|
Cystoscopy and treatment
|
$248.40 |
$248.40 |
$248.40 |
$5,162.50
|
|
Cystoscopy and treatment
|
$291.00 |
$291.00 |
$291.00 |
$5,995.60
|
|
Cystoscopy and treatment
|
$394.50 |
$394.50 |
$394.50 |
$6,475.26
|
|
Cystoscopy and treatment
|
$212.70 |
$212.70 |
$212.70 |
$3,213.14
|
|
Cystoscopy and treatment
|
$164.40 |
$164.40 |
$164.40 |
$2,424.12
|
|
Cystoscopy and treatment
|
$267.30 |
$267.30 |
$267.30 |
$4,045.60
|
|
Cystoscopy and treatment
|
$325.80 |
$325.80 |
$325.80 |
$4,061.71
|
|
Cystoscopy and treatment
|
$204.90 |
$204.90 |
$204.90 |
$2,424.12
|
|
Cystoscopy and treatment
|
$351.00 |
$351.00 |
$351.00 |
$958.81
|
|
Cystoscopy and treatment
|
$246.60 |
$246.60 |
$246.60 |
$3,587.87
|
|
Cystoscopy and treatment
|
$282.60 |
$282.60 |
$282.60 |
$4,081.37
|
|
Cystoscopy and treatment
|
$321.60 |
$321.60 |
$321.60 |
$2,874.36
|
|
Cystoscopy and treatment
|
$276.90 |
$276.90 |
$276.90 |
$3,203.50
|
|
Cystoscopy and treatment
|
$248.70 |
$248.70 |
$248.70 |
$4,061.71
|
|
Cystoscopy and treatment
|
$265.50 |
$265.50 |
$265.50 |
$3,820.84
|
|
Cystoscopy (Bladder Scope)
|
$237.30 |
$237.30 |
$237.30 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$390.90 |
$390.90 |
$390.90 |
$2,704.80
|
|
Cystoscopy inject material
|
$259.50 |
$259.50 |
$259.50 |
$5,986.78
|
|
Cystoscopy removal of clots
|
$441.00 |
$441.00 |
$441.00 |
$4,081.37
|
|
Cystoscopy & revise urethra
|
$251.40 |
$251.40 |
$251.40 |
$2,874.36
|
|
Cystoscopy stone removal
|
$321.90 |
$321.90 |
$321.90 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$136.20 |
$136.20 |
$136.20 |
$3,786.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$306.90 |
$306.90 |
$306.90 |
$3,863.60
|
|
Cystotomy/cystostomy fulg+/insj radact matrl 51020
|
$491.10 |
$491.10 |
$491.10 |
$4,081.37
|
|
Cystouretero & or pyeloscope
|
$305.40 |
$305.40 |
$305.40 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$372.30 |
$372.30 |
$372.30 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$420.00 |
$420.00 |
$420.00 |
$5,986.78
|
|
Cystouretero w/excise tumor
|
$470.40 |
$470.40 |
$470.40 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$418.20 |
$418.20 |
$418.20 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$394.50 |
$394.50 |
$394.50 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$357.30 |
$357.30 |
$357.30 |
$5,110.00
|
|
Cysto/uretero w/up stricture
|
$396.90 |
$396.90 |
$396.90 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$327.30 |
$327.30 |
$327.30 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$144.00 |
$144.00 |
$144.00 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$51.00 |
$51.00 |
$51.00 |
$2,161.60
|
|
Cystourethro w/implant
|
$211.80 |
$211.80 |
$211.80 |
$2,298.40
|
|
Cysto w/up stricture tx
|
$312.00 |
$312.00 |
$312.00 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$286.50 |
$286.50 |
$286.50 |
$4,081.37
|
|
Cytogenom microarray copy nmbr var
|
$334.50 |
$334.50 |
$334.50 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$3.71 |
$3.71 |
$3.71 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$4.31 |
$4.31 |
$4.31 |
$97.50
|
|
Cyto/molecular report
|
$41.40 |
$41.40 |
$41.40 |
$133.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$169.80 |
$169.80 |
$169.80 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$10.61 |
$10.61 |
$10.61 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$43.80 |
$43.80 |
$43.80 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$72.90 |
$72.90 |
$72.90 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$12.30 |
$12.30 |
$12.30 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$144.90 |
$144.90 |
$144.90 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$131.40 |
$131.40 |
$131.40 |
$209.23
|
|
Cytopath smear other source
|
$53.70 |
$53.70 |
$53.70 |
$88.13
|
|
Cytopath smear other source
|
$49.80 |
$49.80 |
$49.80 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$24.60 |
$24.60 |
$24.60 |
$96.20
|
|
Cytp urine 3-5 probes cmptr
|
$134.10 |
$134.10 |
$134.10 |
$690.00
|
|
Dalbavancin 500 mg intravenous solution
|
$2,423.69 |
$2,423.69 |
$2,423.69 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$75.62 |
$75.62 |
$75.62 |
$168.53
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$3.00 |
$3.00 |
$3.00 |
$6,072.48
|
|
D&c after delivery 59160
|
$278.70 |
$278.70 |
$278.70 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$311.40 |
$311.40 |
$311.40 |
$3,774.81
|
|
Dch glucoscan
|
$23.10 |
$23.10 |
$23.10 |
$28.10
|
|
Dch pulmonary stress test
|
$49.20 |
$49.20 |
$49.20 |
$963.30
|
|
Dch validity tests
|
$14.70 |
$14.70 |
$14.70 |
$24.50
|
|
Dcmprn plantar digital nerve
|
$287.70 |
$287.70 |
$287.70 |
$2,375.24
|
|
D&c of cervical stump
|
$134.10 |
$134.10 |
$134.10 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$3.31 |
$3.31 |
$3.31 |
$43.60
|
|
Debr g/per/abd wall 11006
|
$690.00 |
$690.00 |
$690.00 |
$1,357.80
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$63.00 |
$63.00 |
$63.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$165.00 |
$165.00 |
$165.00 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$323.10 |
$323.10 |
$323.10 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$75.00 |
$75.00 |
$75.00 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$123.60 |
$123.60 |
$123.60 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$213.60 |
$213.60 |
$213.60 |
$810.50
|
|
Debride nail1-5 11720
|
$54.00 |
$54.00 |
$54.00 |
$148.80
|
|
Debride nail6 or more 11721
|
$48.00 |
$48.00 |
$48.00 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$302.10 |
$302.10 |
$302.10 |
$1,012.80
|
|
Debride skin bone at fx site
|
$420.90 |
$420.90 |
$420.90 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$561.60 |
$561.60 |
$561.60 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$755.10 |
$755.10 |
$755.10 |
$1,820.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$54.30 |
$54.30 |
$54.30 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$125.70 |
$125.70 |
$125.70 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$284.70 |
$284.70 |
$284.70 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$28.80 |
$28.80 |
$28.80 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$303.00 |
$303.00 |
$303.00 |
$1,160.00
|
|
Decalcification
|
$19.80 |
$19.80 |
$19.80 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$665.40 |
$665.40 |
$665.40 |
$543.00
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$477.00 |
$477.00 |
$477.00 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$787.80 |
$787.80 |
$787.80 |
$3,137.60
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$1,271.70 |
$1,271.70 |
$1,271.70 |
$4,664.40
|
|
Decompress fasciotomyhand 26037
|
$597.00 |
$597.00 |
$597.00 |
$3,839.54
|
|
Decompress fingers/hand
|
$908.70 |
$908.70 |
$908.70 |
$3,839.54
|
|
Decompress forearm 1 space
|
$1,379.70 |
$1,379.70 |
$1,379.70 |
$3,957.20
|
|
Decompress forearm 2 spaces
|
$815.70 |
$815.70 |
$815.70 |
$3,851.20
|
|
Decompression fasct forearm
|
$974.70 |
$974.70 |
$974.70 |
$5,886.74
|
|
Decompression of leg
|
$562.80 |
$562.80 |
$562.80 |
$3,839.54
|
|
Decompression of leg
|
$651.90 |
$651.90 |
$651.90 |
$7,907.11
|
|
Decompression of leg
|
$840.30 |
$840.30 |
$840.30 |
$3,839.54
|
|
Decompression of lower leg
|
$414.00 |
$414.00 |
$414.00 |
$3,839.54
|
|
Decompression of lower leg
|
$459.60 |
$459.60 |
$459.60 |
$3,839.54
|
|
Decompression of thigh/knee
|
$696.60 |
$696.60 |
$696.60 |
$3,217.60
|
|
Decompression of tibia nerve
|
$385.20 |
$385.20 |
$385.20 |
$2,625.60
|
|
Decompression unspecified nerve 64722
|
$390.90 |
$390.90 |
$390.90 |
$2,163.32
|
