|
Cystic fibrosis cftr
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$1,100.00
|
|
Cystogram >= 3 views supervision & interpretation
|
$533.06 |
$533.06 |
$533.06 |
$542.10
|
|
Cytogenetics 25-99
|
$18.48 |
$18.48 |
$18.48 |
$190.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$23.54 |
$23.54 |
$23.54 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$16.06 |
$16.06 |
$16.06 |
$97.50
|
|
Cyto/molecular report
|
$7.04 |
$7.04 |
$7.04 |
$133.20
|
|
Cytopath c/v manual
|
$24.86 |
$24.86 |
$24.86 |
$36.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$50.16 |
$50.16 |
$50.16 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$19.58 |
$19.58 |
$19.58 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$58.74 |
$58.74 |
$58.74 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$27.72 |
$27.72 |
$27.72 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$12.76 |
$12.76 |
$12.76 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$75.46 |
$75.46 |
$75.46 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$68.42 |
$68.42 |
$68.42 |
$209.23
|
|
Cytopath smear other source
|
$28.60 |
$28.60 |
$28.60 |
$88.13
|
|
Cytopath smear other source
|
$22.44 |
$22.44 |
$22.44 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$32.56 |
$32.56 |
$32.56 |
$96.20
|
|
Cytp urine 3-5 probes cmptr
|
$112.42 |
$112.42 |
$112.42 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$11.62 |
$11.62 |
$11.62 |
$58.22
|
|
Dalbavancin 500 mg intravenous solution
|
$643.84 |
$643.84 |
$643.84 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$44.54 |
$44.54 |
$44.54 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$4,400.00 |
$4,400.00 |
$4,400.00 |
$21,063.03
|
|
D&c after delivery 59160
|
$123.42 |
$123.42 |
$123.42 |
$3,827.25
|
|
Dch glucoscan
|
$21.78 |
$21.78 |
$21.78 |
$28.10
|
|
Dch validity tests
|
$24.42 |
$24.42 |
$24.42 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$16.72 |
$16.72 |
$16.72 |
$43.60
|
|
Debridement (>20 cm) charge pt
|
$128.70 |
$128.70 |
$128.70 |
$260.61
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$612.04 |
$612.04 |
$612.04 |
$810.50
|
|
Debride nail6 or more 11721
|
$99.00 |
$99.00 |
$99.00 |
$169.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$275.66 |
$275.66 |
$275.66 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$71.94 |
$71.94 |
$71.94 |
$235.13
|
|
Decalcification
|
$20.68 |
$20.68 |
$20.68 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$564.96 |
$564.96 |
$564.96 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$321.64 |
$321.64 |
$321.64 |
$543.00
|
|
Degarelix 120 mg subcutaneous solution
|
$754.47 |
$754.47 |
$754.47 |
$1,807.08
|
|
Delivery of placenta 59414
|
$1,238.60 |
$1,238.60 |
$1,238.60 |
$3,070.56
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$129.14 |
$129.14 |
$129.14 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$2,139.02 |
$2,139.02 |
$2,139.02 |
$6,324.98
|
|
Design mlc device for imrt
|
$814.44 |
$814.44 |
$814.44 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$64.34 |
$64.34 |
$64.34 |
$89.78
|
|
Desoxycorticosterone
|
$6.99 |
$6.99 |
$6.99 |
$109.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$43.56 |
$43.56 |
$43.56 |
$199.50
|
|
Device ablt adv novasure
|
$2,480.06 |
$2,480.06 |
$2,480.06 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,300.00 |
$3,300.00 |
$3,300.00 |
$4,200.00
|
|
Device intraute mirena
|
$1,155.66 |
$1,155.66 |
$1,155.66 |
$2,125.00
|
|
Device sut capio slim opn
|
$962.94 |
$962.94 |
$962.94 |
$1,894.50
|
|
Dexamethasone 4 mg tablet
|
$9.02 |
$9.02 |
$9.02 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$13.56 |
$13.56 |
$13.56 |
$21.17
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$15.91 |
$15.91 |
$15.91 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$16.59 |
$16.59 |
$16.59 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$17.55 |
$17.55 |
$17.55 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$15.69 |
$15.69 |
$15.69 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$70.40 |
$70.40 |
$70.40 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$268.40 |
$268.40 |
$268.40 |
$79.20
|
|
Diag laparo separate proc 49320
|
$220.00 |
$220.00 |
$220.00 |
$6,904.15
|
|
Diagnostic laryngoscopy 31575
|
$45.76 |
$45.76 |
$45.76 |
$331.58
|
|
Dialysis circuit perm vascular embolization 36909
|
$2,085.82 |
$2,085.82 |
$2,085.82 |
$5,419.00
|
|
Dialysis one evaluation
|
$534.16 |
$534.16 |
$534.16 |
$919.55
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$46.34 |
$46.34 |
$46.34 |
$74.76
|
|
Dicyclomine injection
|
$56.36 |
$56.36 |
$56.36 |
$153.29
|
|
Diffusing capacity
|
$149.60 |
$149.60 |
$149.60 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$12.18 |
$12.18 |
$12.18 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$3,151.53 |
$3,151.53 |
$3,151.53 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$158.84 |
$158.84 |
$158.84 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$110.95 |
$110.95 |
$110.95 |
$297.86
|
|
Dilator fascial 10fx20cm
|
$119.90 |
$119.90 |
$119.90 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$17.14 |
$17.14 |
$17.14 |
$47.94
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$11.00 |
$11.00 |
$11.00 |
$17.75
|
|
Disaccharidases
|
$81.14 |
$81.14 |
$81.14 |
$216.00
|
|
Dna antibody native/double stranded
|
$4.40 |
$4.40 |
$4.40 |
$97.50
|
|
Dna gardnerella
|
$102.74 |
$102.74 |
$102.74 |
$62.50
|
|
Dna trichomonas
|
$102.74 |
$102.74 |
$102.74 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$79.09 |
$79.09 |
$79.09 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$3.02 |
$3.02 |
$3.02 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$28.10 |
$28.10 |
$28.10 |
$65.40
|
|
Doppler echo complete
|
$238.48 |
$238.48 |
$238.48 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,188.02 |
$3,188.02 |
$3,188.02 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$821.70 |
$821.70 |
$821.70 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$331.32 |
$331.32 |
$331.32 |
$471.17
|
|
Dornhoffer fixed part w/window
|
$1,931.16 |
$1,931.16 |
$1,931.16 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$4,925.27 |
$4,925.27 |
$4,925.27 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$24.33 |
$24.33 |
$24.33 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$990.14 |
$990.14 |
$990.14 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$34.72 |
$34.72 |
$34.72 |
$84.80
|
|
Dpyd gene common variants
|
$38.46 |
$38.46 |
$38.46 |
$380.50
|
|
Drainage of kidney lesion
|
$1,499.08 |
$1,499.08 |
$1,499.08 |
$1,506.00
|
|
Drainage of pelvis lesion 26990
|
$2,322.32 |
$2,322.32 |
$2,322.32 |
$3,958.50
|
|
Drain blood from under nail 11740
|
$154.66 |
$154.66 |
$154.66 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,172.38 |
$1,172.38 |
$1,172.38 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$3,071.64 |
$3,071.64 |
$3,071.64 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$404.14 |
$404.14 |
$404.14 |
$1,044.00
|
|
Drain ovarn cyst abd
|
$1,019.70 |
$1,019.70 |
$1,019.70 |
$3,964.27
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$146.96 |
$146.96 |
$146.96 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$159.06 |
$159.06 |
$159.06 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$293.48 |
$293.48 |
$293.48 |
$523.00
|
|
Drng of finger abscess comp 26011
|
$203.72 |
$203.72 |
$203.72 |
$1,943.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$19.52 |
$19.52 |
$19.52 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$760.76 |
$760.76 |
$760.76 |
$1,956.48
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$6,756.86 |
$6,756.86 |
$6,756.86 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$1,112.54 |
$1,112.54 |
$1,112.54 |
$569.75
|