|
Cytopathology fna adequacy evaluation first episode each site
|
$19.14 |
$19.14 |
$19.14 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$89.03 |
$89.03 |
$89.03 |
$209.23
|
|
Cytopath smear other source
|
$49.01 |
$49.01 |
$49.01 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$50.75 |
$50.75 |
$50.75 |
$96.20
|
|
Dacarbazine 100 mg intravenous solution
|
$20.87 |
$20.87 |
$20.87 |
$58.22
|
|
Dactinomycin 0.5 mg intravenous solution
|
$494.16 |
$494.16 |
$494.16 |
$3,024.59
|
|
Dalbavancin 500 mg intravenous solution
|
$1,758.35 |
$1,758.35 |
$1,758.35 |
$3,480.35
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$9,905.56 |
$9,905.56 |
$9,905.56 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$3,824.80 |
$3,824.80 |
$3,824.80 |
$6,072.48
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$10,851.75 |
$10,851.75 |
$10,851.75 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$225.94 |
$225.94 |
$225.94 |
$257.10
|
|
Deamidated gliadin antibody iga
|
$14.21 |
$14.21 |
$14.21 |
$43.60
|
|
Decalcification
|
$8.12 |
$8.12 |
$8.12 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$1,606.46 |
$1,606.46 |
$1,606.46 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$756.90 |
$756.90 |
$756.90 |
$543.00
|
|
Deferoxamine 500 mg solution for injection
|
$68.59 |
$68.59 |
$68.59 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$753.19 |
$753.19 |
$753.19 |
$1,807.08
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$3,409.45 |
$3,409.45 |
$3,409.45 |
$6,324.98
|
|
Depo-estradiol cypionate inj
|
$413.77 |
$413.77 |
$413.77 |
$71.51
|
|
Design mlc device for imrt
|
$166.46 |
$166.46 |
$166.46 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$665.31 |
$665.31 |
$665.31 |
$89.78
|
|
Device intraute mirena
|
$1,200.45 |
$1,200.45 |
$1,200.45 |
$2,125.00
|
|
Device tiss remov myosure reach
|
$1,400.70 |
$1,400.70 |
$1,400.70 |
$2,541.00
|
|
Devlopment test interpt&rep
|
$45.24 |
$45.24 |
$45.24 |
$109.46
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$66.41 |
$66.41 |
$66.41 |
$227.15
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$82.74 |
$82.74 |
$82.74 |
$21.17
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$453.15 |
$453.15 |
$453.15 |
$858.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$61.48 |
$61.48 |
$61.48 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$28.42 |
$28.42 |
$28.42 |
$79.20
|
|
Diagnostic laryngoscopy 31575
|
$88.74 |
$88.74 |
$88.74 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$100.92 |
$100.92 |
$100.92 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$78.59 |
$78.59 |
$78.59 |
$301.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$112.33 |
$112.33 |
$112.33 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$56.70 |
$56.70 |
$56.70 |
$74.76
|
|
Dicyclomine injection
|
$41.44 |
$41.44 |
$41.44 |
$153.29
|
|
Diffusing capacity
|
$74.53 |
$74.53 |
$74.53 |
$332.00
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,915.90 |
$4,915.90 |
$4,915.90 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$38.86 |
$38.86 |
$38.86 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$103.77 |
$103.77 |
$103.77 |
$297.86
|
|
Dilator fascial 10fx20cm
|
$365.40 |
$365.40 |
$365.40 |
$402.10
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,229.10 |
$1,229.10 |
$1,229.10 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$22.59 |
$22.59 |
$22.59 |
$17.75
|
|
Disability dlco
|
$95.99 |
$95.99 |
$95.99 |
$282.40
|
|
Discography cerv/thor spine
|
$867.97 |
$867.97 |
$867.97 |
$2,565.00
|
|
Dna antibody native/double stranded
|
$6.96 |
$6.96 |
$6.96 |
$97.50
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$81.18 |
$81.18 |
$81.18 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$4,811.80 |
$4,811.80 |
$4,811.80 |
$904.81
|
|
Dolasetron mesylate
|
$39.23 |
$39.23 |
$39.23 |
$44.65
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$18.13 |
$18.13 |
$18.13 |
$65.40
|
|
Doppler echo complete
|
$66.99 |
$66.99 |
$66.99 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$788.22 |
$788.22 |
$788.22 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$136.59 |
$136.59 |
$136.59 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$76.85 |
$76.85 |
$76.85 |
$471.17
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$11,889.76 |
$11,889.76 |
$11,889.76 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$259.96 |
$259.96 |
$259.96 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,394.29 |
$2,394.29 |
$2,394.29 |
$1,718.24
|
|
Dpyd gene common variants
|
$243.60 |
$243.60 |
$243.60 |
$380.50
|
|
Drainage of kidney lesion
|
$777.20 |
$777.20 |
$777.20 |
$1,506.00
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$769.08 |
$769.08 |
$769.08 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$790.54 |
$790.54 |
$790.54 |
$2,850.35
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$6,313.78 |
$6,313.78 |
$6,313.78 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$114.26 |
$114.26 |
$114.26 |
$569.75
|
|
Drug test def 1-7 classes
|
$69.89 |
$69.89 |
$69.89 |
$250.52
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$150.80 |
$150.80 |
$150.80 |
$278.85
|
|
Drvvt confirm - quest
|
$58.87 |
$58.87 |
$58.87 |
$109.20
|
|
Ductogram sgl duct
|
$106.14 |
$106.14 |
$106.14 |
$463.10
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$240.99 |
$240.99 |
$240.99 |
$887.25
|
|
Durvalumab 50 mg/ml intravenous solution
|
$4,244.50 |
$4,244.50 |
$4,244.50 |
$7,973.90
|
|
Ecg 12 lead tracing only
|
$45.53 |
$45.53 |
$45.53 |
$226.50
|
|
Echocardiogram (Heart Ultrasound)
|
$362.21 |
$362.21 |
$362.21 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$67.28 |
$67.28 |
$67.28 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$362.21 |
$362.21 |
$362.21 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$227.65 |
$227.65 |
$227.65 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$227.65 |
$227.65 |
$227.65 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$33.64 |
$33.64 |
$33.64 |
$362.50
|
|
Echo exam of fetal heart
|
$82.07 |
$82.07 |
$82.07 |
$431.41
|
|
Echo guide for amniocentesis
|
$117.45 |
$117.45 |
$117.45 |
$456.30
|
|
Echo tee probe placement image acquisition interpretation & report
|
$348.29 |
$348.29 |
$348.29 |
$1,849.50
|
|
Echo transesophageal
|
$348.29 |
$348.29 |
$348.29 |
$1,559.35
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$227.65 |
$227.65 |
$227.65 |
$985.15
|
|
E coli 0157 ag ia
|
$33.35 |
$33.35 |
$33.35 |
$72.15
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$6,446.81 |
$6,446.81 |
$6,446.81 |
$18,199.20
|
|
Eeg monitor/record/awake/drowsy 95816
|
$174.29 |
$174.29 |
$174.29 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$232.29 |
$232.29 |
$232.29 |
$1,102.05
|
|
Eeg recording awake and asleep
|
$196.91 |
$196.91 |
$196.91 |
$931.20
|
|
Elec analys infus pump w/reprog 62368
|
$541.43 |
$541.43 |
$541.43 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$541.43 |
$541.43 |
$541.43 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$541.43 |
$541.43 |
$541.43 |
$616.11
|
|
Electrd sq emblem s-icd
|
$5,800.00 |
$5,800.00 |
$5,800.00 |
$10,243.24
|
|
Electrolyte panel
|
$18.85 |
$18.85 |
$18.85 |
$84.24
|
|
Electrophysiology evaluation
|
$1,661.99 |
$1,661.99 |
$1,661.99 |
$8,979.45
|
|
Electrophysiology evaluation
|
$1,816.56 |
$1,816.56 |
$1,816.56 |
$10,233.60
|
|
Electrophysiology evaluation
|
$1,206.11 |
$1,206.11 |
$1,206.11 |
$6,760.00
|
|
Electrophysiology evaluation
|
$1,206.11 |
$1,206.11 |
$1,206.11 |
$5,854.80
|
|
Electrophysiology evaluation
|
$425.14 |
$425.14 |
$425.14 |
$2,821.00
|
|
Elisa hiv-1/hiv-2 screen
|
$51.62 |
$51.62 |
$51.62 |
$27.00
|
|
Elotuzumab 300 mg intravenous solution
|
$3,058.71 |
$3,058.71 |
$3,058.71 |
$5,523.02
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$14,119.24 |
$14,119.24 |
$14,119.24 |
$16,066.72
|
|
Embo or occlude vascular arterial s&i
|
$3,259.31 |
$3,259.31 |
$3,259.31 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$3,259.31 |
$3,259.31 |
$3,259.31 |
$14,586.00
|