|
Design mlc device for imrt
|
$236.50 |
$2,490.00 |
$3,097.50 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$5.00 |
$7.50 |
$478.25 |
|
|
Desoxycorticosterone
|
$44.00 |
$44.00 |
$87.50 |
|
|
Des thora aorta rpr without left sub art 33881
|
$6,664.50 |
$6,664.50 |
$7,788.00 |
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$5,743.00 |
$5,743.00 |
$5,743.00 |
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$82.50 |
$132.00 |
$3,140.92 |
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$111.50 |
$182.00 |
$732.00 |
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$128.00 |
$204.80 |
$531.00 |
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$231.00 |
$257.00 |
$299.50 |
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$99.50 |
$159.20 |
$326.00 |
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$114.00 |
$191.50 |
$639.00 |
|
|
Dest mal lesion tal <0.5 17260
|
$71.50 |
$231.00 |
$718.00 |
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$82.50 |
$90.00 |
$418.00 |
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$125.00 |
$257.00 |
$347.50 |
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$115.00 |
$131.00 |
$587.00 |
|
|
Destroy cervthor facet jnt 64633
|
$194.50 |
$2,244.50 |
$6,991.00 |
|
|
Destroy cth facet jnt addl 64634
|
$66.50 |
$1,098.50 |
$4,194.00 |
|
|
Destroy internal hemorrhoids destroy 46930
|
$271.20 |
$1,146.50 |
$1,641.00 |
|
|
Destroy premlg lesns;1st lesn 17000
|
$50.40 |
$248.50 |
$3,903.50 |
|
|
Destroy vulva lesion extensive 56515
|
$215.00 |
$344.00 |
$6,783.00 |
|
|
Destroy vulva lesion simple 56501
|
$132.50 |
$1,976.50 |
$5,379.00 |
|
|
Destruct ben lesion 15/> 17111
|
$80.00 |
$231.00 |
$16,208.00 |
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$341.50 |
$785.50 |
$2,652.34 |
|
|
Destruct cut vasl lesions <10cm 17106
|
$265.50 |
$284.00 |
$3,766.50 |
|
|
Destruct cut vasl lesions >50cm 17108
|
$507.50 |
$2,281.00 |
$5,240.00 |
|
|
Destruction 2-14 lesions 17003
|
$2.00 |
$40.00 |
$3,903.50 |
|
|
Destruction anal lesion(s)
|
$140.00 |
$147.50 |
$2,996.50 |
|
|
Destruction anal lesion(s)
|
$1,728.67 |
$7,524.00 |
$19,782.50 |
|
|
Destruction anal lesion(s) smpl chem 46900
|
$143.50 |
$146.50 |
$467.50 |
|
|
Destruction benign lesions < 14 lesions
|
$58.20 |
$308.00 |
$4,637.00 |
|
|
Destruction by injection tx of nerve 64630
|
$202.00 |
$847.50 |
$1,860.50 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$58.50 |
$1,122.50 |
$9,699.00 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$194.50 |
$3,295.50 |
$11,656.00 |
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$231.00 |
$231.00 |
$293.00 |
|
|
Destruction les conjunctiva
|
$882.75 |
$882.75 |
$3,036.50 |
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$153.50 |
$467.50 |
$531.00 |
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$467.50 |
$493.00 |
$650.50 |
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$147.50 |
$147.50 |
$541.50 |
|
|
Destruction mal lsn t/a/l >4cm
|
$143.50 |
$174.00 |
$925.50 |
|
|
Destruction penis lesion(s) chem 54050
|
$105.50 |
$110.00 |
$744.50 |
|
|
Destruction penis lesion(s) exten 54065
|
$167.50 |
$179.00 |
$1,076.92 |
|
|
Destruction premal lesions 15/> 17004
|
$91.50 |
$146.40 |
$708.50 |
|
|
Destruction vag lesions complex 57065
|
$188.00 |
$193.00 |
$4,473.00 |
|
|
Destruction vag lesions simple 57061
|
$116.00 |
$185.60 |
$8,621.00 |
|
|
Destruct penis les/smp/electrodesi 54055
|
$95.50 |
$95.50 |
$4,093.00 |
|
|
Detect agent nos dna dir
|
$198.00 |
$198.00 |
$316.80 |
|
|
Detect agnt mult dna direc
|
$39.50 |
$39.50 |
$39.50 |
|
|
Determine refractive state
|
$18.00 |
$23.00 |
$159.50 |
|
|
Developmental screen/score/document 96110
|
$12.00 |
$21.60 |
$111.00 |
|
|
Devel tst phys/qhp 1st hr
|
$202.00 |
$202.00 |
$1,217.50 |
|
|
Device ablt adv novasure
|
$42.50 |
$2,074.00 |
$5,489.15 |
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$396.21 |
$396.21 |
$3,145.00 |
|
|
Device intraute mirena
|
$1,822.00 |
$2,870.00 |
$3,258.00 |
|
|
Device sut capio slim opn
|
$823.50 |
$1,211.77 |
$1,340.50 |
|
|
Device tiss remov myosure reach
|
$1,256.06 |
$1,391.25 |
$4,166.25 |
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$155.00 |
$155.00 |
$279.00 |
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$9.50 |
$141.50 |
$449.00 |
|
|
Dexamethasone 4 mg tablet
|
$0.50 |
$6.00 |
$168.80 |
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$0.50 |
$5.00 |
$33.00 |
|
|
Dexamethasone intra implant
|
$294.50 |
$441.50 |
$6,181.00 |
|
|
Dexmedetomidine film, 1 mcg
|
$422.40 |
$422.40 |
$422.40 |
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$636.80 |
$702.79 |
$1,168.48 |
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$31.00 |
$31.00 |
$31.00 |
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$7.50 |
$60.00 |
$120.00 |
|
|
Dhea-s (dehydroepiand sulfate)
|
$30.50 |
$100.00 |
$293.40 |
|
|
Diabetes (HbA1c) Test
|
$20.00 |
$67.00 |
$86.50 |
|
|
Diab manage trn ind/group
|
$24.00 |
$58.00 |
$186.00 |
|
|
Diag laparo separate proc 49320
|
$354.00 |
$3,760.00 |
$17,565.67 |
|
|
Diagnostic anoscopy
|
$97.50 |
$428.00 |
$570.50 |
|
|
Diagnostic anoscopy & biopsy
|
$1,324.67 |
$1,324.67 |
$1,324.67 |
|
|
Diagnostic anoscopy spx 46600
|
$44.50 |
$145.00 |
$3,503.50 |
|
|
Diagnostic digital breast tomosynthesis bil
|
$29.00 |
$93.50 |
$570.50 |
|
|
Diagnostic digital breast tomosynthesis unil
|
$29.00 |
$64.80 |
$570.50 |
|
|
Diagnostic laryngoscopy 31505
|
$94.20 |
$229.50 |
$338.00 |
|
|
Diagnostic laryngoscopy 31575
|
$68.00 |
$286.50 |
$2,067.00 |
|
|
Diagnostic Mammogram (both breasts)
|
$204.50 |
$328.00 |
$1,064.00 |
|
|
Diagnostic Mammogram (one breast)
|
$164.00 |
$214.50 |
$495.00 |
|
|
Diagnostic radio unlisted proc
|
$113.40 |
$236.50 |
$303.50 |
|
|
Dialysis circuit perm vascular embolization 36909
|
$209.50 |
$210.00 |
$5,663.50 |
|
|
Dialysis one evaluation
|
$492.50 |
$582.50 |
$1,500.00 |
|
|
Dialysis repeated eval
|
$1,267.50 |
$1,267.50 |
$1,643.00 |
|
|
Diathermy eg microwave
|
$20.50 |
$20.50 |
$20.50 |
|
|
Diatrizoate meglumine 18 % urethral solution
|
$47.25 |
$47.25 |
$47.25 |
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$15.20 |
$32.04 |
$91.80 |
|
|
Dicyclomine injection
|
$11.03 |
$34.44 |
$268.20 |
|
|
Diffusing capacity
|
$86.00 |
$176.50 |
$424.00 |
|
|
Digital analysis of eeg
|
$231.50 |
$231.50 |
$231.50 |
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$2.12 |
$6.37 |
$19.20 |
|
|
Digoxin immune fab 40 mg intravenous solution
|
$12,133.20 |
$12,133.20 |
$26,364.84 |
|
|
Digoxin total therapeutic drug level
|
$25.60 |
$85.00 |
$189.00 |
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$65.00 |
$97.50 |
$113.80 |
|
|
Dilate biliary duct/ampulla
|
$137.50 |
$139.50 |
$1,264.50 |
|
|
Dilate esophagus
|
$220.20 |
$220.20 |
$2,054.67 |
|
|
Dilate esophagus 1/mult pass
|
$82.50 |
$156.33 |
$2,095.50 |
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$3,169.00 |
$3,169.00 |
$3,169.00 |
|
|
Dilate ic vasospasm ea add vsl same territory
|
$3,124.00 |
$3,124.00 |
$3,124.00 |
|
|
Dilate ic vasospasm init
|
$3,169.00 |
$3,169.00 |
$3,169.00 |
|
|
Dilate tear duct opening
|
$76.50 |
$404.00 |
$1,695.75 |
|
|
Dilate urethra stricture
|
$216.00 |
$282.00 |
$3,799.25 |
|
|
Dilate urethra stricture
|
$55.00 |
$56.00 |
$224.50 |
|
