|
Device ablt adv novasure
|
$2,324.10 |
$2,324.10 |
$2,324.10 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,214.23 |
$2,214.23 |
$2,214.23 |
$4,200.00
|
|
Device sut capio slim opn
|
$917.34 |
$917.34 |
$917.34 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$1,142.30 |
$1,142.30 |
$1,142.30 |
$2,541.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$119.50 |
$119.50 |
$119.50 |
$200.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$331.50 |
$331.50 |
$331.50 |
$227.15
|
|
Dhea-s (dehydroepiand sulfate)
|
$156.50 |
$156.50 |
$156.50 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$109.50 |
$109.50 |
$109.50 |
$79.20
|
|
Diabetes training group per 30 min g0109
|
$37.00 |
$37.00 |
$37.00 |
$35.25
|
|
Diab manage trn ind/group
|
$24.00 |
$24.00 |
$24.00 |
$56.55
|
|
Diagnostic anoscopy & biopsy
|
$1,586.50 |
$1,586.50 |
$1,586.50 |
$1,905.00
|
|
Diagnostic anoscopy spx 46600
|
$195.50 |
$195.50 |
$195.50 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$104.50 |
$104.50 |
$104.50 |
$238.58
|
|
Diagnostic laryngoscopy 31575
|
$392.50 |
$392.50 |
$392.50 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$487.50 |
$487.50 |
$487.50 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$383.00 |
$383.00 |
$383.00 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$869.50 |
$869.50 |
$869.50 |
$5,419.00
|
|
Dialysis one evaluation
|
$514.00 |
$514.00 |
$514.00 |
$919.44
|
|
Dialysis repeated eval
|
$514.00 |
$514.00 |
$514.00 |
$1,267.50
|
|
Diathermy eg microwave
|
$59.00 |
$59.00 |
$59.00 |
$29.68
|
|
Diffusing capacity
|
$375.50 |
$375.50 |
$375.50 |
$332.00
|
|
Digital analysis of eeg
|
$463.00 |
$463.00 |
$463.00 |
$605.60
|
|
Digoxin total therapeutic drug level
|
$119.50 |
$119.50 |
$119.50 |
$102.00
|
|
Dilate biliary duct/ampulla
|
$460.50 |
$460.50 |
$460.50 |
$1,866.73
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$6,257.00 |
$6,257.00 |
$6,257.00 |
$3,033.08
|
|
Dilate ic vasospasm ea add vsl same territory
|
$6,257.00 |
$6,257.00 |
$6,257.00 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$8,761.50 |
$8,761.50 |
$8,761.50 |
$5,250.40
|
|
Dilate tear duct opening
|
$330.00 |
$330.00 |
$330.00 |
$472.21
|
|
Dilate urethra stricture
|
$469.00 |
$469.00 |
$469.00 |
$490.00
|
|
Dilate urethra stricture
|
$242.00 |
$242.00 |
$242.00 |
$200.80
|
|
Dilation/female urethra/initial 53660
|
$299.50 |
$299.50 |
$299.50 |
$235.61
|
|
Dilation salivary duct 42650
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,498.32
|
|
Dilation/urethral strict/male/ini 53620
|
$1,214.00 |
$1,214.00 |
$1,214.00 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$402.10 |
$402.10 |
$402.10 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$3,737.00 |
$3,737.00 |
$3,737.00 |
$4,061.71
|
|
Dilat xst trc new access rcs
|
$4,111.00 |
$4,111.00 |
$4,111.00 |
$4,213.20
|
|
Disability dlco
|
$202.00 |
$202.00 |
$202.00 |
$284.97
|
|
Disaccharidases
|
$367.00 |
$367.00 |
$367.00 |
$216.00
|
|
Discography cerv/thor spine
|
$1,989.00 |
$1,989.00 |
$1,989.00 |
$2,565.00
|
|
Division of fallopian tube 58605
|
$1,486.00 |
$1,486.00 |
$1,486.00 |
$832.00
|
|
Dlyd plmt xtn prosth ea addl
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$1,562.70
|
|
Dna antibody native/double stranded
|
$150.50 |
$150.50 |
$150.50 |
$95.80
|
|
Dna gardnerella
|
$168.50 |
$168.50 |
$168.50 |
$62.50
|
|
Dna trichomonas
|
$168.50 |
$168.50 |
$168.50 |
$67.80
|
|
Doppler echo complete
|
$842.00 |
$842.00 |
$842.00 |
$531.50
|
|
Doppler intravascular pressure flow initial vessel
|
$1,779.50 |
$1,779.50 |
$1,779.50 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$750.00 |
$750.00 |
$750.00 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$360.00 |
$360.00 |
$360.00 |
$470.05
|
|
Dorsi & plantar flex ass/res
|
$67.28 |
$67.28 |
$67.28 |
$163.50
|
|
Dpyd gene common variants
|
$774.50 |
$774.50 |
$774.50 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$498.00 |
$498.00 |
$498.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$475.00 |
$475.00 |
$475.00 |
$906.00
|
|
Drainage external ear complex 69005
|
$2,201.00 |
$2,201.00 |
$2,201.00 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$475.00 |
$475.00 |
$475.00 |
$789.60
|
|
Drainage lymph node lesion 38300
|
$1,615.00 |
$1,615.00 |
$1,615.00 |
$3,088.80
|
|
Drainage mouth roof lesion
|
$401.50 |
$401.50 |
$401.50 |
$390.39
|
|
Drainage of arm bursa 23931
|
$4,034.50 |
$4,034.50 |
$4,034.50 |
$2,197.48
|
|
Drainage of bladder abscess
|
$2,033.00 |
$2,033.00 |
$2,033.00 |
$3,127.88
|
|
Drainage of eye
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$2,360.00
|
|
Drainage of eye
|
$3,170.00 |
$3,170.00 |
$3,170.00 |
$3,170.00
|
|
Drainage of kidney lesion
|
$1,506.00 |
$1,506.00 |
$1,506.00 |
$1,534.80
|
|
Drainage of mouth lesion
|
$467.50 |
$467.50 |
$467.50 |
$489.00
|
|
Drainage of mouth lesion
|
$2,681.00 |
$2,681.00 |
$2,681.00 |
$2,423.85
|
|
Drainage of mouth lesion
|
$2,741.00 |
$2,741.00 |
$2,741.00 |
$3,908.00
|
|
Drainage of mouth lesion
|
$769.00 |
$769.00 |
$769.00 |
$962.40
|
|
Drainage of mouth lesion
|
$3,821.00 |
$3,821.00 |
$3,821.00 |
$6,781.90
|
|
Drainage of mouth lesion
|
$1,818.00 |
$1,818.00 |
$1,818.00 |
$3,544.29
|
|
Drainage of mouth lesion
|
$2,443.00 |
$2,443.00 |
$2,443.00 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$2,258.50 |
$2,258.50 |
$2,258.50 |
$491.40
|
|
Drainage of nose lesion sept 30020
|
$861.00 |
$861.00 |
$861.00 |
$781.44
|
|
Drainage of rectal abscess
|
$1,648.50 |
$1,648.50 |
$1,648.50 |
$2,111.46
|
|
Drainage of urethra abscess 53060
|
$2,117.00 |
$2,117.00 |
$2,117.00 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$189.00 |
$189.00 |
$189.00 |
$171.20
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,101.00 |
$2,101.00 |
$2,101.00 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,166.00 |
$2,166.00 |
$2,166.00 |
$2,850.00
|
|
Drain cerebro spinal fluid 62272
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$1,044.00
|
|
Drain chst dry seal exp thorastat
|
$74.52 |
$74.52 |
$74.52 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$179.50 |
$179.50 |
$179.50 |
$424.00
|
|
Drain lower leg lesion 27603
|
$4,300.00 |
$4,300.00 |
$4,300.00 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$3,021.00 |
$3,021.00 |
$3,021.00 |
$3,339.00
|
|
Drain ostomy pouch w/flange
|
$8.80 |
$8.80 |
$8.80 |
$8.80
|
|
Drain thigh/knee lesion 27301
|
$3,021.00 |
$3,021.00 |
$3,021.00 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$374.00 |
$374.00 |
$374.00 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$374.00 |
$374.00 |
$374.00 |
$345.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$684.00 |
$684.00 |
$684.00 |
$523.00
|
|
Dressing change not for burn w/anes 15852
|
$2,112.00 |
$2,112.00 |
$2,112.00 |
$755.08
|
|
Drill hole implt ventricular cath/device 61107
|
$3,883.50 |
$3,883.50 |
$3,883.50 |
$1,515.00
|
|
Drng hand tendon sheath 26020
|
$5,278.00 |
$5,278.00 |
$5,278.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$755.00 |
$755.00 |
$755.00 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$1,231.00 |
$1,231.00 |
$1,231.00 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$1,131.50 |
$1,131.50 |
$1,131.50 |
$832.60
|
|
Drng of mouth lesion 40801
|
$1,935.00 |
$1,935.00 |
$1,935.00 |
$1,255.68
|
|
Drng of ovarian cyst(s) 58800
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$3,474.84
|
|
Drng of scrotum abscess 55100
|
$1,497.50 |
$1,497.50 |
$1,497.50 |
$1,935.96
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$1,223.00 |
$1,223.00 |
$1,223.00 |
$1,800.00
|
|
Drng ovary abscess perqt 58822
|
$1,874.00 |
$1,874.00 |
$1,874.00 |
$2,161.64
|
|
Drng peritoneal abscess open 49020
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$2,039.50 |
$2,039.50 |
$2,039.50 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$820.00 |
$820.00 |
$820.00 |
$741.60
|
|
Drop lock knee
|
$79.18 |
$79.18 |
$79.18 |
$204.95
|
