|
Cytopathology cervical/vaginal thin layer manual screening
|
$83.30 |
$83.30 |
$83.30 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$407.40 |
$407.40 |
$407.40 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$357.70 |
$357.70 |
$357.70 |
$124.00
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$105.00 |
$105.00 |
$105.00 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$590.10 |
$590.10 |
$590.10 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$590.10 |
$590.10 |
$590.10 |
$209.92
|
|
Cytopath smear other source
|
$141.40 |
$141.40 |
$141.40 |
$91.20
|
|
Cytopath smear oth prep screen & interp
|
$85.40 |
$85.40 |
$85.40 |
$96.20
|
|
Cytopath tbs c/v manual
|
$53.20 |
$53.20 |
$53.20 |
$59.28
|
|
Cytotoxic antibody screening
|
$800.80 |
$800.80 |
$800.80 |
$133.25
|
|
Dacarbazine 100 mg intravenous solution
|
$63.87 |
$63.87 |
$63.87 |
$62.70
|
|
Dactinomycin 0.5 mg intravenous solution
|
$15,808.27 |
$15,808.27 |
$15,808.27 |
$3,047.85
|
|
Dalbavancin 500 mg intravenous solution
|
$9,140.42 |
$9,140.42 |
$9,140.42 |
$3,480.87
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$405.65 |
$405.65 |
$405.65 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$61,701.67 |
$61,701.67 |
$61,701.67 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$880.77 |
$880.77 |
$880.77 |
$6,273.69
|
|
D&c after delivery 59160
|
$15,899.45 |
$15,899.45 |
$15,899.45 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$13,066.23 |
$13,066.23 |
$13,066.23 |
$3,774.81
|
|
Dch glucoscan
|
$37.80 |
$37.80 |
$37.80 |
$29.16
|
|
Dch pulmonary stress test
|
$2,764.30 |
$2,764.30 |
$2,764.30 |
$963.30
|
|
Dch validity tests
|
$110.60 |
$110.60 |
$110.60 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$53,142.73 |
$53,142.73 |
$53,142.73 |
$5,110.00
|
|
Dcmprn plantar digital nerve
|
$36,767.00 |
$36,767.00 |
$36,767.00 |
$2,375.24
|
|
Deamidated gliadin antibody iga
|
$215.60 |
$215.60 |
$215.60 |
$42.75
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,899.80 |
$1,899.80 |
$1,899.80 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$475.30 |
$475.30 |
$475.30 |
$278.50
|
|
Debridement bone <= 20 sq cm
|
$3,441.90 |
$3,441.90 |
$3,441.90 |
$2,293.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,572.20 |
$1,572.20 |
$1,572.20 |
$687.35
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$998.90 |
$998.90 |
$998.90 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$942.20 |
$942.20 |
$942.20 |
$820.15
|
|
Debride nail1-5 11720
|
$160.30 |
$160.30 |
$160.30 |
$149.04
|
|
Debride nail6 or more 11721
|
$260.40 |
$260.40 |
$260.40 |
$167.63
|
|
Debride skin bone at fx site
|
$1,523.20 |
$1,523.20 |
$1,523.20 |
$2,921.60
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,899.80 |
$1,899.80 |
$1,899.80 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,688.40 |
$1,688.40 |
$1,688.40 |
$641.52
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,985.90 |
$1,985.90 |
$1,985.90 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,599.10 |
$2,599.10 |
$2,599.10 |
$1,160.00
|
|
Decalcification
|
$22,702.40 |
$22,702.40 |
$22,702.40 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$1,070.82 |
$1,070.82 |
$1,070.82 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$48,621.12 |
$48,621.12 |
$48,621.12 |
$546.84
|
|
Decompression of leg
|
$7,102.90 |
$7,102.90 |
$7,102.90 |
$4,094.02
|
|
Decompression of lower leg
|
$7,102.90 |
$7,102.90 |
$7,102.90 |
$3,839.54
|
|
Deferoxamine 500 mg solution for injection
|
$129.15 |
$129.15 |
$129.15 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,586.50 |
$2,586.50 |
$2,586.50 |
$1,855.50
|
|
Delivery of placenta 59414
|
$2,444.40 |
$2,444.40 |
$2,444.40 |
$2,822.68
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$217.00 |
$217.00 |
$217.00 |
$182.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$19,643.57 |
$19,643.57 |
$19,643.57 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$473.90 |
$473.90 |
$473.90 |
$399.93
|
|
Derma-gide, 1 sq cm
|
$707.00 |
$707.00 |
$707.00 |
$16.80
|
|
Design mlc device for imrt
|
$51,853.90 |
$51,853.90 |
$51,853.90 |
$1,739.10
|
|
Desmopressin 4 mcg/ml injection solution
|
$2,755.55 |
$2,755.55 |
$2,755.55 |
$93.84
|
|
Desoxycorticosterone
|
$98.00 |
$98.00 |
$98.00 |
$98.80
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$425.60 |
$425.60 |
$425.60 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$4,628.66 |
$4,628.66 |
$4,628.66 |
$3,018.00
|
|
Destroy cth facet jnt addl 64634
|
$4,629.30 |
$4,629.30 |
$4,629.30 |
$1,441.44
|
|
Destroy vulva lesion extensive 56515
|
$12,573.38 |
$12,573.38 |
$12,573.38 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$13,868.22 |
$13,868.22 |
$13,868.22 |
$3,556.00
|
|
Destruction anal lesion(s)
|
$10,493.81 |
$10,493.81 |
$10,493.81 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$11,301.43 |
$11,301.43 |
$11,301.43 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$678.30 |
$678.30 |
$678.30 |
$557.90
|
|
Destruction benign lesions < 14 lesions
|
$154.70 |
$154.70 |
$154.70 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$6,441.05 |
$6,441.05 |
$6,441.05 |
$1,626.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$5,721.81 |
$5,721.81 |
$5,721.81 |
$1,618.65
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$5,714.07 |
$5,714.07 |
$5,714.07 |
$3,295.50
|
|
Destruction penis lesion(s) exten 54065
|
$11,093.56 |
$11,093.56 |
$11,093.56 |
$2,507.31
|
|
Destruction vag lesions simple 57061
|
$16,642.43 |
$16,642.43 |
$16,642.43 |
$3,815.20
|
|
Detect agent nos dna dir
|
$105.00 |
$105.00 |
$105.00 |
$145.80
|
|
Detect agnt mult dna direc
|
$209.30 |
$209.30 |
$209.30 |
$166.77
|
|
Devel tst phys/qhp 1st hr
|
$399.00 |
$399.00 |
$399.00 |
$350.40
|
|
Device ablt adv novasure
|
$31,418.07 |
$31,418.07 |
$31,418.07 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$11,140.64 |
$11,140.64 |
$11,140.64 |
$4,200.00
|
|
Device intraute mirena
|
$6,070.12 |
$6,070.12 |
$6,070.12 |
$2,125.00
|
|
Device sut capio slim opn
|
$3,830.53 |
$3,830.53 |
$3,830.53 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$4,623.70 |
$4,623.70 |
$4,623.70 |
$2,466.14
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$199.50 |
$199.50 |
$199.50 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$368.20 |
$368.20 |
$368.20 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$6.65 |
$6.65 |
$6.65 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$39.90 |
$39.90 |
$39.90 |
$21.20
|
|
Dexamethasone intra implant
|
$8,102.50 |
$8,102.50 |
$8,102.50 |
$2,356.90
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$510.65 |
$510.65 |
$510.65 |
$884.80
|
|
Dextran 40 infusion
|
$451.50 |
$451.50 |
$451.50 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$23.62 |
$23.62 |
$23.62 |
$36.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$76.82 |
$76.82 |
$76.82 |
$42.50
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$26.60 |
$26.60 |
$26.60 |
$46.12
|
|
Dextrose 5 % IV bolus
|
$23.62 |
$23.62 |
$23.62 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$212.10 |
$212.10 |
$212.10 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$116.90 |
$116.90 |
$116.90 |
$79.20
|
|
Diag laparo separate proc 49320
|
$29,532.12 |
$29,532.12 |
$29,532.12 |
$6,904.15
|
|
Diagnostic anoscopy
|
$10,996.45 |
$10,996.45 |
$10,996.45 |
$392.70
|
|
Diagnostic anoscopy & biopsy
|
$10,493.81 |
$10,493.81 |
$10,493.81 |
$2,288.00
|
|
Diagnostic anoscopy spx 46600
|
$6,027.56 |
$6,027.56 |
$6,027.56 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$112.70 |
$112.70 |
$112.70 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$102.20 |
$102.20 |
$102.20 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$1,633.80 |
$1,633.80 |
$1,633.80 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$720.30 |
$720.30 |
$720.30 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$513.80 |
$513.80 |
$513.80 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$464.80 |
$464.80 |
$464.80 |
$312.72
|
|
Diagnostic radio unlisted proc
|
$5,055.40 |
$5,055.40 |
$5,055.40 |
$243.60
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,066.70 |
$3,066.70 |
$3,066.70 |
$5,663.50
|
|
Dialysis one evaluation
|
$977.90 |
$977.90 |
$977.90 |
$936.00
|