|
Cv line/pic reposition
|
$737.00 |
$737.00 |
$737.00 |
$1,719.44
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$185.68 |
$185.68 |
$185.68 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$63.00 |
$63.00 |
$63.00 |
$68.00
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$804.56 |
$804.56 |
$804.56 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$3.98 |
$3.98 |
$3.98 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$67.87 |
$67.87 |
$67.87 |
$140.78
|
|
Cyclosporine 2 hour
|
$171.00 |
$171.00 |
$171.00 |
$126.00
|
|
Cyclosporine modified 25 mg capsule
|
$1.22 |
$1.22 |
$1.22 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$37.52 |
$37.52 |
$37.52 |
$34.51
|
|
Cyp2c19 gene com variants
|
$184.00 |
$184.00 |
$184.00 |
$419.85
|
|
Cystatin c
|
$93.00 |
$93.00 |
$93.00 |
$78.75
|
|
Cystic fibrosis cftr
|
$421.00 |
$421.00 |
$421.00 |
$1,060.00
|
|
Cystine urine quantitative
|
$39.25 |
$39.25 |
$39.25 |
$101.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$204.50 |
$204.50 |
$204.50 |
$539.55
|
|
Cystoscopy and treatment
|
$2,288.75 |
$2,288.75 |
$2,288.75 |
$4,160.10
|
|
Cystoscopy and treatment
|
$2,288.75 |
$2,288.75 |
$2,288.75 |
$5,110.00
|
|
Cystoscopy and treatment
|
$1,372.25 |
$1,372.25 |
$1,372.25 |
$2,896.40
|
|
Cystoscopy (Bladder Scope)
|
$326.00 |
$326.00 |
$326.00 |
$1,525.60
|
|
Cystourethroscop/calib/dilat stric 52281
|
$670.75 |
$670.75 |
$670.75 |
$3,015.50
|
|
Cytarabine 20 mg/ml injection solution
|
$13.89 |
$13.89 |
$13.89 |
$89.94
|
|
Cytogenetics 25-99
|
$27.00 |
$27.00 |
$27.00 |
$189.80
|
|
Cytogenomic neo microra alys
|
$1,018.00 |
$1,018.00 |
$1,018.00 |
$2,020.20
|
|
Cytog genom-wid alys hem mal
|
$947.75 |
$947.75 |
$947.75 |
$1,263.53
|
|
Cytomegalovirus (cmv) antibody igg
|
$133.50 |
$133.50 |
$133.50 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$134.25 |
$134.25 |
$134.25 |
$95.00
|
|
Cytomegalovirus dfa
|
$19.00 |
$19.00 |
$19.00 |
$74.88
|
|
Cytopath fl nongyn filter
|
$15.25 |
$15.25 |
$15.25 |
$82.50
|
|
Cytopathology cellular enhancement technique non-gyn
|
$34.75 |
$34.75 |
$34.75 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$30.25 |
$30.25 |
$30.25 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$18.75 |
$18.75 |
$18.75 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$15.75 |
$15.75 |
$15.75 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$15.75 |
$15.75 |
$15.75 |
$132.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$2.50 |
$2.50 |
$2.50 |
$70.00
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$67.00 |
$67.00 |
$67.00 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$34.75 |
$34.75 |
$34.75 |
$207.01
|
|
Cytp urine 3-5 probes cmptr
|
$268.25 |
$268.25 |
$268.25 |
$708.18
|
|
Dacarbazine 100 mg intravenous solution
|
$8.51 |
$8.51 |
$8.51 |
$62.70
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,053.61 |
$1,053.61 |
$1,053.61 |
$3,703.37
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$772.71 |
$772.71 |
$772.71 |
$232.27
|
|
Daptomycin (xellia) unrefrig
|
$31.22 |
$31.22 |
$31.22 |
$0.05
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$214.39 |
$214.39 |
$214.39 |
$259.58
|
|
Dch glucoscan
|
$1.75 |
$1.75 |
$1.75 |
$27.50
|
|
Dch pulmonary stress test
|
$491.75 |
$491.75 |
$491.75 |
$963.30
|
|
Dch validity tests
|
$24.00 |
$24.00 |
$24.00 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$9.50 |
$9.50 |
$9.50 |
$44.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$187.50 |
$187.50 |
$187.50 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$150.75 |
$150.75 |
$150.75 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$856.50 |
$856.50 |
$856.50 |
$2,321.40
|
|
Debridement/bone/20 sq cm or less 11046
|
$278.50 |
$278.50 |
$278.50 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$837.75 |
$837.75 |
$837.75 |
$1,418.55
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$279.75 |
$279.75 |
$279.75 |
$810.50
|
|
Debride nail1-5 11720
|
$82.50 |
$82.50 |
$82.50 |
$155.40
|
|
Debride nail6 or more 11721
|
$82.50 |
$82.50 |
$82.50 |
$167.63
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$462.00 |
$462.00 |
$462.00 |
$1,149.50
|
|
Debride skin bone at fx site
|
$877.50 |
$877.50 |
$877.50 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$282.50 |
$282.50 |
$282.50 |
$1,063.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$278.50 |
$278.50 |
$278.50 |
$639.60
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$302.75 |
$302.75 |
$302.75 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$282.50 |
$282.50 |
$282.50 |
$1,176.57
|
|
Decalcification
|
$9.50 |
$9.50 |
$9.50 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$612.57 |
$612.57 |
$612.57 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$293.50 |
$293.50 |
$293.50 |
$540.00
|
|
Deferoxamine 500 mg solution for injection
|
$71.48 |
$71.48 |
$71.48 |
$95.85
|
|
Delivery of placenta 59414
|
$1,117.25 |
$1,117.25 |
$1,117.25 |
$2,993.25
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$8,224.75 |
$8,224.75 |
$8,224.75 |
$7,178.85
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$140.25 |
$140.25 |
$140.25 |
$192.72
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$65.00 |
$65.00 |
$65.00 |
$414.78
|
|
Design mlc device for imrt
|
$689.25 |
$689.25 |
$689.25 |
$1,641.90
|
|
Desmopressin 4 mcg/ml injection solution
|
$557.51 |
$557.51 |
$557.51 |
$74.09
|
|
Des thora aorta rpr without left sub art 33881
|
$4,912.25 |
$4,912.25 |
$4,912.25 |
$5,698.68
|
|
Destroy cervthor facet jnt 64633
|
$807.50 |
$807.50 |
$807.50 |
$2,998.30
|
|
Destroy cth facet jnt addl 64634
|
$403.75 |
$403.75 |
$403.75 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$100.25 |
$100.25 |
$100.25 |
$199.50
|
|
Destruction 2-14 lesions 17003
|
$100.25 |
$100.25 |
$100.25 |
$72.60
|
|
Destruction benign lesions < 14 lesions
|
$51.25 |
$51.25 |
$51.25 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$403.75 |
$403.75 |
$403.75 |
$1,626.95
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$807.50 |
$807.50 |
$807.50 |
$3,148.11
|
|
Detect agent nos dna dir
|
$19.00 |
$19.00 |
$19.00 |
$80.08
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$121.00 |
$121.00 |
$121.00 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$101.17 |
$101.17 |
$101.17 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$58.89 |
$58.89 |
$58.89 |
$22.05
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$135.99 |
$135.99 |
$135.99 |
$842.89
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$57.50 |
$57.50 |
$57.50 |
$35.57
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$63.25 |
$63.25 |
$63.25 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$46.00 |
$46.00 |
$46.00 |
$42.32
|
|
Dextrose 5 % IV bolus
|
$69.00 |
$69.00 |
$69.00 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$211.50 |
$211.50 |
$211.50 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$92.50 |
$92.50 |
$92.50 |
$79.30
|
|
Diab manage trn ind/group
|
$28.50 |
$28.50 |
$28.50 |
$57.75
|
|
Diagnostic anoscopy spx 46600
|
$79.25 |
$79.25 |
$79.25 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$26.25 |
$26.25 |
$26.25 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$26.25 |
$26.25 |
$26.25 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$126.25 |
$126.25 |
$126.25 |
$367.19
|
|
Diagnostic Mammogram (both breasts)
|
$189.50 |
$189.50 |
$189.50 |
$399.94
|
|
Diagnostic Mammogram (one breast)
|
$151.50 |
$151.50 |
$151.50 |
$310.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$2,047.25 |
$2,047.25 |
$2,047.25 |
$6,185.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$115.53 |
$115.53 |
$115.53 |
$74.02
|
|
Dicyclomine injection
|
$67.65 |
$67.65 |
$67.65 |
$157.69
|
|
Diffusing capacity
|
$79.50 |
$79.50 |
$79.50 |
$331.76
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$5.44 |
$5.44 |
$5.44 |
$69.88
|