|
Cylinder pump set 20cm titan zero angl
|
$15,794.15 |
$15,794.15 |
$15,794.15 |
$24,728.89
|
|
Cystatin c
|
$163.80 |
$163.80 |
$163.80 |
$77.60
|
|
Cystoscopy and treatment
|
$772.44 |
$772.44 |
$772.44 |
$4,638.40
|
|
Cystoscopy and treatment
|
$19,884.26 |
$19,884.26 |
$19,884.26 |
$5,304.00
|
|
Cystoscopy and treatment
|
$21,271.31 |
$21,271.31 |
$21,271.31 |
$5,995.60
|
|
Cystoscopy and treatment
|
$1,545.00 |
$1,545.00 |
$1,545.00 |
$6,593.60
|
|
Cystoscopy and treatment
|
$18,435.14 |
$18,435.14 |
$18,435.14 |
$3,320.50
|
|
Cystoscopy and treatment
|
$623.00 |
$623.00 |
$623.00 |
$2,424.12
|
|
Cystoscopy and treatment
|
$12,316.86 |
$12,316.86 |
$12,316.86 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$12,281.26 |
$12,281.26 |
$12,281.26 |
$1,493.80
|
|
Cystoscopy & ureter catheter
|
$19,059.10 |
$19,059.10 |
$19,059.10 |
$3,728.50
|
|
Cystouretero & or pyeloscope
|
$957.00 |
$957.00 |
$957.00 |
$4,315.98
|
|
Cysto/uretero w/lithotripsy
|
$22,945.54 |
$22,945.54 |
$22,945.54 |
$9,430.00
|
|
Cystouretero w/lithotripsy
|
$23,231.26 |
$23,231.26 |
$23,231.26 |
$7,372.68
|
|
Cystouretero w/stone remove
|
$21,714.86 |
$21,714.86 |
$21,714.86 |
$5,741.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$18,461.68 |
$18,461.68 |
$18,461.68 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$18,619.61 |
$18,619.61 |
$18,619.61 |
$4,057.50
|
|
Cytarabine 20 mg/ml injection solution
|
$135.00 |
$135.00 |
$135.00 |
$90.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$119.60 |
$119.60 |
$119.60 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$153.40 |
$153.40 |
$153.40 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$243.75 |
$243.75 |
$243.75 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$70.85 |
$70.85 |
$70.85 |
$87.45
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$52.00 |
$52.00 |
$52.00 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$93.60 |
$93.60 |
$93.60 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$182.65 |
$182.65 |
$182.65 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$336.05 |
$336.05 |
$336.05 |
$213.85
|
|
Dacarbazine 100 mg intravenous solution
|
$56.45 |
$56.45 |
$56.45 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$13,542.70 |
$13,542.70 |
$13,542.70 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$7,773.10 |
$7,773.10 |
$7,773.10 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$127.00 |
$127.00 |
$127.00 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$33,713.70 |
$33,713.70 |
$33,713.70 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$18,648.65 |
$18,648.65 |
$18,648.65 |
$6,281.29
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$34,410.00 |
$34,410.00 |
$34,410.00 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$308.50 |
$308.50 |
$308.50 |
$259.58
|
|
D&c after delivery 59160
|
$412.00 |
$412.00 |
$412.00 |
$3,827.25
|
|
Deamidated gliadin antibody iga
|
$141.70 |
$141.70 |
$141.70 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$5,358.44 |
$5,358.44 |
$5,358.44 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$2,481.05 |
$2,481.05 |
$2,481.05 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$652.60 |
$652.60 |
$652.60 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,240.85 |
$1,240.85 |
$1,240.85 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$5,741.94 |
$5,741.94 |
$5,741.94 |
$835.20
|
|
Debride nail1-5 11720
|
$61.00 |
$61.00 |
$61.00 |
$149.60
|
|
Debride nail6 or more 11721
|
$101.00 |
$101.00 |
$101.00 |
$169.80
|
|
Debride skin bone at fx site
|
$1,349.00 |
$1,349.00 |
$1,349.00 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$2,467.00 |
$2,467.00 |
$2,467.00 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$5,358.44 |
$5,358.44 |
$5,358.44 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$182.00 |
$182.00 |
$182.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$902.00 |
$902.00 |
$902.00 |
$1,149.50
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,209.65 |
$1,209.65 |
$1,209.65 |
$1,165.50
|
|
Decalcification
|
$100.10 |
$100.10 |
$100.10 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$459.90 |
$459.90 |
$459.90 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$573.95 |
$573.95 |
$573.95 |
$572.95
|
|
Deferoxamine 500 mg solution for injection
|
$65.35 |
$65.35 |
$65.35 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$4,556.35 |
$4,556.35 |
$4,556.35 |
$1,856.85
|
|
Demonstrate use home inr mon
|
$77.35 |
$77.35 |
$77.35 |
$294.75
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$344.50 |
$344.50 |
$344.50 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$15,865.45 |
$15,865.45 |
$15,865.45 |
$6,324.98
|
|
Deodorant ostmy adapt lube 8ml
|
$0.06 |
$0.06 |
$0.06 |
$1.98
|
|
Design mlc device for imrt
|
$1,048.45 |
$1,048.45 |
$1,048.45 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$735.85 |
$735.85 |
$735.85 |
$91.84
|
|
Destroy premlg lesns;1st lesn 17000
|
$112.45 |
$112.45 |
$112.45 |
$202.40
|
|
Destruct ben lesion 15/> 17111
|
$273.00 |
$273.00 |
$273.00 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$107.90 |
$107.90 |
$107.90 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$263.25 |
$263.25 |
$263.25 |
$240.24
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$7,360.49 |
$7,360.49 |
$7,360.49 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$7,334.91 |
$7,334.91 |
$7,334.91 |
$3,296.80
|
|
Device ablt adv novasure
|
$6,237.48 |
$6,237.48 |
$6,237.48 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,599.67 |
$2,599.67 |
$2,599.67 |
$4,200.00
|
|
Device intraute mirena
|
$6,362.20 |
$6,362.20 |
$6,362.20 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,534.26 |
$1,534.26 |
$1,534.26 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$3,961.70 |
$3,961.70 |
$3,961.70 |
$2,515.00
|
|
Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr
|
$21.00 |
$21.00 |
$21.00 |
$21.00
|
|
Dexamethasone 4 mg tablet
|
$30,093.08 |
$30,093.08 |
$30,093.08 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$19,098.14 |
$19,098.14 |
$19,098.14 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$884.80 |
$884.80 |
$884.80 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$20.00 |
$20.00 |
$20.00 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$35.00 |
$35.00 |
$35.00 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$35.00 |
$35.00 |
$35.00 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$7,405.29 |
$7,405.29 |
$7,405.29 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$564.20 |
$564.20 |
$564.20 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$486.85 |
$486.85 |
$486.85 |
$79.30
|
|
Diagnostic anoscopy spx 46600
|
$617.50 |
$617.50 |
$617.50 |
$195.50
|
|
Diagnostic laryngoscopy 31575
|
$217.00 |
$217.00 |
$217.00 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$432.90 |
$432.90 |
$432.90 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$364.00 |
$364.00 |
$364.00 |
$314.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$103.50 |
$103.50 |
$103.50 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$111.85 |
$111.85 |
$111.85 |
$79.71
|
|
Diffusing capacity
|
$18.00 |
$18.00 |
$18.00 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$503.10 |
$503.10 |
$503.10 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$13,725.30 |
$13,725.30 |
$13,725.30 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$85.15 |
$85.15 |
$85.15 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$358.75 |
$358.75 |
$358.75 |
$297.86
|
|
Dilate urethra stricture
|
$204.00 |
$204.00 |
$204.00 |
$513.00
|
|
Dilation of rectal stricture 45910
|
$704.00 |
$704.00 |
$704.00 |
$2,491.80
|
|
Dilation salivary duct 42650
|
$1,514.50 |
$1,514.50 |
$1,514.50 |
$2,675.71
|
|
Dilator fascial 10fx20cm
|
$274.98 |
$274.98 |
$274.98 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$12.95 |
$12.95 |
$12.95 |
$45.60
|
|
Dimethyl sulfoxide 50% 50 ml
|
$3,466.25 |
$3,466.25 |
$3,466.25 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$3.40 |
$3.40 |
$3.40 |
$1.20
|