|
Cystourethro w/addl implant 52442
|
$53.00 |
$53.00 |
$53.00 |
$2,161.60
|
|
Cystourethro w/implant
|
$218.50 |
$218.50 |
$218.50 |
$2,298.40
|
|
Cysto w/renal stricture tx
|
$350.50 |
$350.50 |
$350.50 |
$4,045.60
|
|
Cysto w/ureter stricture tx
|
$294.50 |
$294.50 |
$294.50 |
$4,081.37
|
|
Cytogenetics 25-99
|
$165.50 |
$165.50 |
$165.50 |
$190.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$63.00 |
$63.00 |
$63.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$13.00 |
$13.00 |
$13.00 |
$97.50
|
|
Cyto/molecular report
|
$36.00 |
$36.00 |
$36.00 |
$133.20
|
|
Cytopath fl nongyn filter
|
$19.50 |
$19.50 |
$19.50 |
$92.63
|
|
Cytopathology cellular enhancement technique non-gyn
|
$79.50 |
$79.50 |
$79.50 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$212.00 |
$212.00 |
$212.00 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$50.00 |
$50.00 |
$50.00 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$39.00 |
$39.00 |
$39.00 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$29.50 |
$29.50 |
$29.50 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$22.50 |
$22.50 |
$22.50 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$186.00 |
$186.00 |
$186.00 |
$209.23
|
|
Cytopath smear other source
|
$40.50 |
$40.50 |
$40.50 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$26.50 |
$26.50 |
$26.50 |
$96.20
|
|
Dalbavancin 500 mg intravenous solution
|
$13.50 |
$13.50 |
$13.50 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.50 |
$0.50 |
$0.50 |
$168.53
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$11.50 |
$11.50 |
$11.50 |
$6,072.48
|
|
Darbepoetin alfa, esrd use
|
$11.50 |
$11.50 |
$11.50 |
$4.48
|
|
D&c after delivery 59160
|
$199.00 |
$199.00 |
$199.00 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$240.50 |
$240.50 |
$240.50 |
$3,774.81
|
|
Dch validity tests
|
$9.50 |
$9.50 |
$9.50 |
$24.50
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$1,870.50 |
$1,870.50 |
$1,870.50 |
$4,952.36
|
|
Deamidated gliadin antibody iga
|
$50.50 |
$50.50 |
$50.50 |
$43.60
|
|
Debr g/per/abd wall 11006
|
$745.00 |
$745.00 |
$745.00 |
$1,357.80
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$28.00 |
$28.00 |
$28.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$27.00 |
$27.00 |
$27.00 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$57.50 |
$57.50 |
$57.50 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$101.00 |
$101.00 |
$101.00 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$389.50 |
$389.50 |
$389.50 |
$810.50
|
|
Debride nail1-5 11720
|
$90.50 |
$90.50 |
$90.50 |
$148.80
|
|
Debride nail6 or more 11721
|
$99.00 |
$99.00 |
$99.00 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$307.50 |
$307.50 |
$307.50 |
$1,012.80
|
|
Debride skin bone at fx site
|
$422.50 |
$422.50 |
$422.50 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$636.00 |
$636.00 |
$636.00 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$832.50 |
$832.50 |
$832.50 |
$1,820.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$213.00 |
$213.00 |
$213.00 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$51.00 |
$51.00 |
$51.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$285.00 |
$285.00 |
$285.00 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$14.50 |
$14.50 |
$14.50 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$708.00 |
$708.00 |
$708.00 |
$1,160.00
|
|
Decalcification
|
$19.50 |
$19.50 |
$19.50 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$449.00 |
$449.00 |
$449.00 |
$543.00
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$520.50 |
$520.50 |
$520.50 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$772.50 |
$772.50 |
$772.50 |
$3,137.60
|
|
Decompress forearm 1 space
|
$1,384.50 |
$1,384.50 |
$1,384.50 |
$3,957.20
|
|
Decompression of leg
|
$875.50 |
$875.50 |
$875.50 |
$3,839.54
|
|
Decompression of lower leg
|
$469.50 |
$469.50 |
$469.50 |
$3,839.54
|
|
Decompression of tibia nerve
|
$381.50 |
$381.50 |
$381.50 |
$2,625.60
|
|
Decompress small bowel
|
$1,069.00 |
$1,069.00 |
$1,069.00 |
$1,503.60
|
|
Deep muscle biopsy 20205
|
$171.50 |
$171.50 |
$171.50 |
$3,339.00
|
|
Degarelix 120 mg subcutaneous solution
|
$6.00 |
$6.00 |
$6.00 |
$1,807.08
|
|
Delivery of placenta 59414
|
$100.50 |
$100.50 |
$100.50 |
$3,070.56
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$711.50 |
$711.50 |
$711.50 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$113.50 |
$113.50 |
$113.50 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$45.50 |
$45.50 |
$45.50 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$200.00 |
$200.00 |
$200.00 |
$408.10
|
|
Dermapure 1 square cm
|
$119.50 |
$119.50 |
$119.50 |
$3,822.00
|
|
Derm autograft face/nck/hf/g
|
$759.00 |
$759.00 |
$759.00 |
$4,055.70
|
|
Desmopressin 4 mcg/ml injection solution
|
$5.00 |
$5.00 |
$5.00 |
$89.78
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$82.50 |
$82.50 |
$82.50 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$111.50 |
$111.50 |
$111.50 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$128.00 |
$128.00 |
$128.00 |
$408.50
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$99.50 |
$99.50 |
$99.50 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$114.00 |
$114.00 |
$114.00 |
$317.00
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$82.50 |
$82.50 |
$82.50 |
$262.60
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$115.00 |
$115.00 |
$115.00 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$194.50 |
$194.50 |
$194.50 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$66.50 |
$66.50 |
$66.50 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,146.50 |
$1,146.50 |
$1,146.50 |
$1,344.85
|
|
Destroy premlg lesns;1st lesn 17000
|
$196.00 |
$196.00 |
$196.00 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$221.00 |
$221.00 |
$221.00 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$132.50 |
$132.50 |
$132.50 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$80.00 |
$80.00 |
$80.00 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$341.50 |
$341.50 |
$341.50 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$265.50 |
$265.50 |
$265.50 |
$660.00
|
|
Destruct cut vasl lesions >50cm 17108
|
$507.50 |
$507.50 |
$507.50 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$2.00 |
$2.00 |
$2.00 |
$72.60
|
|
Destruction anal lesion(s)
|
$147.50 |
$147.50 |
$147.50 |
$3,711.00
|
|
Destruction anal lesion(s) smpl chem 46900
|
$146.50 |
$146.50 |
$146.50 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$341.00 |
$341.00 |
$341.00 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$209.50 |
$209.50 |
$209.50 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$58.50 |
$58.50 |
$58.50 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$194.50 |
$194.50 |
$194.50 |
$3,202.98
|
|
Destruction mal lsn t/a/l >4cm
|
$143.50 |
$143.50 |
$143.50 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$105.50 |
$105.50 |
$105.50 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$167.50 |
$167.50 |
$167.50 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$91.50 |
$91.50 |
$91.50 |
$436.64
|
|
Destruction vag lesions complex 57065
|
$188.00 |
$188.00 |
$188.00 |
$3,762.53
|
|
Destruction vag lesions simple 57061
|
$116.00 |
$116.00 |
$116.00 |
$3,815.20
|
|
Destruct penis les/smp/electrodesi 54055
|
$95.50 |
$95.50 |
$95.50 |
$2,837.09
|
|
Detect agent nos dna dir
|
$198.00 |
$198.00 |
$198.00 |
$115.20
|
|
Determine refractive state
|
$20.00 |
$20.00 |
$20.00 |
$19.80
|
|
Developmental screen/score/document 96110
|
$12.50 |
$12.50 |
$12.50 |
$130.65
|
|
Device ablt adv novasure
|
$2,193.00 |
$2,193.00 |
$2,193.00 |
$6,097.50
|
|
Device intraute mirena
|
$1,822.00 |
$1,822.00 |
$1,822.00 |
$2,125.00
|
