|
Cystourethroscopy w/biopsy(s) 52204
|
$88.55 |
$88.55 |
$88.55 |
$3,970.98
|
|
Cytarabine 20 mg/ml injection solution
|
$3.77 |
$3.77 |
$3.77 |
$89.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$105.35 |
$105.35 |
$105.35 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$98.35 |
$98.35 |
$98.35 |
$96.80
|
|
Cyto/molecular report
|
$158.55 |
$158.55 |
$158.55 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$48.30 |
$48.30 |
$48.30 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$73.50 |
$73.50 |
$73.50 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$76.83 |
$76.83 |
$76.83 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$71.05 |
$71.05 |
$71.05 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$49.00 |
$49.00 |
$49.00 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$39.20 |
$39.20 |
$39.20 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$98.70 |
$98.70 |
$98.70 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$123.73 |
$123.73 |
$123.73 |
$205.00
|
|
Cytopath smear other source
|
$31.68 |
$31.68 |
$31.68 |
$85.80
|
|
Cytopath smear other source
|
$37.10 |
$37.10 |
$37.10 |
$122.19
|
|
Cytopath tbs c/v manual
|
$56.18 |
$56.18 |
$56.18 |
$57.94
|
|
Cytp urine 3-5 probes cmptr
|
$514.68 |
$514.68 |
$514.68 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$1.58 |
$1.58 |
$1.58 |
$82.91
|
|
Dalbavancin 500 mg intravenous solution
|
$276.45 |
$276.45 |
$276.45 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$4.45 |
$4.45 |
$4.45 |
$315.32
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$31.70 |
$31.70 |
$31.70 |
$5,546.48
|
|
D&c after delivery 59160
|
$862.40 |
$862.40 |
$862.40 |
$3,762.53
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$803.25 |
$803.25 |
$803.25 |
$3,774.81
|
|
Dch validity tests
|
$9.98 |
$9.98 |
$9.98 |
$25.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$124.25 |
$124.25 |
$124.25 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$150.85 |
$150.85 |
$150.85 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,051.53 |
$2,051.53 |
$2,051.53 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$480.55 |
$480.55 |
$480.55 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$847.70 |
$847.70 |
$847.70 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$539.88 |
$539.88 |
$539.88 |
$810.50
|
|
Debride nail1-5 11720
|
$43.40 |
$43.40 |
$43.40 |
$173.25
|
|
Debride nail6 or more 11721
|
$35.70 |
$35.70 |
$35.70 |
$195.20
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$228.90 |
$228.90 |
$228.90 |
$1,265.16
|
|
Debride skin bone at fx site
|
$280.00 |
$280.00 |
$280.00 |
$3,278.34
|
|
Debride skn/sq/musc/abd wall 11004
|
$124.43 |
$124.43 |
$124.43 |
$1,184.95
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$451.15 |
$451.15 |
$451.15 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$24.50 |
$24.50 |
$24.50 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$149.98 |
$149.98 |
$149.98 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$34.30 |
$34.30 |
$34.30 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,371.30 |
$1,371.30 |
$1,371.30 |
$1,193.40
|
|
Decalcification
|
$47.25 |
$47.25 |
$47.25 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$199.86 |
$199.86 |
$199.86 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$102.38 |
$102.38 |
$102.38 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$1.85 |
$1.85 |
$1.85 |
$110.82
|
|
Degarelix 120 mg subcutaneous solution
|
$148.48 |
$148.48 |
$148.48 |
$2,086.82
|
|
Delivery of placenta 59414
|
$474.25 |
$474.25 |
$474.25 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$27.65 |
$27.65 |
$27.65 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$89.43 |
$89.43 |
$89.43 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$401.36 |
$401.36 |
$401.36 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$89.95 |
$89.95 |
$89.95 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$1.42 |
$1.42 |
$1.42 |
$132.72
|
|
Design mlc device for imrt
|
$2,325.93 |
$2,325.93 |
$2,325.93 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$3.60 |
$3.60 |
$3.60 |
$102.32
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$33.95 |
$33.95 |
$33.95 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$39.55 |
$39.55 |
$39.55 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$45.33 |
$45.33 |
$45.33 |
$394.17
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$33.43 |
$33.43 |
$33.43 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$39.20 |
$39.20 |
$39.20 |
$312.00
|
|
Dest mal lesion tal <0.5 17260
|
$21.18 |
$21.18 |
$21.18 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$11.55 |
$11.55 |
$11.55 |
$269.60
|
|
Destroy cervthor facet jnt 64633
|
$994.70 |
$994.70 |
$994.70 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$338.28 |
$338.28 |
$338.28 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$18.03 |
$18.03 |
$18.03 |
$220.12
|
|
Destroy vulva lesion simple 56501
|
$906.85 |
$906.85 |
$906.85 |
$3,691.50
|
|
Destruct ben lesion 15/> 17111
|
$31.50 |
$31.50 |
$31.50 |
$238.20
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$96.43 |
$96.43 |
$96.43 |
$1,016.25
|
|
Destruct cut vasl lesions <10cm 17106
|
$76.30 |
$76.30 |
$76.30 |
$658.40
|
|
Destruct cut vasl lesions >50cm 17108
|
$143.50 |
$143.50 |
$143.50 |
$1,999.13
|
|
Destruction 2-14 lesions 17003
|
$1.58 |
$1.58 |
$1.58 |
$72.60
|
|
Destruction anal lesion(s) smpl chem 46900
|
$150.85 |
$150.85 |
$150.85 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$46.73 |
$46.73 |
$46.73 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$298.55 |
$298.55 |
$298.55 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$994.70 |
$994.70 |
$994.70 |
$3,375.00
|
|
Destruction penis lesion(s) chem 54050
|
$62.65 |
$62.65 |
$62.65 |
$332.00
|
|
Destruction premal lesions 15/> 17004
|
$40.25 |
$40.25 |
$40.25 |
$470.51
|
|
Destruction vag lesions simple 57061
|
$1,102.33 |
$1,102.33 |
$1,102.33 |
$3,762.53
|
|
Device sut capio slim opn
|
$725.20 |
$725.20 |
$725.20 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$971.78 |
$971.78 |
$971.78 |
$2,440.98
|
|
Dexamethasone 4 mg tablet
|
$3.39 |
$3.39 |
$3.39 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$0.70 |
$0.70 |
$0.70 |
$30.00
|
|
Dexamethasone intra implant
|
$233.28 |
$233.28 |
$233.28 |
$205.62
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$62.35 |
$62.35 |
$62.35 |
$560.92
|
|
Dextran 40 infusion
|
$3.51 |
$3.51 |
$3.51 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$0.36 |
$0.36 |
$0.36 |
$60.00
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$0.34 |
$0.34 |
$0.34 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$0.61 |
$0.61 |
$0.61 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$32.90 |
$32.90 |
$32.90 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$30.45 |
$30.45 |
$30.45 |
$78.03
|
|
Diab manage trn ind/group
|
$3.68 |
$3.68 |
$3.68 |
$49.50
|
|
Diagnostic anoscopy spx 46600
|
$34.13 |
$34.13 |
$34.13 |
$245.35
|
|
Diagnostic laryngoscopy 31505
|
$69.13 |
$69.13 |
$69.13 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$81.20 |
$81.20 |
$81.20 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$100.98 |
$100.98 |
$100.98 |
$424.00
|
|
Diagnostic radio unlisted proc
|
$35.00 |
$35.00 |
$35.00 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$1,234.80 |
$1,234.80 |
$1,234.80 |
$7,145.00
|
|
Dialysis one evaluation
|
$297.85 |
$297.85 |
$297.85 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$2.50 |
$2.50 |
$2.50 |
$72.34
|
|
Diffusing capacity
|
$179.20 |
$179.20 |
$179.20 |
$360.10
|
|
Digital analysis of eeg
|
$92.75 |
$92.75 |
$92.75 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$20.24 |
$20.24 |
$20.24 |
$69.79
|