|
Cystoscopy and treatment
|
$24,089.21 |
$24,089.21 |
$24,089.21 |
$4,081.37
|
|
Cystoscopy and treatment
|
$15,985.25 |
$15,985.25 |
$15,985.25 |
$2,850.95
|
|
Cystoscopy and treatment
|
$21,281.69 |
$21,281.69 |
$21,281.69 |
$4,081.37
|
|
Cystoscopy (Bladder Scope)
|
$11,545.57 |
$11,545.57 |
$11,545.57 |
$1,445.41
|
|
Cystoscopy chemodenervation
|
$14,890.98 |
$14,890.98 |
$14,890.98 |
$2,831.92
|
|
Cystoscopy removal of clots
|
$60,134.54 |
$60,134.54 |
$60,134.54 |
$4,051.50
|
|
Cystoscopy & ureter catheter
|
$15,939.17 |
$15,939.17 |
$15,939.17 |
$3,688.80
|
|
Cystouretero & or pyeloscope
|
$20,053.73 |
$20,053.73 |
$20,053.73 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$20,718.45 |
$20,718.45 |
$20,718.45 |
$4,865.91
|
|
Cystouretero w/biopsy
|
$29,996.94 |
$29,996.94 |
$29,996.94 |
$6,015.75
|
|
Cysto/uretero w/lithotripsy
|
$28,741.29 |
$28,741.29 |
$28,741.29 |
$7,573.50
|
|
Cystouretero w/lithotripsy
|
$25,609.04 |
$25,609.04 |
$25,609.04 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$23,484.01 |
$23,484.01 |
$23,484.01 |
$5,339.00
|
|
Cysto/uretero w/up stricture
|
$29,714.50 |
$29,714.50 |
$29,714.50 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$20,532.82 |
$20,532.82 |
$20,532.82 |
$3,131.20
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$22,332.45 |
$22,332.45 |
$22,332.45 |
$4,045.60
|
|
Cysto w/ureter stricture tx
|
$19,695.65 |
$19,695.65 |
$19,695.65 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$72.27 |
$72.27 |
$72.27 |
$90.00
|
|
Cytogenetics 25-99
|
$230.30 |
$230.30 |
$230.30 |
$189.80
|
|
Cytogenomic neo microra alys
|
$6,578.60 |
$6,578.60 |
$6,578.60 |
$2,156.05
|
|
Cytomegalovirus (cmv) antibody igg
|
$125.30 |
$125.30 |
$125.30 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$105.00 |
$105.00 |
$105.00 |
$100.00
|
|
Cyto/molecular report
|
$121.10 |
$121.10 |
$121.10 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$254.10 |
$254.10 |
$254.10 |
$159.45
|
|
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 fna adequacy evaluation each separate additional episode same site
|
$91.00 |
$91.00 |
$91.00 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$311.50 |
$311.50 |
$311.50 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$484.40 |
$484.40 |
$484.40 |
$209.92
|
|
Cytopath smear other source
|
$112.00 |
$112.00 |
$112.00 |
$91.20
|
|
Dacarbazine 100 mg intravenous solution
|
$45.15 |
$45.15 |
$45.15 |
$62.70
|
|
Dactinomycin 0.5 mg intravenous solution
|
$11,175.15 |
$11,175.15 |
$11,175.15 |
$3,047.85
|
|
Dalbavancin 500 mg intravenous solution
|
$6,461.52 |
$6,461.52 |
$6,461.52 |
$3,480.87
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,704.85 |
$1,704.85 |
$1,704.85 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$435.92 |
$435.92 |
$435.92 |
$6,273.69
|
|
D&c after delivery 59160
|
$5,761.00 |
$5,761.00 |
$5,761.00 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$18,850.38 |
$18,850.38 |
$18,850.38 |
$3,774.81
|
|
Dch glucoscan
|
$37.80 |
$37.80 |
$37.80 |
$29.16
|
|
Dch pulmonary stress test
|
$3,059.00 |
$3,059.00 |
$3,059.00 |
$963.30
|
|
Dch validity tests
|
$34.30 |
$34.30 |
$34.30 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$163.10 |
$163.10 |
$163.10 |
$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
|
$2,603.30 |
$2,603.30 |
$2,603.30 |
$2,293.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$687.35
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,472.80 |
$1,472.80 |
$1,472.80 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,679.30 |
$1,679.30 |
$1,679.30 |
$820.15
|
|
Debride nail1-5 11720
|
$160.30 |
$160.30 |
$160.30 |
$149.04
|
|
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
|
$723.10 |
$723.10 |
$723.10 |
$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
|
$2,114.00 |
$2,114.00 |
$2,114.00 |
$1,160.00
|
|
Decalcification
|
$32,521.66 |
$32,521.66 |
$32,521.66 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$1,510.25 |
$1,510.25 |
$1,510.25 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$7,688.62 |
$7,688.62 |
$7,688.62 |
$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
|
|
Decompress spinal cord lmbr
|
$29,979.04 |
$29,979.04 |
$29,979.04 |
$8,446.03
|
|
Deferoxamine 500 mg solution for injection
|
$42.87 |
$42.87 |
$42.87 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$3,787.52 |
$3,787.52 |
$3,787.52 |
$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
|
$187.60 |
$187.60 |
$187.60 |
$182.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$13,886.42 |
$13,886.42 |
$13,886.42 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$547.40 |
$547.40 |
$547.40 |
$399.93
|
|
Design mlc device for imrt
|
$2,744.70 |
$2,744.70 |
$2,744.70 |
$1,739.10
|
|
Desmopressin 4 mcg/ml injection solution
|
$2,273.95 |
$2,273.95 |
$2,273.95 |
$93.84
|
|
Desoxycorticosterone
|
$65.10 |
$65.10 |
$65.10 |
$98.80
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$425.60 |
$425.60 |
$425.60 |
$364.50
|
|
Destroy vulva lesion extensive 56515
|
$29,683.16 |
$29,683.16 |
$29,683.16 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$22,968.43 |
$22,968.43 |
$22,968.43 |
$3,556.00
|
|
Destruction anal lesion(s)
|
$16,436.24 |
$16,436.24 |
$16,436.24 |
$3,711.00
|
|
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
|
$2,856.00 |
$2,856.00 |
$2,856.00 |
$1,626.35
|
|
Destruction laser surgery anal lesions 46917
|
$25,984.45 |
$25,984.45 |
$25,984.45 |
$3,640.00
|
|
Destruction vag lesions complex 57065
|
$48,465.30 |
$48,465.30 |
$48,465.30 |
$3,762.53
|
|
Destruction vag lesions simple 57061
|
$15,372.99 |
$15,372.99 |
$15,372.99 |
$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
|
$4,785.34 |
$4,785.34 |
$4,785.34 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,933.87 |
$2,933.87 |
$2,933.87 |
$4,200.00
|
|
Device intraute mirena
|
$5,067.12 |
$5,067.12 |
$5,067.12 |
$2,125.00
|
|
Device sut capio slim opn
|
$855.45 |
$855.45 |
$855.45 |
$1,894.50
|
|
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
|
$5.60 |
$5.60 |
$5.60 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$13.30 |
$13.30 |
$13.30 |
$21.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$16.80 |
$16.80 |
$16.80 |
$36.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$525.70 |
$525.70 |
$525.70 |
$42.50
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$18.90 |
$18.90 |
$18.90 |
$46.12
|
|
Dextrose 5 % IV bolus
|
$36.05 |
$36.05 |
$36.05 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$184.10 |
$184.10 |
$184.10 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$116.90 |
$116.90 |
$116.90 |
$79.20
|
|
Diag laparo separate proc 49320
|
$27,494.26 |
$27,494.26 |
$27,494.26 |
$6,904.15
|
|
Diagnostic anoscopy
|
$9,011.85 |
$9,011.85 |
$9,011.85 |
$392.70
|
|
Diagnostic anoscopy & biopsy
|
$12,361.52 |
$12,361.52 |
$12,361.52 |
$2,288.00
|
|
Diagnostic anoscopy spx 46600
|
$23,560.54 |
$23,560.54 |
$23,560.54 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$112.70 |
$112.70 |
$112.70 |
$117.94
|