|
Cyclic citrullinated peptide antibody
|
$36.34 |
$36.34 |
$64.00 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$160.51 |
$160.51 |
$174.47 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$3.16 |
$3.16 |
$3.43 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$5.88 |
$5.88 |
$6.39 |
$140.78
|
|
Cyclosporine 2 hour
|
$40.00 |
$40.00 |
$44.16 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$1.89 |
$1.89 |
$2.06 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$6.63 |
$6.63 |
$7.21 |
$34.88
|
|
Cylinder pump set 20cm titan zero angl
|
$12,231.50 |
$12,231.50 |
$13,295.10 |
$22,803.38
|
|
Cystatin c
|
$45.54 |
$45.54 |
$49.50 |
$77.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$412.50 |
$412.50 |
$412.50 |
$542.10
|
|
Cystoscopy (Bladder Scope)
|
$872.50 |
$872.50 |
$872.50 |
$1,493.80
|
|
Cystoscopy removal of clots
|
$1,515.50 |
$1,515.50 |
$1,515.50 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$0.43 |
$0.43 |
$0.47 |
$89.94
|
|
Cytomegalovirus (cmv) antibody igg
|
$45.08 |
$45.08 |
$84.50 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$45.08 |
$45.08 |
$160.00 |
$97.50
|
|
Cytopath fl nongyn filter
|
$22.08 |
$22.08 |
$22.08 |
$92.63
|
|
Cytopathology cellular enhancement technique non-gyn
|
$51.00 |
$51.00 |
$81.42 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$81.00 |
$81.00 |
$81.00 |
$91.84
|
|
Cytopathology concentration technique smears & interpretation
|
$50.50 |
$50.50 |
$62.10 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$28.52 |
$28.52 |
$44.00 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$5.50 |
$5.50 |
$5.50 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$18.50 |
$18.50 |
$18.50 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$36.34 |
$36.34 |
$69.00 |
$209.23
|
|
Cytopath smear other source
|
$31.00 |
$31.00 |
$31.00 |
$88.13
|
|
Cytopath smear other source
|
$82.00 |
$82.00 |
$82.00 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$60.00 |
$60.00 |
$60.00 |
$96.20
|
|
Cytopath tbs c/v manual
|
$54.00 |
$54.00 |
$54.00 |
$59.28
|
|
Dacarbazine 100 mg intravenous solution
|
$4.97 |
$4.97 |
$5.40 |
$58.22
|
|
Dactinomycin 0.5 mg intravenous solution
|
$294.76 |
$294.76 |
$320.39 |
$3,024.59
|
|
Dalbavancin 500 mg intravenous solution
|
$711.09 |
$711.09 |
$772.92 |
$3,480.35
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$322.59 |
$322.59 |
$350.64 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,715.68 |
$1,715.68 |
$1,864.87 |
$6,072.48
|
|
Dch pulmonary stress test
|
$817.88 |
$817.88 |
$817.88 |
$963.30
|
|
Dch validity tests
|
$11.50 |
$11.50 |
$15.50 |
$24.50
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$306.50 |
$306.50 |
$306.50 |
$4,952.36
|
|
Deamidated gliadin antibody iga
|
$49.22 |
$49.22 |
$53.50 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$354.66 |
$354.66 |
$414.50 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$121.90 |
$121.90 |
$150.50 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$974.28 |
$974.28 |
$1,375.50 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$645.50 |
$645.50 |
$645.50 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$704.00 |
$704.00 |
$704.00 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$564.42 |
$564.42 |
$783.50 |
$810.50
|
|
Debride nail1-5 11720
|
$105.50 |
$105.50 |
$105.50 |
$148.80
|
|
Debride nail6 or more 11721
|
$102.50 |
$102.50 |
$102.50 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,191.50 |
$1,191.50 |
$1,191.50 |
$1,012.80
|
|
Debride skin bone at fx site
|
$1,220.00 |
$1,220.00 |
$1,220.00 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$232.30 |
$232.30 |
$328.00 |
$639.60
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$847.00 |
$847.00 |
$847.00 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$559.36 |
$559.36 |
$790.50 |
$1,160.00
|
|
Decalcification
|
$6.90 |
$6.90 |
$7.00 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$252.43 |
$252.43 |
$274.38 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$216.20 |
$216.20 |
$281.50 |
$543.00
|
|
Deferoxamine 500 mg solution for injection
|
$22.15 |
$22.15 |
$24.08 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$320.63 |
$320.63 |
$348.51 |
$1,807.08
|
|
Delivery of placenta 59414
|
$1,684.50 |
$1,684.50 |
$1,684.50 |
$3,070.56
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$163.30 |
$163.30 |
$177.50 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$900.70 |
$900.70 |
$979.03 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$194.00 |
$194.00 |
$194.00 |
$408.10
|
|
Depo-estradiol cypionate inj
|
$18.78 |
$18.78 |
$20.41 |
$71.51
|
|
Dermagraft
|
$1,738.80 |
$1,738.80 |
$1,890.00 |
$85.00
|
|
Descend thora aorta rpr/lt sub art 33880
|
$11,477.46 |
$11,477.46 |
$11,477.46 |
$6,687.93
|
|
Design mlc device for imrt
|
$2,920.00 |
$2,920.00 |
$2,920.00 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$34.57 |
$34.57 |
$37.57 |
$89.78
|
|
Des thora aorta rpr without left sub art 33881
|
$1,750.76 |
$1,750.76 |
$1,750.76 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$8,517.82 |
$8,517.82 |
$8,517.82 |
$2,727.20
|
|
Destroy cervthor facet jnt 64633
|
$1,797.00 |
$1,797.00 |
$1,797.00 |
$3,011.50
|
|
Destroy premlg lesns;1st lesn 17000
|
$121.90 |
$121.90 |
$132.50 |
$199.50
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$564.00 |
$564.00 |
$564.00 |
$966.60
|
|
Destruct cut vasl lesions <10cm 17106
|
$406.00 |
$406.00 |
$406.00 |
$660.00
|
|
Destruct cut vasl lesions >50cm 17108
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$2,142.40
|
|
Destruction anal lesion(s) smpl chem 46900
|
$92.50 |
$92.50 |
$92.50 |
$535.46
|
|
Device ablt adv novasure
|
$5,828.71 |
$5,828.71 |
$6,335.55 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,098.98 |
$2,098.98 |
$2,281.50 |
$4,200.00
|
|
Device intraute mirena
|
$502.86 |
$502.86 |
$546.59 |
$2,125.00
|
|
Device sut capio slim opn
|
$683.33 |
$683.33 |
$742.74 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$1,128.84 |
$1,128.84 |
$1,227.00 |
$2,541.00
|
|
Dexamethasone 4 mg tablet
|
$0.63 |
$0.63 |
$0.68 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$1.21 |
$1.21 |
$1.32 |
$21.17
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$230.77 |
$230.77 |
$250.84 |
$858.00
|
|
Dextran 40 infusion
|
$0.04 |
$0.04 |
$0.04 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$0.01 |
$0.01 |
$0.01 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$0.01 |
$0.01 |
$0.01 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$0.01 |
$0.01 |
$0.01 |
$47.48
|
|
Dhea-s (dehydroepiand sulfate)
|
$36.34 |
$36.34 |
$163.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$27.14 |
$27.14 |
$87.50 |
$79.20
|
|
Diab manage trn ind/group
|
$42.50 |
$42.50 |
$42.50 |
$56.55
|
|
Diagnostic anoscopy spx 46600
|
$207.50 |
$207.50 |
$207.50 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$29.00 |
$29.00 |
$29.00 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$29.00 |
$29.00 |
$29.00 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$142.00 |
$142.00 |
$142.00 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$281.00 |
$281.00 |
$281.00 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$214.00 |
$214.00 |
$214.00 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$193.00 |
$193.00 |
$193.00 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,638.50 |
$3,638.50 |
$3,856.64 |
$5,419.00
|
|
Dialysis one evaluation
|
$1,846.00 |
$1,846.00 |
$1,846.00 |
$919.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.06 |
$0.06 |
$0.07 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$7.59 |
$7.59 |
$8.25 |
$74.76
|
|
Dicyclomine injection
|
$17.69 |
$17.69 |
$19.22 |
$153.29
|
|
Diffusing capacity
|
$383.00 |
$383.00 |
$389.16 |
$332.00
|
|
Digital analysis of eeg
|
$499.56 |
$499.56 |
$499.56 |
$605.60
|