|
Cystoscopy and treatment
|
$618.84 |
$618.84 |
$618.84 |
$4,045.60
|
|
Cystoscopy and treatment
|
$578.34 |
$578.34 |
$578.34 |
$4,081.37
|
|
Cystoscopy and treatment
|
$652.86 |
$652.86 |
$652.86 |
$4,081.37
|
|
Cystoscopy and treatment
|
$632.34 |
$632.34 |
$632.34 |
$2,874.36
|
|
Cystoscopy and treatment
|
$644.76 |
$644.76 |
$644.76 |
$3,203.50
|
|
Cystoscopy and treatment
|
$534.60 |
$534.60 |
$534.60 |
$4,061.71
|
|
Cystoscopy and treatment
|
$573.48 |
$573.48 |
$573.48 |
$3,820.84
|
|
Cystoscopy (Bladder Scope)
|
$462.24 |
$462.24 |
$462.24 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$349.38 |
$349.38 |
$349.38 |
$2,704.80
|
|
Cystoscopy implant stent
|
$784.35 |
$784.35 |
$784.35 |
$4,627.00
|
|
Cystoscopy removal of clots
|
$667.17 |
$667.17 |
$667.17 |
$4,081.37
|
|
Cystoscopy stone removal
|
$754.65 |
$754.65 |
$754.65 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$822.96 |
$822.96 |
$822.96 |
$3,786.00
|
|
Cystouretero & or pyeloscope
|
$705.51 |
$705.51 |
$705.51 |
$4,315.98
|
|
Cystouretero w/biopsy
|
$857.52 |
$857.52 |
$857.52 |
$5,986.78
|
|
Cysto/uretero w/lithotripsy
|
$980.91 |
$980.91 |
$980.91 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$919.62 |
$919.62 |
$919.62 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$827.82 |
$827.82 |
$827.82 |
$5,110.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$642.60 |
$642.60 |
$642.60 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$814.86 |
$814.86 |
$814.86 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$103.95 |
$103.95 |
$103.95 |
$2,161.60
|
|
Cystourethro w/implant
|
$432.54 |
$432.54 |
$432.54 |
$2,298.40
|
|
Cysto w/ureter stricture tx
|
$656.37 |
$656.37 |
$656.37 |
$4,081.37
|
|
Cyto/molecular report
|
$123.12 |
$123.12 |
$123.12 |
$133.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$190.08 |
$190.08 |
$190.08 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$311.58 |
$311.58 |
$311.58 |
$87.50
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$245.16 |
$245.16 |
$245.16 |
$209.23
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$87.09 |
$87.09 |
$87.09 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$10,800.00 |
$10,800.00 |
$10,800.00 |
$21,063.03
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$38.34 |
$38.34 |
$38.34 |
$257.10
|
|
D&c after delivery 59160
|
$423.36 |
$423.36 |
$423.36 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$619.92 |
$619.92 |
$619.92 |
$3,774.81
|
|
Dch validity tests
|
$13.23 |
$13.23 |
$13.23 |
$24.50
|
|
Debr g/per/abd wall 11006
|
$1,420.20 |
$1,420.20 |
$1,420.20 |
$1,357.80
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$123.66 |
$123.66 |
$123.66 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$45.90 |
$45.90 |
$45.90 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$810.54 |
$810.54 |
$810.54 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$128.52 |
$128.52 |
$128.52 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$228.96 |
$228.96 |
$228.96 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$271.08 |
$271.08 |
$271.08 |
$810.50
|
|
Debride nail1-5 11720
|
$69.66 |
$69.66 |
$69.66 |
$148.80
|
|
Debride nail6 or more 11721
|
$95.04 |
$95.04 |
$95.04 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$614.52 |
$614.52 |
$614.52 |
$1,012.80
|
|
Debride skin bone at fx site
|
$851.31 |
$851.31 |
$851.31 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,169.37 |
$1,169.37 |
$1,169.37 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,763.64 |
$1,763.64 |
$1,763.64 |
$1,820.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$82.62 |
$82.62 |
$82.62 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$165.78 |
$165.78 |
$165.78 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$574.02 |
$574.02 |
$574.02 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$585.90 |
$585.90 |
$585.90 |
$1,160.00
|
|
Decalcification
|
$43.20 |
$43.20 |
$43.20 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$42.12 |
$42.12 |
$42.12 |
$1,073.52
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$973.62 |
$973.62 |
$973.62 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$1,547.10 |
$1,547.10 |
$1,547.10 |
$3,137.60
|
|
Decompress forearm 2 spaces
|
$1,638.90 |
$1,638.90 |
$1,638.90 |
$3,851.20
|
|
Decompression of lower leg
|
$836.46 |
$836.46 |
$836.46 |
$3,839.54
|
|
Decompression of lower leg
|
$922.86 |
$922.86 |
$922.86 |
$3,839.54
|
|
Decompression of tibia nerve
|
$771.66 |
$771.66 |
$771.66 |
$2,625.60
|
|
Degarelix 120 mg subcutaneous solution
|
$7.02 |
$7.02 |
$7.02 |
$1,807.08
|
|
Delivery of placenta 59414
|
$204.93 |
$204.93 |
$204.93 |
$3,070.56
|
|
Delivery only failed vbac 59620
|
$2,105.73 |
$2,105.73 |
$2,105.73 |
$1,809.60
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$7,410.46 |
$7,410.46 |
$7,410.46 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$633.42 |
$633.42 |
$633.42 |
$408.10
|
|
Depo-estradiol cypionate inj
|
$41.58 |
$41.58 |
$41.58 |
$71.51
|
|
Desmopressin 4 mcg/ml injection solution
|
$19.17 |
$19.17 |
$19.17 |
$89.78
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$297.54 |
$297.54 |
$297.54 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$379.62 |
$379.62 |
$379.62 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$433.08 |
$433.08 |
$433.08 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$316.44 |
$316.44 |
$316.44 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$351.54 |
$351.54 |
$351.54 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$396.90 |
$396.90 |
$396.90 |
$317.00
|
|
Dest mal lesion tal <0.5 17260
|
$210.60 |
$210.60 |
$210.60 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$313.20 |
$313.20 |
$313.20 |
$262.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$375.30 |
$375.30 |
$375.30 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$407.16 |
$407.16 |
$407.16 |
$364.50
|
|
Destroy internal hemorrhoids destroy 46930
|
$325.62 |
$325.62 |
$325.62 |
$1,344.85
|
|
Destroy premlg lesns;1st lesn 17000
|
$161.19 |
$161.19 |
$161.19 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$576.72 |
$576.72 |
$576.72 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$400.14 |
$400.14 |
$400.14 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$280.26 |
$280.26 |
$280.26 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$14.04 |
$14.04 |
$14.04 |
$72.60
|
|
Destruction anal lesion(s)
|
$551.61 |
$551.61 |
$551.61 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$383.40 |
$383.40 |
$383.40 |
$3,363.79
|
|
Destruction anal lesion(s) smpl chem 46900
|
$510.84 |
$510.84 |
$510.84 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$239.22 |
$239.22 |
$239.22 |
$235.13
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$441.18 |
$441.18 |
$441.18 |
$513.60
|
|
Destruction penis lesion(s) chem 54050
|
$307.26 |
$307.26 |
$307.26 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$367.74 |
$367.74 |
$367.74 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$350.46 |
$350.46 |
$350.46 |
$436.64
|
|
Destruction vag lesions complex 57065
|
$512.46 |
$512.46 |
$512.46 |
$3,762.53
|
|
Destruction vag lesions simple 57061
|
$348.30 |
$348.30 |
$348.30 |
$3,815.20
|
|
Device intraute mirena
|
$488.16 |
$488.16 |
$488.16 |
$2,125.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$36.18 |
$36.18 |
$36.18 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$2.41 |
$2.41 |
$2.41 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$10.39 |
$10.39 |
$10.39 |
$21.17
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$299.70 |
$299.70 |
$299.70 |
$858.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$34.27 |
$34.27 |
$34.27 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$34.55 |
$34.55 |
$34.55 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$25.93 |
$25.93 |
$25.93 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$32.09 |
$32.09 |
$32.09 |
$48.00
|