|
Cystine urine quantitative
|
$323.70 |
$323.70 |
$323.70 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$586.95 |
$586.95 |
$586.95 |
$539.55
|
|
Cystoscopy and treatment
|
$4,379.05 |
$4,379.05 |
$4,379.05 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$2,546.05 |
$2,546.05 |
$2,546.05 |
$1,610.20
|
|
Cystoscopy chemodenervation
|
$2,806.70 |
$2,806.70 |
$2,806.70 |
$2,412.45
|
|
Cystoscopy removal of clots
|
$2,158.65 |
$2,158.65 |
$2,158.65 |
$3,970.98
|
|
Cystostomy cystotomy w/drainage 51040
|
$4,058.60 |
$4,058.60 |
$4,058.60 |
$3,774.40
|
|
Cystouretero & or pyeloscope
|
$4,551.30 |
$4,551.30 |
$4,551.30 |
$4,315.98
|
|
Cytogenetics 25-99
|
$64.35 |
$64.35 |
$64.35 |
$180.32
|
|
Cytogenomic neo microra alys
|
$6,719.05 |
$6,719.05 |
$6,719.05 |
$1,911.78
|
|
Cytogenom microarray copy nmbr var
|
$4,975.75 |
$4,975.75 |
$4,975.75 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$209.30 |
$209.30 |
$209.30 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$96.20 |
$96.20 |
$96.20 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$326.30 |
$326.30 |
$326.30 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$56.55 |
$56.55 |
$56.55 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$50.05 |
$50.05 |
$50.05 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$368.55 |
$368.55 |
$368.55 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$210.60 |
$210.60 |
$210.60 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$133.25 |
$133.25 |
$133.25 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$308.75 |
$308.75 |
$308.75 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$814.45 |
$814.45 |
$814.45 |
$205.00
|
|
Cytopath smear oth prep screen & interp
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$95.89
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$69.65 |
$69.65 |
$69.65 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$28,415.40 |
$28,415.40 |
$28,415.40 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$7,371.55 |
$7,371.55 |
$7,371.55 |
$5,546.48
|
|
Dch pulmonary stress test
|
$1,403.35 |
$1,403.35 |
$1,403.35 |
$964.41
|
|
Dch validity tests
|
$74.75 |
$74.75 |
$74.75 |
$25.20
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$1,779.05 |
$1,779.05 |
$1,779.05 |
$4,021.68
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$161.85 |
$161.85 |
$161.85 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$114.40 |
$114.40 |
$114.40 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$1,528.80 |
$1,528.80 |
$1,528.80 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$147.55 |
$147.55 |
$147.55 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$168.35 |
$168.35 |
$168.35 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$376.35 |
$376.35 |
$376.35 |
$810.50
|
|
Debride nail1-5 11720
|
$281.45 |
$281.45 |
$281.45 |
$173.25
|
|
Debride nail6 or more 11721
|
$433.55 |
$433.55 |
$433.55 |
$195.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$146.90 |
$146.90 |
$146.90 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$547.95 |
$547.95 |
$547.95 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$570.05 |
$570.05 |
$570.05 |
$1,193.40
|
|
Decalcification
|
$169.00 |
$169.00 |
$169.00 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$908.70 |
$908.70 |
$908.70 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$65.88 |
$65.88 |
$65.88 |
$110.82
|
|
Delivery of placenta 59414
|
$1,968.85 |
$1,968.85 |
$1,968.85 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$6,529.25 |
$6,529.25 |
$6,529.25 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$145.60 |
$145.60 |
$145.60 |
$196.26
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$351.65 |
$351.65 |
$351.65 |
$460.50
|
|
Descend thora aorta rpr/lt sub art 33880
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$5,702.04
|
|
Design mlc device for imrt
|
$1,296.75 |
$1,296.75 |
$1,296.75 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$34.22 |
$34.22 |
$34.22 |
$102.32
|
|
Desoxycorticosterone
|
$527.80 |
$527.80 |
$527.80 |
$109.28
|
|
Des thora aorta/ea add prox prosth 33884
|
$542.75 |
$542.75 |
$542.75 |
$1,285.78
|
|
Des thora aorta rpr without left sub art 33881
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$542.75 |
$542.75 |
$542.75 |
$2,498.88
|
|
Destroy cervthor facet jnt 64633
|
$4,937.40 |
$4,937.40 |
$4,937.40 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$1,316.90 |
$1,316.90 |
$1,316.90 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$3,812.90 |
$3,812.90 |
$3,812.90 |
$1,344.85
|
|
Destruction benign lesions < 14 lesions
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$250.60
|
|
Destruction by injection tx of nerve 64630
|
$799.50 |
$799.50 |
$799.50 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,590.55 |
$1,590.55 |
$1,590.55 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,775.20 |
$3,775.20 |
$3,775.20 |
$3,375.00
|
|
Developmental screen/score/document 96110
|
$133.90 |
$133.90 |
$133.90 |
$139.10
|
|
Devel tst phys/qhp 1st hr
|
$351.00 |
$351.00 |
$351.00 |
$339.30
|
|
Device intraute mirena
|
$2,211.85 |
$2,211.85 |
$2,211.85 |
$2,618.91
|
|
Device tiss remov myosure reach
|
$1,455.79 |
$1,455.79 |
$1,455.79 |
$2,440.98
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$175.50 |
$175.50 |
$175.50 |
$196.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$194.35 |
$194.35 |
$194.35 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$63.44 |
$63.44 |
$63.44 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$23.79 |
$23.79 |
$23.79 |
$30.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$43.65 |
$43.65 |
$43.65 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$51.80 |
$51.80 |
$51.80 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$46.12 |
$46.12 |
$46.12 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$45.05 |
$45.05 |
$45.05 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$54.60 |
$54.60 |
$54.60 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$63.05 |
$63.05 |
$63.05 |
$78.03
|
|
Diag bronchoscope/catheter
|
$3,082.30 |
$3,082.30 |
$3,082.30 |
$2,040.67
|
|
Diagnostic anoscopy spx 46600
|
$297.05 |
$297.05 |
$297.05 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$65.00 |
$65.00 |
$65.00 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$65.00 |
$65.00 |
$65.00 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$505.70 |
$505.70 |
$505.70 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$519.35 |
$519.35 |
$519.35 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$549.90 |
$549.90 |
$549.90 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$386.10 |
$386.10 |
$386.10 |
$301.55
|
|
Dialysis one evaluation
|
$413.40 |
$413.40 |
$413.40 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$40.14 |
$40.14 |
$40.14 |
$72.34
|
|
Dicyclomine injection
|
$31.43 |
$31.43 |
$31.43 |
$211.81
|
|
Diffusing capacity
|
$221.00 |
$221.00 |
$221.00 |
$360.10
|
|
Digital analysis of eeg
|
$213.20 |
$213.20 |
$213.20 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$23.76 |
$23.76 |
$23.76 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$15,014.28 |
$15,014.28 |
$15,014.28 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$48.10 |
$48.10 |
$48.10 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$89.21 |
$89.21 |
$89.21 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$8,433.75 |
$8,433.75 |
$8,433.75 |
$2,304.60
|
|
Dilate esophagus 1/mult pass
|
$2,715.70 |
$2,715.70 |
$2,715.70 |
$1,484.17
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$5,522.40 |
$5,522.40 |
$5,522.40 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$5,522.40 |
$5,522.40 |
$5,522.40 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$8,488.35 |
$8,488.35 |
$8,488.35 |
$6,280.95
|
|
Dilation of salivary duct
|
$473.20 |
$473.20 |
$473.20 |
$599.72
|
|
Dilator fascial 10fx20cm
|
$170.38 |
$170.38 |
$170.38 |
$305.68
|
|
Dilat xst trc ndurlgc px
|
$7,749.30 |
$7,749.30 |
$7,749.30 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$7,749.30 |
$7,749.30 |
$7,749.30 |
$5,020.00
|