|
Cyclosporine oral 100 mg
|
$56.36 |
$56.36 |
$56.36 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$47,254.88 |
$47,254.88 |
$47,254.88 |
$22,594.80
|
|
Cystatin c
|
$57.83 |
$57.83 |
$57.83 |
$82.26
|
|
Cystogram >= 3 views supervision & interpretation
|
$637.50 |
$637.50 |
$637.50 |
$539.55
|
|
Cystoscopy and treatment
|
$9,584.94 |
$9,584.94 |
$9,584.94 |
$4,081.37
|
|
Cystoscopy and treatment
|
$5,546.76 |
$5,546.76 |
$5,546.76 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$1,870.68 |
$1,870.68 |
$1,870.68 |
$1,610.20
|
|
Cystoscopy removal of clots
|
$9,584.94 |
$9,584.94 |
$9,584.94 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$5,546.76 |
$5,546.76 |
$5,546.76 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$7,674.99 |
$7,674.99 |
$7,674.99 |
$3,774.40
|
|
Cystouretero & or pyeloscope
|
$9,584.94 |
$9,584.94 |
$9,584.94 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$9,584.94 |
$9,584.94 |
$9,584.94 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$8,878.59 |
$8,878.59 |
$8,878.59 |
$2,874.36
|
|
Cytarabine 20 mg/ml injection solution
|
$217.93 |
$217.93 |
$217.93 |
$89.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$226.44 |
$226.44 |
$226.44 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$45.97 |
$45.97 |
$45.97 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$275.40 |
$275.40 |
$275.40 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$130.05 |
$130.05 |
$130.05 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$88.23 |
$88.23 |
$88.23 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$110.67 |
$110.67 |
$110.67 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$44.37 |
$44.37 |
$44.37 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$208.08 |
$208.08 |
$208.08 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$391.68 |
$391.68 |
$391.68 |
$205.00
|
|
Cytopath smear other source
|
$118.83 |
$118.83 |
$118.83 |
$85.80
|
|
Cytopath smear other source
|
$99.45 |
$99.45 |
$99.45 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$98.43 |
$98.43 |
$98.43 |
$95.89
|
|
Dalbavancin 500 mg intravenous solution
|
$2,496.02 |
$2,496.02 |
$2,496.02 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$424.67 |
$424.67 |
$424.67 |
$315.32
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$597.34 |
$597.34 |
$597.34 |
$260.95
|
|
D&c after delivery 59160
|
$6,160.80 |
$6,160.80 |
$6,160.80 |
$3,762.53
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$6,124.08 |
$6,124.08 |
$6,124.08 |
$3,774.81
|
|
Dch validity tests
|
$56.61 |
$56.61 |
$56.61 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$43.35 |
$43.35 |
$43.35 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,258.68 |
$1,258.68 |
$1,258.68 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$345.78 |
$345.78 |
$345.78 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$3,247.68 |
$3,247.68 |
$3,247.68 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$905.76 |
$905.76 |
$905.76 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,359.15 |
$1,359.15 |
$1,359.15 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$696.15 |
$696.15 |
$696.15 |
$810.50
|
|
Debride nail1-5 11720
|
$124.95 |
$124.95 |
$124.95 |
$173.25
|
|
Debride nail6 or more 11721
|
$124.95 |
$124.95 |
$124.95 |
$195.20
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,406.07 |
$1,406.07 |
$1,406.07 |
$1,265.16
|
|
Debride skin bone at fx site
|
$5,595.21 |
$5,595.21 |
$5,595.21 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$957.78 |
$957.78 |
$957.78 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,358.64 |
$1,358.64 |
$1,358.64 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$278.97 |
$278.97 |
$278.97 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,034.79 |
$1,034.79 |
$1,034.79 |
$1,193.40
|
|
Decalcification
|
$68.34 |
$68.34 |
$68.34 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$648.72 |
$648.72 |
$648.72 |
$545.90
|
|
Decompress fasciotomyhand 26037
|
$6,486.18 |
$6,486.18 |
$6,486.18 |
$3,594.44
|
|
Decompression of lower leg
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$3,839.54
|
|
Decompression of thigh/knee
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$3,839.54
|
|
Deferoxamine 500 mg solution for injection
|
$188.95 |
$188.95 |
$188.95 |
$110.82
|
|
Degarelix 120 mg subcutaneous solution
|
$2,160.56 |
$2,160.56 |
$2,160.56 |
$2,086.82
|
|
Delivery of placenta 59414
|
$6,916.62 |
$6,916.62 |
$6,916.62 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$7,746.90 |
$7,746.90 |
$7,746.90 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$385.56 |
$385.56 |
$385.56 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,207.50 |
$4,207.50 |
$4,207.50 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$544.68 |
$544.68 |
$544.68 |
$460.50
|
|
Derma-fat-fascia graft 15770
|
$7,088.49 |
$7,088.49 |
$7,088.49 |
$4,326.42
|
|
Design mlc device for imrt
|
$1,983.90 |
$1,983.90 |
$1,983.90 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$95.74 |
$95.74 |
$95.74 |
$102.32
|
|
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
|
$3,437.91 |
$3,437.91 |
$3,437.91 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$1,462.17 |
$1,462.17 |
$1,462.17 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$391.68 |
$391.68 |
$391.68 |
$220.12
|
|
Destruct cut vasl lesions <10cm 17106
|
$808.35 |
$808.35 |
$808.35 |
$658.40
|
|
Destruction anal lesion(s) smpl chem 46900
|
$808.35 |
$808.35 |
$808.35 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$391.68 |
$391.68 |
$391.68 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,462.17 |
$1,462.17 |
$1,462.17 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,437.91 |
$3,437.91 |
$3,437.91 |
$3,375.00
|
|
Destruction vag lesions simple 57061
|
$6,055.74 |
$6,055.74 |
$6,055.74 |
$3,762.53
|
|
Device ablt adv novasure
|
$11,844.95 |
$11,844.95 |
$11,844.95 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$7,854.00 |
$7,854.00 |
$7,854.00 |
$4,298.87
|
|
Device intraute mirena
|
$3,363.57 |
$3,363.57 |
$3,363.57 |
$2,618.91
|
|
Device sut capio slim opn
|
$2,138.40 |
$2,138.40 |
$2,138.40 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$17,054.40 |
$17,054.40 |
$17,054.40 |
$2,440.98
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$311.10 |
$311.10 |
$311.10 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$57.22 |
$57.22 |
$57.22 |
$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
|
$142.29 |
$142.29 |
$142.29 |
$78.03
|
|
Diagnostic anoscopy
|
$451.35 |
$451.35 |
$451.35 |
$441.68
|
|
Diagnostic anoscopy spx 46600
|
$451.35 |
$451.35 |
$451.35 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$61.20 |
$61.20 |
$61.20 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$61.20 |
$61.20 |
$61.20 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$535.50 |
$535.50 |
$535.50 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$417.69 |
$417.69 |
$417.69 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$684.42 |
$684.42 |
$684.42 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$684.42 |
$684.42 |
$684.42 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$700.23 |
$700.23 |
$700.23 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$2,531.13 |
$2,531.13 |
$2,531.13 |
$7,145.00
|
|
Dialysis one evaluation
|
$1,155.66 |
$1,155.66 |
$1,155.66 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$112.61 |
$112.61 |
$112.61 |
$100.03
|