|
Cystatin c
|
$34.72 |
$34.72 |
$34.72 |
$83.20
|
|
Cystic fibrosis cftr
|
$642.88 |
$642.88 |
$642.88 |
$1,041.95
|
|
Cystine urine quantitative
|
$36.25 |
$36.25 |
$36.25 |
$112.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$162.40 |
$162.40 |
$162.40 |
$487.04
|
|
Cytarabine 20 mg/ml injection solution
|
$26.28 |
$26.28 |
$26.28 |
$59.31
|
|
Cytogenetics 25-99
|
$180.32 |
$180.32 |
$180.32 |
$188.40
|
|
Cytomegalovirus (cmv) antibody igg
|
$68.88 |
$68.88 |
$68.88 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$68.32 |
$68.32 |
$68.32 |
$95.00
|
|
Cytomegalovirus imm IV /vial
|
$6,969.30 |
$6,969.30 |
$6,969.30 |
$2,635.28
|
|
Cyto/molecular report
|
$19.86 |
$19.86 |
$19.86 |
$91.65
|
|
Cytopath c/v index add-on
|
$11.20 |
$11.20 |
$11.20 |
$29.60
|
|
Cytopathology cellular enhancement technique non-gyn
|
$124.32 |
$124.32 |
$124.32 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$72.24 |
$72.24 |
$72.24 |
$98.00
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$33.04 |
$33.04 |
$33.04 |
$90.88
|
|
Cytopathology concentration technique smears & interpretation
|
$30.80 |
$30.80 |
$30.80 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$29.12 |
$29.12 |
$29.12 |
$129.90
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$10.08 |
$10.08 |
$10.08 |
$71.25
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$22.40 |
$22.40 |
$22.40 |
$179.44
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$63.28 |
$63.28 |
$63.28 |
$205.00
|
|
Cytopath smear other source
|
$33.04 |
$33.04 |
$33.04 |
$88.13
|
|
Cytopath smear other source
|
$27.44 |
$27.44 |
$27.44 |
$145.31
|
|
Cytopath smear oth prep screen & interp
|
$37.52 |
$37.52 |
$37.52 |
$95.00
|
|
Cytopath tbs c/v manual
|
$21.84 |
$21.84 |
$21.84 |
$57.94
|
|
Cytotoxic antibody screening
|
$158.48 |
$158.48 |
$158.48 |
$184.63
|
|
Cytp urine 3-5 probes cmptr
|
$252.84 |
$252.84 |
$252.84 |
$779.00
|
|
Dacarbazine 100 mg intravenous solution
|
$10.06 |
$10.06 |
$10.06 |
$39.53
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,033.22 |
$1,033.22 |
$1,033.22 |
$1,225.86
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$136.81 |
$136.81 |
$136.81 |
$1.80
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$702.24 |
$702.24 |
$702.24 |
$4,542.99
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$148.96 |
$148.96 |
$148.96 |
$14,514.57
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$43.75 |
$43.75 |
$43.75 |
$130.13
|
|
Dch validity tests
|
$10.64 |
$10.64 |
$10.64 |
$25.00
|
|
Debridement (>20 cm) charge pt
|
$394.80 |
$394.80 |
$394.80 |
$313.30
|
|
Debridement bone <= 20 sq cm
|
$2,277.52 |
$2,277.52 |
$2,277.52 |
$2,481.05
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,037.12 |
$1,037.12 |
$1,037.12 |
$717.92
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,277.52 |
$2,277.52 |
$2,277.52 |
$1,738.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$572.32 |
$572.32 |
$572.32 |
$779.35
|
|
Debride nail1-5 11720
|
$221.20 |
$221.20 |
$221.20 |
$186.88
|
|
Debride nail6 or more 11721
|
$232.96 |
$232.96 |
$232.96 |
$200.21
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$546.00 |
$546.00 |
$546.00 |
$728.40
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,037.12 |
$1,037.12 |
$1,037.12 |
$1,101.10
|
|
Decalcification
|
$14.00 |
$14.00 |
$14.00 |
$72.15
|
|
Decitabine 50 mg intravenous solution
|
$152.68 |
$152.68 |
$152.68 |
$225.55
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$195.44 |
$195.44 |
$195.44 |
$482.35
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$91.28 |
$91.28 |
$91.28 |
$165.60
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$15.80 |
$15.80 |
$15.80 |
$4,681.80
|
|
Dermagraft
|
$55.44 |
$55.44 |
$55.44 |
$100.50
|
|
Design mlc device for imrt
|
$1,047.20 |
$1,047.20 |
$1,047.20 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$49.28 |
$49.28 |
$49.28 |
$37.26
|
|
Desoxycorticosterone
|
$96.44 |
$96.44 |
$96.44 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$1,414.00 |
$1,414.00 |
$1,414.00 |
$2,963.07
|
|
Destroy cth facet jnt addl 64634
|
$495.04 |
$495.04 |
$495.04 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,414.00 |
$1,414.00 |
$1,414.00 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,430.40 |
$2,430.40 |
$2,430.40 |
$3,101.88
|
|
Developmental screen/score/document 96110
|
$136.64 |
$136.64 |
$136.64 |
$126.75
|
|
Devel tst phys/qhp 1st hr
|
$155.12 |
$155.12 |
$155.12 |
$364.48
|
|
Device ablt adv novasure
|
$2,963.52 |
$2,963.52 |
$2,963.52 |
$7,153.60
|
|
Device sut capio slim opn
|
$576.24 |
$576.24 |
$576.24 |
$1,454.07
|
|
Device tiss remov myosure reach
|
$1,067.92 |
$1,067.92 |
$1,067.92 |
$1,070.85
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$77.84 |
$77.84 |
$77.84 |
$203.19
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$252.56 |
$252.56 |
$252.56 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$3.76 |
$3.76 |
$3.76 |
$4.87
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$168.56 |
$168.56 |
$168.56 |
$465.34
|
|
Dhea-s (dehydroepiand sulfate)
|
$64.79 |
$64.79 |
$64.79 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$42.00 |
$42.00 |
$42.00 |
$70.00
|
|
Diag laparo separate proc 49320
|
$7,104.72 |
$7,104.72 |
$7,104.72 |
$6,376.26
|
|
Diagnostic Mammogram (both breasts)
|
$442.96 |
$442.96 |
$442.96 |
$381.60
|
|
Diagnostic Mammogram (one breast)
|
$329.28 |
$329.28 |
$329.28 |
$276.60
|
|
Dialysis circuit perm vascular embolization 36909
|
$16,264.08 |
$16,264.08 |
$16,264.08 |
$9,395.77
|
|
Diatrizoate meglumine 18 % urethral solution
|
$6.72 |
$6.72 |
$6.72 |
$58.24
|
|
Digital analysis of eeg
|
$386.40 |
$386.40 |
$386.40 |
$649.63
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$466.60 |
$466.60 |
$466.60 |
$29.85
|
|
Digoxin immune fab 40 mg intravenous solution
|
$1,616.87 |
$1,616.87 |
$1,616.87 |
$6,815.78
|
|
Digoxin total therapeutic drug level
|
$63.28 |
$63.28 |
$63.28 |
$92.95
|
|
Dilate biliary duct/ampulla
|
$3,708.88 |
$3,708.88 |
$3,708.88 |
$1,866.73
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$3,183.60 |
$3,183.60 |
$3,183.60 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$3,183.60 |
$3,183.60 |
$3,183.60 |
$1,670.90
|
|
Dilate ic vasospasm init
|
$3,723.44 |
$3,723.44 |
$3,723.44 |
$6,280.95
|
|
Dilator fascial 10fx20cm
|
$120.96 |
$120.96 |
$120.96 |
$291.87
|
|
Disaccharidases
|
$231.67 |
$231.67 |
$231.67 |
$224.58
|
|
Dlyd plmt xtn prosth ea addl
|
$386.96 |
$386.96 |
$386.96 |
$2,005.08
|
|
Dmd dup/delet analysis
|
$359.52 |
$359.52 |
$359.52 |
$418.50
|
|
Dna antibody native/double stranded
|
$57.68 |
$57.68 |
$57.68 |
$101.40
|
|
Dna gardnerella
|
$68.32 |
$68.32 |
$68.32 |
$67.68
|
|
Dna probe chlamydia
|
$22.40 |
$22.40 |
$22.40 |
$98.40
|
|
Dna probe gc
|
$34.16 |
$34.16 |
$34.16 |
$88.67
|
|
Dna trichomonas
|
$68.32 |
$68.32 |
$68.32 |
$69.60
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$10.24 |
$10.24 |
$10.24 |
$131.40
|
|
Doppler echo complete
|
$1,020.88 |
$1,020.88 |
$1,020.88 |
$517.94
|
|
Doppler intravascular pressure flow initial vessel
|
$3,334.80 |
$3,334.80 |
$3,334.80 |
$3,026.62
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$735.84 |
$735.84 |
$735.84 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$681.52 |
$681.52 |
$681.52 |
$463.20
|
|
Dornhoffer fixed part w/window
|
$19,600.00 |
$19,600.00 |
$19,600.00 |
$53,356.20
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$20.58 |
$20.58 |
$20.58 |
$97.83
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$321.70 |
$321.70 |
$321.70 |
$715.22
|
|
Drainage of kidney lesion
|
$1,268.96 |
$1,268.96 |
$1,268.96 |
$1,578.89
|
|
Drain blood from under nail 11740
|
$98.56 |
$98.56 |
$98.56 |
$173.21
|
|
Drain cath image guided visceral pq
|
$6,010.48 |
$6,010.48 |
$6,010.48 |
$2,999.34
|
|
Drain cerebro spinal fluid 62272
|
$1,228.08 |
$1,228.08 |
$1,228.08 |
$1,025.00
|
|
Drain chst dry seal exp thorastat
|
$45.36 |
$45.36 |
$45.36 |
$85.57
|