|
Cv stress test/supervision only 93016
|
$112.20 |
$112.20 |
$112.20 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$100.20 |
$100.20 |
$100.20 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$13.80 |
$13.80 |
$13.80 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$65.40 |
$65.40 |
$65.40 |
$72.36
|
|
Cyclosporine 2 hour
|
$123.00 |
$123.00 |
$123.00 |
$130.40
|
|
Cystogram >= 3 views supervision & interpretation
|
$176.40 |
$176.40 |
$176.40 |
$586.95
|
|
Cystorrhaphy wound simple 51860
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$6,297.20
|
|
Cysto rx balo cath urtl strx
|
$198.60 |
$198.60 |
$198.60 |
$6,853.60
|
|
Cystoscopy and treatment
|
$880.80 |
$880.80 |
$880.80 |
$4,638.40
|
|
Cystoscopy and treatment
|
$477.00 |
$477.00 |
$477.00 |
$5,304.00
|
|
Cystoscopy and treatment
|
$631.20 |
$631.20 |
$631.20 |
$5,995.60
|
|
Cystoscopy and treatment
|
$1,460.40 |
$1,460.40 |
$1,460.40 |
$6,593.60
|
|
Cystoscopy and treatment
|
$565.20 |
$565.20 |
$565.20 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$400.80 |
$400.80 |
$400.80 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$293.40 |
$293.40 |
$293.40 |
$2,874.36
|
|
Cystoscopy & duct catheter
|
$264.60 |
$264.60 |
$264.60 |
$976.80
|
|
Cystoscopy inject material
|
$441.00 |
$441.00 |
$441.00 |
$5,986.78
|
|
Cystoscopy prostatic imp 1-3
|
$1,266.60 |
$1,266.60 |
$1,266.60 |
$5,741.40
|
|
Cystoscopy & revise urethra
|
$385.80 |
$385.80 |
$385.80 |
$3,032.64
|
|
Cystoscopy & ureter catheter
|
$355.80 |
$355.80 |
$355.80 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$489.00 |
$489.00 |
$489.00 |
$4,129.45
|
|
Cystouretero & or pyeloscope
|
$456.60 |
$456.60 |
$456.60 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$600.00 |
$600.00 |
$600.00 |
$5,110.00
|
|
Cystouretero w/biopsy
|
$491.40 |
$491.40 |
$491.40 |
$6,015.75
|
|
Cysto/uretero w/lithotripsy
|
$675.60 |
$675.60 |
$675.60 |
$9,430.00
|
|
Cystouretero w/lithotripsy
|
$667.20 |
$667.20 |
$667.20 |
$7,372.68
|
|
Cystouretero w/stone remove
|
$514.80 |
$514.80 |
$514.80 |
$5,741.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$732.60 |
$732.60 |
$732.60 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$379.20 |
$379.20 |
$379.20 |
$4,057.50
|
|
Cystourethro w/addl implant 52442
|
$61.20 |
$61.20 |
$61.20 |
$2,161.60
|
|
Cystourethro w/implant
|
$253.20 |
$253.20 |
$253.20 |
$2,777.60
|
|
Cysto w/up stricture tx
|
$507.60 |
$507.60 |
$507.60 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$630.00 |
$630.00 |
$630.00 |
$4,081.37
|
|
Cytogenetics 25-99
|
$153.00 |
$153.00 |
$153.00 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$119.40 |
$119.40 |
$119.40 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$119.40 |
$119.40 |
$119.40 |
$100.00
|
|
Cyto/molecular report
|
$107.40 |
$107.40 |
$107.40 |
$144.75
|
|
Cytopath c/v auto rescreen
|
$100.80 |
$100.80 |
$100.80 |
$39.20
|
|
Cytopath c/v thin layer redo
|
$156.60 |
$156.60 |
$156.60 |
$61.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$128.40 |
$128.40 |
$128.40 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$121.80 |
$121.80 |
$121.80 |
$92.40
|
|
Cytopathology concentration technique smears & interpretation
|
$159.60 |
$159.60 |
$159.60 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$141.00 |
$141.00 |
$141.00 |
$127.50
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$63.00 |
$63.00 |
$63.00 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$251.40 |
$251.40 |
$251.40 |
$213.85
|
|
Cytopath smear other source
|
$144.60 |
$144.60 |
$144.60 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$125.40 |
$125.40 |
$125.40 |
$96.20
|
|
Dacarbazine 100 mg intravenous solution
|
$48.60 |
$48.60 |
$48.60 |
$62.41
|
|
Dalbavancin 500 mg intravenous solution
|
$2,230.80 |
$2,230.80 |
$2,230.80 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$558.60 |
$558.60 |
$558.60 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$26,323.80 |
$26,323.80 |
$26,323.80 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$4,852.80 |
$4,852.80 |
$4,852.80 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$4,852.80 |
$4,852.80 |
$4,852.80 |
$7.20
|
|
D&c after delivery 59160
|
$369.60 |
$369.60 |
$369.60 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$405.00 |
$405.00 |
$405.00 |
$3,774.81
|
|
Dch glucoscan
|
$19.20 |
$19.20 |
$19.20 |
$29.16
|
|
Dch validity tests
|
$19.80 |
$19.80 |
$19.80 |
$25.00
|
|
Dcmprn plantar digital nerve
|
$525.00 |
$525.00 |
$525.00 |
$2,685.07
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$220.20 |
$220.20 |
$220.20 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$244.80 |
$244.80 |
$244.80 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$316.20 |
$316.20 |
$316.20 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$381.00 |
$381.00 |
$381.00 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$835.20
|
|
Debride nail1-5 11720
|
$97.80 |
$97.80 |
$97.80 |
$149.60
|
|
Debride nail6 or more 11721
|
$137.40 |
$137.40 |
$137.40 |
$169.80
|
|
Debride skin bone at fx site
|
$883.20 |
$883.20 |
$883.20 |
$3,015.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,421.40 |
$1,421.40 |
$1,421.40 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$316.20 |
$316.20 |
$316.20 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$93.00 |
$93.00 |
$93.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$553.20 |
$553.20 |
$553.20 |
$1,149.50
|
|
Debr inf skin add-on 11001
|
$25.20 |
$25.20 |
$25.20 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$1,165.50
|
|
Decalcification
|
$80.40 |
$80.40 |
$80.40 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$100.80 |
$100.80 |
$100.80 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
$4,914.00
|
|
Decompression of tibia nerve
|
$733.20 |
$733.20 |
$733.20 |
$2,685.07
|
|
Deferoxamine 500 mg solution for injection
|
$16.20 |
$16.20 |
$16.20 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,897.20 |
$1,897.20 |
$1,897.20 |
$1,856.85
|
|
Delivery of placenta 59414
|
$413.40 |
$413.40 |
$413.40 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$76.80 |
$76.80 |
$76.80 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$8,589.60 |
$8,589.60 |
$8,589.60 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$401.60
|
|
Dermagraft
|
$5,002.20 |
$5,002.20 |
$5,002.20 |
$85.00
|
|
Dermapure 1 square cm
|
$4,543.80 |
$4,543.80 |
$4,543.80 |
$3,300.73
|
|
Desmopressin 4 mcg/ml injection solution
|
$102.60 |
$102.60 |
$102.60 |
$91.84
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$150.00 |
$150.00 |
$150.00 |
$362.58
|
|
Destroy cervthor facet jnt 64633
|
$512.40 |
$512.40 |
$512.40 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$256.80 |
$256.80 |
$256.80 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$360.60 |
$360.60 |
$360.60 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$75.00 |
$75.00 |
$75.00 |
$202.40
|
|
Destroy vulva lesion extensive 56515
|
$361.80 |
$361.80 |
$361.80 |
$3,058.98
|
|
Destroy vulva lesion simple 56501
|
$159.00 |
$159.00 |
$159.00 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$121.80 |
$121.80 |
$121.80 |
$235.13
|
|
Destruct cut vasl lesions <10cm 17106
|
$451.80 |
$451.80 |
$451.80 |
$666.75
|
|
Destruction 2-14 lesions 17003
|
$30.60 |
$30.60 |
$30.60 |
$78.61
|
|
Destruction anal lesion(s)
|
$275.40 |
$275.40 |
$275.40 |
$3,711.00
|
|
Destruction anal lesion(s)
|
$255.00 |
$255.00 |
$255.00 |
$3,363.79
|
|
Destruction benign lesions < 14 lesions
|
$112.20 |
$112.20 |
$112.20 |
$240.24
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$133.20 |
$133.20 |
$133.20 |
$1,652.35
|
