|
Cyp3a5 gene common variants
|
$783.90 |
$783.90 |
$783.90 |
$245.31
|
|
Cystatin c
|
$83.20 |
$83.20 |
$83.20 |
$77.60
|
|
Cystine urine quantitative
|
$103.35 |
$103.35 |
$103.35 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$586.95
|
|
Cysto impl 4 or more
|
$7,512.05 |
$7,512.05 |
$7,512.05 |
$6,860.21
|
|
Cysto insj dev ischmc rmdlg
|
$21,788.65 |
$21,788.65 |
$21,788.65 |
$10,942.71
|
|
Cystometrogram w/up 51727
|
$1,995.50 |
$1,995.50 |
$1,995.50 |
$908.59
|
|
Cystorrhaphy wound simple 51860
|
$27,649.05 |
$27,649.05 |
$27,649.05 |
$6,297.20
|
|
Cystoscopy and treatment
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$4,081.37
|
|
Cystoscopy and treatment
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$4,638.40
|
|
Cystoscopy and treatment
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$5,304.00
|
|
Cystoscopy and treatment
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$5,995.60
|
|
Cystoscopy and treatment
|
$15,200.25 |
$15,200.25 |
$15,200.25 |
$6,593.60
|
|
Cystoscopy and treatment
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$2,867.70
|
|
Cystoscopy and treatment
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$3,203.50
|
|
Cystoscopy (Bladder Scope)
|
$1,995.50 |
$1,995.50 |
$1,995.50 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$2,874.36
|
|
Cystoscopy implant stent
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$4,081.37
|
|
Cystoscopy removal of clots
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$4,081.37
|
|
Cystoscopy & ureter catheter
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$4,129.45
|
|
Cystouretero & or pyeloscope
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$4,315.98
|
|
Cysto/uretero w/lithotripsy
|
$15,200.25 |
$15,200.25 |
$15,200.25 |
$9,430.00
|
|
Cystouretero w/stone remove
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$5,741.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$4,057.50
|
|
Cytarabine 20 mg/ml injection solution
|
$4.11 |
$4.11 |
$4.11 |
$90.00
|
|
Cytogenetics 25-99
|
$189.80 |
$189.80 |
$189.80 |
$189.80
|
|
Cytogenomic neo microra alys
|
$5,202.60 |
$5,202.60 |
$5,202.60 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$64.35 |
$64.35 |
$64.35 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$75.40 |
$75.40 |
$75.40 |
$100.00
|
|
Cytomegalovirus imm IV /vial
|
$84.69 |
$84.69 |
$84.69 |
$3,072.34
|
|
Cytopathology cellular enhancement technique non-gyn
|
$239.85 |
$239.85 |
$239.85 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$119.60 |
$119.60 |
$119.60 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$91.00 |
$91.00 |
$91.00 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$176.15 |
$176.15 |
$176.15 |
$135.20
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$95.55 |
$95.55 |
$95.55 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$168.35 |
$168.35 |
$168.35 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$239.85 |
$239.85 |
$239.85 |
$213.85
|
|
Cytopath smear other source
|
$109.85 |
$109.85 |
$109.85 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$109.85 |
$109.85 |
$109.85 |
$96.20
|
|
Cytopath tbs c/v manual
|
$81.90 |
$81.90 |
$81.90 |
$59.28
|
|
Cytotoxic antibody screening
|
$133.25 |
$133.25 |
$133.25 |
$133.25
|
|
Dacarbazine 100 mg intravenous solution
|
$38.66 |
$38.66 |
$38.66 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,725.75 |
$1,725.75 |
$1,725.75 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$4,162.86 |
$4,162.86 |
$4,162.86 |
$3,493.11
|
|
Dalteparin sodium
|
$1,847.31 |
$1,847.31 |
$1,847.31 |
$469.55
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$1,649.21 |
$1,649.21 |
$1,649.21 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$9,055.80 |
$9,055.80 |
$9,055.80 |
$6,281.29
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$34,257.60 |
$34,257.60 |
$34,257.60 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$104.62 |
$104.62 |
$104.62 |
$259.58
|
|
D&c after delivery 59160
|
$8,266.70 |
$8,266.70 |
$8,266.70 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$3,774.81
|
|
Dch glucoscan
|
$22.75 |
$22.75 |
$22.75 |
$29.16
|
|
Dch pulmonary stress test
|
$930.80 |
$930.80 |
$930.80 |
$963.30
|
|
Dch validity tests
|
$15.60 |
$15.60 |
$15.60 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$53.95 |
$53.95 |
$53.95 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$484.90 |
$484.90 |
$484.90 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,593.80 |
$1,593.80 |
$1,593.80 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,479.75 |
$2,479.75 |
$2,479.75 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$779.35 |
$779.35 |
$779.35 |
$835.20
|
|
Debride nail1-5 11720
|
$115.70 |
$115.70 |
$115.70 |
$149.60
|
|
Debride nail6 or more 11721
|
$115.70 |
$115.70 |
$115.70 |
$169.80
|
|
Debride skin bone at fx site
|
$5,580.90 |
$5,580.90 |
$5,580.90 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$739.70 |
$739.70 |
$739.70 |
$903.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,123.85 |
$1,123.85 |
$1,123.85 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$1,165.50
|
|
Decalcification
|
$68.90 |
$68.90 |
$68.90 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,239.55 |
$1,239.55 |
$1,239.55 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,914.00
|
|
Decompression of lower leg
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,969.00
|
|
Decompression of lower leg
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,839.54
|
|
Deferoxamine 500 mg solution for injection
|
$96.41 |
$96.41 |
$96.41 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,377.73 |
$2,377.73 |
$2,377.73 |
$1,856.85
|
|
Delivery of placenta 59414
|
$8,266.70 |
$8,266.70 |
$8,266.70 |
$2,912.46
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$6,670.30 |
$6,670.30 |
$6,670.30 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$608.40 |
$608.40 |
$608.40 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,748.46 |
$4,748.46 |
$4,748.46 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$385.45 |
$385.45 |
$385.45 |
$401.60
|
|
Depo-estradiol cypionate inj
|
$120.72 |
$120.72 |
$120.72 |
$71.51
|
|
Dermapure 1 square cm
|
$1,592.50 |
$1,592.50 |
$1,592.50 |
$3,300.73
|
|
Descend thora aorta rpr/lt sub art 33880
|
$8,184.15 |
$8,184.15 |
$8,184.15 |
$6,288.45
|
|
Design mlc device for imrt
|
$1,641.90 |
$1,641.90 |
$1,641.90 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$185.38 |
$185.38 |
$185.38 |
$91.84
|
|
Desoxycorticosterone
|
$139.10 |
$139.10 |
$139.10 |
$109.28
|
|
Dest mal lesion tal <0.5 17260
|
$387.40 |
$387.40 |
$387.40 |
$238.40
|
|
Destroy cervthor facet jnt 64633
|
$8,758.10 |
$8,758.10 |
$8,758.10 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$594.10 |
$594.10 |
$594.10 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$387.40 |
$387.40 |
$387.40 |
$202.40
|
|
Destroy vulva lesion simple 56501
|
$5,469.10 |
$5,469.10 |
$5,469.10 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$387.40 |
$387.40 |
$387.40 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$217.10 |
$217.10 |
$217.10 |
$78.61
|
|
Destruction anal lesion(s)
|
$5,469.10 |
$5,469.10 |
$5,469.10 |
$3,711.00
|
|
Destruction benign lesions < 14 lesions
|
$387.40 |
$387.40 |
$387.40 |
$240.24
|
|
Destruction by injection tx of nerve 64630
|
$3,658.20 |
$3,658.20 |
$3,658.20 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,123.55 |
$2,123.55 |
$2,123.55 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$8,758.10 |
$8,758.10 |
$8,758.10 |
$3,296.80
|
