|
Cyclic citrullinated peptide antibody
|
$126.00 |
$126.00 |
$126.00 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$3,598.06 |
$3,598.06 |
$3,598.06 |
$1,048.28
|
|
Cyclophosphamide 25 mg capsule
|
$114.89 |
$114.89 |
$974.94 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$287.07 |
$287.07 |
$287.07 |
$179.10
|
|
Cyclosporine 2 hour
|
$1,049.16 |
$1,049.16 |
$1,049.16 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$9.58 |
$9.58 |
$9.58 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$30.87 |
$34.88 |
$105.63 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$28,542.53 |
$28,542.53 |
$28,542.53 |
$22,594.80
|
|
Cystogram >= 3 views supervision & interpretation
|
$991.62 |
$991.62 |
$991.62 |
$539.55
|
|
Cystoscopy and treatment
|
$5,260.50 |
$5,260.50 |
$5,260.50 |
$4,081.37
|
|
Cystoscopy and treatment
|
$3,044.58 |
$3,044.58 |
$3,044.58 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$3,459.96 |
$3,459.96 |
$3,459.96 |
$1,610.20
|
|
Cystoscopy removal of clots
|
$5,260.50 |
$5,260.50 |
$5,260.50 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$3,044.58 |
$3,044.58 |
$3,044.58 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$2,688.00 |
$2,688.00 |
$2,688.00 |
$3,774.40
|
|
Cystouretero & or pyeloscope
|
$5,260.50 |
$5,260.50 |
$5,260.50 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$5,260.50 |
$5,260.50 |
$5,260.50 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,415.84 |
$2,415.84 |
$2,415.84 |
$2,874.36
|
|
Cytarabine 20 mg/ml injection solution
|
$194.04 |
$194.04 |
$194.78 |
$89.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$25.62 |
$68.46 |
$68.46 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$29.82 |
$110.46 |
$110.46 |
$96.80
|
|
Cytomegalovirus imm IV /vial
|
$11,254.64 |
$11,254.64 |
$11,254.64 |
$3,113.07
|
|
Cytopathology cellular enhancement technique non-gyn
|
$368.34 |
$368.34 |
$368.34 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$293.58 |
$293.58 |
$293.58 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$293.58 |
$293.58 |
$293.58 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$67.20 |
$67.20 |
$67.20 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$335.16 |
$413.70 |
$413.70 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$526.68 |
$526.68 |
$526.68 |
$205.00
|
|
Cytopath smear other source
|
$231.00 |
$231.00 |
$231.00 |
$85.80
|
|
Dacarbazine 100 mg intravenous solution
|
$158.03 |
$158.03 |
$158.03 |
$82.91
|
|
Dactinomycin 0.5 mg intravenous solution
|
$9,916.68 |
$9,916.68 |
$9,916.68 |
$2,526.62
|
|
Dalbavancin 500 mg intravenous solution
|
$6,044.06 |
$6,044.06 |
$6,044.06 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$232.27 |
$256.51 |
$3,260.41 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$24,177.42 |
$24,177.42 |
$24,177.42 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$4,673.41 |
$4,673.41 |
$4,673.41 |
$5,546.48
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$25,236.98 |
$25,236.98 |
$25,236.98 |
$26,349.55
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$989.26 |
$989.26 |
$1,192.45 |
$260.95
|
|
D&c after delivery 59160
|
$4,096.68 |
$4,096.68 |
$4,096.68 |
$3,762.53
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,982.44 |
$3,982.44 |
$3,982.44 |
$3,774.81
|
|
Dch validity tests
|
$106.26 |
$106.26 |
$106.26 |
$25.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$818.58 |
$818.58 |
$818.58 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$318.36 |
$318.36 |
$318.36 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$3,131.10 |
$3,131.10 |
$3,131.10 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$341.46 |
$341.46 |
$341.46 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,061.34 |
$1,061.34 |
$1,061.34 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,640.52 |
$1,640.52 |
$1,640.52 |
$810.50
|
|
Debride nail1-5 11720
|
$149.10 |
$149.10 |
$149.10 |
$173.25
|
|
Debride nail6 or more 11721
|
$149.10 |
$149.10 |
$149.10 |
$195.20
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$914.34 |
$914.34 |
$914.34 |
$1,265.16
|
|
Debride skin bone at fx site
|
$3,638.88 |
$3,638.88 |
$3,638.88 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$341.46 |
$341.46 |
$341.46 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$849.66 |
$849.66 |
$849.66 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$409.08 |
$409.08 |
$409.08 |
$113.05
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,052.54 |
$2,052.54 |
$2,052.54 |
$1,193.40
|
|
Decalcification
|
$175.56 |
$175.56 |
$175.56 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$1,460.21 |
$1,460.21 |
$1,475.57 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$872.34 |
$872.34 |
$872.34 |
$545.90
|
|
Decompress fasciotomyhand 26037
|
$4,313.40 |
$4,313.40 |
$4,313.40 |
$3,594.44
|
|
Decompression of lower leg
|
$4,192.86 |
$4,192.86 |
$4,192.86 |
$3,839.54
|
|
Decompression of thigh/knee
|
$4,192.86 |
$4,192.86 |
$4,192.86 |
$3,839.54
|
|
Deep muscle biopsy 20205
|
$5,045.46 |
$5,045.46 |
$5,045.46 |
$3,370.52
|
|
Deferoxamine 500 mg solution for injection
|
$180.18 |
$180.18 |
$180.18 |
$110.82
|
|
Delivery of placenta 59414
|
$3,982.44 |
$3,982.44 |
$3,982.44 |
$3,271.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$270.06 |
$270.06 |
$270.06 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$20,855.17 |
$20,855.17 |
$20,855.17 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$433.86 |
$433.86 |
$433.86 |
$460.50
|
|
Depo-estradiol cypionate inj
|
$360.07 |
$360.07 |
$360.07 |
$132.72
|
|
Derma-fat-fascia graft 15770
|
$4,713.66 |
$4,713.66 |
$4,713.66 |
$4,326.42
|
|
Design mlc device for imrt
|
$2,016.00 |
$2,016.00 |
$2,016.00 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$56.70 |
$105.85 |
$150.62 |
$102.32
|
|
Destroy premlg lesns;1st lesn 17000
|
$254.52 |
$254.52 |
$254.52 |
$220.12
|
|
Destruct cut vasl lesions <10cm 17106
|
$525.42 |
$525.42 |
$525.42 |
$658.40
|
|
Destruction anal lesion(s) smpl chem 46900
|
$525.42 |
$525.42 |
$525.42 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$254.52 |
$254.52 |
$254.52 |
$250.60
|
|
Destruction vag lesions simple 57061
|
$4,006.38 |
$4,006.38 |
$4,006.38 |
$3,762.53
|
|
Developmental screen/score/document 96110
|
$7.98 |
$7.98 |
$7.98 |
$139.10
|
|
Devel tst phys/qhp 1st hr
|
$180.60 |
$180.60 |
$180.60 |
$339.30
|
|
Device ablt adv novasure
|
$6,148.80 |
$6,148.80 |
$6,148.80 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$5,386.50 |
$5,386.50 |
$5,386.50 |
$4,298.87
|
|
Device sut capio slim opn
|
$1,825.12 |
$1,825.12 |
$1,825.12 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$10,602.90 |
$10,602.90 |
$10,602.90 |
$2,440.98
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$90.30 |
$90.30 |
$90.30 |
$196.30
|
|
Dexamethasone 4 mg tablet
|
$13.62 |
$77.83 |
$215.35 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$56.70 |
$56.70 |
$56.70 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,805.25 |
$1,805.25 |
$2,003.27 |
$560.92
|
|
Dextran 40 infusion
|
$75.41 |
$75.41 |
$75.41 |
$171.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$46.43 |
$49.79 |
$49.79 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$47.27 |
$47.27 |
$47.27 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$47.48 |
$48.42 |
$51.89 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$47.69 |
$48.11 |
$63.23 |
$68.93
|
|
Diabetes (HbA1c) Test
|
$315.84 |
$315.84 |
$315.84 |
$78.03
|
|
Diagnostic anoscopy
|
$190.68 |
$190.68 |
$190.68 |
$441.68
|
|
Diagnostic anoscopy spx 46600
|
$190.68 |
$190.68 |
$190.68 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$77.28 |
$77.28 |
$77.28 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$77.28 |
$77.28 |
$77.28 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$293.58 |
$293.58 |
$293.58 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$247.38 |
$247.38 |
$247.38 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$421.26 |
$421.26 |
$421.26 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$316.26 |
$316.26 |
$316.26 |
$301.55
|
|
Dialysis one evaluation
|
$842.10 |
$842.10 |
$842.10 |
$842.10
|