|
Cytomegalovirus (cmv) antibody igg
|
$80.00 |
$80.00 |
$80.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$98.50 |
$98.50 |
$98.50 |
$99.00
|
|
Cyto/molecular report
|
$108.50 |
$108.50 |
$108.50 |
$133.20
|
|
Cytopath fl nongyn filter
|
$107.50 |
$107.50 |
$107.50 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$90.00 |
$90.00 |
$90.00 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$102.50 |
$102.50 |
$102.50 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$60.50 |
$60.50 |
$60.50 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$93.50 |
$93.50 |
$93.50 |
$129.28
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$93.50 |
$93.50 |
$93.50 |
$129.28
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$48.50 |
$48.50 |
$48.50 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$119.50 |
$119.50 |
$119.50 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$211.00 |
$211.00 |
$211.00 |
$208.60
|
|
Cytopath smear other source
|
$95.00 |
$95.00 |
$95.00 |
$88.13
|
|
Cytopath smear other source
|
$263.00 |
$263.00 |
$263.00 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$81.50 |
$81.50 |
$81.50 |
$96.20
|
|
Cytopath tbs c/v manual
|
$95.00 |
$95.00 |
$95.00 |
$59.28
|
|
Cytp urine 3-5 probes cmptr
|
$175.50 |
$175.50 |
$175.50 |
$690.00
|
|
Dalbavancin 500 mg intravenous solution
|
$20.50 |
$20.50 |
$20.50 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.50 |
$0.50 |
$0.50 |
$168.53
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$17.00 |
$17.00 |
$17.00 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$17.00 |
$17.00 |
$17.00 |
$4.48
|
|
D&c after delivery 59160
|
$3,721.00 |
$3,721.00 |
$3,721.00 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,780.50 |
$3,780.50 |
$3,780.50 |
$3,774.81
|
|
Dch glucoscan
|
$11.50 |
$11.50 |
$11.50 |
$29.16
|
|
Dch pulmonary stress test
|
$446.50 |
$446.50 |
$446.50 |
$963.30
|
|
Dch validity tests
|
$13.00 |
$13.00 |
$13.00 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$4,952.36
|
|
Deamidated gliadin antibody iga
|
$32.50 |
$32.50 |
$32.50 |
$43.35
|
|
Debr g/per/abd wall 11006
|
$151.50 |
$151.50 |
$151.50 |
$1,357.80
|
|
Debridement (>20 cm) charge pt
|
$289.50 |
$289.50 |
$289.50 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$1,904.00 |
$1,904.00 |
$1,904.00 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$321.00 |
$321.00 |
$321.00 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,561.00 |
$1,561.00 |
$1,561.00 |
$1,412.40
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$563.00 |
$563.00 |
$563.00 |
$812.88
|
|
Debride nail1-5 11720
|
$68.00 |
$68.00 |
$68.00 |
$149.10
|
|
Debride nail6 or more 11721
|
$68.50 |
$68.50 |
$68.50 |
$179.20
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$814.00 |
$814.00 |
$814.00 |
$1,149.50
|
|
Debride skin bone at fx site
|
$3,338.50 |
$3,338.50 |
$3,338.50 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$551.00 |
$551.00 |
$551.00 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$295.00 |
$295.00 |
$295.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$814.00 |
$814.00 |
$814.00 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,585.50 |
$1,585.50 |
$1,585.50 |
$1,160.00
|
|
Decalcification
|
$44.50 |
$44.50 |
$44.50 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$469.50 |
$469.50 |
$469.50 |
$565.25
|
|
Deep muscle biopsy 20205
|
$3,339.00 |
$3,339.00 |
$3,339.00 |
$3,339.00
|
|
Degarelix 120 mg subcutaneous solution
|
$9.00 |
$9.00 |
$9.00 |
$1,807.08
|
|
Delay flap eye/nos/ear/lip
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,190.24
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$113.50 |
$113.50 |
$113.50 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$68.00 |
$68.00 |
$68.00 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$171.50 |
$171.50 |
$171.50 |
$401.60
|
|
Dermabrasion suprfl any site
|
$467.50 |
$467.50 |
$467.50 |
$1,144.80
|
|
Dermapure 1 square cm
|
$48.50 |
$48.50 |
$48.50 |
$3,822.00
|
|
Design mlc device for imrt
|
$2,490.00 |
$2,490.00 |
$2,490.00 |
$1,712.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$7.50 |
$7.50 |
$7.50 |
$91.56
|
|
Desoxycorticosterone
|
$44.00 |
$44.00 |
$44.00 |
$109.28
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$231.00 |
$231.00 |
$231.00 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$231.00 |
$231.00 |
$231.00 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$231.00 |
$231.00 |
$231.00 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$231.00 |
$231.00 |
$231.00 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$231.00 |
$231.00 |
$231.00 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$231.00 |
$231.00 |
$231.00 |
$317.00
|
|
Dest mal lesion tal <0.5 17260
|
$231.00 |
$231.00 |
$231.00 |
$238.40
|
|
Destroy cervthor facet jnt 64633
|
$2,244.50 |
$2,244.50 |
$2,244.50 |
$3,122.45
|
|
Destroy cth facet jnt addl 64634
|
$1,122.50 |
$1,122.50 |
$1,122.50 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$229.50 |
$229.50 |
$229.50 |
$203.04
|
|
Destroy vulva lesion simple 56501
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$231.00 |
$231.00 |
$231.00 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$849.50 |
$849.50 |
$849.50 |
$966.60
|
|
Destruct cut vasl lesions >50cm 17108
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$41.00 |
$41.00 |
$41.00 |
$78.61
|
|
Destruction anal lesion(s) smpl chem 46900
|
$467.50 |
$467.50 |
$467.50 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$231.00 |
$231.00 |
$231.00 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,122.50 |
$1,122.50 |
$1,122.50 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,244.50 |
$2,244.50 |
$2,244.50 |
$3,296.80
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$231.00 |
$231.00 |
$231.00 |
$364.50
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$467.50 |
$467.50 |
$467.50 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$467.50 |
$467.50 |
$467.50 |
$558.97
|
|
Destruction mal lsn t/a/l >4cm
|
$467.50 |
$467.50 |
$467.50 |
$569.80
|
|
Destruction penis lesion(s) chem 54050
|
$467.50 |
$467.50 |
$467.50 |
$332.00
|
|
Destruction premal lesions 15/> 17004
|
$467.50 |
$467.50 |
$467.50 |
$442.61
|
|
Destruction vag lesions simple 57061
|
$3,721.00 |
$3,721.00 |
$3,721.00 |
$3,815.20
|
|
Detect agent nos dna dir
|
$198.00 |
$198.00 |
$198.00 |
$150.60
|
|
Determine refractive state
|
$87.50 |
$87.50 |
$87.50 |
$19.80
|
|
Developmental screen/score/document 96110
|
$111.00 |
$111.00 |
$111.00 |
$136.64
|
|
Device ablt adv novasure
|
$1,842.50 |
$1,842.50 |
$1,842.50 |
$6,148.80
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,012.00 |
$3,012.00 |
$3,012.00 |
$4,265.58
|
|
Device intraute mirena
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$2,125.00
|
|
Device sut capio slim opn
|
$823.50 |
$823.50 |
$823.50 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$2,678.00 |
$2,678.00 |
$2,678.00 |
$2,541.00
|
|
Dexamethasone 4 mg tablet
|
$0.50 |
$0.50 |
$0.50 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$1.00 |
$1.00 |
$1.00 |
$20.52
|
|
Dexamethasone intra implant
|
$441.50 |
$441.50 |
$441.50 |
$2,538.20
|
|
Dhea-s (dehydroepiand sulfate)
|
$135.00 |
$135.00 |
$135.00 |
$113.40
|
|
Diabetes (HbA1c) Test
|
$75.00 |
$75.00 |
$75.00 |
$79.52
|
|
Diab manage trn ind/group
|
$32.50 |
$32.50 |
$32.50 |
$57.75
|
|
Diagnostic anoscopy
|
$513.50 |
$513.50 |
$513.50 |
$391.20
|
|
Diagnostic digital breast tomosynthesis bil
|
$374.00 |
$374.00 |
$374.00 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$294.50 |
$294.50 |
$294.50 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$229.50 |
$229.50 |
$229.50 |
$235.00
|