|
Cyp2c19 gene com variants
|
$220.46 |
$220.46 |
$220.46 |
$502.45
|
|
Cyp2c9 gene com variants
|
$168.15 |
$168.15 |
$168.15 |
$266.50
|
|
Cyp2d6 gene com variants
|
$570.24 |
$570.24 |
$570.24 |
$573.65
|
|
Cystatin c
|
$51.55 |
$51.55 |
$51.55 |
$76.48
|
|
Cystic fibrosis cftr
|
$1,217.95 |
$1,217.95 |
$1,217.95 |
$1,104.40
|
|
Cystine urine quantitative
|
$76.71 |
$76.71 |
$76.71 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$422.95 |
$422.95 |
$422.95 |
$564.85
|
|
Cystoscopy and treatment
|
$817.75 |
$817.75 |
$817.75 |
$2,850.95
|
|
Cystoscopy (Bladder Scope)
|
$557.48 |
$557.48 |
$557.48 |
$1,445.41
|
|
Cystoscopy & ureter catheter
|
$900.36 |
$900.36 |
$900.36 |
$3,688.80
|
|
Cystostomy cystotomy w/drainage 51040
|
$935.76 |
$935.76 |
$935.76 |
$3,863.60
|
|
Cytarabine 20 mg/ml injection solution
|
$751.59 |
$751.59 |
$751.59 |
$90.00
|
|
Cytarabine liposome inj
|
$4,280.27 |
$4,280.27 |
$4,280.27 |
$4,529.43
|
|
Cytogenetics 25-99
|
$245.15 |
$245.15 |
$245.15 |
$189.80
|
|
Cytogenetics 3-5
|
$74.69 |
$74.69 |
$74.69 |
$147.36
|
|
Cytomegalovirus (cmv) antibody igg
|
$46.97 |
$46.97 |
$46.97 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$99.42 |
$99.42 |
$99.42 |
$100.00
|
|
Cytomegalovirus dfa
|
$48.97 |
$48.97 |
$48.97 |
$79.34
|
|
Cytomegalovirus imm IV /vial
|
$6,887.94 |
$6,887.94 |
$6,887.94 |
$3,072.34
|
|
Cytopathology cellular enhancement technique non-gyn
|
$152.89 |
$152.89 |
$152.89 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$33.61 |
$33.61 |
$33.61 |
$92.40
|
|
Cytopathology concentration technique smears & interpretation
|
$114.32 |
$114.32 |
$114.32 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$61.29 |
$61.29 |
$61.29 |
$124.00
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$42.62 |
$42.62 |
$42.62 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$93.08 |
$93.08 |
$93.08 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$155.11 |
$155.11 |
$155.11 |
$209.92
|
|
Cytopath smear other source
|
$141.24 |
$141.24 |
$141.24 |
$91.20
|
|
Cytopath smear oth prep screen & interp
|
$71.03 |
$71.03 |
$71.03 |
$96.20
|
|
Cytopath tbs c/v manual
|
$29.84 |
$29.84 |
$29.84 |
$59.28
|
|
Cytp urine 3-5 probes cmptr
|
$149.37 |
$149.37 |
$149.37 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$151.01 |
$151.01 |
$151.01 |
$62.70
|
|
Dactinomycin 0.5 mg intravenous solution
|
$957.41 |
$957.41 |
$957.41 |
$3,047.85
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$889.79 |
$889.79 |
$889.79 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$16,400.91 |
$16,400.91 |
$16,400.91 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$6,221.68 |
$6,221.68 |
$6,221.68 |
$6,273.69
|
|
Darbepoetin alfa, esrd use
|
$3,110.84 |
$3,110.84 |
$3,110.84 |
$6.28
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$24,005.09 |
$24,005.09 |
$24,005.09 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$3,019.53 |
$3,019.53 |
$3,019.53 |
$259.58
|
|
D&c after delivery 59160
|
$1,057.89 |
$1,057.89 |
$1,057.89 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$2,146.53 |
$2,146.53 |
$2,146.53 |
$3,774.81
|
|
Dch pulmonary stress test
|
$436.37 |
$436.37 |
$436.37 |
$963.30
|
|
Dch validity tests
|
$25.08 |
$25.08 |
$25.08 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$1,827.32 |
$1,827.32 |
$1,827.32 |
$5,110.00
|
|
Deamidated gliadin antibody iga
|
$18.74 |
$18.74 |
$18.74 |
$42.75
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$220.36 |
$220.36 |
$220.36 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$227.40 |
$227.40 |
$227.40 |
$278.50
|
|
Debridement bone <= 20 sq cm
|
$997.95 |
$997.95 |
$997.95 |
$2,293.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$551.94 |
$551.94 |
$551.94 |
$687.35
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$997.95 |
$997.95 |
$997.95 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$557.52 |
$557.52 |
$557.52 |
$820.15
|
|
Debride nail1-5 11720
|
$72.98 |
$72.98 |
$72.98 |
$149.04
|
|
Debride nail6 or more 11721
|
$72.98 |
$72.98 |
$72.98 |
$167.63
|
|
Debride skin bone at fx site
|
$1,036.65 |
$1,036.65 |
$1,036.65 |
$2,921.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$557.52 |
$557.52 |
$557.52 |
$641.52
|
|
Debr inf skin add-on 11001
|
$78.96 |
$78.96 |
$78.96 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$568.67 |
$568.67 |
$568.67 |
$1,160.00
|
|
Decalcification
|
$59.26 |
$59.26 |
$59.26 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$2,524.99 |
$2,524.99 |
$2,524.99 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$326.33 |
$326.33 |
$326.33 |
$546.84
|
|
Decompress fingers/hand
|
$1,120.54 |
$1,120.54 |
$1,120.54 |
$3,839.54
|
|
Deferoxamine 500 mg solution for injection
|
$191.51 |
$191.51 |
$191.51 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$1,779.32 |
$1,779.32 |
$1,779.32 |
$1,855.50
|
|
Delivery of placenta 59414
|
$2,675.04 |
$2,675.04 |
$2,675.04 |
$2,822.68
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$99.03 |
$99.03 |
$99.03 |
$182.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$3,239.39 |
$3,239.39 |
$3,239.39 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$292.08 |
$292.08 |
$292.08 |
$399.93
|
|
Depo-estradiol cypionate inj
|
$12.01 |
$12.01 |
$12.01 |
$87.27
|
|
Dermagraft
|
$62.96 |
$62.96 |
$62.96 |
$85.00
|
|
Dermapure 1 square cm
|
$7,734.18 |
$7,734.18 |
$7,734.18 |
$3,822.00
|
|
Design mlc device for imrt
|
$1,997.66 |
$1,997.66 |
$1,997.66 |
$1,739.10
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,445.82 |
$1,445.82 |
$1,445.82 |
$93.84
|
|
Desoxycorticosterone
|
$33.83 |
$33.83 |
$33.83 |
$98.80
|
|
Des thora aorta rpr without left sub art 33881
|
$3,949.45 |
$3,949.45 |
$3,949.45 |
$4,937.50
|
|
Destroy premlg lesns;1st lesn 17000
|
$128.46 |
$128.46 |
$128.46 |
$202.40
|
|
Destruct ben lesion 15/> 17111
|
$138.18 |
$138.18 |
$138.18 |
$235.13
|
|
Destruction benign lesions < 14 lesions
|
$128.46 |
$128.46 |
$128.46 |
$235.13
|
|
Device ablt adv novasure
|
$6,871.12 |
$6,871.12 |
$6,871.12 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$4,149.45 |
$4,149.45 |
$4,149.45 |
$4,200.00
|
|
Device intraute mirena
|
$1,580.91 |
$1,580.91 |
$1,580.91 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,129.15 |
$1,129.15 |
$1,129.15 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$560.90 |
$560.90 |
$560.90 |
$2,466.14
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$147.70 |
$147.70 |
$147.70 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$224.95 |
$224.95 |
$224.95 |
$6.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$668.61 |
$668.61 |
$668.61 |
$21.20
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,314.87 |
$1,314.87 |
$1,314.87 |
$884.80
|
|
Dextran 40 infusion
|
$117.75 |
$117.75 |
$117.75 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$18.83 |
$18.83 |
$18.83 |
$36.00
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$188.23 |
$188.23 |
$188.23 |
$46.12
|
|
Dhea-s (dehydroepiand sulfate)
|
$137.25 |
$137.25 |
$137.25 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$45.57 |
$45.57 |
$45.57 |
$79.20
|
|
Diab manage trn ind/group
|
$44.56 |
$44.56 |
$44.56 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$153.50 |
$153.50 |
$153.50 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$112.78 |
$112.78 |
$112.78 |
$235.00
|
|
Diagnostic laryngoscopy 31575
|
$268.64 |
$268.64 |
$268.64 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$332.27 |
$332.27 |
$332.27 |
$413.50
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,131.27 |
$3,131.27 |
$3,131.27 |
$5,663.50
|
|
Dialysis one evaluation
|
$1,886.43 |
$1,886.43 |
$1,886.43 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$129.28 |
$129.28 |
$129.28 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$188.07 |
$188.07 |
$188.07 |
$77.25
|
|
Dicyclomine injection
|
$150.91 |
$150.91 |
$150.91 |
$150.91
|