|
Cysto/uretero w/lithotripsy
|
$322.24 |
$322.24 |
$322.24 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$304.00 |
$304.00 |
$304.00 |
$7,061.60
|
|
Cystouretero w/renal strict
|
$344.00 |
$344.00 |
$344.00 |
$5,741.00
|
|
Cystouretero w/stone remove
|
$274.88 |
$274.88 |
$274.88 |
$5,110.00
|
|
Cysto/uretero w/up stricture
|
$305.92 |
$305.92 |
$305.92 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$119.36 |
$119.36 |
$119.36 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$111.04 |
$111.04 |
$111.04 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$39.36 |
$39.36 |
$39.36 |
$2,161.60
|
|
Cystourethro w/implant
|
$162.88 |
$162.88 |
$162.88 |
$2,298.40
|
|
Cytomegalovirus (cmv) antibody igg
|
$118.72 |
$118.72 |
$118.72 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$114.88 |
$114.88 |
$114.88 |
$97.50
|
|
Cyto/molecular report
|
$200.32 |
$200.32 |
$200.32 |
$133.20
|
|
Cytopath c/v index add-on
|
$9.92 |
$9.92 |
$9.92 |
$35.57
|
|
Cytopathology cellular enhancement technique non-gyn
|
$78.08 |
$78.08 |
$78.08 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$36.16 |
$36.16 |
$36.16 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$43.52 |
$43.52 |
$43.52 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$48.00 |
$48.00 |
$48.00 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$44.16 |
$44.16 |
$44.16 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$17.28 |
$17.28 |
$17.28 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$123.52 |
$123.52 |
$123.52 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$127.68 |
$127.68 |
$127.68 |
$209.23
|
|
Cytopath smear other source
|
$14.40 |
$14.40 |
$14.40 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$24.00 |
$24.00 |
$24.00 |
$96.20
|
|
Cytopath tbs c/v manual
|
$16.00 |
$16.00 |
$16.00 |
$59.28
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$42.62 |
$42.62 |
$42.62 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$6,720.00 |
$6,720.00 |
$6,720.00 |
$21,063.03
|
|
D&c after delivery 59160
|
$145.28 |
$145.28 |
$145.28 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$189.12 |
$189.12 |
$189.12 |
$3,774.81
|
|
Dch glucoscan
|
$43.20 |
$43.20 |
$43.20 |
$28.10
|
|
Dch validity tests
|
$3.84 |
$3.84 |
$3.84 |
$24.50
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$1,365.44 |
$1,365.44 |
$1,365.44 |
$4,952.36
|
|
Deamidated gliadin antibody iga
|
$15.04 |
$15.04 |
$15.04 |
$43.60
|
|
Debr g/per/abd wall 11006
|
$528.32 |
$528.32 |
$528.32 |
$1,357.80
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$348.16 |
$348.16 |
$348.16 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$35.20 |
$35.20 |
$35.20 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$176.00 |
$176.00 |
$176.00 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$42.24 |
$42.24 |
$42.24 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$74.24 |
$74.24 |
$74.24 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$48.64 |
$48.64 |
$48.64 |
$810.50
|
|
Debride nail1-5 11720
|
$27.20 |
$27.20 |
$27.20 |
$148.80
|
|
Debride nail6 or more 11721
|
$27.20 |
$27.20 |
$27.20 |
$169.60
|
|
Debride skn/sq/musc/abd wall 11004
|
$432.64 |
$432.64 |
$432.64 |
$903.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$19.52 |
$19.52 |
$19.52 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$61.76 |
$61.76 |
$61.76 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$220.16 |
$220.16 |
$220.16 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$8.96 |
$8.96 |
$8.96 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$121.28 |
$121.28 |
$121.28 |
$1,160.00
|
|
Decalcification
|
$30.08 |
$30.08 |
$30.08 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$580.16 |
$580.16 |
$580.16 |
$543.00
|
|
Decompress fingers/hand
|
$708.16 |
$708.16 |
$708.16 |
$3,839.54
|
|
Decompression of lower leg
|
$320.32 |
$320.32 |
$320.32 |
$3,839.54
|
|
Deep muscle biopsy 20205
|
$127.04 |
$127.04 |
$127.04 |
$3,339.00
|
|
Degarelix 120 mg subcutaneous solution
|
$712.75 |
$712.75 |
$712.75 |
$1,807.08
|
|
Delivery of placenta 59414
|
$1,221.12 |
$1,221.12 |
$1,221.12 |
$3,070.56
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$95.36 |
$95.36 |
$95.36 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$2,993.98 |
$2,993.98 |
$2,993.98 |
$6,324.98
|
|
Descend thora aorta rpr/lt sub art 33880
|
$1,295.36 |
$1,295.36 |
$1,295.36 |
$6,687.93
|
|
Design mlc device for imrt
|
$310.40 |
$310.40 |
$310.40 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$43.20 |
$43.20 |
$43.20 |
$89.78
|
|
Desoxycorticosterone
|
$19.84 |
$19.84 |
$19.84 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$533.12 |
$533.12 |
$533.12 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$388.80 |
$388.80 |
$388.80 |
$2,727.20
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$93.12 |
$93.12 |
$93.12 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$101.12 |
$101.12 |
$101.12 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$114.88 |
$114.88 |
$114.88 |
$317.00
|
|
Dest mal lesion tal <0.5 17260
|
$77.12 |
$77.12 |
$77.12 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$88.64 |
$88.64 |
$88.64 |
$262.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$108.16 |
$108.16 |
$108.16 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$117.76 |
$117.76 |
$117.76 |
$364.50
|
|
Destroy premlg lesns;1st lesn 17000
|
$77.44 |
$77.44 |
$77.44 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$1,040.96 |
$1,040.96 |
$1,040.96 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$112.00 |
$112.00 |
$112.00 |
$3,562.00
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$304.32 |
$304.32 |
$304.32 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$180.16 |
$180.16 |
$180.16 |
$660.00
|
|
Destruction 2-14 lesions 17003
|
$7.04 |
$7.04 |
$7.04 |
$72.60
|
|
Destruction anal lesion(s)
|
$146.88 |
$146.88 |
$146.88 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$156.16 |
$156.16 |
$156.16 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$88.96 |
$88.96 |
$88.96 |
$235.13
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$118.08 |
$118.08 |
$118.08 |
$364.50
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$160.00 |
$160.00 |
$160.00 |
$513.60
|
|
Destruction penis lesion(s) chem 54050
|
$89.92 |
$89.92 |
$89.92 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$143.04 |
$143.04 |
$143.04 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$227.20 |
$227.20 |
$227.20 |
$436.64
|
|
Destruction vag lesions complex 57065
|
$152.32 |
$152.32 |
$152.32 |
$3,762.53
|
|
Destruction vag lesions simple 57061
|
$96.96 |
$96.96 |
$96.96 |
$3,815.20
|
|
Detect agent nos dna dir
|
$78.72 |
$78.72 |
$78.72 |
$115.20
|
|
Detect agnt mult dna direc
|
$40.00 |
$40.00 |
$40.00 |
$162.00
|
|
Developmental screen/score/document 96110
|
$39.48 |
$39.48 |
$39.48 |
$130.65
|
|
Device ablt adv novasure
|
$3,607.36 |
$3,607.36 |
$3,607.36 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$4,800.00 |
$4,800.00 |
$4,800.00 |
$4,200.00
|
|
Device intraute mirena
|
$932.80 |
$932.80 |
$932.80 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,754.56 |
$1,754.56 |
$1,754.56 |
$1,894.50
|
|
Dev interrog remote 1/2/mlt
|
$28.80 |
$28.80 |
$28.80 |
$115.20
|
|
Dexamethasone 4 mg tablet
|
$1.70 |
$1.70 |
$1.70 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$12.16 |
$12.16 |
$12.16 |
$21.17
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$14.75 |
$14.75 |
$14.75 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$14.87 |
$14.87 |
$14.87 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$13.76 |
$13.76 |
$13.76 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$13.81 |
$13.81 |
$13.81 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$83.52 |
$83.52 |
$83.52 |
$112.00
|
