|
Cytopathology cervical/vaginal thin layer manual screening
|
$41.50 |
$41.50 |
$41.50 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$48.97 |
$48.97 |
$48.97 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$35.69 |
$35.69 |
$35.69 |
$129.35
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$69.72 |
$69.72 |
$69.72 |
$209.23
|
|
Cytopath smear other source
|
$29.88 |
$29.88 |
$29.88 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$97.94 |
$97.94 |
$97.94 |
$96.20
|
|
Cytopath tbs c/v manual
|
$28.22 |
$28.22 |
$28.22 |
$59.28
|
|
Dacarbazine 100 mg intravenous solution
|
$8.96 |
$8.96 |
$8.96 |
$58.22
|
|
Dactinomycin 0.5 mg intravenous solution
|
$531.84 |
$531.84 |
$531.84 |
$3,024.59
|
|
Dalbavancin 500 mg intravenous solution
|
$1,283.04 |
$1,283.04 |
$1,283.04 |
$3,480.35
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$582.06 |
$582.06 |
$582.06 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$3,095.68 |
$3,095.68 |
$3,095.68 |
$6,072.48
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$686.41 |
$686.41 |
$686.41 |
$3,774.81
|
|
Dch validity tests
|
$37.35 |
$37.35 |
$37.35 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$162.68 |
$162.68 |
$162.68 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$722.93 |
$722.93 |
$722.93 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$215.80 |
$215.80 |
$215.80 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$1,612.69 |
$1,612.69 |
$1,612.69 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$316.23 |
$316.23 |
$316.23 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$316.23 |
$316.23 |
$316.23 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$425.79 |
$425.79 |
$425.79 |
$810.50
|
|
Debride nail1-5 11720
|
$92.13 |
$92.13 |
$92.13 |
$148.80
|
|
Debride nail6 or more 11721
|
$576.85 |
$576.85 |
$576.85 |
$169.60
|
|
Debride skin bone at fx site
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$341.13 |
$341.13 |
$341.13 |
$639.60
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,051.61 |
$1,051.61 |
$1,051.61 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$635.78 |
$635.78 |
$635.78 |
$1,160.00
|
|
Decalcification
|
$6.64 |
$6.64 |
$6.64 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$455.48 |
$455.48 |
$455.48 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$594.28 |
$594.28 |
$594.28 |
$543.00
|
|
Deep muscle biopsy 20205
|
$702.18 |
$702.18 |
$702.18 |
$3,339.00
|
|
Deferoxamine 500 mg solution for injection
|
$39.97 |
$39.97 |
$39.97 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$578.52 |
$578.52 |
$578.52 |
$1,807.08
|
|
Delivery of placenta 59414
|
$698.86 |
$698.86 |
$698.86 |
$3,070.56
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$102.92 |
$102.92 |
$102.92 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$1,625.18 |
$1,625.18 |
$1,625.18 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$684.75 |
$684.75 |
$684.75 |
$408.10
|
|
Depo-estradiol cypionate inj
|
$33.87 |
$33.87 |
$33.87 |
$71.51
|
|
Dermagraft
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$85.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$62.37 |
$62.37 |
$62.37 |
$89.78
|
|
Destroy cervthor facet jnt 64633
|
$3,993.13 |
$3,993.13 |
$3,993.13 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$3,993.13 |
$3,993.13 |
$3,993.13 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$156.87 |
$156.87 |
$156.87 |
$199.50
|
|
Destruct ben lesion 15/> 17111
|
$185.09 |
$185.09 |
$185.09 |
$235.13
|
|
Destruct cut vasl lesions <10cm 17106
|
$795.14 |
$795.14 |
$795.14 |
$660.00
|
|
Destruction 2-14 lesions 17003
|
$77.19 |
$77.19 |
$77.19 |
$72.60
|
|
Destruction benign lesions < 14 lesions
|
$170.98 |
$170.98 |
$170.98 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$3,993.13 |
$3,993.13 |
$3,993.13 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,993.13 |
$3,993.13 |
$3,993.13 |
$3,202.98
|
|
Destruction premal lesions 15/> 17004
|
$378.48 |
$378.48 |
$378.48 |
$436.64
|
|
Detect agent nos dna dir
|
$53.95 |
$53.95 |
$53.95 |
$115.20
|
|
Device ablt adv novasure
|
$10,517.02 |
$10,517.02 |
$10,517.02 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,787.29 |
$3,787.29 |
$3,787.29 |
$4,200.00
|
|
Device intraute mirena
|
$907.34 |
$907.34 |
$907.34 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,232.95 |
$1,232.95 |
$1,232.95 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$2,036.82 |
$2,036.82 |
$2,036.82 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$238.21 |
$238.21 |
$238.21 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$1.13 |
$1.13 |
$1.13 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$2.18 |
$2.18 |
$2.18 |
$21.17
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$416.39 |
$416.39 |
$416.39 |
$858.00
|
|
Dextran 40 infusion
|
$0.06 |
$0.06 |
$0.06 |
$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)
|
$0.02 |
$0.02 |
$0.02 |
$47.48
|
|
Dhea-s (dehydroepiand sulfate)
|
$16.60 |
$16.60 |
$16.60 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$99.60 |
$99.60 |
$99.60 |
$79.20
|
|
Diag laparo separate proc 49320
|
$738.70 |
$738.70 |
$738.70 |
$6,904.15
|
|
Diagnostic anoscopy spx 46600
|
$298.80 |
$298.80 |
$298.80 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$45.65 |
$45.65 |
$45.65 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$46.48 |
$46.48 |
$46.48 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$213.31 |
$213.31 |
$213.31 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$302.12 |
$302.12 |
$302.12 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$357.73 |
$357.73 |
$357.73 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$316.23 |
$316.23 |
$316.23 |
$301.55
|
|
Dialysis one evaluation
|
$3,480.19 |
$3,480.19 |
$3,480.19 |
$919.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.11 |
$0.11 |
$0.11 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$13.70 |
$13.70 |
$13.70 |
$74.76
|
|
Dicyclomine injection
|
$31.91 |
$31.91 |
$31.91 |
$153.29
|
|
Diffusing capacity
|
$491.36 |
$491.36 |
$491.36 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$95.97 |
$95.97 |
$95.97 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$3,983.93 |
$3,983.93 |
$3,983.93 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$120.35 |
$120.35 |
$120.35 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$37.96 |
$37.96 |
$37.96 |
$297.86
|
|
Dilate esophagus 1/mult pass
|
$1,177.77 |
$1,177.77 |
$1,177.77 |
$1,484.17
|
|
Dilate urethra stricture
|
$399.23 |
$399.23 |
$399.23 |
$490.00
|
|
Dilate urethra stricture
|
$303.78 |
$303.78 |
$303.78 |
$200.80
|
|
Dilation/urethral strict/male/ini 53620
|
$2,524.03 |
$2,524.03 |
$2,524.03 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$806.76 |
$806.76 |
$806.76 |
$402.10
|
|
Dimethyl sulfoxide 50% 50 ml
|
$11.08 |
$11.08 |
$11.08 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$2.28 |
$2.28 |
$2.28 |
$17.75
|
|
Disaccharidases
|
$200.86 |
$200.86 |
$200.86 |
$216.00
|
|
Dise eval slp do brth flx dx
|
$226.59 |
$226.59 |
$226.59 |
$1,120.00
|
|
Dna antibody native/double stranded
|
$87.15 |
$87.15 |
$87.15 |
$97.50
|
|
Dna gardnerella
|
$53.95 |
$53.95 |
$53.95 |
$62.50
|
|
Dna probe chlamydia
|
$53.95 |
$53.95 |
$53.95 |
$79.38
|
|
Dna probe gc
|
$53.95 |
$53.95 |
$53.95 |
$80.80
|
|
Dna trichomonas
|
$53.95 |
$53.95 |
$53.95 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$0.29 |
$0.29 |
$0.29 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$53.00 |
$53.00 |
$53.00 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$0.52 |
$0.52 |
$0.52 |
$65.40
|