|
CT angio hrt w/3d image
|
$2,300.80 |
$2,300.80 |
$2,300.80 |
$1,428.68
|
|
CT angio pelvis
|
$2,856.80 |
$2,856.80 |
$2,856.80 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,781.60 |
$2,781.60 |
$2,781.60 |
$1,691.30
|
|
CT bone density axial
|
$582.40 |
$582.40 |
$582.40 |
$385.15
|
|
CT guidance for needle placement
|
$2,142.40 |
$2,142.40 |
$2,142.40 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$1,215.06
|
|
CT guid parench tis ablat
|
$1,312.80 |
$1,312.80 |
$1,312.80 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$795.20 |
$795.20 |
$795.20 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$3,020.00 |
$3,020.00 |
$3,020.00 |
$1,395.79
|
|
CT hrt w/3d image
|
$3,020.00 |
$3,020.00 |
$3,020.00 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$1,105.60 |
$1,105.60 |
$1,105.60 |
$636.55
|
|
Ctrl nosebld postir subsq 30906
|
$346.40 |
$346.40 |
$346.40 |
$422.80
|
|
CT scan for localization
|
$2,316.00 |
$2,316.00 |
$2,316.00 |
$1,216.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,808.00 |
$4,808.00 |
$4,808.00 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,120.00 |
$4,120.00 |
$4,120.00 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,120.00 |
$4,120.00 |
$4,120.00 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,676.00 |
$2,676.00 |
$2,676.00 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$2,350.40 |
$2,350.40 |
$2,350.40 |
$1,845.36
|
|
Curette/treat cornea
|
$1,626.40 |
$1,626.40 |
$1,626.40 |
$1,365.60
|
|
Cutter lead
|
$1,102.40 |
$1,102.40 |
$1,102.40 |
$6,581.45
|
|
Cv line/pic reposition
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$1,681.20
|
|
Cystogram >= 3 views supervision & interpretation
|
$826.40 |
$826.40 |
$826.40 |
$586.95
|
|
Cystoscopy and treatment
|
$4,006.40 |
$4,006.40 |
$4,006.40 |
$2,867.70
|
|
Cystoscopy & duct catheter
|
$650.40 |
$650.40 |
$650.40 |
$976.80
|
|
Cytopath c/v manual
|
$58.40 |
$58.40 |
$58.40 |
$36.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$163.20 |
$163.20 |
$163.20 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$68.00 |
$68.00 |
$68.00 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$76.80 |
$76.80 |
$76.80 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$167.20 |
$167.20 |
$167.20 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$122.40 |
$122.40 |
$122.40 |
$127.50
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$249.60 |
$249.60 |
$249.60 |
$213.85
|
|
Cytopath smear other source
|
$138.40 |
$138.40 |
$138.40 |
$92.50
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$4,010.40 |
$4,010.40 |
$4,010.40 |
$3,774.81
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$711.20 |
$711.20 |
$711.20 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$205.60 |
$205.60 |
$205.60 |
$284.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$901.60 |
$901.60 |
$901.60 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,430.40 |
$1,430.40 |
$1,430.40 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$501.60 |
$501.60 |
$501.60 |
$835.20
|
|
Debride nail1-5 11720
|
$114.40 |
$114.40 |
$114.40 |
$149.60
|
|
Debride nail6 or more 11721
|
$165.60 |
$165.60 |
$165.60 |
$169.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$724.80 |
$724.80 |
$724.80 |
$663.30
|
|
Debr inf skin add-on 11001
|
$191.20 |
$191.20 |
$191.20 |
$124.08
|
|
Decalcification
|
$96.80 |
$96.80 |
$96.80 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$609.60 |
$609.60 |
$609.60 |
$572.95
|
|
Delivery of placenta 59414
|
$3,455.20 |
$3,455.20 |
$3,455.20 |
$2,912.46
|
|
Demonstrate use home inr mon
|
$268.00 |
$268.00 |
$268.00 |
$294.75
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$142.40 |
$142.40 |
$142.40 |
$185.17
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$361.60 |
$361.60 |
$361.60 |
$401.60
|
|
Destroy cervthor facet jnt 64633
|
$2,798.40 |
$2,798.40 |
$2,798.40 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$1,062.40 |
$1,062.40 |
$1,062.40 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,292.00 |
$1,292.00 |
$1,292.00 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,458.40 |
$2,458.40 |
$2,458.40 |
$3,296.80
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$5,000.00 |
$5,000.00 |
$5,000.00 |
$4,200.00
|
|
Device tiss remov myosure reach
|
$2,060.80 |
$2,060.80 |
$2,060.80 |
$2,515.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$254.40 |
$254.40 |
$254.40 |
$227.25
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$63.35 |
$63.35 |
$63.35 |
$20.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$80.00 |
$80.00 |
$80.00 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$80.00 |
$80.00 |
$80.00 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$80.00 |
$80.00 |
$80.00 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$80.00 |
$80.00 |
$80.00 |
$48.00
|
|
Diab manage trn ind/group
|
$51.20 |
$51.20 |
$51.20 |
$54.99
|
|
Diagnostic laryngoscopy 31505
|
$291.20 |
$291.20 |
$291.20 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$445.60 |
$445.60 |
$445.60 |
$338.00
|
|
Diagnostic radio unlisted proc
|
$960.00 |
$960.00 |
$960.00 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$15,456.00 |
$15,456.00 |
$15,456.00 |
$5,741.00
|
|
Diffusing capacity
|
$337.60 |
$337.60 |
$337.60 |
$336.80
|
|
Dilate esophagus
|
$3,038.40 |
$3,038.40 |
$3,038.40 |
$2,142.40
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$2,149.60 |
$2,149.60 |
$2,149.60 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$3,552.80 |
$3,552.80 |
$3,552.80 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$6,934.40 |
$6,934.40 |
$6,934.40 |
$5,151.95
|
|
Dilation/urethral strict/male/ini 53620
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$1,372.80
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.20 |
$1.20 |
$1.20 |
$1.20
|
|
Disability dlco
|
$129.60 |
$129.60 |
$129.60 |
$293.76
|
|
Discography cerv/thor spine
|
$2,628.00 |
$2,628.00 |
$2,628.00 |
$2,565.00
|
|
Dlyd plmt xtn prosth ea addl
|
$1,532.80 |
$1,532.80 |
$1,532.80 |
$1,810.80
|
|
Doppler echo complete
|
$759.20 |
$759.20 |
$759.20 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$2,136.00 |
$2,136.00 |
$2,136.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$948.80 |
$948.80 |
$948.80 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$530.40 |
$530.40 |
$530.40 |
$481.65
|
|
Dornase alfa non-comp unit
|
$146.09 |
$146.09 |
$146.09 |
$356.00
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$574.40 |
$574.40 |
$574.40 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$450.40 |
$450.40 |
$450.40 |
$964.00
|
|
Drainage external ear complex 69005
|
$2,293.60 |
$2,293.60 |
$2,293.60 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$563.20 |
$563.20 |
$563.20 |
$790.40
|
|
Drainage of kidney lesion
|
$1,640.80 |
$1,640.80 |
$1,640.80 |
$1,506.00
|
|
Drain blood from under nail 11740
|
$178.40 |
$178.40 |
$178.40 |
$182.40
|
|
Drain finger abscess;simple 26010
|
$426.40 |
$426.40 |
$426.40 |
$428.40
|
|
Drain neck/chest lesion 21501
|
$3,631.20 |
$3,631.20 |
$3,631.20 |
$3,339.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$394.40 |
$394.40 |
$394.40 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$339.20 |
$339.20 |
$339.20 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$547.20 |
$547.20 |
$547.20 |
$541.00
|
|
Drng of eyelid abscess 67700
|
$474.40 |
$474.40 |
$474.40 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,204.00 |
$2,204.00 |
$2,204.00 |
$2,079.50
|
|
Drng of scrotum abscess 55100
|
$1,914.40 |
$1,914.40 |
$1,914.40 |
$1,997.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$1,818.32
|
|
Drug admin & hemodynmic meas
|
$1,455.20 |
$1,455.20 |
$1,455.20 |
$569.75
|
|
Dry needling (97799)
|
$107.20 |
$107.20 |
$107.20 |
$114.27
|
|
Dstrj nulyt agt gnclr nrv
|
$3,864.80 |
$3,864.80 |
$3,864.80 |
$2,980.00
|
|
Duplex scan bilateral study 93985
|
$874.40 |
$874.40 |
$874.40 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$536.00 |
$536.00 |
$536.00 |
$369.20
|