|
Cylinder pump set 20cm titan zero angl
|
$14,970.00 |
$14,970.00 |
$14,970.00 |
|
|
Cystatin c
|
$87.45 |
$87.45 |
$87.45 |
|
|
Cystine urine quantitative
|
$174.45 |
$174.45 |
$174.45 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$872.80 |
$872.80 |
$872.80 |
|
|
Cystoscopy and biopsy
|
$8,204.35 |
$8,204.35 |
$8,204.35 |
|
|
Cystoscopy and treatment
|
$3,174.25 |
$3,174.25 |
$3,174.25 |
|
|
Cystoscopy (Bladder Scope)
|
$1,421.25 |
$1,421.25 |
$1,421.25 |
|
|
Cystoscopy & ureter catheter
|
$3,556.20 |
$3,556.20 |
$3,556.20 |
|
|
Cystostomy cystotomy w/drainage 51040
|
$5,161.50 |
$5,161.50 |
$5,161.50 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,556.20 |
$3,556.20 |
$3,556.20 |
|
|
Cytarabine 20 mg/ml injection solution
|
$206.85 |
$206.85 |
$206.85 |
|
|
Cytogenetics 25-99
|
$423.90 |
$423.90 |
$423.90 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$277.80 |
$277.80 |
$277.80 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$375.75 |
$375.75 |
$375.75 |
|
|
Cyto/molecular report
|
$232.20 |
$232.20 |
$232.20 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$338.80 |
$338.80 |
$338.80 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$73.90 |
$73.90 |
$73.90 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$261.65 |
$261.65 |
$261.65 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$666.10 |
$666.10 |
$666.10 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$783.35 |
$783.35 |
$783.35 |
|
|
Cytopath smear other source
|
$339.10 |
$339.10 |
$339.10 |
|
|
Dacarbazine 100 mg intravenous solution
|
$95.40 |
$95.40 |
$95.40 |
|
|
Dalbavancin 500 mg intravenous solution
|
$6,384.45 |
$6,384.45 |
$6,384.45 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$4,171.62 |
$4,171.62 |
$4,171.62 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$37,937.15 |
$37,937.15 |
$37,937.15 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$13,887.50 |
$13,887.50 |
$13,887.50 |
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$14,784.21 |
$14,784.21 |
$14,784.21 |
|
|
D&c after delivery 59160
|
$2,541.45 |
$2,541.45 |
$2,541.45 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,223.20 |
$3,223.20 |
$3,223.20 |
|
|
Dch glucoscan
|
$32.70 |
$32.70 |
$32.70 |
|
|
Dch pulmonary stress test
|
$1,011.15 |
$1,011.15 |
$1,011.15 |
|
|
Dch validity tests
|
$27.85 |
$27.85 |
$27.85 |
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$1,131.35 |
$1,131.35 |
$1,131.35 |
|
|
Deamidated gliadin antibody iga
|
$124.60 |
$124.60 |
$124.60 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,027.95 |
$1,027.95 |
$1,027.95 |
|
|
Debridement (>20 cm) charge pt
|
$640.30 |
$640.30 |
$640.30 |
|
|
Debridement bone <= 20 sq cm
|
$3,387.95 |
$3,387.95 |
$3,387.95 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$580.90 |
$580.90 |
$580.90 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,695.05 |
$1,695.05 |
$1,695.05 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,160.30 |
$1,160.30 |
$1,160.30 |
|
|
Debride nail1-5 11720
|
$215.10 |
$215.10 |
$215.10 |
|
|
Debride nail6 or more 11721
|
$225.55 |
$225.55 |
$225.55 |
|
|
Debride skin bone at fx site
|
$2,226.70 |
$2,226.70 |
$2,226.70 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$606.75 |
$606.75 |
$606.75 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$908.05 |
$908.05 |
$908.05 |
|
|
Debr inf skin add-on 11001
|
$26.35 |
$26.35 |
$26.35 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,161.05 |
$1,161.05 |
$1,161.05 |
|
|
Decalcification
|
$116.20 |
$116.20 |
$116.20 |
|
|
Decitabine 50 mg intravenous solution
|
$1,017.94 |
$1,017.94 |
$1,017.94 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$565.25 |
$565.25 |
$565.25 |
|
|
Deferoxamine 500 mg solution for injection
|
$789.62 |
$789.62 |
$789.62 |
|
|
Degarelix 120 mg subcutaneous solution
|
$4,972.13 |
$4,972.13 |
$4,972.13 |
|
|
Delivery of placenta 59414
|
$4,603.55 |
$4,603.55 |
$4,603.55 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$247.30 |
$247.30 |
$247.30 |
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$12,379.40 |
$12,379.40 |
$12,379.40 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$453.95 |
$453.95 |
$453.95 |
|
|
Depo-estradiol cypionate inj
|
$1,270.15 |
$1,270.15 |
$1,270.15 |
|
|
Dermagraft
|
$177.37 |
$177.37 |
$177.37 |
|
|
Descend thora aorta rpr/lt sub art 33880
|
$21,056.15 |
$21,056.15 |
$21,056.15 |
|
|
Design mlc device for imrt
|
$5,530.15 |
$5,530.15 |
$5,530.15 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$3,271.77 |
$3,271.77 |
$3,271.77 |
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$278.90 |
$278.90 |
$278.90 |
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$333.80 |
$333.80 |
$333.80 |
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$291.55 |
$291.55 |
$291.55 |
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$286.40 |
$286.40 |
$286.40 |
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$363.50 |
$363.50 |
$363.50 |
|
|
Destroy cervthor facet jnt 64633
|
$1,618.65 |
$1,618.65 |
$1,618.65 |
|
|
Destroy cth facet jnt addl 64634
|
$2,128.90 |
$2,128.90 |
$2,128.90 |
|
|
Destroy premlg lesns;1st lesn 17000
|
$161.75 |
$161.75 |
$161.75 |
|
|
Destroy vulva lesion simple 56501
|
$341.30 |
$341.30 |
$341.30 |
|
|
Destruct ben lesion 15/> 17111
|
$267.05 |
$267.05 |
$267.05 |
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,600.10 |
$1,600.10 |
$1,600.10 |
|
|
Destruction 2-14 lesions 17003
|
$13.35 |
$13.35 |
$13.35 |
|
|
Destruction anal lesion(s) smpl chem 46900
|
$379.80 |
$379.80 |
$379.80 |
|
|
Destruction benign lesions < 14 lesions
|
$344.70 |
$344.70 |
$344.70 |
|
|
Destruction by injection tx of nerve 64630
|
$1,292.50 |
$1,292.50 |
$1,292.50 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,618.65 |
$1,618.65 |
$1,618.65 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,676.50 |
$1,676.50 |
$1,676.50 |
|
|
Destruction premal lesions 15/> 17004
|
$563.05 |
$563.05 |
$563.05 |
|
|
Determination venous press
|
$1,305.45 |
$1,305.45 |
$1,305.45 |
|
|
Developmental screen/score/document 96110
|
$57.10 |
$57.10 |
$57.10 |
|
|
Devel tst phys/qhp 1st hr
|
$499.25 |
$499.25 |
$499.25 |
|
|
Device ablt adv novasure
|
$4,200.00 |
$4,200.00 |
$4,200.00 |
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
|
|
Device intraute mirena
|
$4,919.91 |
$4,919.91 |
$4,919.91 |
|
|
Device sut capio slim opn
|
$1,795.00 |
$1,795.00 |
$1,795.00 |
|
|
Devlopment test interpt&rep
|
$175.35 |
$175.35 |
$175.35 |
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$231.15 |
$231.15 |
$231.15 |
|
|
Dexamethasone 4 mg tablet
|
$6.28 |
$6.28 |
$6.28 |
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$59.65 |
$59.65 |
$59.65 |
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$2,791.81 |
$2,791.81 |
$2,791.81 |
|
|
Dextran 40 infusion
|
$447.90 |
$447.90 |
$447.90 |
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$26.54 |
$26.54 |
$26.54 |
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$73.05 |
$73.05 |
$73.05 |
|
|
Dhea-s (dehydroepiand sulfate)
|
$246.25 |
$246.25 |
$246.25 |
|
|
Diabetes (HbA1c) Test
|
$166.05 |
$166.05 |
$166.05 |
|
|
Diab manage trn ind/group
|
$43.10 |
$43.10 |
$43.10 |
|
|
Diagnostic anoscopy spx 46600
|
$227.75 |
$227.75 |
$227.75 |
|
|
Diagnostic digital breast tomosynthesis bil
|
$261.65 |
$261.65 |
$261.65 |
|
|
Diagnostic digital breast tomosynthesis unil
|
$261.65 |
$261.65 |
$261.65 |
|