|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$186.75 |
$186.75 |
$186.75 |
$211.50
|
|
Cytopath smear other source
|
$94.50 |
$94.50 |
$94.50 |
$92.00
|
|
Cytopath tbs c/v manual
|
$168.75 |
$168.75 |
$168.75 |
$59.28
|
|
Cytotoxic antibody screening
|
$504.75 |
$504.75 |
$504.75 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$907.50 |
$907.50 |
$907.50 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$53.55 |
$53.55 |
$53.55 |
$59.15
|
|
Dactinomycin 0.5 mg intravenous solution
|
$10,014.84 |
$10,014.84 |
$10,014.84 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$6,061.91 |
$6,061.91 |
$6,061.91 |
$3,493.11
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$38,894.03 |
$38,894.03 |
$38,894.03 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$5,546.48 |
$5,546.48 |
$5,546.48 |
$6,281.29
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$38,568.63 |
$38,568.63 |
$38,568.63 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$300.73 |
$300.73 |
$300.73 |
$259.58
|
|
D&c after delivery 59160
|
$3,102.00 |
$3,102.00 |
$3,102.00 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$2,361.75 |
$2,361.75 |
$2,361.75 |
$3,780.50
|
|
Dch glucoscan
|
$23.25 |
$23.25 |
$23.25 |
$29.16
|
|
Dch pulmonary stress test
|
$1,811.25 |
$1,811.25 |
$1,811.25 |
$963.30
|
|
Dch validity tests
|
$34.50 |
$34.50 |
$34.50 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,238.00 |
$2,238.00 |
$2,238.00 |
$5,110.00
|
|
Deamidated gliadin antibody iga
|
$42.75 |
$42.75 |
$42.75 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$3,006.00 |
$3,006.00 |
$3,006.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$363.75 |
$363.75 |
$363.75 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$4,119.00 |
$4,119.00 |
$4,119.00 |
$2,321.40
|
|
Debridement/bone/20 sq cm or less 11046
|
$654.75 |
$654.75 |
$654.75 |
$704.40
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,045.25 |
$2,045.25 |
$2,045.25 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,148.25 |
$1,148.25 |
$1,148.25 |
$842.40
|
|
Debride nail1-5 11720
|
$291.75 |
$291.75 |
$291.75 |
$151.05
|
|
Debride nail6 or more 11721
|
$300.75 |
$300.75 |
$300.75 |
$172.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$940.50 |
$940.50 |
$940.50 |
$668.37
|
|
Debrid mastoidectomy cavity simple 69220
|
$292.50 |
$292.50 |
$292.50 |
$235.13
|
|
Debr musc/fascia 20sq cm/< 11043
|
$888.00 |
$888.00 |
$888.00 |
$1,193.40
|
|
Decalcification
|
$50.25 |
$50.25 |
$50.25 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$634.17 |
$634.17 |
$634.17 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$610.50 |
$610.50 |
$610.50 |
$573.65
|
|
Deferoxamine 500 mg solution for injection
|
$102.84 |
$102.84 |
$102.84 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$3,396.16 |
$3,396.16 |
$3,396.16 |
$1,856.85
|
|
Delivery of placenta 59414
|
$2,570.25 |
$2,570.25 |
$2,570.25 |
$2,952.00
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$10,770.75 |
$10,770.75 |
$10,770.75 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$196.50 |
$196.50 |
$196.50 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$12,371.55 |
$12,371.55 |
$12,371.55 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$460.50 |
$460.50 |
$460.50 |
$401.60
|
|
Dermagraft
|
$129.00 |
$129.00 |
$129.00 |
$85.00
|
|
Dermapure 1 square cm
|
$5,197.50 |
$5,197.50 |
$5,197.50 |
$3,300.73
|
|
Derm-maxx, per sq cm
|
$7,762.50 |
$7,762.50 |
$7,762.50 |
$1.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$172.46 |
$172.46 |
$172.46 |
$90.60
|
|
Desoxycorticosterone
|
$364.50 |
$364.50 |
$364.50 |
$108.75
|
|
Des thora aorta rpr without left sub art 33881
|
$15,243.75 |
$15,243.75 |
$15,243.75 |
$5,267.20
|
|
Dest mal lesion tal <0.5 17260
|
$366.75 |
$366.75 |
$366.75 |
$238.40
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$332.25 |
$332.25 |
$332.25 |
$332.25
|
|
Destroy cervthor facet jnt 64633
|
$2,381.25 |
$2,381.25 |
$2,381.25 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$1,879.50 |
$1,879.50 |
$1,879.50 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$199.50 |
$199.50 |
$199.50 |
$202.40
|
|
Destroy vulva lesion simple 56501
|
$3,691.50 |
$3,691.50 |
$3,691.50 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$332.25 |
$332.25 |
$332.25 |
$235.13
|
|
Destruct cut vasl lesions <10cm 17106
|
$666.75 |
$666.75 |
$666.75 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$1,442.25 |
$1,442.25 |
$1,442.25 |
$2,026.46
|
|
Destruction 2-14 lesions 17003
|
$83.25 |
$83.25 |
$83.25 |
$78.61
|
|
Destruction anal lesion(s)
|
$3,711.00 |
$3,711.00 |
$3,711.00 |
$3,711.00
|
|
Destruction anal lesion(s) smpl chem 46900
|
$638.25 |
$638.25 |
$638.25 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$268.50 |
$268.50 |
$268.50 |
$248.25
|
|
Destruction by injection tx of nerve 64630
|
$915.75 |
$915.75 |
$915.75 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,879.50 |
$1,879.50 |
$1,879.50 |
$1,673.10
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,325.75 |
$2,325.75 |
$2,325.75 |
$3,296.80
|
|
Destruction mal lsn t/a/l >4cm
|
$954.75 |
$954.75 |
$954.75 |
$569.80
|
|
Destruction premal lesions 15/> 17004
|
$521.25 |
$521.25 |
$521.25 |
$451.50
|
|
Detect agnt mult dna direc
|
$147.75 |
$147.75 |
$147.75 |
$157.25
|
|
Determine refractive state
|
$18.00 |
$18.00 |
$18.00 |
$20.50
|
|
Developmental screen/score/document 96110
|
$573.75 |
$573.75 |
$573.75 |
$141.93
|
|
Devel tst phys/qhp 1st hr
|
$398.25 |
$398.25 |
$398.25 |
$331.80
|
|
Device ablt adv novasure
|
$11,239.88 |
$11,239.88 |
$11,239.88 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$5,175.00 |
$5,175.00 |
$5,175.00 |
$4,200.00
|
|
Device intraute mirena
|
$4,491.10 |
$4,491.10 |
$4,491.10 |
$2,143.02
|
|
Device sut capio slim opn
|
$1,454.07 |
$1,454.07 |
$1,454.07 |
$1,857.00
|
|
Device tiss remov myosure reach
|
$1,070.85 |
$1,070.85 |
$1,070.85 |
$2,515.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$183.00 |
$183.00 |
$183.00 |
$196.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$417.00 |
$417.00 |
$417.00 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$554.26 |
$554.26 |
$554.26 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$16.28 |
$16.28 |
$16.28 |
$20.52
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$465.34 |
$465.34 |
$465.34 |
$884.80
|
|
Dextran 40 infusion
|
$225.55 |
$225.55 |
$225.55 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$22.19 |
$22.19 |
$22.19 |
$36.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$22.19 |
$22.19 |
$22.19 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$36.98 |
$36.98 |
$36.98 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$22.19 |
$22.19 |
$22.19 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$249.75 |
$249.75 |
$249.75 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$114.75 |
$114.75 |
$114.75 |
$79.20
|
|
Diab manage trn ind/group
|
$57.75 |
$57.75 |
$57.75 |
$54.99
|
|
Diag bronchoscope/catheter
|
$4,125.75 |
$4,125.75 |
$4,125.75 |
$2,379.00
|
|
Diagnostic anoscopy spx 46600
|
$181.50 |
$181.50 |
$181.50 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$70.50 |
$70.50 |
$70.50 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$57.00 |
$57.00 |
$57.00 |
$76.37
|
|
Diagnostic laryngoscopy 31505
|
$592.50 |
$592.50 |
$592.50 |
$258.30
|
|
Diagnostic laryngoscopy 31575
|
$381.00 |
$381.00 |
$381.00 |
$338.25
|
|
Diagnostic Mammogram (both breasts)
|
$655.50 |
$655.50 |
$655.50 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$502.50 |
$502.50 |
$502.50 |
$312.65
|
|
Diagnostic radio unlisted proc
|
$564.75 |
$564.75 |
$564.75 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$10,461.00 |
$10,461.00 |
$10,461.00 |
$6,185.00
|
|
Dialysis repeated eval
|
$4,711.50 |
$4,711.50 |
$4,711.50 |
$1,267.50
|
|
Dialysis training incompl
|
$2,907.00 |
$2,907.00 |
$2,907.00 |
$391.67
|
|
Diatrizoate meglumine 18 % urethral solution
|
$58.24 |
$58.24 |
$58.24 |
$114.18
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$143.84 |
$143.84 |
$143.84 |
$78.50
|
