|
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
|
$0.52 |
$0.52 |
$0.52 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$13.09 |
$13.09 |
$13.09 |
$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
|
$2,962.14 |
$2,962.14 |
$2,962.14 |
$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
|
$232.93 |
$232.93 |
$232.93 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$2,838.72 |
$2,838.72 |
$2,838.72 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$405.15 |
$405.15 |
$405.15 |
$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
|
$932.37 |
$932.37 |
$932.37 |
$835.20
|
|
Debride nail1-5 11720
|
$101.58 |
$101.58 |
$101.58 |
$149.60
|
|
Debride nail6 or more 11721
|
$112.80 |
$112.80 |
$112.80 |
$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
|
$5,103.65 |
$5,103.65 |
$5,103.65 |
$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
|
$407.85 |
$407.85 |
$407.85 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$488.00 |
$488.00 |
$488.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,263.72 |
$1,263.72 |
$1,263.72 |
$1,149.50
|
|
Debr inf skin add-on 11001
|
$58.40 |
$58.40 |
$58.40 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$932.37 |
$932.37 |
$932.37 |
$1,165.50
|
|
Decalcification
|
$98.56 |
$98.56 |
$98.56 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$28.80 |
$28.80 |
$28.80 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$362.03 |
$362.03 |
$362.03 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$2,368.00 |
$2,368.00 |
$2,368.00 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$3,137.60 |
$3,137.60 |
$3,137.60 |
$3,137.60
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$5,931.20 |
$5,931.20 |
$5,931.20 |
$4,664.40
|
|
Decompress fasciotomyhand 26037
|
$2,788.80 |
$2,788.80 |
$2,788.80 |
$3,839.54
|
|
Decompress fingers/hand
|
$2,107.20 |
$2,107.20 |
$2,107.20 |
$3,839.54
|
|
Decompress forearm 1 space
|
$5,883.20 |
$5,883.20 |
$5,883.20 |
$4,499.12
|
|
Decompress forearm 2 spaces
|
$3,851.20 |
$3,851.20 |
$3,851.20 |
$3,851.20
|
|
Decompression fasct forearm
|
$3,988.80 |
$3,988.80 |
$3,988.80 |
$5,886.74
|
|
Decompression of leg
|
$2,705.60 |
$2,705.60 |
$2,705.60 |
$3,839.54
|
|
Decompression of leg
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$6,588.00
|
|
Decompression of leg
|
$4,134.40 |
$4,134.40 |
$4,134.40 |
$4,134.40
|
|
Decompression of lower leg
|
$1,990.40 |
$1,990.40 |
$1,990.40 |
$3,969.00
|
|
Decompression of lower leg
|
$6,917.10 |
$6,917.10 |
$6,917.10 |
$3,839.54
|
|
Decompression of thigh/knee
|
$2,676.80 |
$2,676.80 |
$2,676.80 |
$4,192.86
|
|
Decompression of thigh/knee
|
$2,857.60 |
$2,857.60 |
$2,857.60 |
$3,839.54
|
|
Decompression of thigh/knee
|
$3,217.60 |
$3,217.60 |
$3,217.60 |
$3,217.60
|
|
Decompression of thigh/knee
|
$3,443.20 |
$3,443.20 |
$3,443.20 |
$7,807.24
|
|
Decompression of tibia nerve
|
$2,625.60 |
$2,625.60 |
$2,625.60 |
$2,685.07
|
|
Decompression unspecified nerve 64722
|
$886.40 |
$886.40 |
$886.40 |
$2,310.83
|
|
Decompressive craniotomy
|
$5,584.80 |
$5,584.80 |
$5,584.80 |
$5,584.80
|
|
Decompress optic nerve
|
$6,134.40 |
$6,134.40 |
$6,134.40 |
$5,482.40
|
|
Decompres spinal cord;thoracic 63055
|
$3,861.60 |
$3,861.60 |
$3,861.60 |
$8,412.89
|
|
Decompress small bowel
|
$2,394.40 |
$2,394.40 |
$2,394.40 |
$1,503.60
|
|
Decompress spinal cord lmbr
|
$3,568.00 |
$3,568.00 |
$3,568.00 |
$8,446.03
|
|
Decompress spinal cord thrc
|
$4,239.20 |
$4,239.20 |
$4,239.20 |
$6,817.20
|
|
Decompress spine cord add-on
|
$483.20 |
$483.20 |
$483.20 |
$1,990.40
|
|
Decomp spinal cord/transped/ad seg 63057
|
$768.00 |
$768.00 |
$768.00 |
$1,365.00
|
|
Deep muscle biopsy 20205
|
$716.00 |
$716.00 |
$716.00 |
$3,386.84
|
|
Degarelix 120 mg subcutaneous solution
|
$6.40 |
$6.40 |
$6.40 |
$1,856.85
|
|
Delayed breast prosthesis 19342
|
$4,585.60 |
$4,585.60 |
$4,585.60 |
$7,906.00
|
|
Delay flap arms/legs
|
$880.00 |
$880.00 |
$880.00 |
$4,054.55
|
|
Delay flap eye/nos/ear/lip
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$2,371.50
|
|
Delay flap fccnaxghf 15620
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$2,837.09
|
|
Delay flap trunk 15600
|
$809.60 |
$809.60 |
$809.60 |
$4,332.25
|
|
Delivery of placenta 59414
|
$5,352.76 |
$5,352.76 |
$5,352.76 |
$2,912.46
|
|
Delivery only failed vbac 59620
|
$1,904.80 |
$1,904.80 |
$1,904.80 |
$1,809.60
|
|
Delivery only/pp care/failed vbac 59622
|
$2,639.20 |
$2,639.20 |
$2,639.20 |
$2,639.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$8,312.33 |
$8,312.33 |
$8,312.33 |
$6,670.30
|
|
Demonstrate use home inr mon
|
$176.00 |
$176.00 |
$176.00 |
$294.75
|
