|
Destroy cervthor facet jnt 64633
|
$2,579.28 |
$2,579.28 |
$2,579.28 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$549.49 |
$549.49 |
$549.49 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$900.53 |
$900.53 |
$900.53 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$203.04 |
$203.04 |
$203.04 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$3,666.68 |
$3,666.68 |
$3,666.68 |
$3,058.98
|
|
Destroy vulva lesion simple 56501
|
$3,785.00 |
$3,785.00 |
$3,785.00 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$349.15 |
$349.15 |
$349.15 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$1,066.45 |
$1,066.45 |
$1,066.45 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$822.58 |
$822.58 |
$822.58 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$2,458.77 |
$2,458.77 |
$2,458.77 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$84.04 |
$84.04 |
$84.04 |
$78.61
|
|
Destruction anal lesion(s)
|
$2,772.60 |
$2,772.60 |
$2,772.60 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$3,363.79 |
$3,363.79 |
$3,363.79 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$535.46 |
$535.46 |
$535.46 |
$557.90
|
|
Destruction benign lesions < 14 lesions
|
$261.23 |
$261.23 |
$261.23 |
$240.24
|
|
Destruction by injection tx of nerve 64630
|
$1,626.35 |
$1,626.35 |
$1,626.35 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,429.57 |
$1,429.57 |
$1,429.57 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,812.90 |
$2,812.90 |
$2,812.90 |
$3,296.80
|
|
Destruction ciliary body
|
$3,228.83 |
$3,228.83 |
$3,228.83 |
$3,228.83
|
|
Destruction ciliary body
|
$2,188.86 |
$2,188.86 |
$2,188.86 |
$2,760.73
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$305.03 |
$305.03 |
$305.03 |
$375.87
|
|
Destruction laser surgery anal lesions 46917
|
$2,770.80 |
$2,770.80 |
$2,770.80 |
$3,640.00
|
|
Destruction les conjunctiva
|
$1,901.92 |
$1,901.92 |
$1,901.92 |
$2,760.73
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$639.42 |
$639.42 |
$639.42 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$419.85 |
$419.85 |
$419.85 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$495.72 |
$495.72 |
$495.72 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$615.05 |
$615.05 |
$615.05 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$326.34 |
$326.34 |
$326.34 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$3,556.35 |
$3,556.35 |
$3,556.35 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$609.45 |
$609.45 |
$609.45 |
$442.61
|
|
Destruction rectal tumor 45190
|
$2,998.42 |
$2,998.42 |
$2,998.42 |
$3,245.23
|
|
Destruction vag lesions complex 57065
|
$3,237.28 |
$3,237.28 |
$3,237.28 |
$3,986.00
|
|
Destruction vag lesions simple 57061
|
$3,149.41 |
$3,149.41 |
$3,149.41 |
$4,006.38
|
|
Destruct penis les/smp/electrodesi 54055
|
$2,236.85 |
$2,236.85 |
$2,236.85 |
$2,837.09
|
|
Detect agent nos dna dir
|
$186.00 |
$186.00 |
$186.00 |
$138.00
|
|
Detect agnt mult dna direc
|
$175.12 |
$175.12 |
$175.12 |
$166.77
|
|
Determination venous press
|
$167.73 |
$167.73 |
$167.73 |
$166.56
|
|
Determine refractive state
|
$5.17 |
$5.17 |
$5.17 |
$21.50
|
|
Devel tst phys/qhp 1st hr
|
$79.98 |
$79.98 |
$79.98 |
$350.40
|
|
Device ablt adv novasure
|
$9,177.30 |
$9,177.30 |
$9,177.30 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$5,098.50 |
$5,098.50 |
$5,098.50 |
$4,200.00
|
|
Device intraute mirena
|
$2,082.22 |
$2,082.22 |
$2,082.22 |
$2,125.00
|
|
Device tiss remov myosure reach
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$2,515.00
|
|
Dev interrog remote 1/2/mlt
|
$272.69 |
$272.69 |
$272.69 |
$115.20
|
|
Devlopment test interpt&rep
|
$75.54 |
$75.54 |
$75.54 |
$109.46
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$203.19 |
$203.19 |
$203.19 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$235.55 |
$235.55 |
$235.55 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$85.86 |
$85.86 |
$85.86 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$27.00 |
$27.00 |
$27.00 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,268.38 |
$1,268.38 |
$1,268.38 |
$884.80
|
|
Dextran 40 infusion
|
$151.20 |
$151.20 |
$151.20 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$28.80 |
$28.80 |
$28.80 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$28.80 |
$28.80 |
$28.80 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$31.32 |
$31.32 |
$31.32 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$45.14 |
$45.14 |
$45.14 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$150.54 |
$150.54 |
$150.54 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$123.97 |
$123.97 |
$123.97 |
$79.30
|
|
Diabetes training group per 30 min g0109
|
$35.43 |
$35.43 |
$35.43 |
$35.43
|
|
Diab manage trn ind/group
|
$69.32 |
$69.32 |
$69.32 |
$54.99
|
|
Diag laparo separate proc 49320
|
$5,649.52 |
$5,649.52 |
$5,649.52 |
$7,104.72
|
|
Diagnostic anoscopy spx 46600
|
$134.55 |
$134.55 |
$134.55 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$117.94 |
$117.94 |
$117.94 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$70.70 |
$70.70 |
$70.70 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$231.71 |
$231.71 |
$231.71 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$485.26 |
$485.26 |
$485.26 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$340.20 |
$340.20 |
$340.20 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$272.16 |
$272.16 |
$272.16 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$6,446.54 |
$6,446.54 |
$6,446.54 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$2,234.87 |
$2,234.87 |
$2,234.87 |
$5,741.00
|
|
Dialysis one evaluation
|
$1,775.84 |
$1,775.84 |
$1,775.84 |
$936.00
|
|
Dialysis repeated eval
|
$1,523.40 |
$1,523.40 |
$1,523.40 |
$1,332.80
|
|
Dialysis training complete
|
$581.47 |
$581.47 |
$581.47 |
$783.36
|
|
Dialysis training incompl
|
$290.74 |
$290.74 |
$290.74 |
$391.67
|
|
Diatrizoate meglumine 18 % urethral solution
|
$149.04 |
$149.04 |
$149.04 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$135.30 |
$135.30 |
$135.30 |
$79.71
|
|
Dicyclomine injection
|
$229.36 |
$229.36 |
$229.36 |
$154.33
|
|
Diffusing capacity
|
$478.63 |
$478.63 |
$478.63 |
$336.80
|
|
Digital analysis of eeg
|
$665.39 |
$665.39 |
$665.39 |
$593.40
|
|
Digit nerve surgery add-on
|
$1,832.59 |
$1,832.59 |
$1,832.59 |
$1,832.59
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$371.87 |
$371.87 |
$371.87 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$8,613.00 |
$8,613.00 |
$8,613.00 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$102.07 |
$102.07 |
$102.07 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$357.05 |
$357.05 |
$357.05 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$1,729.70 |
$1,729.70 |
$1,729.70 |
$1,866.73
|
|
Dilate esophagus
|
$1,106.68 |
$1,106.68 |
$1,106.68 |
$2,142.40
|
|
Dilate esophagus 1/mult pass
|
$1,168.01 |
$1,168.01 |
$1,168.01 |
$1,548.00
|
|
Dilate ic vasospasm init
|
$4,627.52 |
$4,627.52 |
$4,627.52 |
$5,151.95
|
|
Dilate tear duct opening
|
$360.51 |
$360.51 |
$360.51 |
$454.40
|
|
Dilate urethra stricture
|
$716.91 |
$716.91 |
$716.91 |
$513.00
|
|
Dilate urethra stricture
|
$185.58 |
$185.58 |
$185.58 |
$200.80
|
|
Dilate urethra stricture
|
$3,424.84 |
$3,424.84 |
$3,424.84 |
$3,863.60
|
|
Dilate urethra stricture
|
$379.00 |
$379.00 |
$379.00 |
$343.55
|
|
Dilation/female urethra/initial 53660
|
$235.61 |
$235.61 |
$235.61 |
$235.61
|
|
Dilation of anal sphincter
|
$1,969.12 |
$1,969.12 |
$1,969.12 |
$2,166.04
|
|
Dilation of cervical canal 57800
|
$3,447.85 |
$3,447.85 |
$3,447.85 |
$4,446.00
|
|
Dilation of rectal stricture 45910
|
$2,219.41 |
$2,219.41 |
$2,219.41 |
$2,491.80
|
|
Dilation of salivary duct
|
$551.84 |
$551.84 |
$551.84 |
$790.00
|
|
Dilation of urethra
|
$225.54 |
$225.54 |
$225.54 |
$172.00
|
|
Dilation of urethra
|
$3,207.20 |
$3,207.20 |
$3,207.20 |
$2,424.12
|
|
Dilation of vagina
|
$2,643.08 |
$2,643.08 |
$2,643.08 |
$4,446.00
|
