|
Cytomegalovirus (cmv) antibody igm
|
$218.50 |
$218.50 |
$218.50 |
$97.50
|
|
Cytopathology cellular enhancement technique non-gyn
|
$76.50 |
$76.50 |
$76.50 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$86.50 |
$86.50 |
$86.50 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$62.00 |
$62.00 |
$62.00 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$72.50 |
$72.50 |
$72.50 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$110.00 |
$110.00 |
$110.00 |
$129.35
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$75.50 |
$75.50 |
$75.50 |
$209.23
|
|
Cytopath smear other source
|
$22.50 |
$22.50 |
$22.50 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$88.50 |
$88.50 |
$88.50 |
$96.20
|
|
Cytopath tbs c/v manual
|
$29.00 |
$29.00 |
$29.00 |
$59.28
|
|
Dalbavancin 500 mg intravenous solution
|
$20.50 |
$20.50 |
$20.50 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$30.01 |
$30.01 |
$30.01 |
$168.53
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$17.00 |
$17.00 |
$17.00 |
$6,072.48
|
|
Darbepoetin alfa, esrd use
|
$17.00 |
$17.00 |
$17.00 |
$4.48
|
|
Dark field exam without collj
|
$61.00 |
$61.00 |
$61.00 |
$28.80
|
|
D&c after delivery 59160
|
$3,711.50 |
$3,711.50 |
$3,711.50 |
$3,827.25
|
|
Dch glucoscan
|
$7.00 |
$7.00 |
$7.00 |
$28.10
|
|
Dch pulmonary stress test
|
$544.50 |
$544.50 |
$544.50 |
$963.30
|
|
Dch validity tests
|
$12.50 |
$12.50 |
$12.50 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$89.00 |
$89.00 |
$89.00 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$745.50 |
$745.50 |
$745.50 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$325.50 |
$325.50 |
$325.50 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$2,307.00 |
$2,307.00 |
$2,307.00 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$293.00 |
$293.00 |
$293.00 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,060.50 |
$2,060.50 |
$2,060.50 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$854.50 |
$854.50 |
$854.50 |
$810.50
|
|
Debride nail1-5 11720
|
$76.50 |
$76.50 |
$76.50 |
$148.80
|
|
Debride nail6 or more 11721
|
$80.50 |
$80.50 |
$80.50 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$792.00 |
$792.00 |
$792.00 |
$1,012.80
|
|
Debride skin bone at fx site
|
$3,455.50 |
$3,455.50 |
$3,455.50 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$858.50 |
$858.50 |
$858.50 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$98.50 |
$98.50 |
$98.50 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$931.00 |
$931.00 |
$931.00 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$1,160.00
|
|
Decalcification
|
$77.50 |
$77.50 |
$77.50 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$445.50 |
$445.50 |
$445.50 |
$543.00
|
|
Deep muscle biopsy 20205
|
$3,390.50 |
$3,390.50 |
$3,390.50 |
$3,339.00
|
|
Degarelix 120 mg subcutaneous solution
|
$9.00 |
$9.00 |
$9.00 |
$1,807.08
|
|
Delay flap eye/nos/ear/lip
|
$2,052.50 |
$2,052.50 |
$2,052.50 |
$2,190.24
|
|
Delivery of placenta 59414
|
$2,343.00 |
$2,343.00 |
$2,343.00 |
$3,070.56
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$424.00 |
$424.00 |
$424.00 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,072.03 |
$4,072.03 |
$4,072.03 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$185.00 |
$185.00 |
$185.00 |
$408.10
|
|
Dermabrasion suprfl any site
|
$490.00 |
$490.00 |
$490.00 |
$1,144.80
|
|
Dermapure 1 square cm
|
$47.00 |
$47.00 |
$47.00 |
$3,822.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$7.50 |
$7.50 |
$7.50 |
$89.78
|
|
Desoxycorticosterone
|
$44.00 |
$44.00 |
$44.00 |
$109.28
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$290.50 |
$290.50 |
$290.50 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$531.00 |
$531.00 |
$531.00 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$531.00 |
$531.00 |
$531.00 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$290.50 |
$290.50 |
$290.50 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$290.50 |
$290.50 |
$290.50 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$290.50 |
$290.50 |
$290.50 |
$317.00
|
|
Dest mal lesion tal <0.5 17260
|
$278.00 |
$278.00 |
$278.00 |
$238.40
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$338.50 |
$338.50 |
$338.50 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$237.50 |
$237.50 |
$237.50 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$3,163.34 |
$3,163.34 |
$3,163.34 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$1,581.67 |
$1,581.67 |
$1,581.67 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,446.50 |
$1,446.50 |
$1,446.50 |
$1,344.85
|
|
Destroy premlg lesns;1st lesn 17000
|
$225.50 |
$225.50 |
$225.50 |
$199.50
|
|
Destruct ben lesion 15/> 17111
|
$290.50 |
$290.50 |
$290.50 |
$235.13
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$785.50 |
$785.50 |
$785.50 |
$966.60
|
|
Destruct cut vasl lesions >50cm 17108
|
$2,281.00 |
$2,281.00 |
$2,281.00 |
$2,142.40
|
|
Destruction 2-14 lesions 17003
|
$40.00 |
$40.00 |
$40.00 |
$72.60
|
|
Destruction benign lesions < 14 lesions
|
$280.50 |
$280.50 |
$280.50 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$1,348.50 |
$1,348.50 |
$1,348.50 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,821.67 |
$1,821.67 |
$1,821.67 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,665.00 |
$3,665.00 |
$3,665.00 |
$3,202.98
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$531.00 |
$531.00 |
$531.00 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$531.00 |
$531.00 |
$531.00 |
$558.97
|
|
Destruction mal lsn t/a/l >4cm
|
$490.00 |
$490.00 |
$490.00 |
$569.80
|
|
Detect agent nos dna dir
|
$198.00 |
$198.00 |
$198.00 |
$115.20
|
|
Determine refractive state
|
$24.00 |
$24.00 |
$24.00 |
$19.80
|
|
Developmental screen/score/document 96110
|
$41.50 |
$41.50 |
$41.50 |
$130.65
|
|
Device ablt adv novasure
|
$2,251.50 |
$2,251.50 |
$2,251.50 |
$6,097.50
|
|
Device intraute mirena
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,000.50 |
$1,000.50 |
$1,000.50 |
$1,894.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$173.00 |
$173.00 |
$173.00 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$4.41 |
$4.41 |
$4.41 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$5.00 |
$5.00 |
$5.00 |
$21.17
|
|
Dexamethasone intra implant
|
$441.50 |
$441.50 |
$441.50 |
$2,538.20
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$60.00 |
$60.00 |
$60.00 |
$47.48
|
|
Dhea-s (dehydroepiand sulfate)
|
$226.00 |
$226.00 |
$226.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$62.50 |
$62.50 |
$62.50 |
$79.20
|
|
Diab manage trn ind/group
|
$58.00 |
$58.00 |
$58.00 |
$56.55
|
|
Diagnostic anoscopy
|
$160.00 |
$160.00 |
$160.00 |
$391.20
|
|
Diagnostic anoscopy spx 46600
|
$154.00 |
$154.00 |
$154.00 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$336.50 |
$336.50 |
$336.50 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$271.00 |
$271.00 |
$271.00 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$235.00 |
$235.00 |
$235.00 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$892.00 |
$892.00 |
$892.00 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$296.00 |
$296.00 |
$296.00 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$227.00 |
$227.00 |
$227.00 |
$301.55
|
|
Dialysis repeated eval
|
$1,267.50 |
$1,267.50 |
$1,267.50 |
$1,267.50
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$15.20 |
$15.20 |
$15.20 |
$74.76
|
|
Dicyclomine injection
|
$16.54 |
$16.54 |
$16.54 |
$153.29
|
|
Diffusing capacity
|
$127.50 |
$127.50 |
$127.50 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$6.36 |
$6.36 |
$6.36 |
$69.03
|
|
Digoxin total therapeutic drug level
|
$171.50 |
$171.50 |
$171.50 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$97.50 |
$97.50 |
$97.50 |
$297.86
|
