|
Decompression unspecified nerve 64722
|
$2,134.14 |
$3,986.00 |
$6,839.00 |
|
|
Decompress optic nerve
|
$3,786.00 |
$4,440.96 |
$6,839.00 |
|
|
Decompres spinal cord;thoracic 63055
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Decompress spinal cord lmbr
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Decompress spinal cord thrc
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Deep muscle biopsy 20205
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
|
Degarelix 120 mg subcutaneous solution
|
$4.18 |
$4.36 |
$4.36 |
|
|
Delayed breast prosthesis 19342
|
$3,786.00 |
$6,311.00 |
$11,269.09 |
|
|
Delay flap arms/legs
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Delay flap eye/nos/ear/lip
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Delay flap fccnaxghf 15620
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Delay flap trunk 15600
|
$3,786.00 |
$4,311.38 |
$6,839.00 |
|
|
Delivery of placenta 59414
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Demonstrate use home inr mon
|
$69.49 |
$142.64 |
$151.77 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$85.74 |
$225.12 |
$239.52 |
|
|
Denervation of hip joint
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$26.96 |
$29.24 |
$29.24 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Dermabrasion other than face
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
|
Dermabrasion segmental face 15781
|
$768.94 |
$3,986.00 |
$6,839.00 |
|
|
Dermabrasion suprfl any site
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Dermabrasion total face
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
|
Derma-fat-fascia graft 15770
|
$3,786.00 |
$4,311.38 |
$6,839.00 |
|
|
Dermal filler injection(s)
|
$1,999.13 |
$2,024.70 |
$2,154.21 |
|
|
Derm autograft face/nck/hf/g
|
$3,786.00 |
$4,311.38 |
$6,839.00 |
|
|
Derm autograft trnk/arm/leg
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Descend thora aorta rpr/lt sub art 33880
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
|
|
Design custom breast implant
|
$3,786.00 |
$4,509.59 |
$6,839.00 |
|
|
Design mlc device for imrt
|
$400.07 |
$542.50 |
$1,491.34 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$3.89 |
$3.89 |
$5.42 |
|
|
Desoxycorticosterone
|
$30.98 |
$34.08 |
$145.50 |
|
|
Des thora aorta/ea add prox prosth 33884
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
|
|
Des thora aorta rpr without left sub art 33881
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Dest mal lesion tal <0.5 17260
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Destroy cervthor facet jnt 64633
|
$2,134.14 |
$3,986.00 |
$6,839.00 |
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Destroy premlg lesns;1st lesn 17000
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Destroy vulva lesion extensive 56515
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Destroy vulva lesion simple 56501
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Destruct ben lesion 15/> 17111
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Destruct cut vasl lesions <10cm 17106
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Destruct cut vasl lesions >50cm 17108
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Destruction anal lesion(s)
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Destruction anal lesion(s)
|
$2,997.10 |
$3,986.00 |
$6,839.00 |
|
|
Destruction anal lesion(s) smpl chem 46900
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Destruction benign lesions < 14 lesions
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Destruction by injection tx of nerve 64630
|
$972.98 |
$3,986.00 |
$6,839.00 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,134.14 |
$3,986.00 |
$6,839.00 |
|
|
Destruction ciliary body
|
$2,492.56 |
$3,986.00 |
$6,839.00 |
|
|
Destruction ciliary body
|
$2,549.65 |
$3,986.00 |
$6,839.00 |
|
|
Destruction ciliary body
|
$2,549.65 |
$3,986.00 |
$6,839.00 |
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Destruction laser surgery anal lesions 46917
|
$2,997.10 |
$3,986.00 |
$6,839.00 |
|
|
Destruction les conjunctiva
|
$2,549.65 |
$3,986.00 |
$6,839.00 |
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Destruction mal lsn t/a/l >4cm
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Destruction penis lesion(s) chem 54050
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Destruction penis lesion(s) exten 54065
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Destruction premal lesions 15/> 17004
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Destruction rectal tumor 45190
|
$2,997.10 |
$3,986.00 |
$6,839.00 |
|
|
Destruction vag lesions complex 57065
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Destruction vag lesions simple 57061
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Destruct penis les/smp/electrodesi 54055
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Detect agent nos dna dir
|
$30.03 |
$33.03 |
$33.03 |
|
|
Detect agnt mult dna direc
|
$43.67 |
$48.04 |
$48.04 |
|
|
Developmental screen/score/document 96110
|
$149.50 |
$149.50 |
$149.50 |
|
|
Devel tst phys/qhp 1st hr
|
$170.99 |
$173.18 |
$361.50 |
|
|
Device intraute mirena
|
$430.55 |
$505.16 |
$711.91 |
|
|
Devlopment test interpt&rep
|
$101.09 |
$102.38 |
$108.93 |
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$200.00 |
$200.00 |
$200.00 |
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$51.62 |
$97.54 |
$210.00 |
|
|
Dexametha opth insert 0.1 mg
|
$110.92 |
$112.34 |
$137.95 |
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$0.60 |
$0.60 |
$0.60 |
|
|
Dexamethasone intra implant
|
$205.28 |
$205.28 |
$205.62 |
|
|
Dexamethasone panel
|
$161.88 |
$178.07 |
$178.07 |
|
|
Dexmedetomidine film, 1 mcg
|
$0.64 |
$0.64 |
$0.78 |
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$32.09 |
$32.09 |
$87.49 |
|
|
Dhea-s (dehydroepiand sulfate)
|
$22.23 |
$24.45 |
$104.50 |
|
|
Diabetes (HbA1c) Test
|
$9.71 |
$10.68 |
$67.00 |
|
|
Diabetes training group per 30 min g0109
|
$32.56 |
$32.97 |
$35.08 |
|
|
Diab manage trn ind/group
|
$14.83 |
$19.66 |
$56.57 |
|
|
Diag bronchoscope/catheter
|
$1,884.64 |
$3,986.00 |
$6,839.00 |
|
|
Diag laparo separate proc 49320
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Diagnostic anoscopy
|
$436.10 |
$3,986.00 |
$6,839.00 |
|
|
Diagnostic anoscopy & biopsy
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Diagnostic anoscopy spx 46600
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Diagnostic laryngoscopy 31505
|
$212.17 |
$3,986.00 |
$6,839.00 |
|