|
Cystouretero & or pyeloscope
|
$4,376.19 |
$4,376.19 |
$4,376.19 |
$4,315.98
|
|
Cystouretero w/lithotripsy
|
$7,873.71 |
$7,873.71 |
$7,873.71 |
$7,372.68
|
|
Cystouretero w/stone remove
|
$4,724.46 |
$4,724.46 |
$4,724.46 |
$5,741.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,325.96 |
$2,325.96 |
$2,325.96 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$3,970.98 |
$3,970.98 |
$3,970.98 |
$4,057.50
|
|
Cytogenetics 25-99
|
$216.84 |
$216.84 |
$216.84 |
$189.80
|
|
Cytogenomic neo microra alys
|
$1,911.78 |
$1,911.78 |
$1,911.78 |
$2,198.00
|
|
Cytogenom microarray copy nmbr var
|
$1,564.68 |
$1,564.68 |
$1,564.68 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$120.12 |
$120.12 |
$120.12 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$153.66 |
$153.66 |
$153.66 |
$100.00
|
|
Cyto/molecular report
|
$91.65 |
$91.65 |
$91.65 |
$144.75
|
|
Cytopath c/v auto in fluid
|
$106.47 |
$106.47 |
$106.47 |
$56.00
|
|
Cytopath c/v manual
|
$8.97 |
$8.97 |
$8.97 |
$36.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$153.66 |
$153.66 |
$153.66 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$117.00 |
$117.00 |
$117.00 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$168.87 |
$168.87 |
$168.87 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$125.97 |
$125.97 |
$125.97 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$221.13 |
$221.13 |
$221.13 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$43.68 |
$43.68 |
$43.68 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$168.87 |
$168.87 |
$168.87 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$463.32 |
$463.32 |
$463.32 |
$213.85
|
|
Cytopath smear other source
|
$78.39 |
$78.39 |
$78.39 |
$92.50
|
|
Cytopath smear other source
|
$792.09 |
$792.09 |
$792.09 |
$140.00
|
|
Cytp urine 3-5 probes cmptr
|
$859.95 |
$859.95 |
$859.95 |
$664.80
|
|
Dark field exam without collj
|
$143.52 |
$143.52 |
$143.52 |
$28.80
|
|
Dbrdmt prmlg les w/pdt
|
$241.80 |
$241.80 |
$241.80 |
$468.00
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,774.81 |
$3,774.81 |
$3,774.81 |
$3,774.81
|
|
Dch glucoscan
|
$41.34 |
$41.34 |
$41.34 |
$29.16
|
|
Dch pulmonary stress test
|
$807.30 |
$807.30 |
$807.30 |
$963.30
|
|
Dch validity tests
|
$59.67 |
$59.67 |
$59.67 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$4,021.68 |
$4,021.68 |
$4,021.68 |
$5,121.00
|
|
Deamidated gliadin antibody iga
|
$26.91 |
$26.91 |
$26.91 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$852.93 |
$852.93 |
$852.93 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$1,035.06 |
$1,035.06 |
$1,035.06 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$3,620.76 |
$3,620.76 |
$3,620.76 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$926.25 |
$926.25 |
$926.25 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,474.55 |
$2,474.55 |
$2,474.55 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,533.48 |
$1,533.48 |
$1,533.48 |
$835.20
|
|
Debride nail1-5 11720
|
$420.81 |
$420.81 |
$420.81 |
$149.60
|
|
Debride nail6 or more 11721
|
$471.12 |
$471.12 |
$471.12 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$823.68 |
$823.68 |
$823.68 |
$1,163.24
|
|
Debride skin bone at fx site
|
$3,278.34 |
$3,278.34 |
$3,278.34 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$827.97 |
$827.97 |
$827.97 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$116.22 |
$116.22 |
$116.22 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$823.68 |
$823.68 |
$823.68 |
$1,149.50
|
|
Debr inf skin add-on 11001
|
$106.86 |
$106.86 |
$106.86 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,533.48 |
$1,533.48 |
$1,533.48 |
$1,165.50
|
|
Decalcification
|
$83.85 |
$83.85 |
$83.85 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,297.53 |
$1,297.53 |
$1,297.53 |
$572.95
|
|
Delay flap eye/nos/ear/lip
|
$2,190.24 |
$2,190.24 |
$2,190.24 |
$2,371.50
|
|
Delivery of placenta 59414
|
$6,783.66 |
$6,783.66 |
$6,783.66 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$229.32 |
$229.32 |
$229.32 |
$185.17
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$794.82 |
$794.82 |
$794.82 |
$401.60
|
|
Dermabrasion suprfl any site
|
$2,454.27 |
$2,454.27 |
$2,454.27 |
$1,144.80
|
|
Dermapure 1 square cm
|
$4,137.81 |
$4,137.81 |
$4,137.81 |
$3,300.73
|
|
Descend thora aorta rpr/lt sub art 33880
|
$3,695.64 |
$3,695.64 |
$3,695.64 |
$6,288.45
|
|
Design mlc device for imrt
|
$4,659.72 |
$4,659.72 |
$4,659.72 |
$1,753.00
|
|
Des thora aorta rpr without left sub art 33881
|
$5,698.68 |
$5,698.68 |
$5,698.68 |
$5,267.20
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$1,773.33 |
$1,773.33 |
$1,773.33 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$355.29 |
$355.29 |
$355.29 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$222.30 |
$222.30 |
$222.30 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$229.32 |
$229.32 |
$229.32 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$171.60 |
$171.60 |
$171.60 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$46.41 |
$46.41 |
$46.41 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$222.30 |
$222.30 |
$222.30 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$171.60 |
$171.60 |
$171.60 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$222.30 |
$222.30 |
$222.30 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$4,326.27 |
$4,326.27 |
$4,326.27 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$1,441.44 |
$1,441.44 |
$1,441.44 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$89.70 |
$89.70 |
$89.70 |
$202.40
|
|
Destroy vulva lesion simple 56501
|
$4,077.84 |
$4,077.84 |
$4,077.84 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$173.16 |
$173.16 |
$173.16 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$789.75 |
$789.75 |
$789.75 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$355.29 |
$355.29 |
$355.29 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$737.10 |
$737.10 |
$737.10 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$1,122.03 |
$1,122.03 |
$1,122.03 |
$78.61
|
|
Destruction anal lesion(s) smpl chem 46900
|
$340.86 |
$340.86 |
$340.86 |
$557.90
|
|
Destruction benign lesions < 14 lesions
|
$2,690.22 |
$2,690.22 |
$2,690.22 |
$240.24
|
|
Destruction by injection tx of nerve 64630
|
$2,143.44 |
$2,143.44 |
$2,143.44 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,441.44 |
$1,441.44 |
$1,441.44 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$4,326.27 |
$4,326.27 |
$4,326.27 |
$3,296.80
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$355.29 |
$355.29 |
$355.29 |
$375.87
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$252.72 |
$252.72 |
$252.72 |
$482.00
|
|
Destruction penis lesion(s) chem 54050
|
$132.21 |
$132.21 |
$132.21 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$2,507.31 |
$2,507.31 |
$2,507.31 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$370.89 |
$370.89 |
$370.89 |
$442.61
|
|
Destruction vag lesions simple 57061
|
$6,276.66 |
$6,276.66 |
$6,276.66 |
$4,006.38
|
|
Destruct penis les/smp/electrodesi 54055
|
$2,507.31 |
$2,507.31 |
$2,507.31 |
$2,837.09
|
|
Devel tst phys/qhp 1st hr
|
$393.12 |
$393.12 |
$393.12 |
$350.40
|
|
Device ablt adv novasure
|
$16,765.60 |
$16,765.60 |
$16,765.60 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$4,298.87 |
$4,298.87 |
$4,298.87 |
$4,200.00
|
|
Device sut capio slim opn
|
$1,461.67 |
$1,461.67 |
$1,461.67 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$591.75 |
$591.75 |
$591.75 |
$2,515.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$339.30 |
$339.30 |
$339.30 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$332.67 |
$332.67 |
$332.67 |
$227.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$296.79 |
$296.79 |
$296.79 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$122.46 |
$122.46 |
$122.46 |
$79.30
|
|
Diab manage trn ind/group
|
$54.99 |
$54.99 |
$54.99 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$1,365.00 |
$1,365.00 |
$1,365.00 |
$195.50
|
|
Diagnostic digital breast tomosynthesis unil
|
$44.46 |
$44.46 |
$44.46 |
$75.93
|
