|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$602.55 |
$602.55 |
$602.55 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$11.67 |
$11.67 |
$11.67 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,765.94 |
$1,765.94 |
$1,765.94 |
$1,048.28
|
|
Cyclophosphamide 25 mg capsule
|
$36.05 |
$36.05 |
$36.05 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$95.28 |
$95.28 |
$95.28 |
$179.10
|
|
Cyclosporine 2 hour
|
$7.73 |
$7.73 |
$7.73 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$6.18 |
$6.18 |
$6.18 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$1,183.47 |
$1,183.47 |
$1,183.47 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$21,769.05 |
$21,769.05 |
$21,769.05 |
$22,594.80
|
|
Cyp2c19 gene com variants
|
$66.95 |
$66.95 |
$66.95 |
$567.75
|
|
Cyp2c9 gene com variants
|
$46.09 |
$46.09 |
$46.09 |
$275.10
|
|
Cyp2d6 gene com variants
|
$46.09 |
$46.09 |
$46.09 |
$537.50
|
|
Cyp3a4 gene common variants
|
$46.09 |
$46.09 |
$46.09 |
$230.01
|
|
Cyp3a5 gene common variants
|
$46.09 |
$46.09 |
$46.09 |
$220.50
|
|
Cystatin c
|
$5.15 |
$5.15 |
$5.15 |
$82.26
|
|
Cystine urine quantitative
|
$30.84 |
$30.84 |
$30.84 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$369.77 |
$369.77 |
$369.77 |
$539.55
|
|
Cystoscopy & duct catheter
|
$1,005.80 |
$1,005.80 |
$1,005.80 |
$822.50
|
|
Cytarabine 20 mg/ml injection solution
|
$512.43 |
$512.43 |
$512.43 |
$89.95
|
|
Cytogenomic neo microra alys
|
$695.67 |
$695.67 |
$695.67 |
$1,911.78
|
|
Cytomegalovirus (cmv) antibody igg
|
$27.46 |
$27.46 |
$27.46 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$6.18 |
$6.18 |
$6.18 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$30.09 |
$30.09 |
$30.09 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$34.23 |
$34.23 |
$34.23 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$35.58 |
$35.58 |
$35.58 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$6.10 |
$6.10 |
$6.10 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$15.72 |
$15.72 |
$15.72 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$72.73 |
$72.73 |
$72.73 |
$205.00
|
|
Cytopath smear other source
|
$39.96 |
$39.96 |
$39.96 |
$85.80
|
|
Cytopath smear other source
|
$65.90 |
$65.90 |
$65.90 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$41.42 |
$41.42 |
$41.42 |
$95.89
|
|
Dacarbazine 100 mg intravenous solution
|
$56.14 |
$56.14 |
$56.14 |
$82.91
|
|
Dactinomycin 0.5 mg intravenous solution
|
$3,703.37 |
$3,703.37 |
$3,703.37 |
$2,526.62
|
|
Dalbavancin 500 mg intravenous solution
|
$3,591.61 |
$3,591.61 |
$3,591.61 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,073.78 |
$1,073.78 |
$1,073.78 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$9,361.67 |
$9,361.67 |
$9,361.67 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$5,546.48
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$323.42 |
$323.42 |
$323.42 |
$260.95
|
|
Dch pulmonary stress test
|
$331.66 |
$331.66 |
$331.66 |
$964.41
|
|
Dch validity tests
|
$47.90 |
$47.90 |
$47.90 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$5.01 |
$5.01 |
$5.01 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$147.81 |
$147.81 |
$147.81 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,460.67 |
$2,460.67 |
$2,460.67 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$585.04 |
$585.04 |
$585.04 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,033.09 |
$1,033.09 |
$1,033.09 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$612.34 |
$612.34 |
$612.34 |
$810.50
|
|
Debride nail1-5 11720
|
$105.58 |
$105.58 |
$105.58 |
$173.25
|
|
Debride nail6 or more 11721
|
$105.58 |
$105.58 |
$105.58 |
$195.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$282.22 |
$282.22 |
$282.22 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$953.27 |
$953.27 |
$953.27 |
$1,193.40
|
|
Decalcification
|
$6.22 |
$6.22 |
$6.22 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$3,918.64 |
$3,918.64 |
$3,918.64 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$444.96 |
$444.96 |
$444.96 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$251.32 |
$251.32 |
$251.32 |
$110.82
|
|
Delivery of placenta 59414
|
$1,574.36 |
$1,574.36 |
$1,574.36 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$5,240.64 |
$5,240.64 |
$5,240.64 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$588.65 |
$588.65 |
$588.65 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$199.31 |
$199.31 |
$199.31 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$127.72 |
$127.72 |
$127.72 |
$132.72
|
|
Dermagraft
|
$1,462.60 |
$1,462.60 |
$1,462.60 |
$1,912.31
|
|
Design mlc device for imrt
|
$1,387.93 |
$1,387.93 |
$1,387.93 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,708.77 |
$1,708.77 |
$1,708.77 |
$102.32
|
|
Desoxycorticosterone
|
$14.39 |
$14.39 |
$14.39 |
$109.28
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$612.34 |
$612.34 |
$612.34 |
$362.58
|
|
Destroy cervthor facet jnt 64633
|
$3,122.45 |
$3,122.45 |
$3,122.45 |
$3,164.80
|
|
Destroy premlg lesns;1st lesn 17000
|
$144.72 |
$144.72 |
$144.72 |
$220.12
|
|
Destruction 2-14 lesions 17003
|
$276.04 |
$276.04 |
$276.04 |
$72.60
|
|
Destruction benign lesions < 14 lesions
|
$73.13 |
$73.13 |
$73.13 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,122.45 |
$3,122.45 |
$3,122.45 |
$3,375.00
|
|
Destruction penis lesion(s) exten 54065
|
$2,831.99 |
$2,831.99 |
$2,831.99 |
$2,507.31
|
|
Detect agent nos dna dir
|
$38.63 |
$38.63 |
$38.63 |
$67.15
|
|
Developmental screen/score/document 96110
|
$21.12 |
$21.12 |
$21.12 |
$139.10
|
|
Device ablt adv novasure
|
$4,180.77 |
$4,180.77 |
$4,180.77 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,473.03 |
$2,473.03 |
$2,473.03 |
$4,298.87
|
|
Device intraute mirena
|
$1,694.87 |
$1,694.87 |
$1,694.87 |
$2,618.91
|
|
Device sut capio slim opn
|
$510.88 |
$510.88 |
$510.88 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$1,462.60 |
$1,462.60 |
$1,462.60 |
$2,440.98
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$109.18 |
$109.18 |
$109.18 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$2.58 |
$2.58 |
$2.58 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$26.78 |
$26.78 |
$26.78 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$3,555.05 |
$3,555.05 |
$3,555.05 |
$560.92
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$27.81 |
$27.81 |
$27.81 |
$60.00
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$260.59 |
$260.59 |
$260.59 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$27.81 |
$27.81 |
$27.81 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$3.09 |
$3.09 |
$3.09 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$120.00 |
$120.00 |
$120.00 |
$78.03
|
|
Diagnostic laryngoscopy 31575
|
$318.27 |
$318.27 |
$318.27 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$524.27 |
$524.27 |
$524.27 |
$424.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$1,893.14 |
$1,893.14 |
$1,893.14 |
$7,145.00
|
|
Dialysis one evaluation
|
$2,131.07 |
$2,131.07 |
$2,131.07 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$28.84 |
$28.84 |
$28.84 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$59.74 |
$59.74 |
$59.74 |
$72.34
|
|
Dicyclomine injection
|
$202.91 |
$202.91 |
$202.91 |
$211.81
|
|
Diffusing capacity
|
$475.35 |
$475.35 |
$475.35 |
$360.10
|
|
Digital analysis of eeg
|
$209.09 |
$209.09 |
$209.09 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$316.73 |
$316.73 |
$316.73 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$452.17 |
$452.17 |
$452.17 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$2,836.62 |
$2,836.62 |
$2,836.62 |
$334.68
|