|
Cv line/pic reposition
|
$603.69 |
$603.69 |
$606.63 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$10.96 |
$10.96 |
$10.96 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$13.29 |
$13.29 |
$13.29 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$8.67 |
$8.67 |
$34.69 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,806.63 |
$1,806.63 |
$1,806.63 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$29.28 |
$29.28 |
$29.28 |
$19.49
|
|
Cyclosporine 2 hour
|
$9.63 |
$9.63 |
$17.77 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$6.40 |
$6.40 |
$6.40 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$25.59 |
$25.59 |
$25.59 |
$37.31
|
|
Cylinder pump set 20cm titan zero angl
|
$19,711.20 |
$19,711.20 |
$27,295.92 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$248.51 |
$248.51 |
$286.70 |
$524.00
|
|
Cyp2c9 gene com variants
|
$92.92 |
$92.92 |
$92.92 |
$275.10
|
|
Cyp2d6 gene com variants
|
$239.48 |
$239.48 |
$239.48 |
$570.70
|
|
Cyp3a4 gene common variants
|
$92.92 |
$92.92 |
$92.92 |
$241.24
|
|
Cyp3a5 gene common variants
|
$92.92 |
$92.92 |
$92.92 |
$245.31
|
|
Cystatin c
|
$9.30 |
$9.30 |
$18.23 |
$77.60
|
|
Cystic fibrosis cftr
|
$425.68 |
$425.68 |
$425.68 |
$1,104.40
|
|
Cystine urine quantitative
|
$15.11 |
$15.11 |
$15.11 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$299.14 |
$299.14 |
$302.35 |
$586.95
|
|
Cystostomy cystotomy w/drainage 51040
|
$904.73 |
$904.73 |
$904.73 |
$4,129.45
|
|
Cytarabine 20 mg/ml injection solution
|
$46.50 |
$46.50 |
$46.50 |
$90.00
|
|
Cytogenetics 25-99
|
$38.13 |
$38.13 |
$38.13 |
$189.80
|
|
Cytogenom microarray copy nmbr var
|
$477.90 |
$477.90 |
$477.90 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$8.82 |
$8.82 |
$140.47 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$8.97 |
$8.97 |
$146.13 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$34.60 |
$34.60 |
$56.09 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$28.46 |
$28.46 |
$28.46 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$21.76 |
$21.76 |
$39.61 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$41.09 |
$41.09 |
$58.59 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$41.09 |
$41.09 |
$41.09 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$8.74 |
$8.74 |
$31.74 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$67.89 |
$67.89 |
$211.32 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$56.09 |
$56.09 |
$76.07 |
$213.85
|
|
Cytopath smear other source
|
$25.59 |
$25.59 |
$25.59 |
$92.50
|
|
Cytopath smear other source
|
$56.09 |
$56.09 |
$56.09 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$25.59 |
$25.59 |
$40.55 |
$96.20
|
|
Cytotoxic antibody screening
|
$13.23 |
$13.23 |
$13.23 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$395.82 |
$395.82 |
$395.82 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$30.26 |
$30.26 |
$30.26 |
$62.41
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,117.83 |
$1,117.83 |
$1,117.83 |
$171.19
|
|
Dch pulmonary stress test
|
$342.63 |
$342.63 |
$342.63 |
$963.30
|
|
Dch validity tests
|
$2.52 |
$2.52 |
$19.19 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$8.67 |
$8.67 |
$18.42 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$67.85 |
$67.85 |
$164.33 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$1,458.29 |
$1,458.29 |
$1,458.29 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$729.15 |
$729.15 |
$729.15 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,330.13 |
$1,330.13 |
$1,330.13 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$416.73 |
$416.73 |
$416.73 |
$835.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$336.78 |
$336.78 |
$336.78 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$637.14 |
$637.14 |
$637.14 |
$1,165.50
|
|
Decalcification
|
$9.07 |
$9.07 |
$52.65 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$161.48 |
$161.48 |
$280.94 |
$572.95
|
|
Delivery of placenta 59414
|
$2,763.36 |
$2,763.36 |
$2,763.36 |
$2,912.46
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$787.45 |
$787.45 |
$787.45 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$65.45 |
$65.45 |
$121.53 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$3,059.01 |
$3,059.01 |
$3,059.01 |
$6,324.98
|
|
Design mlc device for imrt
|
$731.35 |
$731.35 |
$731.35 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$175.89 |
$175.89 |
$175.89 |
$91.84
|
|
Desoxycorticosterone
|
$15.44 |
$15.44 |
$30.49 |
$109.28
|
|
Destruct cut vasl lesions <10cm 17106
|
$243.05 |
$243.05 |
$243.05 |
$666.75
|
|
Developmental screen/score/document 96110
|
$151.81 |
$151.81 |
$151.81 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$144.41 |
$144.41 |
$175.43 |
$350.40
|
|
Device ablt adv novasure
|
$2,142.30 |
$2,142.30 |
$8,648.63 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,570.57 |
$2,570.57 |
$3,934.04 |
$4,200.00
|
|
Device intraute mirena
|
$1,764.32 |
$1,764.32 |
$1,764.32 |
$2,125.00
|
|
Device sut capio slim opn
|
$3,025.07 |
$3,025.07 |
$3,474.00 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$2,570.57 |
$2,570.57 |
$3,025.07 |
$2,515.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$80.65 |
$80.65 |
$86.60 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$80.19 |
$80.19 |
$97.91 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$4.68 |
$4.68 |
$4.68 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$13.29 |
$13.29 |
$13.29 |
$20.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$86.10 |
$86.10 |
$86.10 |
$36.05
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$86.10 |
$86.10 |
$86.10 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$86.10 |
$86.10 |
$86.10 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$11.12 |
$11.12 |
$94.96 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$29.38 |
$29.38 |
$74.30 |
$79.30
|
|
Diab manage trn ind/group
|
$56.58 |
$56.58 |
$56.58 |
$54.99
|
|
Diagnostic digital breast tomosynthesis bil
|
$144.41 |
$144.41 |
$144.41 |
$117.94
|
|
Diagnostic laryngoscopy 31575
|
$142.14 |
$142.14 |
$142.14 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$151.29 |
$151.29 |
$256.46 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$169.30 |
$169.30 |
$169.30 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$1,374.90 |
$1,374.90 |
$1,374.90 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,122.80 |
$3,122.80 |
$3,122.80 |
$5,741.00
|
|
Dialysis one evaluation
|
$952.27 |
$952.27 |
$952.27 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.01 |
$0.01 |
$132.11 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$21.90 |
$21.90 |
$21.90 |
$79.71
|
|
Dicyclomine injection
|
$210.83 |
$210.83 |
$210.83 |
$154.33
|
|
Diffusing capacity
|
$144.41 |
$144.41 |
$173.88 |
$336.80
|
|
Digital analysis of eeg
|
$376.27 |
$376.27 |
$376.27 |
$593.40
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$14.03 |
$14.03 |
$14.03 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,955.67 |
$4,955.67 |
$4,955.67 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$8.80 |
$8.80 |
$96.68 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$195.82 |
$195.82 |
$195.82 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$1,466.54 |
$1,466.54 |
$1,466.54 |
$1,866.73
|
|
Dilate esophagus
|
$394.80 |
$394.80 |
$394.80 |
$2,142.40
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$4,744.07 |
$4,744.07 |
$4,744.07 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$2,906.99 |
$2,906.99 |
$4,744.07 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$3,875.73 |
$3,875.73 |
$6,325.43 |
$5,151.95
|
|
Dilator fascial 10fx20cm
|
$399.04 |
$399.04 |
$478.97 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$1,074.81 |
$1,074.81 |
$1,074.81 |
$3,900.60
|
