|
Cytomegalovirus (cmv) antibody igg
|
$142.50 |
$142.50 |
$274.02 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$130.37 |
$130.37 |
$155.73 |
$100.00
|
|
Cytomegalovirus dfa
|
$142.09 |
$142.09 |
$142.09 |
$77.40
|
|
Cytomegalovirus imm IV /vial
|
$2,670.12 |
$2,670.12 |
$2,670.12 |
$3,072.34
|
|
Cytomeg dna dir probe
|
$237.89 |
$237.89 |
$237.89 |
$178.88
|
|
Cyto/molecular report
|
$128.11 |
$128.11 |
$1,178.85 |
$144.75
|
|
Cytopath c/v automated
|
$94.04 |
$94.04 |
$94.04 |
$92.04
|
|
Cytopath c/v index add-on
|
$35.57 |
$35.57 |
$35.57 |
$34.20
|
|
Cytopath c/v manual
|
$45.41 |
$45.41 |
$45.41 |
$36.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$610.41 |
$610.41 |
$610.41 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$109.16 |
$109.16 |
$375.88 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$86.56 |
$86.56 |
$211.88 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$152.65 |
$152.65 |
$175.15 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$143.89 |
$143.89 |
$181.17 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$112.45 |
$112.45 |
$319.68 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$188.19 |
$188.19 |
$319.68 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$270.82 |
$270.82 |
$319.68 |
$213.85
|
|
Cytopath smear other source
|
$85.80 |
$85.80 |
$186.50 |
$92.50
|
|
Cytopath smear other source
|
$112.99 |
$112.99 |
$112.99 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$91.50 |
$91.50 |
$114.58 |
$96.20
|
|
Cytopath tbs c/v manual
|
$57.94 |
$57.94 |
$110.48 |
$59.28
|
|
Cytotoxic antibody screening
|
$363.33 |
$363.33 |
$363.33 |
$193.80
|
|
Cytp urine 3-5 probes cmptr
|
$690.00 |
$690.00 |
$690.00 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$73.20 |
$73.20 |
$73.20 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$4,905.37 |
$4,905.37 |
$4,905.37 |
$3,264.26
|
|
Dalteparin sodium
|
$28.06 |
$28.06 |
$28.06 |
$469.55
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1.57 |
$1.57 |
$1,205.80 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$18,070.73 |
$18,070.73 |
$18,070.73 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$8.32 |
$8.32 |
$1,410.00 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$3.60 |
$3.60 |
$3.60 |
$7.20
|
|
Dark field exam without collj
|
$95.40 |
$95.40 |
$95.40 |
$28.80
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$18,849.00 |
$18,849.00 |
$18,849.00 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$864.30 |
$864.30 |
$864.30 |
$259.58
|
|
Dbrdmt prmlg les w/pdt
|
$203.65 |
$203.65 |
$203.65 |
$468.00
|
|
D&c after delivery 59160
|
$3,871.96 |
$3,871.96 |
$3,871.96 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,404.02 |
$3,404.02 |
$3,404.02 |
$3,774.81
|
|
Dch glucoscan
|
$31.80 |
$31.80 |
$31.80 |
$29.16
|
|
Dch pulmonary stress test
|
$1,454.57 |
$1,454.57 |
$1,454.57 |
$963.30
|
|
Dch validity tests
|
$24.61 |
$24.61 |
$24.61 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$5,553.11 |
$5,553.11 |
$5,553.11 |
$5,121.00
|
|
Dcmprn plantar digital nerve
|
$2,375.24 |
$2,375.24 |
$2,375.24 |
$2,685.07
|
|
D&c of cervical stump
|
$3,066.34 |
$3,066.34 |
$3,066.34 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$72.09 |
$72.09 |
$72.09 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$626.58 |
$626.58 |
$626.58 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$305.70 |
$305.70 |
$315.59 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$3,131.00 |
$3,131.00 |
$3,131.00 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,173.91 |
$1,173.91 |
$1,173.91 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,583.54 |
$1,583.54 |
$1,583.54 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,231.11 |
$1,231.11 |
$1,231.11 |
$835.20
|
|
Debride nail1-5 11720
|
$196.21 |
$196.21 |
$196.21 |
$149.60
|
|
Debride nail6 or more 11721
|
$233.17 |
$233.17 |
$233.17 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,280.79 |
$1,280.79 |
$1,280.79 |
$1,163.24
|
|
Debride skin bone at fx site
|
$2,593.25 |
$2,593.25 |
$2,593.25 |
$3,015.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$2,850.11 |
$2,850.11 |
$2,850.11 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,063.51 |
$1,063.51 |
$1,063.51 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$252.43 |
$252.43 |
$252.43 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,233.31 |
$1,233.31 |
$1,233.31 |
$1,149.50
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,523.50 |
$1,523.50 |
$1,523.50 |
$1,165.50
|
|
Decalcification
|
$91.04 |
$91.04 |
$93.09 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$3,109.80 |
$3,109.80 |
$3,109.80 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$400.45 |
$400.45 |
$492.66 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$6,426.61 |
$6,426.61 |
$6,426.61 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$3,183.16 |
$3,183.16 |
$3,183.16 |
$3,137.60
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$4,755.67 |
$4,755.67 |
$4,755.67 |
$4,664.40
|
|
Decompress fasciotomyhand 26037
|
$1,575.22 |
$1,575.22 |
$1,575.22 |
$3,839.54
|
|
Decompress fingers/hand
|
$2,444.37 |
$2,444.37 |
$2,444.37 |
$3,839.54
|
|
Decompress forearm 1 space
|
$3,957.20 |
$3,957.20 |
$3,957.20 |
$4,499.12
|
|
Decompress forearm 2 spaces
|
$4,755.67 |
$4,755.67 |
$4,755.67 |
$3,851.20
|
|
Decompression fasct forearm
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,886.74
|
|
Decompression of leg
|
$3,721.84 |
$3,721.84 |
$3,721.84 |
$3,839.54
|
|
Decompression of leg
|
$3,721.84 |
$3,721.84 |
$3,721.84 |
$4,134.40
|
|
Decompression of lower leg
|
$3,578.72 |
$3,578.72 |
$3,578.72 |
$3,969.00
|
|
Decompression of lower leg
|
$3,773.95 |
$3,773.95 |
$3,773.95 |
$3,839.54
|
|
Decompression of thigh/knee
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$4,192.86
|
|
Decompression of thigh/knee
|
$3,578.69 |
$3,578.69 |
$3,578.69 |
$3,217.60
|
|
Decompression of thigh/knee
|
$3,461.04 |
$3,461.04 |
$3,461.04 |
$7,807.24
|
|
Decompression of tibia nerve
|
$3,353.97 |
$3,353.97 |
$3,353.97 |
$2,685.07
|
|
Decompression unspecified nerve 64722
|
$3,932.93 |
$3,932.93 |
$3,932.93 |
$2,310.83
|
|
Decompress optic nerve
|
$5,998.70 |
$5,998.70 |
$5,998.70 |
$5,482.40
|
|
Decompres spinal cord;thoracic 63055
|
$10,091.68 |
$10,091.68 |
$10,091.68 |
$8,412.89
|
|
Decompress spinal cord lmbr
|
$12,584.42 |
$12,584.42 |
$12,584.42 |
$8,446.03
|
|
Decompress spinal cord thrc
|
$6,063.98 |
$6,063.98 |
$6,063.98 |
$6,817.20
|
|
Decompress spine cord add-on
|
$6,063.98 |
$6,063.98 |
$6,063.98 |
$1,990.40
|
|
Decomp spinal cord/transped/ad seg 63057
|
$4,949.35 |
$4,949.35 |
$4,949.35 |
$1,365.00
|
|
Deep muscle biopsy 20205
|
$2,491.91 |
$2,491.91 |
$2,491.91 |
$3,386.84
|
|
Deferoxamine 500 mg solution for injection
|
$10.13 |
$10.13 |
$34.05 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,318.82 |
$1,318.82 |
$1,318.82 |
$1,856.85
|
|
Delayed breast prosthesis 19342
|
$7,698.09 |
$7,698.09 |
$7,698.09 |
$7,906.00
|
|
Delay flap arms/legs
|
$4,054.55 |
$4,054.55 |
$4,054.55 |
$4,054.55
|
|
Delay flap eye/nos/ear/lip
|
$4,777.42 |
$4,777.42 |
$4,777.42 |
$2,371.50
|
|
Delay flap fccnaxghf 15620
|
$4,054.55 |
$4,054.55 |
$4,054.55 |
$2,837.09
|
|
Delay flap trunk 15600
|
$3,984.92 |
$3,984.92 |
$3,984.92 |
$4,332.25
|
|
Delivery of placenta 59414
|
$3,073.67 |
$3,073.67 |
$3,073.67 |
$2,912.46
|
|
Delivery only/pp care/failed vbac 59622
|
$4,804.24 |
$4,804.24 |
$4,804.24 |
$2,639.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$8,127.00 |
$8,127.00 |
$8,127.00 |
$6,670.30
|
|
Demonstrate use home inr mon
|
$330.17 |
$330.17 |
$330.17 |
$294.75
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$163.67 |
$163.67 |
$185.17 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$23.92 |
$23.92 |
$5,913.85 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$560.02 |
$560.02 |
$560.02 |
$401.60
|
|
Depo-estradiol cypionate inj
|
$15.40 |
$15.40 |
$15.40 |
$71.51
|