|
Debride skin bone at fx site
|
$3,656.00 |
$3,656.00 |
$3,656.00 |
$2,921.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,295.00 |
$1,295.00 |
$1,295.00 |
$641.52
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,241.00 |
$1,241.00 |
$1,241.00 |
$1,160.00
|
|
Decalcification
|
$36.50 |
$36.50 |
$36.50 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,924.50 |
$1,924.50 |
$1,924.50 |
$546.84
|
|
Delivery of placenta 59414
|
$2,025.00 |
$2,025.00 |
$2,025.00 |
$2,822.68
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$171.50 |
$171.50 |
$171.50 |
$182.40
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$372.50 |
$372.50 |
$372.50 |
$399.93
|
|
Dermapure 1 square cm
|
$8,422.50 |
$8,422.50 |
$8,422.50 |
$3,822.00
|
|
Descend thora aorta rpr/lt sub art 33880
|
$2,780.50 |
$2,780.50 |
$2,780.50 |
$5,958.60
|
|
Design mlc device for imrt
|
$3,593.00 |
$3,593.00 |
$3,593.00 |
$1,739.10
|
|
Desoxycorticosterone
|
$32.00 |
$32.00 |
$32.00 |
$98.80
|
|
Destroy cervthor facet jnt 64633
|
$4,135.50 |
$4,135.50 |
$4,135.50 |
$3,018.00
|
|
Destroy cth facet jnt addl 64634
|
$1,796.50 |
$1,796.50 |
$1,796.50 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$4,710.50 |
$4,710.50 |
$4,710.50 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$357.50 |
$357.50 |
$357.50 |
$202.40
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,397.00 |
$1,397.00 |
$1,397.00 |
$666.75
|
|
Destruction 2-14 lesions 17003
|
$714.50 |
$714.50 |
$714.50 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$1,216.50 |
$1,216.50 |
$1,216.50 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$2,385.50 |
$2,385.50 |
$2,385.50 |
$1,626.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$3,602.00 |
$3,602.00 |
$3,602.00 |
$1,618.65
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$6,118.00 |
$6,118.00 |
$6,118.00 |
$3,295.50
|
|
Destruction premal lesions 15/> 17004
|
$1,233.50 |
$1,233.50 |
$1,233.50 |
$442.61
|
|
Detect agent nos dna dir
|
$279.00 |
$279.00 |
$279.00 |
$145.80
|
|
Device ablt adv novasure
|
$11,797.50 |
$11,797.50 |
$11,797.50 |
$6,237.48
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$541.50 |
$541.50 |
$541.50 |
$227.15
|
|
Dhea-s (dehydroepiand sulfate)
|
$223.50 |
$223.50 |
$223.50 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$248.00 |
$248.00 |
$248.00 |
$79.20
|
|
Diag bronchoscope/catheter
|
$487.00 |
$487.00 |
$487.00 |
$2,360.15
|
|
Diagnostic anoscopy spx 46600
|
$74.00 |
$74.00 |
$74.00 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$103.50 |
$103.50 |
$103.50 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$210.00 |
$210.00 |
$210.00 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$1,762.95 |
$1,762.95 |
$1,762.95 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$905.00 |
$905.00 |
$905.00 |
$312.72
|
|
Diagnostic radio unlisted proc
|
$440.00 |
$440.00 |
$440.00 |
$243.60
|
|
Dialysis circuit perm vascular embolization 36909
|
$14,280.50 |
$14,280.50 |
$14,280.50 |
$5,663.50
|
|
Dialysis one evaluation
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$936.00
|
|
Diffusing capacity
|
$961.50 |
$961.50 |
$961.50 |
$335.20
|
|
Digoxin total therapeutic drug level
|
$252.50 |
$252.50 |
$252.50 |
$102.07
|
|
Dilate biliary duct/ampulla
|
$4,689.50 |
$4,689.50 |
$4,689.50 |
$1,729.70
|
|
Dilate esophagus 1/mult pass
|
$2,278.00 |
$2,278.00 |
$2,278.00 |
$1,490.36
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$9,664.00 |
$9,664.00 |
$9,664.00 |
$3,026.10
|
|
Dilate ic vasospasm init
|
$15,313.00 |
$15,313.00 |
$15,313.00 |
$4,627.52
|
|
Dilate urethra stricture
|
$973.50 |
$973.50 |
$973.50 |
$496.00
|
|
Dilation of rectal stricture 45910
|
$4,885.00 |
$4,885.00 |
$4,885.00 |
$2,263.80
|
|
Dilation/urethral strict/male/ini 53620
|
$3,811.50 |
$3,811.50 |
$3,811.50 |
$1,372.80
|
|
Dilat xst trc new access rcs
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
$4,258.20
|
|
Disability dlco
|
$598.00 |
$598.00 |
$598.00 |
$292.03
|
|
Disaccharidases
|
$335.00 |
$335.00 |
$335.00 |
$224.31
|
|
Discography cerv/thor spine
|
$3,273.50 |
$3,273.50 |
$3,273.50 |
$2,481.50
|
|
Dlyd plmt xtn prosth ea addl
|
$7,268.00 |
$7,268.00 |
$7,268.00 |
$1,875.00
|
|
Dmpk gene detc abnor allele
|
$250.00 |
$250.00 |
$250.00 |
$313.60
|
|
Dna antibody native/double stranded
|
$286.00 |
$286.00 |
$286.00 |
$100.00
|
|
Dna gardnerella
|
$22.00 |
$22.00 |
$22.00 |
$61.80
|
|
Dna probe gc
|
$15.50 |
$15.50 |
$15.50 |
$84.80
|
|
Dna trichomonas
|
$22.00 |
$22.00 |
$22.00 |
$63.00
|
|
Doppler echo complete
|
$558.00 |
$558.00 |
$558.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$2,085.50 |
$2,085.50 |
$2,085.50 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$2,609.50 |
$2,609.50 |
$2,609.50 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$2,571.00 |
$2,571.00 |
$2,571.00 |
$473.76
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$574.50 |
$574.50 |
$574.50 |
$794.82
|
|
Drainage ext aud canal abscess 69020
|
$751.50 |
$751.50 |
$751.50 |
$914.34
|
|
Drainage external ear complex 69005
|
$3,726.50 |
$3,726.50 |
$3,726.50 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$587.50 |
$587.50 |
$587.50 |
$779.45
|
|
Drainage mouth roof lesion
|
$935.00 |
$935.00 |
$935.00 |
$405.60
|
|
Drainage of arm bursa 23931
|
$4,528.00 |
$4,528.00 |
$4,528.00 |
$2,271.01
|
|
Drainage of kidney lesion
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$1,506.00
|
|
Drainage of mouth lesion
|
$3,539.50 |
$3,539.50 |
$3,539.50 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$977.00 |
$977.00 |
$977.00 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,428.50 |
$1,428.50 |
$1,428.50 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$1,725.50 |
$1,725.50 |
$1,725.50 |
$3,863.70
|
|
Drain blood from under nail 11740
|
$330.00 |
$330.00 |
$330.00 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$6,695.50 |
$6,695.50 |
$6,695.50 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$6,429.00 |
$6,429.00 |
$6,429.00 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$1,338.00 |
$1,338.00 |
$1,338.00 |
$1,025.00
|
|
Drain finger abscess;simple 26010
|
$556.50 |
$556.50 |
$556.50 |
$428.40
|
|
Drain lower leg lesion 27603
|
$5,246.50 |
$5,246.50 |
$5,246.50 |
$3,858.40
|
|
Drain shoulder lesion
|
$2,937.00 |
$2,937.00 |
$2,937.00 |
$3,638.88
|
|
Drain thigh/knee lesion 27301
|
$6,106.50 |
$6,106.50 |
$6,106.50 |
$3,824.50
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$483.00 |
$483.00 |
$483.00 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$363.50 |
$363.50 |
$363.50 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$882.00 |
$882.00 |
$882.00 |
$540.80
|
|
Drng of eyelid abscess 67700
|
$766.50 |
$766.50 |
$766.50 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$3,665.50 |
$3,665.50 |
$3,665.50 |
$2,029.60
|
|
Drng of hydrocele 55000
|
$1,084.50 |
$1,084.50 |
$1,084.50 |
$832.60
|
|
Drng of mouth lesion 40801
|
$2,144.00 |
$2,144.00 |
$2,144.00 |
$1,350.97
|
|
Drng of scrotum abscess 55100
|
$2,765.00 |
$2,765.00 |
$2,765.00 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$2,039.50
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$843.50 |
$843.50 |
$843.50 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$1,789.50 |
$1,789.50 |
$1,789.50 |
$58.20
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$3,314.50 |
$3,314.50 |
$3,314.50 |
$289.05
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$135.72
|
|
Drug admin & hemodynmic meas
|
$2,603.00 |
$2,603.00 |
$2,603.00 |
$578.59
|
|
Drug assay caffeine
|
$40.50 |
$40.50 |
$40.50 |
$81.61
|
|
Drug assay posaconazole
|
$57.00 |
$57.00 |
$57.00 |
$96.75
|
|
Drug assay vedolizumab
|
$284.50 |
$284.50 |
$284.50 |
$157.00
|
|
Drug assay voriconazole
|
$133.50 |
$133.50 |
$133.50 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$230.00 |
$230.00 |
$230.00 |
$66.43
|
|
Drug of abuse screen urine
|
$455.00 |
$455.00 |
$455.00 |
$64.50
|
