|
Cyclosporine oral 100 mg
|
$490.48 |
$490.48 |
$490.48 |
$43.04
|
|
Cylinder pump set 20cm titan zero angl
|
$10,549.43 |
$10,549.43 |
$10,549.43 |
$22,244.69
|
|
Cyp2c19 gene com variants
|
$667.03 |
$667.03 |
$667.03 |
$553.00
|
|
Cyp2c9 gene com variants
|
$236.07 |
$236.07 |
$236.07 |
$275.10
|
|
Cystatin c
|
$117.04 |
$117.04 |
$117.04 |
$81.00
|
|
Cystic fibrosis cftr
|
$1,158.00 |
$1,158.00 |
$1,158.00 |
$1,041.95
|
|
Cystine urine quantitative
|
$232.10 |
$232.10 |
$232.10 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$402.70 |
$402.70 |
$402.70 |
$527.50
|
|
Cytarabine 20 mg/ml injection solution
|
$59.02 |
$59.02 |
$59.02 |
$80.18
|
|
Cytogenetics 25-99
|
$100.68 |
$100.68 |
$100.68 |
$177.45
|
|
Cytomegalovirus (cmv) antibody igg
|
$195.90 |
$195.90 |
$195.90 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$104.65 |
$104.65 |
$104.65 |
$96.80
|
|
Cytomegalovirus dfa
|
$157.71 |
$157.71 |
$157.71 |
$51.20
|
|
Cyto/molecular report
|
$191.93 |
$191.93 |
$191.93 |
$144.75
|
|
Cytopath c/v index add-on
|
$45.13 |
$45.13 |
$45.13 |
$29.60
|
|
Cytopathology cellular enhancement technique non-gyn
|
$128.45 |
$128.45 |
$128.45 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$87.29 |
$87.29 |
$87.29 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$108.12 |
$108.12 |
$108.12 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$99.19 |
$99.19 |
$99.19 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$116.05 |
$116.05 |
$116.05 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$137.87 |
$137.87 |
$137.87 |
$185.00
|
|
Cytopath smear other source
|
$68.94 |
$68.94 |
$68.94 |
$85.80
|
|
Cytopath smear oth prep screen & interp
|
$45.13 |
$45.13 |
$45.13 |
$96.20
|
|
Cytopath tbs c/v manual
|
$46.62 |
$46.62 |
$46.62 |
$57.94
|
|
Cytotoxic antibody screening
|
$348.64 |
$348.64 |
$348.64 |
$157.60
|
|
Cytp urine 3-5 probes cmptr
|
$588.18 |
$588.18 |
$588.18 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$31.25 |
$31.25 |
$31.25 |
$76.80
|
|
Dalbavancin 500 mg intravenous solution
|
$2,144.41 |
$2,144.41 |
$2,144.41 |
$3,480.87
|
|
Dalteparin sodium
|
$17.86 |
$17.86 |
$17.86 |
$124.09
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$107.62 |
$107.62 |
$107.62 |
$403.57
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$66.46 |
$66.46 |
$66.46 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$3,266.20 |
$3,266.20 |
$3,266.20 |
$5,546.48
|
|
Dch pulmonary stress test
|
$336.74 |
$336.74 |
$336.74 |
$966.00
|
|
Dch validity tests
|
$32.24 |
$32.24 |
$32.24 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$123.49 |
$123.49 |
$123.49 |
$44.00
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$211.77 |
$211.77 |
$211.77 |
$677.54
|
|
Debridement (>20 cm) charge pt
|
$60.01 |
$60.01 |
$60.01 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$994.35 |
$994.35 |
$994.35 |
$2,510.89
|
|
Debridement/bone/20 sq cm or less 11046
|
$192.43 |
$192.43 |
$192.43 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$497.42 |
$497.42 |
$497.42 |
$1,339.77
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$247.47 |
$247.47 |
$247.47 |
$810.50
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$123.49 |
$123.49 |
$123.49 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$385.34 |
$385.34 |
$385.34 |
$1,176.57
|
|
Decalcification
|
$43.65 |
$43.65 |
$43.65 |
$74.73
|
|
Decitabine 50 mg intravenous solution
|
$904.09 |
$904.09 |
$904.09 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$398.24 |
$398.24 |
$398.24 |
$534.48
|
|
Deferoxamine 500 mg solution for injection
|
$58.03 |
$58.03 |
$58.03 |
$112.87
|
|
Degarelix 120 mg subcutaneous solution
|
$1,299.27 |
$1,299.27 |
$1,299.27 |
$1,998.50
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$3,351.50 |
$3,351.50 |
$3,351.50 |
$7,756.62
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$228.63 |
$228.63 |
$228.63 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$100.18 |
$100.18 |
$100.18 |
$104.32
|
|
Dermagraft
|
$1,194.70 |
$1,194.70 |
$1,194.70 |
$360.82
|
|
Design mlc device for imrt
|
$506.35 |
$506.35 |
$506.35 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$627.36 |
$627.36 |
$627.36 |
$112.85
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,268.10 |
$1,268.10 |
$1,268.10 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,268.10 |
$1,268.10 |
$1,268.10 |
$3,375.00
|
|
Device intraute mirena
|
$1,719.40 |
$1,719.40 |
$1,719.40 |
$2,900.62
|
|
Device sut capio slim opn
|
$550.98 |
$550.98 |
$550.98 |
$1,749.45
|
|
Device tiss remov myosure reach
|
$3,443.74 |
$3,443.74 |
$3,443.74 |
$2,198.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$13.89 |
$13.89 |
$13.89 |
$25.68
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$388.81 |
$388.81 |
$388.81 |
$504.81
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$36.21 |
$36.21 |
$36.21 |
$57.38
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$36.21 |
$36.21 |
$36.21 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$40.18 |
$40.18 |
$40.18 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$133.41 |
$133.41 |
$133.41 |
$105.57
|
|
Diabetes (HbA1c) Test
|
$77.37 |
$77.37 |
$77.37 |
$78.03
|
|
Diab manage trn ind/group
|
$24.31 |
$24.31 |
$24.31 |
$49.40
|
|
Diagnostic laryngoscopy 31575
|
$166.14 |
$166.14 |
$166.14 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$335.75 |
$335.75 |
$335.75 |
$421.26
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$26.29 |
$26.29 |
$26.29 |
$72.34
|
|
Dicyclomine injection
|
$118.04 |
$118.04 |
$118.04 |
$211.68
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$14.88 |
$14.88 |
$14.88 |
$67.25
|
|
Digoxin immune fab 40 mg intravenous solution
|
$5,090.23 |
$5,090.23 |
$5,090.23 |
$10,731.50
|
|
Digoxin total therapeutic drug level
|
$65.96 |
$65.96 |
$65.96 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$158.21 |
$158.21 |
$158.21 |
$315.57
|
|
Dilate biliary duct/ampulla
|
$2,817.38 |
$2,817.38 |
$2,817.38 |
$2,304.60
|
|
Dilation salivary duct 42650
|
$793.00 |
$793.00 |
$793.00 |
$1,744.44
|
|
Dilator fascial 10fx20cm
|
$56.54 |
$56.54 |
$56.54 |
$290.93
|
|
Dilat xst trc ndurlgc px
|
$1,263.64 |
$1,263.64 |
$1,263.64 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$2,125.07 |
$2,125.07 |
$2,125.07 |
$4,881.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$6.45 |
$6.45 |
$6.45 |
$25.12
|
|
Disaccharidases
|
$305.50 |
$305.50 |
$305.50 |
$224.31
|
|
Discography cerv/thor spine
|
$698.27 |
$698.27 |
$698.27 |
$2,310.83
|
|
Dissolve clot heart vessel
|
$858.46 |
$858.46 |
$858.46 |
$1,339.20
|
|
Dmd dup/delet analysis
|
$1,453.58 |
$1,453.58 |
$1,453.58 |
$385.02
|
|
Dna antibody native/double stranded
|
$92.74 |
$92.74 |
$92.74 |
$102.60
|
|
Dna gardnerella
|
$61.00 |
$61.00 |
$61.00 |
$66.05
|
|
Dna trichomonas
|
$61.00 |
$61.00 |
$61.00 |
$67.73
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$20.83 |
$20.83 |
$20.83 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$47.61 |
$47.61 |
$47.61 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$54.56 |
$54.56 |
$54.56 |
$78.39
|
|
Doppler echo complete
|
$842.09 |
$842.09 |
$842.09 |
$616.87
|
|
Doppler intravascular pressure flow initial vessel
|
$344.18 |
$344.18 |
$344.18 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$653.64 |
$653.64 |
$653.64 |
$697.23
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$111.59 |
$111.59 |
$111.59 |
$495.00
|
|
Doripenem 50 mg/ml inj 10 ml
|
$63.98 |
$63.98 |
$63.98 |
$70.91
|
|
Dornase alfa non-comp unit
|
$169.12 |
$169.12 |
$169.12 |
$496.30
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$112.45 |
$112.45 |
$112.45 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$49.60 |
$49.60 |
$49.60 |
$269.37
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,680.22 |
$1,680.22 |
$1,680.22 |
$2,469.31
|