 |
$4,383.20 |
$6,288.45
|
|
Design custom breast implant
|
$1,401.60 |
$1,401.60 |
$1,401.60 |
$4,531.42
|
|
Design mlc device for imrt
|
$917.60 |
$917.60 |
$917.60 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$17.92 |
$17.92 |
$17.92 |
$91.84
|
|
Desoxycorticosterone
|
$109.28 |
$109.28 |
$109.28 |
$109.28
|
|
Des thora aorta/ea add prox prosth 33884
|
$963.20 |
$963.20 |
$963.20 |
$1,304.05
|
|
Des thora aorta rpr without left sub art 33881
|
$3,761.60 |
$3,761.60 |
$3,761.60 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$2,727.20 |
$2,727.20 |
$2,727.20 |
$3,273.55
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$341.60 |
$341.60 |
$341.60 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$440.00 |
$440.00 |
$440.00 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$505.60 |
$505.60 |
$505.60 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$366.40 |
$366.40 |
$366.40 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$404.00 |
$404.00 |
$404.00 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$461.60 |
$461.60 |
$461.60 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$238.40 |
$238.40 |
$238.40 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$358.40 |
$358.40 |
$358.40 |
$274.80
|
|
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
|
$9,671.33 |
$9,671.33 |
$9,671.33 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$4,838.58 |
$4,838.58 |
$4,838.58 |
$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 |
$1,572.80 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$15.20 |
$15.20 |
$15.20 |
$78.61
|
|
Destruction anal lesion(s)
|
$633.60 |
$633.60 |
$633.60 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$1,316.80 |
$1,316.80 |
$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 |
$272.80 |
$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)
|
$9,675.24 |
$9,675.24 |
$9,675.24 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$9,861.52 |
$9,861.52 |
$9,861.52 |
$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 |
$1,743.20 |
$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
|
$957.12 |
$957.12 |
$957.12 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$7,447.78 |
$7,447.78 |
$7,447.78 |
$4,200.00
|
|
Device intraute mirena
|
$1,544.80 |
$1,544.80 |
$1,544.80 |
$2,125.00
|
|
Dev interrog remote 1/2/mlt
|
$115.20 |
$115.20 |
$115.20 |
$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)
|
$108.69 |
$108.69 |
$108.69 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$0.43 |
$0.43 |
$0.43 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$21.64 |
$21.64 |
$21.64 |
$20.76
|
|
Dexamethasone panel
|
$324.00 |
$324.00 |
$324.00 |
$223.39
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$259.20 |
$259.20 |
$259.20 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$2.80 |
$2.80 |
$2.80 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$48.00 |
$48.00 |
$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
|
$48.00 |
$48.00 |
$48.00 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$56.00 |
$56.00 |
$56.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$33.57 |
$33.57 |
$33.57 |
$79.30
|
|
Diabetes training group per 30 min g0109
|
$36.00 |
$36.00 |
$36.00 |
$35.43
|
|
Diab manage trn ind/group
|
$60.18 |
$60.18 |
$60.18 |
$54.99
|
|
Diab shoe for density insert
|
$178.40 |
$178.40 |
$178.40 |
$147.56
|
|
Diag bronchoscope/catheter
|
$448.00 |
$448.00 |
$448.00 |
$2,360.15
|
|
Diag laparo separate proc 49320
|
$807.20 |
$807.20 |
$807.20 |
$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
|
$252.00 |
$252.00 |
$252.00 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$382.40 |
$382.40 |
$382.40 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$382.40 |
$382.40 |
$382.40 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$212.80 |
$212.80 |
$212.80 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$482.31 |
$482.31 |
$482.31 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$484.25 |
$484.25 |
$484.25 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$401.76 |
$401.76 |
$401.76 |
$314.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$14,977.66 |
$14,977.66 |
$14,977.66 |
$5,741.00
|
|
Dialysis one evaluation
|
$2,120.40 |
$2,120.40 |
$2,120.40 |
$936.00
|
|
Dialysis repeated eval
|
$280.00 |
$280.00 |
$280.00 |
$1,332.80
|
|
Dialysis training complete
|
$789.60 |
$789.60 |
$789.60 |
$783.36
|
