|
Dest mal lesion snhfg 1.1-2cm 17272
|
$219.93 |
$219.93 |
$219.93 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$219.93 |
$219.93 |
$219.93 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$219.93 |
$219.93 |
$219.93 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$219.93 |
$219.93 |
$219.93 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$219.93 |
$219.93 |
$219.93 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$2,161.44 |
$2,161.44 |
$2,161.44 |
$3,138.15
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$219.93 |
$219.93 |
$219.93 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$2,024.70 |
$2,024.70 |
$2,024.70 |
$3,058.98
|
|
Destroy vulva lesion simple 56501
|
$2,024.70 |
$2,024.70 |
$2,024.70 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$219.93 |
$219.93 |
$219.93 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$677.54 |
$677.54 |
$677.54 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$442.22 |
$442.22 |
$442.22 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$2,024.70 |
$2,024.70 |
$2,024.70 |
$2,142.40
|
|
Destruction anal lesion(s)
|
$2,024.70 |
$2,024.70 |
$2,024.70 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$3,035.44 |
$3,035.44 |
$3,035.44 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$442.22 |
$442.22 |
$442.22 |
$557.90
|
|
Destruction benign lesions < 14 lesions
|
$219.93 |
$219.93 |
$219.93 |
$240.24
|
|
Destruction by injection tx of nerve 64630
|
$985.43 |
$985.43 |
$985.43 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,161.44 |
$2,161.44 |
$2,161.44 |
$3,296.80
|
|
Destruction ciliary body
|
$2,524.45 |
$2,524.45 |
$2,524.45 |
$3,173.34
|
|
Destruction ciliary body
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$3,228.83
|
|
Destruction ciliary body
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$2,760.73
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$219.93 |
$219.93 |
$219.93 |
$375.87
|
|
Destruction laser surgery anal lesions 46917
|
$3,035.44 |
$3,035.44 |
$3,035.44 |
$3,640.00
|
|
Destruction les conjunctiva
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$2,760.73
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$442.22 |
$442.22 |
$442.22 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$442.22 |
$442.22 |
$442.22 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$442.22 |
$442.22 |
$442.22 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$442.22 |
$442.22 |
$442.22 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$442.22 |
$442.22 |
$442.22 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$2,024.70 |
$2,024.70 |
$2,024.70 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$442.22 |
$442.22 |
$442.22 |
$442.61
|
|
Destruction rectal tumor 45190
|
$3,035.44 |
$3,035.44 |
$3,035.44 |
$3,245.23
|
|
Destruction vag lesions complex 57065
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$3,986.00
|
|
Destruction vag lesions simple 57061
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$4,006.38
|
|
Destruct penis les/smp/electrodesi 54055
|
$2,024.70 |
$2,024.70 |
$2,024.70 |
$2,837.09
|
|
Detect agent nos dna dir
|
$30.03 |
$30.03 |
$30.03 |
$138.00
|
|
Detect agnt mult dna direc
|
$43.67 |
$43.67 |
$43.67 |
$166.77
|
|
Devel tst phys/qhp 1st hr
|
$173.18 |
$173.18 |
$173.18 |
$350.40
|
|
Devlopment test interpt&rep
|
$102.38 |
$102.38 |
$102.38 |
$109.46
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$97.46 |
$97.46 |
$97.46 |
$227.25
|
|
Dexametha opth insert 0.1 mg
|
$112.34 |
$112.34 |
$112.34 |
$888.47
|
|
Dexamethasone intra implant
|
$205.28 |
$205.28 |
$205.28 |
$2,356.90
|
|
Dexamethasone panel
|
$161.88 |
$161.88 |
$161.88 |
$223.39
|
|
Dexmedetomidine film, 1 mcg
|
$0.64 |
$0.64 |
$0.64 |
$171.39
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$32.09 |
$32.09 |
$32.09 |
$884.80
|
|
Dhea-s (dehydroepiand sulfate)
|
$22.23 |
$22.23 |
$22.23 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$9.71 |
$9.71 |
$9.71 |
$79.30
|
|
Diabetes training group per 30 min g0109
|
$32.97 |
$32.97 |
$32.97 |
$35.43
|
|
Diab manage trn ind/group
|
$19.66 |
$19.66 |
$19.66 |
$54.99
|
|
Diag bronchoscope/catheter
|
$1,908.75 |
$1,908.75 |
$1,908.75 |
$2,360.15
|
|
Diag laparo separate proc 49320
|
$6,457.82 |
$6,457.82 |
$6,457.82 |
$7,104.72
|
|
Diagnostic anoscopy
|
$441.68 |
$441.68 |
$441.68 |
$392.70
|
|
Diagnostic anoscopy & biopsy
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,288.00
|
|
Diagnostic anoscopy spx 46600
|
$142.67 |
$142.67 |
$142.67 |
$195.50
|
|
Diagnostic laryngoscopy 31505
|
$214.89 |
$214.89 |
$214.89 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$214.89 |
$214.89 |
$214.89 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$207.95 |
$207.95 |
$207.95 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$164.52 |
$164.52 |
$164.52 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$97.46 |
$97.46 |
$97.46 |
$259.00
|
|
Dialysis one evaluation
|
$471.32 |
$471.32 |
$471.32 |
$936.00
|
|
Diathermy eg microwave
|
$9.28 |
$9.28 |
$9.28 |
$29.68
|
|
Difelikefalin, esrd on dialy
|
$0.08 |
$0.08 |
$0.08 |
$264.88
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,968.58 |
$4,968.58 |
$4,968.58 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$13.28 |
$13.28 |
$13.28 |
$102.07
|
|
Dilate esophagus
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$1,548.00
|
|
Dilate tear duct opening
|
$441.68 |
$441.68 |
$441.68 |
$454.40
|
|
Dilate urethra stricture
|
$269.20 |
$269.20 |
$269.20 |
$513.00
|
|
Dilate urethra stricture
|
$142.67 |
$142.67 |
$142.67 |
$200.80
|
|
Dilate urethra stricture
|
$3,817.53 |
$3,817.53 |
$3,817.53 |
$3,863.60
|
|
Dilate urethra stricture
|
$269.20 |
$269.20 |
$269.20 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$173.18 |
$173.18 |
$173.18 |
$235.61
|
|
Dilation of anal sphincter
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,166.04
|
|
Dilation of cervical canal 57800
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$4,446.00
|
|
Dilation of rectal stricture 45910
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,491.80
|
|
Dilation of salivary duct
|
$563.67 |
$563.67 |
$563.67 |
$790.00
|
|
Dilation of urethra
|
$142.67 |
$142.67 |
$142.67 |
$172.00
|
|
Dilation of urethra
|
$2,267.41 |
$2,267.41 |
$2,267.41 |
$2,424.12
|
|
Dilation of vagina
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$4,446.00
|
|
Dilation salivary duct 42650
|
$1,639.57 |
$1,639.57 |
$1,639.57 |
$2,675.71
|
|
Dilation/urethral strict/male/ini 53620
|
$738.80 |
$738.80 |
$738.80 |
$1,372.80
|
|
Dilat xst trc ndurlgc px
|
$3,817.53 |
$3,817.53 |
$3,817.53 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$3,817.53 |
$3,817.53 |
$3,817.53 |
$4,258.20
|
|
Dimethyl sulfoxide 50% 50 ml
|
$742.90 |
$742.90 |
$742.90 |
$1,258.20
|
|
Dir nsl mucous membrane test
|
$43.44 |
$43.44 |
$43.44 |
$76.80
|
|
Disability dlco
|
$173.18 |
$173.18 |
$173.18 |
$293.76
|
|
Disaccharidases
|
$22.17 |
$22.17 |
$22.17 |
$230.40
|
|
Disarticulation sho sec clsr
|
$2,024.70 |
$2,024.70 |
$2,024.70 |
$2,300.80
|
|
Discography cerv/thor spine
|
$2,161.44 |
$2,161.44 |
$2,161.44 |
$2,565.00
|
|
Dise eval slp do brth flx dx
|
$1,908.75 |
$1,908.75 |
$1,908.75 |
$1,120.00
|
|
Dist revas ligation hemo
|
$5,983.35 |
$5,983.35 |
$5,983.35 |
$6,396.89
|
|
Diverticulectomy/hypophar/esoph 43130
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$6,547.81
|
|
Dmd dup/delet analysis
|
$279.00 |
$279.00 |
$279.00 |
$418.50
|
|
Dmpk gene charac alleles
|
$274.83 |
$274.83 |
$274.83 |
$367.20
|
|
Dmpk gene detc abnor allele
|
$137.00 |
$137.00 |
$137.00 |
$313.60
|
|
Dna antibody native/double stranded
|
$13.74 |
$13.74 |
$13.74 |
$100.00
|
|
Dna gardnerella
|
$20.05 |
$20.05 |
$20.05 |
$61.83
|
|
Dna probe chlamydia
|
$22.75 |
$22.75 |
$22.75 |
$82.20
|
