|
Cystoscopy and treatment
|
$472.80 |
$472.80 |
$472.80 |
$4,081.37
|
|
Cystoscopy and treatment
|
$248.80 |
$248.80 |
$248.80 |
$2,874.36
|
|
Cystoscopy and treatment
|
$449.60 |
$449.60 |
$449.60 |
$3,203.50
|
|
Cystoscopy and treatment
|
$400.80 |
$400.80 |
$400.80 |
$4,061.71
|
|
Cystoscopy and treatment
|
$428.80 |
$428.80 |
$428.80 |
$3,820.84
|
|
Cystoscopy (Bladder Scope)
|
$913.60 |
$913.60 |
$913.60 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$276.80 |
$276.80 |
$276.80 |
$2,704.80
|
|
Cystoscopy implant stent
|
$552.00 |
$552.00 |
$552.00 |
$4,627.00
|
|
Cystoscopy removal of clots
|
$4,609.60 |
$4,609.60 |
$4,609.60 |
$4,081.37
|
|
Cystoscopy & revise urethra
|
$405.60 |
$405.60 |
$405.60 |
$2,874.36
|
|
Cystoscopy stone removal
|
$523.20 |
$523.20 |
$523.20 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$219.20 |
$219.20 |
$219.20 |
$3,786.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$488.80 |
$488.80 |
$488.80 |
$3,863.60
|
|
Cystouretero & or pyeloscope
|
$493.60 |
$493.60 |
$493.60 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$602.40 |
$602.40 |
$602.40 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$680.80 |
$680.80 |
$680.80 |
$5,986.78
|
|
Cystouretero w/excise tumor
|
$761.60 |
$761.60 |
$761.60 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$678.40 |
$678.40 |
$678.40 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$638.40 |
$638.40 |
$638.40 |
$7,061.60
|
|
Cystouretero w/renal strict
|
$727.20 |
$727.20 |
$727.20 |
$5,741.00
|
|
Cystouretero w/stone remove
|
$578.40 |
$578.40 |
$578.40 |
$5,110.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$251.20 |
$251.20 |
$251.20 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$234.40 |
$234.40 |
$234.40 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$82.40 |
$82.40 |
$82.40 |
$2,161.60
|
|
Cystourethro w/implant
|
$340.80 |
$340.80 |
$340.80 |
$2,298.40
|
|
Cysto w/renal stricture tx
|
$560.80 |
$560.80 |
$560.80 |
$4,045.60
|
|
Cysto w/ureter stricture tx
|
$463.20 |
$463.20 |
$463.20 |
$4,081.37
|
|
Cytogenetics 25-99
|
$70.40 |
$70.40 |
$70.40 |
$190.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$49.60 |
$49.60 |
$49.60 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$45.60 |
$45.60 |
$45.60 |
$97.50
|
|
Cyto/molecular report
|
$57.60 |
$57.60 |
$57.60 |
$133.20
|
|
Cytopath fl nongyn filter
|
$31.20 |
$31.20 |
$31.20 |
$92.63
|
|
Cytopathology cellular enhancement technique non-gyn
|
$72.00 |
$72.00 |
$72.00 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$62.40 |
$62.40 |
$62.40 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$80.00 |
$80.00 |
$80.00 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$37.60 |
$37.60 |
$37.60 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$47.20 |
$47.20 |
$47.20 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$36.00 |
$36.00 |
$36.00 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$116.00 |
$116.00 |
$116.00 |
$209.23
|
|
Cytopath smear other source
|
$64.80 |
$64.80 |
$64.80 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$42.40 |
$42.40 |
$42.40 |
$96.20
|
|
Dacarbazine 100 mg intravenous solution
|
$54.64 |
$54.64 |
$54.64 |
$58.22
|
|
Dalbavancin 500 mg intravenous solution
|
$6,613.20 |
$6,613.20 |
$6,613.20 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$46.24 |
$46.24 |
$46.24 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$23,934.06 |
$23,934.06 |
$23,934.06 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,900.13 |
$1,900.13 |
$1,900.13 |
$6,072.48
|
|
Darbepoetin alfa, esrd use
|
$18.40 |
$18.40 |
$18.40 |
$4.48
|
|
D&c after delivery 59160
|
$318.40 |
$318.40 |
$318.40 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,412.80 |
$3,412.80 |
$3,412.80 |
$3,774.81
|
|
Dch validity tests
|
$8.00 |
$8.00 |
$8.00 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$238.40 |
$238.40 |
$238.40 |
$43.60
|
|
Debr g/per/abd wall 11006
|
$1,192.00 |
$1,192.00 |
$1,192.00 |
$1,357.80
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$44.80 |
$44.80 |
$44.80 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$56.00 |
$56.00 |
$56.00 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$4,090.14 |
$4,090.14 |
$4,090.14 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$516.00 |
$516.00 |
$516.00 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,045.06 |
$2,045.06 |
$2,045.06 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,246.40 |
$1,246.40 |
$1,246.40 |
$810.50
|
|
Debride nail1-5 11720
|
$91.20 |
$91.20 |
$91.20 |
$148.80
|
|
Debride nail6 or more 11721
|
$183.20 |
$183.20 |
$183.20 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$492.00 |
$492.00 |
$492.00 |
$1,012.80
|
|
Debride skin bone at fx site
|
$676.00 |
$676.00 |
$676.00 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$960.80 |
$960.80 |
$960.80 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$1,820.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$912.00 |
$912.00 |
$912.00 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$81.60 |
$81.60 |
$81.60 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$456.00 |
$456.00 |
$456.00 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$23.20 |
$23.20 |
$23.20 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$4,825.60 |
$4,825.60 |
$4,825.60 |
$1,160.00
|
|
Decalcification
|
$20.00 |
$20.00 |
$20.00 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$533.60 |
$533.60 |
$533.60 |
$543.00
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$832.80 |
$832.80 |
$832.80 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$3,137.60
|
|
Decompress forearm 1 space
|
$2,215.20 |
$2,215.20 |
$2,215.20 |
$3,957.20
|
|
Decompression of leg
|
$1,400.80 |
$1,400.80 |
$1,400.80 |
$3,839.54
|
|
Decompression of lower leg
|
$751.20 |
$751.20 |
$751.20 |
$3,839.54
|
|
Decompression of tibia nerve
|
$610.40 |
$610.40 |
$610.40 |
$2,625.60
|
|
Decompress small bowel
|
$1,710.40 |
$1,710.40 |
$1,710.40 |
$1,503.60
|
|
Deep muscle biopsy 20205
|
$274.40 |
$274.40 |
$274.40 |
$3,339.00
|
|
Degarelix 120 mg subcutaneous solution
|
$9.60 |
$9.60 |
$9.60 |
$1,807.08
|
|
Delivery of placenta 59414
|
$160.80 |
$160.80 |
$160.80 |
$3,070.56
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$1,138.40 |
$1,138.40 |
$1,138.40 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$180.00 |
$180.00 |
$180.00 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$7,988.81 |
$7,988.81 |
$7,988.81 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$320.00 |
$320.00 |
$320.00 |
$408.10
|
|
Dermapure 1 square cm
|
$191.20 |
$191.20 |
$191.20 |
$3,822.00
|
|
Derm autograft face/nck/hf/g
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$4,055.70
|
|
Desmopressin 4 mcg/ml injection solution
|
$8.00 |
$8.00 |
$8.00 |
$89.78
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$132.00 |
$132.00 |
$132.00 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$178.40 |
$178.40 |
$178.40 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$204.80 |
$204.80 |
$204.80 |
$408.50
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$159.20 |
$159.20 |
$159.20 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$182.40 |
$182.40 |
$182.40 |
$317.00
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$132.00 |
$132.00 |
$132.00 |
$262.60
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$184.00 |
$184.00 |
$184.00 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$311.20 |
$311.20 |
$311.20 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$106.40 |
$106.40 |
$106.40 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$271.20 |
$271.20 |
$271.20 |
$1,344.85
|
|
Destroy premlg lesns;1st lesn 17000
|
$308.00 |
$308.00 |
$308.00 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$344.00 |
$344.00 |
$344.00 |
$2,837.09
|
