|
Cystine urine quantitative
|
$29.21 |
$29.21 |
$29.21 |
$103.35
|
|
Cytomegalovirus (cmv) antibody igg
|
$24.61 |
$24.61 |
$24.61 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$28.06 |
$28.06 |
$28.06 |
$97.50
|
|
Cytopathology cellular enhancement technique non-gyn
|
$76.13 |
$76.13 |
$76.13 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$34.73 |
$34.73 |
$34.73 |
$87.50
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$84.64 |
$84.64 |
$84.64 |
$208.60
|
|
Cytopath smear other source
|
$42.78 |
$42.78 |
$42.78 |
$88.13
|
|
Cytotoxic antibody screening
|
$31.28 |
$31.28 |
$31.28 |
$133.25
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$217.21 |
$217.21 |
$217.21 |
$168.53
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,970.95 |
$1,970.95 |
$1,970.95 |
$6,269.40
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$1,247.98 |
$1,247.98 |
$1,247.98 |
$3,774.81
|
|
Dch validity tests
|
$4.37 |
$4.37 |
$4.37 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$72.91 |
$72.91 |
$72.91 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$153.87 |
$153.87 |
$153.87 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$75.67 |
$75.67 |
$75.67 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$470.35 |
$470.35 |
$470.35 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$26.91 |
$26.91 |
$26.91 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$452.18 |
$452.18 |
$452.18 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$299.00 |
$299.00 |
$299.00 |
$810.50
|
|
Debride nail6 or more 11721
|
$24.38 |
$24.38 |
$24.38 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$289.11 |
$289.11 |
$289.11 |
$1,012.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$111.32 |
$111.32 |
$111.32 |
$639.60
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$338.79 |
$338.79 |
$338.79 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$30.59 |
$30.59 |
$30.59 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$284.74 |
$284.74 |
$284.74 |
$1,160.00
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$256.91 |
$256.91 |
$256.91 |
$543.00
|
|
Deep muscle biopsy 20205
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$3,339.00
|
|
Deferoxamine 500 mg solution for injection
|
$133.32 |
$133.32 |
$133.32 |
$95.85
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$34.04 |
$34.04 |
$34.04 |
$185.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$3,039.86 |
$3,039.86 |
$3,039.86 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$201.94 |
$201.94 |
$201.94 |
$408.10
|
|
Dermagraft
|
$23.23 |
$23.23 |
$23.23 |
$85.00
|
|
Dermapure 1 square cm
|
$215.16 |
$215.16 |
$215.16 |
$3,822.00
|
|
Desoxycorticosterone
|
$32.43 |
$32.43 |
$32.43 |
$109.28
|
|
Destroy premlg lesns;1st lesn 17000
|
$97.52 |
$97.52 |
$97.52 |
$199.50
|
|
Destruction benign lesions < 14 lesions
|
$38.64 |
$38.64 |
$38.64 |
$235.13
|
|
Devel tst phys/qhp 1st hr
|
$66.01 |
$66.01 |
$66.01 |
$337.50
|
|
Device ablt adv novasure
|
$10,557.35 |
$10,557.35 |
$10,557.35 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$5,486.26 |
$5,486.26 |
$5,486.26 |
$4,200.00
|
|
Device tiss remov myosure reach
|
$1,876.06 |
$1,876.06 |
$1,876.06 |
$2,541.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$33.12 |
$33.12 |
$33.12 |
$200.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$67.85 |
$67.85 |
$67.85 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$0.41 |
$0.41 |
$0.41 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$25.69 |
$25.69 |
$25.69 |
$21.18
|
|
Dextran 40 infusion
|
$27.23 |
$27.23 |
$27.23 |
$151.20
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$11.13 |
$11.13 |
$11.13 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$11.13 |
$11.13 |
$11.13 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$38.18 |
$38.18 |
$38.18 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$16.56 |
$16.56 |
$16.56 |
$79.20
|
|
Diagnostic anoscopy spx 46600
|
$135.70 |
$135.70 |
$135.70 |
$190.68
|
|
Diagnostic laryngoscopy 31575
|
$50.14 |
$50.14 |
$50.14 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$83.95 |
$83.95 |
$83.95 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$72.68 |
$72.68 |
$72.68 |
$301.55
|
|
Dialysis one evaluation
|
$191.13 |
$191.13 |
$191.13 |
$919.44
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$104.32 |
$104.32 |
$104.32 |
$74.17
|
|
Dicyclomine injection
|
$272.00 |
$272.00 |
$272.00 |
$153.29
|
|
Diffusing capacity
|
$98.21 |
$98.21 |
$98.21 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$290.58 |
$290.58 |
$290.58 |
$68.22
|
|
Digoxin immune fab 40 mg intravenous solution
|
$7,506.92 |
$7,506.92 |
$7,506.92 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$23.00 |
$23.00 |
$23.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$330.61 |
$330.61 |
$330.61 |
$297.86
|
|
Dilation of cervical canal 57800
|
$1,321.35 |
$1,321.35 |
$1,321.35 |
$4,376.00
|
|
Dilator fascial 10fx20cm
|
$595.86 |
$595.86 |
$595.86 |
$402.10
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$10.31 |
$10.31 |
$10.31 |
$17.75
|
|
Disability dlco
|
$46.69 |
$46.69 |
$46.69 |
$284.97
|
|
Disaccharidases
|
$30.82 |
$30.82 |
$30.82 |
$216.00
|
|
Dmd dup/delet analysis
|
$215.05 |
$215.05 |
$215.05 |
$404.03
|
|
Dna antibody native/double stranded
|
$23.69 |
$23.69 |
$23.69 |
$95.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$36.93 |
$36.93 |
$36.93 |
$98.43
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$13.16 |
$13.16 |
$13.16 |
$65.40
|
|
Doppler echo complete
|
$220.11 |
$220.11 |
$220.11 |
$531.50
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$247.71 |
$247.71 |
$247.71 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$225.17 |
$225.17 |
$225.17 |
$470.05
|
|
Dpyd gene common variants
|
$220.11 |
$220.11 |
$220.11 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$65.32 |
$65.32 |
$65.32 |
$800.00
|
|
Drainage external ear simple 69000
|
$55.89 |
$55.89 |
$55.89 |
$789.60
|
|
Drainage mouth roof lesion
|
$144.67 |
$144.67 |
$144.67 |
$390.39
|
|
Drainage of urethra abscess 53060
|
$860.89 |
$860.89 |
$860.89 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$40.25 |
$40.25 |
$40.25 |
$171.20
|
|
Drain cerebro spinal fluid 62272
|
$356.96 |
$356.96 |
$356.96 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$128.34 |
$128.34 |
$128.34 |
$424.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$224.02 |
$224.02 |
$224.02 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$74.52 |
$74.52 |
$74.52 |
$345.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$100.28 |
$100.28 |
$100.28 |
$523.00
|
|
Drill hole implt ventricular cath/device 61107
|
$262.20 |
$262.20 |
$262.20 |
$1,515.00
|
|
Drng of eyelid abscess 67700
|
$201.94 |
$201.94 |
$201.94 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$696.44 |
$696.44 |
$696.44 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$283.13 |
$283.13 |
$283.13 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$349.60 |
$349.60 |
$349.60 |
$1,935.96
|
|
Droperidol 2.5 mg/ml injection solution
|
$32.29 |
$32.29 |
$32.29 |
$31.07
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$4.60 |
$4.60 |
$4.60 |
$127.14
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$333.55 |
$333.55 |
$333.55 |
$8,040.27
|
|
Drug assay posaconazole
|
$20.93 |
$20.93 |
$20.93 |
$96.75
|
|
Drug assay rufinamide
|
$34.04 |
$34.04 |
$34.04 |
$85.80
|
|
Drug assay vedolizumab
|
$32.66 |
$32.66 |
$32.66 |
$152.79
|
|
Drug assay voriconazole
|
$34.04 |
$34.04 |
$34.04 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$14.49 |
$14.49 |
$14.49 |
$66.43
|
|
Drug screening tapentadol
|
$14.49 |
$14.49 |
$14.49 |
$36.00
|
|
Drug test def 15-21 classes
|
$208.84 |
$208.84 |
$208.84 |
$263.25
|
|
Drug test def 1-7 classes
|
$100.74 |
$100.74 |
$100.74 |
$246.00
|
