|
Cytarabine 20 mg/ml injection solution
|
$92.35 |
$92.35 |
$92.35 |
$59.31
|
|
Cytogenetics 25-99
|
$120.90 |
$120.90 |
$120.90 |
$188.40
|
|
Cytomegalovirus (cmv) antibody igg
|
$51.35 |
$51.35 |
$51.35 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$60.45 |
$60.45 |
$60.45 |
$95.00
|
|
Cyto/molecular report
|
$113.10 |
$113.10 |
$113.10 |
$91.65
|
|
Cytopathology cellular enhancement technique non-gyn
|
$171.60 |
$171.60 |
$171.60 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$55.90 |
$55.90 |
$55.90 |
$98.00
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$72.80 |
$72.80 |
$72.80 |
$90.88
|
|
Cytopathology concentration technique smears & interpretation
|
$70.20 |
$70.20 |
$70.20 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$70.20 |
$70.20 |
$70.20 |
$129.90
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$104.00 |
$104.00 |
$104.00 |
$71.25
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$312.65 |
$312.65 |
$312.65 |
$179.44
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$143.00 |
$143.00 |
$143.00 |
$205.00
|
|
Cytopath smear other source
|
$76.05 |
$76.05 |
$76.05 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$79.30 |
$79.30 |
$79.30 |
$95.00
|
|
Cytopath tbs c/v manual
|
$68.90 |
$68.90 |
$68.90 |
$57.94
|
|
Cytotoxic antibody screening
|
$373.10 |
$373.10 |
$373.10 |
$184.63
|
|
Dacarbazine 100 mg intravenous solution
|
$42.74 |
$42.74 |
$42.74 |
$39.53
|
|
Dalbavancin 500 mg intravenous solution
|
$4,741.39 |
$4,741.39 |
$4,741.39 |
$3,480.61
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$146.25 |
$146.25 |
$146.25 |
$1.80
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$32,877.34 |
$32,877.34 |
$32,877.34 |
$15,683.37
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$10,313.55 |
$10,313.55 |
$10,313.55 |
$4,542.99
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$398.86 |
$398.86 |
$398.86 |
$130.13
|
|
D&c after delivery 59160
|
$6,285.86 |
$6,285.86 |
$6,285.86 |
$3,441.98
|
|
Dch glucoscan
|
$19.50 |
$19.50 |
$19.50 |
$28.10
|
|
Dch validity tests
|
$23.40 |
$23.40 |
$23.40 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$96.20 |
$96.20 |
$96.20 |
$53.95
|
|
Debridement (>20 cm) charge pt
|
$406.25 |
$406.25 |
$406.25 |
$313.30
|
|
Debridement bone <= 20 sq cm
|
$1,030.90 |
$1,030.90 |
$1,030.90 |
$2,481.05
|
|
Debridement/bone/20 sq cm or less 11046
|
$213.85 |
$213.85 |
$213.85 |
$717.92
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,656.55 |
$2,656.55 |
$2,656.55 |
$1,738.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$687.70 |
$687.70 |
$687.70 |
$779.35
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$175.50 |
$175.50 |
$175.50 |
$728.40
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,390.35 |
$1,390.35 |
$1,390.35 |
$1,101.10
|
|
Decalcification
|
$6,016.25 |
$6,016.25 |
$6,016.25 |
$72.15
|
|
Decitabine 50 mg intravenous solution
|
$299.00 |
$299.00 |
$299.00 |
$225.55
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$906.10 |
$906.10 |
$906.10 |
$482.35
|
|
Deferoxamine 500 mg solution for injection
|
$71.95 |
$71.95 |
$71.95 |
$47.62
|
|
Degarelix 120 mg subcutaneous solution
|
$4,464.73 |
$4,464.73 |
$4,464.73 |
$2,303.24
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$182.00 |
$182.00 |
$182.00 |
$165.60
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$10,399.70 |
$10,399.70 |
$10,399.70 |
$4,681.80
|
|
Depo-estradiol cypionate inj
|
$1,257.46 |
$1,257.46 |
$1,257.46 |
$337.07
|
|
Design mlc device for imrt
|
$39,068.25 |
$39,068.25 |
$39,068.25 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$18.28 |
$18.28 |
$18.28 |
$37.26
|
|
Desoxycorticosterone
|
$158.60 |
$158.60 |
$158.60 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$3,792.08 |
$3,792.08 |
$3,792.08 |
$2,963.07
|
|
Destroy cth facet jnt addl 64634
|
$3,792.08 |
$3,792.08 |
$3,792.08 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$3,653.67 |
$3,653.67 |
$3,653.67 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,653.67 |
$3,653.67 |
$3,653.67 |
$3,101.88
|
|
Device ablt adv novasure
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$7,153.60
|
|
Device sut capio slim opn
|
$696.80 |
$696.80 |
$696.80 |
$1,454.07
|
|
Dexamethasone 4 mg tablet
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$14.62 |
$14.62 |
$14.62 |
$8.23
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,337.02 |
$1,337.02 |
$1,337.02 |
$465.34
|
|
Dextran 40 infusion
|
$234.51 |
$234.51 |
$234.51 |
$173.97
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$37.50
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$42.25 |
$42.25 |
$42.25 |
$48.56
|
|
Dextrose 5 % IV bolus
|
$42.25 |
$42.25 |
$42.25 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$124.15 |
$124.15 |
$124.15 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$83.20 |
$83.20 |
$83.20 |
$70.00
|
|
Diab manage trn ind/group
|
$40.95 |
$40.95 |
$40.95 |
$56.55
|
|
Diag laparo separate proc 49320
|
$7,500.96 |
$7,500.96 |
$7,500.96 |
$6,376.26
|
|
Diagnostic anoscopy spx 46600
|
$3,324.88 |
$3,324.88 |
$3,324.88 |
$252.00
|
|
Diagnostic laryngoscopy 31575
|
$319.80 |
$319.80 |
$319.80 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$431.60 |
$431.60 |
$431.60 |
$381.60
|
|
Diagnostic Mammogram (one breast)
|
$280.15 |
$280.15 |
$280.15 |
$276.60
|
|
Diagnostic radio unlisted proc
|
$360.75 |
$360.75 |
$360.75 |
$310.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$4,197.70 |
$4,197.70 |
$4,197.70 |
$9,395.77
|
|
Dialysis one evaluation
|
$1,103.05 |
$1,103.05 |
$1,103.05 |
$920.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$157.95 |
$157.95 |
$157.95 |
$58.24
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$15.04 |
$15.04 |
$15.04 |
$42.12
|
|
Dicyclomine injection
|
$59.96 |
$59.96 |
$59.96 |
$153.53
|
|
Diffusing capacity
|
$360.10 |
$360.10 |
$360.10 |
$336.80
|
|
Digital analysis of eeg
|
$313.95 |
$313.95 |
$313.95 |
$649.63
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$7.29 |
$7.29 |
$7.29 |
$29.85
|
|
Digoxin total therapeutic drug level
|
$126.10 |
$126.10 |
$126.10 |
$92.95
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$190.12 |
$190.12 |
$190.12 |
$297.86
|
|
Dilate esophagus 1/mult pass
|
$1,684.80 |
$1,684.80 |
$1,684.80 |
$1,349.05
|
|
Dilator fascial 10fx20cm
|
$138.45 |
$138.45 |
$138.45 |
$291.87
|
|
Dilat xst trc new access rcs
|
$5,842.20 |
$5,842.20 |
$5,842.20 |
$5,842.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$55.63 |
$55.63 |
$55.63 |
$49.92
|
|
Dimethyl sulfoxide 50% 50 ml
|
$3,557.53 |
$3,557.53 |
$3,557.53 |
$1,001.55
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$14.68 |
$14.68 |
$14.68 |
$9.29
|
|
Disability dlco
|
$495.95 |
$495.95 |
$495.95 |
$289.08
|
|
Disaccharidases
|
$351.65 |
$351.65 |
$351.65 |
$224.58
|
|
Discography cerv/thor spine
|
$1,777.75 |
$1,777.75 |
$1,777.75 |
$2,161.44
|
|
Dna antibody native/double stranded
|
$68.25 |
$68.25 |
$68.25 |
$101.40
|
|
Dna gardnerella
|
$79.95 |
$79.95 |
$79.95 |
$67.68
|
|
Dna probe chlamydia
|
$76.05 |
$76.05 |
$76.05 |
$98.40
|
|
Dna probe gc
|
$94.25 |
$94.25 |
$94.25 |
$88.67
|
|
Dna trichomonas
|
$84.50 |
$84.50 |
$84.50 |
$69.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$109.69 |
$109.69 |
$109.69 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$474.50 |
$474.50 |
$474.50 |
$131.40
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$112.12 |
$112.12 |
$112.12 |
$60.21
|
|
Doppler echo complete
|
$430.30 |
$430.30 |
$430.30 |
$517.94
|
|
Doppler intravascular pressure flow initial vessel
|
$3,093.35 |
$3,093.35 |
$3,093.35 |
$3,026.62
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$757.90 |
$757.90 |
$757.90 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$250.25 |
$250.25 |
$250.25 |
$463.20
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$35,898.82 |
$35,898.82 |
$35,898.82 |
$326.36
|