|
Cystorrhaphy wound comp 51865
|
$551.76 |
$551.76 |
$551.76 |
$1,756.80
|
|
Cystorrhaphy wound simple 51860
|
$459.36 |
$459.36 |
$459.36 |
$6,297.20
|
|
Cystoscopy and biopsy
|
$102.08 |
$102.08 |
$102.08 |
$4,081.37
|
|
Cystoscopy and radiotracer
|
$146.52 |
$146.52 |
$146.52 |
$4,846.99
|
|
Cystoscopy and treatment
|
$107.36 |
$107.36 |
$107.36 |
$4,081.37
|
|
Cystoscopy and treatment
|
$124.30 |
$124.30 |
$124.30 |
$4,638.40
|
|
Cystoscopy and treatment
|
$150.48 |
$150.48 |
$150.48 |
$5,304.00
|
|
Cystoscopy and treatment
|
$176.22 |
$176.22 |
$176.22 |
$5,995.60
|
|
Cystoscopy and treatment
|
$239.36 |
$239.36 |
$239.36 |
$6,593.60
|
|
Cystoscopy and treatment
|
$128.92 |
$128.92 |
$128.92 |
$3,320.50
|
|
Cystoscopy and treatment
|
$99.66 |
$99.66 |
$99.66 |
$2,424.12
|
|
Cystoscopy and treatment
|
$161.92 |
$161.92 |
$161.92 |
$4,045.60
|
|
Cystoscopy and treatment
|
$197.56 |
$197.56 |
$197.56 |
$3,986.00
|
|
Cystoscopy and treatment
|
$124.08 |
$124.08 |
$124.08 |
$2,424.12
|
|
Cystoscopy and treatment
|
$120.78 |
$120.78 |
$120.78 |
$936.00
|
|
Cystoscopy and treatment
|
$149.16 |
$149.16 |
$149.16 |
$2,874.36
|
|
Cystoscopy and treatment
|
$171.16 |
$171.16 |
$171.16 |
$4,081.37
|
|
Cystoscopy and treatment
|
$177.32 |
$177.32 |
$177.32 |
$4,081.37
|
|
Cystoscopy and treatment
|
$169.84 |
$169.84 |
$169.84 |
$6,015.75
|
|
Cystoscopy and treatment
|
$93.06 |
$93.06 |
$93.06 |
$2,867.70
|
|
Cystoscopy and treatment
|
$167.86 |
$167.86 |
$167.86 |
$3,203.50
|
|
Cystoscopy and treatment
|
$150.92 |
$150.92 |
$150.92 |
$4,081.37
|
|
Cystoscopy and treatment
|
$161.04 |
$161.04 |
$161.04 |
$3,817.53
|
|
Cystoscopy (Bladder Scope)
|
$49.28 |
$49.28 |
$49.28 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$103.84 |
$103.84 |
$103.84 |
$2,874.36
|
|
Cystoscopy & duct catheter
|
$101.64 |
$101.64 |
$101.64 |
$976.80
|
|
Cystoscopy implant stent
|
$206.14 |
$206.14 |
$206.14 |
$4,081.37
|
|
Cystoscopy inject material
|
$158.62 |
$158.62 |
$158.62 |
$5,986.78
|
|
Cystoscopy removal of clots
|
$175.56 |
$175.56 |
$175.56 |
$4,061.71
|
|
Cystoscopy & revise urethra
|
$111.54 |
$111.54 |
$111.54 |
$2,874.36
|
|
Cystoscopy & revise urethra
|
$152.24 |
$152.24 |
$152.24 |
$3,032.64
|
|
Cystoscopy stone removal
|
$195.58 |
$195.58 |
$195.58 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$81.84 |
$81.84 |
$81.84 |
$3,743.38
|
|
Cystostomy cystotomy w/drainage 51040
|
$181.06 |
$181.06 |
$181.06 |
$4,129.45
|
|
Cystotomy/cystostomy fulg+/insj radact matrl 51020
|
$291.50 |
$291.50 |
$291.50 |
$4,061.71
|
|
Cystotomy excise/incise/repair 51535
|
$482.02 |
$482.02 |
$482.02 |
$4,061.71
|
|
Cystouretero & or pyeloscope
|
$185.46 |
$185.46 |
$185.46 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$225.94 |
$225.94 |
$225.94 |
$5,110.00
|
|
Cystouretero w/biopsy
|
$255.20 |
$255.20 |
$255.20 |
$6,015.75
|
|
Cystouretero w/excise tumor
|
$286.00 |
$286.00 |
$286.00 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$254.10 |
$254.10 |
$254.10 |
$8,966.17
|
|
Cystouretero w/lithotripsy
|
$239.36 |
$239.36 |
$239.36 |
$7,372.68
|
|
Cystouretero w/renal strict
|
$272.58 |
$272.58 |
$272.58 |
$5,631.74
|
|
Cystouretero w/stone remove
|
$216.70 |
$216.70 |
$216.70 |
$5,741.00
|
|
Cysto/uretero w/up stricture
|
$240.90 |
$240.90 |
$240.90 |
$4,081.37
|
|
Cystourethro cut ejacul duct
|
$162.14 |
$162.14 |
$162.14 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$93.50 |
$93.50 |
$93.50 |
$3,277.80
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$86.68 |
$86.68 |
$86.68 |
$4,057.50
|
|
Cystourethro w/addl implant 52442
|
$31.24 |
$31.24 |
$31.24 |
$2,161.60
|
|
Cystourethro w/implant
|
$128.70 |
$128.70 |
$128.70 |
$2,777.60
|
|
Cysto w/renal stricture tx
|
$210.54 |
$210.54 |
$210.54 |
$4,045.60
|
|
Cysto w/up stricture tx
|
$188.98 |
$188.98 |
$188.98 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$173.58 |
$173.58 |
$173.58 |
$4,081.37
|
|
Cytogenetics 25-99
|
$28.16 |
$28.16 |
$28.16 |
$189.80
|
|
Cytogenetics 3-5
|
$26.84 |
$26.84 |
$26.84 |
$145.60
|
|
Cytogenomic neo microra alys
|
$2,714.40 |
$2,714.40 |
$2,714.40 |
$2,198.00
|
|
Cytomegalovirus ag ia
|
$7.92 |
$7.92 |
$7.92 |
$38.58
|
|
Cytomegalovirus (cmv) antibody igg
|
$76.44 |
$76.44 |
$76.44 |
$95.48
|
|
Cytomegalovirus (cmv) antibody igm
|
$88.92 |
$88.92 |
$88.92 |
$100.00
|
|
Cytomegalovirus dfa
|
$8.80 |
$8.80 |
$8.80 |
$74.88
|
|
Cytomeg dna dir probe
|
$19.80 |
$19.80 |
$19.80 |
$148.50
|
|
Cyto/molecular report
|
$20.90 |
$20.90 |
$20.90 |
$144.75
|
|
Cytopath c/v auto in fluid
|
$16.72 |
$16.72 |
$16.72 |
$56.00
|
|
Cytopath c/v automated
|
$33.44 |
$33.44 |
$33.44 |
$92.04
|
|
Cytopath c/v auto redo
|
$18.04 |
$18.04 |
$18.04 |
$56.00
|
|
Cytopath c/v auto rescreen
|
$11.88 |
$11.88 |
$11.88 |
$39.20
|
|
Cytopath c/v index add-on
|
$9.68 |
$9.68 |
$9.68 |
$34.20
|
|
Cytopath c/v manual
|
$11.88 |
$11.88 |
$11.88 |
$34.98
|
|
Cytopath c/v redo
|
$15.84 |
$15.84 |
$15.84 |
$48.80
|
|
Cytopath c/v thin layer redo
|
$15.40 |
$15.40 |
$15.40 |
$61.20
|
|
Cytopath fl nongyn filter
|
$11.44 |
$11.44 |
$11.44 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$16.50 |
$16.50 |
$16.50 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$17.60 |
$17.60 |
$17.60 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$13.20 |
$13.20 |
$13.20 |
$87.29
|
|
Cytopathology concentration technique smears & interpretation
|
$92.04 |
$92.04 |
$92.04 |
$134.75
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$16.72 |
$16.72 |
$16.72 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$12.98 |
$12.98 |
$12.98 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$21.34 |
$21.34 |
$21.34 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$41.80 |
$41.80 |
$41.80 |
$212.80
|
|
Cytopath smear other source
|
$15.40 |
$15.40 |
$15.40 |
$91.27
|
|
Cytopath smear other source
|
$23.54 |
$23.54 |
$23.54 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$57.72 |
$57.72 |
$57.72 |
$96.20
|
|
Cytopath tbs c/v auto redo
|
$11.88 |
$11.88 |
$11.88 |
$36.80
|
|
Cytopath tbs c/v manual
|
$11.88 |
$11.88 |
$11.88 |
$59.28
|
|
Cytopath tbs c/v redo
|
$27.72 |
$27.72 |
$27.72 |
$84.80
|
|
Cytopath tbs c/v select
|
$11.88 |
$11.88 |
$11.88 |
$36.80
|
|
Cytotoxic antibody screening
|
$51.92 |
$51.92 |
$51.92 |
$193.80
|
|
Cytotoxic antibody screening
|
$19.80 |
$19.80 |
$19.80 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$29.26 |
$29.26 |
$29.26 |
$664.80
|
|
Dark field exam spec collj
|
$11.66 |
$11.66 |
$11.66 |
$31.20
|
|
Dark field exam without collj
|
$7.48 |
$7.48 |
$7.48 |
$28.80
|
|
D&c after delivery 59160
|
$115.72 |
$115.72 |
$115.72 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$144.10 |
$144.10 |
$144.10 |
$3,774.81
|
|
Dch glucoscan
|
$3.52 |
$3.52 |
$3.52 |
$29.16
|
|
Dch pulmonary stress test
|
$41.36 |
$41.36 |
$41.36 |
$963.30
|
|
Dch validity tests
|
$17.94 |
$17.94 |
$17.94 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$4,569.24 |
$4,569.24 |
$4,569.24 |
$5,110.00
|
|
Dcmprn orbit only transcrnl
|
$1,120.24 |
$1,120.24 |
$1,120.24 |
$5,741.00
|
|
Dcmprn plantar digital nerve
|
$168.74 |
$168.74 |
$168.74 |
$2,375.24
|
|
D&c of cervical stump
|
$78.76 |
$78.76 |
$78.76 |
$3,762.53
|
