|
Cytarabine 20 mg/ml injection solution
|
$18.85 |
$18.85 |
$18.85 |
$90.00
|
|
Cytarabine liposome inj
|
$17,596.80 |
$17,596.80 |
$17,596.80 |
$4,529.43
|
|
Cytogenetics 25-99
|
$594.75 |
$594.75 |
$594.75 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$117.65 |
$117.65 |
$117.65 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$35.10 |
$35.10 |
$35.10 |
$100.00
|
|
Cytomegalovirus imm IV /vial
|
$9,030.45 |
$9,030.45 |
$9,030.45 |
$3,072.34
|
|
Cyto/molecular report
|
$37.70 |
$37.70 |
$37.70 |
$144.75
|
|
Cytopath fl nongyn filter
|
$429.65 |
$429.65 |
$429.65 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$515.45 |
$515.45 |
$515.45 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$49.40 |
$49.40 |
$49.40 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$34.45 |
$34.45 |
$34.45 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$536.25 |
$536.25 |
$536.25 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$416.00 |
$416.00 |
$416.00 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$246.35 |
$246.35 |
$246.35 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$255.45 |
$255.45 |
$255.45 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$417.95 |
$417.95 |
$417.95 |
$213.85
|
|
Cytopath smear other source
|
$555.75 |
$555.75 |
$555.75 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$285.35 |
$285.35 |
$285.35 |
$96.20
|
|
Cytotoxic antibody screening
|
$547.95 |
$547.95 |
$547.95 |
$193.80
|
|
Dacarbazine 100 mg intravenous solution
|
$54.60 |
$54.60 |
$54.60 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$3,047.85 |
$3,047.85 |
$3,047.85 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$83.85 |
$83.85 |
$83.85 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$2.60 |
$2.60 |
$2.60 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$252.20 |
$252.20 |
$252.20 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$44.20 |
$44.20 |
$44.20 |
$6,281.29
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$995.80 |
$995.80 |
$995.80 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$477.10 |
$477.10 |
$477.10 |
$259.58
|
|
Dch pulmonary stress test
|
$2,206.75 |
$2,206.75 |
$2,206.75 |
$963.30
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$12,273.95 |
$12,273.95 |
$12,273.95 |
$5,121.00
|
|
Deamidated gliadin antibody iga
|
$22.75 |
$22.75 |
$22.75 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$726.05 |
$726.05 |
$726.05 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$509.60 |
$509.60 |
$509.60 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$5,292.30 |
$5,292.30 |
$5,292.30 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$793.65 |
$793.65 |
$793.65 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,464.80 |
$2,464.80 |
$2,464.80 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,582.10 |
$1,582.10 |
$1,582.10 |
$835.20
|
|
Debride nail1-5 11720
|
$319.15 |
$319.15 |
$319.15 |
$149.60
|
|
Debride nail6 or more 11721
|
$319.15 |
$319.15 |
$319.15 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$1,163.24
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$793.65 |
$793.65 |
$793.65 |
$663.30
|
|
Debr inf skin add-on 11001
|
$364.65 |
$364.65 |
$364.65 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,508.65 |
$1,508.65 |
$1,508.65 |
$1,165.50
|
|
Decalcification
|
$102.70 |
$102.70 |
$102.70 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$86.45 |
$86.45 |
$86.45 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$924.95 |
$924.95 |
$924.95 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$11,532.30 |
$11,532.30 |
$11,532.30 |
$4,914.00
|
|
Decompression of lower leg
|
$18,983.25 |
$18,983.25 |
$18,983.25 |
$3,969.00
|
|
Decompression of lower leg
|
$18,983.25 |
$18,983.25 |
$18,983.25 |
$3,839.54
|
|
Deep muscle biopsy 20205
|
$2,101.45 |
$2,101.45 |
$2,101.45 |
$3,386.84
|
|
Deferoxamine 500 mg solution for injection
|
$146.25 |
$146.25 |
$146.25 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$44.85 |
$44.85 |
$44.85 |
$1,856.85
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$24,336.00 |
$24,336.00 |
$24,336.00 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$193.05 |
$193.05 |
$193.05 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$137.15 |
$137.15 |
$137.15 |
$6,324.98
|
|
Dermagraft
|
$7,159.10 |
$7,159.10 |
$7,159.10 |
$85.00
|
|
Derm autograft face/nck/hf/g
|
$9,931.35 |
$9,931.35 |
$9,931.35 |
$4,055.70
|
|
Derm autograft trnk/arm/leg
|
$4,342.65 |
$4,342.65 |
$4,342.65 |
$2,984.90
|
|
Derm-maxx, per sq cm
|
$12,972.05 |
$12,972.05 |
$12,972.05 |
$1.00
|
|
Descend thora aorta rpr/lt sub art 33880
|
$17,497.35 |
$17,497.35 |
$17,497.35 |
$6,288.45
|
|
Description not available
|
$19.50 |
$19.50 |
$19.50 |
$19.50
|
|
Desmopressin 4 mcg/ml injection solution
|
$115.05 |
$115.05 |
$115.05 |
$91.84
|
|
Des thora aorta/ea add prox prosth 33884
|
$4,216.55 |
$4,216.55 |
$4,216.55 |
$1,304.05
|
|
Des thora aorta rpr without left sub art 33881
|
$15,165.15 |
$15,165.15 |
$15,165.15 |
$5,267.20
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$11,389.30 |
$11,389.30 |
$11,389.30 |
$3,273.55
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$1,075.75 |
$1,075.75 |
$1,075.75 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$1,075.75 |
$1,075.75 |
$1,075.75 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$1,075.75 |
$1,075.75 |
$1,075.75 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$634.40 |
$634.40 |
$634.40 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$634.40 |
$634.40 |
$634.40 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$634.40 |
$634.40 |
$634.40 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$604.50 |
$604.50 |
$604.50 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$604.50 |
$604.50 |
$604.50 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$604.50 |
$604.50 |
$604.50 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$1,024.40 |
$1,024.40 |
$1,024.40 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$15,751.45 |
$15,751.45 |
$15,751.45 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$3,030.30 |
$3,030.30 |
$3,030.30 |
$1,441.44
|
|
Destruct ben lesion 15/> 17111
|
$161.20 |
$161.20 |
$161.20 |
$235.13
|
|
Destruction benign lesions < 14 lesions
|
$576.55 |
$576.55 |
$576.55 |
$240.24
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$17,531.80 |
$17,531.80 |
$17,531.80 |
$3,296.80
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$604.50 |
$604.50 |
$604.50 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$1,147.25 |
$1,147.25 |
$1,147.25 |
$569.80
|
|
Detect agent nos dna dir
|
$326.30 |
$326.30 |
$326.30 |
$138.00
|
|
Developmental screen/score/document 96110
|
$259.35 |
$259.35 |
$259.35 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$226.85 |
$226.85 |
$226.85 |
$350.40
|
|
Device ablt adv novasure
|
$19,318.00 |
$19,318.00 |
$19,318.00 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$181.35 |
$181.35 |
$181.35 |
$4,200.00
|
|
Device intraute mirena
|
$3,365.70 |
$3,365.70 |
$3,365.70 |
$2,125.00
|
|
Device sut capio slim opn
|
$7,201.35 |
$7,201.35 |
$7,201.35 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$6,752.20 |
$6,752.20 |
$6,752.20 |
$2,515.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$113.75 |
$113.75 |
$113.75 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$493.35 |
$493.35 |
$493.35 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$3.90 |
$3.90 |
$3.90 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$33.80 |
$33.80 |
$33.80 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,893.45 |
$1,893.45 |
$1,893.45 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$215.80 |
$215.80 |
$215.80 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$215.80 |
$215.80 |
$215.80 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$185.25 |
$185.25 |
$185.25 |
$46.35
|