|
Cysto/uretero stricture tx
|
$1,833.00 |
$1,833.00 |
$1,833.00 |
$5,110.00
|
|
Cystouretero w/biopsy
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$6,015.75
|
|
Cystouretero w/excise tumor
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$15,200.25 |
$15,200.25 |
$15,200.25 |
$9,430.00
|
|
Cystouretero w/lithotripsy
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$7,372.68
|
|
Cystouretero w/renal strict
|
$2,230.80 |
$2,230.80 |
$2,230.80 |
$5,741.00
|
|
Cystouretero w/stone remove
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$5,741.00
|
|
Cysto/uretero w/up stricture
|
$1,963.00 |
$1,963.00 |
$1,963.00 |
$4,081.37
|
|
Cystourethro cut ejacul duct
|
$1,370.20 |
$1,370.20 |
$1,370.20 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$4,057.50
|
|
Cystourethro w/addl implant 52442
|
$288.60 |
$288.60 |
$288.60 |
$2,161.60
|
|
Cystourethro w/implant
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$2,777.60
|
|
Cysto w/up stricture tx
|
$1,521.00 |
$1,521.00 |
$1,521.00 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$1,391.00 |
$1,391.00 |
$1,391.00 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$4.11 |
$4.11 |
$4.11 |
$90.00
|
|
Cytogenetics 25-99
|
$189.80 |
$189.80 |
$189.80 |
$189.80
|
|
Cytogenomic neo microra alys
|
$5,202.60 |
$5,202.60 |
$5,202.60 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$64.35 |
$64.35 |
$64.35 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$75.40 |
$75.40 |
$75.40 |
$100.00
|
|
Cytomegalovirus imm IV /vial
|
$84.69 |
$84.69 |
$84.69 |
$3,072.34
|
|
Cytopathology cellular enhancement technique non-gyn
|
$239.85 |
$239.85 |
$239.85 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$119.60 |
$119.60 |
$119.60 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$91.00 |
$91.00 |
$91.00 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$176.15 |
$176.15 |
$176.15 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$159.90 |
$159.90 |
$159.90 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$120.25 |
$120.25 |
$120.25 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$197.60 |
$197.60 |
$197.60 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$397.80 |
$397.80 |
$397.80 |
$213.85
|
|
Cytopath smear other source
|
$143.00 |
$143.00 |
$143.00 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$109.85 |
$109.85 |
$109.85 |
$96.20
|
|
Cytopath tbs c/v manual
|
$81.90 |
$81.90 |
$81.90 |
$59.28
|
|
Cytotoxic antibody screening
|
$133.25 |
$133.25 |
$133.25 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$286.00 |
$286.00 |
$286.00 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$38.66 |
$38.66 |
$38.66 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,725.75 |
$1,725.75 |
$1,725.75 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$4,162.86 |
$4,162.86 |
$4,162.86 |
$3,493.11
|
|
Dalteparin sodium
|
$1,847.31 |
$1,847.31 |
$1,847.31 |
$469.55
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$1,649.21 |
$1,649.21 |
$1,649.21 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$9,055.80 |
$9,055.80 |
$9,055.80 |
$6,281.29
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$34,257.60 |
$34,257.60 |
$34,257.60 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$104.62 |
$104.62 |
$104.62 |
$259.58
|
|
D&c after delivery 59160
|
$8,266.70 |
$8,266.70 |
$8,266.70 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$3,774.81
|
|
Dch glucoscan
|
$22.75 |
$22.75 |
$22.75 |
$29.16
|
|
Dch pulmonary stress test
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$963.30
|
|
Dch validity tests
|
$15.60 |
$15.60 |
$15.60 |
$25.00
|
|
D&c of cervical stump
|
$447.20 |
$447.20 |
$447.20 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$53.95 |
$53.95 |
$53.95 |
$43.35
|
|
Debr g/per/abd wall 11006
|
$3,406.00 |
$3,406.00 |
$3,406.00 |
$1,562.83
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$484.90 |
$484.90 |
$484.90 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,593.80 |
$1,593.80 |
$1,593.80 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,479.75 |
$2,479.75 |
$2,479.75 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$779.35 |
$779.35 |
$779.35 |
$835.20
|
|
Debride nail1-5 11720
|
$115.70 |
$115.70 |
$115.70 |
$149.60
|
|
Debride nail6 or more 11721
|
$154.70 |
$154.70 |
$154.70 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,413.10 |
$1,413.10 |
$1,413.10 |
$1,163.24
|
|
Debride skin bone at fx site
|
$5,580.90 |
$5,580.90 |
$5,580.90 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$3,702.40 |
$3,702.40 |
$3,702.40 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,123.85 |
$1,123.85 |
$1,123.85 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$215.80 |
$215.80 |
$215.80 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,198.60 |
$1,198.60 |
$1,198.60 |
$1,149.50
|
|
Debr inf skin add-on 11001
|
$78.00 |
$78.00 |
$78.00 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$1,165.50
|
|
Decalcification
|
$68.90 |
$68.90 |
$68.90 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,239.55 |
$1,239.55 |
$1,239.55 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$1,575.60 |
$1,575.60 |
$1,575.60 |
$3,137.60
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$4,664.40 |
$4,664.40 |
$4,664.40 |
$4,664.40
|
|
Decompress fasciotomyhand 26037
|
$1,968.20 |
$1,968.20 |
$1,968.20 |
$3,839.54
|
|
Decompress fingers/hand
|
$2,956.20 |
$2,956.20 |
$2,956.20 |
$3,839.54
|
|
Decompress forearm 1 space
|
$3,595.80 |
$3,595.80 |
$3,595.80 |
$4,499.12
|
|
Decompress forearm 2 spaces
|
$2,805.40 |
$2,805.40 |
$2,805.40 |
$3,851.20
|
|
Decompression fasct forearm
|
$2,186.60 |
$2,186.60 |
$2,186.60 |
$5,886.74
|
|
Decompression of leg
|
$2,064.40 |
$2,064.40 |
$2,064.40 |
$3,839.54
|
|
Decompression of leg
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$6,588.00
|
|
Decompression of leg
|
$3,294.20 |
$3,294.20 |
$3,294.20 |
$4,134.40
|
|
Decompression of lower leg
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,969.00
|
|
Decompression of lower leg
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,839.54
|
|
Decompression of thigh/knee
|
$1,762.80 |
$1,762.80 |
$1,762.80 |
$4,192.86
|
|
Decompression of thigh/knee
|
$2,251.60 |
$2,251.60 |
$2,251.60 |
$3,217.60
|
|
Decompression of thigh/knee
|
$2,451.80 |
$2,451.80 |
$2,451.80 |
$7,807.24
|
|
Decompression of tibia nerve
|
$1,359.80 |
$1,359.80 |
$1,359.80 |
$2,685.07
|
|
Decompressive craniotomy
|
$8,907.60 |
$8,907.60 |
$8,907.60 |
$5,584.80
|
|
Decompres spinal cord;thoracic 63055
|
$6,123.00 |
$6,123.00 |
$6,123.00 |
$8,412.89
|
|
Decompress small bowel
|
$4,240.60 |
$4,240.60 |
$4,240.60 |
$1,503.60
|
|
Decompress spinal cord lmbr
|
$5,683.60 |
$5,683.60 |
$5,683.60 |
$8,446.03
|
|
Decomp spinal cord/transped/ad seg 63057
|
$1,365.00 |
$1,365.00 |
$1,365.00 |
$1,365.00
|
|
Deep muscle biopsy 20205
|
$611.00 |
$611.00 |
$611.00 |
$3,386.84
|
|
Deferoxamine 500 mg solution for injection
|
$96.41 |
$96.41 |
$96.41 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,377.73 |
$2,377.73 |
$2,377.73 |
$1,856.85
|
|
Delayed breast prosthesis 19342
|
$2,997.15 |
$2,997.15 |
$2,997.15 |
$7,906.00
|
|
Delay flap eye/nos/ear/lip
|
$1,060.80 |
$1,060.80 |
$1,060.80 |
$2,371.50
|
|
Delay flap fccnaxghf 15620
|
$975.00 |
$975.00 |
$975.00 |
$2,837.09
|
|
Delay flap trunk 15600
|
$522.60 |
$522.60 |
$522.60 |
$4,332.25
|
|
Delivery of placenta 59414
|
$8,266.70 |
$8,266.70 |
$8,266.70 |
$2,912.46
|
