|
Cyclosporine modified 25 mg capsule
|
$5.34 |
$5.44 |
$5.44 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$902.34 |
$902.34 |
$1,002.60 |
$37.31
|
|
Cygnus matrix, per sq cm
|
$295.20 |
$295.20 |
$376.44 |
$295.20
|
|
Cygnus, per sq cm
|
$295.20 |
$295.20 |
$356.54 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$29,220.00 |
$29,220.00 |
$36,554.21 |
$24,728.89
|
|
Cymetra injectable
|
$371.46 |
$371.46 |
$371.46 |
$578.24
|
|
Cyp2c19 gene com variants
|
$1,052.85 |
$1,052.85 |
$1,052.85 |
$524.00
|
|
Cyp2c9 gene com variants
|
$134.22 |
$134.22 |
$134.22 |
$275.10
|
|
Cyp2d6 gene com variants
|
$683.87 |
$683.87 |
$683.87 |
$570.70
|
|
Cyp3a4 gene common variants
|
$134.22 |
$134.22 |
$134.22 |
$241.24
|
|
Cyp3a5 gene common variants
|
$134.22 |
$134.22 |
$134.22 |
$245.31
|
|
Cystatin c
|
$93.16 |
$93.16 |
$106.80 |
$77.60
|
|
Cystic fibrosis cftr
|
$1,320.00 |
$1,320.00 |
$2,245.28 |
$1,104.40
|
|
Cystine urine quantitative
|
$385.97 |
$385.97 |
$385.97 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$326.08 |
$622.35 |
$622.35 |
$586.95
|
|
Cysto impl 4 or more
|
$6,571.50 |
$6,571.50 |
$6,571.50 |
$6,860.21
|
|
Cystoscopy and treatment
|
$2,659.14 |
$2,659.14 |
$3,952.65 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$1,594.35 |
$1,594.35 |
$1,671.23 |
$1,493.80
|
|
Cystoscopy prostatic imp 1-3
|
$5,741.40 |
$5,741.40 |
$5,741.40 |
$5,741.40
|
|
Cystostomy cystotomy w/drainage 51040
|
$4,747.01 |
$4,747.01 |
$5,179.50 |
$4,129.45
|
|
Cysto/uretero w/lithotripsy
|
$4,748.22 |
$4,748.22 |
$4,748.22 |
$9,430.00
|
|
Cystouretero w/lithotripsy
|
$18,681.30 |
$18,681.30 |
$18,681.30 |
$7,372.68
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,398.11 |
$3,398.11 |
$3,398.11 |
$3,245.90
|
|
Cysto w/ureter stricture tx
|
$3,347.85 |
$3,347.85 |
$3,347.85 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$71.40 |
$71.40 |
$132.06 |
$90.00
|
|
Cytogenetics 25-99
|
$246.56 |
$246.56 |
$315.90 |
$189.80
|
|
Cytogenetics 3-5
|
$170.27 |
$170.27 |
$170.27 |
$147.36
|
|
Cytogenomic neo microra alys
|
$3,975.00 |
$3,975.00 |
$3,975.00 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$142.50 |
$142.50 |
$146.85 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$27.45 |
$27.45 |
$132.75 |
$100.00
|
|
Cytomegalovirus dfa
|
$165.40 |
$165.40 |
$165.40 |
$77.40
|
|
Cytomegalovirus imm IV /vial
|
$2,670.12 |
$2,670.12 |
$2,670.12 |
$3,072.34
|
|
Cytomeg dna dir probe
|
$256.92 |
$256.92 |
$256.92 |
$178.88
|
|
Cyto/molecular report
|
$1,178.85 |
$1,178.85 |
$1,178.85 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$159.45 |
$159.45 |
$640.93 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$101.64 |
$101.64 |
$101.64 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$102.95 |
$102.95 |
$102.95 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$142.94 |
$322.35 |
$377.25 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$148.20 |
$148.20 |
$179.62 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$109.27 |
$109.27 |
$590.40 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$191.66 |
$739.80 |
$739.80 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$262.49 |
$322.35 |
$322.35 |
$213.85
|
|
Cytopath smear other source
|
$85.80 |
$85.80 |
$85.80 |
$92.50
|
|
Cytopath smear other source
|
$145.31 |
$145.31 |
$145.31 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$100.34 |
$100.34 |
$193.05 |
$96.20
|
|
Cytopath tbs c/v manual
|
$57.94 |
$57.94 |
$57.94 |
$59.28
|
|
Cytotoxic antibody screening
|
$363.33 |
$363.33 |
$363.33 |
$193.80
|
|
Dacarbazine 100 mg intravenous solution
|
$45.00 |
$45.00 |
$73.20 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$4,905.37 |
$5,362.91 |
$5,362.91 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$3,522.68 |
$3,522.68 |
$3,522.68 |
$3,493.11
|
|
Dalteparin sodium
|
$469.55 |
$469.55 |
$469.55 |
$469.55
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$140.40 |
$140.40 |
$1,205.80 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$18,070.73 |
$19,192.29 |
$19,192.29 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,410.00 |
$4,597.56 |
$4,597.56 |
$6,281.29
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$18,849.00 |
$20,196.00 |
$20,196.00 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$864.30 |
$864.30 |
$864.30 |
$259.58
|
|
D&c after delivery 59160
|
$3,441.98 |
$3,441.98 |
$3,827.25 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$4,150.07 |
$4,150.07 |
$4,150.07 |
$3,774.81
|
|
Dch glucoscan
|
$30.85 |
$30.85 |
$30.85 |
$29.16
|
|
Dch pulmonary stress test
|
$963.30 |
$963.30 |
$1,519.72 |
$963.30
|
|
Dch validity tests
|
$35.80 |
$35.80 |
$35.80 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$5,321.73 |
$5,321.73 |
$5,321.73 |
$5,121.00
|
|
Deamidated gliadin antibody iga
|
$27.15 |
$46.05 |
$131.24 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$602.45 |
$602.45 |
$668.55 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$317.40 |
$317.40 |
$414.23 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$1,896.60 |
$1,896.60 |
$2,951.16 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$622.05 |
$622.05 |
$927.37 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,418.55 |
$1,418.55 |
$1,738.00 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,011.76 |
$1,115.25 |
$1,115.25 |
$835.20
|
|
Debride nail1-5 11720
|
$84.15 |
$84.15 |
$186.88 |
$149.60
|
|
Debride nail6 or more 11721
|
$84.15 |
$84.15 |
$200.21 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$828.75 |
$828.75 |
$828.75 |
$1,163.24
|
|
Debride skin bone at fx site
|
$2,174.51 |
$2,174.51 |
$3,015.00 |
$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
|
$914.76 |
$914.76 |
$1,115.25 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,728.86 |
$1,728.86 |
$1,728.86 |
$1,149.50
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,266.60 |
$1,266.60 |
$1,353.12 |
$1,165.50
|
|
Decalcification
|
$88.31 |
$246.30 |
$246.30 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$1,188.00 |
$1,188.00 |
$3,109.80 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$540.00 |
$540.00 |
$635.93 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$7,088.32 |
$7,088.32 |
$7,088.32 |
$4,914.00
|
|
Decompression of lower leg
|
$3,408.30 |
$3,408.30 |
$3,408.30 |
$3,969.00
|
|
Deep muscle biopsy 20205
|
$3,111.06 |
$3,111.06 |
$3,111.06 |
$3,386.84
|
|
Deferoxamine 500 mg solution for injection
|
$34.05 |
$44.43 |
$44.43 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,318.82 |
$1,508.94 |
$1,508.94 |
$1,856.85
|
|
Delivery of placenta 59414
|
$1,907.85 |
$1,907.85 |
$3,135.14 |
$2,912.46
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$8,127.00 |
$8,127.00 |
$8,127.00 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$155.55 |
$155.55 |
$235.79 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$5,913.85 |
$6,324.98 |
$6,324.98 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$217.20 |
$217.20 |
$488.60 |
$401.60
|
|
Deodorant ostmy adapt lube 8ml
|
$1.98 |
$1.98 |
$1.98 |
$1.98
|
|
Depo-estradiol cypionate inj
|
$16.04 |
$16.04 |
$16.04 |
$71.51
|
|
Dermagraft
|
$193.11 |
$193.11 |
$193.11 |
$85.00
|
|
Dermapure 1 square cm
|
$266.63 |
$608.85 |
$608.85 |
$3,300.73
|
|
Descend thora aorta rpr/lt sub art 33880
|
$8,684.65 |
$8,684.65 |
$25,327.35 |
$6,288.45
|
|
Design mlc device for imrt
|
$670.35 |
$670.35 |
$1,980.92 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$68.79 |
$68.79 |
$1,071.36 |
$91.84
|
|
Desoxycorticosterone
|
$202.78 |
$202.78 |
$202.78 |
$109.28
|
|
Des thora aorta/ea add prox prosth 33884
|
$2,025.15 |
$2,025.15 |
$2,025.15 |
$1,304.05
|
|
Des thora aorta rpr without left sub art 33881
|
$2,591.05 |
$2,591.05 |
$2,591.05 |
$5,267.20
|
