|
Cystoscopy and treatment
|
$104.12 |
$104.12 |
$104.12 |
$2,424.12
|
|
Cystoscopy and treatment
|
$169.29 |
$169.29 |
$169.29 |
$4,045.60
|
|
Cystoscopy and treatment
|
$206.34 |
$206.34 |
$206.34 |
$4,061.71
|
|
Cystoscopy and treatment
|
$129.77 |
$129.77 |
$129.77 |
$2,424.12
|
|
Cystoscopy and treatment
|
$222.30 |
$222.30 |
$222.30 |
$958.81
|
|
Cystoscopy and treatment
|
$156.18 |
$156.18 |
$156.18 |
$2,874.36
|
|
Cystoscopy and treatment
|
$178.98 |
$178.98 |
$178.98 |
$4,081.37
|
|
Cystoscopy and treatment
|
$203.68 |
$203.68 |
$203.68 |
$2,873.00
|
|
Cystoscopy and treatment
|
$175.37 |
$175.37 |
$175.37 |
$3,203.50
|
|
Cystoscopy and treatment
|
$157.51 |
$157.51 |
$157.51 |
$4,061.71
|
|
Cystoscopy and treatment
|
$168.15 |
$168.15 |
$168.15 |
$3,820.84
|
|
Cystoscopy (Bladder Scope)
|
$150.29 |
$150.29 |
$150.29 |
$1,450.44
|
|
Cystoscopy chemodenervation
|
$247.57 |
$247.57 |
$247.57 |
$2,806.70
|
|
Cystoscopy inject material
|
$164.35 |
$164.35 |
$164.35 |
$5,986.78
|
|
Cystoscopy removal of clots
|
$279.30 |
$279.30 |
$279.30 |
$3,986.00
|
|
Cystoscopy & revise urethra
|
$159.22 |
$159.22 |
$159.22 |
$2,874.36
|
|
Cystoscopy stone removal
|
$203.87 |
$203.87 |
$203.87 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$86.26 |
$86.26 |
$86.26 |
$3,688.80
|
|
Cystostomy cystotomy w/drainage 51040
|
$194.37 |
$194.37 |
$194.37 |
$4,129.45
|
|
Cystotomy/cystostomy fulg+/insj radact matrl 51020
|
$311.03 |
$311.03 |
$311.03 |
$4,081.37
|
|
Cystouretero & or pyeloscope
|
$193.42 |
$193.42 |
$193.42 |
$4,155.20
|
|
Cysto/uretero stricture tx
|
$235.79 |
$235.79 |
$235.79 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$266.00 |
$266.00 |
$266.00 |
$5,971.01
|
|
Cystouretero w/excise tumor
|
$297.92 |
$297.92 |
$297.92 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$264.86 |
$264.86 |
$264.86 |
$7,372.68
|
|
Cystouretero w/lithotripsy
|
$249.85 |
$249.85 |
$249.85 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$226.29 |
$226.29 |
$226.29 |
$5,014.02
|
|
Cysto/uretero w/up stricture
|
$251.37 |
$251.37 |
$251.37 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$207.29 |
$207.29 |
$207.29 |
$3,036.00
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$91.20 |
$91.20 |
$91.20 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$32.30 |
$32.30 |
$32.30 |
$2,161.60
|
|
Cystourethro w/implant
|
$134.14 |
$134.14 |
$134.14 |
$2,777.60
|
|
Cysto w/up stricture tx
|
$197.60 |
$197.60 |
$197.60 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$181.45 |
$181.45 |
$181.45 |
$4,081.37
|
|
Cytogenomic neo microra alys
|
$291.65 |
$291.65 |
$291.65 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$2.35 |
$2.35 |
$2.35 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$2.73 |
$2.73 |
$2.73 |
$100.00
|
|
Cyto/molecular report
|
$26.22 |
$26.22 |
$26.22 |
$121.60
|
|
Cytopath c/v manual
|
$2.81 |
$2.81 |
$2.81 |
$36.80
|
|
Cytopath fl nongyn filter
|
$4.18 |
$4.18 |
$4.18 |
$92.63
|
|
Cytopathology cellular enhancement technique non-gyn
|
$20.33 |
$20.33 |
$20.33 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$6.72 |
$6.72 |
$6.72 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$8.44 |
$8.44 |
$8.44 |
$126.00
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$4.28 |
$4.28 |
$4.28 |
$124.30
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$6.84 |
$6.84 |
$6.84 |
$208.60
|
|
Cytopath smear other source
|
$4.18 |
$4.18 |
$4.18 |
$88.13
|
|
Cytopath smear other source
|
$5.90 |
$5.90 |
$5.90 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$10.45 |
$10.45 |
$10.45 |
$95.00
|
|
Cytopath tbs c/v manual
|
$5.70 |
$5.70 |
$5.70 |
$59.28
|
|
Cytp urine 3-5 probes cmptr
|
$84.93 |
$84.93 |
$84.93 |
$690.00
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$73.87 |
$73.87 |
$73.87 |
$170.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1.90 |
$1.90 |
$1.90 |
$6,281.29
|
|
Dark field exam without collj
|
$1.98 |
$1.98 |
$1.98 |
$28.80
|
|
D&c after delivery 59160
|
$176.51 |
$176.51 |
$176.51 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$197.22 |
$197.22 |
$197.22 |
$3,774.81
|
|
Dch glucoscan
|
$3.80 |
$3.80 |
$3.80 |
$29.16
|
|
Dch pulmonary stress test
|
$31.16 |
$31.16 |
$31.16 |
$963.30
|
|
Dch validity tests
|
$10.07 |
$10.07 |
$10.07 |
$24.61
|
|
Dcmprn plantar digital nerve
|
$182.21 |
$182.21 |
$182.21 |
$2,375.24
|
|
D&c of cervical stump
|
$84.93 |
$84.93 |
$84.93 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$2.10 |
$2.10 |
$2.10 |
$43.35
|
|
Debr g/per/abd wall 11006
|
$437.00 |
$437.00 |
$437.00 |
$1,357.80
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$39.90 |
$39.90 |
$39.90 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$155.42 |
$155.42 |
$155.42 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$885.02 |
$885.02 |
$885.02 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$294.69 |
$294.69 |
$294.69 |
$668.37
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$758.29 |
$758.29 |
$758.29 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$294.69 |
$294.69 |
$294.69 |
$810.50
|
|
Debride nail1-5 11720
|
$53.39 |
$53.39 |
$53.39 |
$148.80
|
|
Debride nail6 or more 11721
|
$86.26 |
$86.26 |
$86.26 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$191.33 |
$191.33 |
$191.33 |
$1,152.96
|
|
Debride skin bone at fx site
|
$266.57 |
$266.57 |
$266.57 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$355.68 |
$355.68 |
$355.68 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$478.23 |
$478.23 |
$478.23 |
$1,820.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$294.69 |
$294.69 |
$294.69 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$79.61 |
$79.61 |
$79.61 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$180.31 |
$180.31 |
$180.31 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$18.24 |
$18.24 |
$18.24 |
$129.74
|
|
Debr musc/fascia 20sq cm/< 11043
|
$294.69 |
$294.69 |
$294.69 |
$1,160.00
|
|
Decalcification
|
$0.80 |
$0.80 |
$0.80 |
$67.50
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$255.17 |
$255.17 |
$255.17 |
$553.60
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$302.10 |
$302.10 |
$302.10 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$498.94 |
$498.94 |
$498.94 |
$3,137.60
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$805.41 |
$805.41 |
$805.41 |
$4,664.40
|
|
Decompress fasciotomyhand 26037
|
$378.10 |
$378.10 |
$378.10 |
$3,839.54
|
|
Decompress fingers/hand
|
$575.51 |
$575.51 |
$575.51 |
$3,839.54
|
|
Decompress forearm 1 space
|
$873.81 |
$873.81 |
$873.81 |
$3,957.20
|
|
Decompress forearm 2 spaces
|
$516.61 |
$516.61 |
$516.61 |
$3,851.20
|
|
Decompression fasct forearm
|
$617.31 |
$617.31 |
$617.31 |
$5,886.74
|
|
Decompression of leg
|
$356.44 |
$356.44 |
$356.44 |
$3,839.54
|
|
Decompression of leg
|
$412.87 |
$412.87 |
$412.87 |
$7,907.11
|
|
Decompression of leg
|
$532.19 |
$532.19 |
$532.19 |
$3,839.54
|
|
Decompression of lower leg
|
$262.20 |
$262.20 |
$262.20 |
$3,839.54
|
|
Decompression of lower leg
|
$291.08 |
$291.08 |
$291.08 |
$3,839.54
|
|
Decompression of thigh/knee
|
$441.18 |
$441.18 |
$441.18 |
$3,217.60
|
|
Decompression of tibia nerve
|
$243.96 |
$243.96 |
$243.96 |
$2,625.60
|
|
Decompression unspecified nerve 64722
|
$247.57 |
$247.57 |
$247.57 |
$2,163.32
|
|
Decompres spinal cord;thoracic 63055
|
$1,027.90 |
$1,027.90 |
$1,027.90 |
$8,412.89
|
|
Decompress small bowel
|
$618.07 |
$618.07 |
$618.07 |
$1,503.60
|
|
Decompress spinal cord lmbr
|
$947.15 |
$947.15 |
$947.15 |
$8,446.03
|
