|
Cytomegalovirus (cmv) antibody igm
|
$155.00 |
$155.00 |
$155.00 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$337.00 |
$337.00 |
$337.00 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$56.00 |
$56.00 |
$56.00 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$165.00 |
$165.00 |
$165.00 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$171.00 |
$171.00 |
$171.00 |
$135.20
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$51.00 |
$51.00 |
$51.00 |
$67.80
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$214.00 |
$214.00 |
$214.00 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$269.00 |
$269.00 |
$269.00 |
$213.85
|
|
Cytopath smear other source
|
$213.00 |
$213.00 |
$213.00 |
$92.50
|
|
Cytopath tbs c/v manual
|
$33.00 |
$33.00 |
$33.00 |
$59.28
|
|
Cytp urine 3-5 probes cmptr
|
$779.00 |
$779.00 |
$779.00 |
$690.00
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$6,359.00 |
$6,359.00 |
$6,359.00 |
$3,780.50
|
|
Dch pulmonary stress test
|
$1,010.00 |
$1,010.00 |
$1,010.00 |
$963.30
|
|
Dch validity tests
|
$29.00 |
$29.00 |
$29.00 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$37.00 |
$37.00 |
$37.00 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$644.00 |
$644.00 |
$644.00 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$5,678.00 |
$5,678.00 |
$5,678.00 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$704.40
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$3,795.00 |
$3,795.00 |
$3,795.00 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$842.40
|
|
Debride nail1-5 11720
|
$238.00 |
$238.00 |
$238.00 |
$151.05
|
|
Debride nail6 or more 11721
|
$229.00 |
$229.00 |
$229.00 |
$170.88
|
|
Debride skin bone at fx site
|
$8,780.00 |
$8,780.00 |
$8,780.00 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,223.00 |
$1,223.00 |
$1,223.00 |
$668.37
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$1,176.57
|
|
Decalcification
|
$46.00 |
$46.00 |
$46.00 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$626.00 |
$626.00 |
$626.00 |
$573.65
|
|
Delivery of placenta 59414
|
$5,215.00 |
$5,215.00 |
$5,215.00 |
$2,917.60
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$651.00 |
$651.00 |
$651.00 |
$185.17
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$625.00 |
$625.00 |
$625.00 |
$401.60
|
|
Design mlc device for imrt
|
$4,506.00 |
$4,506.00 |
$4,506.00 |
$1,753.00
|
|
Desoxycorticosterone
|
$23.12 |
$23.12 |
$23.12 |
$108.75
|
|
Destroy cervthor facet jnt 64633
|
$6,080.00 |
$6,080.00 |
$6,080.00 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$863.00 |
$863.00 |
$863.00 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$724.00 |
$724.00 |
$724.00 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$6,910.00 |
$6,910.00 |
$6,910.00 |
$3,164.50
|
|
Destroy vulva lesion simple 56501
|
$6,712.00 |
$6,712.00 |
$6,712.00 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$724.00 |
$724.00 |
$724.00 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$167.00 |
$167.00 |
$167.00 |
$78.61
|
|
Destruction anal lesion(s)
|
$2,261.00 |
$2,261.00 |
$2,261.00 |
$3,711.00
|
|
Destruction benign lesions < 14 lesions
|
$705.00 |
$705.00 |
$705.00 |
$248.25
|
|
Destruction by injection tx of nerve 64630
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,533.00 |
$2,533.00 |
$2,533.00 |
$1,673.10
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,375.00 |
$3,375.00 |
$3,375.00 |
$3,296.80
|
|
Destruction premal lesions 15/> 17004
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$451.50
|
|
Destruction vag lesions simple 57061
|
$6,290.00 |
$6,290.00 |
$6,290.00 |
$4,006.38
|
|
Detect agnt mult dna direc
|
$109.00 |
$109.00 |
$109.00 |
$157.25
|
|
Developmental screen/score/document 96110
|
$18.00 |
$18.00 |
$18.00 |
$141.93
|
|
Device intraute mirena
|
$3,284.00 |
$3,284.00 |
$3,284.00 |
$2,143.02
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$456.00 |
$456.00 |
$456.00 |
$227.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$93.00 |
$93.00 |
$93.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$42.00 |
$42.00 |
$42.00 |
$79.20
|
|
Diab manage trn ind/group
|
$118.00 |
$118.00 |
$118.00 |
$54.99
|
|
Diagnostic anoscopy & biopsy
|
$3,643.00 |
$3,643.00 |
$3,643.00 |
$2,288.00
|
|
Diagnostic anoscopy spx 46600
|
$377.00 |
$377.00 |
$377.00 |
$195.50
|
|
Diagnostic laryngoscopy 31505
|
$597.00 |
$597.00 |
$597.00 |
$258.30
|
|
Diagnostic laryngoscopy 31575
|
$542.00 |
$542.00 |
$542.00 |
$338.25
|
|
Diagnostic Mammogram (both breasts)
|
$857.00 |
$857.00 |
$857.00 |
$421.20
|
|
Diagnostic Mammogram (one breast)
|
$645.00 |
$645.00 |
$645.00 |
$314.16
|
|
Diagnostic radio unlisted proc
|
$4,511.00 |
$4,511.00 |
$4,511.00 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$20,469.00 |
$20,469.00 |
$20,469.00 |
$6,185.00
|
|
Dialysis one evaluation
|
$503.00 |
$503.00 |
$503.00 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$6.00 |
$6.00 |
$6.00 |
$114.18
|
|
Diffusing capacity
|
$411.00 |
$411.00 |
$411.00 |
$337.60
|
|
Digoxin total therapeutic drug level
|
$102.00 |
$102.00 |
$102.00 |
$102.07
|
|
Dilate biliary duct/ampulla
|
$5,114.00 |
$5,114.00 |
$5,114.00 |
$1,866.73
|
|
Dilate tear duct opening
|
$1,369.00 |
$1,369.00 |
$1,369.00 |
$454.40
|
|
Dilation of cervical canal 57800
|
$4,376.00 |
$4,376.00 |
$4,376.00 |
$4,446.00
|
|
Disability dlco
|
$527.00 |
$527.00 |
$527.00 |
$294.55
|
|
Disaccharidases
|
$136.57 |
$136.57 |
$136.57 |
$224.58
|
|
Dna antibody native/double stranded
|
$128.00 |
$128.00 |
$128.00 |
$100.00
|
|
Doppler echo complete
|
$350.00 |
$350.00 |
$350.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$2,754.00 |
$2,754.00 |
$2,754.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$744.00 |
$744.00 |
$744.00 |
$481.65
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$2,525.00 |
$2,525.00 |
$2,525.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$2,459.00 |
$2,459.00 |
$2,459.00 |
$973.71
|
|
Drainage external ear complex 69005
|
$2,904.00 |
$2,904.00 |
$2,904.00 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$2,525.00 |
$2,525.00 |
$2,525.00 |
$794.82
|
|
Drainage mouth roof lesion
|
$885.00 |
$885.00 |
$885.00 |
$411.68
|
|
Drainage of arm bursa 23931
|
$4,855.00 |
$4,855.00 |
$4,855.00 |
$2,419.30
|
|
Drainage of eye
|
$7,609.00 |
$7,609.00 |
$7,609.00 |
$2,418.00
|
|
Drainage of eye
|
$7,831.00 |
$7,831.00 |
$7,831.00 |
$3,170.00
|
|
Drainage of kidney lesion
|
$2,525.00 |
$2,525.00 |
$2,525.00 |
$1,546.28
|
|
Drainage of mouth lesion
|
$4,485.00 |
$4,485.00 |
$4,485.00 |
$2,423.85
|
|
Drainage of mouth lesion
|
$10,290.00 |
$10,290.00 |
$10,290.00 |
$3,848.00
|
|
Drainage of mouth lesion
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$905.30
|
|
Drainage of nose lesion int 30000
|
$862.00 |
$862.00 |
$862.00 |
$548.00
|
|
Drain blood from under nail 11740
|
$451.00 |
$451.00 |
$451.00 |
$182.95
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$3,036.00 |
$3,036.00 |
$3,036.00 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$6,337.00 |
$6,337.00 |
$6,337.00 |
$2,967.35
|
|
Drain cerebro spinal fluid 62272
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,045.65
|
|
Drain finger abscess;simple 26010
|
$419.00 |
$419.00 |
$419.00 |
$428.40
|
|
Drain thigh/knee lesion 27301
|
$9,341.00 |
$9,341.00 |
$9,341.00 |
$3,994.09
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$724.00 |
$724.00 |
$724.00 |
$399.60
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$475.00 |
$475.00 |
$475.00 |
$351.45
|
|
Drill hole implt ventricular cath/device 61107
|
$4,356.00 |
$4,356.00 |
$4,356.00 |
$1,515.00
|
|
Drng of eyelid abscess 67700
|
$1,207.00 |
$1,207.00 |
$1,207.00 |
$656.88
|
|
Drng of finger abscess comp 26011
|
$6,309.00 |
$6,309.00 |
$6,309.00 |
$2,080.80
|
|
Drng of hydrocele 55000
|
$2,123.00 |
$2,123.00 |
$2,123.00 |
$867.90
|
