|
Culture quantitative aerobic other source
|
$326.97 |
$326.97 |
$326.97 |
$87.02
|
|
Culture screening strep group a
|
$325.80 |
$325.80 |
$325.80 |
$80.60
|
|
Culture typing added method
|
$90.26 |
$90.26 |
$90.26 |
$34.45
|
|
Culture typing immunologic
|
$214.08 |
$214.08 |
$214.08 |
$42.12
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$631.08 |
$631.08 |
$631.08 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$182.50 |
$182.50 |
$182.50 |
$124.37
|
|
Cyanocobalamin unsat binding capacity
|
$28.29 |
$28.29 |
$28.29 |
$58.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$85.27 |
$85.27 |
$85.27 |
$28.21
|
|
Cyclic citrullinated peptide antibody
|
$27.16 |
$27.16 |
$27.16 |
$82.00
|
|
Cyclosporine 2 hour
|
$35.79 |
$35.79 |
$35.79 |
$119.40
|
|
Cyclosporine oral 100 mg
|
$41.22 |
$41.22 |
$41.22 |
$42.97
|
|
Cystatin c
|
$44.23 |
$44.23 |
$44.23 |
$81.00
|
|
Cystogram >= 3 views supervision & interpretation
|
$972.31 |
$972.31 |
$972.31 |
$530.40
|
|
Cytarabine 20 mg/ml injection solution
|
$120.88 |
$120.88 |
$120.88 |
$80.18
|
|
Cytomegalovirus (cmv) antibody igg
|
$17.13 |
$17.13 |
$17.13 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$21.89 |
$21.89 |
$21.89 |
$98.35
|
|
Cyto/molecular report
|
$234.90 |
$234.90 |
$234.90 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$386.31 |
$386.31 |
$386.31 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$281.09 |
$281.09 |
$281.09 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$144.38 |
$144.38 |
$144.38 |
$124.80
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$159.54 |
$159.54 |
$159.54 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$320.99 |
$320.99 |
$320.99 |
$205.00
|
|
Cytopath smear oth prep screen & interp
|
$305.79 |
$305.79 |
$305.79 |
$96.20
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$73,817.47 |
$73,817.47 |
$73,817.47 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$16,774.00 |
$16,774.00 |
$16,774.00 |
$5,546.48
|
|
Dch validity tests
|
$12.09 |
$12.09 |
$12.09 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$33.37 |
$33.37 |
$33.37 |
$44.00
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,213.49 |
$1,213.49 |
$1,213.49 |
$677.54
|
|
Debridement (>20 cm) charge pt
|
$632.07 |
$632.07 |
$632.07 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$4,666.12 |
$4,666.12 |
$4,666.12 |
$2,530.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$668.37 |
$668.37 |
$668.37 |
$681.60
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,906.35 |
$1,906.35 |
$1,906.35 |
$1,330.13
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,963.93 |
$1,963.93 |
$1,963.93 |
$810.50
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$668.37 |
$668.37 |
$668.37 |
$661.09
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,222.66 |
$2,222.66 |
$2,222.66 |
$1,176.57
|
|
Decalcification
|
$137.54 |
$137.54 |
$137.54 |
$75.38
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$3,140.73 |
$3,140.73 |
$3,140.73 |
$525.15
|
|
Deferoxamine 500 mg solution for injection
|
$1,050.41 |
$1,050.41 |
$1,050.41 |
$116.00
|
|
Delivery of placenta 59414
|
$4,706.11 |
$4,706.11 |
$4,706.11 |
$3,185.60
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$196.26 |
$196.26 |
$196.26 |
$193.05
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$26,523.32 |
$26,523.32 |
$26,523.32 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$399.93 |
$399.93 |
$399.93 |
$460.50
|
|
Descend thora aorta rpr/lt sub art 33880
|
$50,583.58 |
$50,583.58 |
$50,583.58 |
$5,758.00
|
|
Design mlc device for imrt
|
$1,020.69 |
$1,020.69 |
$1,020.69 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,871.59 |
$1,871.59 |
$1,871.59 |
$112.85
|
|
Des thora aorta rpr without left sub art 33881
|
$58,424.17 |
$58,424.17 |
$58,424.17 |
$5,698.68
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$677.69 |
$677.69 |
$677.69 |
$220.43
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$53.33 |
$53.33 |
$53.33 |
$25.68
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$276.11 |
$276.11 |
$276.11 |
$57.07
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$276.11 |
$276.11 |
$276.11 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$69.16 |
$69.16 |
$69.16 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$276.11 |
$276.11 |
$276.11 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$20.58 |
$20.58 |
$20.58 |
$105.57
|
|
Diabetes (HbA1c) Test
|
$168.32 |
$168.32 |
$168.32 |
$78.03
|
|
Diagnostic digital breast tomosynthesis bil
|
$312.39 |
$312.39 |
$312.39 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$312.39 |
$312.39 |
$312.39 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$776.96 |
$776.96 |
$776.96 |
$381.00
|
|
Diagnostic Mammogram (both breasts)
|
$1,434.49 |
$1,434.49 |
$1,434.49 |
$421.26
|
|
Diagnostic Mammogram (one breast)
|
$1,094.37 |
$1,094.37 |
$1,094.37 |
$297.05
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,961.34 |
$3,961.34 |
$3,961.34 |
$7,548.00
|
|
Dialysis one evaluation
|
$1,075.20 |
$1,075.20 |
$1,075.20 |
$835.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$191.62 |
$191.62 |
$191.62 |
$101.58
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$109.39 |
$109.39 |
$109.39 |
$72.34
|
|
Dicyclomine injection
|
$425.27 |
$425.27 |
$425.27 |
$211.68
|
|
Diffusing capacity
|
$763.93 |
$763.93 |
$763.93 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$51.93 |
$51.93 |
$51.93 |
$66.86
|
|
Digoxin total therapeutic drug level
|
$94.45 |
$94.45 |
$94.45 |
$102.00
|
|
Dilat xst trc ndurlgc px
|
$6,623.19 |
$6,623.19 |
$6,623.19 |
$4,081.37
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$40.25 |
$40.25 |
$40.25 |
$25.12
|
|
Disability dlco
|
$181.48 |
$181.48 |
$181.48 |
$302.90
|
|
Disaccharidases
|
$480.12 |
$480.12 |
$480.12 |
$224.31
|
|
Dna antibody native/double stranded
|
$127.67 |
$127.67 |
$127.67 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$1,137.86 |
$1,137.86 |
$1,137.86 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,207.51 |
$1,207.51 |
$1,207.51 |
$780.74
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$353.02 |
$353.02 |
$353.02 |
$79.61
|
|
Doppler echo complete
|
$1,004.59 |
$1,004.59 |
$1,004.59 |
$612.81
|
|
Doppler intravascular pressure flow initial vessel
|
$3,609.23 |
$3,609.23 |
$3,609.23 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,122.59 |
$1,122.59 |
$1,122.59 |
$697.66
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$924.38 |
$924.38 |
$924.38 |
$495.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$80,321.73 |
$80,321.73 |
$80,321.73 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$315.76 |
$315.76 |
$315.76 |
$269.37
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$12,964.59 |
$12,964.59 |
$12,964.59 |
$2,469.31
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$2,207.15 |
$2,207.15 |
$2,207.15 |
$820.50
|
|
Drainage external ear simple 69000
|
$335.55 |
$335.55 |
$335.55 |
$809.25
|
|
Drainage mouth roof lesion
|
$750.38 |
$750.38 |
$750.38 |
$468.18
|
|
Drainage of kidney lesion
|
$4,836.48 |
$4,836.48 |
$4,836.48 |
$1,619.40
|
|
Drainage of mouth lesion
|
$9,703.14 |
$9,703.14 |
$9,703.14 |
$3,908.00
|
|
Drainage of nose lesion int 30000
|
$750.38 |
$750.38 |
$750.38 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,604.13 |
$1,604.13 |
$1,604.13 |
$755.95
|
|
Drain bladder by trocar/cath
|
$3,263.15 |
$3,263.15 |
$3,263.15 |
$1,086.00
|
|
Drain blood from under nail 11740
|
$198.63 |
$198.63 |
$198.63 |
$190.33
|
|
Drain cath image guided visceral pq
|
$5,017.40 |
$5,017.40 |
$5,017.40 |
$3,032.97
|
|
Drain finger abscess;simple 26010
|
$636.93 |
$636.93 |
$636.93 |
$492.81
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$690.69 |
$690.69 |
$690.69 |
$411.16
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$685.47 |
$685.47 |
$685.47 |
$365.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$263.08 |
$263.08 |
$263.08 |
$532.80
|
|
Drng of finger abscess comp 26011
|
$4,990.49 |
$4,990.49 |
$4,990.49 |
$1,972.80
|
|
Droperidol 2.5 mg/ml injection solution
|
$61.06 |
$61.06 |
$61.06 |
$39.31
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1,756.52 |
$1,756.52 |
$1,756.52 |
$10,534.20
|
|
Drug assay voriconazole
|
$77.55 |
$77.55 |
$77.55 |
$96.75
|