|
Cytopathology fluids/washings/brushings smears with interpretation
|
$233.00 |
$233.00 |
$233.00 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$90.00 |
$90.00 |
$90.00 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$307.00 |
$307.00 |
$307.00 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$715.00 |
$715.00 |
$715.00 |
$205.00
|
|
Cytopath tbs c/v manual
|
$114.00 |
$114.00 |
$114.00 |
$57.94
|
|
Cytotoxic antibody screening
|
$102.00 |
$102.00 |
$102.00 |
$157.60
|
|
Cytp urine 3-5 probes cmptr
|
$926.00 |
$926.00 |
$926.00 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$40.12 |
$40.12 |
$40.12 |
$73.20
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,199.84 |
$1,199.84 |
$1,199.84 |
$3,019.83
|
|
Dalbavancin 500 mg intravenous solution
|
$3,272.50 |
$3,272.50 |
$3,272.50 |
$3,469.30
|
|
Dalteparin sodium
|
$231.74 |
$231.74 |
$231.74 |
$75.17
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$4.53 |
$4.53 |
$4.53 |
$362.16
|
|
Daptomycin (xellia) unrefrig
|
$98.18 |
$98.18 |
$98.18 |
$0.04
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$2,326.92 |
$2,326.92 |
$2,326.92 |
$23,789.22
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$296.89 |
$296.89 |
$296.89 |
$5,500.25
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$36,592.50 |
$36,592.50 |
$36,592.50 |
$22,284.19
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$57.59 |
$57.59 |
$57.59 |
$300.73
|
|
Dch glucoscan
|
$40.00 |
$40.00 |
$40.00 |
$24.85
|
|
Dch pulmonary stress test
|
$1,379.00 |
$1,379.00 |
$1,379.00 |
$964.41
|
|
Dch validity tests
|
$107.00 |
$107.00 |
$107.00 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$7.00 |
$7.00 |
$7.00 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$348.00 |
$348.00 |
$348.00 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$819.00 |
$819.00 |
$819.00 |
$262.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$690.00 |
$690.00 |
$690.00 |
$1,283.44
|
|
Debride nail1-5 11720
|
$484.00 |
$484.00 |
$484.00 |
$173.25
|
|
Debride nail6 or more 11721
|
$484.00 |
$484.00 |
$484.00 |
$195.20
|
|
Debride skin bone at fx site
|
$9,057.00 |
$9,057.00 |
$9,057.00 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$2,377.00 |
$2,377.00 |
$2,377.00 |
$663.30
|
|
Decalcification
|
$188.00 |
$188.00 |
$188.00 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$172.06 |
$172.06 |
$172.06 |
$1,350.27
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$42.35 |
$42.35 |
$42.35 |
$96.41
|
|
Degarelix 120 mg subcutaneous solution
|
$1,598.45 |
$1,598.45 |
$1,598.45 |
$1,936.32
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$371.00 |
$371.00 |
$371.00 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$6,323.90 |
$6,323.90 |
$6,323.90 |
$6,508.51
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$1,029.00 |
$1,029.00 |
$1,029.00 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$132.72 |
$132.72 |
$132.72 |
$120.72
|
|
Design mlc device for imrt
|
$7,437.00 |
$7,437.00 |
$7,437.00 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$45.82 |
$45.82 |
$45.82 |
$116.22
|
|
Desoxycorticosterone
|
$41.00 |
$41.00 |
$41.00 |
$109.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$170.00 |
$170.00 |
$170.00 |
$220.12
|
|
Destruction benign lesions < 14 lesions
|
$627.00 |
$627.00 |
$627.00 |
$250.60
|
|
Determine refractive state
|
$166.00 |
$166.00 |
$166.00 |
$18.00
|
|
Developmental screen/score/document 96110
|
$45.00 |
$45.00 |
$45.00 |
$139.10
|
|
Device intraute mirena
|
$4,048.77 |
$4,048.77 |
$4,048.77 |
$2,211.85
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$823.00 |
$823.00 |
$823.00 |
$220.43
|
|
Dexametha opth insert 0.1 mg
|
$1,613.50 |
$1,613.50 |
$1,613.50 |
$888.47
|
|
Dexamethasone 4 mg tablet
|
$5.17 |
$5.17 |
$5.17 |
$5.17
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$9.32 |
$9.32 |
$9.32 |
$27.00
|
|
Dexamethasone intra implant
|
$4,805.50 |
$4,805.50 |
$4,805.50 |
$2,142.45
|
|
Dexmedetomidine film, 1 mcg
|
$349.13 |
$349.13 |
$349.13 |
$0.78
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$888.55 |
$888.55 |
$888.55 |
$641.76
|
|
Dextran 40 infusion
|
$0.24 |
$0.24 |
$0.24 |
$151.20
|
|
Dextran 75 infusion
|
$1.15 |
$1.15 |
$1.15 |
$1.15
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$0.04 |
$0.04 |
$0.04 |
$43.65
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$0.02 |
$0.02 |
$0.02 |
$47.22
|
|
Dhea-s (dehydroepiand sulfate)
|
$5.00 |
$5.00 |
$5.00 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$327.00 |
$327.00 |
$327.00 |
$78.03
|
|
Diabetes training group per 30 min g0109
|
$91.00 |
$91.00 |
$91.00 |
$35.25
|
|
Diagnostic digital breast tomosynthesis bil
|
$321.00 |
$321.00 |
$321.00 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$321.00 |
$321.00 |
$321.00 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$884.00 |
$884.00 |
$884.00 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$1,111.00 |
$1,111.00 |
$1,111.00 |
$301.55
|
|
Dialysis training complete
|
$1,247.00 |
$1,247.00 |
$1,247.00 |
$783.36
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.25 |
$0.25 |
$0.25 |
$122.25
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$22.64 |
$22.64 |
$22.64 |
$73.22
|
|
Dicyclomine injection
|
$137.54 |
$137.54 |
$137.54 |
$202.91
|
|
Difelikefalin, esrd on dialy
|
$403.85 |
$403.85 |
$403.85 |
$0.15
|
|
Diffusing capacity
|
$868.00 |
$868.00 |
$868.00 |
$360.10
|
|
Digital analysis of eeg
|
$1,479.00 |
$1,479.00 |
$1,479.00 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$4.01 |
$4.01 |
$4.01 |
$78.40
|
|
Digoxin immune fab 40 mg intravenous solution
|
$15,652.39 |
$15,652.39 |
$15,652.39 |
$10,388.97
|
|
Digoxin total therapeutic drug level
|
$112.00 |
$112.00 |
$112.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$232.32 |
$232.32 |
$232.32 |
$309.20
|
|
Dilate urethra stricture
|
$762.00 |
$762.00 |
$762.00 |
$514.79
|
|
Dimecaprol injection
|
$183.58 |
$183.58 |
$183.58 |
$390.78
|
|
Dimethyl sulfoxide 50% 50 ml
|
$45.49 |
$45.49 |
$45.49 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.15 |
$0.15 |
$0.15 |
$1.43
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.82 |
$9.82 |
$9.82 |
$24.70
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$372.88 |
$372.88 |
$372.88 |
$106.59
|
|
Dipyridamole injection
|
$6.03 |
$6.03 |
$6.03 |
$45.09
|
|
Disability dlco
|
$616.00 |
$616.00 |
$616.00 |
$307.58
|
|
Disaccharidases
|
$282.00 |
$282.00 |
$282.00 |
$223.80
|
|
Dna antibody native/double stranded
|
$234.00 |
$234.00 |
$234.00 |
$102.60
|
|
Dna gardnerella
|
$169.00 |
$169.00 |
$169.00 |
$67.68
|
|
Dna trichomonas
|
$24.00 |
$24.00 |
$24.00 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$0.08 |
$0.08 |
$0.08 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$28.64 |
$28.64 |
$28.64 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$0.09 |
$0.09 |
$0.09 |
$76.20
|
|
Doppler echo complete
|
$2,195.00 |
$2,195.00 |
$2,195.00 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$26.00 |
$26.00 |
$26.00 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,746.00 |
$1,746.00 |
$1,746.00 |
$482.03
|
|
Doripenem 50 mg/ml inj 10 ml
|
$70.08 |
$70.08 |
$70.08 |
$73.80
|
|
Dornase alfa non-comp unit
|
$170.01 |
$170.01 |
$170.01 |
$350.67
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$4,047.09 |
$4,047.09 |
$4,047.09 |
$25,883.50
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$6.04 |
$6.04 |
$6.04 |
$409.84
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$118.30 |
$118.30 |
$118.30 |
$2,242.17
|