|
Cystoscopy and treatment
|
$7,591.46 |
$7,591.46 |
$7,591.46 |
$4,061.71
|
|
Cystoscopy and treatment
|
$8,768.00 |
$8,768.00 |
$8,768.00 |
$3,820.84
|
|
Cystoscopy (Bladder Scope)
|
$7,713.36 |
$7,713.36 |
$7,713.36 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$12,181.32 |
$12,181.32 |
$14,628.84 |
$2,704.80
|
|
Cystoscopy implant stent
|
$5,932.92 |
$5,932.92 |
$5,932.92 |
$4,627.00
|
|
Cystoscopy prostatic imp 1-3
|
$16,819.04 |
$16,819.04 |
$16,819.04 |
$5,741.40
|
|
Cystoscopy & ureter catheter
|
$14,560.19 |
$14,560.19 |
$14,805.40 |
$3,786.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$16,275.50 |
$16,275.50 |
$16,275.50 |
$3,863.60
|
|
Cystouretero & or pyeloscope
|
$10,551.22 |
$10,551.22 |
$16,113.89 |
$4,315.98
|
|
Cystouretero w/biopsy
|
$10,698.02 |
$10,698.02 |
$10,698.02 |
$5,986.78
|
|
Cysto/uretero w/lithotripsy
|
$19,185.77 |
$19,185.77 |
$23,052.88 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$17,262.56 |
$17,262.56 |
$17,262.56 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$13,839.74 |
$13,839.74 |
$17,262.56 |
$5,110.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$8,398.10 |
$8,398.10 |
$16,275.50 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$8,051.78 |
$8,051.78 |
$12,172.73 |
$4,045.60
|
|
Cytarabine 20 mg/ml injection solution
|
$90.00 |
$90.00 |
$106.62 |
$89.94
|
|
Cytogenetics 25-99
|
$135.00 |
$135.00 |
$135.00 |
$190.00
|
|
Cytogenom microarray copy nmbr var
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$178.80 |
$178.80 |
$178.80 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$154.80 |
$154.80 |
$154.80 |
$97.50
|
|
Cytopath c/v thin layer redo
|
$61.80 |
$61.80 |
$61.80 |
$61.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$172.80 |
$172.80 |
$172.80 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$84.60 |
$84.60 |
$84.60 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$84.60 |
$84.60 |
$84.60 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$172.80 |
$172.80 |
$172.80 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$172.80 |
$172.80 |
$172.80 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$91.20 |
$91.20 |
$91.20 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$148.80 |
$148.80 |
$148.80 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$172.80 |
$172.80 |
$172.80 |
$209.23
|
|
Cytopath smear other source
|
$33.60 |
$33.60 |
$33.60 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$129.00 |
$129.00 |
$129.00 |
$96.20
|
|
Cytopath tbs c/v manual
|
$34.20 |
$34.20 |
$34.20 |
$59.28
|
|
Cytotoxic antibody screening
|
$223.20 |
$223.20 |
$223.20 |
$189.00
|
|
Cytp urine 3-5 probes cmptr
|
$417.00 |
$417.00 |
$417.00 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$58.22
|
|
Dalbavancin 500 mg intravenous solution
|
$9,126.96 |
$9,126.96 |
$9,287.10 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$179.58 |
$179.58 |
$179.58 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$49,476.36 |
$49,476.36 |
$53,916.54 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$20,201.40 |
$20,201.40 |
$26,365.50 |
$6,072.48
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$124.02 |
$124.02 |
$135.12 |
$257.10
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$7,994.34 |
$7,994.34 |
$7,994.34 |
$3,774.81
|
|
Dch validity tests
|
$15.60 |
$15.60 |
$15.60 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$30.60 |
$30.60 |
$30.60 |
$43.60
|
|
Debridement (>20 cm) charge pt
|
$381.00 |
$381.00 |
$381.00 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$18,480.42 |
$18,480.42 |
$30,438.01 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$3,304.20 |
$3,304.20 |
$4,829.40 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,927.80 |
$1,927.80 |
$1,927.80 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$5,531.40 |
$5,531.40 |
$15,625.69 |
$810.50
|
|
Debride nail1-5 11720
|
$309.60 |
$309.60 |
$309.60 |
$148.80
|
|
Debride nail6 or more 11721
|
$413.40 |
$413.40 |
$413.40 |
$169.60
|
|
Debride skin bone at fx site
|
$14,359.34 |
$14,359.34 |
$49,639.88 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$620.40 |
$620.40 |
$9,774.90 |
$639.60
|
|
Debr musc/fascia 20sq cm/< 11043
|
$3,154.20 |
$3,154.20 |
$18,468.70 |
$1,160.00
|
|
Decalcification
|
$49.20 |
$49.20 |
$49.20 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$217.02 |
$217.02 |
$237.12 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$589.20 |
$589.20 |
$589.20 |
$543.00
|
|
Deep muscle biopsy 20205
|
$17,756.76 |
$17,756.76 |
$36,463.56 |
$3,339.00
|
|
Deferoxamine 500 mg solution for injection
|
$83.28 |
$83.28 |
$187.56 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,286.00 |
$2,286.00 |
$2,491.14 |
$1,807.08
|
|
Delayed breast prosthesis 19342
|
$25,125.62 |
$25,125.62 |
$30,756.19 |
$10,457.82
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$2,656.80 |
$2,656.80 |
$2,656.80 |
$6,670.30
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$17,697.18 |
$17,697.18 |
$18,007.68 |
$6,324.98
|
|
Dermapure 1 square cm
|
$7,927.49 |
$7,927.49 |
$7,927.49 |
$3,822.00
|
|
Descend thora aorta rpr/lt sub art 33880
|
$30,004.80 |
$30,004.80 |
$30,004.80 |
$6,687.93
|
|
Design mlc device for imrt
|
$3,792.60 |
$3,792.60 |
$3,792.60 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$55.74 |
$55.74 |
$109.56 |
$89.78
|
|
Desoxycorticosterone
|
$136.20 |
$136.20 |
$136.20 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$30,004.80 |
$30,004.80 |
$30,004.80 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$5,980.20 |
$5,980.20 |
$5,980.20 |
$2,727.20
|
|
Destroy cervthor facet jnt 64633
|
$5,094.42 |
$5,094.42 |
$5,094.42 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$5,094.42 |
$5,094.42 |
$5,094.42 |
$1,441.44
|
|
Destruct cut vasl lesions <10cm 17106
|
$5,076.60 |
$5,076.60 |
$5,076.60 |
$660.00
|
|
Destruction benign lesions < 14 lesions
|
$6,398.16 |
$6,398.16 |
$6,398.16 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$4,947.96 |
$4,947.96 |
$4,947.96 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$4,955.94 |
$4,955.94 |
$4,955.94 |
$3,202.98
|
|
Destruction vag lesions simple 57061
|
$7,586.46 |
$7,586.46 |
$7,586.46 |
$3,815.20
|
|
Detect agent nos dna dir
|
$181.80 |
$181.80 |
$181.80 |
$115.20
|
|
Detect agnt mult dna direc
|
$146.40 |
$146.40 |
$146.40 |
$162.00
|
|
Device ablt adv novasure
|
$12,727.47 |
$12,727.47 |
$12,727.47 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$6,560.55 |
$6,560.55 |
$6,560.55 |
$4,200.00
|
|
Device sut capio slim opn
|
$3,002.11 |
$3,002.11 |
$3,002.11 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$2,430.68 |
$2,430.68 |
$2,430.68 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$252.60 |
$252.60 |
$252.60 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$80.16 |
$80.16 |
$107.34 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$23,224.68 |
$23,224.68 |
$44,778.06 |
$21.17
|
|
Dexamethasone intra implant
|
$8,732.28 |
$8,732.28 |
$8,732.28 |
$2,538.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$25.38 |
$25.38 |
$39.60 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$33.84 |
$33.84 |
$39.60 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$25.38 |
$25.38 |
$37.98 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$33.84 |
$33.84 |
$39.60 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$39.60 |
$39.60 |
$39.60 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$69.60 |
$69.60 |
$69.60 |
$79.20
|
|
Diag laparo separate proc 49320
|
$12,880.98 |
$12,880.98 |
$14,341.14 |
$6,904.15
|
|
Diagnostic Mammogram (both breasts)
|
$315.00 |
$315.00 |
$315.00 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$244.80 |
$244.80 |
$244.80 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$210.00 |
$210.00 |
$210.00 |
$214.08
|
|
Diatrizoate meglumine 18 % urethral solution
|
$102.60 |
$102.60 |
$102.60 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$45.48 |
$45.48 |
$47.52 |
$74.76
|
|
Dicyclomine injection
|
$69.42 |
$69.42 |
$105.30 |
$153.29
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$8.10 |
$8.10 |
$8.46 |
$69.03
|