|
Cytomegalovirus (cmv) antibody igm
|
$187.74 |
$187.74 |
$1,333.65 |
$101.94
|
|
Cyto/molecular report
|
$93.24 |
$93.24 |
$93.24 |
$150.30
|
|
Cytopathology cellular enhancement technique non-gyn
|
$131.25 |
$131.25 |
$315.34 |
$163.43
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$64.89 |
$64.89 |
$290.73 |
$122.40
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$11.53 |
$11.53 |
$11.53 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$249.62 |
$249.62 |
$2,371.58 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$208.60 |
$208.60 |
$208.60 |
$203.08
|
|
Cytopath smear other source
|
$707.59 |
$707.59 |
$707.59 |
$85.80
|
|
Cytopath smear other source
|
$55.13 |
$55.13 |
$55.13 |
$135.27
|
|
Cytopath smear oth prep screen & interp
|
$47.88 |
$47.88 |
$47.88 |
$95.00
|
|
D&c after delivery 59160
|
$1,145.66 |
$1,145.66 |
$1,145.66 |
$3,474.84
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$1,145.66 |
$1,145.66 |
$1,145.66 |
$3,762.53
|
|
Dch glucoscan
|
$19.60 |
$19.60 |
$19.60 |
$23.25
|
|
Dch validity tests
|
$13.23 |
$13.23 |
$13.23 |
$25.00
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$214.52 |
$214.52 |
$214.52 |
$677.54
|
|
Debridement (>20 cm) charge pt
|
$142.10 |
$142.10 |
$696.99 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$4,326.70 |
$4,326.70 |
$4,326.70 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,013.60 |
$1,013.60 |
$1,013.60 |
$681.60
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,787.80 |
$1,787.80 |
$1,787.80 |
$1,407.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,138.52 |
$1,138.52 |
$1,138.52 |
$798.23
|
|
Debride nail1-5 11720
|
$37.80 |
$37.80 |
$37.80 |
$173.25
|
|
Debride nail6 or more 11721
|
$57.96 |
$57.96 |
$57.96 |
$200.21
|
|
Debride skin bone at fx site
|
$793.80 |
$793.80 |
$793.80 |
$3,167.89
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$489.65 |
$489.65 |
$489.65 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$226.80 |
$226.80 |
$226.80 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$67.41 |
$67.41 |
$67.41 |
$78.00
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,892.05 |
$2,892.05 |
$2,892.05 |
$1,193.40
|
|
Decalcification
|
$115.40 |
$115.40 |
$115.40 |
$75.38
|
|
Decitabine 50 mg intravenous solution
|
$10,722.93 |
$10,722.93 |
$10,722.93 |
$1,026.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$276.26 |
$276.26 |
$276.26 |
$497.14
|
|
Deferoxamine 500 mg solution for injection
|
$481.72 |
$481.72 |
$481.72 |
$112.87
|
|
Delivery of placenta 59414
|
$1,154.48 |
$1,154.48 |
$1,154.48 |
$3,135.14
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$25,697.75 |
$25,697.75 |
$25,697.75 |
$8,127.00
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$208.25 |
$208.25 |
$362.79 |
$182.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$7,251.58 |
$7,251.58 |
$7,251.58 |
$7,737.00
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$68.04 |
$68.04 |
$68.04 |
$448.50
|
|
Depo-estradiol cypionate inj
|
$694.35 |
$694.35 |
$694.35 |
$87.27
|
|
Dermagraft
|
$66.52 |
$66.52 |
$66.52 |
$220.24
|
|
Descend thora aorta rpr/lt sub art 33880
|
$51,916.11 |
$51,916.11 |
$51,916.11 |
$5,702.04
|
|
Design mlc device for imrt
|
$2,966.73 |
$2,966.73 |
$2,966.73 |
$1,641.90
|
|
Desoxycorticosterone
|
$90.41 |
$90.41 |
$90.41 |
$109.28
|
|
Des thora aorta/ea add prox prosth 33884
|
$25,697.75 |
$25,697.75 |
$25,697.75 |
$1,288.90
|
|
Des thora aorta rpr without left sub art 33881
|
$53,684.89 |
$53,684.89 |
$53,684.89 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$61,713.53 |
$61,713.53 |
$61,713.53 |
$2,727.20
|
|
Detect agnt mult dna direc
|
$57.33 |
$57.33 |
$57.33 |
$109.60
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$67,763.00 |
$67,763.00 |
$67,763.00 |
$4,240.53
|
|
Device sut capio slim opn
|
$3,840.75 |
$3,840.75 |
$3,840.75 |
$1,350.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$649.53 |
$649.53 |
$649.53 |
$222.30
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$9.56 |
$9.56 |
$9.56 |
$23.27
|
|
Dextran 40 infusion
|
$283.04 |
$283.04 |
$283.04 |
$173.97
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$9.93 |
$9.93 |
$9.93 |
$43.65
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$39.90 |
$39.90 |
$39.90 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$8.09 |
$8.09 |
$8.09 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$9.56 |
$9.56 |
$373.44 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$38.67 |
$38.67 |
$1,578.24 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$89.60 |
$89.60 |
$1,321.35 |
$78.03
|
|
Diab manage trn ind/group
|
$22.05 |
$22.05 |
$169.12 |
$49.50
|
|
Diagnostic anoscopy spx 46600
|
$94.50 |
$94.50 |
$94.50 |
$245.35
|
|
Diagnostic laryngoscopy 31505
|
$110.25 |
$110.25 |
$110.25 |
$231.71
|
|
Diagnostic laryngoscopy 31575
|
$123.17 |
$123.17 |
$123.17 |
$381.00
|
|
Diagnostic Mammogram (both breasts)
|
$771.05 |
$771.05 |
$771.05 |
$403.32
|
|
Diagnostic Mammogram (one breast)
|
$393.40 |
$393.40 |
$393.40 |
$282.50
|
|
Diathermy eg microwave
|
$38.75 |
$38.75 |
$38.75 |
$13.60
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$42.63 |
$42.63 |
$125.20 |
$67.89
|
|
Dicyclomine injection
|
$510.30 |
$510.30 |
$510.30 |
$210.00
|
|
Diffusing capacity
|
$548.68 |
$548.68 |
$737.43 |
$357.50
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$8.09 |
$8.09 |
$8.09 |
$53.00
|
|
Digoxin immune fab 40 mg intravenous solution
|
$21,645.91 |
$21,645.91 |
$21,645.91 |
$9,684.65
|
|
Digoxin total therapeutic drug level
|
$88.57 |
$88.57 |
$1,253.65 |
$99.35
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$191.10 |
$191.10 |
$1,386.62 |
$308.90
|
|
Dilate esophagus 1/mult pass
|
$551.25 |
$551.25 |
$551.25 |
$1,484.17
|
|
Dilat xst trc ndurlgc px
|
$1,164.10 |
$1,164.10 |
$1,164.10 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$1,164.10 |
$1,164.10 |
$1,164.10 |
$4,881.00
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$2.58 |
$2.58 |
$6.80 |
$1.62
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$2.21 |
$2.21 |
$104.77 |
$22.58
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$521.18 |
$521.18 |
$521.18 |
$100.80
|
|
Disability dlco
|
$186.90 |
$186.90 |
$637.47 |
$302.40
|
|
Disaccharidases
|
$140.49 |
$140.49 |
$140.49 |
$224.58
|
|
Discography cerv/thor spine
|
$969.89 |
$969.89 |
$6,323.04 |
$2,360.70
|
|
Dissolve clot heart vessel
|
$13.86 |
$13.86 |
$14,608.98 |
$1,274.40
|
|
Dlyd plmt xtn prosth ea addl
|
$25,697.75 |
$25,697.75 |
$25,697.75 |
$2,001.55
|
|
Dmd dup/delet analysis
|
$50.75 |
$50.75 |
$50.75 |
$385.02
|
|
Dna antibody native/double stranded
|
$135.45 |
$135.45 |
$1,316.73 |
$101.40
|
|
Dna probe chlamydia
|
$46.62 |
$46.62 |
$787.58 |
$82.20
|
|
Dna probe gc
|
$46.62 |
$46.62 |
$787.58 |
$88.67
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$59.91 |
$59.91 |
$59.91 |
$98.43
|
|
Doppler echo complete
|
$712.60 |
$712.60 |
$712.60 |
$644.00
|
|
Doppler intravascular pressure flow initial vessel
|
$899.96 |
$899.96 |
$11,410.47 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,123.15 |
$1,123.15 |
$1,123.15 |
$681.20
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$870.80 |
$870.80 |
$870.80 |
$490.82
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$1,700.98 |
$1,700.98 |
$1,700.98 |
$232.80
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$103.23 |
$103.23 |
$103.23 |
$89.34
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$197.82 |
$197.82 |
$197.82 |
$820.50
|
|
Drainage external ear complex 69005
|
$681.03 |
$681.03 |
$681.03 |
$2,996.52
|
|
Drainage external ear simple 69000
|
$195.93 |
$195.93 |
$195.93 |
$812.80
|
|
Drainage mouth roof lesion
|
$211.68 |
$211.68 |
$211.68 |
$481.80
|
|
Drainage of arm bursa 23931
|
$715.68 |
$715.68 |
$715.68 |
$2,271.01
|
|
Drainage of kidney lesion
|
$564.48 |
$564.48 |
$564.48 |
$1,619.40
|
|
Drainage of mouth lesion
|
$180.81 |
$180.81 |
$180.81 |
$535.20
|
|
Drainage of rectal abscess
|
$595.98 |
$595.98 |
$595.98 |
$2,299.90
|