|
Cyp2c19 gene com variants
|
$232.62 |
$232.62 |
$232.62 |
$502.45
|
|
Cyp2c9 gene com variants
|
$177.43 |
$177.43 |
$177.43 |
$266.50
|
|
Cyp2d6 gene com variants
|
$601.71 |
$601.71 |
$601.71 |
$573.65
|
|
Cystatin c
|
$54.40 |
$54.40 |
$54.40 |
$76.48
|
|
Cystic fibrosis cftr
|
$1,285.16 |
$1,285.16 |
$1,285.16 |
$1,104.40
|
|
Cystine urine quantitative
|
$80.95 |
$80.95 |
$80.95 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$446.29 |
$446.29 |
$446.29 |
$564.85
|
|
Cystoscopy and treatment
|
$862.88 |
$862.88 |
$862.88 |
$2,850.95
|
|
Cystoscopy (Bladder Scope)
|
$588.25 |
$588.25 |
$588.25 |
$1,445.41
|
|
Cystoscopy & ureter catheter
|
$950.05 |
$950.05 |
$950.05 |
$3,688.80
|
|
Cystostomy cystotomy w/drainage 51040
|
$987.40 |
$987.40 |
$987.40 |
$3,863.60
|
|
Cytarabine 20 mg/ml injection solution
|
$793.07 |
$793.07 |
$793.07 |
$90.00
|
|
Cytarabine liposome inj
|
$4,516.49 |
$4,516.49 |
$4,516.49 |
$4,529.43
|
|
Cytogenetics 25-99
|
$258.67 |
$258.67 |
$258.67 |
$189.80
|
|
Cytogenetics 3-5
|
$78.81 |
$78.81 |
$78.81 |
$147.36
|
|
Cytomegalovirus (cmv) antibody igg
|
$49.57 |
$49.57 |
$49.57 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$104.91 |
$104.91 |
$104.91 |
$100.00
|
|
Cytomegalovirus dfa
|
$51.67 |
$51.67 |
$51.67 |
$79.34
|
|
Cytomegalovirus imm IV /vial
|
$7,268.08 |
$7,268.08 |
$7,268.08 |
$3,072.34
|
|
Cytopathology cellular enhancement technique non-gyn
|
$161.32 |
$161.32 |
$161.32 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$35.46 |
$35.46 |
$35.46 |
$92.40
|
|
Cytopathology concentration technique smears & interpretation
|
$120.63 |
$120.63 |
$120.63 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$64.67 |
$64.67 |
$64.67 |
$124.00
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$44.97 |
$44.97 |
$44.97 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$98.22 |
$98.22 |
$98.22 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$163.67 |
$163.67 |
$163.67 |
$209.92
|
|
Cytopath smear other source
|
$149.04 |
$149.04 |
$149.04 |
$91.20
|
|
Cytopath smear oth prep screen & interp
|
$74.95 |
$74.95 |
$74.95 |
$96.20
|
|
Cytopath tbs c/v manual
|
$31.49 |
$31.49 |
$31.49 |
$59.28
|
|
Cytp urine 3-5 probes cmptr
|
$157.61 |
$157.61 |
$157.61 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$159.35 |
$159.35 |
$159.35 |
$62.70
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,010.25 |
$1,010.25 |
$1,010.25 |
$3,047.85
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$938.90 |
$938.90 |
$938.90 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$17,306.06 |
$17,306.06 |
$17,306.06 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$6,565.05 |
$6,565.05 |
$6,565.05 |
$6,273.69
|
|
Darbepoetin alfa, esrd use
|
$3,282.53 |
$3,282.53 |
$3,282.53 |
$6.28
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$25,329.92 |
$25,329.92 |
$25,329.92 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$3,186.18 |
$3,186.18 |
$3,186.18 |
$259.58
|
|
D&c after delivery 59160
|
$1,116.28 |
$1,116.28 |
$1,116.28 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$3,774.81
|
|
Dch pulmonary stress test
|
$460.45 |
$460.45 |
$460.45 |
$963.30
|
|
Dch validity tests
|
$26.47 |
$26.47 |
$26.47 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$1,928.17 |
$1,928.17 |
$1,928.17 |
$5,110.00
|
|
Deamidated gliadin antibody iga
|
$19.77 |
$19.77 |
$19.77 |
$42.75
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$232.52 |
$232.52 |
$232.52 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$239.95 |
$239.95 |
$239.95 |
$278.50
|
|
Debridement bone <= 20 sq cm
|
$1,053.03 |
$1,053.03 |
$1,053.03 |
$2,293.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$582.40 |
$582.40 |
$582.40 |
$687.35
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,053.03 |
$1,053.03 |
$1,053.03 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$588.29 |
$588.29 |
$588.29 |
$820.15
|
|
Debride nail1-5 11720
|
$77.00 |
$77.00 |
$77.00 |
$149.04
|
|
Debride nail6 or more 11721
|
$77.00 |
$77.00 |
$77.00 |
$167.63
|
|
Debride skin bone at fx site
|
$1,093.86 |
$1,093.86 |
$1,093.86 |
$2,921.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$588.29 |
$588.29 |
$588.29 |
$641.52
|
|
Debr inf skin add-on 11001
|
$83.31 |
$83.31 |
$83.31 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$600.05 |
$600.05 |
$600.05 |
$1,160.00
|
|
Decalcification
|
$62.53 |
$62.53 |
$62.53 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$2,664.35 |
$2,664.35 |
$2,664.35 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$344.34 |
$344.34 |
$344.34 |
$546.84
|
|
Decompress fingers/hand
|
$1,182.38 |
$1,182.38 |
$1,182.38 |
$3,839.54
|
|
Deferoxamine 500 mg solution for injection
|
$202.08 |
$202.08 |
$202.08 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,877.51 |
$1,877.51 |
$1,877.51 |
$1,855.50
|
|
Delivery of placenta 59414
|
$2,822.68 |
$2,822.68 |
$2,822.68 |
$2,822.68
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$104.50 |
$104.50 |
$104.50 |
$182.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$3,418.16 |
$3,418.16 |
$3,418.16 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$308.20 |
$308.20 |
$308.20 |
$399.93
|
|
Depo-estradiol cypionate inj
|
$12.67 |
$12.67 |
$12.67 |
$87.27
|
|
Dermagraft
|
$66.43 |
$66.43 |
$66.43 |
$85.00
|
|
Dermapure 1 square cm
|
$8,161.02 |
$8,161.02 |
$8,161.02 |
$3,822.00
|
|
Design mlc device for imrt
|
$2,107.91 |
$2,107.91 |
$2,107.91 |
$1,739.10
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,525.61 |
$1,525.61 |
$1,525.61 |
$93.84
|
|
Desoxycorticosterone
|
$35.70 |
$35.70 |
$35.70 |
$98.80
|
|
Des thora aorta rpr without left sub art 33881
|
$4,167.42 |
$4,167.42 |
$4,167.42 |
$4,937.50
|
|
Destroy premlg lesns;1st lesn 17000
|
$135.55 |
$135.55 |
$135.55 |
$202.40
|
|
Destruct ben lesion 15/> 17111
|
$145.81 |
$145.81 |
$145.81 |
$235.13
|
|
Destruction benign lesions < 14 lesions
|
$135.55 |
$135.55 |
$135.55 |
$235.13
|
|
Device ablt adv novasure
|
$7,250.33 |
$7,250.33 |
$7,250.33 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$4,378.46 |
$4,378.46 |
$4,378.46 |
$4,200.00
|
|
Device intraute mirena
|
$1,668.16 |
$1,668.16 |
$1,668.16 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,191.47 |
$1,191.47 |
$1,191.47 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$591.85 |
$591.85 |
$591.85 |
$2,466.14
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$155.85 |
$155.85 |
$155.85 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$237.36 |
$237.36 |
$237.36 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$705.51 |
$705.51 |
$705.51 |
$21.20
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,387.44 |
$1,387.44 |
$1,387.44 |
$884.80
|
|
Dextran 40 infusion
|
$124.25 |
$124.25 |
$124.25 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$19.87 |
$19.87 |
$19.87 |
$36.00
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$198.61 |
$198.61 |
$198.61 |
$46.12
|
|
Dhea-s (dehydroepiand sulfate)
|
$144.82 |
$144.82 |
$144.82 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$48.08 |
$48.08 |
$48.08 |
$79.20
|
|
Diab manage trn ind/group
|
$47.02 |
$47.02 |
$47.02 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$161.97 |
$161.97 |
$161.97 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$119.00 |
$119.00 |
$119.00 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$283.47 |
$283.47 |
$283.47 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$350.61 |
$350.61 |
$350.61 |
$413.50
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,304.08 |
$3,304.08 |
$3,304.08 |
$5,663.50
|
|
Dialysis one evaluation
|
$1,990.55 |
$1,990.55 |
$1,990.55 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$136.42 |
$136.42 |
$136.42 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$198.45 |
$198.45 |
$198.45 |
$77.25
|
|
Dicyclomine injection
|
$159.24 |
$159.24 |
$159.24 |
$150.91
|