|
Cytogenetics 3-5
|
$279.00 |
$279.00 |
$279.00 |
$127.64
|
|
Cytomegalovirus (cmv) antibody igg
|
$16.37 |
$16.37 |
$16.37 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$23.68 |
$23.68 |
$23.68 |
$98.35
|
|
Cytomegalovirus dfa
|
$5.18 |
$5.18 |
$5.18 |
$51.20
|
|
Cyto/molecular report
|
$18.50 |
$18.50 |
$18.50 |
$144.80
|
|
Cytopath fl nongyn filter
|
$18.22 |
$18.22 |
$235.00 |
$66.61
|
|
Cytopathology cellular enhancement technique non-gyn
|
$52.08 |
$52.08 |
$52.08 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$30.00 |
$30.00 |
$30.00 |
$91.20
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$23.68 |
$23.68 |
$23.68 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$26.46 |
$26.46 |
$26.46 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$17.11 |
$17.11 |
$17.11 |
$124.30
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$65.00 |
$78.90 |
$78.90 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$89.73 |
$89.73 |
$571.00 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$137.55 |
$137.55 |
$137.55 |
$205.00
|
|
Cytopath smear other source
|
$100.00 |
$100.00 |
$100.00 |
$85.80
|
|
Cytopath smear other source
|
$91.70 |
$91.70 |
$512.00 |
$135.01
|
|
Cytopath smear oth prep screen & interp
|
$71.50 |
$71.50 |
$235.00 |
$96.20
|
|
Cytopath tbs c/v manual
|
$12.40 |
$12.40 |
$12.40 |
$57.94
|
|
Cytp urine 3-5 probes cmptr
|
$166.50 |
$166.50 |
$451.00 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$12.67 |
$17.85 |
$91.00 |
$74.65
|
|
Dalbavancin 500 mg intravenous solution
|
$4,318.63 |
$4,318.63 |
$5,773.00 |
$3,591.61
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$5.82 |
$5.82 |
$404.00 |
$404.00
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$335.77 |
$335.77 |
$335.77 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$3.55 |
$3.55 |
$733.34 |
$5,546.48
|
|
Darbepoetin alfa, esrd use
|
$3.40 |
$3.40 |
$3.45 |
$3.04
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$160.00 |
$160.00 |
$160.00 |
$220.42
|
|
Dch glucoscan
|
$12.40 |
$12.40 |
$45.00 |
$23.38
|
|
Dch pulmonary stress test
|
$964.41 |
$964.41 |
$964.41 |
$964.41
|
|
Dch validity tests
|
$4.90 |
$4.90 |
$616.00 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$17.06 |
$17.06 |
$17.06 |
$43.60
|
|
Debridement (>20 cm) charge pt
|
$168.81 |
$168.81 |
$354.00 |
$262.60
|
|
Decalcification
|
$14.34 |
$14.34 |
$493.00 |
$75.38
|
|
Decitabine 50 mg intravenous solution
|
$1,606.17 |
$1,606.17 |
$4,499.00 |
$975.45
|
|
Deferoxamine 500 mg solution for injection
|
$46.09 |
$46.35 |
$84.00 |
$116.00
|
|
Degarelix 120 mg subcutaneous solution
|
$5.69 |
$5.69 |
$1,930.00 |
$1,963.06
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$141.62 |
$141.62 |
$141.62 |
$193.05
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$12.84 |
$12.84 |
$45.90 |
$7,744.96
|
|
Dermagraft
|
$2,223.15 |
$2,223.15 |
$2,312.50 |
$352.35
|
|
Design mlc device for imrt
|
$916.68 |
$916.68 |
$916.68 |
$1,641.90
|
|
Desmopressin 4 mcg/ml injection solution
|
$26.17 |
$26.17 |
$38.63 |
$121.30
|
|
Devel tst phys/qhp 1st hr
|
$277.87 |
$277.87 |
$277.87 |
$351.00
|
|
Device intraute mirena
|
$3,754.00 |
$3,754.00 |
$3,754.00 |
$2,900.62
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$139.86 |
$139.86 |
$139.86 |
$196.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$162.06 |
$162.06 |
$162.06 |
$221.90
|
|
Dexamethasone 4 mg tablet
|
$19.37 |
$19.37 |
$25.51 |
$5.61
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$110.00 |
$110.00 |
$110.00 |
$24.28
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$133.66 |
$133.66 |
$1,772.00 |
$482.14
|
|
Dextran 40 infusion
|
$326.00 |
$326.00 |
$326.00 |
$173.97
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$57.07 |
$68.45 |
$339.00 |
$57.07
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$80.11 |
$80.91 |
$405.00 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$64.99 |
$64.99 |
$67.83 |
$49.68
|
|
Dextrose 5 % IV bolus
|
$80.07 |
$80.67 |
$429.00 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$58.28 |
$58.28 |
$451.00 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$11.38 |
$11.38 |
$364.00 |
$78.41
|
|
Diagnostic digital breast tomosynthesis bil
|
$114.15 |
$114.15 |
$114.15 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$78.63 |
$78.63 |
$78.63 |
$75.93
|
|
Diagnostic Mammogram (both breasts)
|
$303.96 |
$303.96 |
$1,366.00 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$301.55 |
$301.55 |
$301.55 |
$295.10
|
|
Dialysis one evaluation
|
$925.74 |
$925.74 |
$1,622.82 |
$827.97
|
|
Diatrizoate meglumine 18 % urethral solution
|
$471.00 |
$471.00 |
$471.00 |
$106.27
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$19.89 |
$26.31 |
$359.00 |
$70.87
|
|
Dicyclomine injection
|
$121.10 |
$121.18 |
$353.00 |
$211.00
|
|
Diffusing capacity
|
$462.13 |
$462.13 |
$683.00 |
$359.70
|
|
Digital analysis of eeg
|
$1,939.00 |
$1,939.00 |
$1,939.00 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$28.00 |
$124.14 |
$124.14 |
$64.31
|
|
Digoxin immune fab 40 mg intravenous solution
|
$10,014.00 |
$10,014.00 |
$10,014.00 |
$10,649.28
|
|
Digoxin total therapeutic drug level
|
$67.25 |
$67.25 |
$270.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$235.32 |
$235.32 |
$423.00 |
$308.90
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$50.20 |
$58.05 |
$115.00 |
$25.12
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$12.21 |
$12.21 |
$12.21 |
$110.48
|
|
Disability dlco
|
$369.08 |
$369.08 |
$580.00 |
$300.28
|
|
Disaccharidases
|
$29.60 |
$29.60 |
$29.60 |
$223.80
|
|
Discography cerv/thor spine
|
$2,776.00 |
$2,776.00 |
$2,776.00 |
$2,310.83
|
|
Dna trichomonas
|
$6.75 |
$6.75 |
$6.75 |
$68.25
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$47.28 |
$47.28 |
$48.29 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$28.87 |
$28.87 |
$28.96 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$9.66 |
$9.66 |
$9.66 |
$74.39
|
|
Doppler echo complete
|
$503.85 |
$503.85 |
$503.85 |
$635.20
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$515.50 |
$515.50 |
$515.50 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$437.99 |
$437.99 |
$437.99 |
$482.03
|
|
Dornase alfa non-comp unit
|
$364.00 |
$364.00 |
$364.00 |
$495.28
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$30.68 |
$30.68 |
$35.30 |
$264.42
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$715.22 |
$874.50 |
$3,325.00 |
$2,469.31
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$0.80 |
$0.80 |
$429.00 |
$89.34
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$6,438.00 |
$6,438.00 |
$6,438.00 |
$4,069.80
|
|
Dronabinol 2.5mg oral
|
$86.00 |
$86.00 |
$86.00 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$26.00 |
$48.23 |
$48.29 |
$36.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$43.00 |
$568.14 |
$618.18 |
$243.15
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$41.00 |
$3,791.30 |
$3,800.18 |
$318.13
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$7,868.14 |
$7,868.14 |
$7,886.74 |
$9,414.77
|
|
Drug admin & hemodynmic meas
|
$330.32 |
$330.32 |
$330.32 |
$528.50
|
|
Drug assay voriconazole
|
$75.00 |
$75.00 |
$75.00 |
$96.75
|
|
Drug of abuse screen urine
|
$1,797.00 |
$1,797.00 |
$1,797.00 |
$63.75
|
|
Drug test def 1-7 classes
|
$847.00 |
$847.00 |
$847.00 |
$263.86
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$117.00 |
$349.65 |
$349.65 |
$278.85
|
|
Drvvt confirm - quest
|
$29.60 |
$29.60 |
$73.00 |
$101.66
|
|
Duplex scan bilateral study 93985
|
$1,339.00 |
$1,339.00 |
$1,339.00 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$781.00 |
$781.00 |
$781.00 |
$383.40
|
|
Dup scan/hemodialysis access 93990
|
$663.78 |
$663.78 |
$663.78 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$515.50 |
$515.50 |
$515.50 |
$755.30
|
