|
Cystoscopy and treatment
|
$22,262.10 |
$22,262.10 |
$22,262.10 |
$3,213.14
|
|
Cystoscopy and treatment
|
$21,544.74 |
$21,544.74 |
$21,544.74 |
$4,045.60
|
|
Cystoscopy and treatment
|
$17,614.44 |
$17,614.44 |
$17,614.44 |
$2,874.36
|
|
Cystoscopy and treatment
|
$14,104.04 |
$14,104.04 |
$14,104.04 |
$3,203.50
|
|
Cystoscopy and treatment
|
$30,499.73 |
$30,499.73 |
$30,499.73 |
$4,061.71
|
|
Cystoscopy (Bladder Scope)
|
$43,143.85 |
$43,143.85 |
$43,143.85 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$30,454.14 |
$30,454.14 |
$30,454.14 |
$2,704.80
|
|
Cystoscopy implant stent
|
$14,005.70 |
$14,005.70 |
$14,005.70 |
$4,627.00
|
|
Cystoscopy removal of clots
|
$40,369.66 |
$40,369.66 |
$40,369.66 |
$4,081.37
|
|
Cystoscopy & ureter catheter
|
$29,791.67 |
$29,791.67 |
$29,791.67 |
$3,786.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$19,745.72 |
$19,745.72 |
$19,745.72 |
$3,863.60
|
|
Cystouretero & or pyeloscope
|
$31,051.07 |
$31,051.07 |
$31,051.07 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$42,727.66 |
$42,727.66 |
$42,727.66 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$23,624.94 |
$23,624.94 |
$23,624.94 |
$5,986.78
|
|
Cysto/uretero w/lithotripsy
|
$32,017.18 |
$32,017.18 |
$32,017.18 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$22,096.09 |
$22,096.09 |
$22,096.09 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$37,353.07 |
$37,353.07 |
$37,353.07 |
$5,110.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$23,969.81 |
$23,969.81 |
$23,969.81 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$24,140.77 |
$24,140.77 |
$24,140.77 |
$4,045.60
|
|
Cysto w/ureter stricture tx
|
$20,038.16 |
$20,038.16 |
$20,038.16 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
$89.94
|
|
Cytogenetics 25-99
|
$149.40 |
$149.40 |
$149.40 |
$190.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$157.80 |
$157.80 |
$157.80 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$157.80 |
$157.80 |
$157.80 |
$97.50
|
|
Cytopath c/v thin layer redo
|
$150.60 |
$150.60 |
$150.60 |
$61.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$351.60 |
$351.60 |
$351.60 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$118.20 |
$118.20 |
$118.20 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$118.20 |
$118.20 |
$118.20 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$508.20 |
$508.20 |
$508.20 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$282.00 |
$282.00 |
$282.00 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$566.40 |
$566.40 |
$566.40 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$528.60 |
$528.60 |
$528.60 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$625.80 |
$625.80 |
$625.80 |
$209.23
|
|
Cytopath smear other source
|
$211.80 |
$211.80 |
$211.80 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$212.40 |
$212.40 |
$212.40 |
$96.20
|
|
Cytopath tbs c/v manual
|
$97.80 |
$97.80 |
$97.80 |
$59.28
|
|
Cytotoxic antibody screening
|
$223.20 |
$223.20 |
$223.20 |
$189.00
|
|
Dacarbazine 100 mg intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$58.22
|
|
Dalbavancin 500 mg intravenous solution
|
$28,608.42 |
$28,608.42 |
$28,608.42 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$482.40 |
$482.40 |
$482.40 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$90,072.30 |
$90,072.30 |
$90,072.30 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$61,997.40 |
$61,997.40 |
$61,997.40 |
$6,072.48
|
|
D&c after delivery 59160
|
$17,193.60 |
$17,193.60 |
$17,193.60 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$22,408.98 |
$22,408.98 |
$22,408.98 |
$3,774.81
|
|
Dch glucoscan
|
$39.00 |
$39.00 |
$39.00 |
$28.10
|
|
Dch validity tests
|
$54.00 |
$54.00 |
$54.00 |
$24.50
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$16,262.40 |
$16,262.40 |
$16,262.40 |
$4,952.36
|
|
D&c of cervical stump
|
$4,236.00 |
$4,236.00 |
$4,236.00 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$30.00 |
$30.00 |
$30.00 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,242.00 |
$1,242.00 |
$1,242.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$550.20 |
$550.20 |
$550.20 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$51,959.05 |
$51,959.05 |
$51,959.05 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$38,404.30 |
$38,404.30 |
$38,404.30 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,434.20 |
$2,434.20 |
$2,434.20 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$30,893.68 |
$30,893.68 |
$30,893.68 |
$810.50
|
|
Debride nail1-5 11720
|
$208.80 |
$208.80 |
$208.80 |
$148.80
|
|
Debride nail6 or more 11721
|
$219.00 |
$219.00 |
$219.00 |
$169.60
|
|
Debride skin bone at fx site
|
$16,104.36 |
$16,104.36 |
$16,104.36 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$30,893.68 |
$30,893.68 |
$30,893.68 |
$639.60
|
|
Debr musc/fascia 20sq cm/< 11043
|
$152,843.62 |
$152,843.62 |
$152,843.62 |
$1,160.00
|
|
Decalcification
|
$276.00 |
$276.00 |
$276.00 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$395.10 |
$395.10 |
$395.10 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,194.60 |
$1,194.60 |
$1,194.60 |
$543.00
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$5,798.40 |
$5,798.40 |
$5,798.40 |
$4,914.00
|
|
Decompression of tibia nerve
|
$100,207.42 |
$100,207.42 |
$100,207.42 |
$2,625.60
|
|
Decompression unspecified nerve 64722
|
$152,843.62 |
$152,843.62 |
$152,843.62 |
$2,163.32
|
|
Deep muscle biopsy 20205
|
$13,423.50 |
$13,423.50 |
$13,423.50 |
$3,339.00
|
|
Deferoxamine 500 mg solution for injection
|
$452.10 |
$452.10 |
$452.10 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$6,493.02 |
$6,493.02 |
$6,493.02 |
$1,807.08
|
|
Delayed breast prosthesis 19342
|
$64,958.94 |
$64,958.94 |
$64,958.94 |
$10,457.82
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$2,533.80 |
$2,533.80 |
$2,533.80 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$186.60 |
$186.60 |
$186.60 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$55,471.86 |
$55,471.86 |
$55,471.86 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$568.80 |
$568.80 |
$568.80 |
$408.10
|
|
Depo-estradiol cypionate inj
|
$229.98 |
$229.98 |
$229.98 |
$71.51
|
|
Dermapure 1 square cm
|
$6,024.38 |
$6,024.38 |
$6,024.38 |
$3,822.00
|
|
Descend thora aorta rpr/lt sub art 33880
|
$21,441.00 |
$21,441.00 |
$21,441.00 |
$6,687.93
|
|
Design mlc device for imrt
|
$1,839.60 |
$1,839.60 |
$1,839.60 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$145.74 |
$145.74 |
$145.74 |
$89.78
|
|
Desoxycorticosterone
|
$282.00 |
$282.00 |
$282.00 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$21,441.00 |
$21,441.00 |
$21,441.00 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$5,980.20 |
$5,980.20 |
$5,980.20 |
$2,727.20
|
|
Dest mal lesion tal <0.5 17260
|
$365.40 |
$365.40 |
$365.40 |
$238.40
|
|
Destroy internal hemorrhoids destroy 46930
|
$12,900.18 |
$12,900.18 |
$12,900.18 |
$1,344.85
|
|
Destroy premlg lesns;1st lesn 17000
|
$180.00 |
$180.00 |
$180.00 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$15,535.56 |
$15,535.56 |
$15,535.56 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$25,533.48 |
$25,533.48 |
$25,533.48 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$15,098.94 |
$15,098.94 |
$15,098.94 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$180.00 |
$180.00 |
$180.00 |
$72.60
|
|
Destruction benign lesions < 14 lesions
|
$19,963.20 |
$19,963.20 |
$19,963.20 |
$235.13
|
|
Detect agent nos dna dir
|
$145.80 |
$145.80 |
$145.80 |
$115.20
|
|
Detect agnt mult dna direc
|
$171.60 |
$171.60 |
$171.60 |
$162.00
|
|
Device ablt adv novasure
|
$14,645.74 |
$14,645.74 |
$14,645.74 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$7,549.35 |
$7,549.35 |
$7,549.35 |
$4,200.00
|
|
Device sut capio slim opn
|
$3,454.58 |
$3,454.58 |
$3,454.58 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$2,797.03 |
$2,797.03 |
$2,797.03 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$253.20 |
$253.20 |
$253.20 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$6.30 |
$6.30 |
$6.30 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$68.22 |
$68.22 |
$68.22 |
$21.17
|
|
Dextran 40 infusion
|
$1,209.00 |
$1,209.00 |
$1,209.00 |
$151.20
|
