|
Delivery of placenta 59414
|
$5,215.00 |
$5,215.00 |
$5,215.00 |
$2,912.46
|
|
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 |
$109.28
|
|
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 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 benign lesions < 14 lesions
|
$724.00 |
$724.00 |
$724.00 |
$240.24
|
|
Destruction by injection tx of nerve 64630
|
$1,900.86 |
$1,900.86 |
$1,900.86 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,533.00 |
$2,533.00 |
$2,533.00 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,375.00 |
$3,375.00 |
$3,375.00 |
$3,296.80
|
|
Destruction les conjunctiva
|
$8,150.00 |
$8,150.00 |
$8,150.00 |
$2,760.73
|
|
Destruction vag lesions simple 57061
|
$6,290.00 |
$6,290.00 |
$6,290.00 |
$4,006.38
|
|
Developmental screen/score/document 96110
|
$19.00 |
$19.00 |
$19.00 |
$142.38
|
|
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 |
$79.30
|
|
Diab manage trn ind/group
|
$118.00 |
$118.00 |
$118.00 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$377.00 |
$377.00 |
$377.00 |
$195.50
|
|
Diagnostic laryngoscopy 31575
|
$542.00 |
$542.00 |
$542.00 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$857.00 |
$857.00 |
$857.00 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$645.00 |
$645.00 |
$645.00 |
$314.00
|
|
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 |
$5,741.00
|
|
Dialysis one evaluation
|
$471.00 |
$471.00 |
$471.00 |
$936.00
|
|
Diffusing capacity
|
$411.00 |
$411.00 |
$411.00 |
$336.80
|
|
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
|
$1,368.82 |
$1,368.82 |
$1,368.82 |
$454.40
|
|
Dilate urethra stricture
|
$733.00 |
$733.00 |
$733.00 |
$513.00
|
|
Dilation/female urethra/initial 53660
|
$375.00 |
$375.00 |
$375.00 |
$235.61
|
|
Dilation of cervical canal 57800
|
$4,376.00 |
$4,376.00 |
$4,376.00 |
$4,446.00
|
|
Dilation of salivary duct
|
$1,744.00 |
$1,744.00 |
$1,744.00 |
$790.00
|
|
Disability dlco
|
$527.00 |
$527.00 |
$527.00 |
$293.76
|
|
Disaccharidases
|
$136.57 |
$136.57 |
$136.57 |
$230.40
|
|
Dna antibody native/double stranded
|
$128.00 |
$128.00 |
$128.00 |
$100.00
|
|
Dna gardnerella
|
$43.00 |
$43.00 |
$43.00 |
$61.83
|
|
Dna trichomonas
|
$43.00 |
$43.00 |
$43.00 |
$63.00
|
|
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 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 |
$790.40
|
|
Drainage mouth roof lesion
|
$885.00 |
$885.00 |
$885.00 |
$405.60
|
|
Drainage of arm bursa 23931
|
$4,855.00 |
$4,855.00 |
$4,855.00 |
$2,271.01
|
|
Drainage of eye
|
$7,609.00 |
$7,609.00 |
$7,609.00 |
$2,415.65
|
|
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 |
$1,506.00
|
|
Drainage of mouth lesion
|
$10,191.00 |
$10,191.00 |
$10,191.00 |
$3,837.72
|
|
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 bladder by trocar/cath
|
$3,314.00 |
$3,314.00 |
$3,314.00 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$451.00 |
$451.00 |
$451.00 |
$182.40
|
|
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 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$419.00 |
$419.00 |
$419.00 |
$428.40
|
|
Drain thigh/knee lesion 27301
|
$9,592.00 |
$9,592.00 |
$9,592.00 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$724.00 |
$724.00 |
$724.00 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$475.00 |
$475.00 |
$475.00 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$833.00 |
$833.00 |
$833.00 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$937.00 |
$937.00 |
$937.00 |
$755.08
|
|
Drill hole implt ventricular cath/device 61107
|
$4,356.00 |
$4,356.00 |
$4,356.00 |
$1,485.75
|
|
Drng of eyelid abscess 67700
|
$1,207.00 |
$1,207.00 |
$1,207.00 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$6,478.00 |
$6,478.00 |
$6,478.00 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$2,123.00 |
$2,123.00 |
$2,123.00 |
$867.90
|
|
Drng of scrotum abscess 55100
|
$4,095.00 |
$4,095.00 |
$4,095.00 |
$1,997.89
|
|
Drug admin & hemodynmic meas
|
$951.00 |
$951.00 |
$951.00 |
$569.75
|
|
Drug assay caffeine
|
$127.00 |
$127.00 |
$127.00 |
$80.00
|
|
Drug assay posaconazole
|
$97.00 |
$97.00 |
$97.00 |
$96.75
|
|
Drug assay rufinamide
|
$72.30 |
$72.30 |
$72.30 |
$87.10
|
|
Drug assay voriconazole
|
$82.00 |
$82.00 |
$82.00 |
$96.75
|
|
Drug of abuse screen urine
|
$39.00 |
$39.00 |
$39.00 |
$67.89
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$70.00 |
$70.00 |
$70.00 |
$278.85
|
|
Drvvt confirm - quest
|
$37.00 |
$37.00 |
$37.00 |
$109.20
|
|
Dry needling (97799)
|
$138.00 |
$138.00 |
$138.00 |
$114.27
|
|
Dstrj nulyt agt gnclr nrv
|
$7,434.00 |
$7,434.00 |
$7,434.00 |
$2,980.00
|
|
Ductogram sgl duct
|
$855.00 |
$855.00 |
$855.00 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$462.00 |
$462.00 |
$462.00 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$223.00 |
$223.00 |
$223.00 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$843.00 |
$843.00 |
$843.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,058.00 |
$1,058.00 |
$1,058.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$904.78
|
|
Dxa bone density axl vrt fx
|
$326.00 |
$326.00 |
$326.00 |
$401.20
|
|
Dx bronchoscope/lavage 31624
|
$3,610.00 |
$3,610.00 |
$3,610.00 |
$2,446.60
|
|
Ear irrigation 69209
|
$308.62 |
$308.62 |
$308.62 |
$154.70
|
|
Ecg external < 48 hours recording
|
$690.00 |
$690.00 |
$690.00 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$779.00 |
$779.00 |
$779.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$123.00 |
$123.00 |
$123.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$200.00 |
$200.00 |
$200.00 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,260.00 |
$2,260.00 |
$2,260.00 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$668.00 |
$668.00 |
$668.00 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,591.00 |
$2,591.00 |
$2,591.00 |
$1,944.80
|
