|
Cystoscopy and treatment
|
$23,054.08 |
$23,054.08 |
$23,054.08 |
$6,593.60
|
|
Cystoscopy and treatment
|
$10,961.45 |
$10,961.45 |
$10,961.45 |
$2,424.12
|
|
Cystoscopy and treatment
|
$2,577.60 |
$2,577.60 |
$2,577.60 |
$2,850.95
|
|
Cystoscopy and treatment
|
$2,577.60 |
$2,577.60 |
$2,577.60 |
$3,203.50
|
|
Cystoscopy (Bladder Scope)
|
$12,790.15 |
$12,790.15 |
$12,790.15 |
$1,445.41
|
|
Cystoscopy chemodenervation
|
$24,680.86 |
$24,680.86 |
$24,680.86 |
$2,831.92
|
|
Cystoscopy & ureter catheter
|
$11,318.32 |
$11,318.32 |
$11,318.32 |
$3,688.80
|
|
Cystouretero & or pyeloscope
|
$25,525.45 |
$25,525.45 |
$25,525.45 |
$4,315.98
|
|
Cystouretero w/biopsy
|
$18,327.66 |
$18,327.66 |
$18,327.66 |
$6,015.75
|
|
Cystouretero w/excise tumor
|
$29,298.85 |
$29,298.85 |
$29,298.85 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$73,353.86 |
$73,353.86 |
$73,353.86 |
$7,573.50
|
|
Cystouretero w/lithotripsy
|
$30,761.63 |
$30,761.63 |
$30,761.63 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$59,751.37 |
$59,751.37 |
$59,751.37 |
$5,339.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$13,830.89 |
$13,830.89 |
$13,830.89 |
$3,131.20
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$30,280.58 |
$30,280.58 |
$30,280.58 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$38,371.60 |
$38,371.60 |
$38,371.60 |
$2,161.60
|
|
Cystourethro w/implant
|
$38,371.60 |
$38,371.60 |
$38,371.60 |
$2,777.60
|
|
Cysto w/ureter stricture tx
|
$24,228.55 |
$24,228.55 |
$24,228.55 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
$90.00
|
|
Cytogenetics 25-99
|
$316.20 |
$316.20 |
$316.20 |
$189.80
|
|
Cytogenomic neo microra alys
|
$1,837.80 |
$1,837.80 |
$1,837.80 |
$2,156.05
|
|
Cytomegalovirus (cmv) antibody igg
|
$88.80 |
$88.80 |
$88.80 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$118.20 |
$118.20 |
$118.20 |
$100.00
|
|
Cytopath c/v index add-on
|
$44.40 |
$44.40 |
$44.40 |
$35.57
|
|
Cytopathology cellular enhancement technique non-gyn
|
$594.00 |
$594.00 |
$594.00 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$280.20 |
$280.20 |
$280.20 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$174.00 |
$174.00 |
$174.00 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$181.20 |
$181.20 |
$181.20 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$145.20 |
$145.20 |
$145.20 |
$124.00
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$111.60 |
$111.60 |
$111.60 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$200.40 |
$200.40 |
$200.40 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$365.40 |
$365.40 |
$365.40 |
$209.92
|
|
Cytopath smear other source
|
$83.40 |
$83.40 |
$83.40 |
$91.20
|
|
Cytopath smear other source
|
$85.20 |
$85.20 |
$85.20 |
$140.07
|
|
Cytopath smear oth prep screen & interp
|
$99.60 |
$99.60 |
$99.60 |
$96.20
|
|
Cytopath tbs c/v manual
|
$76.80 |
$76.80 |
$76.80 |
$59.28
|
|
Cytp urine 3-5 probes cmptr
|
$322.20 |
$322.20 |
$322.20 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$79.55 |
$79.55 |
$79.55 |
$62.70
|
|
Dalbavancin 500 mg intravenous solution
|
$6,671.74 |
$6,671.74 |
$6,671.74 |
$3,480.87
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$112.50 |
$112.50 |
$112.50 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$8,707.50 |
$8,707.50 |
$8,707.50 |
$6,273.69
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$43,151.40 |
$43,151.40 |
$43,151.40 |
$20,196.00
|
|
Dch validity tests
|
$81.00 |
$81.00 |
$81.00 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$40.20 |
$40.20 |
$40.20 |
$42.75
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$807.00 |
$807.00 |
$807.00 |
$668.55
|
|
Debridement bone <= 20 sq cm
|
$710.40 |
$710.40 |
$710.40 |
$2,293.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$23,548.42 |
$23,548.42 |
$23,548.42 |
$687.35
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$74,860.98 |
$74,860.98 |
$74,860.98 |
$820.15
|
|
Debride nail1-5 11720
|
$75.00 |
$75.00 |
$75.00 |
$149.04
|
|
Debride nail6 or more 11721
|
$68.40 |
$68.40 |
$68.40 |
$167.63
|
|
Debride skin bone at fx site
|
$3,588.60 |
$3,588.60 |
$3,588.60 |
$2,921.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$62,717.57 |
$62,717.57 |
$62,717.57 |
$641.52
|
|
Debr musc/fascia 20sq cm/< 11043
|
$46,519.60 |
$46,519.60 |
$46,519.60 |
$1,160.00
|
|
Decalcification
|
$84.60 |
$84.60 |
$84.60 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$182.23 |
$182.23 |
$182.23 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$869.40 |
$869.40 |
$869.40 |
$546.84
|
|
Deferoxamine 500 mg solution for injection
|
$94.76 |
$94.76 |
$94.76 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,995.01 |
$2,995.01 |
$2,995.01 |
$1,855.50
|
|
Delayed breast prosthesis 19342
|
$40,327.41 |
$40,327.41 |
$40,327.41 |
$10,457.82
|
|
Delay flap fccnaxghf 15620
|
$33,249.73 |
$33,249.73 |
$33,249.73 |
$2,164.64
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$134.40 |
$134.40 |
$134.40 |
$182.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$12,936.53 |
$12,936.53 |
$12,936.53 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$162.00 |
$162.00 |
$162.00 |
$399.93
|
|
Dermapure 1 square cm
|
$8,612.42 |
$8,612.42 |
$8,612.42 |
$3,822.00
|
|
Design mlc device for imrt
|
$1,626.60 |
$1,626.60 |
$1,626.60 |
$1,739.10
|
|
Desmopressin 4 mcg/ml injection solution
|
$63.40 |
$63.40 |
$63.40 |
$93.84
|
|
Destroy cervthor facet jnt 64633
|
$3,745.80 |
$3,745.80 |
$3,745.80 |
$3,018.00
|
|
Destroy cth facet jnt addl 64634
|
$423.00 |
$423.00 |
$423.00 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$42.60 |
$42.60 |
$42.60 |
$202.40
|
|
Destruction benign lesions < 14 lesions
|
$251.40 |
$251.40 |
$251.40 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$541.80 |
$541.80 |
$541.80 |
$1,618.65
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,745.80 |
$3,745.80 |
$3,745.80 |
$3,295.50
|
|
Device ablt adv novasure
|
$20,937.45 |
$20,937.45 |
$20,937.45 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$10,792.50 |
$10,792.50 |
$10,792.50 |
$4,200.00
|
|
Device sut capio slim opn
|
$4,938.65 |
$4,938.65 |
$4,938.65 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$3,998.62 |
$3,998.62 |
$3,998.62 |
$2,466.14
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$388.20 |
$388.20 |
$388.20 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$137.38 |
$137.38 |
$137.38 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$24.00 |
$24.00 |
$24.00 |
$21.20
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,028.48 |
$1,028.48 |
$1,028.48 |
$884.80
|
|
Dextran 40 infusion
|
$426.93 |
$426.93 |
$426.93 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$78.00 |
$78.00 |
$78.00 |
$36.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$78.00 |
$78.00 |
$78.00 |
$42.50
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$78.00 |
$78.00 |
$78.00 |
$46.12
|
|
Dhea-s (dehydroepiand sulfate)
|
$142.20 |
$142.20 |
$142.20 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$120.00 |
$120.00 |
$120.00 |
$79.20
|
|
Diab manage trn ind/group
|
$68.40 |
$68.40 |
$68.40 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$162.00 |
$162.00 |
$162.00 |
$190.68
|
|
Diagnostic laryngoscopy 31575
|
$249.00 |
$249.00 |
$249.00 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$584.40 |
$584.40 |
$584.40 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$455.40 |
$455.40 |
$455.40 |
$312.72
|
|
Dialysis one evaluation
|
$496.80 |
$496.80 |
$496.80 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$266.33 |
$266.33 |
$266.33 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$27.82 |
$27.82 |
$27.82 |
$77.25
|
|
Dicyclomine injection
|
$77.81 |
$77.81 |
$77.81 |
$150.91
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$24.00 |
$24.00 |
$24.00 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$18,652.50 |
$18,652.50 |
$18,652.50 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$97.20 |
$97.20 |
$97.20 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$212.83 |
$212.83 |
$212.83 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$2,668.80 |
$2,668.80 |
$2,668.80 |
$1,729.70
|