|
Cystostomy cystotomy w/drainage 51040
|
$675.18 |
$675.18 |
$675.18 |
$3,863.60
|
|
Cystotomy/cystostomy fulg+/insj radact matrl 51020
|
$1,080.42 |
$1,080.42 |
$1,080.42 |
$4,081.37
|
|
Cystouretero & or pyeloscope
|
$671.88 |
$671.88 |
$671.88 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$819.06 |
$819.06 |
$819.06 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$924.00 |
$924.00 |
$924.00 |
$5,986.78
|
|
Cystouretero w/excise tumor
|
$1,034.88 |
$1,034.88 |
$1,034.88 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$920.04 |
$920.04 |
$920.04 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$867.90 |
$867.90 |
$867.90 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$786.06 |
$786.06 |
$786.06 |
$5,110.00
|
|
Cysto/uretero w/up stricture
|
$873.18 |
$873.18 |
$873.18 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$720.06 |
$720.06 |
$720.06 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$316.80 |
$316.80 |
$316.80 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$112.20 |
$112.20 |
$112.20 |
$2,161.60
|
|
Cystourethro w/implant
|
$465.96 |
$465.96 |
$465.96 |
$2,298.40
|
|
Cysto w/up stricture tx
|
$686.40 |
$686.40 |
$686.40 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$630.30 |
$630.30 |
$630.30 |
$4,081.37
|
|
Cytomegalovirus (cmv) antibody igg
|
$38.94 |
$38.94 |
$38.94 |
$95.00
|
|
Cyto/molecular report
|
$91.08 |
$91.08 |
$91.08 |
$133.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$349.14 |
$349.14 |
$349.14 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$23.35 |
$23.35 |
$23.35 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$124.74 |
$124.74 |
$124.74 |
$129.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$359.70 |
$359.70 |
$359.70 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$125.40 |
$125.40 |
$125.40 |
$209.23
|
|
Cytp urine 3-5 probes cmptr
|
$295.02 |
$295.02 |
$295.02 |
$690.00
|
|
Dalbavancin 500 mg intravenous solution
|
$3,029.51 |
$3,029.51 |
$3,029.51 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$80.78 |
$80.78 |
$80.78 |
$168.53
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$6.60 |
$6.60 |
$6.60 |
$6,072.48
|
|
D&c after delivery 59160
|
$613.14 |
$613.14 |
$613.14 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$685.08 |
$685.08 |
$685.08 |
$3,774.81
|
|
Dch glucoscan
|
$13.20 |
$13.20 |
$13.20 |
$28.10
|
|
Dch pulmonary stress test
|
$653.40 |
$653.40 |
$653.40 |
$963.30
|
|
Dch validity tests
|
$9.24 |
$9.24 |
$9.24 |
$24.50
|
|
Dcmprn plantar digital nerve
|
$632.94 |
$632.94 |
$632.94 |
$2,375.24
|
|
D&c of cervical stump
|
$295.02 |
$295.02 |
$295.02 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$7.28 |
$7.28 |
$7.28 |
$43.60
|
|
Debr g/per/abd wall 11006
|
$1,518.00 |
$1,518.00 |
$1,518.00 |
$1,357.80
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$138.60 |
$138.60 |
$138.60 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$281.16 |
$281.16 |
$281.16 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$710.82 |
$710.82 |
$710.82 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$165.00 |
$165.00 |
$165.00 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$349.80 |
$349.80 |
$349.80 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$892.98 |
$892.98 |
$892.98 |
$810.50
|
|
Debride nail1-5 11720
|
$77.88 |
$77.88 |
$77.88 |
$148.80
|
|
Debride nail6 or more 11721
|
$105.60 |
$105.60 |
$105.60 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$664.62 |
$664.62 |
$664.62 |
$1,012.80
|
|
Debride skin bone at fx site
|
$925.98 |
$925.98 |
$925.98 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,235.52 |
$1,235.52 |
$1,235.52 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,661.22 |
$1,661.22 |
$1,661.22 |
$1,820.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$91.74 |
$91.74 |
$91.74 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$276.54 |
$276.54 |
$276.54 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$626.34 |
$626.34 |
$626.34 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$63.36 |
$63.36 |
$63.36 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,406.46 |
$1,406.46 |
$1,406.46 |
$1,160.00
|
|
Decalcification
|
$220.44 |
$220.44 |
$220.44 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$400.62 |
$400.62 |
$400.62 |
$543.00
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$1,049.40 |
$1,049.40 |
$1,049.40 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$1,733.16 |
$1,733.16 |
$1,733.16 |
$3,137.60
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$2,797.74 |
$2,797.74 |
$2,797.74 |
$4,664.40
|
|
Decompress fasciotomyhand 26037
|
$1,313.40 |
$1,313.40 |
$1,313.40 |
$3,839.54
|
|
Decompress fingers/hand
|
$1,999.14 |
$1,999.14 |
$1,999.14 |
$3,839.54
|
|
Decompress forearm 1 space
|
$3,035.34 |
$3,035.34 |
$3,035.34 |
$3,957.20
|
|
Decompress forearm 2 spaces
|
$1,794.54 |
$1,794.54 |
$1,794.54 |
$3,851.20
|
|
Decompression fasct forearm
|
$2,144.34 |
$2,144.34 |
$2,144.34 |
$5,886.74
|
|
Decompression of leg
|
$1,238.16 |
$1,238.16 |
$1,238.16 |
$3,839.54
|
|
Decompression of leg
|
$1,434.18 |
$1,434.18 |
$1,434.18 |
$7,907.11
|
|
Decompression of leg
|
$1,848.66 |
$1,848.66 |
$1,848.66 |
$3,839.54
|
|
Decompression of lower leg
|
$910.80 |
$910.80 |
$910.80 |
$3,839.54
|
|
Decompression of lower leg
|
$1,011.12 |
$1,011.12 |
$1,011.12 |
$3,839.54
|
|
Decompression of thigh/knee
|
$1,532.52 |
$1,532.52 |
$1,532.52 |
$3,217.60
|
|
Decompression of tibia nerve
|
$847.44 |
$847.44 |
$847.44 |
$2,625.60
|
|
Decompression unspecified nerve 64722
|
$859.98 |
$859.98 |
$859.98 |
$2,163.32
|
|
Decompres spinal cord;thoracic 63055
|
$3,570.60 |
$3,570.60 |
$3,570.60 |
$8,412.89
|
|
Decompress small bowel
|
$2,146.98 |
$2,146.98 |
$2,146.98 |
$1,503.60
|
|
Decompress spinal cord lmbr
|
$3,290.10 |
$3,290.10 |
$3,290.10 |
$8,446.03
|
|
Decompress spinal cord thrc
|
$3,881.46 |
$3,881.46 |
$3,881.46 |
$6,817.20
|
|
Decompress spine cord add-on
|
$433.62 |
$433.62 |
$433.62 |
$847.60
|
|
Decomp spinal cord/transped/ad seg 63057
|
$688.38 |
$688.38 |
$688.38 |
$1,365.00
|
|
Deep muscle biopsy 20205
|
$698.94 |
$698.94 |
$698.94 |
$3,339.00
|
|
Degarelix 120 mg subcutaneous solution
|
$1,780.55 |
$1,780.55 |
$1,780.55 |
$1,807.08
|
|
Delay flap eye/nos/ear/lip
|
$808.50 |
$808.50 |
$808.50 |
$2,190.24
|
|
Delay flap fccnaxghf 15620
|
$768.24 |
$768.24 |
$768.24 |
$2,164.64
|
|
Delivery of placenta 59414
|
$193.38 |
$193.38 |
$193.38 |
$3,070.56
|
|
Delivery only failed vbac 59620
|
$1,999.14 |
$1,999.14 |
$1,999.14 |
$1,809.60
|
|
Delivery only/pp care/failed vbac 59622
|
$2,986.50 |
$2,986.50 |
$2,986.50 |
$2,639.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$218.46 |
$218.46 |
$218.46 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$5,874.22 |
$5,874.22 |
$5,874.22 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$376.86 |
$376.86 |
$376.86 |
$408.10
|
|
Depo-estradiol cypionate inj
|
$40.92 |
$40.92 |
$40.92 |
$71.51
|
|
Dermabrasion segmental face 15781
|
$982.08 |
$982.08 |
$982.08 |
$1,290.07
|
|
Derm autograft face/nck/hf/g
|
$1,742.40 |
$1,742.40 |
$1,742.40 |
$4,055.70
|
|
Design mlc device for imrt
|
$598.62 |
$598.62 |
$598.62 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$20.72 |
$20.72 |
$20.72 |
$89.78
|
|
Desoxycorticosterone
|
$20.96 |
$20.96 |
$20.96 |
$109.28
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$333.96 |
$333.96 |
$333.96 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$424.38 |
$424.38 |
$424.38 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$483.78 |
$483.78 |
$483.78 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$354.42 |
$354.42 |
$354.42 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$394.02 |
$394.02 |
$394.02 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$444.18 |
$444.18 |
$444.18 |
$317.00
|
|
Dest mal lesion tal <0.5 17260
|
$235.62 |
$235.62 |
$235.62 |
$238.40
|