|
Cystoscopy & duct catheter
|
$976.80 |
$976.80 |
$976.80 |
$976.80
|
|
Cystoscopy implant stent
|
$850.40 |
$850.40 |
$850.40 |
$4,081.37
|
|
Cystoscopy inject material
|
$1,329.60 |
$1,329.60 |
$1,329.60 |
$5,986.78
|
|
Cystoscopy removal of clots
|
$1,033.60 |
$1,033.60 |
$1,033.60 |
$4,081.37
|
|
Cystoscopy & revise urethra
|
$989.60 |
$989.60 |
$989.60 |
$2,874.36
|
|
Cystoscopy & revise urethra
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$3,032.64
|
|
Cystoscopy stone removal
|
$1,619.20 |
$1,619.20 |
$1,619.20 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$722.40 |
$722.40 |
$722.40 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$727.20 |
$727.20 |
$727.20 |
$4,129.45
|
|
Cystotomy/cystostomy fulg+/insj radact matrl 51020
|
$1,179.20 |
$1,179.20 |
$1,179.20 |
$4,081.37
|
|
Cystotomy excise/incise/repair 51535
|
$3,940.80 |
$3,940.80 |
$3,940.80 |
$4,081.37
|
|
Cystouretero & or pyeloscope
|
$764.00 |
$764.00 |
$764.00 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$1,864.00 |
$1,864.00 |
$1,864.00 |
$5,110.00
|
|
Cystouretero w/biopsy
|
$2,108.80 |
$2,108.80 |
$2,108.80 |
$6,015.75
|
|
Cystouretero w/excise tumor
|
$2,363.20 |
$2,363.20 |
$2,363.20 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$2,100.80 |
$2,100.80 |
$2,100.80 |
$9,430.00
|
|
Cystouretero w/lithotripsy
|
$1,982.40 |
$1,982.40 |
$1,982.40 |
$7,372.68
|
|
Cystouretero w/renal strict
|
$2,256.00 |
$2,256.00 |
$2,256.00 |
$5,741.00
|
|
Cystouretero w/stone remove
|
$1,792.00 |
$1,792.00 |
$1,792.00 |
$5,741.00
|
|
Cysto/uretero w/up stricture
|
$1,993.60 |
$1,993.60 |
$1,993.60 |
$4,081.37
|
|
Cystourethro cut ejacul duct
|
$676.00 |
$676.00 |
$676.00 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$790.40 |
$790.40 |
$790.40 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$944.80 |
$944.80 |
$944.80 |
$4,057.50
|
|
Cystourethro w/addl implant 52442
|
$2,406.40 |
$2,406.40 |
$2,406.40 |
$2,161.60
|
|
Cystourethro w/implant
|
$3,312.80 |
$3,312.80 |
$3,312.80 |
$2,777.60
|
|
Cysto w/renal stricture tx
|
$1,739.20 |
$1,739.20 |
$1,739.20 |
$4,045.60
|
|
Cysto w/up stricture tx
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$1,433.60 |
$1,433.60 |
$1,433.60 |
$4,081.37
|
|
Cytog alys chrml abnr lw-ps
|
$1,113.60 |
$1,113.60 |
$1,113.60 |
$1,317.73
|
|
Cytogenetics 25-99
|
$127.86 |
$127.86 |
$127.86 |
$189.80
|
|
Cytogenetics 3-5
|
$127.86 |
$127.86 |
$127.86 |
$147.36
|
|
Cytogenomic neo microra alys
|
$1,113.60 |
$1,113.60 |
$1,113.60 |
$2,198.00
|
|
Cytogenom microarray copy nmbr var
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,564.68
|
|
Cytog genom-wid alys hem mal
|
$2,527.20 |
$2,527.20 |
$2,527.20 |
$1,263.53
|
|
Cytomegalovirus ag ia
|
$38.58 |
$38.58 |
$38.58 |
$38.58
|
|
Cytomegalovirus (cmv) antibody igg
|
$48.57 |
$48.57 |
$48.57 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$48.57 |
$48.57 |
$48.57 |
$100.00
|
|
Cytomegalovirus dfa
|
$34.40 |
$34.40 |
$34.40 |
$77.40
|
|
Cytomeg dna dir probe
|
$60.80 |
$60.80 |
$60.80 |
$178.88
|
|
Cyto/molecular report
|
$63.20 |
$63.20 |
$63.20 |
$144.75
|
|
Cytopath c/v auto in fluid
|
$56.00 |
$56.00 |
$56.00 |
$56.00
|
|
Cytopath c/v automated
|
$101.60 |
$101.60 |
$101.60 |
$92.04
|
|
Cytopath c/v auto redo
|
$56.00 |
$56.00 |
$56.00 |
$56.00
|
|
Cytopath c/v auto rescreen
|
$39.20 |
$39.20 |
$39.20 |
$39.20
|
|
Cytopath c/v index add-on
|
$29.60 |
$29.60 |
$29.60 |
$34.20
|
|
Cytopath c/v manual
|
$36.80 |
$36.80 |
$36.80 |
$36.80
|
|
Cytopath c/v redo
|
$48.80 |
$48.80 |
$48.80 |
$48.80
|
|
Cytopath c/v thin layer redo
|
$50.40 |
$50.40 |
$50.40 |
$61.80
|
|
Cytopath fl nongyn filter
|
$169.60 |
$169.60 |
$169.60 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$145.60 |
$145.60 |
$145.60 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$67.20 |
$67.20 |
$67.20 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$55.00 |
$55.00 |
$55.00 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$166.40 |
$166.40 |
$166.40 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$160.00 |
$160.00 |
$160.00 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$70.00 |
$70.00 |
$70.00 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$180.00 |
$180.00 |
$180.00 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$335.20 |
$335.20 |
$335.20 |
$213.85
|
|
Cytopath smear other source
|
$156.00 |
$156.00 |
$156.00 |
$92.50
|
|
Cytopath smear other source
|
$247.20 |
$247.20 |
$247.20 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$166.40 |
$166.40 |
$166.40 |
$96.20
|
|
Cytopath tbs c/v auto redo
|
$36.80 |
$36.80 |
$36.80 |
$36.80
|
|
Cytopath tbs c/v manual
|
$36.80 |
$36.80 |
$36.80 |
$59.28
|
|
Cytopath tbs c/v redo
|
$84.80 |
$84.80 |
$84.80 |
$84.80
|
|
Cytopath tbs c/v select
|
$36.80 |
$36.80 |
$36.80 |
$36.80
|
|
Cytotoxic antibody screening
|
$157.60 |
$157.60 |
$157.60 |
$193.80
|
|
Cytotoxic antibody screening
|
$75.20 |
$75.20 |
$75.20 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$988.00 |
$988.00 |
$988.00 |
$664.80
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.24 |
$0.24 |
$0.24 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$8.75 |
$8.75 |
$8.75 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$7.20 |
$7.20 |
$7.20 |
$7.20
|
|
Dark field exam spec collj
|
$31.20 |
$31.20 |
$31.20 |
$31.20
|
|
Dark field exam without collj
|
$28.80 |
$28.80 |
$28.80 |
$28.80
|
|
Dbrdmt prmlg les w/pdt
|
$575.20 |
$575.20 |
$575.20 |
$468.00
|
|
D&c after delivery 59160
|
$1,819.91 |
$1,819.91 |
$1,819.91 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$695.20 |
$695.20 |
$695.20 |
$3,774.81
|
|
Dch glucoscan
|
$33.57 |
$33.57 |
$33.57 |
$29.16
|
|
Dch pulmonary stress test
|
$345.60 |
$345.60 |
$345.60 |
$963.30
|
|
Dch validity tests
|
$25.72 |
$25.72 |
$25.72 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$5,121.00
|
|
Dcmprn orbit only transcrnl
|
$8,420.80 |
$8,420.80 |
$8,420.80 |
$5,855.00
|
|
Dcmprn plantar digital nerve
|
$679.20 |
$679.20 |
$679.20 |
$2,685.07
|
|
D&c of cervical stump
|
$356.00 |
$356.00 |
$356.00 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$48.57 |
$48.57 |
$48.57 |
$43.35
|
|
Debr g/per/abd wall 11006
|
$1,742.40 |
$1,742.40 |
$1,742.40 |
$1,562.83
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$140.00 |
$140.00 |
$140.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$173.88 |
$173.88 |
$173.88 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$771.20 |
$771.20 |
$771.20 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$181.60 |
$181.60 |
$181.60 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$300.80 |
$300.80 |
$300.80 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$892.22 |
$892.22 |
$892.22 |
$835.20
|
|
Debride nail1-5 11720
|
$138.72 |
$138.72 |
$138.72 |
$149.60
|
|
Debride nail6 or more 11721
|
$220.91 |
$220.91 |
$220.91 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$1,163.24
|
|
Debride skin bone at fx site
|
$1,652.00 |
$1,652.00 |
$1,652.00 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,427.20 |
$1,427.20 |
$1,427.20 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,914.40 |
$1,914.40 |
$1,914.40 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$102.40 |
$102.40 |
$102.40 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$488.00 |
$488.00 |
$488.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$1,149.50
|
|
Debr inf skin add-on 11001
|
$58.40 |
$58.40 |
$58.40 |
$124.08
|
