|
Cysto, litho, vacuum kidney
|
$399.00 |
$399.00 |
$399.00 |
$10,942.71
|
|
Cystometrogram w/up 51727
|
$109.50 |
$109.50 |
$109.50 |
$908.59
|
|
Cystorrhaphy wound comp 51865
|
$935.50 |
$935.50 |
$935.50 |
$1,756.80
|
|
Cystorrhaphy wound simple 51860
|
$780.50 |
$780.50 |
$780.50 |
$5,855.00
|
|
Cysto rx balo cath urtl strx
|
$169.00 |
$169.00 |
$169.00 |
$6,015.75
|
|
Cystoscopy and biopsy
|
$173.00 |
$173.00 |
$173.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$2,325.50 |
$2,325.50 |
$2,325.50 |
$4,081.37
|
|
Cystoscopy and treatment
|
$211.50 |
$211.50 |
$211.50 |
$4,160.10
|
|
Cystoscopy and treatment
|
$268.00 |
$268.00 |
$268.00 |
$5,162.50
|
|
Cystoscopy and treatment
|
$2,746.50 |
$2,746.50 |
$2,746.50 |
$5,995.60
|
|
Cystoscopy and treatment
|
$4,092.34 |
$4,092.34 |
$4,092.34 |
$6,475.26
|
|
Cystoscopy and treatment
|
$1,819.50 |
$1,819.50 |
$1,819.50 |
$3,213.14
|
|
Cystoscopy and treatment
|
$169.50 |
$169.50 |
$169.50 |
$2,424.12
|
|
Cystoscopy and treatment
|
$274.50 |
$274.50 |
$274.50 |
$4,045.60
|
|
Cystoscopy and treatment
|
$626.00 |
$626.00 |
$626.00 |
$958.81
|
|
Cystoscopy and treatment
|
$301.00 |
$301.00 |
$301.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$3,671.00 |
$3,671.00 |
$3,671.00 |
$2,874.36
|
|
Cystoscopy and treatment
|
$285.00 |
$285.00 |
$285.00 |
$3,203.50
|
|
Cystoscopy and treatment
|
$256.50 |
$256.50 |
$256.50 |
$4,061.71
|
|
Cystoscopy and treatment
|
$273.50 |
$273.50 |
$273.50 |
$3,820.84
|
|
Cystoscopy (Bladder Scope)
|
$2,040.50 |
$2,040.50 |
$2,040.50 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$1,683.50 |
$1,683.50 |
$1,683.50 |
$2,704.80
|
|
Cystoscopy implant stent
|
$350.50 |
$350.50 |
$350.50 |
$4,627.00
|
|
Cystoscopy removal of clots
|
$2,881.00 |
$2,881.00 |
$2,881.00 |
$4,081.37
|
|
Cystoscopy & revise urethra
|
$258.50 |
$258.50 |
$258.50 |
$2,874.36
|
|
Cystoscopy stone removal
|
$332.00 |
$332.00 |
$332.00 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$2,046.17 |
$2,046.17 |
$2,046.17 |
$3,786.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$317.00 |
$317.00 |
$317.00 |
$3,863.60
|
|
Cystouretero & or pyeloscope
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$5,997.50 |
$5,997.50 |
$5,997.50 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$1,849.75 |
$1,849.75 |
$1,849.75 |
$5,986.78
|
|
Cystouretero w/excise tumor
|
$510.50 |
$510.50 |
$510.50 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$7,333.50 |
$7,333.50 |
$7,333.50 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$406.00 |
$406.00 |
$406.00 |
$7,061.60
|
|
Cystouretero w/renal strict
|
$463.00 |
$463.00 |
$463.00 |
$5,741.00
|
|
Cystouretero w/stone remove
|
$924.88 |
$924.88 |
$924.88 |
$5,110.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,537.67 |
$2,537.67 |
$2,537.67 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$2,994.50 |
$2,994.50 |
$2,994.50 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$55.50 |
$55.50 |
$55.50 |
$2,161.60
|
|
Cystourethro w/implant
|
$228.50 |
$228.50 |
$228.50 |
$2,298.40
|
|
Cysto w/renal stricture tx
|
$357.50 |
$357.50 |
$357.50 |
$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
|
$72.50 |
$72.50 |
$72.50 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$77.50 |
$77.50 |
$77.50 |
$97.50
|
|
Cyto/molecular report
|
$34.00 |
$34.00 |
$34.00 |
$133.20
|
|
Cytopath fl nongyn filter
|
$19.00 |
$19.00 |
$19.00 |
$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
|
$90.50 |
$90.50 |
$90.50 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$92.50 |
$92.50 |
$92.50 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$46.00 |
$46.00 |
$46.00 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$152.00 |
$152.00 |
$152.00 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$21.50 |
$21.50 |
$21.50 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$68.50 |
$68.50 |
$68.50 |
$209.23
|
|
Cytopath smear other source
|
$109.00 |
$109.00 |
$109.00 |
$88.13
|
|
Cytopath smear other source
|
$38.50 |
$38.50 |
$38.50 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$25.00 |
$25.00 |
$25.00 |
$96.20
|
|
Dalbavancin 500 mg intravenous solution
|
$4,134.15 |
$4,134.15 |
$4,134.15 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$67.50 |
$67.50 |
$67.50 |
$168.53
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$279.82 |
$279.82 |
$279.82 |
$6,072.48
|
|
Darbepoetin alfa, esrd use
|
$11.50 |
$11.50 |
$11.50 |
$4.48
|
|
D&c after delivery 59160
|
$202.00 |
$202.00 |
$202.00 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$244.50 |
$244.50 |
$244.50 |
$3,774.81
|
|
Dch validity tests
|
$22.00 |
$22.00 |
$22.00 |
$24.50
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$4,702.00 |
$4,702.00 |
$4,702.00 |
$4,952.36
|
|
Deamidated gliadin antibody iga
|
$34.00 |
$34.00 |
$34.00 |
$43.60
|
|
Debr g/per/abd wall 11006
|
$751.00 |
$751.00 |
$751.00 |
$1,357.80
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$30.50 |
$30.50 |
$30.50 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$204.00 |
$204.00 |
$204.00 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$3,594.50 |
$3,594.50 |
$3,594.50 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$61.50 |
$61.50 |
$61.50 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$808.50 |
$808.50 |
$808.50 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$4,230.50 |
$4,230.50 |
$4,230.50 |
$810.50
|
|
Debride nail1-5 11720
|
$146.00 |
$146.00 |
$146.00 |
$148.80
|
|
Debride nail6 or more 11721
|
$494.50 |
$494.50 |
$494.50 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$329.50 |
$329.50 |
$329.50 |
$1,012.80
|
|
Debride skin bone at fx site
|
$438.50 |
$438.50 |
$438.50 |
$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
|
$831.50 |
$831.50 |
$831.50 |
$1,820.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$306.50 |
$306.50 |
$306.50 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$54.00 |
$54.00 |
$54.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$301.50 |
$301.50 |
$301.50 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$15.50 |
$15.50 |
$15.50 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$3,173.67 |
$3,173.67 |
$3,173.67 |
$1,160.00
|
|
Decalcification
|
$29.50 |
$29.50 |
$29.50 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$819.00 |
$819.00 |
$819.00 |
$543.00
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$510.00 |
$510.00 |
$510.00 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$738.50 |
$738.50 |
$738.50 |
$3,137.60
|
|
Decompress forearm 1 space
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$3,957.20
|
|
Decompression of leg
|
$905.00 |
$905.00 |
$905.00 |
$3,839.54
|
|
Decompression of lower leg
|
$461.00 |
$461.00 |
$461.00 |
$3,839.54
|
|
Decompression of tibia nerve
|
$389.00 |
$389.00 |
$389.00 |
$2,625.60
|
|
Decompress small bowel
|
$1,049.50 |
$1,049.50 |
$1,049.50 |
$1,503.60
|
|
Deep muscle biopsy 20205
|
$2,883.50 |
$2,883.50 |
$2,883.50 |
$3,339.00
|
|
Degarelix 120 mg subcutaneous solution
|
$6.00 |
$6.00 |
$6.00 |
$1,807.08
|
|
Delivery of placenta 59414
|
$3,100.50 |
$3,100.50 |
$3,100.50 |
$3,070.56
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$695.50 |
$695.50 |
$695.50 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$112.50 |
$112.50 |
$112.50 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$2,714.69 |
$2,714.69 |
$2,714.69 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$250.00 |
$250.00 |
$250.00 |
$408.10
|
