|
Cystatin c
|
$67.00 |
$67.00 |
$67.00 |
$76.48
|
|
Cystic fibrosis cftr
|
$1,334.00 |
$1,334.00 |
$1,334.00 |
$1,104.40
|
|
Cystogram >= 3 views supervision & interpretation
|
$391.50 |
$391.50 |
$391.50 |
$564.85
|
|
Cystometrogram w/up 51727
|
$477.50 |
$477.50 |
$477.50 |
$908.59
|
|
Cystoscopy and biopsy
|
$2,974.50 |
$2,974.50 |
$2,974.50 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,520.00 |
$1,520.00 |
$1,520.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$3,103.50 |
$3,103.50 |
$3,103.50 |
$6,593.60
|
|
Cystoscopy and treatment
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$2,424.12
|
|
Cystoscopy and treatment
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$2,850.95
|
|
Cystoscopy and treatment
|
$3,202.00 |
$3,202.00 |
$3,202.00 |
$3,817.53
|
|
Cystoscopy (Bladder Scope)
|
$740.00 |
$740.00 |
$740.00 |
$1,445.41
|
|
Cystoscopy chemodenervation
|
$2,306.50 |
$2,306.50 |
$2,306.50 |
$2,831.92
|
|
Cystoscopy implant stent
|
$3,818.00 |
$3,818.00 |
$3,818.00 |
$4,081.37
|
|
Cystoscopy & ureter catheter
|
$2,744.50 |
$2,744.50 |
$2,744.50 |
$3,688.80
|
|
Cystostomy cystotomy w/drainage 51040
|
$2,143.50 |
$2,143.50 |
$2,143.50 |
$3,863.60
|
|
Cysto/uretero w/lithotripsy
|
$5,876.00 |
$5,876.00 |
$5,876.00 |
$7,573.50
|
|
Cystouretero w/stone remove
|
$3,280.00 |
$3,280.00 |
$3,280.00 |
$5,339.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
$3,131.20
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$1,520.00 |
$1,520.00 |
$1,520.00 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$12,334.00 |
$12,334.00 |
$12,334.00 |
$2,161.60
|
|
Cystourethro w/implant
|
$5,411.50 |
$5,411.50 |
$5,411.50 |
$2,777.60
|
|
Cysto w/ureter stricture tx
|
$1,792.50 |
$1,792.50 |
$1,792.50 |
$4,081.37
|
|
Cytogenetics 25-99
|
$187.00 |
$187.00 |
$187.00 |
$189.80
|
|
Cytogenomic neo microra alys
|
$1,943.00 |
$1,943.00 |
$1,943.00 |
$2,156.05
|
|
Cytomegalovirus (cmv) antibody igg
|
$117.00 |
$117.00 |
$117.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$124.00 |
$124.00 |
$124.00 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$72.00 |
$72.00 |
$72.00 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$184.00 |
$184.00 |
$184.00 |
$92.40
|
|
Cytopathology concentration technique smears & interpretation
|
$72.50 |
$72.50 |
$72.50 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$70.50 |
$70.50 |
$70.50 |
$124.00
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$0.50 |
$0.50 |
$0.50 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$91.50 |
$91.50 |
$91.50 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$139.50 |
$139.50 |
$139.50 |
$209.92
|
|
Cytopath smear other source
|
$69.50 |
$69.50 |
$69.50 |
$91.20
|
|
Cytopath tbs c/v manual
|
$79.50 |
$79.50 |
$79.50 |
$59.28
|
|
Dbrdmt prmlg les w/pdt
|
$468.00 |
$468.00 |
$468.00 |
$468.00
|
|
D&c after delivery 59160
|
$3,221.50 |
$3,221.50 |
$3,221.50 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,327.50 |
$3,327.50 |
$3,327.50 |
$3,774.81
|
|
Dch pulmonary stress test
|
$1,021.50 |
$1,021.50 |
$1,021.50 |
$963.30
|
|
Dch validity tests
|
$14.50 |
$14.50 |
$14.50 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$5,561.50 |
$5,561.50 |
$5,561.50 |
$5,110.00
|
|
Deamidated gliadin antibody iga
|
$42.00 |
$42.00 |
$42.00 |
$42.75
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$412.00 |
$412.00 |
$412.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$428.00 |
$428.00 |
$428.00 |
$278.50
|
|
Debridement bone <= 20 sq cm
|
$1,879.50 |
$1,879.50 |
$1,879.50 |
$2,293.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$509.50 |
$509.50 |
$509.50 |
$687.35
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,315.50 |
$1,315.50 |
$1,315.50 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$443.00 |
$443.00 |
$443.00 |
$820.15
|
|
Debride nail1-5 11720
|
$110.50 |
$110.50 |
$110.50 |
$149.04
|
|
Debride nail6 or more 11721
|
$166.00 |
$166.00 |
$166.00 |
$167.63
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$653.00 |
$653.00 |
$653.00 |
$1,149.50
|
|
Debride skin bone at fx site
|
$2,012.00 |
$2,012.00 |
$2,012.00 |
$2,921.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$509.50 |
$509.50 |
$509.50 |
$641.52
|
|
Debrid mastoidectomy cavity simple 69220
|
$154.00 |
$154.00 |
$154.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,578.50 |
$1,578.50 |
$1,578.50 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$133.50 |
$133.50 |
$133.50 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$680.00 |
$680.00 |
$680.00 |
$1,160.00
|
|
Decalcification
|
$47.50 |
$47.50 |
$47.50 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$479.00 |
$479.00 |
$479.00 |
$546.84
|
|
Deep muscle biopsy 20205
|
$2,878.50 |
$2,878.50 |
$2,878.50 |
$3,370.52
|
|
Delayed breast prosthesis 19342
|
$8,885.00 |
$8,885.00 |
$8,885.00 |
$10,457.82
|
|
Delay flap eye/nos/ear/lip
|
$1,406.50 |
$1,406.50 |
$1,406.50 |
$2,190.24
|
|
Delivery of placenta 59414
|
$2,952.00 |
$2,952.00 |
$2,952.00 |
$2,822.68
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$173.50 |
$173.50 |
$173.50 |
$182.40
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$365.50 |
$365.50 |
$365.50 |
$399.93
|
|
Dermabrasion other than face
|
$1,166.00 |
$1,166.00 |
$1,166.00 |
$3,214.40
|
|
Dermabrasion segmental face 15781
|
$653.00 |
$653.00 |
$653.00 |
$1,290.07
|
|
Descend thora aorta rpr/lt sub art 33880
|
$3,525.00 |
$3,525.00 |
$3,525.00 |
$5,958.60
|
|
Design mlc device for imrt
|
$1,753.00 |
$1,753.00 |
$1,753.00 |
$1,739.10
|
|
Desoxycorticosterone
|
$113.50 |
$113.50 |
$113.50 |
$98.80
|
|
Des thora aorta/ea add prox prosth 33884
|
$2,117.00 |
$2,117.00 |
$2,117.00 |
$1,304.05
|
|
Des thora aorta rpr without left sub art 33881
|
$4,937.50 |
$4,937.50 |
$4,937.50 |
$4,937.50
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$4,231.00 |
$4,231.00 |
$4,231.00 |
$2,906.00
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$242.50 |
$242.50 |
$242.50 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$297.00 |
$297.00 |
$297.00 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$345.00 |
$345.00 |
$345.00 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$243.00 |
$243.00 |
$243.00 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$267.00 |
$267.00 |
$267.00 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$293.50 |
$293.50 |
$293.50 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$167.50 |
$167.50 |
$167.50 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$187.50 |
$187.50 |
$187.50 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$209.00 |
$209.00 |
$209.00 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$260.50 |
$260.50 |
$260.50 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$1,468.00 |
$1,468.00 |
$1,468.00 |
$3,018.00
|
|
Destroy cth facet jnt addl 64634
|
$441.00 |
$441.00 |
$441.00 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,395.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$154.00 |
$154.00 |
$154.00 |
$202.40
|
|
Destroy vulva lesion simple 56501
|
$1,995.50 |
$1,995.50 |
$1,995.50 |
$3,556.00
|
|
Destruct ben lesion 15/> 17111
|
$308.50 |
$308.50 |
$308.50 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$412.00 |
$412.00 |
$412.00 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$298.50 |
$298.50 |
$298.50 |
$666.75
|
|
Destruct cut vasl lesions >50cm 17108
|
$1,311.50 |
$1,311.50 |
$1,311.50 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$69.50 |
$69.50 |
$69.50 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$279.00 |
$279.00 |
$279.00 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$1,138.50 |
$1,138.50 |
$1,138.50 |
$1,626.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,259.00 |
$1,259.00 |
$1,259.00 |
$1,618.65
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,162.00 |
$2,162.00 |
$2,162.00 |
$3,295.50
|
|
Destruction les conjunctiva
|
$1,213.50 |
$1,213.50 |
$1,213.50 |
$2,760.73
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$323.00 |
$323.00 |
$323.00 |
$513.60
|
