|
Cytopathology cervical/vaginal thin layer manual screening
|
$36.75 |
$36.75 |
$105.28 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$42.45 |
$42.45 |
$126.00 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$53.70 |
$53.70 |
$156.80 |
$124.00
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$17.10 |
$17.10 |
$31.36 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$58.65 |
$58.65 |
$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
|
$51.30 |
$51.30 |
$152.32 |
$96.20
|
|
Cytopath tbs c/v auto redo
|
$107.52 |
$107.52 |
$107.52 |
$36.80
|
|
Cytopath tbs c/v manual
|
$18.60 |
$18.60 |
$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
|
$67.05 |
$67.05 |
$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
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$74.30 |
$74.30 |
$74.30 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$4,950.00 |
$4,950.00 |
$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
|
$1.56 |
$1.56 |
$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
|
$17.55 |
$17.55 |
$31.92 |
$29.16
|
|
Dch pulmonary stress test
|
$409.05 |
$409.05 |
$1,808.80 |
$963.30
|
|
Dch validity tests
|
$16.50 |
$16.50 |
$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
|
$1.65 |
$1.65 |
$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
|
$96.45 |
$96.45 |
$341.60 |
$278.50
|
|
Debridement bone <= 20 sq cm
|
$123.60 |
$123.60 |
$4,239.20 |
$2,293.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$29.25 |
$29.25 |
$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
|
$99.45 |
$99.45 |
$1,344.00 |
$820.15
|
|
Debride nail1-5 11720
|
$170.24 |
$170.24 |
$170.24 |
$149.04
|
|
Debride nail6 or more 11721
|
$341.60 |
$341.60 |
$341.60 |
$167.63
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$165.45 |
$165.45 |
$2,223.20 |
$1,149.50
|
|
Debride skin bone at fx site
|
$230.40 |
$230.40 |
$3,158.40 |
$2,921.60
|
|
Debride skn/sq/musc/abd wall 11004
|
$302.40 |
$302.40 |
$302.40 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$641.52
|
|
Debrid mastoidectomy cavity simple 69220
|
$341.60 |
$341.60 |
$341.60 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$106.80 |
$106.80 |
$2,839.20 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$470.40 |
$470.40 |
$470.40 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$85.65 |
$85.65 |
$1,842.40 |
$1,160.00
|
|
Decalcification
|
$27.00 |
$27.00 |
$62.16 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$1,073.52 |
$1,073.52 |
$1,073.52 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$444.90 |
$444.90 |
$1,808.80 |
$546.84
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$6,412.00 |
$6,412.00 |
$6,412.00 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$5,247.20 |
$5,247.20 |
$5,247.20 |
$3,137.60
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$4,664.40
|
|
Decompress fasciotomyhand 26037
|
$7,694.40 |
$7,694.40 |
$7,694.40 |
$3,839.54
|
|
Decompress fingers/hand
|
$6,412.00 |
$6,412.00 |
$6,412.00 |
$3,839.54
|
|
Decompress forearm 1 space
|
$5,124.00 |
$5,124.00 |
$5,124.00 |
$3,957.20
|
|
Decompress forearm 2 spaces
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,851.20
|
|
Decompression fasct forearm
|
$557.25 |
$557.25 |
$6,703.20 |
$5,886.74
|
|
Decompression of leg
|
$8,831.20 |
$8,831.20 |
$8,831.20 |
$3,839.54
|
|
Decompression of leg
|
$8,831.20 |
$8,831.20 |
$8,831.20 |
$7,907.11
|
|
Decompression of leg
|
$5,247.20 |
$5,247.20 |
$5,247.20 |
$4,094.02
|
|
Decompression of lower leg
|
$8,013.60 |
$8,013.60 |
$8,013.60 |
$3,839.54
|
|
Decompression of lower leg
|
$6,675.20 |
$6,675.20 |
$6,675.20 |
$3,839.54
|
|
Decompression of thigh/knee
|
$8,831.20 |
$8,831.20 |
$8,831.20 |
$4,192.86
|
|
Decompression of thigh/knee
|
$6,412.00 |
$6,412.00 |
$6,412.00 |
$3,839.54
|
|
Decompression of thigh/knee
|
$5,247.20 |
$5,247.20 |
$5,247.20 |
$3,217.60
|
|
Decompression of thigh/knee
|
$8,831.20 |
$8,831.20 |
$8,831.20 |
$7,807.24
|
|
Decompression of tibia nerve
|
$7,106.40 |
$7,106.40 |
$7,106.40 |
$2,625.60
|
|
Decompression unspecified nerve 64722
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$2,163.32
|
|
Decompress optic nerve
|
$5,482.40 |
$5,482.40 |
$5,482.40 |
$5,482.40
|
|
Decompres spinal cord;thoracic 63055
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$8,412.89
|
|
Decompress spinal cord lmbr
|
$819.75 |
$819.75 |
$17,382.40 |
$8,446.03
|
|
Decompress spinal cord thrc
|
$14,481.60 |
$14,481.60 |
$14,481.60 |
$6,817.20
|
|
Decompress spine cord add-on
|
$7,604.80 |
$7,604.80 |
$7,604.80 |
$1,990.40
|
|
Decomp spinal cord/transped/ad seg 63057
|
$169.05 |
$169.05 |
$9,128.00 |
$1,365.00
|
|
Deep muscle biopsy 20205
|
$12,986.40 |
$12,986.40 |
$12,986.40 |
$3,370.52
|
|
Deferoxamine 500 mg solution for injection
|
$95.85 |
$95.85 |
$95.85 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$395.64 |
$395.64 |
$1,356.72 |
$1,855.50
|
|
Delayed breast prosthesis 19342
|
$302.85 |
$302.85 |
$18,239.20 |
$10,457.82
|
|
Delay flap arms/legs
|
$8,932.00 |
$8,932.00 |
$8,932.00 |
$3,786.00
|
|
Delay flap eye/nos/ear/lip
|
$5,415.20 |
$5,415.20 |
$5,415.20 |
$2,190.24
|
|
Delay flap fccnaxghf 15620
|
$6,126.40 |
$6,126.40 |
$6,126.40 |
$2,164.64
|
|
Delay flap trunk 15600
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,332.25
|
|
Delivery of placenta 59414
|
$916.95 |
$916.95 |
$10,001.60 |
$2,822.68
|
|
Delivery only failed vbac 59620
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$1,809.60
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$3,900.00 |
$3,900.00 |
$17,287.20 |
$6,670.30
|
|
Demonstrate use home inr mon
|
$464.80 |
$464.80 |
$464.80 |
$294.75
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$169.05 |
$169.05 |
$336.00 |
$182.40
|
|
Denervation of hip joint
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$5,741.00
|
|
Dengue vacc quad 3 dose subq
|
$5.60 |
$5.60 |
$5.60 |
$5.60
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$2,794.29 |
$2,794.29 |
$6,030.19 |
$6,324.98
|
