|
Cyto/molecular report
|
$100.20 |
$100.20 |
$100.20 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$169.20 |
$169.20 |
$169.20 |
$159.90
|
|
Cytopathology concentration technique smears & interpretation
|
$50.40 |
$50.40 |
$50.40 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$56.40 |
$56.40 |
$56.40 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$100.80 |
$100.80 |
$100.80 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$135.60 |
$135.60 |
$135.60 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$116.40 |
$116.40 |
$116.40 |
$213.85
|
|
Cytopath smear oth prep screen & interp
|
$72.00 |
$72.00 |
$72.00 |
$96.20
|
|
Dacarbazine 100 mg intravenous solution
|
$82.33 |
$82.33 |
$82.33 |
$62.41
|
|
Dalbavancin 500 mg intravenous solution
|
$3,180.80 |
$3,180.80 |
$3,180.80 |
$3,493.11
|
|
Dalteparin sodium
|
$41.88 |
$41.88 |
$41.88 |
$469.55
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$801.47 |
$801.47 |
$801.47 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$18,766.29 |
$18,766.29 |
$18,766.29 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$6,866.96 |
$6,866.96 |
$6,866.96 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$6,866.96 |
$6,866.96 |
$6,866.96 |
$7.20
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$292.03 |
$292.03 |
$292.03 |
$259.58
|
|
D&c after delivery 59160
|
$424.20 |
$424.20 |
$424.20 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$639.60 |
$639.60 |
$639.60 |
$3,774.81
|
|
Dch glucoscan
|
$26.40 |
$26.40 |
$26.40 |
$29.16
|
|
Dch pulmonary stress test
|
$472.80 |
$472.80 |
$472.80 |
$963.30
|
|
Dch validity tests
|
$12.00 |
$12.00 |
$12.00 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$31.20 |
$31.20 |
$31.20 |
$43.35
|
|
Debr g/per/abd wall 11006
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$1,562.83
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$102.60 |
$102.60 |
$102.60 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$192.00 |
$192.00 |
$192.00 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$609.00 |
$609.00 |
$609.00 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$385.80 |
$385.80 |
$385.80 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$231.00 |
$231.00 |
$231.00 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$206.40 |
$206.40 |
$206.40 |
$835.20
|
|
Debride nail1-5 11720
|
$61.20 |
$61.20 |
$61.20 |
$149.60
|
|
Debride nail6 or more 11721
|
$85.80 |
$85.80 |
$85.80 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,012.80 |
$1,012.80 |
$1,012.80 |
$1,163.24
|
|
Debride skin bone at fx site
|
$1,343.40 |
$1,343.40 |
$1,343.40 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,117.20 |
$1,117.20 |
$1,117.20 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,488.00 |
$1,488.00 |
$1,488.00 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$327.60 |
$327.60 |
$327.60 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$268.20 |
$268.20 |
$268.20 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$930.00 |
$930.00 |
$930.00 |
$1,149.50
|
|
Debr inf skin add-on 11001
|
$50.40 |
$50.40 |
$50.40 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$441.00 |
$441.00 |
$441.00 |
$1,165.50
|
|
Decalcification
|
$31.20 |
$31.20 |
$31.20 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$1,930.68 |
$1,930.68 |
$1,930.68 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$413.40 |
$413.40 |
$413.40 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$967.20 |
$967.20 |
$967.20 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$1,098.00 |
$1,098.00 |
$1,098.00 |
$3,137.60
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$2,512.80 |
$2,512.80 |
$2,512.80 |
$4,664.40
|
|
Decompress fasciotomyhand 26037
|
$1,136.40 |
$1,136.40 |
$1,136.40 |
$3,839.54
|
|
Decompression of leg
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$4,134.40
|
|
Decompression of lower leg
|
$625.20 |
$625.20 |
$625.20 |
$3,969.00
|
|
Decompression of lower leg
|
$691.80 |
$691.80 |
$691.80 |
$3,839.54
|
|
Decompression of tibia nerve
|
$739.20 |
$739.20 |
$739.20 |
$2,685.07
|
|
Decompression unspecified nerve 64722
|
$781.20 |
$781.20 |
$781.20 |
$2,310.83
|
|
Decompres spinal cord;thoracic 63055
|
$3,367.80 |
$3,367.80 |
$3,367.80 |
$8,412.89
|
|
Decompress small bowel
|
$1,503.60 |
$1,503.60 |
$1,503.60 |
$1,503.60
|
|
Decompress spinal cord lmbr
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$8,446.03
|
|
Decomp spinal cord/transped/ad seg 63057
|
$604.20 |
$604.20 |
$604.20 |
$1,365.00
|
|
Deep muscle biopsy 20205
|
$524.40 |
$524.40 |
$524.40 |
$3,386.84
|
|
Deferoxamine 500 mg solution for injection
|
$119.33 |
$119.33 |
$119.33 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,391.21 |
$1,391.21 |
$1,391.21 |
$1,856.85
|
|
Delayed breast prosthesis 19342
|
$1,783.80 |
$1,783.80 |
$1,783.80 |
$7,906.00
|
|
Delay flap eye/nos/ear/lip
|
$884.40 |
$884.40 |
$884.40 |
$2,371.50
|
|
Delay flap fccnaxghf 15620
|
$841.20 |
$841.20 |
$841.20 |
$2,837.09
|
|
Delay flap trunk 15600
|
$624.60 |
$624.60 |
$624.60 |
$4,332.25
|
|
Delivery of placenta 59414
|
$227.40 |
$227.40 |
$227.40 |
$2,912.46
|
|
Delivery only failed vbac 59620
|
$1,959.60 |
$1,959.60 |
$1,959.60 |
$1,809.60
|
|
Delivery only/pp care/failed vbac 59622
|
$2,655.00 |
$2,655.00 |
$2,655.00 |
$2,639.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$2,290.20 |
$2,290.20 |
$2,290.20 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$82.80 |
$82.80 |
$82.80 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$6,122.60 |
$6,122.60 |
$6,122.60 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$499.80 |
$499.80 |
$499.80 |
$401.60
|
|
Depo-estradiol cypionate inj
|
$99.44 |
$99.44 |
$99.44 |
$71.51
|
|
Dermabrasion segmental face 15781
|
$1,043.40 |
$1,043.40 |
$1,043.40 |
$1,290.07
|
|
Derma-fat-fascia graft 15770
|
$1,291.80 |
$1,291.80 |
$1,291.80 |
$4,402.30
|
|
Dermal filler injection(s)
|
$57.00 |
$57.00 |
$57.00 |
$2,024.70
|
|
Descend thora aorta rpr/lt sub art 33880
|
$3,567.00 |
$3,567.00 |
$3,567.00 |
$6,288.45
|
|
Description not available
|
$2,226.16 |
$2,226.16 |
$2,226.16 |
$19.50
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,066.64 |
$1,066.64 |
$1,066.64 |
$91.84
|
|
Des thora aorta/ea add prox prosth 33884
|
$811.20 |
$811.20 |
$811.20 |
$1,304.05
|
|
Des thora aorta rpr without left sub art 33881
|
$3,071.40 |
$3,071.40 |
$3,071.40 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$2,226.00 |
$2,226.00 |
$2,226.00 |
$3,273.55
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$268.20 |
$268.20 |
$268.20 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$340.20 |
$340.20 |
$340.20 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$307.20 |
$307.20 |
$307.20 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$286.20 |
$286.20 |
$286.20 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$312.00 |
$312.00 |
$312.00 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$355.80 |
$355.80 |
$355.80 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$180.60 |
$180.60 |
$180.60 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$274.80 |
$274.80 |
$274.80 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$334.20 |
$334.20 |
$334.20 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$365.40 |
$365.40 |
$365.40 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$3,442.80 |
$3,442.80 |
$3,442.80 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$1,284.60 |
$1,284.60 |
$1,284.60 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$413.40 |
$413.40 |
$413.40 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$154.80 |
$154.80 |
$154.80 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$435.60 |
$435.60 |
$435.60 |
$3,058.98
|
|
Destroy vulva lesion simple 56501
|
$252.60 |
$252.60 |
$252.60 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$250.20 |
$250.20 |
$250.20 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$966.60 |
$966.60 |
$966.60 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$652.20 |
$652.20 |
$652.20 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$1,601.40 |
$1,601.40 |
$1,601.40 |
$2,142.40
|