|
Cylinder pump set 20cm titan zero angl
|
$57,900.69 |
$57,900.69 |
$57,900.69 |
$22,803.38
|
|
Cyp2c19 gene com variants
|
$251.40 |
$251.40 |
$251.40 |
$504.00
|
|
Cyp2c9 gene com variants
|
$289.80 |
$289.80 |
$289.80 |
$275.10
|
|
Cyp2d6 gene com variants
|
$505.80 |
$505.80 |
$505.80 |
$554.00
|
|
Cyp3a4 gene common variants
|
$289.80 |
$289.80 |
$289.80 |
$245.31
|
|
Cyp3a5 gene common variants
|
$289.80 |
$289.80 |
$289.80 |
$245.31
|
|
Cystatin c
|
$45.00 |
$45.00 |
$45.00 |
$77.50
|
|
Cystic fibrosis cftr
|
$1,141.20 |
$1,141.20 |
$1,141.20 |
$1,100.00
|
|
Cystine urine quantitative
|
$111.00 |
$111.00 |
$111.00 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$792.00 |
$792.00 |
$792.00 |
$542.10
|
|
Cystoscopy and treatment
|
$6,973.33 |
$6,973.33 |
$6,973.33 |
$4,081.37
|
|
Cystoscopy and treatment
|
$14,643.88 |
$14,643.88 |
$14,643.88 |
$6,475.26
|
|
Cystoscopy and treatment
|
$10,573.33 |
$10,573.33 |
$10,573.33 |
$2,874.36
|
|
Cystoscopy chemodenervation
|
$12,785.15 |
$12,785.15 |
$12,785.15 |
$2,704.80
|
|
Cystoscopy prostatic imp 1-3
|
$32,439.21 |
$32,439.21 |
$32,439.21 |
$5,741.40
|
|
Cystoscopy & ureter catheter
|
$19,270.22 |
$19,270.22 |
$19,270.22 |
$3,786.00
|
|
Cystouretero & or pyeloscope
|
$8,255.16 |
$8,255.16 |
$8,255.16 |
$4,315.98
|
|
Cysto/uretero w/lithotripsy
|
$13,016.05 |
$13,016.05 |
$13,016.05 |
$9,002.88
|
|
Cystouretero w/stone remove
|
$15,147.67 |
$15,147.67 |
$15,147.67 |
$5,110.00
|
|
Cytarabine 20 mg/ml injection solution
|
$101.82 |
$101.82 |
$101.82 |
$89.94
|
|
Cytogenetics 25-99
|
$135.00 |
$135.00 |
$135.00 |
$190.00
|
|
Cytogenom microarray copy nmbr var
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$178.80 |
$178.80 |
$178.80 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$154.80 |
$154.80 |
$154.80 |
$97.50
|
|
Cytopath c/v thin layer redo
|
$61.80 |
$61.80 |
$61.80 |
$61.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$172.80 |
$172.80 |
$172.80 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$84.60 |
$84.60 |
$84.60 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$84.60 |
$84.60 |
$84.60 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$172.80 |
$172.80 |
$172.80 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$172.80 |
$172.80 |
$172.80 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$91.20 |
$91.20 |
$91.20 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$148.80 |
$148.80 |
$148.80 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$172.80 |
$172.80 |
$172.80 |
$209.23
|
|
Cytopath smear other source
|
$33.60 |
$33.60 |
$33.60 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$129.00 |
$129.00 |
$129.00 |
$96.20
|
|
Cytopath tbs c/v manual
|
$34.20 |
$34.20 |
$34.20 |
$59.28
|
|
Cytotoxic antibody screening
|
$223.20 |
$223.20 |
$223.20 |
$189.00
|
|
Cytp urine 3-5 probes cmptr
|
$417.00 |
$417.00 |
$417.00 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$58.22
|
|
Dalbavancin 500 mg intravenous solution
|
$8,379.72 |
$8,379.72 |
$8,379.72 |
$3,480.35
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$52,965.06 |
$52,965.06 |
$52,965.06 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$18,227.70 |
$18,227.70 |
$18,227.70 |
$6,072.48
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$132.72 |
$132.72 |
$132.72 |
$257.10
|
|
Dch validity tests
|
$15.60 |
$15.60 |
$15.60 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$30.60 |
$30.60 |
$30.60 |
$43.60
|
|
Debridement bone <= 20 sq cm
|
$15,482.01 |
$15,482.01 |
$15,482.01 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$9,547.08 |
$9,547.08 |
$9,547.08 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,927.80 |
$1,927.80 |
$1,927.80 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$8,013.00 |
$8,013.00 |
$8,013.00 |
$810.50
|
|
Debride nail1-5 11720
|
$309.60 |
$309.60 |
$309.60 |
$148.80
|
|
Debride nail6 or more 11721
|
$413.40 |
$413.40 |
$413.40 |
$169.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$3,468.00 |
$3,468.00 |
$3,468.00 |
$639.60
|
|
Debr musc/fascia 20sq cm/< 11043
|
$6,005.28 |
$6,005.28 |
$6,005.28 |
$1,160.00
|
|
Decalcification
|
$49.20 |
$49.20 |
$49.20 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$501.00 |
$501.00 |
$501.00 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$589.20 |
$589.20 |
$589.20 |
$543.00
|
|
Decompression of tibia nerve
|
$23,747.36 |
$23,747.36 |
$23,747.36 |
$2,625.60
|
|
Deep muscle biopsy 20205
|
$10,833.12 |
$10,833.12 |
$10,833.12 |
$3,339.00
|
|
Deferoxamine 500 mg solution for injection
|
$177.18 |
$177.18 |
$177.18 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,447.16 |
$2,447.16 |
$2,447.16 |
$1,807.08
|
|
Delayed breast prosthesis 19342
|
$29,079.65 |
$29,079.65 |
$29,079.65 |
$10,457.82
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$16,248.30 |
$16,248.30 |
$16,248.30 |
$6,324.98
|
|
Dermapure 1 square cm
|
$7,927.49 |
$7,927.49 |
$7,927.49 |
$3,822.00
|
|
Design mlc device for imrt
|
$3,792.60 |
$3,792.60 |
$3,792.60 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$103.50 |
$103.50 |
$103.50 |
$89.78
|
|
Desoxycorticosterone
|
$136.20 |
$136.20 |
$136.20 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$6,651.24 |
$6,651.24 |
$6,651.24 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$6,649.80 |
$6,649.80 |
$6,649.80 |
$1,441.44
|
|
Destruction anal lesion(s)
|
$10,211.93 |
$10,211.93 |
$10,211.93 |
$3,363.79
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$6,650.70 |
$6,650.70 |
$6,650.70 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$6,726.66 |
$6,726.66 |
$6,726.66 |
$3,202.98
|
|
Destruction rectal tumor 45190
|
$4,678.20 |
$4,678.20 |
$4,678.20 |
$3,245.23
|
|
Detect agent nos dna dir
|
$181.80 |
$181.80 |
$181.80 |
$115.20
|
|
Detect agnt mult dna direc
|
$146.40 |
$146.40 |
$146.40 |
$162.00
|
|
Device ablt adv novasure
|
$12,727.47 |
$12,727.47 |
$12,727.47 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$6,560.55 |
$6,560.55 |
$6,560.55 |
$4,200.00
|
|
Device sut capio slim opn
|
$3,002.11 |
$3,002.11 |
$3,002.11 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$2,430.68 |
$2,430.68 |
$2,430.68 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$252.60 |
$252.60 |
$252.60 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$79.44 |
$79.44 |
$79.44 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$31,027.52 |
$31,027.52 |
$31,027.52 |
$21.17
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$909.00 |
$909.00 |
$909.00 |
$858.00
|
|
Dextran 40 infusion
|
$339.18 |
$339.18 |
$339.18 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$24.00 |
$24.00 |
$24.00 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$24.00 |
$24.00 |
$24.00 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$24.00 |
$24.00 |
$24.00 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$24.00 |
$24.00 |
$24.00 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$39.60 |
$39.60 |
$39.60 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$69.60 |
$69.60 |
$69.60 |
$79.20
|
|
Diag laparo separate proc 49320
|
$12,567.12 |
$12,567.12 |
$12,567.12 |
$6,904.15
|
|
Diagnostic radio unlisted proc
|
$210.00 |
$210.00 |
$210.00 |
$214.08
|
|
Dialysis circuit perm vascular embolization 36909
|
$24,912.00 |
$24,912.00 |
$24,912.00 |
$5,419.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$295.14 |
$295.14 |
$295.14 |
$74.76
|
|
Dicyclomine injection
|
$99.48 |
$99.48 |
$99.48 |
$153.29
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$7.68 |
$7.68 |
$7.68 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$23,427.54 |
$23,427.54 |
$23,427.54 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$52.80 |
$52.80 |
$52.80 |
$102.00
|
|
Dilate esophagus 1/mult pass
|
$7,628.10 |
$7,628.10 |
$7,628.10 |
$1,484.17
|
|
Dilation of salivary duct
|
$17,982.11 |
$17,982.11 |
$17,982.11 |
$741.60
|
|
Dilator fascial 10fx20cm
|
$1,261.25 |
$1,261.25 |
$1,261.25 |
$402.10
|