|
Cytopathology cellular enhancement technique non-gyn
|
$133.44 |
$133.44 |
$133.44 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$54.62 |
$54.62 |
$54.62 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$44.39 |
$44.39 |
$44.39 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$77.01 |
$77.01 |
$77.01 |
$124.30
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$55.85 |
$55.85 |
$55.85 |
$205.00
|
|
Cytp urine 3-5 probes cmptr
|
$784.97 |
$784.97 |
$784.97 |
$690.00
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$33,293.27 |
$33,293.27 |
$33,293.27 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$11,120.20 |
$11,120.20 |
$11,120.20 |
$5,546.48
|
|
Dch validity tests
|
$60.18 |
$60.18 |
$60.18 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$33.37 |
$33.37 |
$33.37 |
$43.60
|
|
Decalcification
|
$14.08 |
$14.08 |
$14.08 |
$75.38
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$832.41 |
$832.41 |
$832.41 |
$510.95
|
|
Deferoxamine 500 mg solution for injection
|
$502.59 |
$502.59 |
$502.59 |
$116.00
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$351.60 |
$351.60 |
$351.60 |
$193.05
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$17,583.09 |
$17,583.09 |
$17,583.09 |
$7,744.96
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$399.93 |
$399.93 |
$399.93 |
$460.50
|
|
Design mlc device for imrt
|
$753.45 |
$753.45 |
$753.45 |
$1,641.90
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,241.28 |
$1,241.28 |
$1,241.28 |
$121.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$473.09 |
$473.09 |
$473.09 |
$221.90
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$17.13 |
$17.13 |
$17.13 |
$24.28
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$104.23 |
$104.23 |
$104.23 |
$57.07
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$104.23 |
$104.23 |
$104.23 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$40.44 |
$40.44 |
$40.44 |
$49.68
|
|
Dextrose 5 % IV bolus
|
$104.23 |
$104.23 |
$104.23 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$64.34 |
$64.34 |
$64.34 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$164.89 |
$164.89 |
$164.89 |
$78.41
|
|
Diagnostic digital breast tomosynthesis bil
|
$291.55 |
$291.55 |
$291.55 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$291.55 |
$291.55 |
$291.55 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$470.51 |
$470.51 |
$470.51 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$507.36 |
$507.36 |
$507.36 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$310.00 |
$310.00 |
$310.00 |
$295.10
|
|
Dialysis one evaluation
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$827.97
|
|
Diatrizoate meglumine 18 % urethral solution
|
$191.62 |
$191.62 |
$191.62 |
$106.27
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$33.75 |
$33.75 |
$33.75 |
$70.87
|
|
Dicyclomine injection
|
$205.57 |
$205.57 |
$205.57 |
$211.00
|
|
Diffusing capacity
|
$331.76 |
$331.76 |
$331.76 |
$359.70
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$16.89 |
$16.89 |
$16.89 |
$64.31
|
|
Digoxin total therapeutic drug level
|
$167.36 |
$167.36 |
$167.36 |
$102.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$14.96 |
$14.96 |
$14.96 |
$25.12
|
|
Disability dlco
|
$275.65 |
$275.65 |
$275.65 |
$300.28
|
|
Disaccharidases
|
$522.49 |
$522.49 |
$522.49 |
$223.80
|
|
Dna antibody native/double stranded
|
$127.67 |
$127.67 |
$127.67 |
$101.40
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$455.02 |
$455.02 |
$455.02 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$448.11 |
$448.11 |
$448.11 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$179.55 |
$179.55 |
$179.55 |
$74.39
|
|
Doppler echo complete
|
$1,282.83 |
$1,282.83 |
$1,282.83 |
$635.20
|
|
Doppler intravascular pressure flow initial vessel
|
$1,889.69 |
$1,889.69 |
$1,889.69 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,583.80 |
$1,583.80 |
$1,583.80 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,536.72 |
$1,536.72 |
$1,536.72 |
$482.03
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$36,227.11 |
$36,227.11 |
$36,227.11 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$110.82 |
$110.82 |
$110.82 |
$264.42
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$9,649.78 |
$9,649.78 |
$9,649.78 |
$2,469.31
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$2,207.15 |
$2,207.15 |
$2,207.15 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$2,207.15 |
$2,207.15 |
$2,207.15 |
$845.52
|
|
Drainage external ear complex 69005
|
$4,990.49 |
$4,990.49 |
$4,990.49 |
$2,924.22
|
|
Drainage external ear simple 69000
|
$368.20 |
$368.20 |
$368.20 |
$809.25
|
|
Drainage mouth roof lesion
|
$750.38 |
$750.38 |
$750.38 |
$470.73
|
|
Drainage of arm bursa 23931
|
$4,990.49 |
$4,990.49 |
$4,990.49 |
$2,271.01
|
|
Drainage of kidney lesion
|
$2,585.64 |
$2,585.64 |
$2,585.64 |
$1,619.40
|
|
Drainage of mouth lesion
|
$1,604.13 |
$1,604.13 |
$1,604.13 |
$1,022.40
|
|
Drainage of nose lesion int 30000
|
$750.38 |
$750.38 |
$750.38 |
$548.00
|
|
Drain blood from under nail 11740
|
$115.91 |
$115.91 |
$115.91 |
$190.10
|
|
Drain cath image guided visceral pq
|
$4,744.15 |
$4,744.15 |
$4,744.15 |
$2,999.34
|
|
Drain finger abscess;simple 26010
|
$636.93 |
$636.93 |
$636.93 |
$492.81
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$801.85 |
$801.85 |
$801.85 |
$360.00
|
|
Drng of finger abscess comp 26011
|
$1,466.00 |
$1,466.00 |
$1,466.00 |
$1,917.33
|
|
Droperidol 2.5 mg/ml injection solution
|
$18.40 |
$18.40 |
$18.40 |
$36.32
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1,932.18 |
$1,932.18 |
$1,932.18 |
$9,414.77
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$713.10 |
$713.10 |
$713.10 |
$448.16
|
|
Drug admin & hemodynmic meas
|
$491.96 |
$491.96 |
$491.96 |
$528.50
|
|
Drug assay vedolizumab
|
$106.31 |
$106.31 |
$106.31 |
$169.26
|
|
Drug assay voriconazole
|
$77.71 |
$77.71 |
$77.71 |
$96.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,618.33 |
$1,618.33 |
$1,618.33 |
$278.85
|
|
Dup scan/hemodialysis access 93990
|
$1,070.52 |
$1,070.52 |
$1,070.52 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,593.68 |
$1,593.68 |
$1,593.68 |
$755.30
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$2,028.20 |
$2,028.20 |
$2,028.20 |
$887.25
|
|
Durvalumab 50 mg/ml intravenous solution
|
$39,776.94 |
$39,776.94 |
$39,776.94 |
$8,841.54
|
|
Dxa bone density axl vrt fx
|
$540.00 |
$540.00 |
$540.00 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$5,306.55 |
$5,306.55 |
$5,306.55 |
$2,636.40
|
|
Ear irrigation 69209
|
$368.20 |
$368.20 |
$368.20 |
$158.40
|
|
Ecg 12 lead tracing only
|
$732.73 |
$732.73 |
$732.73 |
$245.30
|
|
Ecg < 30 days transmission & analysis
|
$2,711.39 |
$2,711.39 |
$2,711.39 |
$468.78
|
|
Ecg external < 48 hours recording
|
$747.08 |
$747.08 |
$747.08 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$889.83 |
$889.83 |
$889.83 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$678.42 |
$678.42 |
$678.42 |
$153.17
|
|
Ecg external >7 days up to 15 days recording
|
$1,355.70 |
$1,355.70 |
$1,355.70 |
$188.19
|
|
Echocardiogram (Heart Ultrasound)
|
$2,490.76 |
$2,490.76 |
$2,490.76 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$630.26 |
$630.26 |
$630.26 |
$462.56
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,621.76 |
$1,621.76 |
$1,621.76 |
$737.75
|
|
Echocardiograpy doppler follow up/limited study
|
$893.54 |
$893.54 |
$893.54 |
$353.46
|
|
Echo stress
|
$3,232.56 |
$3,232.56 |
$3,232.56 |
$1,593.60
|
|
Echo tee probe placement image acquisition interpretation & report
|
$4,626.37 |
$4,626.37 |
$4,626.37 |
$1,885.56
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,625.70 |
$1,625.70 |
$1,625.70 |
$1,022.30
|
|
Eeg 41-60 minutes 95812-26
|
$1,413.55 |
$1,413.55 |
$1,413.55 |
$934.05
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,923.22 |
$1,923.22 |
$1,923.22 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,366.28 |
$1,366.28 |
$1,366.28 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$1,912.81 |
$1,912.81 |
$1,912.81 |
$911.00
|
|
Eeg recording awake and asleep
|
$2,161.48 |
$2,161.48 |
$2,161.48 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$1,387.46 |
$1,387.46 |
$1,387.46 |
$700.18
|
|
Eeg without vid 2-12 hr unmntr
|
$803.62 |
$803.62 |
$803.62 |
$555.00
|