|
Design mlc device for imrt
|
$1,357.50 |
$1,357.50 |
$1,357.50 |
$1,739.10
|
|
Desoxycorticosterone
|
$82.50 |
$82.50 |
$82.50 |
$98.80
|
|
Des thora aorta/ea add prox prosth 33884
|
$1,715.00 |
$1,715.00 |
$1,715.00 |
$1,304.05
|
|
Des thora aorta rpr without left sub art 33881
|
$3,999.50 |
$3,999.50 |
$3,999.50 |
$4,937.50
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$3,427.00 |
$3,427.00 |
$3,427.00 |
$2,906.00
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$175.50 |
$175.50 |
$175.50 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$214.50 |
$214.50 |
$214.50 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$249.50 |
$249.50 |
$249.50 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$176.00 |
$176.00 |
$176.00 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$193.00 |
$193.00 |
$193.00 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$212.50 |
$212.50 |
$212.50 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$121.00 |
$121.00 |
$121.00 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$136.00 |
$136.00 |
$136.00 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$151.00 |
$151.00 |
$151.00 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$188.00 |
$188.00 |
$188.00 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$1,081.50 |
$1,081.50 |
$1,081.50 |
$3,018.00
|
|
Destroy cth facet jnt addl 64634
|
$324.50 |
$324.50 |
$324.50 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$758.50 |
$758.50 |
$758.50 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$111.50 |
$111.50 |
$111.50 |
$202.40
|
|
Destroy vulva lesion simple 56501
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$3,556.00
|
|
Destruct ben lesion 15/> 17111
|
$223.00 |
$223.00 |
$223.00 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$298.00 |
$298.00 |
$298.00 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$216.00 |
$216.00 |
$216.00 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$948.50 |
$948.50 |
$948.50 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$50.50 |
$50.50 |
$50.50 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$201.50 |
$201.50 |
$201.50 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$823.50 |
$823.50 |
$823.50 |
$1,626.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$927.50 |
$927.50 |
$927.50 |
$1,618.65
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$3,295.50
|
|
Destruction les conjunctiva
|
$819.00 |
$819.00 |
$819.00 |
$2,760.73
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$233.50 |
$233.50 |
$233.50 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$376.00 |
$376.00 |
$376.00 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$349.00 |
$349.00 |
$349.00 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$430.00 |
$430.00 |
$430.00 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$196.00 |
$196.00 |
$196.00 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$2,293.00 |
$2,293.00 |
$2,293.00 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$216.00 |
$216.00 |
$216.00 |
$442.61
|
|
Destruction vag lesions simple 57061
|
$1,843.00 |
$1,843.00 |
$1,843.00 |
$3,815.20
|
|
Determine refractive state
|
$21.50 |
$21.50 |
$21.50 |
$21.50
|
|
Device ablt adv novasure
|
$4,842.50 |
$4,842.50 |
$4,842.50 |
$6,237.48
|
|
Device tiss remov myosure reach
|
$3,868.50 |
$3,868.50 |
$3,868.50 |
$2,466.14
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$61.00 |
$61.00 |
$61.00 |
$227.15
|
|
Dhea-s (dehydroepiand sulfate)
|
$70.50 |
$70.50 |
$70.50 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$55.50 |
$55.50 |
$55.50 |
$79.20
|
|
Diab manage trn ind/group
|
$28.50 |
$28.50 |
$28.50 |
$54.99
|
|
Diagnostic anoscopy
|
$104.00 |
$104.00 |
$104.00 |
$392.70
|
|
Diagnostic anoscopy spx 46600
|
$104.00 |
$104.00 |
$104.00 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$468.50 |
$468.50 |
$468.50 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$413.50 |
$413.50 |
$413.50 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$162.00 |
$162.00 |
$162.00 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$413.50 |
$413.50 |
$413.50 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$358.00 |
$358.00 |
$358.00 |
$312.72
|
|
Diagnostic radio unlisted proc
|
$346.50 |
$346.50 |
$346.50 |
$243.60
|
|
Dialysis circuit perm vascular embolization 36909
|
$4,640.00 |
$4,640.00 |
$4,640.00 |
$5,663.50
|
|
Dialysis one evaluation
|
$335.00 |
$335.00 |
$335.00 |
$936.00
|
|
Diffusing capacity
|
$184.00 |
$184.00 |
$184.00 |
$335.20
|
|
Digital analysis of eeg
|
$861.50 |
$861.50 |
$861.50 |
$551.20
|
|
Digoxin total therapeutic drug level
|
$65.00 |
$65.00 |
$65.00 |
$102.07
|
|
Dilate biliary duct/ampulla
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
$1,729.70
|
|
Dilate esophagus 1/mult pass
|
$568.00 |
$568.00 |
$568.00 |
$1,490.36
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
$3,026.10
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,651.00 |
$1,651.00 |
$1,651.00 |
$1,895.00
|
|
Dilate ic vasospasm init
|
$2,887.50 |
$2,887.50 |
$2,887.50 |
$4,627.52
|
|
Dilate tear duct opening
|
$180.00 |
$180.00 |
$180.00 |
$454.40
|
|
Dilate urethra stricture
|
$244.00 |
$244.00 |
$244.00 |
$496.00
|
|
Dilate urethra stricture
|
$142.00 |
$142.00 |
$142.00 |
$200.80
|
|
Dilate urethra stricture
|
$169.50 |
$169.50 |
$169.50 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$185.50 |
$185.50 |
$185.50 |
$235.61
|
|
Dilation of anal sphincter
|
$4,268.00 |
$4,268.00 |
$4,268.00 |
$1,995.20
|
|
Dilation of cervical canal 57800
|
$1,444.00 |
$1,444.00 |
$1,444.00 |
$4,376.00
|
|
Dilation of rectal stricture 45910
|
$2,854.50 |
$2,854.50 |
$2,854.50 |
$2,263.80
|
|
Dilation of salivary duct
|
$370.00 |
$370.00 |
$370.00 |
$750.00
|
|
Dilation of urethra
|
$176.00 |
$176.00 |
$176.00 |
$172.00
|
|
Dilation/urethral strict/male/ini 53620
|
$2,290.00 |
$2,290.00 |
$2,290.00 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$237.50 |
$237.50 |
$237.50 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$1,462.50 |
$1,462.50 |
$1,462.50 |
$3,883.16
|
|
Dilat xst trc new access rcs
|
$2,459.50 |
$2,459.50 |
$2,459.50 |
$4,258.20
|
|
Disability dlco
|
$172.50 |
$172.50 |
$172.50 |
$292.03
|
|
Disaccharidases
|
$128.00 |
$128.00 |
$128.00 |
$224.31
|
|
Discography cerv/thor spine
|
$1,506.00 |
$1,506.00 |
$1,506.00 |
$2,481.50
|
|
Dissolve clot heart vessel
|
$1,263.50 |
$1,263.50 |
$1,263.50 |
$1,560.00
|
|
Dlyd plmt xtn prosth ea addl
|
$242.50 |
$242.50 |
$242.50 |
$1,875.00
|
|
Dna antibody native/double stranded
|
$117.50 |
$117.50 |
$117.50 |
$100.00
|
|
Doppler echo complete
|
$502.00 |
$502.00 |
$502.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$5,526.50 |
$5,526.50 |
$5,526.50 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$526.00 |
$526.00 |
$526.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$383.50 |
$383.50 |
$383.50 |
$473.76
|
|
Dornhoffer fixed part w/window
|
$41,761.50 |
$41,761.50 |
$41,761.50 |
$34,278.00
|
|
Dorsi & plantar flex ass/res
|
$162.50 |
$162.50 |
$162.50 |
$163.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$357.50 |
$357.50 |
$357.50 |
$794.82
|
|
Drainage ext aud canal abscess 69020
|
$357.50 |
$357.50 |
$357.50 |
$914.34
|
|
Drainage external ear complex 69005
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$357.50 |
$357.50 |
$357.50 |
$779.45
|
|
Drainage mouth roof lesion
|
$647.00 |
$647.00 |
$647.00 |
$405.60
|
|
Drainage of arm bursa 23931
|
$2,497.00 |
$2,497.00 |
$2,497.00 |
$2,271.01
|
|
Drainage of eye
|
$1,554.00 |
$1,554.00 |
$1,554.00 |
$2,415.65
|
|
Drainage of eye
|
$1,861.00 |
$1,861.00 |
$1,861.00 |
$3,170.00
|
|
Drainage of kidney lesion
|
$803.00 |
$803.00 |
$803.00 |
$1,506.00
|
|
Drainage of mouth lesion
|
$598.50 |
$598.50 |
$598.50 |
$905.30
|
|
Drainage of nose lesion int 30000
|
$225.50 |
$225.50 |
$225.50 |
$548.00
|
