|
Cystoscopy and treatment
|
$1,190.80 |
$1,190.80 |
$1,190.80 |
$2,874.36
|
|
Cystoscopy and treatment
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
$6,015.75
|
|
Cystoscopy and treatment
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$2,867.70
|
|
Cystoscopy and treatment
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$3,203.50
|
|
Cystoscopy and treatment
|
$1,219.40 |
$1,219.40 |
$1,219.40 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,307.80 |
$1,307.80 |
$1,307.80 |
$3,817.53
|
|
Cystoscopy (Bladder Scope)
|
$2,494.70 |
$2,494.70 |
$2,494.70 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$2,874.36
|
|
Cystoscopy implant stent
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$4,081.37
|
|
Cystoscopy prostatic imp 1-3
|
$19,000.15 |
$19,000.15 |
$19,000.15 |
$5,741.40
|
|
Cystoscopy removal of clots
|
$12,890.15 |
$12,890.15 |
$12,890.15 |
$4,081.37
|
|
Cystoscopy & revise urethra
|
$873.60 |
$873.60 |
$873.60 |
$2,874.36
|
|
Cystoscopy & revise urethra
|
$1,219.40 |
$1,219.40 |
$1,219.40 |
$3,032.64
|
|
Cystoscopy stone removal
|
$1,599.00 |
$1,599.00 |
$1,599.00 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$4,129.45
|
|
Cystouretero & or pyeloscope
|
$12,890.15 |
$12,890.15 |
$12,890.15 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$1,833.00 |
$1,833.00 |
$1,833.00 |
$5,110.00
|
|
Cystouretero w/biopsy
|
$19,000.15 |
$19,000.15 |
$19,000.15 |
$6,015.75
|
|
Cystouretero w/excise tumor
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$19,000.15 |
$19,000.15 |
$19,000.15 |
$9,430.00
|
|
Cystouretero w/lithotripsy
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$7,372.68
|
|
Cystouretero w/renal strict
|
$2,230.80 |
$2,230.80 |
$2,230.80 |
$5,741.00
|
|
Cystouretero w/stone remove
|
$12,890.15 |
$12,890.15 |
$12,890.15 |
$5,741.00
|
|
Cysto/uretero w/up stricture
|
$1,963.00 |
$1,963.00 |
$1,963.00 |
$4,081.37
|
|
Cystourethro cut ejacul duct
|
$1,370.20 |
$1,370.20 |
$1,370.20 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$4,057.50
|
|
Cystourethro w/addl implant 52442
|
$288.60 |
$288.60 |
$288.60 |
$2,161.60
|
|
Cystourethro w/implant
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$2,777.60
|
|
Cysto w/renal stricture tx
|
$1,703.00 |
$1,703.00 |
$1,703.00 |
$4,045.60
|
|
Cysto w/up stricture tx
|
$1,521.00 |
$1,521.00 |
$1,521.00 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$12,890.15 |
$12,890.15 |
$12,890.15 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$4.11 |
$4.11 |
$278.00 |
$90.00
|
|
Cytogenetics 25-99
|
$110.50 |
$110.50 |
$110.50 |
$189.80
|
|
Cytogenomic neo microra alys
|
$2,156.05 |
$2,156.05 |
$2,156.05 |
$2,198.00
|
|
Cytogenom microarray copy nmbr var
|
$1,307.80 |
$1,307.80 |
$1,307.80 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$28.00 |
$28.00 |
$86.45 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$29.25 |
$29.25 |
$29.25 |
$100.00
|
|
Cytomegalovirus dfa
|
$446.00 |
$446.00 |
$446.00 |
$77.40
|
|
Cytomegalovirus imm IV /vial
|
$84.69 |
$84.69 |
$84.69 |
$3,072.34
|
|
Cyto/molecular report
|
$221.00 |
$221.00 |
$221.00 |
$144.75
|
|
Cytopath c/v index add-on
|
$37.70 |
$37.70 |
$37.70 |
$34.20
|
|
Cytopath c/v manual
|
$70.85 |
$70.85 |
$70.85 |
$36.80
|
|
Cytopath fl nongyn filter
|
$85.00 |
$85.00 |
$85.00 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$388.05 |
$388.05 |
$388.05 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$140.40 |
$140.40 |
$140.40 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$126.10 |
$126.10 |
$126.10 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$72.15 |
$72.15 |
$72.15 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$156.65 |
$156.65 |
$156.65 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$19.00 |
$19.00 |
$117.65 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$19.00 |
$19.00 |
$193.05 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$68.00 |
$68.00 |
$388.70 |
$213.85
|
|
Cytopath smear other source
|
$29.00 |
$29.00 |
$70.85 |
$92.50
|
|
Cytopath smear other source
|
$44.85 |
$44.85 |
$53.00 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$36.00 |
$36.00 |
$165.75 |
$96.20
|
|
Cytopath tbs c/v manual
|
$39.65 |
$39.65 |
$39.65 |
$59.28
|
|
Cytotoxic antibody screening
|
$135.85 |
$135.85 |
$148.00 |
$193.80
|
|
Cytp urine 3-5 probes cmptr
|
$447.20 |
$447.20 |
$447.20 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$38.66 |
$38.66 |
$799.00 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,725.75 |
$1,725.75 |
$1,725.75 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$4,162.86 |
$4,162.86 |
$15,817.00 |
$3,493.11
|
|
Dalteparin sodium
|
$1,847.31 |
$1,847.31 |
$1,847.31 |
$469.55
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$11.05 |
$11.05 |
$4,374.00 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$1,649.21 |
$1,649.21 |
$1,649.21 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$9,055.80 |
$9,055.80 |
$9,055.80 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$21.45 |
$21.45 |
$21.45 |
$7.20
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$34,257.60 |
$34,257.60 |
$34,257.60 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$104.62 |
$104.62 |
$1,164.00 |
$259.58
|
|
D&c after delivery 59160
|
$10,333.70 |
$10,333.70 |
$10,333.70 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$3,774.81
|
|
Dch glucoscan
|
$19.50 |
$19.50 |
$19.50 |
$29.16
|
|
Dch pulmonary stress test
|
$1,090.00 |
$1,090.00 |
$1,532.70 |
$963.30
|
|
Dch validity tests
|
$51.35 |
$51.35 |
$51.35 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$78.00 |
$78.00 |
$78.00 |
$43.35
|
|
Debr g/per/abd wall 11006
|
$3,406.00 |
$3,406.00 |
$3,406.00 |
$1,562.83
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$606.45 |
$606.45 |
$606.45 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$3,949.40 |
$3,949.40 |
$3,949.40 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,992.25 |
$1,992.25 |
$1,992.25 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$3,099.85 |
$3,099.85 |
$3,099.85 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$974.35 |
$974.35 |
$974.35 |
$835.20
|
|
Debride nail1-5 11720
|
$144.95 |
$144.95 |
$144.95 |
$149.60
|
|
Debride nail6 or more 11721
|
$154.70 |
$154.70 |
$154.70 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,163.24
|
|
Debride skin bone at fx site
|
$6,976.45 |
$6,976.45 |
$6,976.45 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$3,702.40 |
$3,702.40 |
$3,702.40 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,404.65 |
$1,404.65 |
$1,404.65 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$646.10 |
$646.10 |
$646.10 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,149.50
|
|
Debr inf skin add-on 11001
|
$243.10 |
$243.10 |
$243.10 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$1,165.50
|
|
Decalcification
|
$68.90 |
$68.90 |
$68.90 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,549.60 |
$1,549.60 |
$1,549.60 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$12,126.40 |
$12,126.40 |
$12,126.40 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$1,575.60 |
$1,575.60 |
$1,575.60 |
$3,137.60
|
