|
Cytogenomic neo microra alys
|
$5,601.00 |
$5,601.00 |
$5,601.00 |
$2,020.20
|
|
Cytogenom microarray copy nmbr var
|
$5,681.40 |
$5,681.40 |
$5,681.40 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$186.60 |
$186.60 |
$186.60 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$119.40 |
$119.40 |
$119.40 |
$97.50
|
|
Cyto/molecular report
|
$220.80 |
$220.80 |
$220.80 |
$133.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$271.80 |
$271.80 |
$271.80 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$145.80 |
$145.80 |
$145.80 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$164.40 |
$164.40 |
$164.40 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$34.80 |
$34.80 |
$34.80 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$138.00 |
$138.00 |
$138.00 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$112.20 |
$112.20 |
$112.20 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$262.20 |
$262.20 |
$262.20 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$610.20 |
$610.20 |
$610.20 |
$209.23
|
|
Cytopath smear other source
|
$82.80 |
$82.80 |
$82.80 |
$88.13
|
|
Cytopath smear other source
|
$133.80 |
$133.80 |
$133.80 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$135.00 |
$135.00 |
$135.00 |
$96.20
|
|
Cytopath tbs c/v manual
|
$92.40 |
$92.40 |
$92.40 |
$59.28
|
|
Cytotoxic antibody screening
|
$798.00 |
$798.00 |
$798.00 |
$133.25
|
|
D&c after delivery 59160
|
$691.20 |
$691.20 |
$691.20 |
$3,827.25
|
|
Dch glucoscan
|
$35.40 |
$35.40 |
$35.40 |
$28.10
|
|
Dch pulmonary stress test
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$963.30
|
|
Dch validity tests
|
$42.00 |
$42.00 |
$42.00 |
$24.50
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$7,236.60 |
$7,236.60 |
$7,236.60 |
$4,952.36
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$385.80 |
$385.80 |
$385.80 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$483.60 |
$483.60 |
$483.60 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$2,254.80 |
$2,254.80 |
$2,254.80 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$360.00 |
$360.00 |
$360.00 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,035.80 |
$2,035.80 |
$2,035.80 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$696.60 |
$696.60 |
$696.60 |
$810.50
|
|
Debride nail1-5 11720
|
$405.00 |
$405.00 |
$405.00 |
$148.80
|
|
Debride nail6 or more 11721
|
$133.20 |
$133.20 |
$133.20 |
$169.60
|
|
Debride skin bone at fx site
|
$3,985.80 |
$3,985.80 |
$3,985.80 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$360.00 |
$360.00 |
$360.00 |
$639.60
|
|
Debr musc/fascia 20sq cm/< 11043
|
$875.40 |
$875.40 |
$875.40 |
$1,160.00
|
|
Decalcification
|
$100.80 |
$100.80 |
$100.80 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,518.00 |
$1,518.00 |
$1,518.00 |
$543.00
|
|
Decompress fasciotomyhand 26037
|
$253.20 |
$253.20 |
$253.20 |
$3,839.54
|
|
Delivery of placenta 59414
|
$3,671.40 |
$3,671.40 |
$3,671.40 |
$3,070.56
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$8,490.60 |
$8,490.60 |
$8,490.60 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$102.00 |
$102.00 |
$102.00 |
$185.17
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$369.00 |
$369.00 |
$369.00 |
$408.10
|
|
Descend thora aorta rpr/lt sub art 33880
|
$4,773.60 |
$4,773.60 |
$4,773.60 |
$6,687.93
|
|
Design mlc device for imrt
|
$1,123.80 |
$1,123.80 |
$1,123.80 |
$1,677.86
|
|
Desoxycorticosterone
|
$369.00 |
$369.00 |
$369.00 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$4,773.60 |
$4,773.60 |
$4,773.60 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$1,888.20 |
$1,888.20 |
$1,888.20 |
$2,727.20
|
|
Destroy cervthor facet jnt 64633
|
$4,483.20 |
$4,483.20 |
$4,483.20 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$1,704.00 |
$1,704.00 |
$1,704.00 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$207.00 |
$207.00 |
$207.00 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$227.40 |
$227.40 |
$227.40 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$156.00 |
$156.00 |
$156.00 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$153.00 |
$153.00 |
$153.00 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$49.80 |
$49.80 |
$49.80 |
$72.60
|
|
Destruction anal lesion(s)
|
$4,429.80 |
$4,429.80 |
$4,429.80 |
$3,711.00
|
|
Destruction anal lesion(s) smpl chem 46900
|
$220.80 |
$220.80 |
$220.80 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$169.20 |
$169.20 |
$169.20 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,139.00 |
$2,139.00 |
$2,139.00 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$4,481.40 |
$4,481.40 |
$4,481.40 |
$3,202.98
|
|
Destruction penis lesion(s) chem 54050
|
$220.80 |
$220.80 |
$220.80 |
$332.00
|
|
Destruction premal lesions 15/> 17004
|
$220.80 |
$220.80 |
$220.80 |
$436.64
|
|
Destruction vag lesions simple 57061
|
$231.00 |
$231.00 |
$231.00 |
$3,815.20
|
|
Developmental screen/score/document 96110
|
$164.40 |
$164.40 |
$164.40 |
$130.65
|
|
Devel tst phys/qhp 1st hr
|
$371.40 |
$371.40 |
$371.40 |
$337.50
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$208.80 |
$208.80 |
$208.80 |
$200.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$240.60 |
$240.60 |
$240.60 |
$227.15
|
|
Dhea-s (dehydroepiand sulfate)
|
$321.00 |
$321.00 |
$321.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$69.60 |
$69.60 |
$69.60 |
$79.20
|
|
Diab manage trn ind/group
|
$163.80 |
$163.80 |
$163.80 |
$56.55
|
|
Diagnostic anoscopy spx 46600
|
$299.40 |
$299.40 |
$299.40 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$122.40 |
$122.40 |
$122.40 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$466.80 |
$466.80 |
$466.80 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$469.80 |
$469.80 |
$469.80 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$331.20 |
$331.20 |
$331.20 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$123.00 |
$123.00 |
$123.00 |
$214.08
|
|
Dialysis circuit perm vascular embolization 36909
|
$24,345.60 |
$24,345.60 |
$24,345.60 |
$5,419.00
|
|
Dialysis one evaluation
|
$1,929.60 |
$1,929.60 |
$1,929.60 |
$919.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$3.60 |
$3.60 |
$3.60 |
$115.15
|
|
Diffusing capacity
|
$398.40 |
$398.40 |
$398.40 |
$332.00
|
|
Digital analysis of eeg
|
$924.00 |
$924.00 |
$924.00 |
$605.60
|
|
Digoxin total therapeutic drug level
|
$188.40 |
$188.40 |
$188.40 |
$102.00
|
|
Dilate biliary duct/ampulla
|
$4,296.00 |
$4,296.00 |
$4,296.00 |
$1,866.73
|
|
Dilate esophagus
|
$2,958.60 |
$2,958.60 |
$2,958.60 |
$2,142.40
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$1,161.00 |
$1,161.00 |
$1,161.00 |
$3,033.08
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,161.00 |
$1,161.00 |
$1,161.00 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$1,161.00 |
$1,161.00 |
$1,161.00 |
$5,250.40
|
|
Dilation of cervical canal 57800
|
$5,294.40 |
$5,294.40 |
$5,294.40 |
$4,376.00
|
|
Dilation of salivary duct
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$741.60
|
|
Dilat xst trc ndurlgc px
|
$2,724.00 |
$2,724.00 |
$2,724.00 |
$4,061.71
|
|
Dilat xst trc new access rcs
|
$2,724.00 |
$2,724.00 |
$2,724.00 |
$4,213.20
|
|
Disability dlco
|
$516.60 |
$516.60 |
$516.60 |
$282.40
|
|
Disaccharidases
|
$1,390.20 |
$1,390.20 |
$1,390.20 |
$216.00
|
|
Discography cerv/thor spine
|
$2,127.00 |
$2,127.00 |
$2,127.00 |
$2,565.00
|
|
Dlyd plmt xtn prosth ea addl
|
$8,490.60 |
$8,490.60 |
$8,490.60 |
$1,582.68
|
|
Dna antibody native/double stranded
|
$301.20 |
$301.20 |
$301.20 |
$97.50
|
|
Dna gardnerella
|
$57.60 |
$57.60 |
$57.60 |
$62.50
|
|
Dna trichomonas
|
$57.60 |
$57.60 |
$57.60 |
$67.80
|
|
Doppler echo complete
|
$608.40 |
$608.40 |
$608.40 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$992.40 |
$992.40 |
$992.40 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$486.60 |
$486.60 |
$486.60 |
$471.17
|
