|
Cytomegalovirus imm IV /vial
|
$4,216.40 |
$4,342.94 |
$4,342.94 |
|
|
Cyto/molecular report
|
$91.65 |
$91.65 |
$453.00 |
|
|
Cytopath c/v auto in fluid
|
$106.47 |
$106.47 |
$106.47 |
|
|
Cytopath c/v manual
|
$8.97 |
$8.97 |
$8.97 |
|
|
Cytopath c/v thin layer redo
|
$329.00 |
$329.00 |
$329.00 |
|
|
Cytopath fl nongyn filter
|
$282.00 |
$282.00 |
$282.00 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$46.77 |
$153.66 |
$721.33 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$117.00 |
$117.00 |
$455.12 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$58.91 |
$168.87 |
$1,085.84 |
|
|
Cytopathology concentration technique smears & interpretation
|
$125.97 |
$145.00 |
$575.34 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$80.81 |
$221.13 |
$569.64 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$24.00 |
$43.68 |
$233.74 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$168.87 |
$174.64 |
$1,963.89 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$51.21 |
$381.00 |
$795.45 |
|
|
Cytopath smear other source
|
$78.39 |
$78.39 |
$247.00 |
|
|
Cytopath smear other source
|
$792.09 |
$792.09 |
$792.09 |
|
|
Cytopath smear oth prep screen & interp
|
$118.00 |
$380.00 |
$380.00 |
|
|
Cytopath tbs c/v manual
|
$42.04 |
$123.00 |
$123.00 |
|
|
Cytp urine 3-5 probes cmptr
|
$859.95 |
$859.95 |
$1,251.00 |
|
|
Dacarbazine 100 mg intravenous solution
|
$26.40 |
$26.40 |
$130.69 |
|
|
Dactinomycin 0.5 mg intravenous solution
|
$3,645.18 |
$3,645.18 |
$5,000.58 |
|
|
Dalbavancin 500 mg intravenous solution
|
$41.84 |
$41.84 |
$6,597.03 |
|
|
Dalteparin sodium
|
$1.00 |
$1.00 |
$1.00 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$2.35 |
$2.35 |
$1,163.40 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$136.17 |
$136.17 |
$37,711.67 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$33.49 |
$33.49 |
$35,108.74 |
|
|
Darbepoetin alfa, esrd use
|
$18.82 |
$18.82 |
$8,609.98 |
|
|
Dark field exam without collj
|
$143.52 |
$143.52 |
$143.52 |
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$587.38 |
$587.38 |
$26,352.00 |
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$290.29 |
$290.29 |
$4,973.97 |
|
|
Dbrdmt prmlg les w/pdt
|
$241.80 |
$241.80 |
$241.80 |
|
|
D&c after delivery 59160
|
$5,395.00 |
$5,395.00 |
$5,395.00 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,774.81 |
$3,774.81 |
$8,359.00 |
|
|
Dch glucoscan
|
$5.92 |
$41.34 |
$44.00 |
|
|
Dch pulmonary stress test
|
$305.77 |
$807.30 |
$1,676.00 |
|
|
Dch validity tests
|
$10.36 |
$59.67 |
$186.52 |
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$4,021.68 |
$4,021.68 |
$4,021.68 |
|
|
Dcmprn plantar digital nerve
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
|
|
D&c of cervical stump
|
$7,396.00 |
$7,396.00 |
$7,396.00 |
|
|
Deamidated gliadin antibody iga
|
$15.40 |
$53.00 |
$617.96 |
|
|
Debr g/per/abd wall 11006
|
$5,254.00 |
$5,254.00 |
$5,254.00 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$353.13 |
$852.93 |
$4,862.00 |
|
|
Debridement (>20 cm) charge pt
|
$116.04 |
$952.66 |
$1,035.06 |
|
|
Debridement bone <= 20 sq cm
|
$1,228.70 |
$3,697.98 |
$19,379.35 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$185.30 |
$926.25 |
$1,747.98 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$823.48 |
$2,474.55 |
$4,316.96 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$686.43 |
$1,533.48 |
$5,810.00 |
|
|
Debride nail1-5 11720
|
$37.30 |
$420.81 |
$524.00 |
|
|
Debride nail6 or more 11721
|
$231.00 |
$471.12 |
$789.92 |
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$823.68 |
$823.68 |
$5,810.00 |
|
|
Debride skin bone at fx site
|
$3,278.34 |
$3,278.34 |
$5,810.00 |
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,096.98 |
$5,254.00 |
$5,254.00 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$185.30 |
$827.97 |
$5,507.00 |
|
|
Debrid mastoidectomy cavity simple 69220
|
$116.22 |
$116.22 |
$116.22 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$823.68 |
$823.68 |
$5,507.00 |
|
|
Debr inf skin add-on 11001
|
$106.86 |
$106.86 |
$106.86 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$960.82 |
$2,334.00 |
$7,412.36 |
|
|
Decalcification
|
$44.40 |
$83.85 |
$410.71 |
|
|
Decitabine 50 mg intravenous solution
|
$106.23 |
$106.23 |
$3,902.00 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$56.17 |
$1,297.53 |
$1,336.00 |
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$1,625.64 |
$6,653.00 |
$6,653.00 |
|
|
Decomp forearm 1 space 25020
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
|
|
Decompress forearm 1 space
|
$6,949.00 |
$6,949.00 |
$6,949.00 |
|
|
Decompression fasct forearm
|
$6,983.24 |
$6,983.24 |
$6,983.24 |
|
|
Decompression of leg
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
|
|
Decompression of leg
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
|
|
Decompression of lower leg
|
$3,010.32 |
$6,653.00 |
$6,653.00 |
|
|
Decompression of lower leg
|
$3,214.86 |
$6,307.00 |
$6,307.00 |
|
|
Decompression of tibia nerve
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
|
|
Decompression unspecified nerve 64722
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
|
|
Decompress optic nerve
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
|
|
Deep muscle biopsy 20205
|
$8,502.00 |
$8,502.00 |
$8,502.00 |
|
|
Deferoxamine 500 mg solution for injection
|
$56.00 |
$56.00 |
$2,142.05 |
|
|
Degarelix 120 mg subcutaneous solution
|
$15.09 |
$15.09 |
$1,886.05 |
|
|
Delayed breast prosthesis 19342
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
|
|
Delay flap arms/legs
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
|
|
Delay flap eye/nos/ear/lip
|
$2,190.24 |
$2,190.24 |
$7,906.00 |
|
|
Delay flap fccnaxghf 15620
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Delivery of placenta 59414
|
$5,333.00 |
$6,783.66 |
$11,360.00 |
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$1,664.71 |
$3,473.00 |
$3,473.00 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$116.63 |
$365.42 |
$2,143.83 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$74.17 |
$74.17 |
$55,523.68 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$452.00 |
$794.82 |
$1,475.52 |
|
|
Depo-estradiol cypionate inj
|
$49.14 |
$206.35 |
$206.35 |
|
|
Dermabrasion suprfl any site
|
$2,454.27 |
$2,454.27 |
$2,454.27 |
|
|
Derma-fat-fascia graft 15770
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
|
|
Dermagraft
|
$252.49 |
$252.49 |
$252.49 |
|
|
Dermapure 1 square cm
|
$4,137.81 |
$4,137.81 |
$4,137.81 |
|
|
Descend thora aorta rpr/lt sub art 33880
|
$3,379.73 |
$3,695.64 |
$7,548.00 |
|
|
Design mlc device for imrt
|
$178.49 |
$4,659.72 |
$4,659.72 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$87.71 |
$87.71 |
$3,903.32 |
|
|
Desoxycorticosterone
|
$216.08 |
$680.00 |
$680.00 |
|
|
Des thora aorta rpr without left sub art 33881
|
$3,068.64 |
$5,698.68 |
$6,490.00 |
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$2,113.44 |
$4,805.00 |
$4,805.00 |
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$1,773.33 |
$1,773.33 |
$1,773.33 |
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$355.29 |
$355.29 |
$4,862.00 |
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$222.30 |
$222.30 |
$222.30 |
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$229.32 |
$229.32 |
$229.32 |
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$171.60 |
$171.60 |
$171.60 |
|
|
Dest mal lesion tal <0.5 17260
|
$46.41 |
$46.41 |
$46.41 |
|
