|
Cystourethroscop/calib/dilat stric 52281
|
$2,873.85 |
$2,873.85 |
$2,873.85 |
$2,874.36
|
|
Cytarabine 20 mg/ml injection solution
|
$225.74 |
$225.74 |
$225.74 |
$89.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$150.96 |
$150.96 |
$150.96 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$45.97 |
$45.97 |
$45.97 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$928.20 |
$928.20 |
$928.20 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$236.13 |
$236.13 |
$236.13 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$60.69 |
$60.69 |
$60.69 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$202.98 |
$202.98 |
$202.98 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$42.33 |
$42.33 |
$42.33 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$322.32 |
$322.32 |
$322.32 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$322.32 |
$322.32 |
$322.32 |
$205.00
|
|
Cytopath smear other source
|
$238.68 |
$238.68 |
$238.68 |
$85.80
|
|
Cytopath smear other source
|
$82.11 |
$82.11 |
$82.11 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$185.13 |
$185.13 |
$185.13 |
$95.89
|
|
Dacarbazine 100 mg intravenous solution
|
$167.50 |
$167.50 |
$167.50 |
$82.91
|
|
Dalbavancin 500 mg intravenous solution
|
$2,496.02 |
$2,496.02 |
$2,496.02 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$168.53 |
$168.53 |
$168.53 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$24,096.92 |
$24,096.92 |
$24,096.92 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$8,626.41 |
$8,626.41 |
$8,626.41 |
$5,546.48
|
|
D&c after delivery 59160
|
$5,564.61 |
$5,564.61 |
$5,564.61 |
$3,762.53
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$6,403.05 |
$6,403.05 |
$6,403.05 |
$3,774.81
|
|
Dch validity tests
|
$28.56 |
$28.56 |
$28.56 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$43.35 |
$43.35 |
$43.35 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,315.80 |
$1,315.80 |
$1,315.80 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$1,149.54 |
$1,149.54 |
$1,149.54 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,357.22 |
$2,357.22 |
$2,357.22 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$3,011.55 |
$3,011.55 |
$3,011.55 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$4,519.62 |
$4,519.62 |
$4,519.62 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,577.43 |
$1,577.43 |
$1,577.43 |
$810.50
|
|
Debride nail1-5 11720
|
$130.05 |
$130.05 |
$130.05 |
$173.25
|
|
Debride nail6 or more 11721
|
$130.05 |
$130.05 |
$130.05 |
$195.20
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,469.82 |
$1,469.82 |
$1,469.82 |
$1,265.16
|
|
Debride skin bone at fx site
|
$3,803.07 |
$3,803.07 |
$3,803.07 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$3,182.91 |
$3,182.91 |
$3,182.91 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,469.82 |
$1,469.82 |
$1,469.82 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$370.77 |
$370.77 |
$370.77 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$989.91 |
$989.91 |
$989.91 |
$1,193.40
|
|
Decalcification
|
$212.67 |
$212.67 |
$212.67 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$386.77 |
$386.77 |
$386.77 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$534.48 |
$534.48 |
$534.48 |
$545.90
|
|
Decompress fasciotomyhand 26037
|
$5,857.86 |
$5,857.86 |
$5,857.86 |
$3,594.44
|
|
Decompression of lower leg
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$3,839.54
|
|
Decompression of thigh/knee
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$3,839.54
|
|
Deferoxamine 500 mg solution for injection
|
$84.15 |
$84.15 |
$84.15 |
$110.82
|
|
Degarelix 120 mg subcutaneous solution
|
$1,674.82 |
$1,674.82 |
$1,674.82 |
$2,086.82
|
|
Delivery of placenta 59414
|
$6,403.05 |
$6,403.05 |
$6,403.05 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$5,689.05 |
$5,689.05 |
$5,689.05 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$434.01 |
$434.01 |
$434.01 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$7,703.58 |
$7,703.58 |
$7,703.58 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$518.67 |
$518.67 |
$518.67 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$219.70 |
$219.70 |
$219.70 |
$132.72
|
|
Derma-fat-fascia graft 15770
|
$6,402.03 |
$6,402.03 |
$6,402.03 |
$4,326.42
|
|
Descend thora aorta rpr/lt sub art 33880
|
$7,377.15 |
$7,377.15 |
$7,377.15 |
$5,702.04
|
|
Design mlc device for imrt
|
$2,666.28 |
$2,666.28 |
$2,666.28 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$116.22 |
$116.22 |
$116.22 |
$102.32
|
|
Des thora aorta rpr without left sub art 33881
|
$7,377.15 |
$7,377.15 |
$7,377.15 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$2,261.34 |
$2,261.34 |
$2,261.34 |
$2,498.88
|
|
Destroy cervthor facet jnt 64633
|
$4,277.37 |
$4,277.37 |
$4,277.37 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$4,277.37 |
$4,277.37 |
$4,277.37 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$409.53 |
$409.53 |
$409.53 |
$220.12
|
|
Destruct cut vasl lesions <10cm 17106
|
$844.56 |
$844.56 |
$844.56 |
$658.40
|
|
Destruction anal lesion(s) smpl chem 46900
|
$844.56 |
$844.56 |
$844.56 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$409.53 |
$409.53 |
$409.53 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$4,277.37 |
$4,277.37 |
$4,277.37 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$4,277.37 |
$4,277.37 |
$4,277.37 |
$3,375.00
|
|
Destruction vag lesions simple 57061
|
$5,316.24 |
$5,316.24 |
$5,316.24 |
$3,762.53
|
|
Device ablt adv novasure
|
$5,322.49 |
$5,322.49 |
$5,322.49 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,888.75 |
$3,888.75 |
$3,888.75 |
$4,298.87
|
|
Device intraute mirena
|
$3,363.57 |
$3,363.57 |
$3,363.57 |
$2,618.91
|
|
Device sut capio slim opn
|
$1,860.95 |
$1,860.95 |
$1,860.95 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$6,816.15 |
$6,816.15 |
$6,816.15 |
$2,440.98
|
|
Dexamethasone 4 mg tablet
|
$5.61 |
$5.61 |
$5.61 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,016.45 |
$1,016.45 |
$1,016.45 |
$560.92
|
|
Dextran 40 infusion
|
$65.33 |
$65.33 |
$65.33 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$65.33 |
$65.33 |
$65.33 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$65.33 |
$65.33 |
$65.33 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$76.50 |
$76.50 |
$76.50 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$140.76 |
$140.76 |
$140.76 |
$78.03
|
|
Diagnostic anoscopy
|
$228.48 |
$228.48 |
$228.48 |
$441.68
|
|
Diagnostic anoscopy spx 46600
|
$228.48 |
$228.48 |
$228.48 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$82.62 |
$82.62 |
$82.62 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$82.62 |
$82.62 |
$82.62 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$272.85 |
$272.85 |
$272.85 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$402.39 |
$402.39 |
$402.39 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$645.66 |
$645.66 |
$645.66 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$492.15 |
$492.15 |
$492.15 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,427.71 |
$3,427.71 |
$3,427.71 |
$7,145.00
|
|
Dialysis one evaluation
|
$700.74 |
$700.74 |
$700.74 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$45.90 |
$45.90 |
$45.90 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$85.68 |
$85.68 |
$85.68 |
$72.34
|
|
Diffusing capacity
|
$332.01 |
$332.01 |
$332.01 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$444.22 |
$444.22 |
$444.22 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$11,090.02 |
$11,090.02 |
$11,090.02 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$248.37 |
$248.37 |
$248.37 |
$102.00
|
|
Dilate urethra stricture
|
$487.05 |
$487.05 |
$487.05 |
$514.79
|
|
Dilation/female urethra/initial 53660
|
$329.46 |
$329.46 |
$329.46 |
$207.39
|
|
Dilation/urethral strict/male/ini 53620
|
$2,758.08 |
$2,758.08 |
$2,758.08 |
$1,550.25
|