|
Cystorrhaphy wound simple 51860
|
$3,600.58 |
$3,600.58 |
$3,600.58 |
$6,297.20
|
|
Cystoscopy and biopsy
|
$3,144.96 |
$3,144.96 |
$3,144.96 |
$4,081.37
|
|
Cystoscopy and radiotracer
|
$4,646.90 |
$4,646.90 |
$4,646.90 |
$4,846.99
|
|
Cystoscopy and treatment
|
$145.43 |
$145.43 |
$4,588.91 |
$4,081.37
|
|
Cystoscopy and treatment
|
$289.28 |
$289.28 |
$5,822.39 |
$4,638.40
|
|
Cystoscopy and treatment
|
$69.13 |
$69.13 |
$5,968.53 |
$5,304.00
|
|
Cystoscopy and treatment
|
$5,065.16 |
$5,065.16 |
$5,065.16 |
$5,995.60
|
|
Cystoscopy and treatment
|
$98.18 |
$98.18 |
$4,942.08 |
$6,593.60
|
|
Cystoscopy and treatment
|
$3,171.41 |
$3,171.41 |
$3,171.41 |
$3,320.50
|
|
Cystoscopy and treatment
|
$79.28 |
$79.28 |
$1,739.87 |
$2,424.12
|
|
Cystoscopy and treatment
|
$61.08 |
$61.08 |
$4,363.56 |
$4,045.60
|
|
Cystoscopy and treatment
|
$3,418.99 |
$3,418.99 |
$3,418.99 |
$4,055.01
|
|
Cystoscopy and treatment
|
$2,358.72 |
$2,358.72 |
$2,358.72 |
$2,424.12
|
|
Cystoscopy and treatment
|
$1,769.06 |
$1,769.06 |
$1,769.06 |
$958.81
|
|
Cystoscopy and treatment
|
$3,587.87 |
$3,587.87 |
$3,587.87 |
$2,874.36
|
|
Cystoscopy and treatment
|
$3,278.89 |
$3,278.89 |
$3,278.89 |
$4,081.37
|
|
Cystoscopy and treatment
|
$3,900.67 |
$3,900.67 |
$3,900.67 |
$4,081.37
|
|
Cystoscopy and treatment
|
$4,180.18 |
$4,180.18 |
$4,180.18 |
$6,015.75
|
|
Cystoscopy and treatment
|
$66.33 |
$66.33 |
$2,850.95 |
$2,867.70
|
|
Cystoscopy and treatment
|
$4,607.74 |
$4,607.74 |
$4,607.74 |
$3,203.50
|
|
Cystoscopy and treatment
|
$3,653.96 |
$3,653.96 |
$3,653.96 |
$4,081.37
|
|
Cystoscopy and treatment
|
$3,588.35 |
$3,588.35 |
$3,588.35 |
$3,817.53
|
|
Cystoscopy (Bladder Scope)
|
$295.40 |
$295.40 |
$1,445.41 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$48.13 |
$48.13 |
$3,013.88 |
$2,874.36
|
|
Cystoscopy & duct catheter
|
$822.50 |
$822.50 |
$822.50 |
$976.80
|
|
Cystoscopy implant stent
|
$3,703.87 |
$3,703.87 |
$3,703.87 |
$4,081.37
|
|
Cystoscopy inject material
|
$4,041.93 |
$4,041.93 |
$4,041.93 |
$5,986.78
|
|
Cystoscopy prostatic imp 1-3
|
$5,741.40 |
$5,741.40 |
$5,741.40 |
$5,741.40
|
|
Cystoscopy removal of clots
|
$500.15 |
$500.15 |
$2,829.82 |
$4,081.37
|
|
Cystoscopy & revise urethra
|
$3,032.64 |
$3,032.64 |
$3,032.64 |
$3,032.64
|
|
Cystoscopy stone removal
|
$3,045.87 |
$3,045.87 |
$3,045.87 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$59.15 |
$59.15 |
$3,416.48 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$5,383.11 |
$5,383.11 |
$5,383.11 |
$4,129.45
|
|
Cystotomy excise/incise/repair 51535
|
$3,079.75 |
$3,079.75 |
$3,079.75 |
$4,081.37
|
|
Cystouretero & or pyeloscope
|
$3,707.00 |
$3,707.00 |
$3,707.00 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$4,024.52 |
$4,024.52 |
$4,024.52 |
$5,110.00
|
|
Cystouretero w/biopsy
|
$4,447.24 |
$4,447.24 |
$4,447.24 |
$6,015.75
|
|
Cystouretero w/excise tumor
|
$3,891.34 |
$3,891.34 |
$3,891.34 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$8,966.17 |
$8,966.17 |
$8,966.17 |
$9,430.00
|
|
Cystouretero w/lithotripsy
|
$6,914.84 |
$6,914.84 |
$6,914.84 |
$7,372.68
|
|
Cystouretero w/renal strict
|
$3,891.34 |
$3,891.34 |
$3,891.34 |
$5,741.00
|
|
Cystouretero w/stone remove
|
$4,892.09 |
$4,892.09 |
$4,892.09 |
$5,741.00
|
|
Cysto/uretero w/up stricture
|
$3,798.52 |
$3,798.52 |
$3,798.52 |
$4,081.37
|
|
Cystourethro cut ejacul duct
|
$3,734.33 |
$3,734.33 |
$3,734.33 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$85.40 |
$85.40 |
$4,631.51 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$88.55 |
$88.55 |
$5,714.99 |
$4,057.50
|
|
Cystourethro w/addl implant 52442
|
$1,502.96 |
$1,502.96 |
$1,502.96 |
$2,161.60
|
|
Cystourethro w/implant
|
$5,617.75 |
$5,617.75 |
$5,617.75 |
$2,777.60
|
|
Cysto w/renal stricture tx
|
$2,582.14 |
$2,582.14 |
$2,582.14 |
$4,045.60
|
|
Cysto w/up stricture tx
|
$2,564.93 |
$2,564.93 |
$2,564.93 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$4,074.86 |
$4,074.86 |
$4,074.86 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$3.77 |
$3.77 |
$132.06 |
$90.00
|
|
Cytogenetics 25-99
|
$255.92 |
$255.92 |
$255.92 |
$189.80
|
|
Cytogenetics 3-5
|
$127.64 |
$127.64 |
$127.64 |
$147.36
|
|
Cytogenomic neo microra alys
|
$3,433.50 |
$3,433.50 |
$3,433.50 |
$2,198.00
|
|
Cytogenom microarray copy nmbr var
|
$1,433.77 |
$1,433.77 |
$1,433.77 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$105.35 |
$105.35 |
$142.50 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$98.35 |
$98.35 |
$130.37 |
$100.00
|
|
Cytomegalovirus dfa
|
$142.09 |
$142.09 |
$142.09 |
$77.40
|
|
Cytomegalovirus imm IV /vial
|
$2,670.12 |
$2,670.12 |
$2,670.12 |
$3,072.34
|
|
Cytomeg dna dir probe
|
$249.78 |
$249.78 |
$249.78 |
$178.88
|
|
Cyto/molecular report
|
$158.55 |
$158.55 |
$1,178.85 |
$144.75
|
|
Cytopath c/v automated
|
$94.04 |
$94.04 |
$94.04 |
$92.04
|
|
Cytopath c/v index add-on
|
$35.57 |
$35.57 |
$35.57 |
$34.20
|
|
Cytopath c/v manual
|
$45.41 |
$45.41 |
$45.41 |
$36.80
|
|
Cytopath c/v thin layer redo
|
$44.98 |
$44.98 |
$44.98 |
$61.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$48.30 |
$48.30 |
$610.41 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$73.50 |
$73.50 |
$101.89 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$76.83 |
$76.83 |
$90.88 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$71.05 |
$71.05 |
$180.40 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$49.00 |
$49.00 |
$181.17 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$39.20 |
$39.20 |
$113.70 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$98.70 |
$98.70 |
$179.44 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$123.73 |
$123.73 |
$285.20 |
$213.85
|
|
Cytopath smear other source
|
$31.68 |
$31.68 |
$85.80 |
$92.50
|
|
Cytopath smear other source
|
$37.10 |
$37.10 |
$112.99 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$91.50 |
$91.50 |
$91.50 |
$96.20
|
|
Cytopath tbs c/v manual
|
$56.18 |
$56.18 |
$57.94 |
$59.28
|
|
Cytotoxic antibody screening
|
$363.33 |
$363.33 |
$363.33 |
$193.80
|
|
Cytp urine 3-5 probes cmptr
|
$514.68 |
$514.68 |
$690.00 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$1.58 |
$1.58 |
$73.20 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$4,905.37 |
$4,905.37 |
$4,905.37 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$276.45 |
$276.45 |
$276.45 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$4.45 |
$4.45 |
$1,205.80 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$18,070.73 |
$18,070.73 |
$18,070.73 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$31.70 |
$31.70 |
$1,410.00 |
$6,281.29
|
|
Dark field exam without collj
|
$95.40 |
$95.40 |
$95.40 |
$28.80
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$18,849.00 |
$18,849.00 |
$18,849.00 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$864.30 |
$864.30 |
$864.30 |
$259.58
|
|
Dbrdmt prmlg les w/pdt
|
$353.81 |
$353.81 |
$353.81 |
$468.00
|
|
D&c after delivery 59160
|
$862.40 |
$862.40 |
$3,871.96 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$803.25 |
$803.25 |
$4,793.33 |
$3,774.81
|
|
Dch glucoscan
|
$28.10 |
$28.10 |
$28.10 |
$29.16
|
|
Dch pulmonary stress test
|
$1,504.47 |
$1,504.47 |
$1,504.47 |
$963.30
|
|
Dch validity tests
|
$9.98 |
$9.98 |
$19.38 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$5,553.11 |
$5,553.11 |
$5,553.11 |
$5,121.00
|
|
Dcmprn plantar digital nerve
|
$2,187.71 |
$2,187.71 |
$2,187.71 |
$2,685.07
|
|
D&c of cervical stump
|
$3,066.34 |
$3,066.34 |
$3,066.34 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$119.60 |
$119.60 |
$119.60 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$124.25 |
$124.25 |
$805.03 |
$668.55
|