|
D&c/diagnostic/therapeutic/non ob 58120
|
$2,528.35 |
$2,528.35 |
$2,528.35 |
$3,774.81
|
|
Dch pulmonary stress test
|
$905.30 |
$905.30 |
$905.30 |
$966.00
|
|
Dch validity tests
|
$18.70 |
$18.70 |
$18.70 |
$25.20
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$5,746.40 |
$5,746.40 |
$5,746.40 |
$4,021.68
|
|
Deamidated gliadin antibody iga
|
$94.05 |
$94.05 |
$94.05 |
$44.00
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$826.10 |
$826.10 |
$826.10 |
$684.48
|
|
Debridement (>20 cm) charge pt
|
$482.90 |
$482.90 |
$482.90 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$3,949.55 |
$3,949.55 |
$3,949.55 |
$2,546.04
|
|
Debridement/bone/20 sq cm or less 11046
|
$924.00 |
$924.00 |
$924.00 |
$683.25
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,970.65 |
$1,970.65 |
$1,970.65 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,514.15 |
$1,514.15 |
$1,514.15 |
$810.50
|
|
Debride nail1-5 11720
|
$173.25 |
$173.25 |
$173.25 |
$173.25
|
|
Debride nail6 or more 11721
|
$259.05 |
$259.05 |
$259.05 |
$195.00
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,756.15 |
$1,756.15 |
$1,756.15 |
$1,265.16
|
|
Debride skin bone at fx site
|
$2,423.85 |
$2,423.85 |
$2,423.85 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$886.05 |
$886.05 |
$886.05 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,612.60 |
$1,612.60 |
$1,612.60 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,340.25 |
$2,340.25 |
$2,340.25 |
$1,176.57
|
|
Decalcification
|
$61.05 |
$61.05 |
$61.05 |
$73.71
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,117.05 |
$1,117.05 |
$1,117.05 |
$541.60
|
|
Decompress forearm 2 spaces
|
$3,600.85 |
$3,600.85 |
$3,600.85 |
$3,851.20
|
|
Delivery of placenta 59414
|
$3,293.40 |
$3,293.40 |
$3,293.40 |
$3,274.05
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$138.60 |
$138.60 |
$138.60 |
$195.78
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$570.35 |
$570.35 |
$570.35 |
$460.50
|
|
Design mlc device for imrt
|
$3,011.80 |
$3,011.80 |
$3,011.80 |
$1,669.85
|
|
Desoxycorticosterone
|
$134.75 |
$134.75 |
$134.75 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$13,132.90 |
$13,132.90 |
$13,132.90 |
$5,698.68
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$58.28 |
$58.28 |
$58.28 |
$262.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$70.63 |
$70.63 |
$70.63 |
$318.00
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$466.95 |
$466.95 |
$466.95 |
$354.00
|
|
Destroy cervthor facet jnt 64633
|
$4,400.00 |
$4,400.00 |
$4,400.00 |
$3,122.45
|
|
Destroy cth facet jnt addl 64634
|
$2,620.75 |
$2,620.75 |
$2,620.75 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$131.07 |
$131.07 |
$131.07 |
$1,344.85
|
|
Destroy premlg lesns;1st lesn 17000
|
$370.15 |
$370.15 |
$370.15 |
$219.93
|
|
Destroy vulva lesion simple 56501
|
$153.91 |
$153.91 |
$153.91 |
$3,691.50
|
|
Destruct ben lesion 15/> 17111
|
$55.20 |
$55.20 |
$55.20 |
$235.13
|
|
Destruct cut vasl lesions <10cm 17106
|
$617.10 |
$617.10 |
$617.10 |
$658.40
|
|
Destruction 2-14 lesions 17003
|
$139.70 |
$139.70 |
$139.70 |
$77.25
|
|
Destruction anal lesion(s)
|
$3,219.15 |
$3,219.15 |
$3,219.15 |
$3,245.23
|
|
Destruction benign lesions < 14 lesions
|
$233.20 |
$233.20 |
$233.20 |
$250.60
|
|
Destruction by injection tx of nerve 64630
|
$1,384.35 |
$1,384.35 |
$1,384.35 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$3,172.40 |
$3,172.40 |
$3,172.40 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$6,600.00 |
$6,600.00 |
$6,600.00 |
$3,375.00
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$185.72 |
$185.72 |
$185.72 |
$558.97
|
|
Destruction mal lsn t/a/l >4cm
|
$569.80 |
$569.80 |
$569.80 |
$578.40
|
|
Destruction premal lesions 15/> 17004
|
$185.72 |
$185.72 |
$185.72 |
$470.51
|
|
Device ablt adv novasure
|
$5,201.82 |
$5,201.82 |
$5,201.82 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,552.97 |
$2,552.97 |
$2,552.97 |
$4,298.87
|
|
Device sut capio slim opn
|
$632.69 |
$632.69 |
$632.69 |
$1,825.12
|
|
Device tiss remov myosure reach
|
$1,107.89 |
$1,107.89 |
$1,107.89 |
$2,311.20
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$157.30 |
$157.30 |
$157.30 |
$220.43
|
|
Dhea-s (dehydroepiand sulfate)
|
$146.85 |
$146.85 |
$146.85 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$39.60 |
$39.60 |
$39.60 |
$78.41
|
|
Diab manage trn ind/group
|
$49.50 |
$49.50 |
$49.50 |
$49.50
|
|
Diagnostic anoscopy spx 46600
|
$133.65 |
$133.65 |
$133.65 |
$242.45
|
|
Diagnostic digital breast tomosynthesis bil
|
$319.55 |
$319.55 |
$319.55 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$160.05 |
$160.05 |
$160.05 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$325.60 |
$325.60 |
$325.60 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$621.50 |
$621.50 |
$621.50 |
$381.00
|
|
Diagnostic Mammogram (both breasts)
|
$357.50 |
$357.50 |
$357.50 |
$423.92
|
|
Diagnostic Mammogram (one breast)
|
$232.10 |
$232.10 |
$232.10 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$2,830.85 |
$2,830.85 |
$2,830.85 |
$7,145.00
|
|
Dialysis one evaluation
|
$719.95 |
$719.95 |
$719.95 |
$842.10
|
|
Diffusing capacity
|
$475.75 |
$475.75 |
$475.75 |
$360.10
|
|
Digoxin total therapeutic drug level
|
$56.65 |
$56.65 |
$56.65 |
$102.07
|
|
Dilate biliary duct/ampulla
|
$3,647.60 |
$3,647.60 |
$3,647.60 |
$2,304.60
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$892.65 |
$892.65 |
$892.65 |
$4,277.65
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,042.25 |
$1,042.25 |
$1,042.25 |
$2,249.50
|
|
Dilate ic vasospasm init
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$6,280.95
|
|
Dilate urethra stricture
|
$454.30 |
$454.30 |
$454.30 |
$514.79
|
|
Dilation/urethral strict/male/ini 53620
|
$3,234.00 |
$3,234.00 |
$3,234.00 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$266.65 |
$266.65 |
$266.65 |
$291.87
|
|
Dilat xst trc ndurlgc px
|
$2,739.00 |
$2,739.00 |
$2,739.00 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$4,143.70 |
$4,143.70 |
$4,143.70 |
$4,952.80
|
|
Disability dlco
|
$482.90 |
$482.90 |
$482.90 |
$304.99
|
|
Disaccharidases
|
$283.25 |
$283.25 |
$283.25 |
$224.31
|
|
Discography cerv/thor spine
|
$3,406.70 |
$3,406.70 |
$3,406.70 |
$2,375.10
|
|
Dissolve clot heart vessel
|
$1,042.25 |
$1,042.25 |
$1,042.25 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$739.75 |
$739.75 |
$739.75 |
$2,040.76
|
|
Dna antibody native/double stranded
|
$94.60 |
$94.60 |
$94.60 |
$102.60
|
|
Doppler echo complete
|
$1,187.45 |
$1,187.45 |
$1,187.45 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$6,612.10 |
$6,612.10 |
$6,612.10 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,009.80 |
$1,009.80 |
$1,009.80 |
$697.23
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$528.00 |
$528.00 |
$528.00 |
$490.82
|
|
Dornhoffer fixed part w/window
|
$18,352.24 |
$18,352.24 |
$18,352.24 |
$28,091.95
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,022.45 |
$1,022.45 |
$1,022.45 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$818.40 |
$818.40 |
$818.40 |
$898.54
|
|
Drainage external ear complex 69005
|
$2,726.90 |
$2,726.90 |
$2,726.90 |
$2,924.22
|
|
Drainage external ear simple 69000
|
$818.40 |
$818.40 |
$818.40 |
$800.00
|
|
Drainage mouth roof lesion
|
$595.65 |
$595.65 |
$595.65 |
$473.20
|
|
Drainage of arm bursa 23931
|
$1,685.75 |
$1,685.75 |
$1,685.75 |
$2,377.90
|
|
Drainage of eye
|
$1,123.10 |
$1,123.10 |
$1,123.10 |
$2,515.80
|
|
Drainage of kidney lesion
|
$2,142.25 |
$2,142.25 |
$2,142.25 |
$1,619.40
|
|
Drainage of mouth lesion
|
$3,639.35 |
$3,639.35 |
$3,639.35 |
$1,752.89
|
|
Drainage of mouth lesion
|
$2,423.85 |
$2,423.85 |
$2,423.85 |
$2,320.03
|
|
Drainage of mouth lesion
|
$4,414.30 |
$4,414.30 |
$4,414.30 |
$3,971.40
|
|
Drainage of mouth lesion
|
$683.65 |
$683.65 |
$683.65 |
$1,022.40
|
|
Drainage of nose lesion int 30000
|
$343.20 |
$343.20 |
$343.20 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,472.90 |
$1,472.90 |
$1,472.90 |
$755.95
|
|
Drainage of rectal abscess
|
$2,135.10 |
$2,135.10 |
$2,135.10 |
$2,299.90
|