|
Cystoscopy and treatment
|
$385.84 |
$385.84 |
$385.84 |
|
|
Cystoscopy and treatment
|
$5,447.20 |
$5,447.20 |
$5,447.20 |
|
|
Cystoscopy and treatment
|
$1,075.37 |
$1,075.37 |
$1,075.37 |
|
|
Cystoscopy (Bladder Scope)
|
$234.85 |
$1,171.50 |
$2,607.43 |
|
|
Cystoscopy chemodenervation
|
$331.25 |
$882.83 |
$2,140.80 |
|
|
Cystoscopy & duct catheter
|
$513.04 |
$513.04 |
$513.04 |
|
|
Cystoscopy removal of clots
|
$856.68 |
$4,567.41 |
$7,134.86 |
|
|
Cystoscopy & revise urethra
|
$462.69 |
$462.69 |
$462.69 |
|
|
Cystoscopy & revise urethra
|
$625.93 |
$625.93 |
$3,348.80 |
|
|
Cystoscopy & ureter catheter
|
$390.61 |
$2,695.55 |
$9,900.29 |
|
|
Cystostomy cystotomy w/drainage 51040
|
$1,335.20 |
$1,335.20 |
$1,335.20 |
|
|
Cystouretero & or pyeloscope
|
$1,306.14 |
$1,306.14 |
$3,665.60 |
|
|
Cysto/uretero stricture tx
|
$5,402.40 |
$5,402.40 |
$5,402.40 |
|
|
Cystouretero w/biopsy
|
$7,754.40 |
$7,754.40 |
$7,754.40 |
|
|
Cystouretero w/excise tumor
|
$3,311.20 |
$3,311.20 |
$3,311.20 |
|
|
Cysto/uretero w/lithotripsy
|
$2,807.97 |
$2,807.97 |
$14,081.45 |
|
|
Cystouretero w/lithotripsy
|
$7,752.80 |
$7,752.80 |
$7,752.80 |
|
|
Cystouretero w/renal strict
|
$3,161.60 |
$3,161.60 |
$3,161.60 |
|
|
Cystouretero w/stone remove
|
$5,525.60 |
$5,525.60 |
$5,525.60 |
|
|
Cysto/uretero w/up stricture
|
$2,882.40 |
$2,882.40 |
$2,882.40 |
|
|
Cystourethro cut ejacul duct
|
$1,260.80 |
$1,260.80 |
$1,260.80 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$348.74 |
$3,641.22 |
$6,188.29 |
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$681.58 |
$681.58 |
$3,683.20 |
|
|
Cysto w/renal stricture tx
|
$2,436.80 |
$2,436.80 |
$2,436.80 |
|
|
Cysto w/up stricture tx
|
$2,189.60 |
$2,189.60 |
$2,189.60 |
|
|
Cysto w/ureter stricture tx
|
$2,013.60 |
$2,013.60 |
$2,013.60 |
|
|
Cytarabine 20 mg/ml injection solution
|
$0.53 |
$2.27 |
$75.65 |
|
|
Cytogenetics 25-99
|
$119.25 |
$265.00 |
$645.01 |
|
|
Cytogenetics 3-5
|
$262.68 |
$915.00 |
$915.00 |
|
|
Cytogenomic neo microra alys
|
$2,074.95 |
$3,093.42 |
$3,093.42 |
|
|
Cytogenom microarray copy nmbr var
|
$2,001.78 |
$2,673.48 |
$5,252.50 |
|
|
Cytomegalovirus ag ia
|
$40.28 |
$40.28 |
$40.28 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$29.07 |
$95.00 |
$150.70 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$14.82 |
$100.00 |
$695.75 |
|
|
Cytomegalovirus dfa
|
$108.12 |
$108.12 |
$108.12 |
|
|
Cytomegalovirus imm IV /vial
|
$1,681.16 |
$1,681.16 |
$1,681.16 |
|
|
Cyto/molecular report
|
$67.31 |
$154.40 |
$548.35 |
|
|
Cytopath c/v auto rescreen
|
$159.00 |
$159.00 |
$159.00 |
|
|
Cytopath c/v index add-on
|
$40.26 |
$43.46 |
$45.58 |
|
|
Cytopath c/v manual
|
$34.98 |
$71.94 |
$71.94 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$80.00 |
$91.16 |
$628.80 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$92.75 |
$95.00 |
$446.58 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$33.92 |
$87.50 |
$236.78 |
|
|
Cytopathology concentration technique smears & interpretation
|
$38.19 |
$152.50 |
$217.80 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$57.00 |
$100.00 |
$239.80 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$42.50 |
$61.60 |
$133.56 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$77.55 |
$120.00 |
$310.91 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$115.01 |
$207.50 |
$644.80 |
|
|
Cytopath smear other source
|
$58.30 |
$92.50 |
$226.05 |
|
|
Cytopath smear other source
|
$171.72 |
$179.14 |
$248.16 |
|
|
Cytopath smear oth prep screen & interp
|
$38.19 |
$85.00 |
$226.05 |
|
|
Cytopath tbs c/v manual
|
$30.80 |
$68.20 |
$84.80 |
|
|
Cytopath tbs c/v redo
|
$76.32 |
$76.32 |
$79.50 |
|
|
Cytotoxic antibody screening
|
$128.26 |
$268.95 |
$481.80 |
|
|
Cytotoxic antibody screening
|
$76.56 |
$76.56 |
$96.46 |
|
|
Cytp urine 3-5 probes cmptr
|
$483.89 |
$736.45 |
$1,370.05 |
|
|
Dacarbazine 100 mg intravenous solution
|
$12.94 |
$13.47 |
$81.05 |
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,197.80 |
$1,197.80 |
$2,526.62 |
|
|
Dalbavancin 500 mg intravenous solution
|
$24.80 |
$36.30 |
$57.52 |
|
|
Dalteparin sodium
|
$12.19 |
$12.19 |
$12.19 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.15 |
$0.35 |
$2.22 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$77.35 |
$110.70 |
$29,754.93 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$6.27 |
$17.05 |
$9,654.88 |
|
|
Darbepoetin alfa, esrd use
|
$4.24 |
$4.24 |
$4.24 |
|
|
Dark field exam spec collj
|
$62.54 |
$62.54 |
$65.19 |
|
|
Dark field exam without collj
|
$36.57 |
$36.57 |
$36.57 |
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$470.32 |
$470.32 |
$526.40 |
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$109.12 |
$125.60 |
$238.19 |
|
|
D&c after delivery 59160
|
$2,665.85 |
$4,616.15 |
$4,896.99 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$2,411.20 |
$3,092.65 |
$7,045.50 |
|
|
Dch glucoscan
|
$6.05 |
$10.60 |
$35.20 |
|
|
Dch pulmonary stress test
|
$202.99 |
$1,190.00 |
$2,475.59 |
|
|
Dch validity tests
|
$3.99 |
$15.00 |
$76.00 |
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$3,500.00 |
$3,500.00 |
$12,344.23 |
|
|
Deamidated gliadin antibody iga
|
$7.42 |
$70.40 |
$258.57 |
|
|
Debr g/per/abd wall 11006
|
$2,087.20 |
$2,087.20 |
$2,087.20 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$45.58 |
$237.50 |
$651.75 |
|
|
Debridement (>20 cm) charge pt
|
$129.85 |
$227.50 |
$603.90 |
|
|
Debridement bone <= 20 sq cm
|
$764.94 |
$2,175.36 |
$4,299.63 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$244.20 |
$721.38 |
$759.55 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,061.60 |
$1,197.90 |
$1,373.46 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$509.85 |
$634.98 |
$2,328.63 |
|
|
Debride nail1-5 11720
|
$67.50 |
$89.10 |
$333.90 |
|
|
Debride nail6 or more 11721
|
$90.00 |
$118.14 |
$476.30 |
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$472.23 |
$1,969.34 |
$3,061.30 |
|
|
Debride skin bone at fx site
|
$425.15 |
$584.59 |
$4,299.63 |
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$2,116.98 |
$2,116.98 |
$2,291.20 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$39.75 |
$114.84 |
$759.55 |
|
|
Debrid mastoidectomy cavity simple 69220
|
$173.31 |
$188.10 |
$402.40 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$402.27 |
$470.00 |
$2,070.83 |
|
|
Debr inf skin add-on 11001
|
$13.78 |
$72.39 |
$169.60 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$531.24 |
$827.75 |
$1,853.78 |
|
|
Decalcification
|
$19.25 |
$75.00 |
$113.85 |
|
|
Decitabine 50 mg intravenous solution
|
$4.42 |
$18.04 |
$54.06 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$227.37 |
$350.55 |
$989.26 |
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$3,641.60 |
$3,641.60 |
$3,641.60 |
|
|
Decomp forearm 1 space 25020
|
$3,992.80 |
$3,992.80 |
$3,992.80 |
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$6,673.60 |
$6,673.60 |
$6,673.60 |
|
|
Decompress forearm 1 space
|
$5,136.00 |
$5,136.00 |
$5,136.00 |
|
