|
Cytopathology cervical/vaginal thin layer manual screening
|
$37.50 |
$110.00 |
$173.52 |
|
|
Cytopathology concentration technique smears & interpretation
|
$27.50 |
$177.50 |
$407.40 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$27.50 |
$132.50 |
$357.70 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$23.76 |
$105.00 |
$234.00 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$81.25 |
$258.40 |
$590.10 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$100.08 |
$313.20 |
$805.60 |
|
|
Cytopath smear other source
|
$18.75 |
$97.50 |
$425.52 |
|
|
Cytopath smear other source
|
$58.08 |
$140.00 |
$247.20 |
|
|
Cytopath smear oth prep screen & interp
|
$65.01 |
$95.00 |
$296.00 |
|
|
Cytopath tbs c/v auto redo
|
$36.80 |
$36.80 |
$36.80 |
|
|
Cytopath tbs c/v manual
|
$30.69 |
$62.50 |
$138.96 |
|
|
Cytopath tbs c/v redo
|
$84.80 |
$84.80 |
$84.80 |
|
|
Cytopath tbs c/v select
|
$36.80 |
$36.80 |
$36.80 |
|
|
Cytotoxic antibody screening
|
$157.60 |
$513.36 |
$795.20 |
|
|
Cytotoxic antibody screening
|
$75.20 |
$800.80 |
$1,440.80 |
|
|
Cytp urine 3-5 probes cmptr
|
$250.00 |
$816.20 |
$1,185.84 |
|
|
Dacarbazine 100 mg intravenous solution
|
$38.15 |
$49.66 |
$349.82 |
|
|
Dactinomycin 0.5 mg intravenous solution
|
$973.35 |
$5,536.82 |
$16,959.60 |
|
|
Dalbavancin 500 mg intravenous solution
|
$40.07 |
$3,180.80 |
$9,140.42 |
|
|
Dalteparin sodium
|
$35.87 |
$150.35 |
$150.35 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.10 |
$4.32 |
$1,953.00 |
|
|
Daptomycin (xellia) unrefrig
|
$89.74 |
$89.74 |
$89.74 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$89.01 |
$883.98 |
$66,195.50 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$15.28 |
$880.77 |
$13,374.72 |
|
|
Darbepoetin alfa, esrd use
|
$7.20 |
$6,866.96 |
$6,866.96 |
|
|
Dark field exam spec collj
|
$31.20 |
$31.20 |
$31.20 |
|
|
Dark field exam without collj
|
$28.80 |
$28.80 |
$28.80 |
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$7,896.76 |
$7,896.76 |
$68,750.85 |
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$95.78 |
$247.10 |
$1,330.35 |
|
|
Dbrdmt prmlg les w/pdt
|
$575.20 |
$575.20 |
$575.20 |
|
|
D&c after delivery 59160
|
$424.20 |
$5,782.80 |
$30,938.68 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$639.60 |
$15,385.26 |
$42,757.99 |
|
|
Dch glucoscan
|
$12.96 |
$37.80 |
$100.00 |
|
|
Dch pulmonary stress test
|
$345.60 |
$1,362.00 |
$3,059.00 |
|
|
Dch validity tests
|
$2.97 |
$34.10 |
$110.60 |
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$1,456.00 |
$8,896.20 |
$53,142.73 |
|
|
Dcmprn orbit only transcrnl
|
$8,420.80 |
$8,420.80 |
$46,034.67 |
|
|
Dcmprn plantar digital nerve
|
$477.60 |
$21,544.85 |
$36,767.00 |
|
|
D&c of cervical stump
|
$356.00 |
$356.00 |
$356.00 |
|
|
Deamidated gliadin antibody iga
|
$27.50 |
$72.50 |
$275.80 |
|
|
Debr g/per/abd wall 11006
|
$1,357.80 |
$1,357.80 |
$1,742.40 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$102.60 |
$514.40 |
$1,899.80 |
|
|
Debridement (>20 cm) charge pt
|
$131.25 |
$275.10 |
$1,194.48 |
|
|
Debridement bone <= 20 sq cm
|
$609.00 |
$2,254.80 |
$3,499.92 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$176.40 |
$580.00 |
$1,572.20 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$231.00 |
$1,163.25 |
$3,245.76 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$206.40 |
$811.20 |
$1,899.80 |
|
|
Debride nail1-5 11720
|
$61.20 |
$151.92 |
$529.60 |
|
|
Debride nail6 or more 11721
|
$85.00 |
$169.80 |
$643.20 |
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$679.20 |
$1,156.80 |
$3,070.08 |
|
|
Debride skin bone at fx site
|
$1,049.40 |
$1,803.00 |
$6,181.92 |
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,117.20 |
$1,242.72 |
$1,808.64 |
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,280.00 |
$1,899.80 |
$2,522.88 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$146.40 |
$384.30 |
$1,688.40 |
|
|
Debrid mastoidectomy cavity simple 69220
|
$207.35 |
$268.20 |
$488.00 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$638.40 |
$1,519.92 |
$1,985.90 |
|
|
Debr inf skin add-on 11001
|
$50.40 |
$58.40 |
$260.40 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$325.00 |
$1,160.00 |
$4,319.20 |
|
|
Decalcification
|
$30.00 |
$84.24 |
$77,910.33 |
|
|
Decitabine 50 mg intravenous solution
|
$9.50 |
$707.52 |
$4,426.10 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$150.00 |
$635.04 |
$48,621.12 |
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$967.20 |
$2,368.00 |
$3,890.00 |
|
|
Decomp forearm 1 space 25020
|
$1,098.00 |
$1,098.00 |
$3,137.60 |
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$2,512.80 |
$2,512.80 |
$5,931.20 |
|
|
Decompress fasciotomyhand 26037
|
$253.20 |
$1,136.40 |
$2,788.80 |
|
|
Decompress fingers/hand
|
$2,107.20 |
$2,107.20 |
$2,107.20 |
|
|
Decompress forearm 1 space
|
$1,738.80 |
$1,738.80 |
$5,883.20 |
|
|
Decompress forearm 2 spaces
|
$1,247.40 |
$1,247.40 |
$3,851.20 |
|
|
Decompression fasct forearm
|
$3,988.80 |
$3,988.80 |
$3,988.80 |
|
|
Decompression of leg
|
$2,705.60 |
$3,885.00 |
$5,013.00 |
|
|
Decompression of leg
|
$3,000.00 |
$3,000.00 |
$5,013.00 |
|
|
Decompression of leg
|
$1,263.60 |
$7,102.90 |
$7,102.90 |
|
|
Decompression of lower leg
|
$625.20 |
$7,102.90 |
$7,102.90 |
|
|
Decompression of lower leg
|
$691.80 |
$691.80 |
$2,196.80 |
|
|
Decompression of thigh/knee
|
$1,135.80 |
$1,135.80 |
$2,676.80 |
|
|
Decompression of thigh/knee
|
$1,174.20 |
$1,174.20 |
$2,857.60 |
|
|
Decompression of thigh/knee
|
$1,357.80 |
$1,357.80 |
$3,217.60 |
|
|
Decompression of thigh/knee
|
$1,437.00 |
$1,437.00 |
$3,443.20 |
|
|
Decompression of tibia nerve
|
$739.20 |
$739.20 |
$2,625.60 |
|
|
Decompression unspecified nerve 64722
|
$534.60 |
$781.20 |
$36,178.23 |
|
|
Decompressive craniotomy
|
$5,584.80 |
$5,584.80 |
$5,584.80 |
|
|
Decompress optic nerve
|
$6,134.40 |
$6,134.40 |
$41,190.02 |
|
|
Decompres spinal cord;thoracic 63055
|
$3,367.80 |
$3,367.80 |
$80,414.42 |
|
|
Decompress small bowel
|
$1,503.60 |
$1,503.60 |
$2,394.40 |
|
|
Decompress spinal cord lmbr
|
$3,098.40 |
$3,568.00 |
$44,159.65 |
|
|
Decompress spinal cord thrc
|
$4,239.20 |
$4,239.20 |
$4,239.20 |
|
|
Decompress spine cord add-on
|
$483.20 |
$483.20 |
$483.20 |
|
|
Decomp spinal cord/transped/ad seg 63057
|
$604.20 |
$604.20 |
$768.00 |
|
|
Deep muscle biopsy 20205
|
$524.40 |
$524.40 |
$716.00 |
|
|
Deferoxamine 500 mg solution for injection
|
$42.87 |
$119.33 |
$570.85 |
|
|
Degarelix 120 mg subcutaneous solution
|
$6.40 |
$1,391.21 |
$4,338.77 |
|
|
Delayed breast prosthesis 19342
|
$1,783.80 |
$1,783.80 |
$4,585.60 |
|
|
Delay flap arms/legs
|
$880.00 |
$880.00 |
$880.00 |
|
|
Delay flap eye/nos/ear/lip
|
$884.40 |
$884.40 |
$1,125.60 |
|
|
Delay flap fccnaxghf 15620
|
$841.20 |
$841.20 |
$1,081.60 |
|
|
Delay flap trunk 15600
|
$624.60 |
$624.60 |
$809.60 |
|
|
Delivery of placenta 59414
|
$227.40 |
$2,671.20 |
$6,868.08 |
|
|
Delivery only failed vbac 59620
|
$1,904.80 |
$1,959.60 |
$1,959.60 |
|
|
Delivery only/pp care/failed vbac 59622
|
$2,639.20 |
$2,655.00 |
$2,655.00 |
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$961.92 |
$2,705.00 |
$11,743.80 |
|
