|
Cytogenomic neo microra alys
|
$397.14 |
$397.14 |
$771.31 |
$1,911.78
|
|
Cytomegalovirus (cmv) antibody igg
|
$15.68 |
$15.68 |
$30.45 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$3.53 |
$3.53 |
$6.86 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$33.36 |
$33.36 |
$154.65 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$37.05 |
$37.05 |
$37.95 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$39.44 |
$39.44 |
$94.67 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$6.76 |
$6.76 |
$68.51 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$17.43 |
$17.43 |
$137.60 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$80.64 |
$80.64 |
$182.58 |
$205.00
|
|
Cytopath smear other source
|
$37.05 |
$37.05 |
$44.30 |
$85.80
|
|
Cytopath smear other source
|
$48.81 |
$48.81 |
$73.07 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$45.92 |
$45.92 |
$87.62 |
$95.89
|
|
Cytopath tbs c/v manual
|
$14.41 |
$14.41 |
$14.41 |
$57.94
|
|
Dacarbazine 100 mg intravenous solution
|
$26.76 |
$26.76 |
$26.76 |
$73.20
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,761.95 |
$1,761.95 |
$1,761.95 |
$3,019.83
|
|
Dalbavancin 500 mg intravenous solution
|
$1,708.44 |
$1,708.44 |
$1,708.44 |
$3,291.43
|
|
Dalteparin sodium
|
$94.38 |
$94.38 |
$94.38 |
$80.46
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$510.98 |
$510.98 |
$510.98 |
$267.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$154.06 |
$154.06 |
$154.06 |
$300.73
|
|
Dch pulmonary stress test
|
$216.68 |
$216.68 |
$216.68 |
$964.41
|
|
Dch validity tests
|
$26.17 |
$26.17 |
$49.68 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$2.86 |
$2.86 |
$5.55 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$161.41 |
$161.41 |
$161.41 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,681.58 |
$2,681.58 |
$2,681.58 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$330.75 |
$330.75 |
$330.75 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$583.89 |
$583.89 |
$583.89 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$667.09 |
$667.09 |
$667.09 |
$810.50
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$159.65 |
$159.65 |
$159.65 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,039.00 |
$1,039.00 |
$1,039.00 |
$1,193.40
|
|
Decalcification
|
$6.89 |
$6.89 |
$32.64 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$1,864.26 |
$1,864.26 |
$1,864.26 |
$759.04
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$572.13 |
$572.13 |
$572.13 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$30.87 |
$30.87 |
$30.87 |
$102.84
|
|
Degarelix 120 mg subcutaneous solution
|
$874.07 |
$874.07 |
$874.07 |
$1,856.85
|
|
Delivery of placenta 59414
|
$1,063.99 |
$1,063.99 |
$1,063.99 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$2,832.11 |
$2,832.11 |
$2,832.11 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$287.54 |
$287.54 |
$548.74 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$2,618.66 |
$2,618.66 |
$2,618.66 |
$7,236.00
|
|
Depo-estradiol cypionate inj
|
$60.86 |
$60.86 |
$60.86 |
$99.44
|
|
Dermagraft
|
$1,043.70 |
$1,043.70 |
$1,043.70 |
$1,501.61
|
|
Design mlc device for imrt
|
$4,409.71 |
$4,409.71 |
$4,409.71 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$812.91 |
$812.91 |
$812.91 |
$103.49
|
|
Desoxycorticosterone
|
$8.22 |
$8.22 |
$15.96 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$2,035.07 |
$2,035.07 |
$2,035.07 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$323.40 |
$323.40 |
$323.40 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,013.13 |
$1,013.13 |
$1,013.13 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,035.07 |
$2,035.07 |
$2,035.07 |
$3,375.00
|
|
Detect agent nos dna dir
|
$49.11 |
$49.11 |
$55.57 |
$67.15
|
|
Developmental screen/score/document 96110
|
$148.18 |
$148.18 |
$148.18 |
$139.10
|
|
Devel tst phys/qhp 1st hr
|
$127.31 |
$127.31 |
$127.31 |
$339.30
|
|
Device ablt adv novasure
|
$4,654.32 |
$4,654.32 |
$4,654.32 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,470.78 |
$2,470.78 |
$2,470.78 |
$4,298.87
|
|
Device intraute mirena
|
$806.15 |
$806.15 |
$806.15 |
$2,251.39
|
|
Device sut capio slim opn
|
$583.30 |
$583.30 |
$583.30 |
$1,946.41
|
|
Device tiss remov myosure reach
|
$1,043.70 |
$1,043.70 |
$1,043.70 |
$2,541.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$63.80 |
$63.80 |
$63.80 |
$196.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$603.59 |
$603.59 |
$603.59 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$2.65 |
$2.65 |
$5.14 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$19.11 |
$19.11 |
$19.11 |
$27.00
|
|
Dextran 40 infusion
|
$32.93 |
$32.93 |
$32.93 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$19.11 |
$19.11 |
$19.11 |
$43.65
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$19.11 |
$19.11 |
$19.11 |
$54.50
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$124.07 |
$124.07 |
$124.07 |
$47.40
|
|
Dextrose 5 % IV bolus
|
$19.11 |
$19.11 |
$19.11 |
$58.36
|
|
Dhea-s (dehydroepiand sulfate)
|
$1.77 |
$1.77 |
$3.43 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$124.95 |
$124.95 |
$161.60 |
$78.03
|
|
Diab manage trn ind/group
|
$18.53 |
$18.53 |
$18.53 |
$56.57
|
|
Diagnostic laryngoscopy 31575
|
$248.73 |
$248.73 |
$248.73 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$216.68 |
$216.68 |
$216.68 |
$424.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$1,016.36 |
$1,016.36 |
$1,016.36 |
$7,145.00
|
|
Dialysis one evaluation
|
$401.61 |
$401.61 |
$401.61 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$37.34 |
$37.34 |
$37.34 |
$106.27
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$28.23 |
$28.23 |
$28.23 |
$79.50
|
|
Dicyclomine injection
|
$96.44 |
$96.44 |
$96.44 |
$204.52
|
|
Diffusing capacity
|
$129.62 |
$129.62 |
$216.39 |
$360.10
|
|
Digital analysis of eeg
|
$261.52 |
$261.52 |
$261.52 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$150.83 |
$150.83 |
$150.83 |
$69.88
|
|
Digoxin immune fab 40 mg intravenous solution
|
$2,264.69 |
$2,264.69 |
$2,264.69 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$326.05 |
$326.05 |
$493.35 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$1,349.46 |
$1,349.46 |
$2,459.30 |
$321.30
|
|
Dilate biliary duct/ampulla
|
$645.33 |
$645.33 |
$645.33 |
$2,304.60
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$694.14 |
$694.14 |
$694.14 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$735.89 |
$735.89 |
$735.89 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$892.88 |
$892.88 |
$892.88 |
$6,280.95
|
|
Dilation of salivary duct
|
$837.61 |
$837.61 |
$837.61 |
$599.72
|
|
Dilator fascial 10fx20cm
|
$156.41 |
$156.41 |
$156.41 |
$330.94
|
|
Dilat xst trc ndurlgc px
|
$787.04 |
$787.04 |
$787.04 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$787.04 |
$787.04 |
$787.04 |
$5,020.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$19.11 |
$19.11 |
$37.12 |
$25.12
|
|
Disability dlco
|
$157.60 |
$157.60 |
$230.21 |
$307.58
|
|
Disaccharidases
|
$95.79 |
$95.79 |
$186.04 |
$223.80
|
|
Discography cerv/thor spine
|
$1,992.74 |
$1,992.74 |
$1,992.74 |
$2,404.00
|
|
Dissolve clot heart vessel
|
$907.88 |
$907.88 |
$907.88 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$1,330.65 |
$1,330.65 |
$1,330.65 |
$2,001.55
|
|
Dna antibody native/double stranded
|
$38.26 |
$38.26 |
$231.97 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$82.32 |
$82.32 |
$82.32 |
$99.10
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$2,399.93 |
$2,399.93 |
$2,399.93 |
$733.75
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$24.99 |
$24.99 |
$24.99 |
$76.20
|
|
Doppler echo complete
|
$784.98 |
$784.98 |
$784.98 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$1,275.38 |
$1,275.38 |
$1,275.38 |
$3,006.25
|