|
Deamidated gliadin antibody iga
|
$54.45 |
$54.45 |
$54.45 |
$45.31
|
|
Debridement (>20 cm) charge pt
|
$218.35 |
$218.35 |
$218.35 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$1,677.50 |
$1,677.50 |
$1,677.50 |
$2,578.95
|
|
Debridement/bone/20 sq cm or less 11046
|
$517.55 |
$517.55 |
$517.55 |
$681.60
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,257.85 |
$1,257.85 |
$1,257.85 |
$1,407.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,705.00 |
$1,705.00 |
$1,705.00 |
$810.50
|
|
Debride nail1-5 11720
|
$161.70 |
$161.70 |
$161.70 |
$173.25
|
|
Debride nail6 or more 11721
|
$222.20 |
$222.20 |
$222.20 |
$200.21
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$470.80 |
$470.80 |
$470.80 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$699.60 |
$699.60 |
$699.60 |
$1,193.40
|
|
Decalcification
|
$52.80 |
$52.80 |
$52.80 |
$75.38
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,303.50 |
$1,303.50 |
$1,303.50 |
$510.95
|
|
Delivery of placenta 59414
|
$3,124.00 |
$3,124.00 |
$3,124.00 |
$3,135.14
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$165.55 |
$165.55 |
$165.55 |
$182.00
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$408.10 |
$408.10 |
$408.10 |
$460.50
|
|
Design mlc device for imrt
|
$627.55 |
$627.55 |
$627.55 |
$1,669.85
|
|
Desoxycorticosterone
|
$39.60 |
$39.60 |
$39.60 |
$112.75
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$116.03 |
$116.03 |
$116.03 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$146.92 |
$146.92 |
$146.92 |
$431.20
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$168.30 |
$168.30 |
$168.30 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$124.34 |
$124.34 |
$124.34 |
$275.88
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$135.04 |
$135.04 |
$135.04 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$153.65 |
$153.65 |
$153.65 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$78.01 |
$78.01 |
$78.01 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$118.40 |
$118.40 |
$118.40 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$144.14 |
$144.14 |
$144.14 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$157.61 |
$157.61 |
$157.61 |
$354.00
|
|
Destroy premlg lesns;1st lesn 17000
|
$222.20 |
$222.20 |
$222.20 |
$199.50
|
|
Destruct ben lesion 15/> 17111
|
$108.11 |
$108.11 |
$108.11 |
$250.20
|
|
Destruction 2-14 lesions 17003
|
$118.25 |
$118.25 |
$118.25 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$91.08 |
$91.08 |
$91.08 |
$234.00
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$171.47 |
$171.47 |
$171.47 |
$513.60
|
|
Destruction premal lesions 15/> 17004
|
$140.18 |
$140.18 |
$140.18 |
$442.61
|
|
Developmental screen/score/document 96110
|
$15.84 |
$15.84 |
$15.84 |
$136.64
|
|
Device tiss remov myosure reach
|
$658.82 |
$658.82 |
$658.82 |
$1,280.86
|
|
Dhea-s (dehydroepiand sulfate)
|
$123.20 |
$123.20 |
$123.20 |
$108.00
|
|
Diabetes (HbA1c) Test
|
$47.85 |
$47.85 |
$47.85 |
$79.28
|
|
Diagnostic anoscopy spx 46600
|
$88.70 |
$88.70 |
$88.70 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$154.00 |
$154.00 |
$154.00 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$77.00 |
$77.00 |
$77.00 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$102.85 |
$102.85 |
$102.85 |
$387.40
|
|
Diagnostic Mammogram (both breasts)
|
$319.55 |
$319.55 |
$319.55 |
$413.31
|
|
Diagnostic Mammogram (one breast)
|
$159.50 |
$159.50 |
$159.50 |
$289.85
|
|
Dialysis one evaluation
|
$720.50 |
$720.50 |
$720.50 |
$827.97
|
|
Diffusing capacity
|
$266.20 |
$266.20 |
$266.20 |
$357.50
|
|
Digoxin total therapeutic drug level
|
$162.25 |
$162.25 |
$162.25 |
$99.35
|
|
Disability dlco
|
$171.05 |
$171.05 |
$171.05 |
$304.99
|
|
Disaccharidases
|
$312.95 |
$312.95 |
$312.95 |
$231.67
|
|
Dna antibody native/double stranded
|
$37.40 |
$37.40 |
$37.40 |
$103.20
|
|
Dna gardnerella
|
$68.75 |
$68.75 |
$68.75 |
$67.68
|
|
Dna trichomonas
|
$68.75 |
$68.75 |
$68.75 |
$71.50
|
|
Doppler echo complete
|
$670.45 |
$670.45 |
$670.45 |
$644.00
|
|
Doppler intravascular pressure flow initial vessel
|
$2,424.95 |
$2,424.95 |
$2,424.95 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$859.65 |
$859.65 |
$859.65 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$429.55 |
$429.55 |
$429.55 |
$495.28
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$606.65 |
$606.65 |
$606.65 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$1,157.20 |
$1,157.20 |
$1,157.20 |
$865.60
|
|
Drainage external ear simple 69000
|
$606.65 |
$606.65 |
$606.65 |
$800.00
|
|
Drainage mouth roof lesion
|
$476.30 |
$476.30 |
$476.30 |
$528.80
|
|
Drainage of arm bursa 23931
|
$2,266.55 |
$2,266.55 |
$2,266.55 |
$2,402.32
|
|
Drainage of nose lesion sept 30020
|
$1,185.80 |
$1,185.80 |
$1,185.80 |
$755.95
|
|
Drainage of rectal abscess
|
$1,881.55 |
$1,881.55 |
$1,881.55 |
$2,299.90
|
|
Drain blood from under nail 11740
|
$129.25 |
$129.25 |
$129.25 |
$190.10
|
|
Drain cerebro spinal fluid 62272
|
$519.20 |
$519.20 |
$519.20 |
$1,113.06
|
|
Drain chst dry seal exp thorastat
|
$36.07 |
$36.07 |
$36.07 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$332.20 |
$332.20 |
$332.20 |
$490.80
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$299.20 |
$299.20 |
$299.20 |
$403.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$281.60 |
$281.60 |
$281.60 |
$359.45
|
|
Dress/debrid prtl-thick burn l 16030
|
$378.95 |
$378.95 |
$378.95 |
$523.00
|
|
Dressing change not for burn w/anes 15852
|
$39.20 |
$39.20 |
$39.20 |
$720.88
|
|
Drng of eyelid abscess 67700
|
$719.95 |
$719.95 |
$719.95 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,916.20 |
$1,916.20 |
$1,916.20 |
$1,908.09
|
|
Drng of scrotum abscess 55100
|
$2,558.60 |
$2,558.60 |
$2,558.60 |
$1,997.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$503.42 |
$503.42 |
$503.42 |
$843.34
|
|
Drug assay caffeine
|
$171.60 |
$171.60 |
$171.60 |
$88.83
|
|
Drug assay vedolizumab
|
$312.95 |
$312.95 |
$312.95 |
$172.90
|
|
Drug of abuse screen urine
|
$139.70 |
$139.70 |
$139.70 |
$63.75
|
|
Drug screen quant tiagabine
|
$95.70 |
$95.70 |
$95.70 |
$91.80
|
|
Drug test prsmv instrmnt
|
$139.70 |
$139.70 |
$139.70 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$429.00 |
$429.00 |
$429.00 |
$285.97
|
|
Drvvt confirm - quest
|
$113.85 |
$113.85 |
$113.85 |
$108.00
|
|
Ductogram sgl duct
|
$437.25 |
$437.25 |
$437.25 |
$413.91
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$626.45 |
$626.45 |
$626.45 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$999.35 |
$999.35 |
$999.35 |
$887.25
|
|
Ear irrigation 69209
|
$220.55 |
$220.55 |
$220.55 |
$155.20
|
|
Ecg 12 lead tracing only
|
$196.35 |
$196.35 |
$196.35 |
$245.30
|
|
Ecg external < 48 hours recording
|
$480.70 |
$480.70 |
$480.70 |
$462.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$52.80 |
$52.80 |
$52.80 |
$153.17
|
|
Echocardiogram (Heart Ultrasound)
|
$1,895.30 |
$1,895.30 |
$1,895.30 |
$2,079.35
|
|
Echocardiography doppler color flow mapping
|
$409.20 |
$409.20 |
$409.20 |
$461.61
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,135.10 |
$2,135.10 |
$2,135.10 |
$2,001.17
|
|
Echocardiography transthoracic 2d followup/limited
|
$283.80 |
$283.80 |
$283.80 |
$776.88
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$515.35 |
$515.35 |
$515.35 |
$757.45
|
|
Echocardiograpy doppler follow up/limited study
|
$275.00 |
$275.00 |
$275.00 |
$354.90
|
|
Echo stress
|
$633.05 |
$633.05 |
$633.05 |
$1,643.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,541.10 |
$1,541.10 |
$1,541.10 |
$1,953.70
|
|
Echo transthoracic
|
$865.15 |
$865.15 |
$865.15 |
$1,539.20
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,921.70 |
$1,921.70 |
$1,921.70 |
$1,026.40
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$75.90 |
$75.90 |
$75.90 |
$81.90
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$872.30 |
$872.30 |
$872.30 |
$1,060.00
|
