|
Cystic fibrosis cftr
|
$936.65 |
$1,066.65 |
$1,128.40 |
|
|
Cystine urine quantitative
|
$136.50 |
$147.55 |
$181.35 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$569.40 |
$644.80 |
$793.65 |
|
|
Cystometrogram w/up 51727
|
$2,347.71 |
$2,347.71 |
$2,347.71 |
|
|
Cystoscopy and biopsy
|
$15,227.34 |
$15,227.34 |
$16,924.25 |
|
|
Cystoscopy and treatment
|
$12,093.84 |
$12,093.84 |
$13,334.94 |
|
|
Cystoscopy and treatment
|
$9,362.18 |
$9,362.18 |
$13,718.72 |
|
|
Cystoscopy and treatment
|
$11,633.10 |
$11,633.10 |
$18,231.92 |
|
|
Cystoscopy and treatment
|
$12,593.15 |
$12,593.15 |
$18,572.81 |
|
|
Cystoscopy and treatment
|
$14,653.75 |
$14,653.75 |
$20,041.38 |
|
|
Cystoscopy and treatment
|
$7,756.89 |
$7,756.89 |
$12,692.29 |
|
|
Cystoscopy and treatment
|
$15,976.95 |
$15,976.95 |
$15,976.95 |
|
|
Cystoscopy and treatment
|
$13,919.62 |
$13,919.62 |
$13,919.62 |
|
|
Cystoscopy and treatment
|
$10,503.82 |
$10,503.82 |
$10,503.82 |
|
|
Cystoscopy and treatment
|
$12,602.07 |
$12,602.07 |
$12,602.07 |
|
|
Cystoscopy and treatment
|
$9,139.06 |
$9,139.06 |
$9,139.06 |
|
|
Cystoscopy and treatment
|
$7,269.22 |
$7,269.22 |
$27,100.50 |
|
|
Cystoscopy and treatment
|
$12,176.45 |
$12,176.45 |
$12,176.45 |
|
|
Cystoscopy and treatment
|
$20,605.47 |
$20,605.47 |
$20,605.47 |
|
|
Cystoscopy (Bladder Scope)
|
$512.20 |
$4,632.34 |
$15,258.72 |
|
|
Cystoscopy chemodenervation
|
$8,737.49 |
$8,737.49 |
$12,319.08 |
|
|
Cystoscopy removal of clots
|
$8,755.86 |
$8,755.86 |
$8,755.86 |
|
|
Cystoscopy & ureter catheter
|
$7,974.42 |
$7,974.42 |
$13,474.62 |
|
|
Cystostomy cystotomy w/drainage 51040
|
$12,434.83 |
$12,434.83 |
$14,453.61 |
|
|
Cystouretero & or pyeloscope
|
$10,587.60 |
$10,587.60 |
$14,682.65 |
|
|
Cysto/uretero stricture tx
|
$11,062.21 |
$11,062.21 |
$22,376.69 |
|
|
Cystouretero w/biopsy
|
$15,101.68 |
$15,101.68 |
$20,569.96 |
|
|
Cysto/uretero w/lithotripsy
|
$14,678.95 |
$14,678.95 |
$34,015.04 |
|
|
Cystouretero w/lithotripsy
|
$13,301.57 |
$13,301.57 |
$31,362.94 |
|
|
Cystouretero w/stone remove
|
$13,396.86 |
$13,396.86 |
$19,825.68 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$8,163.19 |
$8,163.19 |
$13,053.69 |
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$10,767.23 |
$10,767.23 |
$15,882.54 |
|
|
Cysto w/ureter stricture tx
|
$16,289.92 |
$16,289.92 |
$23,402.79 |
|
|
Cytarabine 20 mg/ml injection solution
|
$71.71 |
$71.71 |
$71.71 |
|
|
Cytogenetics 25-99
|
$93.60 |
$177.45 |
$261.30 |
|
|
Cytogenom microarray copy nmbr var
|
$1,077.70 |
$1,235.65 |
$1,592.50 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$31.50 |
$107.25 |
$194.35 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$31.50 |
$105.95 |
$189.80 |
|
|
Cyto/molecular report
|
$57.85 |
$57.85 |
$216.00 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$40.95 |
$104.00 |
$182.00 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$49.40 |
$65.65 |
$89.70 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$65.65 |
$93.60 |
$145.60 |
|
|
Cytopathology concentration technique smears & interpretation
|
$92.30 |
$135.20 |
$219.05 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$91.65 |
$121.55 |
$226.20 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$33.80 |
$55.25 |
$96.20 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$33.80 |
$135.20 |
$194.35 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$33.80 |
$165.10 |
$226.85 |
|
|
Cytopath smear other source
|
$60.45 |
$81.25 |
$258.05 |
|
|
Cytopath smear oth prep screen & interp
|
$72.00 |
$73.45 |
$117.00 |
|
|
Cytopath tbs c/v manual
|
$52.00 |
$53.95 |
$91.00 |
|
|
Cytotoxic antibody screening
|
$276.25 |
$276.25 |
$276.25 |
|
|
Dacarbazine 100 mg intravenous solution
|
$35.75 |
$35.75 |
$39.53 |
|
|
Dalbavancin 500 mg intravenous solution
|
$3,469.30 |
$3,480.87 |
$4,047.52 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$60.42 |
$90.67 |
$126.75 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$18,269.38 |
$24,478.32 |
$29,371.77 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$7,546.50 |
$7,571.65 |
$9,433.12 |
|
|
D&c after delivery 59160
|
$8,473.21 |
$8,473.21 |
$8,473.21 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$542.25 |
$542.25 |
$9,310.37 |
|
|
Dch glucoscan
|
$14.95 |
$14.95 |
$15.75 |
|
|
Dch pulmonary stress test
|
$744.25 |
$744.25 |
$744.25 |
|
|
Dch validity tests
|
$3.90 |
$24.05 |
$40.30 |
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,419.30 |
$2,419.30 |
$2,419.30 |
|
|
Deamidated gliadin antibody iga
|
$34.45 |
$74.75 |
$126.10 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$90.00 |
$109.20 |
$586.95 |
|
|
Debridement (>20 cm) charge pt
|
$30.75 |
$263.90 |
$351.65 |
|
|
Debridement bone <= 20 sq cm
|
$612.95 |
$1,507.35 |
$1,815.45 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$111.15 |
$460.20 |
$505.70 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$182.65 |
$295.10 |
$588.90 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$125.25 |
$277.55 |
$906.10 |
|
|
Debride nail1-5 11720
|
$32.25 |
$32.25 |
$32.25 |
|
|
Debride nail6 or more 11721
|
$53.25 |
$53.25 |
$53.25 |
|
|
Debride skin bone at fx site
|
$1,408.55 |
$1,408.55 |
$1,699.10 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$85.15 |
$321.75 |
$481.65 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$691.60 |
$691.60 |
$1,146.60 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$231.40 |
$542.10 |
$1,407.25 |
|
|
Decalcification
|
$15.60 |
$5,358.13 |
$11,982.74 |
|
|
Decitabine 50 mg intravenous solution
|
$225.55 |
$268.45 |
$787.80 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$270.40 |
$1,104.43 |
$31,926.24 |
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$7,293.00 |
$7,293.00 |
$7,293.00 |
|
|
Decompression unspecified nerve 64722
|
$10,843.59 |
$10,843.59 |
$18,440.60 |
|
|
Decompress small bowel
|
$1,803.75 |
$1,803.75 |
$1,803.75 |
|
|
Decompress spinal cord lmbr
|
$20,981.62 |
$20,981.62 |
$39,861.45 |
|
|
Deep muscle biopsy 20205
|
$3,628.95 |
$3,628.95 |
$3,628.95 |
|
|
Deferoxamine 500 mg solution for injection
|
$47.97 |
$112.87 |
$124.53 |
|
|
Degarelix 120 mg subcutaneous solution
|
$1,998.50 |
$1,998.50 |
$3,326.71 |
|
|
Delivery of placenta 59414
|
$2,002.65 |
$2,002.65 |
$2,002.65 |
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$6,255.60 |
$6,255.60 |
$6,255.60 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$14.25 |
$136.50 |
$345.80 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$3,988.05 |
$4,780.87 |
$9,291.74 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$382.20 |
$441.35 |
$483.00 |
|
|
Depo-estradiol cypionate inj
|
$104.32 |
$104.32 |
$779.63 |
|
|
Design mlc device for imrt
|
$36,631.40 |
$36,631.40 |
$48,914.45 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$16.98 |
$29.85 |
$32.10 |
|
|
Desoxycorticosterone
|
$118.95 |
$142.35 |
$198.90 |
|
|
Des thora aorta rpr without left sub art 33881
|
$18,872.10 |
$18,872.10 |
$18,872.10 |
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$68.90 |
$68.90 |
$219.05 |
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$93.60 |
$93.60 |
$291.20 |
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$107.90 |
$107.90 |
$315.90 |
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$193.05 |
$193.05 |
$193.05 |
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$97.50 |
$97.50 |
$275.60 |
|
