|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$744.66 |
$744.66 |
$744.66 |
$1,085.05
|
|
CT limited or localized follow-up study
|
$558.60 |
$558.60 |
$558.60 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$1,231.86 |
$1,231.86 |
$1,231.86 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$751.80 |
$751.80 |
$751.80 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,288.56 |
$1,288.56 |
$1,288.56 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$1,572.48 |
$1,572.48 |
$1,572.48 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$959.28 |
$959.28 |
$959.28 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$1,627.92 |
$1,627.92 |
$1,627.92 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,627.92 |
$1,627.92 |
$1,627.92 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,572.48 |
$1,572.48 |
$1,572.48 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$959.28 |
$959.28 |
$959.28 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$277.62 |
$277.62 |
$277.62 |
$456.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,596.02 |
$2,596.02 |
$2,596.02 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,539.74 |
$2,539.74 |
$2,539.74 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,588.02 |
$1,588.02 |
$1,588.02 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$1,231.86 |
$1,231.86 |
$1,231.86 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$751.80 |
$751.80 |
$751.80 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$558.60 |
$558.60 |
$558.60 |
$400.20
|
|
CT t-spine w /wo contrast
|
$1,288.56 |
$1,288.56 |
$1,288.56 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$2,539.74 |
$2,539.74 |
$2,539.74 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$751.80 |
$751.80 |
$751.80 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$2,596.02 |
$2,596.02 |
$2,596.02 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$56.28 |
$56.28 |
$56.28 |
$63.75
|
|
Culture anaerobic except blood
|
$65.94 |
$65.94 |
$65.94 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$199.08 |
$199.08 |
$199.08 |
$52.80
|
|
Culture body fluid
|
$60.06 |
$60.06 |
$60.06 |
$130.50
|
|
Culture fungi definitive id yeast
|
$71.82 |
$71.82 |
$71.82 |
$80.60
|
|
Culture fungi other (except blood)
|
$58.80 |
$58.80 |
$58.80 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$53.76 |
$53.76 |
$53.76 |
$77.40
|
|
Culture screening strep group a
|
$46.20 |
$46.20 |
$46.20 |
$81.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$243.60 |
$243.60 |
$243.60 |
$124.40
|
|
Curette/treat cornea
|
$1,268.40 |
$1,268.40 |
$1,268.40 |
$1,317.39
|
|
Curette/treat cornea
|
$3,072.72 |
$3,072.72 |
$3,072.72 |
$2,818.14
|
|
Cutter lead
|
$17,876.25 |
$17,876.25 |
$17,876.25 |
$5,538.98
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$111.30 |
$111.30 |
$111.30 |
$80.05
|
|
Cyclosporine 2 hour
|
$103.74 |
$103.74 |
$103.74 |
$121.80
|
|
Cylinder pump set 20cm titan zero angl
|
$28,542.53 |
$28,542.53 |
$28,542.53 |
$22,594.80
|
|
Cystogram >= 3 views supervision & interpretation
|
$784.98 |
$784.98 |
$784.98 |
$539.55
|
|
Cystoscopy and treatment
|
$3,715.74 |
$3,715.74 |
$3,715.74 |
$4,081.37
|
|
Cystoscopy and treatment
|
$2,150.40 |
$2,150.40 |
$2,150.40 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$2,205.00 |
$2,205.00 |
$2,205.00 |
$1,610.20
|
|
Cystoscopy removal of clots
|
$3,715.74 |
$3,715.74 |
$3,715.74 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$2,150.40 |
$2,150.40 |
$2,150.40 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$2,695.56 |
$2,695.56 |
$2,695.56 |
$3,774.40
|
|
Cystouretero & or pyeloscope
|
$3,715.74 |
$3,715.74 |
$3,715.74 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$3,715.74 |
$3,715.74 |
$3,715.74 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,373.86 |
$3,373.86 |
$3,373.86 |
$2,874.36
|
|
Cytomegalovirus (cmv) antibody igg
|
$68.46 |
$68.46 |
$68.46 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$110.46 |
$110.46 |
$110.46 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$175.98 |
$175.98 |
$175.98 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$97.86 |
$97.86 |
$97.86 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$119.70 |
$119.70 |
$119.70 |
$124.80
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$527.10 |
$527.10 |
$527.10 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$175.98 |
$175.98 |
$175.98 |
$205.00
|
|
Cytopath smear other source
|
$87.36 |
$87.36 |
$87.36 |
$85.80
|
|
Dalbavancin 500 mg intravenous solution
|
$6,044.06 |
$6,044.06 |
$6,044.06 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$203.94 |
$203.94 |
$203.94 |
$315.32
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,417.66 |
$1,417.66 |
$1,417.66 |
$5,546.48
|
|
D&c after delivery 59160
|
$4,109.28 |
$4,109.28 |
$4,109.28 |
$3,762.53
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,769.92 |
$3,769.92 |
$3,769.92 |
$3,774.81
|
|
Dch validity tests
|
$51.24 |
$51.24 |
$51.24 |
$25.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$774.90 |
$774.90 |
$774.90 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$149.94 |
$149.94 |
$149.94 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,926.14 |
$2,926.14 |
$2,926.14 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$387.66 |
$387.66 |
$387.66 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,000.02 |
$1,000.02 |
$1,000.02 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,025.22 |
$1,025.22 |
$1,025.22 |
$810.50
|
|
Debride nail1-5 11720
|
$76.86 |
$76.86 |
$76.86 |
$173.25
|
|
Debride nail6 or more 11721
|
$76.86 |
$76.86 |
$76.86 |
$195.20
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$865.20 |
$865.20 |
$865.20 |
$1,265.16
|
|
Debride skin bone at fx site
|
$3,444.42 |
$3,444.42 |
$3,444.42 |
$3,278.34
|
|
Debride skn/sq/musc/abd wall 11004
|
$903.00 |
$903.00 |
$903.00 |
$1,184.95
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$249.06 |
$249.06 |
$249.06 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$865.20 |
$865.20 |
$865.20 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$387.66 |
$387.66 |
$387.66 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$774.90 |
$774.90 |
$774.90 |
$1,193.40
|
|
Decalcification
|
$74.76 |
$74.76 |
$74.76 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$385.56 |
$385.56 |
$385.56 |
$545.90
|
|
Decompress fasciotomyhand 26037
|
$4,326.00 |
$4,326.00 |
$4,326.00 |
$3,594.44
|
|
Decompression of lower leg
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$3,839.54
|
|
Decompression of thigh/knee
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$3,839.54
|
|
Delivery of placenta 59414
|
$3,278.10 |
$3,278.10 |
$3,278.10 |
$3,271.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$255.78 |
$255.78 |
$255.78 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$20,855.17 |
$20,855.17 |
$20,855.17 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$402.36 |
$402.36 |
$402.36 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$360.07 |
$360.07 |
$360.07 |
$132.72
|
|
Derma-fat-fascia graft 15770
|
$4,727.52 |
$4,727.52 |
$4,727.52 |
$4,326.42
|
|
Desmopressin 4 mcg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$102.32
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$107.10 |
$107.10 |
$107.10 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$147.00 |
$147.00 |
$147.00 |
$362.58
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$126.00 |
$126.00 |
$126.00 |
$312.00
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$111.30 |
$111.30 |
$111.30 |
$269.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$130.20 |
$130.20 |
$130.20 |
$332.25
|
|
Destroy premlg lesns;1st lesn 17000
|
$240.66 |
$240.66 |
$240.66 |
$220.12
|
|
Destroy vulva lesion extensive 56515
|
$84.00 |
$84.00 |
$84.00 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$164.64 |
$164.64 |
$164.64 |
$3,691.50
|
|
Destruct ben lesion 15/> 17111
|
$106.68 |
$106.68 |
$106.68 |
$238.20
|
|
Destruct cut vasl lesions <10cm 17106
|
$497.70 |
$497.70 |
$497.70 |
$658.40
|
|
Destruction 2-14 lesions 17003
|
$4.20 |
$4.20 |
$4.20 |
$72.60
|