|
Cytomegalovirus dfa
|
$14.76 |
$14.76 |
$14.76 |
$59.59
|
|
Cyto/molecular report
|
$23.12 |
$23.12 |
$23.12 |
$150.30
|
|
Cytopath c/v auto in fluid
|
$27.91 |
$27.91 |
$27.91 |
$35.01
|
|
Cytopath c/v index add-on
|
$16.12 |
$16.12 |
$16.12 |
$29.60
|
|
Cytopath fl nongyn filter
|
$45.20 |
$45.20 |
$45.20 |
$73.70
|
|
Cytopathology cellular enhancement technique non-gyn
|
$57.28 |
$57.28 |
$57.28 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$29.27 |
$29.27 |
$29.27 |
$92.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$22.29 |
$22.29 |
$22.29 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$64.98 |
$64.98 |
$64.98 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$46.45 |
$46.45 |
$46.45 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$15.41 |
$15.41 |
$15.41 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$60.61 |
$60.61 |
$60.61 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$81.65 |
$81.65 |
$81.65 |
$205.00
|
|
Cytopath smear other source
|
$26.66 |
$26.66 |
$26.66 |
$85.80
|
|
Cytopath smear other source
|
$78.32 |
$78.32 |
$78.32 |
$139.98
|
|
Cytopath smear oth prep screen & interp
|
$56.24 |
$56.24 |
$56.24 |
$95.89
|
|
Cytopath tbs c/v manual
|
$19.54 |
$19.54 |
$19.54 |
$57.94
|
|
Cytotoxic antibody screening
|
$86.52 |
$86.52 |
$86.52 |
$157.60
|
|
Cytotoxic antibody screening
|
$32.65 |
$32.65 |
$32.65 |
$75.20
|
|
Cytp urine 3-5 probes cmptr
|
$283.07 |
$283.07 |
$283.07 |
$690.00
|
|
D&c after delivery 59160
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,441.98
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,762.53
|
|
Dch glucoscan
|
$5.54 |
$5.54 |
$5.54 |
$23.25
|
|
Dch pulmonary stress test
|
$526.79 |
$526.79 |
$526.79 |
$966.00
|
|
Dch validity tests
|
$3.83 |
$3.83 |
$3.83 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,021.68
|
|
Dcmprn orbit only transcrnl
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,558.89
|
|
Dcmprn plantar digital nerve
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,232.80
|
|
D&c of cervical stump
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,519.29
|
|
Deamidated gliadin antibody iga
|
$13.26 |
$13.26 |
$13.26 |
$44.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$677.54
|
|
Debridement (>20 cm) charge pt
|
$121.43 |
$121.43 |
$121.43 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,562.95
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$810.50
|
|
Debride nail1-5 11720
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$173.25
|
|
Debride nail6 or more 11721
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$200.21
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,288.00
|
|
Debride skin bone at fx site
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,127.88
|
|
Debrid mastoidectomy cavity simple 69220
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$252.43
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,146.60
|
|
Debr musc/fascia 20sq cm/< 11043
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,193.40
|
|
Decalcification
|
$23.53 |
$23.53 |
$23.53 |
$75.38
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$504.99
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,963.98
|
|
Decomp forearm 1 space 25020
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,137.60
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,664.40
|
|
Decompress fasciotomyhand 26037
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,788.80
|
|
Decompress fingers/hand
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,591.33
|
|
Decompress forearm 1 space
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,957.20
|
|
Decompress forearm 2 spaces
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,851.20
|
|
Decompression fasct forearm
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,741.00
|
|
Decompression of leg
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,786.00
|
|
Decompression of leg
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,419.00
|
|
Decompression of leg
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Decompression of lower leg
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,591.33
|
|
Decompression of lower leg
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,821.05
|
|
Decompression of thigh/knee
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,591.33
|
|
Decompression of thigh/knee
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,786.00
|
|
Decompression of thigh/knee
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,217.60
|
|
Decompression of thigh/knee
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,627.00
|
|
Decompression of tibia nerve
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,625.60
|
|
Decompression unspecified nerve 64722
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,310.83
|
|
Decompress optic nerve
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,405.82
|
|
Decompres spinal cord;thoracic 63055
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$7,907.11
|
|
Decompress spinal cord lmbr
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$7,907.11
|
|
Decompress spinal cord thrc
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,063.98
|
|
Deep muscle biopsy 20205
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,167.89
|
|
Delayed breast prosthesis 19342
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,910.18
|
|
Delay flap arms/legs
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,164.64
|
|
Delay flap eye/nos/ear/lip
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,190.24
|
|
Delay flap fccnaxghf 15620
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,164.64
|
|
Delay flap trunk 15600
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,986.00
|
|
Delivery of placenta 59414
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,135.14
|
|
Denervation of hip joint
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,499.12
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$453.95
|
|
Dermabrasion other than face
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,167.89
|
|
Dermabrasion segmental face 15781
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,219.40
|
|
Dermabrasion suprfl any site
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,144.80
|
|
Dermabrasion total face
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,386.84
|
|
Derma-fat-fascia graft 15770
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,703.68
|
|
Derm autograft face/nck/hf/g
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,052.18
|
|
Derm autograft trnk/arm/leg
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,164.64
|
|
Design custom breast implant
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,238.48
|
|
Design mlc device for imrt
|
$781.12 |
$781.12 |
$781.12 |
$1,641.90
|
|
Desoxycorticosterone
|
$34.08 |
$34.08 |
$34.08 |
$109.28
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$394.17
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$278.40
|
|
Dest mal lesion tal <0.5 17260
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$269.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$354.00
|
|
Destroy cervthor facet jnt 64633
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,998.30
|
|
Destroy internal hemorrhoids destroy 46930
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,306.21
|
|
Destroy premlg lesns;1st lesn 17000
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,691.50
|