|
Cystouretero w/stone remove
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cysto/uretero w/up stricture
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystourethro cut ejacul duct
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Cysto w/renal stricture tx
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cysto w/up stricture tx
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cysto w/ureter stricture tx
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Cytog alys chrml abnr lw-ps
|
$1,197.94 |
$1,317.73 |
$1,317.73 |
|
|
Cytogenetics 25-99
|
$42.38 |
$46.62 |
$46.62 |
|
|
Cytogenetics 3-5
|
$40.70 |
$44.77 |
$44.77 |
|
|
Cytogenomic neo microra alys
|
$1,160.00 |
$1,276.00 |
$1,276.00 |
|
|
Cytogenom microarray copy nmbr var
|
$900.00 |
$990.00 |
$2,351.50 |
|
|
Cytog genom-wid alys hem mal
|
$407.64 |
$691.40 |
$1,263.53 |
|
|
Cytomegalovirus ag ia
|
$11.98 |
$13.18 |
$13.18 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$14.39 |
$15.83 |
$74.50 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$16.85 |
$18.54 |
$86.00 |
|
|
Cytomegalovirus dfa
|
$13.42 |
$14.76 |
$14.76 |
|
|
Cytomegalovirus imm IV /vial
|
$1,809.44 |
$1,809.44 |
$1,814.94 |
|
|
Cytomeg dna dir probe
|
$30.03 |
$33.03 |
$33.03 |
|
|
Cyto/molecular report
|
$23.12 |
$23.52 |
$54.65 |
|
|
Cytopath c/v auto in fluid
|
$25.37 |
$27.91 |
$27.91 |
|
|
Cytopath c/v automated
|
$50.56 |
$55.62 |
$55.62 |
|
|
Cytopath c/v auto redo
|
$27.64 |
$30.40 |
$30.40 |
|
|
Cytopath c/v auto rescreen
|
$18.19 |
$19.54 |
$19.54 |
|
|
Cytopath c/v index add-on
|
$14.65 |
$16.12 |
$16.12 |
|
|
Cytopath c/v manual
|
$18.19 |
$19.54 |
$19.54 |
|
|
Cytopath c/v redo
|
$24.03 |
$26.43 |
$26.43 |
|
|
Cytopath c/v thin layer redo
|
$23.04 |
$25.34 |
$25.34 |
|
|
Cytopath fl nongyn filter
|
$26.76 |
$28.84 |
$65.36 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$30.96 |
$59.14 |
$81.29 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$26.61 |
$29.27 |
$29.27 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$20.26 |
$22.29 |
$22.29 |
|
|
Cytopathology concentration technique smears & interpretation
|
$24.42 |
$46.22 |
$92.46 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$29.83 |
$46.45 |
$66.07 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$14.19 |
$15.78 |
$21.87 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$29.54 |
$63.67 |
$201.80 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$37.92 |
$59.19 |
$88.66 |
|
|
Cytopath smear other source
|
$26.66 |
$27.13 |
$53.72 |
|
|
Cytopath smear other source
|
$58.39 |
$63.10 |
$154.74 |
|
|
Cytopath smear oth prep screen & interp
|
$26.76 |
$28.84 |
$116.71 |
|
|
Cytopath tbs c/v auto redo
|
$18.19 |
$19.54 |
$19.54 |
|
|
Cytopath tbs c/v manual
|
$18.19 |
$19.54 |
$19.54 |
|
|
Cytopath tbs c/v redo
|
$42.22 |
$46.44 |
$46.44 |
|
|
Cytopath tbs c/v select
|
$18.19 |
$19.54 |
$19.54 |
|
|
Cytotoxic antibody screening
|
$78.65 |
$86.52 |
$86.52 |
|
|
Cytotoxic antibody screening
|
$29.68 |
$32.65 |
$32.65 |
|
|
Cytp urine 3-5 probes cmptr
|
$178.15 |
$189.84 |
$369.55 |
|
|
Dactinomycin 0.5 mg intravenous solution
|
$282.13 |
$302.92 |
$302.92 |
|
|
Dalbavancin 500 mg intravenous solution
|
$15.55 |
$15.55 |
$15.61 |
|
|
Daptomycin (xellia) unrefrig
|
$0.04 |
$0.05 |
$0.05 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$51.41 |
$54.67 |
$54.67 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$3.00 |
$3.00 |
$3.04 |
|
|
Darbepoetin alfa, esrd use
|
$3.00 |
$3.00 |
$3.04 |
|
|
Dark field exam spec collj
|
$10.74 |
$11.81 |
$11.81 |
|
|
Dark field exam without collj
|
$11.30 |
$12.43 |
$12.43 |
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$242.50 |
$255.09 |
$255.09 |
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$19.76 |
$19.76 |
$24.44 |
|
|
Dbrdmt prmlg les w/pdt
|
$166.44 |
$219.93 |
$234.00 |
|
|
D&c after delivery 59160
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Dch glucoscan
|
$5.04 |
$5.54 |
$5.54 |
|
|
Dch pulmonary stress test
|
$229.72 |
$344.98 |
$539.43 |
|
|
Dch validity tests
|
$3.48 |
$3.83 |
$18.00 |
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,134.14 |
$3,986.00 |
$6,839.00 |
|
|
Dcmprn orbit only transcrnl
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Dcmprn plantar digital nerve
|
$2,134.14 |
$3,986.00 |
$6,839.00 |
|
|
D&c of cervical stump
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Deamidated gliadin antibody iga
|
$12.05 |
$13.26 |
$13.26 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Debridement (>20 cm) charge pt
|
$99.71 |
$130.63 |
$233.65 |
|
|
Debridement bone <= 20 sq cm
|
$1,770.73 |
$3,986.00 |
$6,839.00 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Debride nail1-5 11720
|
$64.92 |
$3,986.00 |
$6,839.00 |
|
|
Debride nail6 or more 11721
|
$64.92 |
$3,986.00 |
$6,839.00 |
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$768.94 |
$3,986.00 |
$6,839.00 |
|
|
Debride skin bone at fx site
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
|
Debrid mastoidectomy cavity simple 69220
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$768.94 |
$3,986.00 |
$6,839.00 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Decalcification
|
$22.83 |
$25.65 |
$31.61 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$362.50 |
$3,986.00 |
$6,839.00 |
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Decomp forearm 1 space 25020
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Decompress fasciotomyhand 26037
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Decompress fingers/hand
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Decompress forearm 1 space
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Decompress forearm 2 spaces
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Decompression fasct forearm
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Decompression of leg
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Decompression of leg
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Decompression of leg
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Decompression of lower leg
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Decompression of lower leg
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Decompression of thigh/knee
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Decompression of thigh/knee
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Decompression of thigh/knee
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Decompression of thigh/knee
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Decompression of tibia nerve
|
$2,134.14 |
$3,986.00 |
$6,839.00 |
|
