|
Cystoscopy chemodenervation
|
$1,390.00 |
$2,306.50 |
$17,205.51 |
|
|
Cystoscopy implant stent
|
$2,301.00 |
$3,818.00 |
$3,818.00 |
|
|
Cystoscopy prostatic imp 1-3
|
$22,024.81 |
$22,024.81 |
$22,024.81 |
|
|
Cystoscopy removal of clots
|
$10,997.44 |
$10,997.44 |
$10,997.44 |
|
|
Cystoscopy & revise urethra
|
$16,222.67 |
$16,222.67 |
$16,222.67 |
|
|
Cystoscopy & ureter catheter
|
$1,654.00 |
$2,744.50 |
$26,584.85 |
|
|
Cystostomy cystotomy w/drainage 51040
|
$1,786.00 |
$2,143.50 |
$25,837.75 |
|
|
Cystouretero & or pyeloscope
|
$49,404.70 |
$49,404.70 |
$49,404.70 |
|
|
Cysto/uretero stricture tx
|
$20,859.81 |
$20,859.81 |
$20,859.81 |
|
|
Cystouretero w/biopsy
|
$27,329.90 |
$27,329.90 |
$27,329.90 |
|
|
Cysto/uretero w/lithotripsy
|
$3,541.50 |
$5,386.00 |
$120,564.83 |
|
|
Cystouretero w/lithotripsy
|
$15,057.37 |
$15,057.37 |
$15,057.37 |
|
|
Cystouretero w/stone remove
|
$1,976.50 |
$3,280.00 |
$51,217.31 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$898.50 |
$1,491.00 |
$20,257.97 |
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$916.00 |
$1,520.00 |
$19,946.56 |
|
|
Cystourethro w/addl implant 52442
|
$7,433.50 |
$12,334.00 |
$12,334.00 |
|
|
Cystourethro w/implant
|
$3,261.50 |
$5,411.50 |
$5,411.50 |
|
|
Cysto w/ureter stricture tx
|
$1,080.00 |
$1,792.50 |
$1,792.50 |
|
|
Cytarabine 20 mg/ml injection solution
|
$101.20 |
$101.20 |
$115.82 |
|
|
Cytogenetics 25-99
|
$151.50 |
$195.00 |
$1,454.00 |
|
|
Cytogenomic neo microra alys
|
$499.50 |
$1,603.00 |
$1,943.00 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$98.50 |
$126.50 |
$205.00 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$117.00 |
$155.00 |
$475.00 |
|
|
Cytopath c/v manual
|
$128.00 |
$128.00 |
$128.00 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$72.00 |
$162.00 |
$281.40 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$133.20 |
$149.00 |
$184.00 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$42.50 |
$89.50 |
$418.00 |
|
|
Cytopathology concentration technique smears & interpretation
|
$56.00 |
$83.50 |
$191.50 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$52.00 |
$83.50 |
$205.00 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$0.50 |
$0.50 |
$227.00 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$83.50 |
$133.00 |
$227.00 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$139.50 |
$181.00 |
$383.00 |
|
|
Cytopath smear other source
|
$40.80 |
$53.50 |
$70.00 |
|
|
Cytopath smear other source
|
$741.00 |
$741.00 |
$741.00 |
|
|
Cytopath tbs c/v manual
|
$64.50 |
$79.50 |
$172.00 |
|
|
Cytotoxic antibody screening
|
$2,254.00 |
$2,254.00 |
$2,254.00 |
|
|
Cytp urine 3-5 probes cmptr
|
$475.80 |
$475.80 |
$475.80 |
|
|
Dacarbazine 100 mg intravenous solution
|
$102.97 |
$115.23 |
$860.00 |
|
|
Dactinomycin 0.5 mg intravenous solution
|
$11,042.00 |
$11,042.00 |
$11,042.00 |
|
|
Dalbavancin 500 mg intravenous solution
|
$7,472.35 |
$7,525.00 |
$8,539.82 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$147.00 |
$147.00 |
$168.00 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$38,502.00 |
$38,502.00 |
$60,259.63 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,300.32 |
$1,300.32 |
$1,486.08 |
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$46,250.00 |
$46,250.00 |
$62,586.00 |
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$1,670.05 |
$1,670.05 |
$1,911.50 |
|
|
Dbrdmt prmlg les w/pdt
|
$338.50 |
$468.00 |
$468.00 |
|
|
D&c after delivery 59160
|
$2,373.00 |
$3,221.50 |
$3,221.50 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$2,406.50 |
$2,573.50 |
$3,327.50 |
|
|
Dch glucoscan
|
$15.50 |
$17.50 |
$18.00 |
|
|
Dch pulmonary stress test
|
$347.50 |
$1,021.50 |
$3,917.00 |
|
|
Dch validity tests
|
$11.50 |
$14.50 |
$103.00 |
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$4,022.00 |
$5,561.50 |
$5,561.50 |
|
|
Deamidated gliadin antibody iga
|
$34.80 |
$45.00 |
$385.00 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$298.00 |
$477.50 |
$953.50 |
|
|
Debridement (>20 cm) charge pt
|
$180.00 |
$309.50 |
$654.50 |
|
|
Debridement bone <= 20 sq cm
|
$1,049.50 |
$1,879.50 |
$20,275.30 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$168.00 |
$509.50 |
$10,079.85 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$521.00 |
$1,315.50 |
$5,154.00 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$320.50 |
$1,049.50 |
$14,008.03 |
|
|
Debride nail1-5 11720
|
$79.50 |
$144.50 |
$755.50 |
|
|
Debride nail6 or more 11721
|
$119.50 |
$166.00 |
$755.50 |
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$653.00 |
$653.00 |
$653.00 |
|
|
Debride skin bone at fx site
|
$1,455.50 |
$2,012.00 |
$9,046.20 |
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,184.95 |
$1,184.95 |
$1,184.95 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$168.00 |
$509.50 |
$11,338.17 |
|
|
Debrid mastoidectomy cavity simple 69220
|
$111.50 |
$154.00 |
$13,224.35 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$673.00 |
$1,141.50 |
$12,808.68 |
|
|
Debr inf skin add-on 11001
|
$96.50 |
$133.50 |
$133.50 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$492.00 |
$1,049.50 |
$33,757.83 |
|
|
Decalcification
|
$46.50 |
$66.50 |
$298.00 |
|
|
Decitabine 50 mg intravenous solution
|
$230.92 |
$230.92 |
$264.30 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$346.50 |
$479.00 |
$735.50 |
|
|
Decompress forearm 1 space
|
$19,949.24 |
$19,949.24 |
$19,949.24 |
|
|
Decompression of tibia nerve
|
$7,899.35 |
$7,899.35 |
$7,899.35 |
|
|
Deep muscle biopsy 20205
|
$2,081.50 |
$2,878.50 |
$10,547.00 |
|
|
Deferoxamine 500 mg solution for injection
|
$437.00 |
$437.00 |
$437.00 |
|
|
Degarelix 120 mg subcutaneous solution
|
$3,059.00 |
$3,059.00 |
$4,343.92 |
|
|
Delayed breast prosthesis 19342
|
$8,885.00 |
$8,885.00 |
$102,976.43 |
|
|
Delay flap eye/nos/ear/lip
|
$1,036.00 |
$1,406.50 |
$1,406.50 |
|
|
Delivery of placenta 59414
|
$2,952.00 |
$2,952.00 |
$2,952.00 |
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$1,101.50 |
$1,360.00 |
$5,281.50 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$77.50 |
$209.50 |
$487.80 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$14,488.91 |
$14,488.91 |
$16,558.76 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$264.50 |
$301.50 |
$590.50 |
|
|
Deodorant ostmy adapt lube 8ml
|
$8.00 |
$8.00 |
$8.00 |
|
|
Dermabrasion other than face
|
$843.50 |
$1,166.00 |
$1,166.00 |
|
|
Dermabrasion segmental face 15781
|
$653.00 |
$653.00 |
$34,753.97 |
|
|
Dermagraft
|
$62.50 |
$383.00 |
$383.00 |
|
|
Dermapure 1 square cm
|
$12,508.65 |
$12,508.65 |
$12,508.65 |
|
|
Descend thora aorta rpr/lt sub art 33880
|
$2,855.00 |
$3,525.00 |
$3,525.00 |
|
|
Design mlc device for imrt
|
$1,357.50 |
$1,753.00 |
$7,933.00 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$82.06 |
$82.06 |
$91.84 |
|
|
Desoxycorticosterone
|
$82.50 |
$113.50 |
$373.00 |
|
|
Des thora aorta/ea add prox prosth 33884
|
$1,715.00 |
$2,117.00 |
$2,117.00 |
|
|
Des thora aorta rpr without left sub art 33881
|
$3,999.50 |
$4,937.50 |
$4,937.50 |
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$3,427.00 |
$4,231.00 |
$4,231.00 |
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$175.50 |
$242.50 |
$242.50 |
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$214.50 |
$297.00 |
$297.00 |
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$249.50 |
$345.00 |
$345.00 |
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$176.00 |
$243.00 |
$243.00 |
|
