|
Cystometrogram w/up 51727
|
$1,966.48 |
$1,966.48 |
$1,966.48 |
$908.59
|
|
Cystoscopy and biopsy
|
$8,076.85 |
$8,076.85 |
$8,076.85 |
$4,081.37
|
|
Cystoscopy and treatment
|
$5,191.40 |
$5,191.40 |
$5,191.40 |
$4,638.40
|
|
Cystoscopy and treatment
|
$5,191.40 |
$5,191.40 |
$5,191.40 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$1,966.48 |
$1,966.48 |
$1,966.48 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$5,191.40 |
$5,191.40 |
$5,191.40 |
$2,874.36
|
|
Cystoscopy & ureter catheter
|
$5,191.40 |
$5,191.40 |
$5,191.40 |
$3,728.50
|
|
Cystourethroscop/calib/dilat stric 52281
|
$5,191.40 |
$5,191.40 |
$5,191.40 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$4,211.14 |
$4,211.14 |
$4,211.14 |
$4,057.50
|
|
Cystourethro w/addl implant 52442
|
$1,611.14 |
$1,611.14 |
$1,611.14 |
$2,161.60
|
|
Cystourethro w/implant
|
$6,556.66 |
$6,556.66 |
$6,556.66 |
$2,777.60
|
|
Cytogenetics 25-99
|
$126.00 |
$126.00 |
$126.00 |
$189.80
|
|
Cytogenomic neo microra alys
|
$3,084.16 |
$3,084.16 |
$3,084.16 |
$2,198.00
|
|
Cytogenom microarray copy nmbr var
|
$2,638.16 |
$2,638.16 |
$2,638.16 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$52.10 |
$52.10 |
$52.10 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$60.97 |
$60.97 |
$60.97 |
$100.00
|
|
Cyto/molecular report
|
$95.50 |
$95.50 |
$95.50 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$130.14 |
$130.14 |
$130.14 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$73.31 |
$73.31 |
$73.31 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$92.99 |
$92.99 |
$92.99 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$92.99 |
$92.99 |
$92.99 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$88.49 |
$88.49 |
$88.49 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$318.32 |
$318.32 |
$318.32 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$130.14 |
$130.14 |
$130.14 |
$213.85
|
|
Cytopath smear oth prep screen & interp
|
$92.99 |
$92.99 |
$92.99 |
$96.20
|
|
Cytopath tbs c/v manual
|
$42.95 |
$42.95 |
$42.95 |
$59.28
|
|
Cytotoxic antibody screening
|
$199.15 |
$199.15 |
$199.15 |
$193.80
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.05 |
$0.05 |
$0.05 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$7.37 |
$7.37 |
$7.37 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$7.37 |
$7.37 |
$7.37 |
$7.20
|
|
D&c after delivery 59160
|
$7,627.40 |
$7,627.40 |
$7,627.40 |
$3,827.25
|
|
Dch pulmonary stress test
|
$870.76 |
$870.76 |
$870.76 |
$963.30
|
|
Dch validity tests
|
$10.20 |
$10.20 |
$10.20 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$29.19 |
$29.19 |
$29.19 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,651.23 |
$1,651.23 |
$1,651.23 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$387.69 |
$387.69 |
$387.69 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$761.82 |
$761.82 |
$761.82 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,213.28 |
$1,213.28 |
$1,213.28 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$835.20
|
|
Debride nail1-5 11720
|
$192.19 |
$192.19 |
$192.19 |
$149.60
|
|
Debride nail6 or more 11721
|
$192.19 |
$192.19 |
$192.19 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$1,163.24
|
|
Debride skin bone at fx site
|
$7,746.22 |
$7,746.22 |
$7,746.22 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$761.82 |
$761.82 |
$761.82 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$444.74 |
$444.74 |
$444.74 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$1,149.50
|
|
Debr inf skin add-on 11001
|
$260.67 |
$260.67 |
$260.67 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,651.23 |
$1,651.23 |
$1,651.23 |
$1,165.50
|
|
Decalcification
|
$63.34 |
$63.34 |
$63.34 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$590.24 |
$590.24 |
$590.24 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$6,661.44 |
$6,661.44 |
$6,661.44 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$3,053.43 |
$3,053.43 |
$3,053.43 |
$3,137.60
|
|
Decompression of leg
|
$8,441.76 |
$8,441.76 |
$8,441.76 |
$3,839.54
|
|
Decompression of lower leg
|
$8,441.76 |
$8,441.76 |
$8,441.76 |
$3,969.00
|
|
Decompression of lower leg
|
$6,661.44 |
$6,661.44 |
$6,661.44 |
$3,839.54
|
|
Decompression of thigh/knee
|
$8,441.76 |
$8,441.76 |
$8,441.76 |
$4,192.86
|
|
Decomp spinal cord/transped/ad seg 63057
|
$11,614.55 |
$11,614.55 |
$11,614.55 |
$1,365.00
|
|
Deep muscle biopsy 20205
|
$3,419.83 |
$3,419.83 |
$3,419.83 |
$3,386.84
|
|
Degarelix 120 mg subcutaneous solution
|
$7.77 |
$7.77 |
$7.77 |
$1,856.85
|
|
Delivery of placenta 59414
|
$7,627.40 |
$7,627.40 |
$7,627.40 |
$2,912.46
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$12,051.32 |
$12,051.32 |
$12,051.32 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$527.84 |
$527.84 |
$527.84 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$63.98 |
$63.98 |
$63.98 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$335.52 |
$335.52 |
$335.52 |
$401.60
|
|
Derm autograft trnk/arm/leg
|
$2,699.50 |
$2,699.50 |
$2,699.50 |
$2,984.90
|
|
Descend thora aorta rpr/lt sub art 33880
|
$14,572.26 |
$14,572.26 |
$14,572.26 |
$6,288.45
|
|
Design mlc device for imrt
|
$1,157.38 |
$1,157.38 |
$1,157.38 |
$1,753.00
|
|
Desoxycorticosterone
|
$112.12 |
$112.12 |
$112.12 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$12,051.32 |
$12,051.32 |
$12,051.32 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$12,051.32 |
$12,051.32 |
$12,051.32 |
$3,273.55
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$584.21 |
$584.21 |
$584.21 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$303.83 |
$303.83 |
$303.83 |
$408.50
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$584.21 |
$584.21 |
$584.21 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$584.21 |
$584.21 |
$584.21 |
$311.20
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$497.06 |
$497.06 |
$497.06 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$473.39 |
$473.39 |
$473.39 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$584.21 |
$584.21 |
$584.21 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$5,482.43 |
$5,482.43 |
$5,482.43 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$583.90 |
$583.90 |
$583.90 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$3,186.98 |
$3,186.98 |
$3,186.98 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$584.21 |
$584.21 |
$584.21 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$2,699.50 |
$2,699.50 |
$2,699.50 |
$3,058.98
|
|
Destroy vulva lesion simple 56501
|
$2,699.50 |
$2,699.50 |
$2,699.50 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$584.21 |
$584.21 |
$584.21 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$1,651.23 |
$1,651.23 |
$1,651.23 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$2,699.50 |
$2,699.50 |
$2,699.50 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$99.37 |
$99.37 |
$99.37 |
$78.61
|
|
Destruction anal lesion(s)
|
$7,499.82 |
$7,499.82 |
$7,499.82 |
$3,363.79
|
|
Destruction benign lesions < 14 lesions
|
$584.21 |
$584.21 |
$584.21 |
$240.24
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,739.66 |
$1,739.66 |
$1,739.66 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$5,482.43 |
$5,482.43 |
$5,482.43 |
$3,296.80
|
|
Destruction laser surgery anal lesions 46917
|
$7,499.82 |
$7,499.82 |
$7,499.82 |
$3,640.00
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$569.80
|
|
Destruction penis lesion(s) exten 54065
|
$2,699.50 |
$2,699.50 |
$2,699.50 |
$2,507.31
|