|
Cytopathology fna adequacy evaluation first episode each site
|
$51.00 |
$130.40 |
$598.40 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$66.60 |
$211.20 |
$450.40 |
|
|
Cytopath smear other source
|
$41.40 |
$54.60 |
$163.80 |
|
|
Cytopath smear other source
|
$116.40 |
$116.40 |
$252.00 |
|
|
Cytopath smear oth prep screen & interp
|
$49.20 |
$54.60 |
$219.60 |
|
|
Cytopath tbs c/v manual
|
$30.60 |
$36.60 |
$38.40 |
|
|
Cytotoxic antibody screening
|
$288.60 |
$288.60 |
$1,555.20 |
|
|
Cytp urine 3-5 probes cmptr
|
$268.00 |
$664.80 |
$3,282.00 |
|
|
Dacarbazine 100 mg intravenous solution
|
$19.20 |
$76.80 |
$198.60 |
|
|
Dactinomycin 0.5 mg intravenous solution
|
$166.20 |
$1,624.80 |
$2,879.40 |
|
|
Dalbavancin 500 mg intravenous solution
|
$51.00 |
$1,067.40 |
$7,113.00 |
|
|
Dalteparin sodium
|
$126.00 |
$362.40 |
$478.20 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$2.25 |
$997.80 |
$2,563.20 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$104.40 |
$134.40 |
$26,323.80 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$17.00 |
$2,322.00 |
$17,923.80 |
|
|
Darbepoetin alfa, esrd use
|
$17.00 |
$2,151.00 |
$4,852.80 |
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$0.80 |
$534.00 |
$29,942.40 |
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$19.80 |
$413.60 |
$1,617.60 |
|
|
Daunorubicin citrate inj
|
$262.20 |
$262.20 |
$262.20 |
|
|
Dbrdmt prmlg les w/pdt
|
$1,000.20 |
$1,000.20 |
$1,253.40 |
|
|
D&c after delivery 59160
|
$369.60 |
$6,928.80 |
$8,304.00 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$405.00 |
$992.40 |
$1,211.00 |
|
|
Dch glucoscan
|
$12.00 |
$19.80 |
$96.00 |
|
|
Dch pulmonary stress test
|
$156.00 |
$650.40 |
$3,041.40 |
|
|
Dch validity tests
|
$13.60 |
$25.20 |
$70.80 |
|
|
Dcmprn plantar digital nerve
|
$525.00 |
$525.00 |
$525.00 |
|
|
Deamidated gliadin antibody iga
|
$41.50 |
$80.40 |
$780.60 |
|
|
Debr g/per/abd wall 11006
|
$5,228.40 |
$6,204.00 |
$10,447.20 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$51.60 |
$622.20 |
$1,592.00 |
|
|
Debridement (>20 cm) charge pt
|
$49.00 |
$451.20 |
$1,387.00 |
|
|
Debridement bone <= 20 sq cm
|
$1,048.80 |
$2,320.80 |
$7,413.80 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$147.00 |
$811.20 |
$2,680.20 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$363.00 |
$1,407.00 |
$2,680.20 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$481.80 |
$1,580.40 |
$5,052.60 |
|
|
Debride nail1-5 11720
|
$97.80 |
$232.20 |
$1,291.00 |
|
|
Debride nail6 or more 11721
|
$88.00 |
$204.60 |
$476.40 |
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$814.00 |
$814.00 |
$4,833.60 |
|
|
Debride skin bone at fx site
|
$883.20 |
$3,515.40 |
$7,701.60 |
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,539.00 |
$1,539.00 |
$1,539.00 |
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,421.40 |
$2,073.00 |
$2,073.00 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$315.60 |
$808.20 |
$1,607.20 |
|
|
Debrid mastoidectomy cavity simple 69220
|
$93.00 |
$93.00 |
$268.00 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$553.20 |
$2,350.20 |
$5,263.20 |
|
|
Debr inf skin add-on 11001
|
$25.20 |
$25.20 |
$25.20 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$342.40 |
$1,965.00 |
$5,416.80 |
|
|
Decalcification
|
$36.60 |
$124.80 |
$645.60 |
|
|
Decitabine 50 mg intravenous solution
|
$82.80 |
$292.80 |
$14,635.80 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$100.80 |
$496.80 |
$1,252.00 |
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
|
|
Decompression of tibia nerve
|
$733.20 |
$733.20 |
$733.20 |
|
|
Decompress small bowel
|
$3,899.40 |
$3,899.40 |
$3,899.40 |
|
|
Deep muscle biopsy 20205
|
$3,338.50 |
$3,338.50 |
$3,338.50 |
|
|
Deferoxamine 500 mg solution for injection
|
$16.20 |
$43.20 |
$234.40 |
|
|
Degarelix 120 mg subcutaneous solution
|
$9.00 |
$457.20 |
$4,902.00 |
|
|
Delay flap eye/nos/ear/lip
|
$2,371.50 |
$2,371.50 |
$3,955.80 |
|
|
Delivery of placenta 59414
|
$413.40 |
$3,380.00 |
$3,786.60 |
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$4,564.20 |
$8,864.40 |
$8,864.40 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$64.80 |
$158.40 |
$661.80 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$61.80 |
$3,144.60 |
$10,269.00 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$589.80 |
$737.60 |
$3,772.80 |
|
|
Dermabrasion suprfl any site
|
$467.00 |
$467.00 |
$467.00 |
|
|
Dermagraft
|
$87.60 |
$147.00 |
$5,002.20 |
|
|
Dermapure 1 square cm
|
$63.50 |
$63.50 |
$4,543.80 |
|
|
Descend thora aorta rpr/lt sub art 33880
|
$6,715.80 |
$6,715.80 |
$21,473.40 |
|
|
Design mlc device for imrt
|
$674.00 |
$1,785.00 |
$7,554.40 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$31.20 |
$128.80 |
$2,755.80 |
|
|
Desoxycorticosterone
|
$67.20 |
$253.80 |
$505.80 |
|
|
Des thora aorta rpr without left sub art 33881
|
$5,048.40 |
$9,807.60 |
$9,807.60 |
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$363.60 |
$1,044.60 |
$1,501.20 |
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$150.00 |
$861.60 |
$1,523.40 |
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$246.00 |
$246.00 |
$1,360.20 |
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$808.80 |
$808.80 |
$808.80 |
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$134.40 |
$935.40 |
$1,216.20 |
|
|
Dest mal lesion tal <0.5 17260
|
$754.80 |
$754.80 |
$1,172.00 |
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$686.40 |
$893.40 |
$1,489.60 |
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$860.40 |
$1,119.00 |
$1,306.20 |
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$230.50 |
$1,240.20 |
$1,451.40 |
|
|
Destroy cervthor facet jnt 64633
|
$512.40 |
$2,690.00 |
$5,453.60 |
|
|
Destroy cth facet jnt addl 64634
|
$256.80 |
$2,099.40 |
$4,438.20 |
|
|
Destroy internal hemorrhoids destroy 46930
|
$360.60 |
$1,522.80 |
$3,971.40 |
|
|
Destroy premlg lesns;1st lesn 17000
|
$52.20 |
$520.80 |
$847.20 |
|
|
Destroy vulva lesion extensive 56515
|
$361.80 |
$361.80 |
$3,491.40 |
|
|
Destroy vulva lesion simple 56501
|
$159.00 |
$5,772.60 |
$6,178.80 |
|
|
Destruct ben lesion 15/> 17111
|
$120.60 |
$391.20 |
$2,706.60 |
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$849.50 |
$849.50 |
$849.50 |
|
|
Destruct cut vasl lesions <10cm 17106
|
$451.80 |
$1,848.00 |
$2,521.80 |
|
|
Destruct cut vasl lesions >50cm 17108
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
|
|
Destruction 2-14 lesions 17003
|
$26.40 |
$72.60 |
$118.20 |
|
|
Destruction anal lesion(s)
|
$275.40 |
$512.40 |
$988.80 |
|
|
Destruction anal lesion(s)
|
$255.00 |
$1,638.00 |
$2,145.60 |
|
|
Destruction anal lesion(s) smpl chem 46900
|
$366.60 |
$366.60 |
$451.80 |
|
|
Destruction benign lesions < 14 lesions
|
$52.20 |
$513.60 |
$847.20 |
|
|
Destruction by injection tx of nerve 64630
|
$3,040.20 |
$3,918.60 |
$5,502.00 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$133.20 |
$2,224.80 |
$7,348.20 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$411.00 |
$2,908.20 |
$7,348.20 |
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$118.80 |
$543.00 |
$2,010.00 |
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$1,378.20 |
$1,378.20 |
$2,389.80 |
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$1,033.80 |
$1,033.80 |
$1,444.80 |
|
|
Destruction mal lsn t/a/l >4cm
|
$280.80 |
$467.00 |
$2,730.60 |
|
