|
Dest mal lesion feenlm 0.6-1cm 17281
|
$92.41 |
$92.41 |
$92.41 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$119.84 |
$119.84 |
$119.84 |
$394.17
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$49.25 |
$49.25 |
$49.25 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$70.57 |
$70.57 |
$70.57 |
$312.00
|
|
Dest mal lesion tal <0.5 17260
|
$46.14 |
$46.14 |
$46.14 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$58.28 |
$58.28 |
$58.28 |
$269.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$76.87 |
$76.87 |
$449.02 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$97.51 |
$97.51 |
$512.66 |
$354.00
|
|
Destroy cervthor facet jnt 64633
|
$1,141.25 |
$1,141.25 |
$1,141.25 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$288.20 |
$288.20 |
$288.20 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$321.75 |
$321.75 |
$341.55 |
$220.12
|
|
Destruct ben lesion 15/> 17111
|
$201.85 |
$201.85 |
$567.71 |
$238.20
|
|
Destruct cut vasl lesions <10cm 17106
|
$560.56 |
$560.56 |
$560.56 |
$658.40
|
|
Destruction 2-14 lesions 17003
|
$14.65 |
$14.65 |
$122.98 |
$72.60
|
|
Destruction anal lesion(s)
|
$4,222.79 |
$4,222.79 |
$4,222.79 |
$2,772.60
|
|
Destruction benign lesions < 14 lesions
|
$195.25 |
$195.25 |
$283.14 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,141.25 |
$1,141.25 |
$1,141.25 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,768.25 |
$1,768.25 |
$1,768.25 |
$3,375.00
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$652.08 |
$652.08 |
$652.08 |
$481.50
|
|
Destruction mal lsn t/a/l >4cm
|
$161.38 |
$161.38 |
$672.82 |
$578.40
|
|
Destruction premal lesions 15/> 17004
|
$185.72 |
$185.72 |
$524.10 |
$470.51
|
|
Detect agnt mult dna direc
|
$343.20 |
$343.20 |
$343.20 |
$109.60
|
|
Developmental screen/score/document 96110
|
$154.73 |
$154.73 |
$154.73 |
$139.10
|
|
Devel tst phys/qhp 1st hr
|
$271.91 |
$271.91 |
$271.91 |
$339.30
|
|
Device ablt adv novasure
|
$4,974.19 |
$4,974.19 |
$5,160.64 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$5,307.06 |
$5,307.06 |
$5,307.06 |
$4,298.87
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$116.53 |
$116.53 |
$116.53 |
$196.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$67.10 |
$67.10 |
$322.71 |
$220.43
|
|
Dhea-s (dehydroepiand sulfate)
|
$160.05 |
$160.05 |
$371.80 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$51.70 |
$51.70 |
$67.65 |
$78.03
|
|
Diagnostic anoscopy
|
$161.15 |
$161.15 |
$161.15 |
$441.68
|
|
Diagnostic anoscopy spx 46600
|
$123.75 |
$123.75 |
$123.75 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$167.75 |
$167.75 |
$167.75 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$64.90 |
$64.90 |
$64.90 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$176.55 |
$176.55 |
$259.05 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$349.25 |
$349.25 |
$507.10 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$319.00 |
$319.00 |
$319.00 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$165.00 |
$165.00 |
$165.00 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$359.70 |
$359.70 |
$359.70 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,080.00 |
$3,080.00 |
$3,235.39 |
$7,145.00
|
|
Dialysis one evaluation
|
$862.40 |
$862.40 |
$1,086.80 |
$842.10
|
|
Diffusing capacity
|
$369.05 |
$369.05 |
$374.66 |
$360.10
|
|
Digital analysis of eeg
|
$197.45 |
$197.45 |
$197.45 |
$641.56
|
|
Digoxin total therapeutic drug level
|
$67.65 |
$67.65 |
$69.30 |
$102.00
|
|
Dilate biliary duct/ampulla
|
$239.80 |
$239.80 |
$2,261.54 |
$2,304.60
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$1,407.84 |
$1,407.84 |
$4,735.50 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,396.40 |
$1,396.40 |
$4,735.50 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$2,620.48 |
$2,620.48 |
$8,557.45 |
$6,280.95
|
|
Dilate urethra stricture
|
$2,725.80 |
$2,725.80 |
$2,725.80 |
$514.79
|
|
Dilate urethra stricture
|
$188.10 |
$188.10 |
$188.10 |
$185.58
|
|
Dilation of rectal stricture 45910
|
$3,261.12 |
$3,261.12 |
$3,261.12 |
$1,395.28
|
|
Dilation of salivary duct
|
$1,085.15 |
$1,085.15 |
$1,085.15 |
$599.72
|
|
Dilator fascial 10fx20cm
|
$305.68 |
$305.68 |
$556.66 |
$305.68
|
|
Dilat xst trc ndurlgc px
|
$1,457.50 |
$1,457.50 |
$2,896.46 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$1,953.60 |
$1,953.60 |
$5,303.16 |
$5,020.00
|
|
Disability dlco
|
$260.15 |
$260.15 |
$260.15 |
$307.58
|
|
Disaccharidases
|
$263.45 |
$263.45 |
$539.00 |
$223.80
|
|
Discography cerv/thor spine
|
$3,779.46 |
$3,779.46 |
$3,779.46 |
$2,404.00
|
|
Dissolve clot heart vessel
|
$2,592.70 |
$2,592.70 |
$2,592.70 |
$1,396.47
|
|
Dna antibody native/double stranded
|
$88.00 |
$88.00 |
$132.00 |
$102.60
|
|
Doppler echo complete
|
$750.04 |
$750.04 |
$1,056.55 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$4,713.28 |
$4,713.28 |
$5,658.40 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$611.60 |
$611.60 |
$611.60 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$409.75 |
$409.75 |
$495.50 |
$482.03
|
|
Dornhoffer fixed part w/window
|
$21,870.96 |
$21,870.96 |
$37,560.94 |
$28,091.95
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,026.02 |
$1,026.02 |
$1,742.95 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$763.62 |
$763.62 |
$1,291.95 |
$900.80
|
|
Drainage external ear complex 69005
|
$1,716.72 |
$1,716.72 |
$3,064.60 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$1,291.95 |
$1,291.95 |
$1,593.02 |
$809.25
|
|
Drainage mouth roof lesion
|
$630.63 |
$630.63 |
$969.10 |
$474.39
|
|
Drainage of arm bursa 23931
|
$1,468.50 |
$1,468.50 |
$1,468.50 |
$2,419.30
|
|
Drainage of eye
|
$2,166.45 |
$2,166.45 |
$2,166.45 |
$2,503.62
|
|
Drainage of eye
|
$6,989.40 |
$6,989.40 |
$6,989.40 |
$2,702.25
|
|
Drainage of kidney lesion
|
$2,744.88 |
$2,744.88 |
$8,620.70 |
$1,706.65
|
|
Drainage of mouth lesion
|
$6,780.40 |
$6,780.40 |
$6,780.40 |
$3,986.00
|
|
Drainage of mouth lesion
|
$1,162.70 |
$1,162.70 |
$1,162.70 |
$1,022.40
|
|
Drainage of mouth lesion
|
$4,496.64 |
$4,496.64 |
$15,975.30 |
$6,547.81
|
|
Drainage of mouth lesion
|
$2,539.90 |
$2,539.90 |
$2,539.90 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$231.00 |
$231.00 |
$311.74 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$737.16 |
$737.16 |
$2,182.40 |
$755.95
|
|
Drainage of salivary gland
|
$5,031.40 |
$5,031.40 |
$5,031.40 |
$3,837.72
|
|
Drainage of urethra abscess 53060
|
$2,995.14 |
$2,995.14 |
$2,995.14 |
$2,459.34
|
|
Drain blood from under nail 11740
|
$203.06 |
$203.06 |
$267.30 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$918.50 |
$918.50 |
$1,395.68 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$1,312.30 |
$1,312.30 |
$5,385.38 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$970.97 |
$970.97 |
$1,330.45 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$712.14 |
$712.14 |
$1,058.75 |
$492.81
|
|
Drain neck/chest lesion 21501
|
$5,299.80 |
$5,299.80 |
$5,299.80 |
$3,386.84
|
|
Drain thigh/knee lesion 27301
|
$2,418.13 |
$2,418.13 |
$2,418.13 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$424.71 |
$424.71 |
$969.10 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$422.56 |
$422.56 |
$697.95 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$691.40 |
$691.40 |
$1,065.90 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$698.56 |
$698.56 |
$698.56 |
$790.56
|
|
Drill hole implt ventricular cath/device 61107
|
$690.25 |
$690.25 |
$762.90 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$5,066.60 |
$5,066.60 |
$5,066.60 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$748.55 |
$748.55 |
$823.68 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,412.84 |
$1,412.84 |
$3,003.00 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$190.65 |
$190.65 |
$1,105.39 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$3,874.75 |
$3,874.75 |
$3,874.75 |
$2,069.60
|
|
Drng salivary gland submax/subling 42310
|
$1,162.70 |
$1,162.70 |
$1,162.70 |
$602.63
|