|
Csf leakage imaging
|
$1,864.00 |
$1,864.00 |
$1,864.00 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$497.60 |
$497.60 |
$497.60 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$1,083.20 |
$1,083.20 |
$1,083.20 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,888.00 |
$2,888.00 |
$2,888.00 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,633.60 |
$4,633.60 |
$4,633.60 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$3,483.20 |
$3,483.20 |
$3,483.20 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$3,636.80 |
$3,636.80 |
$3,636.80 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,498.40 |
$3,498.40 |
$3,498.40 |
$1,915.30
|
|
CT Angiogram of the Head
|
$3,371.20 |
$3,371.20 |
$3,371.20 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$3,371.20 |
$3,371.20 |
$3,371.20 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$4,335.20 |
$4,335.20 |
$4,335.20 |
$1,428.68
|
|
CT angio pelvis
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,649.60 |
$2,649.60 |
$2,649.60 |
$1,691.30
|
|
CT bone density axial
|
$860.80 |
$860.80 |
$860.80 |
$385.15
|
|
CT cerebral perf w cont & prcssng
|
$800.00 |
$800.00 |
$800.00 |
$1,040.00
|
|
CT guidance for needle placement
|
$2,584.00 |
$2,584.00 |
$2,584.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$8,587.20 |
$8,587.20 |
$8,587.20 |
$2,039.76
|
|
CT guid parench tis ablat
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$964.00 |
$964.00 |
$964.00 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$3,997.60 |
$3,997.60 |
$3,997.60 |
$1,395.79
|
|
CT hrt w/3d image
|
$4,017.60 |
$4,017.60 |
$4,017.60 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$2,996.00 |
$2,996.00 |
$2,996.00 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$451.20 |
$451.20 |
$451.20 |
$422.80
|
|
CT scan for localization
|
$2,008.80 |
$2,008.80 |
$2,008.80 |
$1,216.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,212.80 |
$5,212.80 |
$5,212.80 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,883.20 |
$4,883.20 |
$4,883.20 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,235.20 |
$4,235.20 |
$4,235.20 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$3,156.00 |
$3,156.00 |
$3,156.00 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$3,085.60 |
$3,085.60 |
$3,085.60 |
$1,845.36
|
|
Curette/treat cornea
|
$1,365.60 |
$1,365.60 |
$1,365.60 |
$1,365.60
|
|
Cutter lead
|
$19,004.00 |
$19,004.00 |
$19,004.00 |
$6,581.45
|
|
Cv line/pic reposition
|
$2,243.20 |
$2,243.20 |
$2,243.20 |
$1,681.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$313.56 |
$313.56 |
$313.56 |
$25.32
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,542.60 |
$1,542.60 |
$1,542.60 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$2.97 |
$2.97 |
$2.97 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$360.98 |
$360.98 |
$360.98 |
$140.78
|
|
Cyclosporine modified 25 mg capsule
|
$3.10 |
$3.10 |
$3.10 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$272.56 |
$272.56 |
$272.56 |
$37.31
|
|
Cylinder pump set 20cm titan zero angl
|
$32,402.40 |
$32,402.40 |
$32,402.40 |
$24,728.89
|
|
Cystogram >= 3 views supervision & interpretation
|
$896.00 |
$896.00 |
$896.00 |
$586.95
|
|
Cystoscopy and treatment
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$1,525.60 |
$1,525.60 |
$1,525.60 |
$1,493.80
|
|
Cystoscopy & duct catheter
|
$982.40 |
$982.40 |
$982.40 |
$976.80
|
|
Cystoscopy & ureter catheter
|
$3,891.20 |
$3,891.20 |
$3,891.20 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$6,206.40 |
$6,206.40 |
$6,206.40 |
$4,129.45
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,622.40 |
$3,622.40 |
$3,622.40 |
$3,245.90
|
|
Cysto w/ureter stricture tx
|
$4,446.40 |
$4,446.40 |
$4,446.40 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$239.15 |
$239.15 |
$239.15 |
$90.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$143.20 |
$143.20 |
$143.20 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$90.40 |
$90.40 |
$90.40 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$69.60 |
$69.60 |
$69.60 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$160.00 |
$160.00 |
$160.00 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$150.40 |
$150.40 |
$150.40 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$43.20 |
$43.20 |
$43.20 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$64.80 |
$64.80 |
$64.80 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$246.40 |
$246.40 |
$246.40 |
$213.85
|
|
Cytopath smear other source
|
$142.40 |
$142.40 |
$142.40 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$128.80 |
$128.80 |
$128.80 |
$96.20
|
|
Cytopath tbs c/v manual
|
$43.20 |
$43.20 |
$43.20 |
$59.28
|
|
Dacarbazine 100 mg intravenous solution
|
$223.33 |
$223.33 |
$223.33 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$4,178.95 |
$4,178.95 |
$4,178.95 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$2,720.64 |
$2,720.64 |
$2,720.64 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$362.16 |
$362.16 |
$362.16 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$21,302.48 |
$21,302.48 |
$21,302.48 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$5,047.59 |
$5,047.59 |
$5,047.59 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$5,047.59 |
$5,047.59 |
$5,047.59 |
$7.20
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$25,882.93 |
$25,882.93 |
$25,882.93 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$547.96 |
$547.96 |
$547.96 |
$259.58
|
|
D&c after delivery 59160
|
$3,757.60 |
$3,757.60 |
$3,757.60 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,079.20 |
$3,079.20 |
$3,079.20 |
$3,774.81
|
|
Dch pulmonary stress test
|
$1,609.60 |
$1,609.60 |
$1,609.60 |
$963.30
|
|
Debr g/per/abd wall 11006
|
$2,506.40 |
$2,506.40 |
$2,506.40 |
$1,562.83
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$890.40 |
$890.40 |
$890.40 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$393.60 |
$393.60 |
$393.60 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$575.20 |
$575.20 |
$575.20 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$920.80 |
$920.80 |
$920.80 |
$835.20
|
|
Debride nail1-5 11720
|
$141.60 |
$141.60 |
$141.60 |
$149.60
|
|
Debride nail6 or more 11721
|
$166.40 |
$166.40 |
$166.40 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$3,684.00 |
$3,684.00 |
$3,684.00 |
$1,163.24
|
|
Debride skin bone at fx site
|
$4,253.60 |
$4,253.60 |
$4,253.60 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$2,965.60 |
$2,965.60 |
$2,965.60 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$3,739.20 |
$3,739.20 |
$3,739.20 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$783.20 |
$783.20 |
$783.20 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,717.60 |
$1,717.60 |
$1,717.60 |
$1,149.50
|
|
Debr inf skin add-on 11001
|
$234.40 |
$234.40 |
$234.40 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$1,165.50
|
|
Decalcification
|
$70.40 |
$70.40 |
$70.40 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$4,990.80 |
$4,990.80 |
$4,990.80 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$636.80 |
$636.80 |
$636.80 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$5,836.00 |
$5,836.00 |
$5,836.00 |
$4,914.00
|
|
Decompression of lower leg
|
$5,373.60 |
$5,373.60 |
$5,373.60 |
$3,969.00
|
|
Decompression unspecified nerve 64722
|
$5,134.40 |
$5,134.40 |
$5,134.40 |
$2,310.83
|
|
Deferoxamine 500 mg solution for injection
|
$336.50 |
$336.50 |
$336.50 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,181.93 |
$2,181.93 |
$2,181.93 |
$1,856.85
|
|
Delivery of placenta 59414
|
$2,258.40 |
$2,258.40 |
$2,258.40 |
$2,912.46
|
|
Demonstrate use home inr mon
|
$270.40 |
$270.40 |
$270.40 |
$294.75
|
