|
Cytopathology concentration technique smears & interpretation
|
$84.00 |
$84.00 |
$84.00 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$75.00 |
$75.00 |
$75.00 |
$129.35
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$123.00 |
$123.00 |
$123.00 |
$209.23
|
|
Dacarbazine 100 mg intravenous solution
|
$22.85 |
$22.85 |
$22.85 |
$58.22
|
|
Dactinomycin 0.5 mg intravenous solution
|
$719.16 |
$719.16 |
$719.16 |
$3,024.59
|
|
Dalbavancin 500 mg intravenous solution
|
$2,047.16 |
$2,047.16 |
$2,047.16 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$54.52 |
$54.52 |
$54.52 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$11,539.05 |
$11,539.05 |
$11,539.05 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$4,850.07 |
$4,850.07 |
$4,850.07 |
$6,072.48
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$13,754.60 |
$13,754.60 |
$13,754.60 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$79.24 |
$79.24 |
$79.24 |
$257.10
|
|
Dch validity tests
|
$29.50 |
$29.50 |
$29.50 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$48.50 |
$48.50 |
$48.50 |
$43.60
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$437.00 |
$437.00 |
$437.00 |
$810.50
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$60.50 |
$60.50 |
$60.50 |
$639.60
|
|
Decalcification
|
$33.50 |
$33.50 |
$33.50 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$159.34 |
$159.34 |
$159.34 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$367.00 |
$367.00 |
$367.00 |
$543.00
|
|
Deferoxamine 500 mg solution for injection
|
$19.24 |
$19.24 |
$19.24 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$732.90 |
$732.90 |
$732.90 |
$1,807.08
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$241.50 |
$241.50 |
$241.50 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,121.21 |
$4,121.21 |
$4,121.21 |
$6,324.98
|
|
Design mlc device for imrt
|
$790.50 |
$790.50 |
$790.50 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$326.10 |
$326.10 |
$326.10 |
$89.78
|
|
Destroy cervthor facet jnt 64633
|
$3,011.50 |
$3,011.50 |
$3,011.50 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$727.50 |
$727.50 |
$727.50 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$963.00 |
$963.00 |
$963.00 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,955.00 |
$2,955.00 |
$2,955.00 |
$3,202.98
|
|
Device ablt adv novasure
|
$13,056.56 |
$13,056.56 |
$13,056.56 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$6,976.80 |
$6,976.80 |
$6,976.80 |
$4,200.00
|
|
Device intraute mirena
|
$1,503.83 |
$1,503.83 |
$1,503.83 |
$2,125.00
|
|
Device tiss remov myosure reach
|
$4,200.74 |
$4,200.74 |
$4,200.74 |
$2,541.00
|
|
Dexamethasone 4 mg tablet
|
$27.00 |
$27.00 |
$27.00 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$2.90 |
$2.90 |
$2.90 |
$21.17
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$456.76 |
$456.76 |
$456.76 |
$858.00
|
|
Dextran 40 infusion
|
$58.50 |
$58.50 |
$58.50 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$12.00 |
$12.00 |
$12.00 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$14.00 |
$14.00 |
$14.00 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$148.68 |
$148.68 |
$148.68 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$28.00 |
$28.00 |
$28.00 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$85.50 |
$85.50 |
$85.50 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$43.50 |
$43.50 |
$43.50 |
$79.20
|
|
Diab manage trn ind/group
|
$35.00 |
$35.00 |
$35.00 |
$56.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$54.40 |
$54.40 |
$54.40 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$26.58 |
$26.58 |
$26.58 |
$74.76
|
|
Dicyclomine injection
|
$14.63 |
$14.63 |
$14.63 |
$153.29
|
|
Diffusing capacity
|
$91.50 |
$91.50 |
$91.50 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$224.57 |
$224.57 |
$224.57 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$5,793.23 |
$5,793.23 |
$5,793.23 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$44.50 |
$44.50 |
$44.50 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$214.16 |
$214.16 |
$214.16 |
$297.86
|
|
Dilator fascial 10fx20cm
|
$334.76 |
$334.76 |
$334.76 |
$402.10
|
|
Dimethyl sulfoxide 50% 50 ml
|
$938.88 |
$938.88 |
$938.88 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$10.38 |
$10.38 |
$10.38 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$0.98 |
$0.98 |
$0.98 |
$17.75
|
|
Disaccharidases
|
$90.00 |
$90.00 |
$90.00 |
$216.00
|
|
Dna antibody native/double stranded
|
$66.00 |
$66.00 |
$66.00 |
$97.50
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$75.56 |
$75.56 |
$75.56 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$189.28 |
$189.28 |
$189.28 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$42.00 |
$42.00 |
$42.00 |
$65.40
|
|
Doppler echo complete
|
$387.50 |
$387.50 |
$387.50 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$501.00 |
$501.00 |
$501.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$371.00 |
$371.00 |
$371.00 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$290.00 |
$290.00 |
$290.00 |
$471.17
|
|
Dornhoffer fixed part w/window
|
$48,698.50 |
$48,698.50 |
$48,698.50 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$15,032.06 |
$15,032.06 |
$15,032.06 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$378.34 |
$378.34 |
$378.34 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$191.75 |
$191.75 |
$191.75 |
$1,718.24
|
|
Dpyd gene common variants
|
$465.00 |
$465.00 |
$465.00 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$166.50 |
$166.50 |
$166.50 |
$800.00
|
|
Drain blood from under nail 11740
|
$62.00 |
$62.00 |
$62.00 |
$170.50
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$344.00 |
$344.00 |
$344.00 |
$344.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$16,171.18 |
$16,171.18 |
$16,171.18 |
$8,131.20
|
|
Dronabinol 2.5mg oral
|
$16.50 |
$16.50 |
$16.50 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$14.76 |
$14.76 |
$14.76 |
$31.07
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$16,014.15 |
$16,014.15 |
$16,014.15 |
$8,040.27
|
|
Drug test def 1-7 classes
|
$340.00 |
$340.00 |
$340.00 |
$250.52
|
|
Drug test def 8-14 classes
|
$738.00 |
$738.00 |
$738.00 |
$282.00
|
|
Drug test prsmv instrmnt
|
$93.50 |
$93.50 |
$93.50 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$481.50 |
$481.50 |
$481.50 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$3,020.80
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$928.50 |
$928.50 |
$928.50 |
$887.25
|
|
Durvalumab 50 mg/ml intravenous solution
|
$5,366.28 |
$5,366.28 |
$5,366.28 |
$7,973.90
|
|
Ear irrigation 69209
|
$34.00 |
$34.00 |
$34.00 |
$149.76
|
|
Ecallantide injection
|
$21,607.44 |
$21,607.44 |
$21,607.44 |
$13,353.39
|
|
Ecg 12 lead tracing only
|
$120.50 |
$120.50 |
$120.50 |
$226.50
|
|
Ecg < 30 days transmission & analysis
|
$235.50 |
$235.50 |
$235.50 |
$487.60
|
|
Ecg external < 48 hours recording
|
$684.50 |
$684.50 |
$684.50 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$354.00 |
$354.00 |
$354.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$80.50 |
$80.50 |
$80.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$120.50 |
$120.50 |
$120.50 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$303.00 |
$303.00 |
$303.00 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,731.50 |
$1,731.50 |
$1,731.50 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$601.00 |
$601.00 |
$601.00 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$930.50 |
$930.50 |
$930.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$285.00 |
$285.00 |
$285.00 |
$362.50
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$1,849.50
|
|
Eculizumab injection
|
$8,479.89 |
$8,479.89 |
$8,479.89 |
$17,032.68
|
|
Eeg monitor/record/awake/drowsy 95816
|
$581.00 |
$581.00 |
$581.00 |
$835.00
|