|
Cystoscopy & duct catheter
|
$3,505.60 |
$3,505.60 |
$3,505.60 |
$976.80
|
|
Cystoscopy implant stent
|
$9,643.20 |
$9,643.20 |
$9,643.20 |
$4,081.37
|
|
Cystoscopy inject material
|
$9,956.80 |
$9,956.80 |
$9,956.80 |
$5,986.78
|
|
Cystoscopy prostatic imp 1-3
|
$3,220.00 |
$3,220.00 |
$3,220.00 |
$5,741.40
|
|
Cystoscopy removal of clots
|
$8,696.80 |
$8,696.80 |
$8,696.80 |
$4,051.50
|
|
Cystoscopy & revise urethra
|
$5,588.80 |
$5,588.80 |
$5,588.80 |
$2,874.36
|
|
Cystoscopy & revise urethra
|
$6,540.80 |
$6,540.80 |
$6,540.80 |
$2,874.36
|
|
Cystoscopy stone removal
|
$9,452.80 |
$9,452.80 |
$9,452.80 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$9,240.00 |
$9,240.00 |
$9,240.00 |
$3,688.80
|
|
Cystostomy cystotomy w/drainage 51040
|
$8,377.60 |
$8,377.60 |
$8,377.60 |
$3,863.60
|
|
Cystotomy/cystostomy fulg+/insj radact matrl 51020
|
$8,215.20 |
$8,215.20 |
$8,215.20 |
$4,081.37
|
|
Cystotomy excise/incise/repair 51535
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$4,081.37
|
|
Cystouretero & or pyeloscope
|
$7,649.60 |
$7,649.60 |
$7,649.60 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$9,352.00 |
$9,352.00 |
$9,352.00 |
$4,865.91
|
|
Cystouretero w/biopsy
|
$9,469.60 |
$9,469.60 |
$9,469.60 |
$6,015.75
|
|
Cystouretero w/excise tumor
|
$8,573.60 |
$8,573.60 |
$8,573.60 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$16,828.00 |
$16,828.00 |
$16,828.00 |
$7,573.50
|
|
Cystouretero w/lithotripsy
|
$12,090.40 |
$12,090.40 |
$12,090.40 |
$7,061.60
|
|
Cystouretero w/renal strict
|
$9,744.00 |
$9,744.00 |
$9,744.00 |
$5,741.00
|
|
Cystouretero w/stone remove
|
$12,420.80 |
$12,420.80 |
$12,420.80 |
$5,339.00
|
|
Cysto/uretero w/up stricture
|
$4,978.40 |
$4,978.40 |
$4,978.40 |
$4,081.37
|
|
Cystourethro cut ejacul duct
|
$8,215.20 |
$8,215.20 |
$8,215.20 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$6,311.20 |
$6,311.20 |
$6,311.20 |
$3,131.20
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$9,990.40 |
$9,990.40 |
$9,990.40 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$2,161.60 |
$2,161.60 |
$2,161.60 |
$2,161.60
|
|
Cystourethro w/implant
|
$2,777.60 |
$2,777.60 |
$2,777.60 |
$2,777.60
|
|
Cysto with bx(s) with blue light
|
$56.56 |
$56.56 |
$56.56 |
$56.56
|
|
Cysto w/renal stricture tx
|
$6,848.80 |
$6,848.80 |
$6,848.80 |
$4,045.60
|
|
Cysto w/up stricture tx
|
$10,550.40 |
$10,550.40 |
$10,550.40 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$6,860.00 |
$6,860.00 |
$6,860.00 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$89.94 |
$89.94 |
$89.94 |
$90.00
|
|
Cytog alys chrml abnr lw-ps
|
$1,383.20 |
$1,383.20 |
$1,383.20 |
$1,317.73
|
|
Cytogenetics 25-99
|
$347.20 |
$347.20 |
$347.20 |
$189.80
|
|
Cytogenetics 3-5
|
$272.16 |
$272.16 |
$272.16 |
$147.36
|
|
Cytogenomic neo microra alys
|
$2,648.80 |
$2,648.80 |
$2,648.80 |
$2,156.05
|
|
Cytogenom microarray copy nmbr var
|
$2,055.20 |
$2,055.20 |
$2,055.20 |
$1,564.68
|
|
Cytog genom-wid alys hem mal
|
$1,259.44 |
$1,259.44 |
$1,259.44 |
$1,263.53
|
|
Cytomegalovirus ag ia
|
$94.08 |
$94.08 |
$94.08 |
$38.58
|
|
Cytomegalovirus (cmv) antibody igg
|
$64.40 |
$64.40 |
$64.40 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$186.48 |
$186.48 |
$186.48 |
$100.00
|
|
Cytomegalovirus dfa
|
$94.08 |
$94.08 |
$94.08 |
$79.34
|
|
Cytomegalovirus imm IV /vial
|
$3,072.34 |
$3,072.34 |
$3,072.34 |
$3,072.34
|
|
Cytomeg dna dir probe
|
$245.28 |
$245.28 |
$245.28 |
$178.88
|
|
Cyto/molecular report
|
$95.76 |
$95.76 |
$95.76 |
$144.75
|
|
Cytopath c/v auto in fluid
|
$217.84 |
$217.84 |
$217.84 |
$56.00
|
|
Cytopath c/v automated
|
$144.48 |
$144.48 |
$144.48 |
$92.04
|
|
Cytopath c/v auto redo
|
$107.52 |
$107.52 |
$107.52 |
$56.00
|
|
Cytopath c/v auto rescreen
|
$153.44 |
$153.44 |
$153.44 |
$39.20
|
|
Cytopath c/v index add-on
|
$61.60 |
$61.60 |
$61.60 |
$35.57
|
|
Cytopath c/v manual
|
$56.56 |
$56.56 |
$56.56 |
$36.80
|
|
Cytopath c/v redo
|
$107.52 |
$107.52 |
$107.52 |
$48.80
|
|
Cytopath c/v thin layer redo
|
$94.08 |
$94.08 |
$94.08 |
$50.40
|
|
Cytopath fl nongyn filter
|
$319.20 |
$319.20 |
$319.20 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$280.00 |
$280.00 |
$280.00 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$91.84 |
$91.84 |
$91.84 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$105.28 |
$105.28 |
$105.28 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$126.00 |
$126.00 |
$126.00 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$156.80 |
$156.80 |
$156.80 |
$124.00
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$31.36 |
$31.36 |
$31.36 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$347.20 |
$347.20 |
$347.20 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$431.20 |
$431.20 |
$431.20 |
$209.92
|
|
Cytopath smear other source
|
$152.88 |
$152.88 |
$152.88 |
$91.20
|
|
Cytopath smear other source
|
$223.44 |
$223.44 |
$223.44 |
$140.07
|
|
Cytopath smear oth prep screen & interp
|
$152.32 |
$152.32 |
$152.32 |
$96.20
|
|
Cytopath tbs c/v auto redo
|
$107.52 |
$107.52 |
$107.52 |
$36.80
|
|
Cytopath tbs c/v manual
|
$138.88 |
$138.88 |
$138.88 |
$59.28
|
|
Cytopath tbs c/v redo
|
$107.52 |
$107.52 |
$107.52 |
$84.80
|
|
Cytopath tbs c/v select
|
$107.52 |
$107.52 |
$107.52 |
$36.80
|
|
Cytotoxic antibody screening
|
$260.96 |
$260.96 |
$260.96 |
$193.80
|
|
Cytotoxic antibody screening
|
$264.32 |
$264.32 |
$264.32 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$1,215.20 |
$1,215.20 |
$1,215.20 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$62.70 |
$62.70 |
$62.70 |
$62.70
|
|
Dactinomycin 0.5 mg intravenous solution
|
$4,757.56 |
$4,757.56 |
$4,757.56 |
$3,047.85
|
|
Dalbavancin 500 mg intravenous solution
|
$3,111.30 |
$3,111.30 |
$3,111.30 |
$3,480.87
|
|
Dalteparin sodium
|
$1,907.16 |
$1,907.16 |
$1,907.16 |
$469.55
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$17,075.52 |
$17,075.52 |
$17,075.52 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$6,764.46 |
$6,764.46 |
$6,764.46 |
$6,273.69
|
|
Darbepoetin alfa, esrd use
|
$4.48 |
$4.48 |
$4.48 |
$6.28
|
|
Dark field exam spec collj
|
$108.64 |
$108.64 |
$108.64 |
$31.20
|
|
Dark field exam without collj
|
$115.92 |
$115.92 |
$115.92 |
$28.80
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$17,733.74 |
$17,733.74 |
$17,733.74 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$259.58 |
$259.58 |
$259.58 |
$259.58
|
|
Dbrdmt prmlg les w/pdt
|
$526.40 |
$526.40 |
$526.40 |
$468.00
|
|
D&c after delivery 59160
|
$5,538.40 |
$5,538.40 |
$5,538.40 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$8,904.00 |
$8,904.00 |
$8,904.00 |
$3,774.81
|
|
Dch glucoscan
|
$31.92 |
$31.92 |
$31.92 |
$29.16
|
|
Dch pulmonary stress test
|
$1,808.80 |
$1,808.80 |
$1,808.80 |
$963.30
|
|
Dch validity tests
|
$36.40 |
$36.40 |
$36.40 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$5,110.00
|
|
Dcmprn orbit only transcrnl
|
$8,181.60 |
$8,181.60 |
$8,181.60 |
$5,855.00
|
|
Dcmprn plantar digital nerve
|
$7,106.40 |
$7,106.40 |
$7,106.40 |
$2,375.24
|
|
D&c of cervical stump
|
$8,170.40 |
$8,170.40 |
$8,170.40 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$33.04 |
$33.04 |
$33.04 |
$42.75
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$2,066.40 |
$2,066.40 |
$2,066.40 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$341.60 |
$341.60 |
$341.60 |
$278.50
|
|
Debridement bone <= 20 sq cm
|
$4,239.20 |
$4,239.20 |
$4,239.20 |
$2,293.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$687.35
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,531.20 |
$2,531.20 |
$2,531.20 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$820.15
|
|
Debride nail1-5 11720
|
$170.24 |
$170.24 |
$170.24 |
$149.04
|
