|
Cyp2c19 gene com variants
|
$4,497.14 |
$4,497.14 |
$4,497.14 |
$553.00
|
|
Cystatin c
|
$285.85 |
$285.85 |
$285.85 |
$82.26
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,241.87 |
$1,241.87 |
$1,241.87 |
$527.50
|
|
Cystoscopy and treatment
|
$18,806.12 |
$18,806.12 |
$18,806.12 |
$3,070.20
|
|
Cystoscopy and treatment
|
$18,806.12 |
$18,806.12 |
$18,806.12 |
$3,219.80
|
|
Cystoscopy (Bladder Scope)
|
$6,913.16 |
$6,913.16 |
$6,913.16 |
$1,610.20
|
|
Cystourethroscop/calib/dilat stric 52281
|
$18,806.12 |
$18,806.12 |
$18,806.12 |
$2,845.50
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$18,806.12 |
$18,806.12 |
$18,806.12 |
$3,970.98
|
|
Cytarabine 20 mg/ml injection solution
|
$117.33 |
$117.33 |
$117.33 |
$79.98
|
|
Cytomegalovirus (cmv) antibody igg
|
$222.11 |
$222.11 |
$222.11 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$260.09 |
$260.09 |
$260.09 |
$98.35
|
|
Cyto/molecular report
|
$192.76 |
$192.76 |
$192.76 |
$144.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$612.08 |
$612.08 |
$612.08 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$312.71 |
$312.71 |
$312.71 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$143.48 |
$143.48 |
$143.48 |
$142.94
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$251.51 |
$251.51 |
$251.51 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$498.15 |
$498.15 |
$498.15 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$194.74 |
$194.74 |
$194.74 |
$205.00
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$61,886.05 |
$61,886.05 |
$61,886.05 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$32,230.44 |
$32,230.44 |
$32,230.44 |
$5,546.48
|
|
Dch validity tests
|
$61.78 |
$61.78 |
$61.78 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$76.07 |
$76.07 |
$76.07 |
$43.60
|
|
Debridement (>20 cm) charge pt
|
$262.25 |
$262.25 |
$262.25 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$6,406.79 |
$6,406.79 |
$6,406.79 |
$2,494.27
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,109.09 |
$1,109.09 |
$1,109.09 |
$681.60
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$5,524.04 |
$5,524.04 |
$5,524.04 |
$1,339.77
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$2,505.56 |
$2,505.56 |
$2,505.56 |
$798.23
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,522.77 |
$1,522.77 |
$1,522.77 |
$661.09
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,978.81 |
$1,978.81 |
$1,978.81 |
$1,161.05
|
|
Decalcification
|
$198.67 |
$198.67 |
$198.67 |
$75.38
|
|
Deferoxamine 500 mg solution for injection
|
$1,925.20 |
$1,925.20 |
$1,925.20 |
$116.00
|
|
Delivery of placenta 59414
|
$9,457.44 |
$9,457.44 |
$9,457.44 |
$3,135.14
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$550.17 |
$550.17 |
$550.17 |
$193.05
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$50,971.62 |
$50,971.62 |
$50,971.62 |
$7,744.96
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$460.50
|
|
Desmopressin 4 mcg/ml injection solution
|
$3,583.45 |
$3,583.45 |
$3,583.45 |
$121.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$837.72 |
$837.72 |
$837.72 |
$221.90
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$86.03 |
$86.03 |
$86.03 |
$24.28
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$240.17 |
$240.17 |
$240.17 |
$57.07
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$240.17 |
$240.17 |
$240.17 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$61.39 |
$61.39 |
$61.39 |
$49.68
|
|
Dextrose 5 % IV bolus
|
$240.17 |
$240.17 |
$240.17 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$110.38 |
$110.38 |
$110.38 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$263.92 |
$263.92 |
$263.92 |
$78.41
|
|
Diab manage trn ind/group
|
$143.50 |
$143.50 |
$143.50 |
$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 laryngoscopy 31575
|
$2,034.51 |
$2,034.51 |
$2,034.51 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$687.12 |
$687.12 |
$687.12 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$559.51 |
$559.51 |
$559.51 |
$295.10
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,772.38 |
$3,772.38 |
$3,772.38 |
$7,145.00
|
|
Dialysis one evaluation
|
$1,396.77 |
$1,396.77 |
$1,396.77 |
$827.97
|
|
Diatrizoate meglumine 18 % urethral solution
|
$510.98 |
$510.98 |
$510.98 |
$106.27
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$192.39 |
$192.39 |
$192.39 |
$70.87
|
|
Dicyclomine injection
|
$771.63 |
$771.63 |
$771.63 |
$211.00
|
|
Diffusing capacity
|
$646.29 |
$646.29 |
$646.29 |
$359.70
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$83.41 |
$83.41 |
$83.41 |
$64.31
|
|
Digoxin total therapeutic drug level
|
$206.97 |
$206.97 |
$206.97 |
$102.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$61.64 |
$61.64 |
$61.64 |
$25.12
|
|
Disability dlco
|
$836.98 |
$836.98 |
$836.98 |
$300.28
|
|
Disaccharidases
|
$342.20 |
$342.20 |
$342.20 |
$223.80
|
|
Dna antibody native/double stranded
|
$72.06 |
$72.06 |
$72.06 |
$101.40
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$956.44 |
$956.44 |
$956.44 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,412.66 |
$1,412.66 |
$1,412.66 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$306.60 |
$306.60 |
$306.60 |
$74.39
|
|
Doppler echo complete
|
$1,415.99 |
$1,415.99 |
$1,415.99 |
$635.20
|
|
Doppler intravascular pressure flow initial vessel
|
$3,267.35 |
$3,267.35 |
$3,267.35 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$2,543.04 |
$2,543.04 |
$2,543.04 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,016.84 |
$1,016.84 |
$1,016.84 |
$482.03
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$67,338.55 |
$67,338.55 |
$67,338.55 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$304.50 |
$304.50 |
$304.50 |
$264.42
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$12,433.63 |
$12,433.63 |
$12,433.63 |
$2,469.31
|
|
Drainage external ear simple 69000
|
$2,039.50 |
$2,039.50 |
$2,039.50 |
$809.25
|
|
Drainage mouth roof lesion
|
$2,553.81 |
$2,553.81 |
$2,553.81 |
$470.73
|
|
Drainage of arm bursa 23931
|
$17,877.89 |
$17,877.89 |
$17,877.89 |
$2,271.01
|
|
Drainage of kidney lesion
|
$2,469.82 |
$2,469.82 |
$2,469.82 |
$1,619.40
|
|
Drainage of nose lesion int 30000
|
$2,553.81 |
$2,553.81 |
$2,553.81 |
$548.00
|
|
Drain blood from under nail 11740
|
$364.82 |
$364.82 |
$364.82 |
$190.10
|
|
Drain cath image guided visceral pq
|
$7,440.32 |
$7,440.32 |
$7,440.32 |
$2,999.34
|
|
Drain cerebro spinal fluid 62272
|
$1,328.78 |
$1,328.78 |
$1,328.78 |
$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
|
$618.20 |
$618.20 |
$618.20 |
$407.19
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$618.20 |
$618.20 |
$618.20 |
$360.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,276.11 |
$1,276.11 |
$1,276.11 |
$530.40
|
|
Drng of finger abscess comp 26011
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$1,917.33
|
|
Droperidol 2.5 mg/ml injection solution
|
$100.45 |
$100.45 |
$100.45 |
$36.32
|
|
Drug admin & hemodynmic meas
|
$373.54 |
$373.54 |
$373.54 |
$528.50
|
|
Drug assay vedolizumab
|
$141.75 |
$141.75 |
$141.75 |
$169.26
|
|
Drug assay voriconazole
|
$418.45 |
$418.45 |
$418.45 |
$96.75
|
|
Drug of abuse screen urine
|
$194.48 |
$194.48 |
$194.48 |
$63.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,128.29 |
$1,128.29 |
$1,128.29 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$6,574.59 |
$6,574.59 |
$6,574.59 |
$3,268.20
|
|
Duplex scan bilateral study 93985
|
$2,833.35 |
$2,833.35 |
$2,833.35 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$383.40
|
|
Dup scan/hemodialysis access 93990
|
$2,124.85 |
$2,124.85 |
$2,124.85 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$2,788.71 |
$2,788.71 |
$2,788.71 |
$887.25
|
|
Durvalumab 50 mg/ml intravenous solution
|
$73,935.89 |
$73,935.89 |
$73,935.89 |
$8,841.54
|
|
Dxa bone density axl vrt fx
|
$427.91 |
$427.91 |
$427.91 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$17,485.67 |
$17,485.67 |
$17,485.67 |
$2,636.40
|
|
Ear irrigation 69209
|
$670.29 |
$670.29 |
$670.29 |
$158.40
|