|
Cystouretero w/stone remove
|
$538.70 |
$538.70 |
$538.70 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$506.05 |
$506.05 |
$2,861.18 |
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$586.18 |
$586.18 |
$2,861.18 |
|
|
Cystourethro w/addl implant 52442
|
$1,341.54 |
$1,341.54 |
$1,341.54 |
|
|
Cystourethro w/implant
|
$1,966.30 |
$1,966.30 |
$1,966.30 |
|
|
Cysto w/ureter stricture tx
|
$399.94 |
$399.94 |
$399.94 |
|
|
Cytarabine 20 mg/ml injection solution
|
$0.27 |
$46.50 |
$132.08 |
|
|
Cytogenetics 25-99
|
$11.07 |
$43.70 |
$214.44 |
|
|
Cytogenomic neo microra alys
|
$845.64 |
$1,559.33 |
$3,208.80 |
|
|
Cytogenom microarray copy nmbr var
|
$477.90 |
$585.90 |
$656.10 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$7.86 |
$14.70 |
$153.03 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$7.99 |
$14.95 |
$159.20 |
|
|
Cytomegalovirus imm IV /vial
|
$3,221.41 |
$3,221.41 |
$3,221.41 |
|
|
Cyto/molecular report
|
$207.02 |
$207.02 |
$540.53 |
|
|
Cytopath c/v auto in fluid
|
$132.08 |
$132.08 |
$132.08 |
|
|
Cytopath c/v automated
|
$143.21 |
$143.21 |
$143.21 |
|
|
Cytopath c/v auto rescreen
|
$143.21 |
$143.21 |
$143.21 |
|
|
Cytopath c/v index add-on
|
$45.27 |
$45.27 |
$45.27 |
|
|
Cytopath fl nongyn filter
|
$61.59 |
$61.59 |
$61.59 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$10.04 |
$40.18 |
$151.41 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$8.26 |
$33.05 |
$162.50 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$6.32 |
$25.97 |
$92.01 |
|
|
Cytopathology concentration technique smears & interpretation
|
$17.01 |
$64.89 |
$212.96 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$41.09 |
$78.32 |
$181.79 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$2.54 |
$10.43 |
$56.92 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$19.71 |
$89.42 |
$246.43 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$22.09 |
$87.19 |
$290.13 |
|
|
Cytopath smear other source
|
$25.59 |
$27.88 |
$91.27 |
|
|
Cytopath smear other source
|
$56.09 |
$61.11 |
$101.66 |
|
|
Cytopath smear oth prep screen & interp
|
$11.77 |
$40.55 |
$61.04 |
|
|
Cytopath tbs c/v manual
|
$73.46 |
$73.46 |
$73.46 |
|
|
Cytopath tbs c/v redo
|
$86.82 |
$86.82 |
$86.82 |
|
|
Cytopath tbs c/v select
|
$143.21 |
$143.21 |
$143.21 |
|
|
Cytotoxic antibody screening
|
$11.79 |
$17.10 |
$47.70 |
|
|
Cytp urine 3-5 probes cmptr
|
$395.82 |
$431.22 |
$723.89 |
|
|
Dacarbazine 100 mg intravenous solution
|
$2.97 |
$30.26 |
$137.27 |
|
|
Dactinomycin 0.5 mg intravenous solution
|
$153.88 |
$153.88 |
$1,424.86 |
|
|
Dalbavancin 500 mg intravenous solution
|
$13.76 |
$3,480.35 |
$6,447.98 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.02 |
$1,040.58 |
$1,217.80 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$13,888.00 |
$13,888.00 |
$13,888.00 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$0.22 |
$0.37 |
$7,096.04 |
|
|
Darbepoetin alfa, esrd use
|
$0.34 |
$2.26 |
$1,419.52 |
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$19,743.29 |
$19,743.29 |
$19,743.29 |
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$615.02 |
$615.02 |
$615.02 |
|
|
Dch glucoscan
|
$7.42 |
$7.42 |
$7.42 |
|
|
Dch pulmonary stress test
|
$30.46 |
$333.75 |
$879.42 |
|
|
Dch validity tests
|
$1.35 |
$3.07 |
$20.91 |
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$1,777.47 |
$2,042.93 |
$2,233.38 |
|
|
Deamidated gliadin antibody iga
|
$7.73 |
$14.46 |
$35.77 |
|
|
Debr g/per/abd wall 11006
|
$999.48 |
$999.48 |
$999.48 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$41.56 |
$235.85 |
$440.10 |
|
|
Debridement (>20 cm) charge pt
|
$30.26 |
$67.85 |
$777.62 |
|
|
Debridement bone <= 20 sq cm
|
$278.83 |
$1,588.71 |
$5,395.83 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$191.48 |
$411.29 |
$1,627.21 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$337.87 |
$725.72 |
$7,743.52 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$45.68 |
$416.73 |
$2,059.80 |
|
|
Debride nail1-5 11720
|
$17.90 |
$93.15 |
$338.36 |
|
|
Debride nail6 or more 11721
|
$67.28 |
$125.55 |
$407.36 |
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$464.50 |
$464.50 |
$1,541.05 |
|
|
Debride skin bone at fx site
|
$513.86 |
$647.77 |
$940.69 |
|
|
Debride skn/sq/musc/abd wall 11004
|
$708.85 |
$708.85 |
$792.46 |
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,384.08 |
$1,384.08 |
$1,384.08 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$32.97 |
$184.32 |
$1,750.38 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$426.65 |
$426.65 |
$498.32 |
|
|
Debr inf skin add-on 11001
|
$129.74 |
$129.74 |
$129.74 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$190.28 |
$940.44 |
$2,265.33 |
|
|
Decalcification
|
$4.60 |
$11.27 |
$83.11 |
|
|
Decitabine 50 mg intravenous solution
|
$2,980.75 |
$2,980.75 |
$2,980.75 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$99.10 |
$203.04 |
$5,126.44 |
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$4,963.98 |
$4,963.98 |
$4,963.98 |
|
|
Decomp forearm 1 space 25020
|
$1,040.29 |
$1,040.29 |
$1,040.29 |
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$1,783.77 |
$1,783.77 |
$1,783.77 |
|
|
Decompress forearm 1 space
|
$2,036.79 |
$2,036.79 |
$2,036.79 |
|
|
Decompression of leg
|
$871.11 |
$871.11 |
$871.11 |
|
|
Decompression of leg
|
$3,932.14 |
$3,932.14 |
$3,932.14 |
|
|
Decompression of leg
|
$1,345.25 |
$1,345.25 |
$1,345.25 |
|
|
Decompression of lower leg
|
$3,173.27 |
$3,173.27 |
$4,963.98 |
|
|
Decompression of lower leg
|
$4,963.98 |
$4,963.98 |
$4,963.98 |
|
|
Decompression of thigh/knee
|
$920.83 |
$920.83 |
$920.83 |
|
|
Decompression of thigh/knee
|
$1,026.19 |
$1,026.19 |
$1,026.19 |
|
|
Decompression of tibia nerve
|
$557.99 |
$557.99 |
$557.99 |
|
|
Decompression unspecified nerve 64722
|
$568.38 |
$568.38 |
$568.38 |
|
|
Decompressive craniotomy
|
$3,675.13 |
$3,675.13 |
$3,675.13 |
|
|
Decompress spinal cord lmbr
|
$2,306.88 |
$2,306.88 |
$2,306.88 |
|
|
Decomp spinal cord/transped/ad seg 63057
|
$495.66 |
$495.66 |
$495.66 |
|
|
Deep muscle biopsy 20205
|
$223.35 |
$2,143.48 |
$3,625.95 |
|
|
Deferoxamine 500 mg solution for injection
|
$1.41 |
$6.14 |
$85.23 |
|
|
Degarelix 120 mg subcutaneous solution
|
$1,397.74 |
$1,397.74 |
$2,138.45 |
|
|
Delay flap arms/legs
|
$2,493.13 |
$2,493.13 |
$2,493.13 |
|
|
Delay flap fccnaxghf 15620
|
$2,559.44 |
$2,559.44 |
$2,559.44 |
|
|
Delay flap trunk 15600
|
$2,731.41 |
$2,731.41 |
$2,731.41 |
|
|
Delivery of placenta 59414
|
$704.52 |
$2,291.40 |
$5,386.18 |
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$787.45 |
$2,109.23 |
$8,639.85 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$55.71 |
$80.85 |
$366.55 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$3,059.01 |
$3,332.58 |
$10,836.91 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$555.76 |
$555.76 |
$555.76 |
|
|
Descend thora aorta rpr/lt sub art 33880
|
$3,803.44 |
$4,614.20 |
$7,420.00 |
|
|
Design mlc device for imrt
|
$341.86 |
$729.76 |
$1,807.25 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$128.74 |
$174.37 |
$191.62 |
|
|
Desoxycorticosterone
|
$7.81 |
$15.44 |
$309.81 |
|
