|
Culture urine each isolate
|
$33.00 |
$33.00 |
$33.00 |
$58.20
|
|
Curette/treat cornea
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$1,345.80
|
|
Curette/treat cornea
|
$2,732.50 |
$2,732.50 |
$2,732.50 |
$2,818.14
|
|
Cutter lead
|
$620.00 |
$620.00 |
$620.00 |
$6,092.06
|
|
Cv line/pic reposition
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$1,681.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$5.05 |
$5.05 |
$5.05 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$31.00 |
$31.00 |
$31.00 |
$72.00
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$617.67 |
$617.67 |
$617.67 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$193.00 |
$193.00 |
$193.00 |
$129.48
|
|
Cygnus matrix, per sq cm
|
$221.50 |
$221.50 |
$221.50 |
$295.20
|
|
Cylinder pump set 20cm titan zero angl
|
$11,504.80 |
$11,504.80 |
$11,504.80 |
$23,912.22
|
|
Cystatin c
|
$167.50 |
$167.50 |
$167.50 |
$78.62
|
|
Cystogram >= 3 views supervision & interpretation
|
$266.00 |
$266.00 |
$266.00 |
$565.61
|
|
Cysto impl 4 or more
|
$544.50 |
$544.50 |
$544.50 |
$6,860.21
|
|
Cystoscopy and treatment
|
$391.50 |
$391.50 |
$391.50 |
$4,081.37
|
|
Cystoscopy and treatment
|
$4,051.50 |
$4,051.50 |
$4,051.50 |
$4,160.10
|
|
Cystoscopy and treatment
|
$4,250.50 |
$4,250.50 |
$4,250.50 |
$5,162.50
|
|
Cystoscopy and treatment
|
$1,921.00 |
$1,921.00 |
$1,921.00 |
$5,995.60
|
|
Cystoscopy and treatment
|
$2,771.50 |
$2,771.50 |
$2,771.50 |
$6,475.26
|
|
Cystoscopy and treatment
|
$2,402.50 |
$2,402.50 |
$2,402.50 |
$3,213.14
|
|
Cystoscopy and treatment
|
$2,402.50 |
$2,402.50 |
$2,402.50 |
$2,424.12
|
|
Cystoscopy and treatment
|
$1,385.50 |
$1,385.50 |
$1,385.50 |
$4,045.60
|
|
Cystoscopy and treatment
|
$801.50 |
$801.50 |
$801.50 |
$958.81
|
|
Cystoscopy and treatment
|
$2,873.00 |
$2,873.00 |
$2,873.00 |
$2,867.70
|
|
Cystoscopy and treatment
|
$1,558.50 |
$1,558.50 |
$1,558.50 |
$3,203.50
|
|
Cystoscopy and treatment
|
$6,795.45 |
$6,795.45 |
$6,795.45 |
$4,061.71
|
|
Cystoscopy and treatment
|
$545.67 |
$545.67 |
$545.67 |
$3,820.84
|
|
Cystoscopy (Bladder Scope)
|
$802.00 |
$802.00 |
$802.00 |
$1,445.41
|
|
Cystoscopy chemodenervation
|
$2,459.50 |
$2,459.50 |
$2,459.50 |
$2,704.80
|
|
Cystoscopy inject material
|
$16,425.00 |
$16,425.00 |
$16,425.00 |
$5,986.78
|
|
Cystoscopy prostatic imp 1-3
|
$712.50 |
$712.50 |
$712.50 |
$5,741.40
|
|
Cystoscopy removal of clots
|
$4,152.00 |
$4,152.00 |
$4,152.00 |
$4,051.50
|
|
Cystoscopy & ureter catheter
|
$3,728.50 |
$3,728.50 |
$3,728.50 |
$3,684.30
|
|
Cystostomy cystotomy w/drainage 51040
|
$2,754.50 |
$2,754.50 |
$2,754.50 |
$4,129.45
|
|
Cystouretero & or pyeloscope
|
$1,574.83 |
$1,574.83 |
$1,574.83 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$1,089.67 |
$1,089.67 |
$1,089.67 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$2,949.67 |
$2,949.67 |
$2,949.67 |
$5,971.01
|
|
Cysto/uretero w/lithotripsy
|
$9,599.50 |
$9,599.50 |
$9,599.50 |
$7,372.68
|
|
Cystouretero w/stone remove
|
$2,468.33 |
$2,468.33 |
$2,468.33 |
$5,014.02
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,899.50 |
$3,899.50 |
$3,899.50 |
$3,015.50
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$2,459.50 |
$2,459.50 |
$2,459.50 |
$4,045.60
|
|
Cystourethro w/implant
|
$692.83 |
$692.83 |
$692.83 |
$2,298.40
|
|
Cytogenetics 25-99
|
$210.00 |
$210.00 |
$210.00 |
$190.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$63.00 |
$63.00 |
$63.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$35.50 |
$35.50 |
$35.50 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$402.00 |
$402.00 |
$402.00 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$144.50 |
$144.50 |
$144.50 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$57.50 |
$57.50 |
$57.50 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$127.50 |
$127.50 |
$127.50 |
$126.00
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$127.50 |
$127.50 |
$127.50 |
$125.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$74.50 |
$74.50 |
$74.50 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$157.00 |
$157.00 |
$157.00 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$151.00 |
$151.00 |
$151.00 |
$210.97
|
|
Cytopath smear other source
|
$82.00 |
$82.00 |
$82.00 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$74.00 |
$74.00 |
$74.00 |
$95.00
|
|
Dalbavancin 500 mg intravenous solution
|
$6,201.23 |
$6,201.23 |
$6,201.23 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$47.83 |
$47.83 |
$47.83 |
$170.40
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$19,945.05 |
$19,945.05 |
$19,945.05 |
$21,050.42
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$17.00 |
$17.00 |
$17.00 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$17.00 |
$17.00 |
$17.00 |
$4.48
|
|
D&c after delivery 59160
|
$3,720.50 |
$3,720.50 |
$3,720.50 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$1,211.00 |
$1,211.00 |
$1,211.00 |
$3,774.81
|
|
Dch validity tests
|
$21.50 |
$21.50 |
$21.50 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$41.50 |
$41.50 |
$41.50 |
$44.00
|
|
Debridement (>20 cm) charge pt
|
$49.00 |
$49.00 |
$49.00 |
$262.25
|
|
Debridement bone <= 20 sq cm
|
$2,367.00 |
$2,367.00 |
$2,367.00 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$493.33 |
$493.33 |
$493.33 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$363.00 |
$363.00 |
$363.00 |
$1,412.40
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,133.50 |
$1,133.50 |
$1,133.50 |
$810.50
|
|
Debride nail1-5 11720
|
$1,291.00 |
$1,291.00 |
$1,291.00 |
$149.04
|
|
Debride nail6 or more 11721
|
$88.00 |
$88.00 |
$88.00 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$814.00 |
$814.00 |
$814.00 |
$1,149.50
|
|
Debride skin bone at fx site
|
$3,837.00 |
$3,837.00 |
$3,837.00 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$440.88 |
$440.88 |
$440.88 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$268.00 |
$268.00 |
$268.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,184.50 |
$1,184.50 |
$1,184.50 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$1,160.00
|
|
Decalcification
|
$73.00 |
$73.00 |
$73.00 |
$67.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$523.00 |
$523.00 |
$523.00 |
$557.00
|
|
Deep muscle biopsy 20205
|
$3,338.50 |
$3,338.50 |
$3,338.50 |
$3,339.00
|
|
Degarelix 120 mg subcutaneous solution
|
$9.00 |
$9.00 |
$9.00 |
$1,807.08
|
|
Delay flap eye/nos/ear/lip
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,190.24
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$328.00 |
$328.00 |
$328.00 |
$184.20
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$7,489.51 |
$7,489.51 |
$7,489.51 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$682.00 |
$682.00 |
$682.00 |
$401.60
|
|
Dermabrasion suprfl any site
|
$467.00 |
$467.00 |
$467.00 |
$1,144.80
|
|
Dermapure 1 square cm
|
$63.50 |
$63.50 |
$63.50 |
$3,822.00
|
|
Design mlc device for imrt
|
$674.00 |
$674.00 |
$674.00 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$288.74 |
$288.74 |
$288.74 |
$89.78
|
|
Desoxycorticosterone
|
$172.50 |
$172.50 |
$172.50 |
$109.28
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$230.50 |
$230.50 |
$230.50 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$2,690.00 |
$2,690.00 |
$2,690.00 |
$3,018.00
|
|
Destroy cth facet jnt addl 64634
|
$969.50 |
$969.50 |
$969.50 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$305.50 |
$305.50 |
$305.50 |
$203.04
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$849.50 |
$849.50 |
$849.50 |
$966.60
|
|
Destruct cut vasl lesions >50cm 17108
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$48.50 |
$48.50 |
$48.50 |
$78.61
|
|
Destruction anal lesion(s)
|
$521.17 |
$521.17 |
$521.17 |
$3,711.00
|
|
Destruction benign lesions < 14 lesions
|
$223.50 |
$223.50 |
$223.50 |
$239.22
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,406.00 |
$2,406.00 |
$2,406.00 |
$1,616.72
|
