|
Cytomegalovirus (cmv) antibody igm
|
$124.33 |
$124.33 |
$124.33 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$332.79 |
$332.79 |
$332.79 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$178.08 |
$178.08 |
$178.08 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$135.79 |
$135.79 |
$135.79 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$166.19 |
$166.19 |
$166.19 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$166.19 |
$166.19 |
$166.19 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$498.62 |
$498.62 |
$498.62 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$664.46 |
$664.46 |
$664.46 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$244.97 |
$244.97 |
$244.97 |
$205.00
|
|
Cytopath smear other source
|
$110.19 |
$110.19 |
$110.19 |
$85.80
|
|
Cytopath smear oth prep screen & interp
|
$164.72 |
$164.72 |
$164.72 |
$95.89
|
|
Cytopath tbs c/v manual
|
$63.67 |
$63.67 |
$63.67 |
$57.94
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,187.68 |
$1,187.68 |
$1,187.68 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$21,251.05 |
$21,251.05 |
$21,251.05 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$39,911.14 |
$39,911.14 |
$39,911.14 |
$5,546.48
|
|
Dch pulmonary stress test
|
$2,463.07 |
$2,463.07 |
$2,463.07 |
$964.41
|
|
Dch validity tests
|
$25.85 |
$25.85 |
$25.85 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$76.80 |
$76.80 |
$76.80 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$2,025.45 |
$2,025.45 |
$2,025.45 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$1,039.24 |
$1,039.24 |
$1,039.24 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$3,692.93 |
$3,692.93 |
$3,692.93 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$3,692.93 |
$3,692.93 |
$3,692.93 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$3,692.93 |
$3,692.93 |
$3,692.93 |
$810.50
|
|
Debride nail1-5 11720
|
$246.20 |
$246.20 |
$246.20 |
$173.25
|
|
Debride nail6 or more 11721
|
$246.20 |
$246.20 |
$246.20 |
$195.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$3,692.93 |
$3,692.93 |
$3,692.93 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$1,193.40
|
|
Decalcification
|
$338.52 |
$338.52 |
$338.52 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,576.39 |
$1,576.39 |
$1,576.39 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$414.38 |
$414.38 |
$414.38 |
$110.82
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$561.33 |
$561.33 |
$561.33 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$63,123.81 |
$63,123.81 |
$63,123.81 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$460.50
|
|
Design mlc device for imrt
|
$1,508.12 |
$1,508.12 |
$1,508.12 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$4,429.21 |
$4,429.21 |
$4,429.21 |
$102.32
|
|
Desoxycorticosterone
|
$108.43 |
$108.43 |
$108.43 |
$109.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$220.12
|
|
Destruction 2-14 lesions 17003
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$72.60
|
|
Destruction benign lesions < 14 lesions
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$250.60
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$22,464.50 |
$22,464.50 |
$22,464.50 |
$3,375.00
|
|
Destruction premal lesions 15/> 17004
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$470.51
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$332.79 |
$332.79 |
$332.79 |
$220.43
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$355.34 |
$355.34 |
$355.34 |
$30.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$394.00 |
$394.00 |
$394.00 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$394.00 |
$394.00 |
$394.00 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$413.26 |
$413.26 |
$413.26 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$394.00 |
$394.00 |
$394.00 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$163.72 |
$163.72 |
$163.72 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$71.39 |
$71.39 |
$71.39 |
$78.03
|
|
Diab manage trn ind/group
|
$174.74 |
$174.74 |
$174.74 |
$49.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$281.60 |
$281.60 |
$281.60 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$162.89 |
$162.89 |
$162.89 |
$75.93
|
|
Diagnostic Mammogram (both breasts)
|
$1,027.30 |
$1,027.30 |
$1,027.30 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$1,109.11 |
$1,109.11 |
$1,109.11 |
$301.55
|
|
Dialysis one evaluation
|
$21,209.75 |
$21,209.75 |
$21,209.75 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$72.25 |
$72.25 |
$72.25 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$413.67 |
$413.67 |
$413.67 |
$72.34
|
|
Dicyclomine injection
|
$482.08 |
$482.08 |
$482.08 |
$211.81
|
|
Diffusing capacity
|
$731.24 |
$731.24 |
$731.24 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$376.05 |
$376.05 |
$376.05 |
$69.79
|
|
Digoxin total therapeutic drug level
|
$98.48 |
$98.48 |
$98.48 |
$102.00
|
|
Dilate biliary duct/ampulla
|
$1,616.79 |
$1,616.79 |
$1,616.79 |
$2,304.60
|
|
Diltiazem 5 mg/ml intravenous solution
|
$410.96 |
$410.96 |
$410.96 |
$60.25
|
|
Dimenhydrinate injection
|
$347.56 |
$347.56 |
$347.56 |
$24.68
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$344.84 |
$344.84 |
$344.84 |
$26.87
|
|
Disability dlco
|
$676.70 |
$676.70 |
$676.70 |
$307.58
|
|
Disaccharidases
|
$163.72 |
$163.72 |
$163.72 |
$223.80
|
|
Discography cerv/thor spine
|
$7,811.03 |
$7,811.03 |
$7,811.03 |
$2,404.00
|
|
Dna antibody native/double stranded
|
$100.94 |
$100.94 |
$100.94 |
$102.60
|
|
Dna gardnerella
|
$133.56 |
$133.56 |
$133.56 |
$67.68
|
|
Dna trichomonas
|
$133.56 |
$133.56 |
$133.56 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$215.50 |
$215.50 |
$215.50 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,009.77 |
$1,009.77 |
$1,009.77 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$414.13 |
$414.13 |
$414.13 |
$84.30
|
|
Doppler echo complete
|
$2,303.78 |
$2,303.78 |
$2,303.78 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$3,103.98 |
$3,103.98 |
$3,103.98 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,316.68 |
$1,316.68 |
$1,316.68 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$936.86 |
$936.86 |
$936.86 |
$482.03
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$26,087.47 |
$26,087.47 |
$26,087.47 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$609.83 |
$609.83 |
$609.83 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,879.32 |
$1,879.32 |
$1,879.32 |
$2,417.38
|
|
Dpyd gene common variants
|
$1,291.30 |
$1,291.30 |
$1,291.30 |
$380.50
|
|
Drainage external ear complex 69005
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$2,039.50 |
$2,039.50 |
$2,039.50 |
$809.25
|
|
Drain blood from under nail 11740
|
$246.20 |
$246.20 |
$246.20 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,565.99 |
$1,565.99 |
$1,565.99 |
$2,614.66
|
|
Drain cerebro spinal fluid 62272
|
$2,312.81 |
$2,312.81 |
$2,312.81 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$2,130.07 |
$2,130.07 |
$2,130.07 |
$492.81
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$554.40
|
|
Drng of finger abscess comp 26011
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$2,048.00
|
|
Drng of scrotum abscess 55100
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$2,069.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$361.19 |
$361.19 |
$361.19 |
$39.60
|
|
Drug admin & hemodynmic meas
|
$354.86 |
$354.86 |
$354.86 |
$528.50
|
|
Drug assay posaconazole
|
$94.89 |
$94.89 |
$94.89 |
$96.39
|
|
Drug assay vedolizumab
|
$135.00 |
$135.00 |
$135.00 |
$164.16
|
|
Drug assay voriconazole
|
$94.89 |
$94.89 |
$94.89 |
$96.75
|
|
Drug of abuse screen urine
|
$44.10 |
$44.10 |
$44.10 |
$63.75
|