|
Dilation of urethra
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$172.00
|
|
Dilation of urethra
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,507.31
|
|
Dilation of vagina
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,522.35
|
|
Dilation salivary duct 42650
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,744.44
|
|
Dilation/urethral strict/male/ini 53620
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,995.50
|
|
Dilat xst trc ndurlgc px
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,881.00
|
|
Disability dlco
|
$82.43 |
$82.43 |
$82.43 |
$302.40
|
|
Disaccharidases
|
$24.39 |
$24.39 |
$24.39 |
$224.58
|
|
Disarticulation sho sec clsr
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,164.64
|
|
Discography cerv/thor spine
|
$455.37 |
$455.37 |
$455.37 |
$2,360.70
|
|
Dise eval slp do brth flx dx
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,908.75
|
|
Dissolve clot heart vessel
|
$251.80 |
$251.80 |
$251.80 |
$1,274.40
|
|
Dist revas ligation hemo
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,988.54
|
|
Diverticulectomy/hypophar/esoph 43130
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,817.32
|
|
Dmd dup/delet analysis
|
$306.90 |
$306.90 |
$306.90 |
$385.02
|
|
Dmpk gene detc abnor allele
|
$150.70 |
$150.70 |
$150.70 |
$230.18
|
|
Dna antibody native/double stranded
|
$15.11 |
$15.11 |
$15.11 |
$101.40
|
|
Dna gardnerella
|
$22.06 |
$22.06 |
$22.06 |
$66.05
|
|
Dna probe chlamydia
|
$25.03 |
$25.03 |
$25.03 |
$82.20
|
|
Dna probe gc
|
$29.57 |
$29.57 |
$29.57 |
$88.67
|
|
Dna trichomonas
|
$22.06 |
$22.06 |
$22.06 |
$68.50
|
|
Doppler echo complete
|
$168.21 |
$168.21 |
$168.21 |
$644.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$205.49 |
$205.49 |
$205.49 |
$681.20
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$134.41 |
$134.41 |
$134.41 |
$490.82
|
|
Dornhoffer fixed part w/window
|
$8,830.07 |
$8,830.07 |
$8,830.07 |
$32,112.76
|
|
Dpyd gene common variants
|
$192.29 |
$192.29 |
$192.29 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$832.60
|
|
Drainage external ear complex 69005
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,996.52
|
|
Drainage external ear simple 69000
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$812.80
|
|
Drainage lymph node lesion 38300
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,986.75
|
|
Drainage lymph node lesion 38305
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,167.89
|
|
Drainage mouth roof lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$481.80
|
|
Drainage of arm bursa 23931
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,271.01
|
|
Drainage of bladder abscess
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,167.89
|
|
Drainage of eye
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,360.00
|
|
Drainage of eye
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,702.25
|
|
Drainage of eye
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,172.80
|
|
Drainage of forearm bursa
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,893.86
|
|
Drainage of kidney lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,619.40
|
|
Drainage of mouth lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$535.20
|
|
Drainage of mouth lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,752.89
|
|
Drainage of mouth lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,270.40
|
|
Drainage of mouth lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,837.72
|
|
Drainage of mouth lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,022.40
|
|
Drainage of mouth lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$741.60
|
|
Drainage of mouth lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,547.81
|
|
Drainage of mouth lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,592.74
|
|
Drainage of mouth lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,357.20
|
|
Drainage of nose lesion int 30000
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$586.64
|
|
Drainage of nose lesion sept 30020
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$755.95
|
|
Drainage of pelvis bursa
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,893.86
|
|
Drainage of pelvis lesion 26990
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,839.54
|
|
Drainage of prostate abscess
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,891.34
|
|
Drainage of prostate abscess
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,769.31
|
|
Drainage of prostate abscess
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,081.37
|
|
Drainage of rectal abscess
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,299.90
|
|
Drainage of rectal abscess 45020
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,229.60
|
|
Drainage of salivary gland
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,819.23
|
|
Drainage of salivary gland
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$602.63
|
|
Drainage of throat abscess
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,499.33
|
|
Drainage of urethra abscess
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,820.84
|
|
Drainage of urethra abscess 53060
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,424.12
|
|
Drainage of urinary leakage
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,057.60
|
|
Drainage of urinary leakage
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,078.00
|
|
Drain blood from under nail 11740
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$182.95
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,529.45
|
|
Drain cath image guided visceral pq
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,996.80
|
|
Drain cerebro spinal fluid 62272
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,082.90
|
|
Drain chest lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,594.44
|
|
Drain finger abscess;simple 26010
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$490.80
|
|
Drain lower leg bursa
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,721.84
|
|
Drain lower leg lesion 27603
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,293.25
|
|
Drain ovarn cyst abd
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,762.53
|
|
Drain ovary abscess open
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,762.53
|
|
Drain penis lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,917.33
|
|
Drain shoulder bone lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,206.33
|
|
Drain shoulder bursa 23031
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,127.88
|
|
Drain shoulder lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,386.84
|
|
Drain thigh/knee lesion 27301
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,606.86
|
|
Drain thyroid/tongue cyst
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,744.44
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$403.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$355.80
|
|
Dress/debrid prtl-thick burn l 16030
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$515.00
|
|
Dressing change not for burn w/anes 15852
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$724.37
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$317.93 |
$317.93 |
$317.93 |
$2,458.05
|
|
Drng hand tendon sheath 26020
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,917.33
|
|
Drng of hydrocele 55000
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$832.60
|
|
Drng of mouth lesion 40801
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,274.04
|
|
Drng of ovarian cyst(s) 58800
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,474.84
|
|
Drng of palm multi bursas 26030
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,591.33
|
|
Drng of palm single bursa 26025
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,545.97
|
|
Drng of pelvic abscess transrectal 45000
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,614.45
|
|
Drng of salivary cyst 42409
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,575.45
|
|
Drng of scrotum abscess 55100
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,997.89
|