|
Cv line/pic reposition
|
$310.80 |
$310.80 |
$310.80 |
$1,681.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$38.53 |
$38.53 |
$38.53 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$42.06 |
$42.06 |
$42.06 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$533.79 |
$533.79 |
$533.79 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$97.38 |
$97.38 |
$97.38 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$3.79 |
$3.79 |
$3.79 |
$7.48
|
|
Cyp2c19 gene com variants
|
$264.94 |
$264.94 |
$264.94 |
$524.00
|
|
Cyp2c9 gene com variants
|
$197.57 |
$197.57 |
$197.57 |
$275.10
|
|
Cyp2d6 gene com variants
|
$227.08 |
$227.08 |
$227.08 |
$570.70
|
|
Cystatin c
|
$72.91 |
$72.91 |
$72.91 |
$77.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$556.14 |
$556.14 |
$556.14 |
$586.95
|
|
Cystometrogram w/up 51727
|
$770.00 |
$770.00 |
$770.00 |
$908.59
|
|
Cytarabine 20 mg/ml injection solution
|
$139.01 |
$139.01 |
$139.01 |
$90.00
|
|
Cytogenetics 25-99
|
$64.79 |
$64.79 |
$64.79 |
$189.80
|
|
Cytogenetics 3-5
|
$84.95 |
$84.95 |
$84.95 |
$147.36
|
|
Cytogenomic neo microra alys
|
$3,415.94 |
$3,415.94 |
$3,415.94 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$179.20 |
$179.20 |
$179.20 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$114.91 |
$114.91 |
$114.91 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$75.15 |
$75.15 |
$75.15 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$131.60 |
$131.60 |
$131.60 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$169.34 |
$169.34 |
$169.34 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$83.50 |
$83.50 |
$83.50 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$96.88 |
$96.88 |
$96.88 |
$127.50
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$378.22 |
$378.22 |
$378.22 |
$213.85
|
|
Cytopath smear other source
|
$106.90 |
$106.90 |
$106.90 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$26.94 |
$26.94 |
$26.94 |
$96.20
|
|
Cytopath tbs c/v manual
|
$169.34 |
$169.34 |
$169.34 |
$59.28
|
|
Dacarbazine 100 mg intravenous solution
|
$180.11 |
$180.11 |
$180.11 |
$62.41
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$884.83 |
$884.83 |
$884.83 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$15,782.10 |
$15,782.10 |
$15,782.10 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$7,219.87 |
$7,219.87 |
$7,219.87 |
$6,281.29
|
|
Dch pulmonary stress test
|
$1,181.88 |
$1,181.88 |
$1,181.88 |
$963.30
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$5,883.64 |
$5,883.64 |
$5,883.64 |
$5,121.00
|
|
Deamidated gliadin antibody iga
|
$91.56 |
$91.56 |
$91.56 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$236.66 |
$236.66 |
$236.66 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$146.61 |
$146.61 |
$146.61 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$429.13 |
$429.13 |
$429.13 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$416.81 |
$416.81 |
$416.81 |
$702.28
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$271.66 |
$271.66 |
$271.66 |
$835.20
|
|
Debride nail1-5 11720
|
$50.79 |
$50.79 |
$50.79 |
$149.60
|
|
Debride nail6 or more 11721
|
$72.91 |
$72.91 |
$72.91 |
$169.80
|
|
Decalcification
|
$33.54 |
$33.54 |
$33.54 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$3,141.82 |
$3,141.82 |
$3,141.82 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$315.45 |
$315.45 |
$315.45 |
$572.95
|
|
Deferoxamine 500 mg solution for injection
|
$128.76 |
$128.76 |
$128.76 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,791.18 |
$2,791.18 |
$2,791.18 |
$1,856.85
|
|
Delivery of placenta 59414
|
$1,058.51 |
$1,058.51 |
$1,058.51 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$100.18 |
$100.18 |
$100.18 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$6,452.20 |
$6,452.20 |
$6,452.20 |
$6,324.98
|
|
Depo-estradiol cypionate inj
|
$493.37 |
$493.37 |
$493.37 |
$71.51
|
|
Design mlc device for imrt
|
$977.87 |
$977.87 |
$977.87 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$102.60 |
$102.60 |
$102.60 |
$91.84
|
|
Destroy cervthor facet jnt 64633
|
$1,521.07 |
$1,521.07 |
$1,521.07 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$141.62 |
$141.62 |
$141.62 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$141.62 |
$141.62 |
$141.62 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,521.07 |
$1,521.07 |
$1,521.07 |
$3,296.80
|
|
Devel tst phys/qhp 1st hr
|
$240.35 |
$240.35 |
$240.35 |
$350.40
|
|
Device ablt adv novasure
|
$28,080.64 |
$28,080.64 |
$28,080.64 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$1,429.79 |
$1,429.79 |
$1,429.79 |
$4,200.00
|
|
Device intraute mirena
|
$2,314.33 |
$2,314.33 |
$2,314.33 |
$2,125.00
|
|
Device tiss remov myosure reach
|
$1,614.42 |
$1,614.42 |
$1,614.42 |
$2,515.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$120.23 |
$120.23 |
$120.23 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$92.85 |
$92.85 |
$92.85 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$38.05 |
$38.05 |
$38.05 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$28.94 |
$28.94 |
$28.94 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,249.87 |
$1,249.87 |
$1,249.87 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$34.27 |
$34.27 |
$34.27 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$32.20 |
$32.20 |
$32.20 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$29.09 |
$29.09 |
$29.09 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$28.06 |
$28.06 |
$28.06 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$42.17 |
$42.17 |
$42.17 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$28.50 |
$28.50 |
$28.50 |
$79.30
|
|
Diab manage trn ind/group
|
$40.43 |
$40.43 |
$40.43 |
$54.99
|
|
Diab shoe for density insert
|
$159.43 |
$159.43 |
$159.43 |
$147.56
|
|
Diagnostic anoscopy spx 46600
|
$90.72 |
$90.72 |
$90.72 |
$195.50
|
|
Diagnostic laryngoscopy 31575
|
$143.70 |
$143.70 |
$143.70 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$428.34 |
$428.34 |
$428.34 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$385.45 |
$385.45 |
$385.45 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$417.54 |
$417.54 |
$417.54 |
$259.00
|
|
Diathermy eg microwave
|
$81.48 |
$81.48 |
$81.48 |
$29.68
|
|
Diatrizoate meglumine 18 % urethral solution
|
$1.68 |
$1.68 |
$1.68 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$83.67 |
$83.67 |
$83.67 |
$79.71
|
|
Diffusing capacity
|
$356.10 |
$356.10 |
$356.10 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$65.84 |
$65.84 |
$65.84 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$7,840.46 |
$7,840.46 |
$7,840.46 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$44.35 |
$44.35 |
$44.35 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$275.88 |
$275.88 |
$275.88 |
$297.86
|
|
Dilator fascial 10fx20cm
|
$188.44 |
$188.44 |
$188.44 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$41.95 |
$41.95 |
$41.95 |
$45.60
|
|
Dimenhydrinate injection
|
$36.27 |
$36.27 |
$36.27 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$54.64 |
$54.64 |
$54.64 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$4.90 |
$4.90 |
$4.90 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$30.92 |
$30.92 |
$30.92 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$157.68 |
$157.68 |
$157.68 |
$98.15
|
|
Disability dlco
|
$438.54 |
$438.54 |
$438.54 |
$293.76
|
|
Disaccharidases
|
$176.40 |
$176.40 |
$176.40 |
$230.40
|
|
Disconnect insert locking wr
|
$139.66 |
$139.66 |
$139.66 |
$75.60
|
|
Disconnect locking wrist uni
|
$464.07 |
$464.07 |
$464.07 |
$207.20
|
|
Dna antibody native/double stranded
|
$98.34 |
$98.34 |
$98.34 |
$100.00
|
|
Dna gardnerella
|
$29.29 |
$29.29 |
$29.29 |
$61.83
|