|
Curette/treat cornea
|
$1,729.35 |
$1,729.35 |
$1,729.35 |
$2,818.14
|
|
Cutter lead
|
$13,715.63 |
$13,715.63 |
$13,715.63 |
$5,081.76
|
|
Cv line/pic reposition
|
$2,317.00 |
$2,317.00 |
$2,317.00 |
$1,829.42
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$33.37 |
$33.37 |
$33.37 |
$28.08
|
|
Cyclic citrullinated peptide antibody
|
$31.50 |
$31.50 |
$31.50 |
$80.05
|
|
Cyclosporine 2 hour
|
$36.55 |
$36.55 |
$36.55 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$2.20 |
$2.20 |
$2.20 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$8.79 |
$8.79 |
$8.79 |
$42.33
|
|
Cylinder pump set 20cm titan zero angl
|
$22,282.07 |
$22,282.07 |
$22,282.07 |
$22,594.80
|
|
Cystogram >= 3 views supervision & interpretation
|
$406.35 |
$406.35 |
$406.35 |
$539.55
|
|
Cystoscopy and treatment
|
$2,065.00 |
$2,065.00 |
$2,065.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,756.30 |
$1,756.30 |
$1,756.30 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$402.85 |
$402.85 |
$402.85 |
$1,610.20
|
|
Cystoscopy removal of clots
|
$2,065.00 |
$2,065.00 |
$2,065.00 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$1,756.30 |
$1,756.30 |
$1,756.30 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$1,503.25 |
$1,503.25 |
$1,503.25 |
$3,774.40
|
|
Cystouretero & or pyeloscope
|
$2,065.00 |
$2,065.00 |
$2,065.00 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$2,065.00 |
$2,065.00 |
$2,065.00 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$1,756.30 |
$1,756.30 |
$1,756.30 |
$2,874.36
|
|
Cytomegalovirus (cmv) antibody igg
|
$24.06 |
$24.06 |
$24.06 |
$101.25
|
|
Cytopath c/v index add-on
|
$33.95 |
$33.95 |
$33.95 |
$29.60
|
|
Cytopathology cellular enhancement technique non-gyn
|
$121.80 |
$121.80 |
$121.80 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$134.75 |
$134.75 |
$134.75 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$120.05 |
$120.05 |
$120.05 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$51.10 |
$51.10 |
$51.10 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$109.55 |
$109.55 |
$109.55 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$68.25 |
$68.25 |
$68.25 |
$205.00
|
|
Cytopath smear other source
|
$101.85 |
$101.85 |
$101.85 |
$85.80
|
|
Cytopath smear other source
|
$136.85 |
$136.85 |
$136.85 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$30.80 |
$30.80 |
$30.80 |
$95.89
|
|
Cytopath tbs c/v manual
|
$93.10 |
$93.10 |
$93.10 |
$57.94
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,618.65 |
$1,618.65 |
$1,618.65 |
$267.00
|
|
D&c after delivery 59160
|
$2,202.20 |
$2,202.20 |
$2,202.20 |
$3,762.53
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$1,992.55 |
$1,992.55 |
$1,992.55 |
$3,774.81
|
|
Dch glucoscan
|
$24.85 |
$24.85 |
$24.85 |
$24.85
|
|
Dch validity tests
|
$20.30 |
$20.30 |
$20.30 |
$25.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$453.25 |
$453.25 |
$453.25 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$130.55 |
$130.55 |
$130.55 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$1,216.25 |
$1,216.25 |
$1,216.25 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$113.05 |
$113.05 |
$113.05 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$113.05 |
$113.05 |
$113.05 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$502.95 |
$502.95 |
$502.95 |
$810.50
|
|
Debride nail1-5 11720
|
$275.80 |
$275.80 |
$275.80 |
$173.25
|
|
Debride nail6 or more 11721
|
$165.90 |
$165.90 |
$165.90 |
$195.20
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$472.85 |
$472.85 |
$472.85 |
$1,265.16
|
|
Debride skin bone at fx site
|
$2,048.55 |
$2,048.55 |
$2,048.55 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$128.45 |
$128.45 |
$128.45 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$537.95 |
$537.95 |
$537.95 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$113.05 |
$113.05 |
$113.05 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$453.25 |
$453.25 |
$453.25 |
$1,193.40
|
|
Decalcification
|
$48.30 |
$48.30 |
$48.30 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$572.95 |
$572.95 |
$572.95 |
$545.90
|
|
Decompress fasciotomyhand 26037
|
$2,377.90 |
$2,377.90 |
$2,377.90 |
$3,594.44
|
|
Decompression of lower leg
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$3,839.54
|
|
Decompression of thigh/knee
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$3,839.54
|
|
Deferoxamine 500 mg solution for injection
|
$53.00 |
$53.00 |
$53.00 |
$96.41
|
|
Delivery of placenta 59414
|
$2,267.30 |
$2,267.30 |
$2,267.30 |
$3,271.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$341.60 |
$341.60 |
$341.60 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$6,738.56 |
$6,738.56 |
$6,738.56 |
$6,359.20
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$275.80 |
$275.80 |
$275.80 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$176.41 |
$176.41 |
$176.41 |
$120.72
|
|
Derma-fat-fascia graft 15770
|
$3,623.20 |
$3,623.20 |
$3,623.20 |
$4,326.42
|
|
Dermagraft
|
$1,912.31 |
$1,912.31 |
$1,912.31 |
$1,432.59
|
|
Desmopressin 4 mcg/ml injection solution
|
$35.06 |
$35.06 |
$35.06 |
$116.22
|
|
Destroy premlg lesns;1st lesn 17000
|
$242.20 |
$242.20 |
$242.20 |
$220.12
|
|
Destruct cut vasl lesions <10cm 17106
|
$275.80 |
$275.80 |
$275.80 |
$658.40
|
|
Destruction anal lesion(s) smpl chem 46900
|
$242.20 |
$242.20 |
$242.20 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$250.60 |
$250.60 |
$250.60 |
$250.60
|
|
Destruction vag lesions simple 57061
|
$3,648.40 |
$3,648.40 |
$3,648.40 |
$3,762.53
|
|
Device ablt adv novasure
|
$4,494.00 |
$4,494.00 |
$4,494.00 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,762.50 |
$3,762.50 |
$3,762.50 |
$4,298.87
|
|
Device sut capio slim opn
|
$1,946.41 |
$1,946.41 |
$1,946.41 |
$1,936.74
|
|
Device tiss remov myosure reach
|
$8,085.00 |
$8,085.00 |
$8,085.00 |
$2,541.00
|
|
Dexamethasone 4 mg tablet
|
$0.61 |
$0.61 |
$0.61 |
$5.98
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$33.10 |
$33.10 |
$33.10 |
$27.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$68.93 |
$68.93 |
$68.93 |
$43.65
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$68.93 |
$68.93 |
$68.93 |
$51.80
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$68.93 |
$68.93 |
$68.93 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$68.93 |
$68.93 |
$68.93 |
$48.58
|
|
Diabetes (HbA1c) Test
|
$56.70 |
$56.70 |
$56.70 |
$78.03
|
|
Diab manage trn ind/group
|
$37.10 |
$37.10 |
$37.10 |
$59.36
|
|
Diagnostic anoscopy
|
$214.20 |
$214.20 |
$214.20 |
$441.68
|
|
Diagnostic anoscopy spx 46600
|
$183.75 |
$183.75 |
$183.75 |
$245.35
|
|
Diagnostic laryngoscopy 31505
|
$183.75 |
$183.75 |
$183.75 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$248.85 |
$248.85 |
$248.85 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$211.40 |
$211.40 |
$211.40 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$166.60 |
$166.60 |
$166.60 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$4,573.45 |
$4,573.45 |
$4,573.45 |
$7,145.00
|
|
Dialysis one evaluation
|
$880.25 |
$880.25 |
$880.25 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$31.50 |
$31.50 |
$31.50 |
$103.50
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$55.40 |
$55.40 |
$55.40 |
$73.22
|
|
Diffusing capacity
|
$288.75 |
$288.75 |
$288.75 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$260.92 |
$260.92 |
$260.92 |
$71.09
|
|
Digoxin immune fab 40 mg intravenous solution
|
$17,877.79 |
$17,877.79 |
$17,877.79 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$286.65 |
$286.65 |
$286.65 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$472.05 |
$472.05 |
$472.05 |
$309.20
|
|
Dilate urethra stricture
|
$423.50 |
$423.50 |
$423.50 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$192.50 |
$192.50 |
$192.50 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$492.10 |
$492.10 |
$492.10 |
$1,550.25
|
|
Dilator fascial 10fx20cm
|
$263.55 |
$263.55 |
$263.55 |
$305.68
|
