|
Dest mal lesion tal 2.1-3.0cm 17263
|
$234.00 |
$234.00 |
$234.00 |
$313.60
|
|
Destroy cervthor facet jnt 64633
|
$2,299.70 |
$2,299.70 |
$2,299.70 |
$2,963.07
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,388.56 |
$1,388.56 |
$1,388.56 |
$900.53
|
|
Destroy premlg lesns;1st lesn 17000
|
$234.00 |
$234.00 |
$234.00 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$2,108.87
|
|
Destroy vulva lesion simple 56501
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$3,458.00
|
|
Destruct ben lesion 15/> 17111
|
$234.00 |
$234.00 |
$234.00 |
$250.20
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$720.88 |
$720.88 |
$720.88 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$470.51 |
$470.51 |
$470.51 |
$664.05
|
|
Destruct cut vasl lesions >50cm 17108
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$1,601.40
|
|
Destruction anal lesion(s)
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$2,154.21
|
|
Destruction anal lesion(s)
|
$3,229.60 |
$3,229.60 |
$3,229.60 |
$3,035.44
|
|
Destruction anal lesion(s) smpl chem 46900
|
$470.51 |
$470.51 |
$470.51 |
$496.60
|
|
Destruction benign lesions < 14 lesions
|
$234.00 |
$234.00 |
$234.00 |
$231.52
|
|
Destruction by injection tx of nerve 64630
|
$1,048.46 |
$1,048.46 |
$1,048.46 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,299.70 |
$2,299.70 |
$2,299.70 |
$3,101.88
|
|
Destruction ciliary body
|
$2,685.92 |
$2,685.92 |
$2,685.92 |
$2,492.56
|
|
Destruction ciliary body
|
$2,747.43 |
$2,747.43 |
$2,747.43 |
$2,584.50
|
|
Destruction ciliary body
|
$2,747.43 |
$2,747.43 |
$2,747.43 |
$2,188.86
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$234.00 |
$234.00 |
$234.00 |
$328.95
|
|
Destruction laser surgery anal lesions 46917
|
$3,229.60 |
$3,229.60 |
$3,229.60 |
$2,770.80
|
|
Destruction les conjunctiva
|
$2,747.43 |
$2,747.43 |
$2,747.43 |
$2,549.65
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$470.51 |
$470.51 |
$470.51 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$470.51 |
$470.51 |
$470.51 |
$470.51
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$470.51 |
$470.51 |
$470.51 |
$461.12
|
|
Destruction mal lsn t/a/l >4cm
|
$470.51 |
$470.51 |
$470.51 |
$578.40
|
|
Destruction penis lesion(s) chem 54050
|
$470.51 |
$470.51 |
$470.51 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$470.51 |
$470.51 |
$470.51 |
$442.61
|
|
Destruction rectal tumor 45190
|
$3,229.60 |
$3,229.60 |
$3,229.60 |
$2,998.42
|
|
Destruction vag lesions complex 57065
|
$3,744.41 |
$3,744.41 |
$3,744.41 |
$3,302.03
|
|
Destruction vag lesions simple 57061
|
$3,744.41 |
$3,744.41 |
$3,744.41 |
$3,504.00
|
|
Destruct penis les/smp/electrodesi 54055
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$2,236.85
|
|
Detect agent nos dna dir
|
$30.03 |
$30.03 |
$30.03 |
$186.00
|
|
Detect agnt mult dna direc
|
$43.67 |
$43.67 |
$43.67 |
$115.50
|
|
Devel tst phys/qhp 1st hr
|
$184.26 |
$184.26 |
$184.26 |
$364.48
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$103.69 |
$103.69 |
$103.69 |
$220.43
|
|
Dexametha opth insert 0.1 mg
|
$137.95 |
$137.95 |
$137.95 |
$477.60
|
|
Dexamethasone intra implant
|
$205.62 |
$205.62 |
$205.62 |
$521.40
|
|
Dexmedetomidine film, 1 mcg
|
$0.78 |
$0.78 |
$0.78 |
$0.64
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$87.49 |
$87.49 |
$87.49 |
$465.34
|
|
Dhea-s (dehydroepiand sulfate)
|
$22.23 |
$22.23 |
$22.23 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$9.71 |
$9.71 |
$9.71 |
$70.00
|
|
Diabetes training group per 30 min g0109
|
$35.08 |
$35.08 |
$35.08 |
$33.00
|
|
Diab manage trn ind/group
|
$19.66 |
$19.66 |
$19.66 |
$56.55
|
|
Diag bronchoscope/catheter
|
$2,030.84 |
$2,030.84 |
$2,030.84 |
$1,910.40
|
|
Diag laparo separate proc 49320
|
$6,870.89 |
$6,870.89 |
$6,870.89 |
$6,376.26
|
|
Diagnostic anoscopy
|
$469.93 |
$469.93 |
$469.93 |
$441.68
|
|
Diagnostic anoscopy & biopsy
|
$1,388.56 |
$1,388.56 |
$1,388.56 |
$1,350.83
|
|
Diagnostic anoscopy spx 46600
|
$151.80 |
$151.80 |
$151.80 |
$252.00
|
|
Diagnostic laryngoscopy 31505
|
$228.63 |
$228.63 |
$228.63 |
$229.07
|
|
Diagnostic laryngoscopy 31575
|
$228.63 |
$228.63 |
$228.63 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$207.95 |
$207.95 |
$207.95 |
$381.60
|
|
Diagnostic Mammogram (one breast)
|
$164.52 |
$164.52 |
$164.52 |
$276.60
|
|
Diagnostic radio unlisted proc
|
$103.69 |
$103.69 |
$103.69 |
$310.00
|
|
Dialysis one evaluation
|
$501.47 |
$501.47 |
$501.47 |
$920.00
|
|
Diathermy eg microwave
|
$9.28 |
$9.28 |
$9.28 |
$17.37
|
|
Difelikefalin, esrd on dialy
|
$0.15 |
$0.15 |
$0.15 |
$0.08
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,888.10 |
$4,888.10 |
$4,888.10 |
$6,815.78
|
|
Digoxin total therapeutic drug level
|
$13.28 |
$13.28 |
$13.28 |
$92.95
|
|
Dilate esophagus
|
$2,234.01 |
$2,234.01 |
$2,234.01 |
$2,003.04
|
|
Dilate esophagus 1/mult pass
|
$1,104.13 |
$1,104.13 |
$1,104.13 |
$1,349.05
|
|
Dilate tear duct opening
|
$469.93 |
$469.93 |
$469.93 |
$454.40
|
|
Dilate urethra stricture
|
$286.42 |
$286.42 |
$286.42 |
$514.79
|
|
Dilate urethra stricture
|
$151.80 |
$151.80 |
$151.80 |
$187.33
|
|
Dilate urethra stricture
|
$4,061.71 |
$4,061.71 |
$4,061.71 |
$3,745.07
|
|
Dilate urethra stricture
|
$286.42 |
$286.42 |
$286.42 |
$344.80
|
|
Dilation/female urethra/initial 53660
|
$184.26 |
$184.26 |
$184.26 |
$207.39
|
|
Dilation of anal sphincter
|
$1,388.56 |
$1,388.56 |
$1,388.56 |
$1,305.08
|
|
Dilation of cervical canal 57800
|
$3,744.41 |
$3,744.41 |
$3,744.41 |
$4,291.20
|
|
Dilation of rectal stricture 45910
|
$1,388.56 |
$1,388.56 |
$1,388.56 |
$1,364.66
|
|
Dilation of salivary duct
|
$599.72 |
$599.72 |
$599.72 |
$599.72
|
|
Dilation of urethra
|
$151.80 |
$151.80 |
$151.80 |
$182.95
|
|
Dilation of urethra
|
$2,412.45 |
$2,412.45 |
$2,412.45 |
$2,507.31
|
|
Dilation of vagina
|
$3,744.41 |
$3,744.41 |
$3,744.41 |
$2,643.08
|
|
Dilation salivary duct 42650
|
$1,744.44 |
$1,744.44 |
$1,744.44 |
$1,514.50
|
|
Dilation/urethral strict/male/ini 53620
|
$786.05 |
$786.05 |
$786.05 |
$1,606.15
|
|
Dilat xst trc ndurlgc px
|
$4,061.71 |
$4,061.71 |
$4,061.71 |
$4,031.47
|
|
Dilat xst trc new access rcs
|
$4,061.71 |
$4,061.71 |
$4,061.71 |
$5,842.20
|
|
Dimethyl sulfoxide 50% 50 ml
|
$715.90 |
$715.90 |
$715.90 |
$1,001.55
|
|
Dir nsl mucous membrane test
|
$46.22 |
$46.22 |
$46.22 |
$51.36
|
|
Disability dlco
|
$184.26 |
$184.26 |
$184.26 |
$289.08
|
|
Disaccharidases
|
$22.17 |
$22.17 |
$22.17 |
$224.58
|
|
Disarticulation sho sec clsr
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$2,108.87
|
|
Discography cerv/thor spine
|
$2,299.70 |
$2,299.70 |
$2,299.70 |
$2,161.44
|
|
Dise eval slp do brth flx dx
|
$2,030.84 |
$2,030.84 |
$2,030.84 |
$288.80
|
|
Dist revas ligation hemo
|
$6,366.08 |
$6,366.08 |
$6,366.08 |
$6,290.54
|
|
Diverticulectomy/hypophar/esoph 43130
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$5,817.32
|
|
Dmd dup/delet analysis
|
$279.00 |
$279.00 |
$279.00 |
$418.50
|
|
Dmpk gene detc abnor allele
|
$137.00 |
$137.00 |
$137.00 |
$318.75
|
|
Dna antibody native/double stranded
|
$13.74 |
$13.74 |
$13.74 |
$101.40
|
|
Dna gardnerella
|
$20.05 |
$20.05 |
$20.05 |
$67.68
|
|
Dna probe chlamydia
|
$22.75 |
$22.75 |
$22.75 |
$98.40
|
|
Dna probe gc
|
$26.88 |
$26.88 |
$26.88 |
$88.67
|
|
Dna trichomonas
|
$20.05 |
$20.05 |
$20.05 |
$69.60
|
|
Docetaxel (docivyx), 1 mg
|
$50.99 |
$50.99 |
$50.99 |
$49.08
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$184.26 |
$184.26 |
$184.26 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$151.80 |
$151.80 |
$151.80 |
$463.20
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$236.40 |
$236.40 |
$236.40 |
$326.36
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$133.08 |
$133.08 |
$133.08 |
$715.22
|
