|
Cytogenetics 25-99
|
$68.50 |
$68.50 |
$68.50 |
$190.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$120.00 |
$120.00 |
$120.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$119.00 |
$119.00 |
$119.00 |
$97.50
|
|
Cytopathology cellular enhancement technique non-gyn
|
$123.50 |
$123.50 |
$123.50 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$104.00 |
$104.00 |
$104.00 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$71.00 |
$71.00 |
$71.00 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$80.00 |
$80.00 |
$80.00 |
$129.35
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$345.00 |
$345.00 |
$345.00 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$146.50 |
$146.50 |
$146.50 |
$209.23
|
|
Cytopath smear other source
|
$92.00 |
$92.00 |
$92.00 |
$88.13
|
|
Dalbavancin 500 mg intravenous solution
|
$20.50 |
$20.50 |
$20.50 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.50 |
$0.50 |
$0.50 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$19,945.05 |
$19,945.05 |
$19,945.05 |
$21,063.03
|
|
Darbepoetin alfa, esrd use
|
$17.00 |
$17.00 |
$17.00 |
$4.48
|
|
D&c after delivery 59160
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$4,294.50 |
$4,294.50 |
$4,294.50 |
$3,774.81
|
|
Dch validity tests
|
$13.50 |
$13.50 |
$13.50 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$137.50 |
$137.50 |
$137.50 |
$43.60
|
|
Debridement bone <= 20 sq cm
|
$3,411.50 |
$3,411.50 |
$3,411.50 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$396.50 |
$396.50 |
$396.50 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,046.50 |
$1,046.50 |
$1,046.50 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$839.00 |
$839.00 |
$839.00 |
$810.50
|
|
Debride nail6 or more 11721
|
$135.00 |
$135.00 |
$135.00 |
$169.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,845.00 |
$1,845.00 |
$1,845.00 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$128.00 |
$128.00 |
$128.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$831.00 |
$831.00 |
$831.00 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,271.00 |
$1,271.00 |
$1,271.00 |
$1,160.00
|
|
Decalcification
|
$36.50 |
$36.50 |
$36.50 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$140.57 |
$140.57 |
$140.57 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$754.00 |
$754.00 |
$754.00 |
$543.00
|
|
Degarelix 120 mg subcutaneous solution
|
$689.36 |
$689.36 |
$689.36 |
$1,807.08
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$6,994.50 |
$6,994.50 |
$6,994.50 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$466.00 |
$466.00 |
$466.00 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$7,489.51 |
$7,489.51 |
$7,489.51 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$5,813.50 |
$5,813.50 |
$5,813.50 |
$408.10
|
|
Dermapure 1 square cm
|
$143.50 |
$143.50 |
$143.50 |
$3,822.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$7.50 |
$7.50 |
$7.50 |
$89.78
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$103.50 |
$103.50 |
$103.50 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$182.00 |
$182.00 |
$182.00 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$221.50 |
$221.50 |
$221.50 |
$408.50
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$191.50 |
$191.50 |
$191.50 |
$317.00
|
|
Dest mal lesion tal <0.5 17260
|
$71.50 |
$71.50 |
$71.50 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$134.50 |
$134.50 |
$134.50 |
$262.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$125.00 |
$125.00 |
$125.00 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$136.00 |
$136.00 |
$136.00 |
$364.50
|
|
Destroy premlg lesns;1st lesn 17000
|
$415.00 |
$415.00 |
$415.00 |
$199.50
|
|
Destruct ben lesion 15/> 17111
|
$142.50 |
$142.50 |
$142.50 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$8.00 |
$8.00 |
$8.00 |
$72.60
|
|
Destruction benign lesions < 14 lesions
|
$129.50 |
$129.50 |
$129.50 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,616.50 |
$1,616.50 |
$1,616.50 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,591.00 |
$3,591.00 |
$3,591.00 |
$3,202.98
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$153.50 |
$153.50 |
$153.50 |
$513.60
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$147.50 |
$147.50 |
$147.50 |
$472.79
|
|
Destruction mal lsn t/a/l >4cm
|
$174.00 |
$174.00 |
$174.00 |
$569.80
|
|
Destruction premal lesions 15/> 17004
|
$171.00 |
$171.00 |
$171.00 |
$436.64
|
|
Detect agent nos dna dir
|
$198.00 |
$198.00 |
$198.00 |
$115.20
|
|
Developmental screen/score/document 96110
|
$12.00 |
$12.00 |
$12.00 |
$130.65
|
|
Device ablt adv novasure
|
$42.50 |
$42.50 |
$42.50 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,199.00 |
$2,199.00 |
$2,199.00 |
$4,200.00
|
|
Device intraute mirena
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,340.50 |
$1,340.50 |
$1,340.50 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$266.00 |
$266.00 |
$266.00 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$7.21 |
$7.21 |
$7.21 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$3.04 |
$3.04 |
$3.04 |
$21.17
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$60.00 |
$60.00 |
$60.00 |
$47.48
|
|
Dhea-s (dehydroepiand sulfate)
|
$127.50 |
$127.50 |
$127.50 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$57.50 |
$57.50 |
$57.50 |
$79.20
|
|
Diag laparo separate proc 49320
|
$17,565.67 |
$17,565.67 |
$17,565.67 |
$6,904.15
|
|
Diagnostic digital breast tomosynthesis bil
|
$59.50 |
$59.50 |
$59.50 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$59.50 |
$59.50 |
$59.50 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$369.50 |
$369.50 |
$369.50 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$380.00 |
$380.00 |
$380.00 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$314.00 |
$314.00 |
$314.00 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$625.00 |
$625.00 |
$625.00 |
$5,419.00
|
|
Dialysis one evaluation
|
$492.50 |
$492.50 |
$492.50 |
$919.55
|
|
Diathermy eg microwave
|
$20.50 |
$20.50 |
$20.50 |
$29.68
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$39.99 |
$39.99 |
$39.99 |
$74.76
|
|
Dicyclomine injection
|
$62.01 |
$62.01 |
$62.01 |
$153.29
|
|
Diffusing capacity
|
$145.00 |
$145.00 |
$145.00 |
$332.00
|
|
Digoxin total therapeutic drug level
|
$69.00 |
$69.00 |
$69.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$97.50 |
$97.50 |
$97.50 |
$297.86
|
|
Dilate esophagus 1/mult pass
|
$791.67 |
$791.67 |
$791.67 |
$1,484.17
|
|
Dilate urethra stricture
|
$77.50 |
$77.50 |
$77.50 |
$200.80
|
|
Dilation of urethra
|
$77.50 |
$77.50 |
$77.50 |
$172.00
|
|
Dilator fascial 10fx20cm
|
$64.50 |
$64.50 |
$64.50 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$4.45 |
$4.45 |
$4.45 |
$47.94
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,508.50 |
$1,508.50 |
$1,508.50 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.22 |
$1.22 |
$1.22 |
$17.75
|
|
Disability dlco
|
$346.50 |
$346.50 |
$346.50 |
$282.40
|
|
Disaccharidases
|
$187.00 |
$187.00 |
$187.00 |
$216.00
|
|
Dna antibody native/double stranded
|
$67.50 |
$67.50 |
$67.50 |
$97.50
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1.50 |
$1.50 |
$1.50 |
$904.81
|
|
Doppler echo complete
|
$50.50 |
$50.50 |
$50.50 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$1,684.50 |
$1,684.50 |
$1,684.50 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$322.50 |
$322.50 |
$322.50 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$278.00 |
$278.00 |
$278.00 |
$471.17
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$46,252.48 |
$46,252.48 |
$46,252.48 |
$23,613.78
|
|
Dpyd gene common variants
|
$800.00 |
$800.00 |
$800.00 |
$380.50
|
|
Drainage external ear simple 69000
|
$1,508.50 |
$1,508.50 |
$1,508.50 |
$789.60
|