|
Cystic fibrosis cftr
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$1,104.40
|
|
Cystine urine quantitative
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$976.00 |
$976.00 |
$976.00 |
$586.95
|
|
Cystorrhaphy wound simple 51860
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$6,297.20
|
|
Cystoscopy and treatment
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$4,638.40
|
|
Cystoscopy and treatment
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$5,304.00
|
|
Cystoscopy and treatment
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
$5,995.60
|
|
Cystoscopy and treatment
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
$6,593.60
|
|
Cystoscopy and treatment
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$3,320.50
|
|
Cystoscopy and treatment
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
$4,045.60
|
|
Cystoscopy and treatment
|
$9,134.00 |
$9,134.00 |
$9,134.00 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$11,065.00 |
$11,065.00 |
$11,065.00 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$9,445.00 |
$9,445.00 |
$9,445.00 |
$2,874.36
|
|
Cystoscopy removal of clots
|
$9,520.00 |
$9,520.00 |
$9,520.00 |
$4,081.37
|
|
Cystoscopy & revise urethra
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$3,032.64
|
|
Cystoscopy & ureter catheter
|
$10,488.00 |
$10,488.00 |
$10,488.00 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$4,129.45
|
|
Cystouretero & or pyeloscope
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
$5,110.00
|
|
Cystouretero w/biopsy
|
$7,863.00 |
$7,863.00 |
$7,863.00 |
$6,015.75
|
|
Cysto/uretero w/lithotripsy
|
$13,882.00 |
$13,882.00 |
$13,882.00 |
$9,430.00
|
|
Cystouretero w/lithotripsy
|
$11,065.00 |
$11,065.00 |
$11,065.00 |
$7,372.68
|
|
Cystouretero w/stone remove
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
$5,741.00
|
|
Cysto/uretero w/up stricture
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$4,057.50
|
|
Cystourethro w/addl implant 52442
|
$10,488.00 |
$10,488.00 |
$10,488.00 |
$2,161.60
|
|
Cystourethro w/implant
|
$10,488.00 |
$10,488.00 |
$10,488.00 |
$2,777.60
|
|
Cysto with bx(s) with blue light
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$56.56
|
|
Cysto w/ureter stricture tx
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$27.81 |
$27.81 |
$27.81 |
$90.00
|
|
Cytogenomic neo microra alys
|
$5,687.00 |
$5,687.00 |
$5,687.00 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$108.00 |
$108.00 |
$108.00 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$155.00 |
$155.00 |
$155.00 |
$100.00
|
|
Cytomegalovirus imm IV /vial
|
$4,342.94 |
$4,342.94 |
$4,342.94 |
$3,072.34
|
|
Cyto/molecular report
|
$453.00 |
$453.00 |
$453.00 |
$144.75
|
|
Cytopath c/v thin layer redo
|
$329.00 |
$329.00 |
$329.00 |
$61.80
|
|
Cytopath fl nongyn filter
|
$282.00 |
$282.00 |
$282.00 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$448.00 |
$448.00 |
$448.00 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$160.00 |
$160.00 |
$160.00 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$192.00 |
$192.00 |
$192.00 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$282.00 |
$282.00 |
$282.00 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$24.00 |
$24.00 |
$24.00 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$370.00 |
$370.00 |
$370.00 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$381.00 |
$381.00 |
$381.00 |
$213.85
|
|
Cytopath smear other source
|
$247.00 |
$247.00 |
$247.00 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$380.00 |
$380.00 |
$380.00 |
$96.20
|
|
Cytopath tbs c/v manual
|
$123.00 |
$123.00 |
$123.00 |
$59.28
|
|
Dacarbazine 100 mg intravenous solution
|
$26.40 |
$26.40 |
$26.40 |
$62.41
|
|
Dalbavancin 500 mg intravenous solution
|
$41.84 |
$41.84 |
$41.84 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$2.35 |
$2.35 |
$2.35 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$136.17 |
$136.17 |
$136.17 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$33.49 |
$33.49 |
$33.49 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$18.82 |
$18.82 |
$18.82 |
$7.20
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$587.38 |
$587.38 |
$587.38 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$290.29 |
$290.29 |
$290.29 |
$259.58
|
|
D&c after delivery 59160
|
$5,395.00 |
$5,395.00 |
$5,395.00 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$8,359.00 |
$8,359.00 |
$8,359.00 |
$3,774.81
|
|
Dch glucoscan
|
$44.00 |
$44.00 |
$44.00 |
$29.16
|
|
Dch pulmonary stress test
|
$1,676.00 |
$1,676.00 |
$1,676.00 |
$963.30
|
|
Dch validity tests
|
$68.00 |
$68.00 |
$68.00 |
$25.00
|
|
Dcmprn plantar digital nerve
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$2,685.07
|
|
D&c of cervical stump
|
$7,396.00 |
$7,396.00 |
$7,396.00 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$53.00 |
$53.00 |
$53.00 |
$43.35
|
|
Debr g/per/abd wall 11006
|
$5,254.00 |
$5,254.00 |
$5,254.00 |
$1,562.83
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$760.00 |
$760.00 |
$760.00 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,388.00 |
$1,388.00 |
$1,388.00 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,388.00 |
$1,388.00 |
$1,388.00 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$835.20
|
|
Debride nail1-5 11720
|
$524.00 |
$524.00 |
$524.00 |
$149.60
|
|
Debride nail6 or more 11721
|
$598.00 |
$598.00 |
$598.00 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$1,163.24
|
|
Debride skin bone at fx site
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,015.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$5,254.00 |
$5,254.00 |
$5,254.00 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$1,149.50
|
|
Debr musc/fascia 20sq cm/< 11043
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$1,165.50
|
|
Decalcification
|
$63.00 |
$63.00 |
$63.00 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$106.23 |
$106.23 |
$106.23 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,147.00 |
$1,147.00 |
$1,147.00 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$3,137.60
|
|
Decompress forearm 1 space
|
$6,949.00 |
$6,949.00 |
$6,949.00 |
$4,499.12
|
|
Decompression of leg
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$6,588.00
|
|
Decompression of leg
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$4,134.40
|
|
Decompression of lower leg
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$3,969.00
|
|
Decompression of lower leg
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$3,839.54
|
|
Decompression of tibia nerve
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$2,685.07
|
|
Decompression unspecified nerve 64722
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$2,310.83
|
|
Decompress optic nerve
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$5,482.40
|
|
Deep muscle biopsy 20205
|
$8,502.00 |
$8,502.00 |
$8,502.00 |
$3,386.84
|
|
Deferoxamine 500 mg solution for injection
|
$56.00 |
$56.00 |
$56.00 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$15.09 |
$15.09 |
$15.09 |
$1,856.85
|
|
Delayed breast prosthesis 19342
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$7,906.00
|
|
Delay flap arms/legs
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$4,054.55
|
|
Delay flap eye/nos/ear/lip
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$2,371.50
|
|
Delay flap fccnaxghf 15620
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$2,837.09
|
