|
Cytomegalovirus (cmv) antibody igm
|
$13.76 |
$13.76 |
$13.76 |
$97.50
|
|
Cytopath fl nongyn filter
|
$51.84 |
$51.84 |
$51.84 |
$92.63
|
|
Cytopathology cellular enhancement technique non-gyn
|
$40.64 |
$40.64 |
$40.64 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$27.20 |
$27.20 |
$27.20 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$46.08 |
$46.08 |
$46.08 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$48.00 |
$48.00 |
$48.00 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$7.36 |
$7.36 |
$7.36 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$21.12 |
$21.12 |
$21.12 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$98.24 |
$98.24 |
$98.24 |
$209.23
|
|
Cytopath smear other source
|
$54.08 |
$54.08 |
$54.08 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$56.00 |
$56.00 |
$56.00 |
$96.20
|
|
Dacarbazine 100 mg intravenous solution
|
$23.03 |
$23.03 |
$23.03 |
$58.22
|
|
Dactinomycin 0.5 mg intravenous solution
|
$545.28 |
$545.28 |
$545.28 |
$3,024.59
|
|
Dalbavancin 500 mg intravenous solution
|
$1,940.25 |
$1,940.25 |
$1,940.25 |
$3,480.35
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$10,930.28 |
$10,930.28 |
$10,930.28 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$4,220.47 |
$4,220.47 |
$4,220.47 |
$6,072.48
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$11,974.35 |
$11,974.35 |
$11,974.35 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$249.31 |
$249.31 |
$249.31 |
$257.10
|
|
Dch pulmonary stress test
|
$315.20 |
$315.20 |
$315.20 |
$963.30
|
|
Deamidated gliadin antibody iga
|
$15.68 |
$15.68 |
$15.68 |
$43.60
|
|
Debridement (>20 cm) charge pt
|
$48.00 |
$48.00 |
$48.00 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$514.56 |
$514.56 |
$514.56 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$424.32 |
$424.32 |
$424.32 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$514.56 |
$514.56 |
$514.56 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$424.32 |
$424.32 |
$424.32 |
$810.50
|
|
Debride nail1-5 11720
|
$242.88 |
$242.88 |
$242.88 |
$148.80
|
|
Debride nail6 or more 11721
|
$242.88 |
$242.88 |
$242.88 |
$169.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$424.32 |
$424.32 |
$424.32 |
$639.60
|
|
Debr musc/fascia 20sq cm/< 11043
|
$424.32 |
$424.32 |
$424.32 |
$1,160.00
|
|
Decalcification
|
$8.96 |
$8.96 |
$8.96 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$1,772.65 |
$1,772.65 |
$1,772.65 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$835.20 |
$835.20 |
$835.20 |
$543.00
|
|
Deferoxamine 500 mg solution for injection
|
$75.69 |
$75.69 |
$75.69 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$831.11 |
$831.11 |
$831.11 |
$1,807.08
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$3,762.15 |
$3,762.15 |
$3,762.15 |
$6,324.98
|
|
Depo-estradiol cypionate inj
|
$456.57 |
$456.57 |
$456.57 |
$71.51
|
|
Design mlc device for imrt
|
$183.68 |
$183.68 |
$183.68 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$734.13 |
$734.13 |
$734.13 |
$89.78
|
|
Device ablt adv novasure
|
$259.20 |
$259.20 |
$259.20 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$4,000.00 |
$4,000.00 |
$4,000.00 |
$4,200.00
|
|
Device intraute mirena
|
$1,324.63 |
$1,324.63 |
$1,324.63 |
$2,125.00
|
|
Device tiss remov myosure reach
|
$1,545.60 |
$1,545.60 |
$1,545.60 |
$2,541.00
|
|
Devlopment test interpt&rep
|
$49.92 |
$49.92 |
$49.92 |
$109.46
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$73.28 |
$73.28 |
$73.28 |
$227.15
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$91.30 |
$91.30 |
$91.30 |
$21.17
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$500.03 |
$500.03 |
$500.03 |
$858.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$17.28 |
$17.28 |
$17.28 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$31.36 |
$31.36 |
$31.36 |
$79.20
|
|
Diagnostic laryngoscopy 31575
|
$97.92 |
$97.92 |
$97.92 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$111.36 |
$111.36 |
$111.36 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$86.72 |
$86.72 |
$86.72 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$96.00 |
$96.00 |
$96.00 |
$214.08
|
|
Diatrizoate meglumine 18 % urethral solution
|
$123.95 |
$123.95 |
$123.95 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$62.56 |
$62.56 |
$62.56 |
$74.76
|
|
Dicyclomine injection
|
$45.72 |
$45.72 |
$45.72 |
$153.29
|
|
Diffusing capacity
|
$82.24 |
$82.24 |
$82.24 |
$332.00
|
|
Digital analysis of eeg
|
$142.08 |
$142.08 |
$142.08 |
$605.60
|
|
Digoxin immune fab 40 mg intravenous solution
|
$5,424.44 |
$5,424.44 |
$5,424.44 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$42.88 |
$42.88 |
$42.88 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$114.51 |
$114.51 |
$114.51 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$568.32 |
$568.32 |
$568.32 |
$1,866.73
|
|
Dilat xst trc new access rcs
|
$3,205.12 |
$3,205.12 |
$3,205.12 |
$4,213.20
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,356.25 |
$1,356.25 |
$1,356.25 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$24.93 |
$24.93 |
$24.93 |
$17.75
|
|
Disability dlco
|
$105.92 |
$105.92 |
$105.92 |
$282.40
|
|
Dna antibody native/double stranded
|
$7.68 |
$7.68 |
$7.68 |
$97.50
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$89.58 |
$89.58 |
$89.58 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$5,309.57 |
$5,309.57 |
$5,309.57 |
$904.81
|
|
Dolasetron mesylate
|
$43.29 |
$43.29 |
$43.29 |
$44.65
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$20.00 |
$20.00 |
$20.00 |
$65.40
|
|
Doppler echo complete
|
$73.92 |
$73.92 |
$73.92 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$869.76 |
$869.76 |
$869.76 |
$2,777.60
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$13,119.73 |
$13,119.73 |
$13,119.73 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$286.85 |
$286.85 |
$286.85 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,641.97 |
$2,641.97 |
$2,641.97 |
$1,718.24
|
|
Drainage of kidney lesion
|
$857.60 |
$857.60 |
$857.60 |
$1,506.00
|
|
Drain blood from under nail 11740
|
$242.88 |
$242.88 |
$242.88 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$848.64 |
$848.64 |
$848.64 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$872.32 |
$872.32 |
$872.32 |
$2,850.35
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$414.72 |
$414.72 |
$414.72 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$98.24 |
$98.24 |
$98.24 |
$344.00
|
|
Drug admin & hemodynmic meas
|
$126.08 |
$126.08 |
$126.08 |
$569.75
|
|
Drug assay posaconazole
|
$40.32 |
$40.32 |
$40.32 |
$96.75
|
|
Drug test def 1-7 classes
|
$87.68 |
$87.68 |
$87.68 |
$250.52
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$166.40 |
$166.40 |
$166.40 |
$278.85
|
|
Drvvt confirm - quest
|
$64.96 |
$64.96 |
$64.96 |
$109.20
|
|
Ductogram sgl duct
|
$117.12 |
$117.12 |
$117.12 |
$463.10
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$265.92 |
$265.92 |
$265.92 |
$887.25
|
|
Durvalumab 50 mg/ml intravenous solution
|
$4,683.58 |
$4,683.58 |
$4,683.58 |
$7,973.90
|
|
Ear irrigation 69209
|
$28.80 |
$28.80 |
$28.80 |
$149.76
|
|
Ecg 12 lead tracing only
|
$50.24 |
$50.24 |
$50.24 |
$226.50
|
|
Ecg external < 48 hours recording
|
$166.72 |
$166.72 |
$166.72 |
$462.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$166.72 |
$166.72 |
$166.72 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$166.72 |
$166.72 |
$166.72 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$399.68 |
$399.68 |
$399.68 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$74.24 |
$74.24 |
$74.24 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$251.20 |
$251.20 |
$251.20 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$37.12 |
$37.12 |
$37.12 |
$362.50
|
|
Echo tee probe placement image acquisition interpretation & report
|
$267.84 |
$267.84 |
$267.84 |
$1,849.50
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$251.20 |
$251.20 |
$251.20 |
$985.15
|