|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$930.00 |
$930.00 |
$930.00 |
$1,012.80
|
|
Debride skin bone at fx site
|
$1,453.50 |
$1,453.50 |
$1,453.50 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$595.00 |
$595.00 |
$595.00 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$214.00 |
$214.00 |
$214.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$930.00 |
$930.00 |
$930.00 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$168.50 |
$168.50 |
$168.50 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$1,160.00
|
|
Decalcification
|
$24.00 |
$24.00 |
$24.00 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$457.50 |
$457.50 |
$457.50 |
$543.00
|
|
Delay flap trunk 15600
|
$4,118.00 |
$4,118.00 |
$4,118.00 |
$4,332.25
|
|
Delivery of placenta 59414
|
$1,420.00 |
$1,420.00 |
$1,420.00 |
$3,070.56
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$268.00 |
$268.00 |
$268.00 |
$185.17
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$217.00 |
$217.00 |
$217.00 |
$408.10
|
|
Dermagraft
|
$67.80 |
$67.80 |
$67.80 |
$85.00
|
|
Design mlc device for imrt
|
$1,487.50 |
$1,487.50 |
$1,487.50 |
$1,677.86
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$317.00 |
$317.00 |
$317.00 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$576.50 |
$576.50 |
$576.50 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$576.50 |
$576.50 |
$576.50 |
$408.50
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$317.00 |
$317.00 |
$317.00 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$317.00 |
$317.00 |
$317.00 |
$317.00
|
|
Dest mal lesion tal <0.5 17260
|
$238.00 |
$238.00 |
$238.00 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$317.00 |
$317.00 |
$317.00 |
$262.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$317.00 |
$317.00 |
$317.00 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$317.00 |
$317.00 |
$317.00 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$1,806.00 |
$1,806.00 |
$1,806.00 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$1,191.50 |
$1,191.50 |
$1,191.50 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,139.00 |
$1,139.00 |
$1,139.00 |
$1,344.85
|
|
Destroy premlg lesns;1st lesn 17000
|
$140.50 |
$140.50 |
$140.50 |
$199.50
|
|
Destroy vulva lesion simple 56501
|
$2,817.00 |
$2,817.00 |
$2,817.00 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$194.50 |
$194.50 |
$194.50 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$82.00 |
$82.00 |
$82.00 |
$72.60
|
|
Destruction benign lesions < 14 lesions
|
$197.50 |
$197.50 |
$197.50 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,806.00 |
$1,806.00 |
$1,806.00 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,606.00 |
$2,606.00 |
$2,606.00 |
$3,202.98
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$317.00 |
$317.00 |
$317.00 |
$364.50
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$576.50 |
$576.50 |
$576.50 |
$513.60
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$317.00 |
$317.00 |
$317.00 |
$472.79
|
|
Destruction mal lsn t/a/l >4cm
|
$317.00 |
$317.00 |
$317.00 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$303.00 |
$303.00 |
$303.00 |
$332.00
|
|
Destruction premal lesions 15/> 17004
|
$576.50 |
$576.50 |
$576.50 |
$436.64
|
|
Destruct penis les/smp/electrodesi 54055
|
$2,825.00 |
$2,825.00 |
$2,825.00 |
$2,837.09
|
|
Devel tst phys/qhp 1st hr
|
$228.00 |
$228.00 |
$228.00 |
$337.50
|
|
Device ablt adv novasure
|
$2,324.10 |
$2,324.10 |
$2,324.10 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,375.00 |
$2,375.00 |
$2,375.00 |
$4,200.00
|
|
Device tiss remov myosure reach
|
$3,039.05 |
$3,039.05 |
$3,039.05 |
$2,541.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$114.50 |
$114.50 |
$114.50 |
$200.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$331.50 |
$331.50 |
$331.50 |
$227.15
|
|
Dhea-s (dehydroepiand sulfate)
|
$97.00 |
$97.00 |
$97.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$106.50 |
$106.50 |
$106.50 |
$79.20
|
|
Diabetes training group per 30 min g0109
|
$35.00 |
$35.00 |
$35.00 |
$35.25
|
|
Diab manage trn ind/group
|
$30.00 |
$30.00 |
$30.00 |
$56.55
|
|
Diagnostic anoscopy & biopsy
|
$1,745.00 |
$1,745.00 |
$1,745.00 |
$1,905.00
|
|
Diagnostic anoscopy spx 46600
|
$267.00 |
$267.00 |
$267.00 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$94.00 |
$94.00 |
$94.00 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$263.50 |
$263.50 |
$263.50 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$377.50 |
$377.50 |
$377.50 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$291.50 |
$291.50 |
$291.50 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,725.00 |
$3,725.00 |
$3,725.00 |
$5,419.00
|
|
Dialysis one evaluation
|
$447.00 |
$447.00 |
$447.00 |
$919.55
|
|
Diathermy eg microwave
|
$85.00 |
$85.00 |
$85.00 |
$29.68
|
|
Diffusing capacity
|
$237.00 |
$237.00 |
$237.00 |
$332.00
|
|
Digital analysis of eeg
|
$457.50 |
$457.50 |
$457.50 |
$605.60
|
|
Digoxin total therapeutic drug level
|
$103.50 |
$103.50 |
$103.50 |
$102.00
|
|
Dilate biliary duct/ampulla
|
$437.00 |
$437.00 |
$437.00 |
$1,866.73
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$5,934.00 |
$5,934.00 |
$5,934.00 |
$3,033.08
|
|
Dilate ic vasospasm ea add vsl same territory
|
$5,934.00 |
$5,934.00 |
$5,934.00 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$8,309.00 |
$8,309.00 |
$8,309.00 |
$5,250.40
|
|
Dilate urethra stricture
|
$408.00 |
$408.00 |
$408.00 |
$490.00
|
|
Dilate urethra stricture
|
$210.50 |
$210.50 |
$210.50 |
$200.80
|
|
Dilation/female urethra/initial 53660
|
$260.50 |
$260.50 |
$260.50 |
$235.61
|
|
Dilation salivary duct 42650
|
$2,066.50 |
$2,066.50 |
$2,066.50 |
$2,498.32
|
|
Dilation/urethral strict/male/ini 53620
|
$804.50 |
$804.50 |
$804.50 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$402.10 |
$402.10 |
$402.10 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$2,871.00 |
$2,871.00 |
$2,871.00 |
$4,061.71
|
|
Dilat xst trc new access rcs
|
$3,158.50 |
$3,158.50 |
$3,158.50 |
$4,213.20
|
|
Disability dlco
|
$233.00 |
$233.00 |
$233.00 |
$282.40
|
|
Disaccharidases
|
$234.50 |
$234.50 |
$234.50 |
$216.00
|
|
Discography cerv/thor spine
|
$2,008.50 |
$2,008.50 |
$2,008.50 |
$2,565.00
|
|
Dlyd plmt xtn prosth ea addl
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$1,582.68
|
|
Dna antibody native/double stranded
|
$132.00 |
$132.00 |
$132.00 |
$97.50
|
|
Dna gardnerella
|
$146.50 |
$146.50 |
$146.50 |
$62.50
|
|
Dna trichomonas
|
$146.50 |
$146.50 |
$146.50 |
$67.80
|
|
Doppler echo complete
|
$451.00 |
$451.00 |
$451.00 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$1,583.50 |
$1,583.50 |
$1,583.50 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$567.00 |
$567.00 |
$567.00 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$360.00 |
$360.00 |
$360.00 |
$471.17
|
|
Dorsi & plantar flex ass/res
|
$67.28 |
$67.28 |
$67.28 |
$163.50
|
|
Dpyd gene common variants
|
$673.50 |
$673.50 |
$673.50 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$358.00 |
$358.00 |
$358.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$359.00 |
$359.00 |
$359.00 |
$914.34
|
|
Drainage external ear complex 69005
|
$1,664.50 |
$1,664.50 |
$1,664.50 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$359.00 |
$359.00 |
$359.00 |
$789.60
|
|
Drainage mouth roof lesion
|
$288.50 |
$288.50 |
$288.50 |
$390.39
|
|
Drainage of arm bursa 23931
|
$3,644.00 |
$3,644.00 |
$3,644.00 |
$2,197.48
|
|
Drainage of eye
|
$1,215.50 |
$1,215.50 |
$1,215.50 |
$2,360.00
|
|
Drainage of eye
|
$2,790.50 |
$2,790.50 |
$2,790.50 |
$3,170.00
|
|
Drainage of kidney lesion
|
$1,405.50 |
$1,405.50 |
$1,405.50 |
$1,506.00
|
|
Drainage of mouth lesion
|
$353.50 |
$353.50 |
$353.50 |
$489.00
|
|
Drainage of mouth lesion
|
$2,027.50 |
$2,027.50 |
$2,027.50 |
$2,423.85
|
|
Drainage of mouth lesion
|
$2,072.50 |
$2,072.50 |
$2,072.50 |
$3,900.60
|
