|
Cyp2c19 gene com variants
|
$644.88 |
$644.88 |
$644.88 |
|
|
Cyp2c9 gene com variants
|
$386.92 |
$386.92 |
$386.92 |
|
|
Cyp2d6 gene com variants
|
$997.16 |
$997.16 |
$997.16 |
|
|
Cyp3a4 gene common variants
|
$386.92 |
$386.92 |
$386.92 |
|
|
Cyp3a5 gene common variants
|
$386.92 |
$386.92 |
$386.92 |
|
|
Cystatin c
|
$34.33 |
$40.26 |
$115.60 |
|
|
Cystic fibrosis cftr
|
$1,103.29 |
$1,103.29 |
$1,103.29 |
|
|
Cystine urine quantitative
|
$9.13 |
$146.16 |
$301.75 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$352.38 |
$387.00 |
$538.67 |
|
|
Cystoscopy and biopsy
|
$992.04 |
$2,276.82 |
$2,276.82 |
|
|
Cystoscopy and treatment
|
$1,929.48 |
$1,929.48 |
$1,952.45 |
|
|
Cystoscopy and treatment
|
$738.70 |
$747.60 |
$756.50 |
|
|
Cystoscopy and treatment
|
$229.82 |
$1,304.10 |
$1,304.10 |
|
|
Cystoscopy (Bladder Scope)
|
$513.66 |
$513.66 |
$1,308.91 |
|
|
Cystoscopy removal of clots
|
$1,167.60 |
$1,167.60 |
$1,515.50 |
|
|
Cystoscopy & ureter catheter
|
$1,706.46 |
$1,706.46 |
$2,698.33 |
|
|
Cystouretero & or pyeloscope
|
$1,894.62 |
$1,894.62 |
$2,443.78 |
|
|
Cysto/uretero w/lithotripsy
|
$6,001.79 |
$6,001.79 |
$6,001.79 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$862.90 |
$862.90 |
$862.90 |
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$390.49 |
$992.04 |
$1,003.85 |
|
|
Cytarabine 20 mg/ml injection solution
|
$0.43 |
$120.02 |
$242.89 |
|
|
Cytogenetics 25-99
|
$72.32 |
$72.32 |
$72.32 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$45.08 |
$73.50 |
$235.45 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$22.57 |
$139.44 |
$160.00 |
|
|
Cytopath c/v index add-on
|
$2.94 |
$2.94 |
$2.94 |
|
|
Cytopath fl nongyn filter
|
$22.08 |
$138.60 |
$172.55 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$43.16 |
$174.30 |
$275.40 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$40.87 |
$76.86 |
$150.45 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$34.46 |
$68.04 |
$130.05 |
|
|
Cytopathology concentration technique smears & interpretation
|
$44.63 |
$103.32 |
$167.45 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$28.52 |
$107.10 |
$147.90 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$5.50 |
$64.68 |
$119.85 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$18.50 |
$101.64 |
$123.25 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$36.34 |
$241.50 |
$362.95 |
|
|
Cytopath smear other source
|
$29.88 |
$52.50 |
$95.20 |
|
|
Cytopath smear other source
|
$43.68 |
$43.68 |
$82.00 |
|
|
Cytopath smear oth prep screen & interp
|
$38.42 |
$58.38 |
$2,147.95 |
|
|
Cytopath tbs c/v manual
|
$28.22 |
$34.86 |
$76.50 |
|
|
Cytotoxic antibody screening
|
$940.38 |
$940.38 |
$1,462.85 |
|
|
Dacarbazine 100 mg intravenous solution
|
$4.97 |
$41.79 |
$84.58 |
|
|
Dactinomycin 0.5 mg intravenous solution
|
$294.76 |
$1,345.62 |
$2,723.28 |
|
|
Dalbavancin 500 mg intravenous solution
|
$711.09 |
$3,246.25 |
$6,569.78 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$61.51 |
$61.51 |
$124.49 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$322.59 |
$22,089.92 |
$44,705.78 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,715.68 |
$7,832.44 |
$15,851.36 |
|
|
Dark field exam spec collj
|
$142.80 |
$142.80 |
$208.25 |
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$173.52 |
$173.52 |
$351.16 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$257.38 |
$257.38 |
$686.41 |
|
|
Dch glucoscan
|
$40.74 |
$40.74 |
$42.50 |
|
|
Dch pulmonary stress test
|
$466.20 |
$893.76 |
$1,049.02 |
|
|
Dch validity tests
|
$7.17 |
$24.36 |
$76.50 |
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$306.50 |
$306.50 |
$5,243.56 |
|
|
Deamidated gliadin antibody iga
|
$28.67 |
$50.82 |
$197.20 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$227.53 |
$338.10 |
$722.93 |
|
|
Debridement (>20 cm) charge pt
|
$67.95 |
$224.70 |
$384.91 |
|
|
Debridement bone <= 20 sq cm
|
$974.28 |
$1,451.52 |
$2,482.85 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$312.48 |
$433.44 |
$687.35 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$316.23 |
$729.12 |
$979.20 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$327.71 |
$656.88 |
$1,892.95 |
|
|
Debride nail1-5 11720
|
$38.30 |
$89.04 |
$134.20 |
|
|
Debride nail6 or more 11721
|
$59.05 |
$139.83 |
$590.75 |
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,191.50 |
$1,191.50 |
$1,191.50 |
|
|
Debride skin bone at fx site
|
$811.86 |
$1,220.00 |
$1,726.40 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$232.30 |
$433.44 |
$577.02 |
|
|
Debrid mastoidectomy cavity simple 69220
|
$71.87 |
$320.88 |
$324.70 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$312.22 |
$601.02 |
$1,076.95 |
|
|
Debr inf skin add-on 11001
|
$193.98 |
$193.98 |
$193.98 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$559.36 |
$874.38 |
$1,011.36 |
|
|
Decalcification
|
$6.64 |
$76.86 |
$106.25 |
|
|
Decitabine 50 mg intravenous solution
|
$252.43 |
$1,152.40 |
$2,332.23 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$216.20 |
$354.90 |
$767.55 |
|
|
Deep muscle biopsy 20205
|
$702.18 |
$1,748.46 |
$1,748.46 |
|
|
Deferoxamine 500 mg solution for injection
|
$22.15 |
$101.12 |
$204.64 |
|
|
Degarelix 120 mg subcutaneous solution
|
$320.63 |
$2,927.45 |
$5,924.59 |
|
|
Delivery of placenta 59414
|
$635.88 |
$954.66 |
$3,400.14 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$102.92 |
$150.36 |
$177.50 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$900.70 |
$6,990.21 |
$14,146.85 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$171.59 |
$195.30 |
$701.25 |
|
|
Depo-estradiol cypionate inj
|
$18.78 |
$428.47 |
$867.13 |
|
|
Dermagraft
|
$1,587.60 |
$1,738.80 |
$3,213.00 |
|
|
Descend thora aorta rpr/lt sub art 33880
|
$11,108.58 |
$11,108.58 |
$11,477.46 |
|
|
Design mlc device for imrt
|
$2,918.58 |
$2,918.58 |
$3,627.06 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$34.57 |
$1,577.84 |
$3,193.24 |
|
|
Des thora aorta rpr without left sub art 33881
|
$1,750.76 |
$2,078.16 |
$2,245.54 |
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$1,263.78 |
$12,859.98 |
$12,859.98 |
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$81.36 |
$81.36 |
$81.36 |
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$111.64 |
$111.64 |
$111.64 |
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$129.72 |
$129.72 |
$129.72 |
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$89.50 |
$89.50 |
$89.50 |
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$98.54 |
$98.54 |
$98.54 |
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$115.26 |
$115.26 |
$115.26 |
|
|
Dest mal lesion tal <0.5 17260
|
$65.54 |
$65.54 |
$65.54 |
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$81.36 |
$81.36 |
$81.36 |
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$104.41 |
$104.41 |
$104.41 |
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$116.16 |
$116.16 |
$116.16 |
|
|
Destroy cervthor facet jnt 64633
|
$931.02 |
$1,509.48 |
$3,993.13 |
|
|
Destroy cth facet jnt addl 64634
|
$306.21 |
$1,509.48 |
$3,993.13 |
|
|
Destroy premlg lesns;1st lesn 17000
|
$50.17 |
$127.68 |
$160.65 |
|
|
Destroy vulva lesion simple 56501
|
$117.52 |
$117.52 |
$117.52 |
|
|
Destruct ben lesion 15/> 17111
|
$76.39 |
$174.72 |
$185.09 |
|