|
Cystostomy cystotomy w/drainage 51040
|
$4,747.01 |
$4,747.01 |
$4,747.01 |
$4,129.45
|
|
Cysto/uretero stricture tx
|
$19,282.57 |
$19,282.57 |
$19,282.57 |
$5,110.00
|
|
Cysto/uretero w/lithotripsy
|
$4,748.22 |
$4,748.22 |
$4,748.22 |
$9,430.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,398.11 |
$3,398.11 |
$3,398.11 |
$3,245.90
|
|
Cytarabine 20 mg/ml injection solution
|
$71.40 |
$93.75 |
$132.06 |
$90.00
|
|
Cytogenetics 25-99
|
$78.00 |
$246.56 |
$1,053.63 |
$189.80
|
|
Cytogenetics 3-5
|
$170.27 |
$170.27 |
$877.74 |
$147.36
|
|
Cytogenomic neo microra alys
|
$1,050.00 |
$1,050.00 |
$3,975.00 |
$2,198.00
|
|
Cytogenom microarray copy nmbr var
|
$971.50 |
$971.50 |
$16,770.84 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$103.00 |
$128.70 |
$1,223.04 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$23.85 |
$84.50 |
$1,223.04 |
$100.00
|
|
Cytomegalovirus dfa
|
$165.40 |
$165.40 |
$1,195.60 |
$77.40
|
|
Cytomegalovirus imm IV /vial
|
$2,280.12 |
$2,670.12 |
$10,289.93 |
$3,072.34
|
|
Cytomeg dna dir probe
|
$256.92 |
$256.92 |
$256.92 |
$178.88
|
|
Cyto/molecular report
|
$346.00 |
$346.00 |
$1,178.85 |
$144.75
|
|
Cytopath c/v auto in fluid
|
$24.50 |
$24.50 |
$24.50 |
$56.00
|
|
Cytopath c/v thin layer redo
|
$32.50 |
$32.50 |
$32.50 |
$61.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$99.00 |
$99.00 |
$640.93 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$66.00 |
$66.00 |
$101.64 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$32.50 |
$102.95 |
$424.35 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$114.90 |
$247.50 |
$1,227.89 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$117.50 |
$150.00 |
$677.68 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$109.27 |
$447.50 |
$2,408.99 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$191.66 |
$447.50 |
$935.83 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$262.49 |
$406.00 |
$2,408.99 |
$213.85
|
|
Cytopath smear other source
|
$85.80 |
$85.80 |
$85.80 |
$92.50
|
|
Cytopath smear other source
|
$145.31 |
$145.31 |
$1,389.23 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$100.34 |
$124.00 |
$193.05 |
$96.20
|
|
Cytopath tbs c/v manual
|
$9.50 |
$9.50 |
$298.49 |
$59.28
|
|
Cytotoxic antibody screening
|
$166.50 |
$166.50 |
$2,081.43 |
$193.80
|
|
Cytotoxic antibody screening
|
$743.84 |
$743.84 |
$743.84 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$345.00 |
$345.00 |
$345.00 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$45.00 |
$73.20 |
$76.25 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$980.25 |
$4,905.37 |
$10,245.36 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$2,241.75 |
$2,241.75 |
$12,214.01 |
$3,493.11
|
|
Dalteparin sodium
|
$469.55 |
$469.55 |
$514.50 |
$469.55
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$113.01 |
$775.00 |
$1,205.80 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$18,070.73 |
$18,070.73 |
$19,192.29 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$975.25 |
$1,410.00 |
$4,597.56 |
$6,281.29
|
|
Dark field exam spec collj
|
$906.79 |
$906.79 |
$906.79 |
$31.20
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$18,849.00 |
$20,196.00 |
$61,764.64 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$864.30 |
$864.30 |
$1,590.14 |
$259.58
|
|
D&c after delivery 59160
|
$3,441.98 |
$3,441.98 |
$3,827.25 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$4,150.07 |
$4,150.07 |
$4,150.07 |
$3,774.81
|
|
Dch glucoscan
|
$30.85 |
$30.85 |
$30.85 |
$29.16
|
|
Dch pulmonary stress test
|
$963.30 |
$984.50 |
$6,974.66 |
$963.30
|
|
Dch validity tests
|
$35.80 |
$43.00 |
$43.00 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$5,321.73 |
$5,321.73 |
$5,321.73 |
$5,121.00
|
|
Deamidated gliadin antibody iga
|
$10.50 |
$10.50 |
$131.24 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$602.45 |
$602.45 |
$668.55 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$414.23 |
$483.50 |
$900.00 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$1,896.60 |
$1,896.60 |
$2,951.16 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$622.05 |
$622.05 |
$927.37 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,418.55 |
$1,418.55 |
$1,738.00 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,011.76 |
$1,011.76 |
$1,115.25 |
$835.20
|
|
Debride nail1-5 11720
|
$84.15 |
$84.15 |
$186.88 |
$149.60
|
|
Debride nail6 or more 11721
|
$84.15 |
$84.15 |
$200.21 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$828.75 |
$828.75 |
$828.75 |
$1,163.24
|
|
Debride skin bone at fx site
|
$2,174.51 |
$2,174.51 |
$3,015.00 |
$3,015.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$2,850.11 |
$2,850.11 |
$2,850.11 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$914.76 |
$914.76 |
$1,115.25 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,728.86 |
$1,728.86 |
$1,728.86 |
$1,149.50
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,266.60 |
$1,266.60 |
$1,353.12 |
$1,165.50
|
|
Decalcification
|
$88.31 |
$292.00 |
$495.34 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$1,188.00 |
$3,109.80 |
$8,017.44 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$540.00 |
$540.00 |
$635.93 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$7,088.32 |
$7,088.32 |
$7,088.32 |
$4,914.00
|
|
Decompression of lower leg
|
$3,408.30 |
$3,408.30 |
$3,408.30 |
$3,969.00
|
|
Deep muscle biopsy 20205
|
$3,111.06 |
$3,111.06 |
$3,111.06 |
$3,386.84
|
|
Deferoxamine 500 mg solution for injection
|
$34.05 |
$39.62 |
$450.02 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,011.25 |
$1,318.82 |
$4,901.39 |
$1,856.85
|
|
Delivery of placenta 59414
|
$1,907.85 |
$1,907.85 |
$3,135.14 |
$2,912.46
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$8,127.00 |
$8,127.00 |
$8,127.00 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$148.50 |
$155.55 |
$428.72 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,477.12 |
$5,913.85 |
$6,324.98 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$217.20 |
$217.20 |
$488.60 |
$401.60
|
|
Deodorant ostmy adapt lube 8ml
|
$1.98 |
$1.98 |
$1.98 |
$1.98
|
|
Depo-estradiol cypionate inj
|
$16.04 |
$16.04 |
$479.87 |
$71.51
|
|
Dermagraft
|
$193.11 |
$193.11 |
$193.11 |
$85.00
|
|
Dermapure 1 square cm
|
$185.62 |
$185.62 |
$608.85 |
$3,300.73
|
|
Descend thora aorta rpr/lt sub art 33880
|
$8,684.65 |
$8,684.65 |
$8,684.65 |
$6,288.45
|
|
Design mlc device for imrt
|
$670.35 |
$1,980.92 |
$3,679.50 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$68.79 |
$79.87 |
$1,071.36 |
$91.84
|
|
Desoxycorticosterone
|
$80.00 |
$80.00 |
$202.78 |
$109.28
|
|
Des thora aorta/ea add prox prosth 33884
|
$2,025.15 |
$2,025.15 |
$2,025.15 |
$1,304.05
|
|
Des thora aorta rpr without left sub art 33881
|
$2,591.05 |
$2,591.05 |
$2,591.05 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$1,831.72 |
$1,831.72 |
$1,831.72 |
$3,273.55
|
|
Destroy cervthor facet jnt 64633
|
$2,520.05 |
$2,520.05 |
$3,138.15 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$1,569.15 |
$1,569.15 |
$1,573.93 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$159.78 |
$159.78 |
$226.20 |
$202.40
|
|
Destruct cut vasl lesions <10cm 17106
|
$406.42 |
$406.42 |
$406.42 |
$666.75
|
|
Destruction 2-14 lesions 17003
|
$52.72 |
$52.72 |
$52.72 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$210.98 |
$210.98 |
$210.98 |
$240.24
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,313.66 |
$1,313.66 |
$1,569.15 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,101.88 |
$3,101.88 |
$3,138.15 |
$3,296.80
|
|
Destruction vag lesions simple 57061
|
$3,504.00 |
$3,504.00 |
$3,504.00 |
$4,006.38
|
|
Detect agent nos dna dir
|
$153.00 |
$186.00 |
$714.79 |
$138.00
|
|
Determination venous press
|
$246.34 |
$246.34 |
$246.34 |
$166.56
|
|
Developmental screen/score/document 96110
|
$411.50 |
$411.50 |
$437.75 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$432.50 |
$432.50 |
$916.70 |
$350.40
|