|
Cyclosporine 2 hour
|
$73.10 |
$73.10 |
$73.10 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$17.57 |
$17.57 |
$17.57 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$2,217.45 |
$2,217.45 |
$2,217.45 |
$34.88
|
|
Cylinder pump set 20cm titan zero angl
|
$21,424.79 |
$21,424.79 |
$21,424.79 |
$22,803.38
|
|
Cymetra injectable
|
$632.06 |
$632.06 |
$632.06 |
$578.24
|
|
Cystine urine quantitative
|
$92.65 |
$92.65 |
$92.65 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,727.20 |
$1,727.20 |
$1,727.20 |
$542.10
|
|
Cysto impl 4 or more
|
$22,593.85 |
$22,593.85 |
$22,593.85 |
$6,860.21
|
|
Cystoscopy and treatment
|
$4,995.45 |
$4,995.45 |
$4,995.45 |
$2,874.36
|
|
Cystoscopy (Bladder Scope)
|
$1,674.50 |
$1,674.50 |
$1,674.50 |
$1,493.80
|
|
Cystoscopy prostatic imp 1-3
|
$12,691.35 |
$12,691.35 |
$12,691.35 |
$5,741.40
|
|
Cystoscopy removal of clots
|
$8,550.15 |
$8,550.15 |
$8,550.15 |
$4,081.37
|
|
Cystoscopy & ureter catheter
|
$4,995.45 |
$4,995.45 |
$4,995.45 |
$3,786.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$4,995.45 |
$4,995.45 |
$4,995.45 |
$3,863.60
|
|
Cysto/uretero w/lithotripsy
|
$12,691.35 |
$12,691.35 |
$12,691.35 |
$9,002.88
|
|
Cystouretero w/stone remove
|
$8,550.15 |
$8,550.15 |
$8,550.15 |
$5,110.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$4,995.45 |
$4,995.45 |
$4,995.45 |
$3,065.15
|
|
Cytarabine 20 mg/ml injection solution
|
$136.51 |
$136.51 |
$136.51 |
$89.94
|
|
Cytogenetics 3-5
|
$164.90 |
$164.90 |
$164.90 |
$170.27
|
|
Cytogenomic neo microra alys
|
$4,295.05 |
$4,295.05 |
$4,295.05 |
$2,020.20
|
|
Cytomegalovirus (cmv) antibody igg
|
$58.65 |
$58.65 |
$58.65 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$68.00 |
$68.00 |
$68.00 |
$97.50
|
|
Cytomegalovirus imm IV /vial
|
$4,663.38 |
$4,663.38 |
$4,663.38 |
$3,072.34
|
|
Cyto/molecular report
|
$140.25 |
$140.25 |
$140.25 |
$133.20
|
|
Cytopath c/v auto in fluid
|
$129.20 |
$129.20 |
$129.20 |
$56.00
|
|
Cytopath c/v automated
|
$256.70 |
$256.70 |
$256.70 |
$92.04
|
|
Cytopath c/v auto redo
|
$140.25 |
$140.25 |
$140.25 |
$56.00
|
|
Cytopath c/v auto rescreen
|
$92.65 |
$92.65 |
$92.65 |
$39.20
|
|
Cytopath c/v index add-on
|
$74.80 |
$74.80 |
$74.80 |
$35.57
|
|
Cytopath c/v manual
|
$92.65 |
$92.65 |
$92.65 |
$36.80
|
|
Cytopath c/v redo
|
$123.25 |
$123.25 |
$123.25 |
$48.80
|
|
Cytopath c/v thin layer redo
|
$116.45 |
$116.45 |
$116.45 |
$61.80
|
|
Cytopath fl nongyn filter
|
$283.90 |
$283.90 |
$283.90 |
$92.63
|
|
Cytopathology cellular enhancement technique non-gyn
|
$221.00 |
$221.00 |
$221.00 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$136.00 |
$136.00 |
$136.00 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$103.70 |
$103.70 |
$103.70 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$261.80 |
$261.80 |
$261.80 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$285.60 |
$285.60 |
$285.60 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$51.00 |
$51.00 |
$51.00 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$119.85 |
$119.85 |
$119.85 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$561.00 |
$561.00 |
$561.00 |
$209.23
|
|
Cytopath smear other source
|
$314.50 |
$314.50 |
$314.50 |
$88.13
|
|
Cytopath smear other source
|
$508.30 |
$508.30 |
$508.30 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$321.30 |
$321.30 |
$321.30 |
$96.20
|
|
Cytopath tbs c/v auto redo
|
$92.65 |
$92.65 |
$92.65 |
$36.80
|
|
Cytopath tbs c/v manual
|
$92.65 |
$92.65 |
$92.65 |
$59.28
|
|
Cytopath tbs c/v redo
|
$215.05 |
$215.05 |
$215.05 |
$84.80
|
|
Cytopath tbs c/v select
|
$92.65 |
$92.65 |
$92.65 |
$36.80
|
|
Cytotoxic antibody screening
|
$317.90 |
$317.90 |
$317.90 |
$189.00
|
|
Dacarbazine 100 mg intravenous solution
|
$95.18 |
$95.18 |
$95.18 |
$58.22
|
|
Dactinomycin 0.5 mg intravenous solution
|
$7,221.30 |
$7,221.30 |
$7,221.30 |
$3,024.59
|
|
Dalbavancin 500 mg intravenous solution
|
$4,722.51 |
$4,722.51 |
$4,722.51 |
$3,480.35
|
|
Dalteparin sodium
|
$1,120.25 |
$1,120.25 |
$1,120.25 |
$469.55
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$28,074.87 |
$28,074.87 |
$28,074.87 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$10,267.49 |
$10,267.49 |
$10,267.49 |
$6,072.48
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$29,157.21 |
$29,157.21 |
$29,157.21 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$394.01 |
$394.01 |
$394.01 |
$257.10
|
|
D&c after delivery 59160
|
$7,667.85 |
$7,667.85 |
$7,667.85 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$7,667.85 |
$7,667.85 |
$7,667.85 |
$3,774.81
|
|
Dch validity tests
|
$19.55 |
$19.55 |
$19.55 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$48.45 |
$48.45 |
$48.45 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,758.65 |
$1,758.65 |
$1,758.65 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$442.00 |
$442.00 |
$442.00 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$378.25 |
$378.25 |
$378.25 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,313.25 |
$1,313.25 |
$1,313.25 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,116.90 |
$1,116.90 |
$1,116.90 |
$810.50
|
|
Debride nail1-5 11720
|
$149.60 |
$149.60 |
$149.60 |
$148.80
|
|
Debride nail6 or more 11721
|
$149.60 |
$149.60 |
$149.60 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$1,012.80
|
|
Debride skin bone at fx site
|
$6,970.00 |
$6,970.00 |
$6,970.00 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,439.05 |
$1,439.05 |
$1,439.05 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$3,964.40 |
$3,964.40 |
$3,964.40 |
$1,820.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$221.00 |
$221.00 |
$221.00 |
$639.60
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$629.00 |
$629.00 |
$629.00 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,758.65 |
$1,758.65 |
$1,758.65 |
$1,160.00
|
|
Decalcification
|
$51.85 |
$51.85 |
$51.85 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$1,629.45 |
$1,629.45 |
$1,629.45 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$947.75 |
$947.75 |
$947.75 |
$543.00
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$7,938.15 |
$7,938.15 |
$7,938.15 |
$4,914.00
|
|
Decompression of lower leg
|
$7,938.15 |
$7,938.15 |
$7,938.15 |
$3,839.54
|
|
Deep muscle biopsy 20205
|
$6,970.00 |
$6,970.00 |
$6,970.00 |
$3,339.00
|
|
Deferoxamine 500 mg solution for injection
|
$145.49 |
$145.49 |
$145.49 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,059.32 |
$2,059.32 |
$2,059.32 |
$1,807.08
|
|
Delivery of placenta 59414
|
$7,667.85 |
$7,667.85 |
$7,667.85 |
$3,070.56
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$14,699.90 |
$14,699.90 |
$14,699.90 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$502.35 |
$502.35 |
$502.35 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$9,152.97 |
$9,152.97 |
$9,152.97 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$425.00 |
$425.00 |
$425.00 |
$408.10
|
|
Depo-estradiol cypionate inj
|
$55.37 |
$55.37 |
$55.37 |
$71.51
|
|
Descend thora aorta rpr/lt sub art 33880
|
$31,635.30 |
$31,635.30 |
$31,635.30 |
$6,687.93
|
|
Design mlc device for imrt
|
$1,739.10 |
$1,739.10 |
$1,739.10 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$107.46 |
$107.46 |
$107.46 |
$89.78
|
|
Desoxycorticosterone
|
$124.10 |
$124.10 |
$124.10 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$27,639.45 |
$27,639.45 |
$27,639.45 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$21,812.70 |
$21,812.70 |
$21,812.70 |
$2,727.20
|
|
Destroy vulva lesion simple 56501
|
$5,107.65 |
$5,107.65 |
$5,107.65 |
$3,562.00
|
|
Destruction benign lesions < 14 lesions
|
$491.30 |
$491.30 |
$491.30 |
$235.13
|
|
Detect agnt mult dna direc
|
$175.95 |
$175.95 |
$175.95 |
$162.00
|
