|
Cysto/uretero stricture tx
|
$236.21 |
$236.21 |
$236.21 |
$5,110.00
|
|
Cystouretero w/biopsy
|
$266.80 |
$266.80 |
$266.80 |
$6,015.75
|
|
Cystouretero w/excise tumor
|
$299.00 |
$299.00 |
$299.00 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$265.65 |
$265.65 |
$265.65 |
$10,101.74
|
|
Cystouretero w/lithotripsy
|
$250.24 |
$250.24 |
$250.24 |
$7,372.68
|
|
Cystouretero w/renal strict
|
$284.97 |
$284.97 |
$284.97 |
$5,631.74
|
|
Cystouretero w/stone remove
|
$226.55 |
$226.55 |
$226.55 |
$5,741.00
|
|
Cysto/uretero w/up stricture
|
$251.85 |
$251.85 |
$251.85 |
$4,081.37
|
|
Cystourethro cut ejacul duct
|
$169.51 |
$169.51 |
$169.51 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$97.75 |
$97.75 |
$97.75 |
$3,277.80
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$90.62 |
$90.62 |
$90.62 |
$4,057.50
|
|
Cystourethro w/addl implant 52442
|
$32.66 |
$32.66 |
$32.66 |
$2,161.60
|
|
Cystourethro w/implant
|
$134.55 |
$134.55 |
$134.55 |
$2,777.60
|
|
Cysto w/renal stricture tx
|
$220.11 |
$220.11 |
$220.11 |
$4,045.60
|
|
Cysto w/up stricture tx
|
$197.57 |
$197.57 |
$197.57 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$181.47 |
$181.47 |
$181.47 |
$4,081.37
|
|
Cytogenetics 25-99
|
$124.74 |
$124.74 |
$124.74 |
$189.80
|
|
Cytogenetics 3-5
|
$119.35 |
$119.35 |
$119.35 |
$145.60
|
|
Cytogenomic neo microra alys
|
$800.40 |
$800.40 |
$800.40 |
$2,198.00
|
|
Cytomegalovirus ag ia
|
$8.28 |
$8.28 |
$8.28 |
$38.58
|
|
Cytomegalovirus (cmv) antibody igg
|
$95.48 |
$95.48 |
$95.48 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$110.88 |
$110.88 |
$110.88 |
$100.00
|
|
Cytomegalovirus dfa
|
$9.20 |
$9.20 |
$9.20 |
$74.88
|
|
Cytomeg dna dir probe
|
$20.70 |
$20.70 |
$20.70 |
$148.50
|
|
Cyto/molecular report
|
$46.20 |
$46.20 |
$46.20 |
$144.75
|
|
Cytopath c/v auto in fluid
|
$17.48 |
$17.48 |
$17.48 |
$56.00
|
|
Cytopath c/v automated
|
$34.96 |
$34.96 |
$34.96 |
$92.04
|
|
Cytopath c/v auto redo
|
$18.86 |
$18.86 |
$18.86 |
$56.00
|
|
Cytopath c/v auto rescreen
|
$12.42 |
$12.42 |
$12.42 |
$39.20
|
|
Cytopath c/v index add-on
|
$10.12 |
$10.12 |
$10.12 |
$34.20
|
|
Cytopath c/v manual
|
$12.42 |
$12.42 |
$12.42 |
$34.98
|
|
Cytopath c/v redo
|
$16.56 |
$16.56 |
$16.56 |
$48.80
|
|
Cytopath c/v thin layer redo
|
$16.10 |
$16.10 |
$16.10 |
$61.20
|
|
Cytopath fl nongyn filter
|
$11.96 |
$11.96 |
$11.96 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$156.31 |
$156.31 |
$156.31 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$77.77 |
$77.77 |
$77.77 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$59.29 |
$59.29 |
$59.29 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$114.73 |
$114.73 |
$114.73 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$114.73 |
$114.73 |
$114.73 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$375.76 |
$375.76 |
$375.76 |
$67.80
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$501.27 |
$501.27 |
$501.27 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$156.31 |
$156.31 |
$156.31 |
$213.85
|
|
Cytopath smear other source
|
$71.61 |
$71.61 |
$71.61 |
$92.50
|
|
Cytopath smear other source
|
$24.61 |
$24.61 |
$24.61 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$71.61 |
$71.61 |
$71.61 |
$96.20
|
|
Cytopath tbs c/v auto redo
|
$12.42 |
$12.42 |
$12.42 |
$36.80
|
|
Cytopath tbs c/v manual
|
$53.13 |
$53.13 |
$53.13 |
$59.28
|
|
Cytopath tbs c/v redo
|
$28.98 |
$28.98 |
$28.98 |
$84.80
|
|
Cytopath tbs c/v select
|
$12.42 |
$12.42 |
$12.42 |
$36.80
|
|
Cytotoxic antibody screening
|
$54.28 |
$54.28 |
$54.28 |
$193.80
|
|
Cytotoxic antibody screening
|
$20.70 |
$20.70 |
$20.70 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$30.59 |
$30.59 |
$30.59 |
$690.00
|
|
Dalbavancin 500 mg intravenous solution
|
$4,296.60 |
$4,296.60 |
$4,296.60 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$358.61 |
$358.61 |
$358.61 |
$171.19
|
|
Darbepoetin alfa, esrd use
|
$1,246.14 |
$1,246.14 |
$1,246.14 |
$7.20
|
|
Dark field exam spec collj
|
$12.19 |
$12.19 |
$12.19 |
$31.20
|
|
Dark field exam without collj
|
$7.82 |
$7.82 |
$7.82 |
$28.80
|
|
D&c after delivery 59160
|
$120.98 |
$120.98 |
$120.98 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$150.65 |
$150.65 |
$150.65 |
$3,780.50
|
|
Dch glucoscan
|
$3.68 |
$3.68 |
$3.68 |
$29.16
|
|
Dch pulmonary stress test
|
$43.24 |
$43.24 |
$43.24 |
$963.30
|
|
Dch validity tests
|
$22.33 |
$22.33 |
$22.33 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$387.55 |
$387.55 |
$387.55 |
$5,110.00
|
|
Dcmprn orbit only transcrnl
|
$1,171.16 |
$1,171.16 |
$1,171.16 |
$5,741.00
|
|
Dcmprn plantar digital nerve
|
$176.41 |
$176.41 |
$176.41 |
$2,375.24
|
|
D&c of cervical stump
|
$82.34 |
$82.34 |
$82.34 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$79.31 |
$79.31 |
$79.31 |
$43.35
|
|
Debr g/per/abd wall 11006
|
$450.11 |
$450.11 |
$450.11 |
$1,420.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$17.48 |
$17.48 |
$17.48 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$435.82 |
$435.82 |
$435.82 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$4,740.89 |
$4,740.89 |
$4,740.89 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,342.88 |
$1,342.88 |
$1,342.88 |
$704.40
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$4,740.89 |
$4,740.89 |
$4,740.89 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,168.86 |
$1,168.86 |
$1,168.86 |
$842.40
|
|
Debride nail1-5 11720
|
$174.02 |
$174.02 |
$174.02 |
$151.05
|
|
Debride nail6 or more 11721
|
$174.02 |
$174.02 |
$174.02 |
$170.88
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$192.28 |
$192.28 |
$192.28 |
$1,156.80
|
|
Debride skin bone at fx site
|
$267.26 |
$267.26 |
$267.26 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$364.55 |
$364.55 |
$364.55 |
$857.28
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$495.42 |
$495.42 |
$495.42 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$877.03 |
$877.03 |
$877.03 |
$668.37
|
|
Debrid mastoidectomy cavity simple 69220
|
$33.35 |
$33.35 |
$33.35 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$178.02 |
$178.02 |
$178.02 |
$1,141.50
|
|
Debr inf skin add-on 11001
|
$9.43 |
$9.43 |
$9.43 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,791.79 |
$1,791.79 |
$1,791.79 |
$1,176.57
|
|
Decalcification
|
$422.73 |
$422.73 |
$422.73 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$970.97 |
$970.97 |
$970.97 |
$573.65
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$307.05 |
$307.05 |
$307.05 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$467.82 |
$467.82 |
$467.82 |
$3,137.60
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$796.72 |
$796.72 |
$796.72 |
$4,664.40
|
|
Decompress fasciotomyhand 26037
|
$368.92 |
$368.92 |
$368.92 |
$3,839.54
|
|
Decompress fingers/hand
|
$562.12 |
$562.12 |
$562.12 |
$3,839.54
|
|
Decompress forearm 1 space
|
$836.05 |
$836.05 |
$836.05 |
$3,986.00
|
|
Decompress forearm 2 spaces
|
$507.15 |
$507.15 |
$507.15 |
$3,851.20
|
|
Decompression fasct forearm
|
$584.43 |
$584.43 |
$584.43 |
$5,886.74
|
|
Decompression of leg
|
$352.36 |
$352.36 |
$352.36 |
$3,839.54
|
|
Decompression of leg
|
$402.04 |
$402.04 |
$402.04 |
$6,588.00
|
|
Decompression of leg
|
$531.99 |
$531.99 |
$531.99 |
$4,094.02
|
|
Decompression of lower leg
|
$260.36 |
$260.36 |
$260.36 |
$3,885.00
|
|
Decompression of lower leg
|
$284.97 |
$284.97 |
$284.97 |
$3,839.54
|
