|
Cytomegalovirus (cmv) antibody igm
|
$52.92 |
$52.92 |
$52.92 |
$97.50
|
|
Cyto/molecular report
|
$271.68 |
$271.68 |
$271.68 |
$133.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$88.02 |
$88.02 |
$88.02 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$54.44 |
$54.44 |
$54.44 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$62.58 |
$62.58 |
$62.58 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$100.74 |
$100.74 |
$100.74 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$72.25 |
$72.25 |
$72.25 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$63.60 |
$63.60 |
$63.60 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$144.50 |
$144.50 |
$144.50 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$103.20 |
$103.20 |
$103.20 |
$209.23
|
|
Cytopath smear other source
|
$37.92 |
$37.92 |
$37.92 |
$88.13
|
|
Cytopath smear other source
|
$141.45 |
$141.45 |
$141.45 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$77.34 |
$77.34 |
$77.34 |
$96.20
|
|
Cytopath tbs c/v manual
|
$34.60 |
$34.60 |
$34.60 |
$59.28
|
|
Dacarbazine 100 mg intravenous solution
|
$111.07 |
$111.07 |
$111.07 |
$58.22
|
|
Dactinomycin 0.5 mg intravenous solution
|
$5,248.40 |
$5,248.40 |
$5,248.40 |
$3,024.59
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,031.64 |
$1,031.64 |
$1,031.64 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$20,345.98 |
$20,345.98 |
$20,345.98 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$9,291.84 |
$9,291.84 |
$9,291.84 |
$6,072.48
|
|
D&c after delivery 59160
|
$421.44 |
$421.44 |
$421.44 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$459.36 |
$459.36 |
$459.36 |
$3,774.81
|
|
Dch validity tests
|
$13.74 |
$13.74 |
$13.74 |
$24.50
|
|
Dcmprn plantar digital nerve
|
$413.76 |
$413.76 |
$413.76 |
$2,375.24
|
|
Deamidated gliadin antibody iga
|
$22.00 |
$22.00 |
$22.00 |
$43.60
|
|
Debr g/per/abd wall 11006
|
$1,056.48 |
$1,056.48 |
$1,056.48 |
$1,357.80
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$997.44 |
$997.44 |
$997.44 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$96.67 |
$96.67 |
$96.67 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$2,755.20 |
$2,755.20 |
$2,755.20 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$111.84 |
$111.84 |
$111.84 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$184.32 |
$184.32 |
$184.32 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$679.68 |
$679.68 |
$679.68 |
$810.50
|
|
Debride nail1-5 11720
|
$114.48 |
$114.48 |
$114.48 |
$148.80
|
|
Debride nail6 or more 11721
|
$68.64 |
$68.64 |
$68.64 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$764.16 |
$764.16 |
$764.16 |
$1,012.80
|
|
Debride skin bone at fx site
|
$994.56 |
$994.56 |
$994.56 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$857.28 |
$857.28 |
$857.28 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,167.84 |
$1,167.84 |
$1,167.84 |
$1,820.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$679.68 |
$679.68 |
$679.68 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$120.48 |
$120.48 |
$120.48 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,184.64 |
$1,184.64 |
$1,184.64 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$41.76 |
$41.76 |
$41.76 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$355.68 |
$355.68 |
$355.68 |
$1,160.00
|
|
Decalcification
|
$31.04 |
$31.04 |
$31.04 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$263.04 |
$263.04 |
$263.04 |
$543.00
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$726.72 |
$726.72 |
$726.72 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$1,140.96 |
$1,140.96 |
$1,140.96 |
$3,137.60
|
|
Decompress fasciotomyhand 26037
|
$871.68 |
$871.68 |
$871.68 |
$3,839.54
|
|
Decompression of leg
|
$825.12 |
$825.12 |
$825.12 |
$3,839.54
|
|
Decompression of leg
|
$1,247.52 |
$1,247.52 |
$1,247.52 |
$3,839.54
|
|
Decompression of lower leg
|
$613.92 |
$613.92 |
$613.92 |
$3,839.54
|
|
Decompression of thigh/knee
|
$1,020.48 |
$1,020.48 |
$1,020.48 |
$3,217.60
|
|
Decompression of tibia nerve
|
$807.84 |
$807.84 |
$807.84 |
$2,625.60
|
|
Decompression unspecified nerve 64722
|
$575.04 |
$575.04 |
$575.04 |
$2,163.32
|
|
Deep muscle biopsy 20205
|
$465.60 |
$465.60 |
$465.60 |
$3,339.00
|
|
Deferoxamine 500 mg solution for injection
|
$124.67 |
$124.67 |
$124.67 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,176.12 |
$1,176.12 |
$1,176.12 |
$1,807.08
|
|
Delayed breast prosthesis 19342
|
$1,166.88 |
$1,166.88 |
$1,166.88 |
$10,457.82
|
|
Delay flap arms/legs
|
$3,189.12 |
$3,189.12 |
$3,189.12 |
$3,786.00
|
|
Delay flap eye/nos/ear/lip
|
$3,189.12 |
$3,189.12 |
$3,189.12 |
$2,190.24
|
|
Delay flap fccnaxghf 15620
|
$3,189.12 |
$3,189.12 |
$3,189.12 |
$2,164.64
|
|
Delay flap trunk 15600
|
$5,850.72 |
$5,850.72 |
$5,850.72 |
$4,332.25
|
|
Delivery of placenta 59414
|
$4,909.44 |
$4,909.44 |
$4,909.44 |
$3,070.56
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$194.87 |
$194.87 |
$194.87 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$8,283.22 |
$8,283.22 |
$8,283.22 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$445.92 |
$445.92 |
$445.92 |
$408.10
|
|
Depo-estradiol cypionate inj
|
$539.83 |
$539.83 |
$539.83 |
$71.51
|
|
Derm autograft face/nck/hf/g
|
$5,850.72 |
$5,850.72 |
$5,850.72 |
$4,055.70
|
|
Derm autograft trnk/arm/leg
|
$3,189.12 |
$3,189.12 |
$3,189.12 |
$2,984.90
|
|
Design mlc device for imrt
|
$907.20 |
$907.20 |
$907.20 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,362.20 |
$1,362.20 |
$1,362.20 |
$89.78
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$216.48 |
$216.48 |
$216.48 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$276.48 |
$276.48 |
$276.48 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$315.84 |
$315.84 |
$315.84 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$230.40 |
$230.40 |
$230.40 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$255.84 |
$255.84 |
$255.84 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$289.92 |
$289.92 |
$289.92 |
$317.00
|
|
Dest mal lesion tal <0.5 17260
|
$153.60 |
$153.60 |
$153.60 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$228.00 |
$228.00 |
$228.00 |
$262.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$274.08 |
$274.08 |
$274.08 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$296.16 |
$296.16 |
$296.16 |
$364.50
|
|
Destroy premlg lesns;1st lesn 17000
|
$104.16 |
$104.16 |
$104.16 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$427.20 |
$427.20 |
$427.20 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$296.16 |
$296.16 |
$296.16 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$204.48 |
$204.48 |
$204.48 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$10.56 |
$10.56 |
$10.56 |
$72.60
|
|
Destruction anal lesion(s)
|
$405.60 |
$405.60 |
$405.60 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$850.08 |
$850.08 |
$850.08 |
$3,363.79
|
|
Destruction benign lesions < 14 lesions
|
$174.72 |
$174.72 |
$174.72 |
$235.13
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$400.32 |
$400.32 |
$400.32 |
$364.50
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$321.12 |
$321.12 |
$321.12 |
$513.60
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$317.76 |
$317.76 |
$317.76 |
$472.79
|
|
Destruction mal lsn t/a/l >4cm
|
$360.96 |
$360.96 |
$360.96 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$222.72 |
$222.72 |
$222.72 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$342.24 |
$342.24 |
$342.24 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$256.80 |
$256.80 |
$256.80 |
$436.64
|
|
Destruction vag lesions complex 57065
|
$380.16 |
$380.16 |
$380.16 |
$3,762.53
|
|
Destruction vag lesions simple 57061
|
$258.24 |
$258.24 |
$258.24 |
$3,815.20
|
|
Destruct penis les/smp/electrodesi 54055
|
$212.64 |
$212.64 |
$212.64 |
$2,837.09
|
|
Developmental screen/score/document 96110
|
$131.27 |
$131.27 |
$131.27 |
$130.65
|
|
Devel tst phys/qhp 1st hr
|
$272.16 |
$272.16 |
$272.16 |
$337.50
|