|
Cytopathology cellular enhancement technique non-gyn
|
$31.36 |
$292.00 |
$337.00 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$30.80 |
$66.08 |
$203.20 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$26.04 |
$143.00 |
$165.00 |
|
|
Cytopathology concentration technique smears & interpretation
|
$28.56 |
$148.00 |
$249.60 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$26.32 |
$51.36 |
$231.20 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$8.46 |
$21.00 |
$119.20 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$22.40 |
$185.00 |
$257.60 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$57.68 |
$233.00 |
$856.80 |
|
|
Cytopath smear other source
|
$27.72 |
$184.00 |
$213.00 |
|
|
Cytopath smear other source
|
$25.20 |
$71.65 |
$183.20 |
|
|
Cytopath smear oth prep screen & interp
|
$29.82 |
$39.77 |
$210.40 |
|
|
Cytopath tbs c/v auto redo
|
$25.59 |
$25.59 |
$25.59 |
|
|
Cytopath tbs c/v manual
|
$15.04 |
$25.59 |
$114.40 |
|
|
Cytopath tbs c/v redo
|
$58.26 |
$58.26 |
$58.26 |
|
|
Cytopath tbs c/v select
|
$25.59 |
$25.59 |
$25.59 |
|
|
Cytotoxic antibody screening
|
$37.13 |
$108.54 |
$158.48 |
|
|
Cytotoxic antibody screening
|
$40.96 |
$40.96 |
$1,161.60 |
|
|
Cytp urine 3-5 probes cmptr
|
$234.27 |
$252.84 |
$779.00 |
|
|
Dacarbazine 100 mg intravenous solution
|
$5.69 |
$5.69 |
$22.06 |
|
|
Dactinomycin 0.5 mg intravenous solution
|
$425.02 |
$425.02 |
$1,033.22 |
|
|
Dalbavancin 500 mg intravenous solution
|
$21.51 |
$21.51 |
$21.51 |
|
|
Dalteparin sodium
|
$20.57 |
$20.57 |
$20.57 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.04 |
$0.61 |
$137.09 |
|
|
Daptomycin (xellia) unrefrig
|
$0.08 |
$0.08 |
$0.08 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$75.98 |
$75.98 |
$75.98 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$4.17 |
$4.17 |
$702.24 |
|
|
Darbepoetin alfa, esrd use
|
$4.17 |
$4.17 |
$4.17 |
|
|
Dark field exam spec collj
|
$14.82 |
$14.82 |
$45.00 |
|
|
Dark field exam without collj
|
$6.11 |
$15.59 |
$15.59 |
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$148.96 |
$359.48 |
$359.48 |
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$36.33 |
$36.33 |
$53.80 |
|
|
Dbrdmt prmlg les w/pdt
|
$358.30 |
$358.30 |
$358.30 |
|
|
D&c after delivery 59160
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$4,451.18 |
$9,717.00 |
$9,717.00 |
|
|
Dch glucoscan
|
$6.96 |
$6.96 |
$20.16 |
|
|
Dch pulmonary stress test
|
$513.11 |
$1,010.00 |
$1,544.80 |
|
|
Dch validity tests
|
$2.82 |
$29.00 |
$46.40 |
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
|
|
Dcmprn orbit only transcrnl
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
|
|
Dcmprn plantar digital nerve
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
|
|
D&c of cervical stump
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
Deamidated gliadin antibody iga
|
$7.99 |
$37.00 |
$113.00 |
|
|
Debr g/per/abd wall 11006
|
$945.20 |
$945.20 |
$945.20 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$549.60 |
$789.00 |
$877.00 |
|
|
Debridement (>20 cm) charge pt
|
$66.00 |
$229.00 |
$644.00 |
|
|
Debridement bone <= 20 sq cm
|
$1,432.20 |
$2,700.00 |
$5,678.00 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$71.54 |
$414.00 |
$2,056.00 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$127.90 |
$1,035.00 |
$3,795.00 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$458.64 |
$558.97 |
$1,322.00 |
|
|
Debride nail1-5 11720
|
$81.12 |
$192.00 |
$1,644.00 |
|
|
Debride nail6 or more 11721
|
$81.12 |
$220.00 |
$238.00 |
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$973.71 |
$973.71 |
$4,479.20 |
|
|
Debride skin bone at fx site
|
$2,404.00 |
$2,711.00 |
$8,780.00 |
|
|
Debride skn/sq/musc/abd wall 11004
|
$759.54 |
$759.54 |
$759.54 |
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,059.56 |
$1,059.56 |
$1,059.56 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$32.47 |
$581.00 |
$1,223.00 |
|
|
Debrid mastoidectomy cavity simple 69220
|
$275.88 |
$275.88 |
$275.88 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$973.71 |
$973.71 |
$973.71 |
|
|
Debr inf skin add-on 11001
|
$18.37 |
$18.37 |
$176.40 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$621.18 |
$1,016.25 |
$2,056.00 |
|
|
Decalcification
|
$12.88 |
$40.00 |
$135.20 |
|
|
Decitabine 50 mg intravenous solution
|
$0.89 |
$0.89 |
$152.68 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$195.44 |
$626.00 |
$720.00 |
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Decomp forearm 1 space 25020
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
|
|
Decompress fasciotomyhand 26037
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Decompress fingers/hand
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Decompress forearm 1 space
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Decompress forearm 2 spaces
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Decompression fasct forearm
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Decompression of leg
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Decompression of leg
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Decompression of leg
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Decompression of lower leg
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Decompression of lower leg
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Decompression of thigh/knee
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Decompression of thigh/knee
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Decompression of thigh/knee
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
|
|
Decompression of thigh/knee
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Decompression of tibia nerve
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
|
|
Decompression unspecified nerve 64722
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
|
|
Decompressive craniotomy
|
$3,588.26 |
$3,588.26 |
$3,588.26 |
|
|
Decompress optic nerve
|
$5,405.82 |
$5,405.82 |
$5,405.82 |
|
|
Decompres spinal cord;thoracic 63055
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Decompress small bowel
|
$1,367.55 |
$1,367.55 |
$1,367.55 |
|
|
Decompress spinal cord lmbr
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Decompress spinal cord thrc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Decompress spine cord add-on
|
$299.31 |
$299.31 |
$299.31 |
|
|
Decomp spinal cord/transped/ad seg 63057
|
$449.73 |
$449.73 |
$449.73 |
|
|
Deep muscle biopsy 20205
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Deferoxamine 500 mg solution for injection
|
$11.69 |
$11.69 |
$18.66 |
|
|
Degarelix 120 mg subcutaneous solution
|
$6.14 |
$6.14 |
$6.14 |
|
|
Delayed breast prosthesis 19342
|
$11,238.72 |
$11,238.72 |
$11,238.72 |
|
|
Delay flap arms/legs
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Delay flap eye/nos/ear/lip
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Delay flap fccnaxghf 15620
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Delay flap trunk 15600
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
|
|
Delivery of placenta 59414
|
$2,859.00 |
$3,358.00 |
$5,215.00 |
|
|
Delivery only failed vbac 59620
|
$1,339.14 |
$1,339.14 |
$1,339.14 |
|
