|
Cystometrogram w/up 51727
|
$2,347.71 |
$2,347.71 |
$2,347.71 |
$857.38
|
|
Cystoscopy and biopsy
|
$16,924.25 |
$16,924.25 |
$16,924.25 |
$3,769.31
|
|
Cystoscopy and treatment
|
$12,093.84 |
$12,093.84 |
$12,093.84 |
$3,970.98
|
|
Cystoscopy and treatment
|
$9,362.18 |
$9,362.18 |
$9,362.18 |
$4,160.10
|
|
Cystoscopy and treatment
|
$11,633.10 |
$11,633.10 |
$11,633.10 |
$4,846.99
|
|
Cystoscopy and treatment
|
$12,593.15 |
$12,593.15 |
$12,593.15 |
$4,846.99
|
|
Cystoscopy and treatment
|
$14,653.75 |
$14,653.75 |
$14,653.75 |
$5,949.75
|
|
Cystoscopy and treatment
|
$7,756.89 |
$7,756.89 |
$7,756.89 |
$2,355.42
|
|
Cystoscopy and treatment
|
$12,602.07 |
$12,602.07 |
$12,602.07 |
$3,278.89
|
|
Cystoscopy and treatment
|
$9,139.06 |
$9,139.06 |
$9,139.06 |
$4,180.18
|
|
Cystoscopy and treatment
|
$7,269.22 |
$7,269.22 |
$7,269.22 |
$2,874.36
|
|
Cystoscopy and treatment
|
$12,176.45 |
$12,176.45 |
$12,176.45 |
$3,219.80
|
|
Cystoscopy (Bladder Scope)
|
$4,632.34 |
$4,632.34 |
$4,632.34 |
$1,633.60
|
|
Cystoscopy chemodenervation
|
$8,737.49 |
$8,737.49 |
$8,737.49 |
$2,412.45
|
|
Cystoscopy removal of clots
|
$8,755.86 |
$8,755.86 |
$8,755.86 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$7,974.42 |
$7,974.42 |
$7,974.42 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$12,434.83 |
$12,434.83 |
$12,434.83 |
$3,276.00
|
|
Cystouretero & or pyeloscope
|
$10,587.60 |
$10,587.60 |
$10,587.60 |
$4,061.71
|
|
Cysto/uretero stricture tx
|
$11,062.21 |
$11,062.21 |
$11,062.21 |
$3,820.84
|
|
Cystouretero w/biopsy
|
$15,101.68 |
$15,101.68 |
$15,101.68 |
$4,447.24
|
|
Cysto/uretero w/lithotripsy
|
$14,678.95 |
$14,678.95 |
$14,678.95 |
$7,372.68
|
|
Cystouretero w/lithotripsy
|
$13,301.57 |
$13,301.57 |
$13,301.57 |
$7,372.68
|
|
Cystouretero w/stone remove
|
$13,396.86 |
$13,396.86 |
$13,396.86 |
$4,846.99
|
|
Cystourethroscop/calib/dilat stric 52281
|
$8,163.19 |
$8,163.19 |
$8,163.19 |
$2,874.36
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$10,767.23 |
$10,767.23 |
$10,767.23 |
$3,970.98
|
|
Cysto w/ureter stricture tx
|
$16,289.92 |
$16,289.92 |
$16,289.92 |
$4,074.86
|
|
Cytarabine 20 mg/ml injection solution
|
$71.71 |
$71.71 |
$71.71 |
$59.31
|
|
Cytogenetics 25-99
|
$224.90 |
$224.90 |
$224.90 |
$188.40
|
|
Cytogenom microarray copy nmbr var
|
$1,592.50 |
$1,592.50 |
$1,592.50 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$136.50 |
$136.50 |
$136.50 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$109.20 |
$109.20 |
$109.20 |
$95.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$182.00 |
$182.00 |
$182.00 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$76.05 |
$76.05 |
$76.05 |
$98.00
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$145.60 |
$145.60 |
$145.60 |
$90.88
|
|
Cytopathology concentration technique smears & interpretation
|
$145.60 |
$145.60 |
$145.60 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$129.35 |
$129.35 |
$129.35 |
$129.90
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$226.85 |
$226.85 |
$226.85 |
$205.00
|
|
Cytopath smear other source
|
$258.05 |
$258.05 |
$258.05 |
$88.13
|
|
Cytopath tbs c/v manual
|
$91.00 |
$91.00 |
$91.00 |
$57.94
|
|
Dacarbazine 100 mg intravenous solution
|
$35.75 |
$35.75 |
$35.75 |
$39.53
|
|
Dalbavancin 500 mg intravenous solution
|
$3,480.87 |
$3,480.87 |
$3,480.87 |
$3,480.61
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$90.67 |
$90.67 |
$90.67 |
$1.80
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$24,478.32 |
$24,478.32 |
$24,478.32 |
$15,683.37
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$7,571.65 |
$7,571.65 |
$7,571.65 |
$4,542.99
|
|
D&c after delivery 59160
|
$8,473.21 |
$8,473.21 |
$8,473.21 |
$3,441.98
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$9,310.37 |
$9,310.37 |
$9,310.37 |
$3,627.00
|
|
Dch validity tests
|
$23.40 |
$23.40 |
$23.40 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,419.30 |
$2,419.30 |
$2,419.30 |
$3,863.17
|
|
Deamidated gliadin antibody iga
|
$74.75 |
$74.75 |
$74.75 |
$53.95
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$586.95 |
$586.95 |
$586.95 |
$677.54
|
|
Debridement (>20 cm) charge pt
|
$351.65 |
$351.65 |
$351.65 |
$313.30
|
|
Debridement bone <= 20 sq cm
|
$1,507.35 |
$1,507.35 |
$1,507.35 |
$2,481.05
|
|
Debridement/bone/20 sq cm or less 11046
|
$505.70 |
$505.70 |
$505.70 |
$717.92
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$588.90 |
$588.90 |
$588.90 |
$1,738.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$906.10 |
$906.10 |
$906.10 |
$779.35
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$481.65 |
$481.65 |
$481.65 |
$728.40
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,407.25 |
$1,407.25 |
$1,407.25 |
$1,101.10
|
|
Decalcification
|
$11,227.94 |
$11,227.94 |
$11,227.94 |
$72.15
|
|
Decitabine 50 mg intravenous solution
|
$225.55 |
$225.55 |
$225.55 |
$225.55
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,269.12 |
$1,269.12 |
$1,269.12 |
$482.35
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$7,293.00 |
$7,293.00 |
$7,293.00 |
$6,100.33
|
|
Decompression unspecified nerve 64722
|
$10,843.59 |
$10,843.59 |
$10,843.59 |
$2,163.32
|
|
Decompress spinal cord lmbr
|
$20,981.62 |
$20,981.62 |
$20,981.62 |
$7,907.11
|
|
Deferoxamine 500 mg solution for injection
|
$124.53 |
$124.53 |
$124.53 |
$47.62
|
|
Degarelix 120 mg subcutaneous solution
|
$3,326.71 |
$3,326.71 |
$3,326.71 |
$2,303.24
|
|
Delivery of placenta 59414
|
$2,002.65 |
$2,002.65 |
$2,002.65 |
$3,135.14
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$6,255.60 |
$6,255.60 |
$6,255.60 |
$8,127.00
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$345.80 |
$345.80 |
$345.80 |
$165.60
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,780.87 |
$4,780.87 |
$4,780.87 |
$4,681.80
|
|
Depo-estradiol cypionate inj
|
$779.63 |
$779.63 |
$779.63 |
$337.07
|
|
Design mlc device for imrt
|
$48,914.45 |
$48,914.45 |
$48,914.45 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$28.72 |
$28.72 |
$28.72 |
$37.26
|
|
Desoxycorticosterone
|
$198.90 |
$198.90 |
$198.90 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$18,872.10 |
$18,872.10 |
$18,872.10 |
$5,698.68
|
|
Destroy cervthor facet jnt 64633
|
$3,834.04 |
$3,834.04 |
$3,834.04 |
$2,963.07
|
|
Destroy cth facet jnt addl 64634
|
$3,834.04 |
$3,834.04 |
$3,834.04 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$261.30 |
$261.30 |
$261.30 |
$199.50
|
|
Destroy vulva lesion simple 56501
|
$14,872.62 |
$14,872.62 |
$14,872.62 |
$3,458.00
|
|
Destruct ben lesion 15/> 17111
|
$306.15 |
$306.15 |
$306.15 |
$250.20
|
|
Destruction anal lesion(s)
|
$11,823.58 |
$11,823.58 |
$11,823.58 |
$2,154.21
|
|
Destruction anal lesion(s)
|
$10,103.06 |
$10,103.06 |
$10,103.06 |
$3,035.44
|
|
Destruction benign lesions < 14 lesions
|
$150.15 |
$150.15 |
$150.15 |
$231.52
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$3,486.30 |
$3,486.30 |
$3,486.30 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,481.32 |
$3,481.32 |
$3,481.32 |
$3,101.88
|
|
Destruction ciliary body
|
$14,327.25 |
$14,327.25 |
$14,327.25 |
$2,188.86
|
|
Destruction laser surgery anal lesions 46917
|
$10,355.25 |
$10,355.25 |
$10,355.25 |
$2,770.80
|
|
Destruction les conjunctiva
|
$9,917.02 |
$9,917.02 |
$9,917.02 |
$2,549.65
|
|
Destruction vag lesions simple 57061
|
$15,005.71 |
$15,005.71 |
$15,005.71 |
$3,504.00
|
|
Destruct penis les/smp/electrodesi 54055
|
$2,651.35 |
$2,651.35 |
$2,651.35 |
$2,236.85
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$183.30 |
$183.30 |
$183.30 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$33.49 |
$33.49 |
$33.49 |
$4.87
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$174.10 |
$174.10 |
$174.10 |
$8.23
|
|
Dexamethasone intra implant
|
$2,739.10 |
$2,739.10 |
$2,739.10 |
$521.40
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$604.50 |
$604.50 |
$604.50 |
$465.34
|
|
Dextran 40 infusion
|
$34.12 |
$34.12 |
$34.12 |
$173.97
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$68.25 |
$68.25 |
$68.25 |
$37.50
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$68.25 |
$68.25 |
$68.25 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$68.25 |
$68.25 |
$68.25 |
$48.56
|
|
Dhea-s (dehydroepiand sulfate)
|
$136.50 |
$136.50 |
$136.50 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$109.20 |
$109.20 |
$109.20 |
$70.00
|
