|
Cystoscopy & revise urethra
|
$4,045.60 |
$4,045.60 |
$4,045.60 |
$2,874.36
|
|
Cystoscopy stone removal
|
$6,593.60 |
$6,593.60 |
$6,593.60 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$4,373.20 |
$4,373.20 |
$4,373.20 |
$3,684.30
|
|
Cystostomy cystotomy w/drainage 51040
|
$3,863.60 |
$3,863.60 |
$3,863.60 |
$4,129.45
|
|
Cystouretero & or pyeloscope
|
$4,045.60 |
$4,045.60 |
$4,045.60 |
$4,155.20
|
|
Cysto/uretero stricture tx
|
$5,288.40 |
$5,288.40 |
$5,288.40 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$6,593.60 |
$6,593.60 |
$6,593.60 |
$5,971.01
|
|
Cystouretero w/excise tumor
|
$5,584.80 |
$5,584.80 |
$5,584.80 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$12,105.60 |
$12,105.60 |
$12,105.60 |
$7,372.68
|
|
Cystouretero w/lithotripsy
|
$7,061.60 |
$7,061.60 |
$7,061.60 |
$7,061.60
|
|
Cystouretero w/renal strict
|
$6,593.60 |
$6,593.60 |
$6,593.60 |
$5,741.00
|
|
Cystouretero w/stone remove
|
$6,593.60 |
$6,593.60 |
$6,593.60 |
$5,014.02
|
|
Cysto/uretero w/up stricture
|
$6,593.60 |
$6,593.60 |
$6,593.60 |
$4,081.37
|
|
Cystourethro cut ejacul duct
|
$5,049.20 |
$5,049.20 |
$5,049.20 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$4,295.20 |
$4,295.20 |
$4,295.20 |
$3,015.50
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$4,045.60 |
$4,045.60 |
$4,045.60 |
$4,045.60
|
|
Cystourethro w/implant
|
$2,298.40 |
$2,298.40 |
$2,298.40 |
$2,298.40
|
|
Cysto w/renal stricture tx
|
$4,045.60 |
$4,045.60 |
$4,045.60 |
$4,045.60
|
|
Cysto w/up stricture tx
|
$6,593.60 |
$6,593.60 |
$6,593.60 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$4,045.60 |
$4,045.60 |
$4,045.60 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$83.51 |
$83.51 |
$83.51 |
$89.94
|
|
Cytogenetics 25-99
|
$232.96 |
$232.96 |
$232.96 |
$190.00
|
|
Cytogenetics 3-5
|
$216.32 |
$216.32 |
$216.32 |
$164.90
|
|
Cytogenomic neo microra alys
|
$2,020.20 |
$2,020.20 |
$2,020.20 |
$2,198.00
|
|
Cytomegalovirus ag ia
|
$74.88 |
$74.88 |
$74.88 |
$38.58
|
|
Cytomegalovirus (cmv) antibody igg
|
$99.84 |
$99.84 |
$99.84 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$104.52 |
$104.52 |
$104.52 |
$100.00
|
|
Cytomegalovirus dfa
|
$74.88 |
$74.88 |
$74.88 |
$94.08
|
|
Cytomegalovirus imm IV /vial
|
$2,852.89 |
$2,852.89 |
$2,852.89 |
$3,072.34
|
|
Cytomeg dna dir probe
|
$178.88 |
$178.88 |
$178.88 |
$178.88
|
|
Cyto/molecular report
|
$167.96 |
$167.96 |
$167.96 |
$128.11
|
|
Cytopath c/v auto in fluid
|
$164.32 |
$164.32 |
$164.32 |
$56.00
|
|
Cytopath c/v automated
|
$92.04 |
$92.04 |
$92.04 |
$92.04
|
|
Cytopath c/v auto redo
|
$82.16 |
$82.16 |
$82.16 |
$56.00
|
|
Cytopath c/v auto rescreen
|
$118.04 |
$118.04 |
$118.04 |
$39.20
|
|
Cytopath c/v index add-on
|
$46.80 |
$46.80 |
$46.80 |
$35.57
|
|
Cytopath c/v manual
|
$82.16 |
$82.16 |
$82.16 |
$36.80
|
|
Cytopath c/v redo
|
$82.16 |
$82.16 |
$82.16 |
$48.80
|
|
Cytopath c/v thin layer redo
|
$99.84 |
$99.84 |
$99.84 |
$61.80
|
|
Cytopath fl nongyn filter
|
$130.52 |
$130.52 |
$130.52 |
$93.74
|
|
Cytopathology cellular enhancement technique non-gyn
|
$174.72 |
$174.72 |
$174.72 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$100.36 |
$100.36 |
$100.36 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$91.00 |
$91.00 |
$91.00 |
$87.29
|
|
Cytopathology concentration technique smears & interpretation
|
$125.32 |
$125.32 |
$125.32 |
$126.00
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$139.36 |
$139.36 |
$139.36 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$52.52 |
$52.52 |
$52.52 |
$67.00
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$358.80 |
$358.80 |
$358.80 |
$186.08
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$295.36 |
$295.36 |
$295.36 |
$209.92
|
|
Cytopath smear other source
|
$146.12 |
$146.12 |
$146.12 |
$88.13
|
|
Cytopath smear other source
|
$235.04 |
$235.04 |
$235.04 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$147.16 |
$147.16 |
$147.16 |
$95.00
|
|
Cytopath tbs c/v auto redo
|
$85.80 |
$85.80 |
$85.80 |
$36.80
|
|
Cytopath tbs c/v manual
|
$59.28 |
$59.28 |
$59.28 |
$59.28
|
|
Cytopath tbs c/v redo
|
$85.80 |
$85.80 |
$85.80 |
$84.80
|
|
Cytopath tbs c/v select
|
$85.80 |
$85.80 |
$85.80 |
$36.80
|
|
Dacarbazine 100 mg intravenous solution
|
$58.22 |
$58.22 |
$58.22 |
$59.15
|
|
Dactinomycin 0.5 mg intravenous solution
|
$4,417.73 |
$4,417.73 |
$4,417.73 |
$3,047.85
|
|
Dalbavancin 500 mg intravenous solution
|
$2,889.06 |
$2,889.06 |
$2,889.06 |
$3,469.30
|
|
Dalteparin sodium
|
$1,770.94 |
$1,770.94 |
$1,770.94 |
$469.55
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$15,855.84 |
$15,855.84 |
$15,855.84 |
$21,050.42
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$6,281.29 |
$6,281.29 |
$6,281.29 |
$6,281.29
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$16,467.05 |
$16,467.05 |
$16,467.05 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$241.04 |
$241.04 |
$241.04 |
$259.58
|
|
Dbrdmt prmlg les w/pdt
|
$1,000.48 |
$1,000.48 |
$1,000.48 |
$526.40
|
|
D&c after delivery 59160
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$4,232.80 |
$4,232.80 |
$4,232.80 |
$3,774.81
|
|
Dch glucoscan
|
$40.04 |
$40.04 |
$40.04 |
$29.16
|
|
Dch pulmonary stress test
|
$851.24 |
$851.24 |
$851.24 |
$963.30
|
|
Dch validity tests
|
$50.44 |
$50.44 |
$50.44 |
$24.61
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$7,181.20 |
$7,181.20 |
$7,181.20 |
$4,952.36
|
|
Dcmprn plantar digital nerve
|
$3,463.20 |
$3,463.20 |
$3,463.20 |
$2,375.24
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,138.80 |
$1,138.80 |
$1,138.80 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$237.12 |
$237.12 |
$237.12 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,168.40 |
$2,168.40 |
$2,168.40 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$873.60 |
$873.60 |
$873.60 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,440.40 |
$1,440.40 |
$1,440.40 |
$1,407.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$681.20 |
$681.20 |
$681.20 |
$810.50
|
|
Debride nail1-5 11720
|
$187.20 |
$187.20 |
$187.20 |
$148.80
|
|
Debride nail6 or more 11721
|
$202.80 |
$202.80 |
$202.80 |
$169.60
|
|
Debride skin bone at fx site
|
$2,501.20 |
$2,501.20 |
$2,501.20 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$639.60 |
$639.60 |
$639.60 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$93.60 |
$93.60 |
$93.60 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,788.80 |
$1,788.80 |
$1,788.80 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
$1,160.00
|
|
Decalcification
|
$36.40 |
$36.40 |
$36.40 |
$67.50
|
|
Decitabine 50 mg intravenous solution
|
$996.84 |
$996.84 |
$996.84 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$665.60 |
$665.60 |
$665.60 |
$546.84
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$4,914.00
|
|
Decompress fasciotomyhand 26037
|
$4,108.00 |
$4,108.00 |
$4,108.00 |
$3,839.54
|
|
Decompress fingers/hand
|
$3,910.40 |
$3,910.40 |
$3,910.40 |
$3,839.54
|
|
Decompression of lower leg
|
$3,036.80 |
$3,036.80 |
$3,036.80 |
$3,839.54
|
|
Decompression unspecified nerve 64722
|
$3,754.40 |
$3,754.40 |
$3,754.40 |
$2,163.32
|
|
Deep muscle biopsy 20205
|
$4,529.20 |
$4,529.20 |
$4,529.20 |
$3,339.00
|
|
Deferoxamine 500 mg solution for injection
|
$89.00 |
$89.00 |
$89.00 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,259.81 |
$1,259.81 |
$1,259.81 |
$1,807.08
|
|
Delayed breast prosthesis 19342
|
$4,633.20 |
$4,633.20 |
$4,633.20 |
$10,457.82
|
|
Delivery of placenta 59414
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$2,734.16
|
|
Delivery only failed vbac 59620
|
$1,809.60 |
$1,809.60 |
$1,809.60 |
$1,809.60
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$1,274.00 |
$1,274.00 |
$1,274.00 |
$6,670.30
|
|
Demonstrate use home inr mon
|
$315.12 |
$315.12 |
$315.12 |
$294.75
|
