|
Cyclosporine modified 25 mg capsule
|
$27.18 |
$27.18 |
$33.91 |
$7.48
|
|
Cygnus, per sq cm
|
$28,215.00 |
$28,215.00 |
$28,215.00 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$91,360.48 |
$91,360.48 |
$91,360.48 |
$22,803.38
|
|
Cyp2c19 gene com variants
|
$559.80 |
$559.80 |
$559.80 |
$504.00
|
|
Cyp2d6 gene com variants
|
$284.40 |
$284.40 |
$284.40 |
$554.00
|
|
Cyp3a4 gene common variants
|
$524.40 |
$524.40 |
$524.40 |
$245.31
|
|
Cyp3a5 gene common variants
|
$524.40 |
$524.40 |
$524.40 |
$245.31
|
|
Cystic fibrosis cftr
|
$2,549.40 |
$2,549.40 |
$2,549.40 |
$1,100.00
|
|
Cystine urine quantitative
|
$69.00 |
$69.00 |
$69.00 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$478.80 |
$478.80 |
$478.80 |
$542.10
|
|
Cysto impl 4 or more
|
$48,886.66 |
$48,886.66 |
$48,886.66 |
$6,860.21
|
|
Cysto, litho, vacuum kidney
|
$40,963.86 |
$40,963.86 |
$40,963.86 |
$10,942.71
|
|
Cysto rx balo cath urtl strx
|
$100,990.90 |
$100,990.90 |
$100,990.90 |
$6,015.75
|
|
Cystoscopy and treatment
|
$9,366.90 |
$9,366.90 |
$35,319.46 |
$4,160.10
|
|
Cystoscopy and treatment
|
$21,376.09 |
$21,376.09 |
$21,376.09 |
$5,162.50
|
|
Cystoscopy and treatment
|
$23,463.01 |
$23,463.01 |
$23,463.01 |
$5,995.60
|
|
Cystoscopy and treatment
|
$14,256.74 |
$14,256.74 |
$14,256.74 |
$6,475.26
|
|
Cystoscopy and treatment
|
$10,118.83 |
$10,118.83 |
$11,236.93 |
$3,213.14
|
|
Cystoscopy and treatment
|
$34,724.76 |
$34,724.76 |
$34,724.76 |
$4,045.60
|
|
Cystoscopy and treatment
|
$9,008.68 |
$9,008.68 |
$9,008.68 |
$4,081.37
|
|
Cystoscopy and treatment
|
$4,608.60 |
$4,608.60 |
$13,826.53 |
$2,874.36
|
|
Cystoscopy and treatment
|
$4,608.60 |
$4,608.60 |
$4,608.60 |
$3,203.50
|
|
Cystoscopy (Bladder Scope)
|
$1,449.00 |
$1,449.00 |
$9,531.17 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$17,205.51 |
$17,205.51 |
$17,205.51 |
$2,704.80
|
|
Cystoscopy prostatic imp 1-3
|
$22,024.81 |
$22,024.81 |
$22,024.81 |
$5,741.40
|
|
Cystoscopy removal of clots
|
$10,997.44 |
$10,997.44 |
$10,997.44 |
$4,081.37
|
|
Cystoscopy & revise urethra
|
$16,222.67 |
$16,222.67 |
$16,222.67 |
$3,770.00
|
|
Cystoscopy & ureter catheter
|
$4,608.60 |
$4,608.60 |
$26,584.85 |
$3,786.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$25,837.75 |
$25,837.75 |
$25,837.75 |
$3,863.60
|
|
Cystouretero & or pyeloscope
|
$49,404.70 |
$49,404.70 |
$49,404.70 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$20,859.81 |
$20,859.81 |
$20,859.81 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$27,329.90 |
$27,329.90 |
$27,329.90 |
$5,986.78
|
|
Cysto/uretero w/lithotripsy
|
$120,564.83 |
$120,564.83 |
$120,564.83 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$15,057.37 |
$15,057.37 |
$15,057.37 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$51,217.31 |
$51,217.31 |
$51,217.31 |
$5,110.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$16,090.86 |
$16,090.86 |
$20,257.97 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$19,946.56 |
$19,946.56 |
$19,946.56 |
$4,045.60
|
|
Cytarabine 20 mg/ml injection solution
|
$101.20 |
$101.20 |
$115.82 |
$89.94
|
|
Cytomegalovirus (cmv) antibody igg
|
$136.20 |
$136.20 |
$136.20 |
$95.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$281.40 |
$281.40 |
$281.40 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$133.20 |
$133.20 |
$133.20 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$99.00 |
$99.00 |
$99.00 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$74.40 |
$74.40 |
$74.40 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$118.80 |
$118.80 |
$118.80 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$79.80 |
$79.80 |
$79.80 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$180.00 |
$180.00 |
$180.00 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$307.20 |
$307.20 |
$307.20 |
$209.23
|
|
Cytopath smear other source
|
$40.80 |
$40.80 |
$40.80 |
$88.13
|
|
Cytp urine 3-5 probes cmptr
|
$475.80 |
$475.80 |
$475.80 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$102.97 |
$102.97 |
$115.23 |
$58.22
|
|
Dalbavancin 500 mg intravenous solution
|
$7,472.35 |
$7,472.35 |
$8,539.82 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$147.00 |
$147.00 |
$168.00 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$52,647.89 |
$52,647.89 |
$60,259.63 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,300.32 |
$1,300.32 |
$1,486.08 |
$6,072.48
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$54,680.40 |
$54,680.40 |
$62,586.00 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$1,670.05 |
$1,670.05 |
$1,911.50 |
$257.10
|
|
Dch validity tests
|
$37.20 |
$37.20 |
$37.20 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$34.80 |
$34.80 |
$34.80 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$674.40 |
$674.40 |
$674.40 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$316.80 |
$316.80 |
$316.80 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$4,299.00 |
$4,299.00 |
$20,275.30 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$804.00 |
$804.00 |
$10,079.85 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,444.20 |
$1,444.20 |
$1,444.20 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$4,066.20 |
$4,066.20 |
$14,008.03 |
$810.50
|
|
Debride nail1-5 11720
|
$174.00 |
$174.00 |
$174.00 |
$148.80
|
|
Debride skin bone at fx site
|
$6,102.60 |
$6,102.60 |
$9,046.20 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$697.20 |
$697.20 |
$11,338.17 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$13,224.35 |
$13,224.35 |
$13,224.35 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$12,808.68 |
$12,808.68 |
$12,808.68 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,743.00 |
$1,743.00 |
$33,757.83 |
$1,160.00
|
|
Decalcification
|
$156.00 |
$156.00 |
$156.00 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$230.92 |
$230.92 |
$264.30 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$546.60 |
$546.60 |
$546.60 |
$543.00
|
|
Decompress forearm 1 space
|
$19,949.24 |
$19,949.24 |
$19,949.24 |
$3,957.20
|
|
Decompression of tibia nerve
|
$7,899.35 |
$7,899.35 |
$7,899.35 |
$2,625.60
|
|
Degarelix 120 mg subcutaneous solution
|
$3,795.21 |
$3,795.21 |
$4,343.92 |
$1,807.08
|
|
Delayed breast prosthesis 19342
|
$36,449.00 |
$36,449.00 |
$102,976.43 |
$10,457.82
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$487.80 |
$487.80 |
$487.80 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$14,488.91 |
$14,488.91 |
$16,558.76 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$290.40 |
$290.40 |
$290.40 |
$408.10
|
|
Dermabrasion segmental face 15781
|
$34,753.97 |
$34,753.97 |
$34,753.97 |
$1,290.07
|
|
Dermapure 1 square cm
|
$12,508.65 |
$12,508.65 |
$12,508.65 |
$3,822.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$82.06 |
$82.06 |
$91.84 |
$89.78
|
|
Destroy cervthor facet jnt 64633
|
$4,686.60 |
$4,686.60 |
$4,686.60 |
$3,011.50
|
|
Destruction benign lesions < 14 lesions
|
$462.60 |
$462.60 |
$8,988.72 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$57,648.12 |
$57,648.12 |
$57,648.12 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$57,648.12 |
$57,648.12 |
$57,648.12 |
$3,202.98
|
|
Device ablt adv novasure
|
$30,409.50 |
$30,409.50 |
$30,409.50 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$15,675.00 |
$15,675.00 |
$15,675.00 |
$4,200.00
|
|
Device sut capio slim opn
|
$7,172.88 |
$7,172.88 |
$7,172.88 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$5,807.59 |
$5,807.59 |
$5,807.59 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$90.60 |
$90.60 |
$90.60 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$27.00 |
$27.00 |
$27.00 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$45.00 |
$45.00 |
$45.00 |
$21.17
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$967.22 |
$967.22 |
$1,105.39 |
$858.00
|
|
Dextran 40 infusion
|
$552.62 |
$552.62 |
$618.45 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$111.60 |
$111.60 |
$129.60 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$105.00 |
$105.00 |
$108.00 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$105.00 |
$105.00 |
$118.80 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$111.60 |
$111.60 |
$129.60 |
$48.00
|