|
Decalcification
|
$46.50 |
$46.50 |
$46.50 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$394.00 |
$394.00 |
$394.00 |
$546.84
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$5,281.50 |
$5,281.50 |
$5,281.50 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$230.00 |
$230.00 |
$230.00 |
$182.40
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$301.50 |
$301.50 |
$301.50 |
$399.93
|
|
Desoxycorticosterone
|
$94.50 |
$94.50 |
$94.50 |
$98.80
|
|
Destruction benign lesions < 14 lesions
|
$230.00 |
$230.00 |
$230.00 |
$235.13
|
|
Detect agnt mult dna direc
|
$175.50 |
$175.50 |
$175.50 |
$166.77
|
|
Device ablt adv novasure
|
$7,365.50 |
$7,365.50 |
$7,365.50 |
$6,237.48
|
|
Device sut capio slim opn
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$5,253.00 |
$5,253.00 |
$5,253.00 |
$2,466.14
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$56.00 |
$56.00 |
$56.00 |
$227.15
|
|
Dhea-s (dehydroepiand sulfate)
|
$102.50 |
$102.50 |
$102.50 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$111.50 |
$111.50 |
$111.50 |
$79.20
|
|
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
|
$184.50 |
$184.50 |
$184.50 |
$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
|
$67.00 |
$67.00 |
$67.00 |
$243.60
|
|
Dialysis one evaluation
|
$335.00 |
$335.00 |
$335.00 |
$936.00
|
|
Diffusing capacity
|
$155.50 |
$155.50 |
$155.50 |
$335.20
|
|
Digoxin total therapeutic drug level
|
$64.00 |
$64.00 |
$64.00 |
$102.07
|
|
Dilate biliary duct/ampulla
|
$3,230.00 |
$3,230.00 |
$3,230.00 |
$1,729.70
|
|
Dilator fascial 10fx20cm
|
$290.50 |
$290.50 |
$290.50 |
$402.10
|
|
Dilat xst trc new access rcs
|
$5,662.00 |
$5,662.00 |
$5,662.00 |
$4,258.20
|
|
Disability dlco
|
$187.50 |
$187.50 |
$187.50 |
$292.03
|
|
Disaccharidases
|
$122.00 |
$122.00 |
$122.00 |
$224.31
|
|
Discography cerv/thor spine
|
$2,869.00 |
$2,869.00 |
$2,869.00 |
$2,481.50
|
|
Dise eval slp do brth flx dx
|
$1,600.50 |
$1,600.50 |
$1,600.50 |
$1,120.00
|
|
Dna antibody native/double stranded
|
$107.50 |
$107.50 |
$107.50 |
$100.00
|
|
Dna gardnerella
|
$90.00 |
$90.00 |
$90.00 |
$61.80
|
|
Dna trichomonas
|
$90.00 |
$90.00 |
$90.00 |
$63.00
|
|
Doppler echo complete
|
$360.00 |
$360.00 |
$360.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,589.00 |
$3,589.00 |
$3,589.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$352.00 |
$352.00 |
$352.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$189.00 |
$189.00 |
$189.00 |
$473.76
|
|
Dornhoffer fixed part w/window
|
$29,507.00 |
$29,507.00 |
$29,507.00 |
$34,278.00
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,256.50 |
$1,256.50 |
$1,256.50 |
$794.82
|
|
Drainage ext aud canal abscess 69020
|
$173.50 |
$173.50 |
$173.50 |
$914.34
|
|
Drainage external ear simple 69000
|
$406.50 |
$406.50 |
$406.50 |
$779.45
|
|
Drainage mouth roof lesion
|
$736.00 |
$736.00 |
$736.00 |
$405.60
|
|
Drainage of kidney lesion
|
$1,161.00 |
$1,161.00 |
$1,161.00 |
$1,506.00
|
|
Drainage of mouth lesion
|
$2,540.50 |
$2,540.50 |
$2,540.50 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$225.50 |
$225.50 |
$225.50 |
$548.00
|
|
Drain blood from under nail 11740
|
$85.50 |
$85.50 |
$85.50 |
$177.04
|
|
Drain cath image guided visceral pq
|
$1,949.00 |
$1,949.00 |
$1,949.00 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$1,389.00 |
$1,389.00 |
$1,389.00 |
$1,025.00
|
|
Drain chst dry seal exp thorastat
|
$115.50 |
$115.50 |
$115.50 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$322.00 |
$322.00 |
$322.00 |
$428.40
|
|
Drain lower leg lesion 27603
|
$2,419.50 |
$2,419.50 |
$2,419.50 |
$3,858.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$359.50 |
$359.50 |
$359.50 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$298.00 |
$298.00 |
$298.00 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$222.50 |
$222.50 |
$222.50 |
$540.80
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$5,529.50 |
$5,529.50 |
$5,529.50 |
$5,857.52
|
|
Drng of eyelid abscess 67700
|
$593.00 |
$593.00 |
$593.00 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$2,029.60
|
|
Drng of scrotum abscess 55100
|
$2,602.50 |
$2,602.50 |
$2,602.50 |
$1,997.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$957.50 |
$957.50 |
$957.50 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$90.00 |
$90.00 |
$90.00 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$32.50 |
$32.50 |
$32.50 |
$58.20
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$281.50 |
$281.50 |
$281.50 |
$8,040.27
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$2.50 |
$2.50 |
$2.50 |
$3.11
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$461.00 |
$461.00 |
$461.00 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$276.00 |
$276.00 |
$276.00 |
$578.59
|
|
Drug assay caffeine
|
$102.00 |
$102.00 |
$102.00 |
$81.61
|
|
Drug assay posaconazole
|
$127.50 |
$127.50 |
$127.50 |
$96.75
|
|
Drug assay vedolizumab
|
$438.50 |
$438.50 |
$438.50 |
$157.00
|
|
Drug asy hydroxychloroquine
|
$255.00 |
$255.00 |
$255.00 |
$66.43
|
|
Drug of abuse screen urine
|
$44.50 |
$44.50 |
$44.50 |
$64.50
|
|
Drug screen quant tiagabine
|
$75.00 |
$75.00 |
$75.00 |
$107.59
|
|
Drug test prsmv instrmnt
|
$59.50 |
$59.50 |
$59.50 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$331.50 |
$331.50 |
$331.50 |
$280.95
|
|
Drvvt confirm - quest
|
$118.00 |
$118.00 |
$118.00 |
$109.20
|
|
Ductogram sgl duct
|
$248.00 |
$248.00 |
$248.00 |
$469.44
|
|
Duodenal motility study
|
$2,309.50 |
$2,309.50 |
$2,309.50 |
$1,143.10
|
|
Duplex scan bilateral study 93985
|
$441.00 |
$441.00 |
$441.00 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$202.00 |
$202.00 |
$202.00 |
$375.60
|
|
Dup scan/hemodialysis access 93990
|
$203.50 |
$203.50 |
$203.50 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$198.50 |
$198.50 |
$198.50 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$391.00 |
$391.00 |
$391.00 |
$903.50
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$2,454.00 |
$2,454.00 |
$2,454.00 |
$23,482.80
|
|
Ear irrigation 69209
|
$907.00 |
$907.00 |
$907.00 |
$150.00
|
|
Ecg 12 lead tracing only
|
$144.50 |
$144.50 |
$144.50 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$27.50 |
$27.50 |
$27.50 |
$132.08
|
|
Ecg external < 48 hours recording
|
$303.50 |
$303.50 |
$303.50 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$303.50 |
$303.50 |
$303.50 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$229.50 |
$229.50 |
$229.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$229.50 |
$229.50 |
$229.50 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,880.50 |
$1,880.50 |
$1,880.50 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$221.00 |
$221.00 |
$221.00 |
$499.20
|
|
Echocardiography transthoracic 2d followup/limited
|
$535.50 |
$535.50 |
$535.50 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$500.00 |
$500.00 |
$500.00 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$185.00 |
$185.00 |
$185.00 |
$371.25
|
|
Echo exam of eye
|
$304.00 |
$304.00 |
$304.00 |
$143.75
|
|
Echo exam of eye
|
$306.50 |
$306.50 |
$306.50 |
$172.00
|
|
Echo exam uterus 76831-
|
$280.00 |
$280.00 |
$280.00 |
$552.50
|
|
Echo stress
|
$1,182.50 |
$1,182.50 |
$1,182.50 |
$1,606.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,408.50 |
$1,408.50 |
$1,408.50 |
$1,889.20
|
|
Echo transesophageal
|
$602.00 |
$602.00 |
$602.00 |
$602.00
|
