|
Cystoscopy chemodenervation
|
$122.72 |
$122.72 |
$122.72 |
$2,874.36
|
|
Cystoscopy & duct catheter
|
$120.12 |
$120.12 |
$120.12 |
$976.80
|
|
Cystoscopy implant stent
|
$243.62 |
$243.62 |
$243.62 |
$4,081.37
|
|
Cystoscopy inject material
|
$187.46 |
$187.46 |
$187.46 |
$5,986.78
|
|
Cystoscopy removal of clots
|
$207.48 |
$207.48 |
$207.48 |
$4,061.71
|
|
Cystoscopy & revise urethra
|
$131.82 |
$131.82 |
$131.82 |
$2,874.36
|
|
Cystoscopy & revise urethra
|
$179.92 |
$179.92 |
$179.92 |
$3,032.64
|
|
Cystoscopy stone removal
|
$231.14 |
$231.14 |
$231.14 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$5,760.16 |
$5,760.16 |
$5,760.16 |
$3,743.38
|
|
Cystostomy cystotomy w/drainage 51040
|
$5,760.16 |
$5,760.16 |
$5,760.16 |
$4,129.45
|
|
Cystotomy/cystostomy fulg+/insj radact matrl 51020
|
$344.50 |
$344.50 |
$344.50 |
$4,061.71
|
|
Cystotomy excise/incise/repair 51535
|
$569.66 |
$569.66 |
$569.66 |
$4,061.71
|
|
Cystouretero & or pyeloscope
|
$219.18 |
$219.18 |
$219.18 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$267.02 |
$267.02 |
$267.02 |
$5,110.00
|
|
Cystouretero w/biopsy
|
$301.60 |
$301.60 |
$301.60 |
$6,015.75
|
|
Cystouretero w/excise tumor
|
$338.00 |
$338.00 |
$338.00 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$300.30 |
$300.30 |
$300.30 |
$8,966.17
|
|
Cystouretero w/lithotripsy
|
$282.88 |
$282.88 |
$282.88 |
$7,372.68
|
|
Cystouretero w/renal strict
|
$322.14 |
$322.14 |
$322.14 |
$5,631.74
|
|
Cystouretero w/stone remove
|
$256.10 |
$256.10 |
$256.10 |
$5,741.00
|
|
Cysto/uretero w/up stricture
|
$284.70 |
$284.70 |
$284.70 |
$4,081.37
|
|
Cystourethro cut ejacul duct
|
$191.62 |
$191.62 |
$191.62 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$5,760.16 |
$5,760.16 |
$5,760.16 |
$3,277.80
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$102.44 |
$102.44 |
$102.44 |
$4,057.50
|
|
Cystourethro w/addl implant 52442
|
$36.92 |
$36.92 |
$36.92 |
$2,161.60
|
|
Cystourethro w/implant
|
$152.10 |
$152.10 |
$152.10 |
$2,777.60
|
|
Cysto w/renal stricture tx
|
$248.82 |
$248.82 |
$248.82 |
$4,045.60
|
|
Cysto w/up stricture tx
|
$223.34 |
$223.34 |
$223.34 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$205.14 |
$205.14 |
$205.14 |
$4,081.37
|
|
Cytogenetics 25-99
|
$119.88 |
$119.88 |
$119.88 |
$189.80
|
|
Cytogenetics 3-5
|
$114.70 |
$114.70 |
$114.70 |
$145.60
|
|
Cytogenomic neo microra alys
|
$3,261.92 |
$3,261.92 |
$3,261.92 |
$2,198.00
|
|
Cytomegalovirus ag ia
|
$9.36 |
$9.36 |
$9.36 |
$38.58
|
|
Cytomegalovirus (cmv) antibody igg
|
$91.76 |
$91.76 |
$91.76 |
$95.48
|
|
Cytomegalovirus (cmv) antibody igm
|
$106.56 |
$106.56 |
$106.56 |
$100.00
|
|
Cytomegalovirus dfa
|
$10.40 |
$10.40 |
$10.40 |
$74.88
|
|
Cytomeg dna dir probe
|
$23.40 |
$23.40 |
$23.40 |
$148.50
|
|
Cyto/molecular report
|
$44.40 |
$44.40 |
$44.40 |
$144.75
|
|
Cytopath c/v auto in fluid
|
$19.76 |
$19.76 |
$19.76 |
$56.00
|
|
Cytopath c/v automated
|
$39.52 |
$39.52 |
$39.52 |
$92.04
|
|
Cytopath c/v auto redo
|
$21.32 |
$21.32 |
$21.32 |
$56.00
|
|
Cytopath c/v auto rescreen
|
$14.04 |
$14.04 |
$14.04 |
$39.20
|
|
Cytopath c/v index add-on
|
$11.44 |
$11.44 |
$11.44 |
$34.20
|
|
Cytopath c/v manual
|
$14.04 |
$14.04 |
$14.04 |
$34.98
|
|
Cytopath c/v redo
|
$18.72 |
$18.72 |
$18.72 |
$48.80
|
|
Cytopath c/v thin layer redo
|
$18.20 |
$18.20 |
$18.20 |
$61.20
|
|
Cytopath fl nongyn filter
|
$13.52 |
$13.52 |
$13.52 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$150.22 |
$150.22 |
$150.22 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$74.74 |
$74.74 |
$74.74 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$56.98 |
$56.98 |
$56.98 |
$87.29
|
|
Cytopathology concentration technique smears & interpretation
|
$110.26 |
$110.26 |
$110.26 |
$134.75
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$110.26 |
$110.26 |
$110.26 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$361.12 |
$361.12 |
$361.12 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$481.74 |
$481.74 |
$481.74 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$150.22 |
$150.22 |
$150.22 |
$212.80
|
|
Cytopath smear other source
|
$68.82 |
$68.82 |
$68.82 |
$91.27
|
|
Cytopath smear other source
|
$27.82 |
$27.82 |
$27.82 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$68.82 |
$68.82 |
$68.82 |
$96.20
|
|
Cytopath tbs c/v auto redo
|
$14.04 |
$14.04 |
$14.04 |
$36.80
|
|
Cytopath tbs c/v manual
|
$14.04 |
$14.04 |
$14.04 |
$59.28
|
|
Cytopath tbs c/v redo
|
$32.76 |
$32.76 |
$32.76 |
$84.80
|
|
Cytopath tbs c/v select
|
$14.04 |
$14.04 |
$14.04 |
$36.80
|
|
Cytotoxic antibody screening
|
$498.02 |
$498.02 |
$498.02 |
$193.80
|
|
Cytotoxic antibody screening
|
$187.96 |
$187.96 |
$187.96 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$34.58 |
$34.58 |
$34.58 |
$664.80
|
|
Dalbavancin 500 mg intravenous solution
|
$4,857.03 |
$4,857.03 |
$4,857.03 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$406.18 |
$406.18 |
$406.18 |
$171.19
|
|
Dark field exam spec collj
|
$13.78 |
$13.78 |
$13.78 |
$31.20
|
|
Dark field exam without collj
|
$8.84 |
$8.84 |
$8.84 |
$28.80
|
|
D&c after delivery 59160
|
$7,823.28 |
$7,823.28 |
$7,823.28 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$170.30 |
$170.30 |
$170.30 |
$3,774.81
|
|
Dch glucoscan
|
$4.16 |
$4.16 |
$4.16 |
$29.16
|
|
Dch pulmonary stress test
|
$48.88 |
$48.88 |
$48.88 |
$963.30
|
|
Dch validity tests
|
$21.46 |
$21.46 |
$21.46 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$5,490.80 |
$5,490.80 |
$5,490.80 |
$5,110.00
|
|
Dcmprn orbit only transcrnl
|
$1,323.92 |
$1,323.92 |
$1,323.92 |
$5,741.00
|
|
Dcmprn plantar digital nerve
|
$199.42 |
$199.42 |
$199.42 |
$2,375.24
|
|
D&c of cervical stump
|
$93.08 |
$93.08 |
$93.08 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$76.22 |
$76.22 |
$76.22 |
$43.35
|
|
Debr g/per/abd wall 11006
|
$508.82 |
$508.82 |
$508.82 |
$1,420.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,721.98 |
$1,721.98 |
$1,721.98 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$418.84 |
$418.84 |
$418.84 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$4,556.18 |
$4,556.18 |
$4,556.18 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$39.52 |
$39.52 |
$39.52 |
$704.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$4,556.18 |
$4,556.18 |
$4,556.18 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,123.32 |
$1,123.32 |
$1,123.32 |
$839.00
|
|
Debride nail1-5 11720
|
$10.66 |
$10.66 |
$10.66 |
$149.60
|
|
Debride nail6 or more 11721
|
$17.42 |
$17.42 |
$17.42 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$217.36 |
$217.36 |
$217.36 |
$1,156.80
|
|
Debride skin bone at fx site
|
$8,048.24 |
$8,048.24 |
$8,048.24 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$412.10 |
$412.10 |
$412.10 |
$857.28
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$560.04 |
$560.04 |
$560.04 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$18.20 |
$18.20 |
$18.20 |
$665.40
|
|
Debrid mastoidectomy cavity simple 69220
|
$37.70 |
$37.70 |
$37.70 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$201.24 |
$201.24 |
$201.24 |
$1,141.50
|
|
Debr inf skin add-on 11001
|
$10.66 |
$10.66 |
$10.66 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$112.06 |
$112.06 |
$112.06 |
$1,165.50
|
|
Decalcification
|
$406.26 |
$406.26 |
$406.26 |
$68.40
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$933.14 |
$933.14 |
$933.14 |
$573.65
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$347.10 |
$347.10 |
$347.10 |
$4,914.00
|
