|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$1,817.22 |
$1,817.22 |
$1,817.22 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$1,100.89 |
$1,100.89 |
$1,100.89 |
$124.40
|
|
Cyanocobalamin unsat binding capacity
|
$767.48 |
$767.48 |
$767.48 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$159.49 |
$159.49 |
$159.49 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$61.52 |
$61.52 |
$61.52 |
$80.05
|
|
Cyclosporine 2 hour
|
$1,001.67 |
$1,001.67 |
$1,001.67 |
$121.80
|
|
Cyclosporine oral 100 mg
|
$79.00 |
$79.00 |
$79.00 |
$39.04
|
|
Cyp2c9 gene com variants
|
$9,369.08 |
$9,369.08 |
$9,369.08 |
$275.10
|
|
Cystatin c
|
$992.58 |
$992.58 |
$992.58 |
$82.26
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,697.48 |
$1,697.48 |
$1,697.48 |
$539.55
|
|
Cytarabine 20 mg/ml injection solution
|
$80.07 |
$80.07 |
$80.07 |
$89.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$93.12 |
$93.12 |
$93.12 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$918.48 |
$918.48 |
$918.48 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$721.33 |
$721.33 |
$721.33 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$1,085.84 |
$1,085.84 |
$1,085.84 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$575.34 |
$575.34 |
$575.34 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$493.50 |
$493.50 |
$493.50 |
$124.80
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$1,963.89 |
$1,963.89 |
$1,963.89 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$795.45 |
$795.45 |
$795.45 |
$205.00
|
|
Cytopath smear oth prep screen & interp
|
$359.02 |
$359.02 |
$359.02 |
$95.89
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$37,711.67 |
$37,711.67 |
$37,711.67 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$35,108.74 |
$35,108.74 |
$35,108.74 |
$5,546.48
|
|
Dch validity tests
|
$186.52 |
$186.52 |
$186.52 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$617.96 |
$617.96 |
$617.96 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$988.73 |
$988.73 |
$988.73 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$19,379.35 |
$19,379.35 |
$19,379.35 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,747.98 |
$1,747.98 |
$1,747.98 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$4,228.45 |
$4,228.45 |
$4,228.45 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$5,001.27 |
$5,001.27 |
$5,001.27 |
$810.50
|
|
Debride nail6 or more 11721
|
$789.92 |
$789.92 |
$789.92 |
$195.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,747.98 |
$1,747.98 |
$1,747.98 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$7,412.36 |
$7,412.36 |
$7,412.36 |
$1,193.40
|
|
Decalcification
|
$410.71 |
$410.71 |
$410.71 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$56.17 |
$56.17 |
$56.17 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$2,120.00 |
$2,120.00 |
$2,120.00 |
$110.82
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$2,143.83 |
$2,143.83 |
$2,143.83 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$55,523.68 |
$55,523.68 |
$55,523.68 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$460.50
|
|
Desmopressin 4 mcg/ml injection solution
|
$3,903.32 |
$3,903.32 |
$3,903.32 |
$102.32
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,996.39 |
$2,996.39 |
$2,996.39 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$24,351.18 |
$24,351.18 |
$24,351.18 |
$3,375.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$1,162.81 |
$1,162.81 |
$1,162.81 |
$220.43
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$93.26 |
$93.26 |
$93.26 |
$30.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$449.28 |
$449.28 |
$449.28 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$449.28 |
$449.28 |
$449.28 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$113.87 |
$113.87 |
$113.87 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$449.28 |
$449.28 |
$449.28 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$1,191.43 |
$1,191.43 |
$1,191.43 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$660.26 |
$660.26 |
$660.26 |
$78.03
|
|
Diagnostic digital breast tomosynthesis bil
|
$310.42 |
$310.42 |
$310.42 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$179.55 |
$179.55 |
$179.55 |
$75.93
|
|
Diagnostic Mammogram (both breasts)
|
$402.33 |
$402.33 |
$402.33 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$313.29 |
$313.29 |
$313.29 |
$301.55
|
|
Dialysis one evaluation
|
$5,189.35 |
$5,189.35 |
$5,189.35 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$520.29 |
$520.29 |
$520.29 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$208.85 |
$208.85 |
$208.85 |
$72.34
|
|
Dicyclomine injection
|
$849.50 |
$849.50 |
$849.50 |
$211.81
|
|
Diffusing capacity
|
$1,380.43 |
$1,380.43 |
$1,380.43 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$90.42 |
$90.42 |
$90.42 |
$69.79
|
|
Digoxin total therapeutic drug level
|
$499.09 |
$499.09 |
$499.09 |
$102.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$66.79 |
$66.79 |
$66.79 |
$26.87
|
|
Disability dlco
|
$951.04 |
$951.04 |
$951.04 |
$307.58
|
|
Dna antibody native/double stranded
|
$1,317.07 |
$1,317.07 |
$1,317.07 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$1,937.72 |
$1,937.72 |
$1,937.72 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$637.53 |
$637.53 |
$637.53 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$576.42 |
$576.42 |
$576.42 |
$84.30
|
|
Doppler echo complete
|
$6,339.08 |
$6,339.08 |
$6,339.08 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$12,570.82 |
$12,570.82 |
$12,570.82 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$2,625.26 |
$2,625.26 |
$2,625.26 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,233.54 |
$1,233.54 |
$1,233.54 |
$482.03
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$41,032.99 |
$41,032.99 |
$41,032.99 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$189.56 |
$189.56 |
$189.56 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$6,391.35 |
$6,391.35 |
$6,391.35 |
$2,417.38
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$3,691.55 |
$3,691.55 |
$3,691.55 |
$820.50
|
|
Drainage external ear simple 69000
|
$8,444.68 |
$8,444.68 |
$8,444.68 |
$809.25
|
|
Drainage of kidney lesion
|
$8,444.68 |
$8,444.68 |
$8,444.68 |
$1,706.65
|
|
Drain blood from under nail 11740
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$190.33
|
|
Drain cath image guided visceral pq
|
$14,476.67 |
$14,476.67 |
$14,476.67 |
$3,073.90
|
|
Drain finger abscess;simple 26010
|
$2,510.28 |
$2,510.28 |
$2,510.28 |
$492.81
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$2,510.28 |
$2,510.28 |
$2,510.28 |
$365.60
|
|
Drng of eyelid abscess 67700
|
$3,682.24 |
$3,682.24 |
$3,682.24 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$19,379.35 |
$19,379.35 |
$19,379.35 |
$2,048.00
|
|
Drng of scrotum abscess 55100
|
$19,379.35 |
$19,379.35 |
$19,379.35 |
$2,069.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$108.90 |
$108.90 |
$108.90 |
$39.60
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$3,330.44 |
$3,330.44 |
$3,330.44 |
$278.85
|
|
Drvvt confirm - quest
|
$1,869.91 |
$1,869.91 |
$1,869.91 |
$101.66
|
|
Dup scan/hemodialysis access 93990
|
$2,630.92 |
$2,630.92 |
$2,630.92 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$3,786.43 |
$3,786.43 |
$3,786.43 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,229.77 |
$1,229.77 |
$1,229.77 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$45,051.67 |
$45,051.67 |
$45,051.67 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$4,160.14 |
$4,160.14 |
$4,160.14 |
$2,780.40
|
|
Ear irrigation 69209
|
$789.92 |
$789.92 |
$789.92 |
$165.42
|
|
Ecg 12 lead tracing only
|
$993.99 |
$993.99 |
$993.99 |
$245.00
|
|
Ecg < 30 days transmission & analysis
|
$1,457.66 |
$1,457.66 |
$1,457.66 |
$429.00
|
|
Ecg external < 48 hours recording
|
$1,876.00 |
$1,876.00 |
$1,876.00 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$6,986.59 |
$6,986.59 |
$6,986.59 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$700.55 |
$700.55 |
$700.55 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$3,339.08 |
$3,339.08 |
$3,339.08 |
$724.20
|