|
Cyp2c9 gene com variants
|
$1,450.15 |
$1,450.15 |
$1,450.15 |
$275.10
|
|
Cyp2d6 gene com variants
|
$510.25 |
$510.25 |
$510.25 |
$537.50
|
|
Cyp3a4 gene common variants
|
$1,218.10 |
$1,218.10 |
$1,218.10 |
$230.01
|
|
Cyp3a5 gene common variants
|
$1,422.20 |
$1,422.20 |
$1,422.20 |
$220.50
|
|
Cystatin c
|
$50.05 |
$50.05 |
$50.05 |
$82.26
|
|
Cystic fibrosis cftr
|
$2,852.20 |
$2,852.20 |
$2,852.20 |
$1,041.95
|
|
Cystine urine quantitative
|
$68.25 |
$68.25 |
$68.25 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,137.50 |
$1,137.50 |
$1,137.50 |
$539.55
|
|
Cystoscopy and treatment
|
$3,716.05 |
$3,716.05 |
$3,716.05 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$2,161.25 |
$2,161.25 |
$2,161.25 |
$1,610.20
|
|
Cystoscopy chemodenervation
|
$1,431.95 |
$1,431.95 |
$1,431.95 |
$2,412.45
|
|
Cystoscopy removal of clots
|
$2,436.85 |
$2,436.85 |
$2,436.85 |
$3,970.98
|
|
Cystostomy cystotomy w/drainage 51040
|
$3,144.05 |
$3,144.05 |
$3,144.05 |
$3,774.40
|
|
Cystouretero & or pyeloscope
|
$3,794.05 |
$3,794.05 |
$3,794.05 |
$4,315.98
|
|
Cytogenetics 25-99
|
$70.20 |
$70.20 |
$70.20 |
$180.32
|
|
Cytogenomic neo microra alys
|
$5,781.10 |
$5,781.10 |
$5,781.10 |
$1,911.78
|
|
Cytogenom microarray copy nmbr var
|
$4,333.55 |
$4,333.55 |
$4,333.55 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$65.65 |
$65.65 |
$65.65 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$78.00 |
$78.00 |
$78.00 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$76.70 |
$76.70 |
$76.70 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$97.50 |
$97.50 |
$97.50 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$133.25 |
$133.25 |
$133.25 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$118.30 |
$118.30 |
$118.30 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$241.15 |
$241.15 |
$241.15 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$126.10 |
$126.10 |
$126.10 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$217.10 |
$217.10 |
$217.10 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$9,750.00 |
$9,750.00 |
$9,750.00 |
$205.00
|
|
Cytopath smear oth prep screen & interp
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$95.89
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$69.65 |
$69.65 |
$69.65 |
$315.32
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$7,371.55 |
$7,371.55 |
$7,371.55 |
$5,546.48
|
|
Dch pulmonary stress test
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$964.41
|
|
Dch validity tests
|
$14.95 |
$14.95 |
$14.95 |
$25.20
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$1,688.70 |
$1,688.70 |
$1,688.70 |
$4,021.68
|
|
Deamidated gliadin antibody iga
|
$48.75 |
$48.75 |
$48.75 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$153.40 |
$153.40 |
$153.40 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$96.85 |
$96.85 |
$96.85 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$1,428.05 |
$1,428.05 |
$1,428.05 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$143.00 |
$143.00 |
$143.00 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$159.25 |
$159.25 |
$159.25 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$350.35 |
$350.35 |
$350.35 |
$810.50
|
|
Debride nail1-5 11720
|
$255.45 |
$255.45 |
$255.45 |
$173.25
|
|
Debride nail6 or more 11721
|
$395.20 |
$395.20 |
$395.20 |
$195.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$142.35 |
$142.35 |
$142.35 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$519.35 |
$519.35 |
$519.35 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$531.70 |
$531.70 |
$531.70 |
$1,193.40
|
|
Decalcification
|
$25.35 |
$25.35 |
$25.35 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$592.80 |
$592.80 |
$592.80 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$60.42 |
$60.42 |
$60.42 |
$110.82
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$5,948.15 |
$5,948.15 |
$5,948.15 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$332.80 |
$332.80 |
$332.80 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$5,965.05 |
$5,965.05 |
$5,965.05 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$339.95 |
$339.95 |
$339.95 |
$460.50
|
|
Descend thora aorta rpr/lt sub art 33880
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$5,702.04
|
|
Desmopressin 4 mcg/ml injection solution
|
$37.93 |
$37.93 |
$37.93 |
$102.32
|
|
Desoxycorticosterone
|
$712.40 |
$712.40 |
$712.40 |
$109.28
|
|
Des thora aorta/ea add prox prosth 33884
|
$486.20 |
$486.20 |
$486.20 |
$1,285.78
|
|
Des thora aorta rpr without left sub art 33881
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$486.20 |
$486.20 |
$486.20 |
$2,498.88
|
|
Destroy cervthor facet jnt 64633
|
$6,415.50 |
$6,415.50 |
$6,415.50 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$1,253.85 |
$1,253.85 |
$1,253.85 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$3,009.50 |
$3,009.50 |
$3,009.50 |
$1,344.85
|
|
Destroy premlg lesns;1st lesn 17000
|
$223.60 |
$223.60 |
$223.60 |
$220.12
|
|
Destruction 2-14 lesions 17003
|
$287.30 |
$287.30 |
$287.30 |
$72.60
|
|
Destruction benign lesions < 14 lesions
|
$1,002.30 |
$1,002.30 |
$1,002.30 |
$250.60
|
|
Destruction by injection tx of nerve 64630
|
$1,339.00 |
$1,339.00 |
$1,339.00 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,361.75 |
$1,361.75 |
$1,361.75 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$7,212.40 |
$7,212.40 |
$7,212.40 |
$3,375.00
|
|
Developmental screen/score/document 96110
|
$353.60 |
$353.60 |
$353.60 |
$139.10
|
|
Devel tst phys/qhp 1st hr
|
$651.30 |
$651.30 |
$651.30 |
$339.30
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$108.45 |
$108.45 |
$108.45 |
$4,298.87
|
|
Device intraute mirena
|
$2,190.92 |
$2,190.92 |
$2,190.92 |
$2,618.91
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$326.30 |
$326.30 |
$326.30 |
$196.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$279.50 |
$279.50 |
$279.50 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$5.30 |
$5.30 |
$5.30 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$23.79 |
$23.79 |
$23.79 |
$30.00
|
|
Dextran 40 infusion
|
$196.17 |
$196.17 |
$196.17 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$43.65 |
$43.65 |
$43.65 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$45.40 |
$45.40 |
$45.40 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$43.57 |
$43.57 |
$43.57 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$45.34 |
$45.34 |
$45.34 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$54.60 |
$54.60 |
$54.60 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$33.15 |
$33.15 |
$33.15 |
$78.03
|
|
Diab manage trn ind/group
|
$39.65 |
$39.65 |
$39.65 |
$49.50
|
|
Diag bronchoscope/catheter
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$2,040.67
|
|
Diagnostic anoscopy spx 46600
|
$247.00 |
$247.00 |
$247.00 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$55.25 |
$55.25 |
$55.25 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$55.25 |
$55.25 |
$55.25 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$330.20 |
$330.20 |
$330.20 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$425.75 |
$425.75 |
$425.75 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$345.15 |
$345.15 |
$345.15 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$5,598.45 |
$5,598.45 |
$5,598.45 |
$7,145.00
|
|
Dialysis one evaluation
|
$476.45 |
$476.45 |
$476.45 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.20 |
$0.20 |
$0.20 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$44.17 |
$44.17 |
$44.17 |
$72.34
|
|
Dicyclomine injection
|
$45.30 |
$45.30 |
$45.30 |
$211.81
|
|
Diffusing capacity
|
$195.00 |
$195.00 |
$195.00 |
$360.10
|
|
Digital analysis of eeg
|
$265.85 |
$265.85 |
$265.85 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$28.26 |
$28.26 |
$28.26 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$15,031.72 |
$15,031.72 |
$15,031.72 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$32.50 |
$32.50 |
$32.50 |
$102.00
|