|
Cytogenetics 3-5
|
$915.00 |
$915.00 |
$915.00 |
$147.36
|
|
Cytomegalovirus (cmv) antibody igg
|
$95.00 |
$95.00 |
$95.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$100.00 |
$100.00 |
$100.00 |
$95.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$80.00 |
$80.00 |
$80.00 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$95.00 |
$95.00 |
$95.00 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$87.50 |
$87.50 |
$87.50 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$152.50 |
$152.50 |
$152.50 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$100.00 |
$100.00 |
$100.00 |
$132.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$42.50 |
$42.50 |
$42.50 |
$70.00
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$120.00 |
$120.00 |
$120.00 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$207.50 |
$207.50 |
$207.50 |
$207.01
|
|
Cytopath smear other source
|
$92.50 |
$92.50 |
$92.50 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$85.00 |
$85.00 |
$85.00 |
$96.20
|
|
Dalbavancin 500 mg intravenous solution
|
$56.36 |
$56.36 |
$56.36 |
$3,410.61
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.23 |
$0.23 |
$0.23 |
$232.27
|
|
Dch pulmonary stress test
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$963.30
|
|
Dch validity tests
|
$15.00 |
$15.00 |
$15.00 |
$24.50
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$3,500.00 |
$3,500.00 |
$3,500.00 |
$4,478.50
|
|
Deamidated gliadin antibody iga
|
$85.00 |
$85.00 |
$85.00 |
$44.20
|
|
Debridement (>20 cm) charge pt
|
$227.50 |
$227.50 |
$227.50 |
$262.60
|
|
Debride nail1-5 11720
|
$67.50 |
$67.50 |
$67.50 |
$155.40
|
|
Debride nail6 or more 11721
|
$90.00 |
$90.00 |
$90.00 |
$167.63
|
|
Decalcification
|
$75.00 |
$75.00 |
$75.00 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$272.50 |
$272.50 |
$272.50 |
$540.00
|
|
Delivery of placenta 59414
|
$635.00 |
$635.00 |
$635.00 |
$2,993.25
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$3,975.00 |
$3,975.00 |
$3,975.00 |
$7,178.85
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$70.00 |
$70.00 |
$70.00 |
$192.72
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$95.94 |
$95.94 |
$95.94 |
$6,324.98
|
|
Dermagraft
|
$85.00 |
$85.00 |
$85.00 |
$85.00
|
|
Design mlc device for imrt
|
$1,785.00 |
$1,785.00 |
$1,785.00 |
$1,641.90
|
|
Developmental screen/score/document 96110
|
$87.50 |
$87.50 |
$87.50 |
$132.24
|
|
Device ablt adv novasure
|
$5,305.23 |
$5,305.23 |
$5,305.23 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$4,285.86
|
|
Device intraute mirena
|
$4,078.08 |
$4,078.08 |
$4,078.08 |
$2,161.20
|
|
Device tiss remov myosure reach
|
$2,174.96 |
$2,174.96 |
$2,174.96 |
$2,529.60
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$270.00 |
$270.00 |
$270.00 |
$227.25
|
|
Dexametha opth insert 0.1 mg
|
$362.70 |
$362.70 |
$362.70 |
$528.00
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$5.38 |
$5.38 |
$5.38 |
$22.05
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$38.08 |
$38.08 |
$38.08 |
$35.57
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$76.83 |
$76.83 |
$76.83 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$70.69 |
$70.69 |
$70.69 |
$42.32
|
|
Dextrose 5 % IV bolus
|
$77.41 |
$77.41 |
$77.41 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$137.50 |
$137.50 |
$137.50 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$82.50 |
$82.50 |
$82.50 |
$79.30
|
|
Diab manage trn ind/group
|
$45.00 |
$45.00 |
$45.00 |
$57.75
|
|
Diagnostic anoscopy spx 46600
|
$160.00 |
$160.00 |
$160.00 |
$195.50
|
|
Diagnostic Mammogram (both breasts)
|
$475.00 |
$475.00 |
$475.00 |
$399.94
|
|
Diagnostic Mammogram (one breast)
|
$412.50 |
$412.50 |
$412.50 |
$310.00
|
|
Diagnostic radio unlisted proc
|
$590.00 |
$590.00 |
$590.00 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$18,335.00 |
$18,335.00 |
$18,335.00 |
$6,185.00
|
|
Dialysis one evaluation
|
$845.00 |
$845.00 |
$845.00 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$70.38 |
$70.38 |
$70.38 |
$74.02
|
|
Dicyclomine injection
|
$69.49 |
$69.49 |
$69.49 |
$157.69
|
|
Diffusing capacity
|
$285.00 |
$285.00 |
$285.00 |
$331.76
|
|
Digoxin immune fab 40 mg intravenous solution
|
$15,153.37 |
$15,153.37 |
$15,153.37 |
$8,843.78
|
|
Digoxin total therapeutic drug level
|
$77.50 |
$77.50 |
$77.50 |
$99.59
|
|
Dilate biliary duct/ampulla
|
$4,815.00 |
$4,815.00 |
$4,815.00 |
$1,924.05
|
|
Dilat xst trc ndurlgc px
|
$2,075.00 |
$2,075.00 |
$2,075.00 |
$4,056.65
|
|
Dilat xst trc new access rcs
|
$3,110.00 |
$3,110.00 |
$3,110.00 |
$4,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$37.38 |
$37.38 |
$37.38 |
$17.38
|
|
Disability dlco
|
$240.00 |
$240.00 |
$240.00 |
$280.00
|
|
Disaccharidases
|
$357.50 |
$357.50 |
$357.50 |
$203.08
|
|
Discography cerv/thor spine
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,375.10
|
|
Division of fallopian tube 58605
|
$920.00 |
$920.00 |
$920.00 |
$832.00
|
|
Dna antibody native/double stranded
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Dna gardnerella
|
$62.50 |
$62.50 |
$62.50 |
$62.50
|
|
Dna trichomonas
|
$62.50 |
$62.50 |
$62.50 |
$63.00
|
|
Doppler echo complete
|
$715.00 |
$715.00 |
$715.00 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$540.00 |
$540.00 |
$540.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$362.50 |
$362.50 |
$362.50 |
$476.45
|
|
Dpyd gene common variants
|
$175.00 |
$175.00 |
$175.00 |
$362.05
|
|
Drainage of kidney lesion
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$1,534.80
|
|
Drain blood from under nail 11740
|
$75.00 |
$75.00 |
$75.00 |
$173.21
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,540.00 |
$2,540.00 |
$2,540.00 |
$2,595.00
|
|
Drain cath image guided visceral pq
|
$2,785.00 |
$2,785.00 |
$2,785.00 |
$2,881.20
|
|
Drain cerebro spinal fluid 62272
|
$910.00 |
$910.00 |
$910.00 |
$1,044.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$207.50 |
$207.50 |
$207.50 |
$397.15
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$157.50 |
$157.50 |
$157.50 |
$355.80
|
|
Dress/debrid prtl-thick burn l 16030
|
$252.50 |
$252.50 |
$252.50 |
$526.40
|
|
Droperidol 2.5 mg/ml injection solution
|
$41.57 |
$41.57 |
$41.57 |
$31.07
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$15.00 |
$15.00 |
$15.00 |
$94.65
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$483.05 |
$483.05 |
$483.05 |
$7,465.97
|
|
Drug assay caffeine
|
$80.00 |
$80.00 |
$80.00 |
$81.61
|
|
Drug assay posaconazole
|
$100.00 |
$100.00 |
$100.00 |
$91.00
|
|
Drug assay rufinamide
|
$135.00 |
$135.00 |
$135.00 |
$88.20
|
|
Drug assay vedolizumab
|
$272.50 |
$272.50 |
$272.50 |
$136.08
|
|
Drug assay voriconazole
|
$137.50 |
$137.50 |
$137.50 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$345.00 |
$345.00 |
$345.00 |
$66.43
|
|
Drug of abuse screen urine
|
$27.50 |
$27.50 |
$27.50 |
$59.60
|
|
Drug screen quant tiagabine
|
$115.00 |
$115.00 |
$115.00 |
$107.80
|
|
Drug test def 15-21 classes
|
$322.50 |
$322.50 |
$322.50 |
$274.26
|
|
Drug test def 22+ classes
|
$140.00 |
$140.00 |
$140.00 |
$276.30
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$352.50 |
$352.50 |
$352.50 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$3,091.94
|
|
Ductogram sgl duct
|
$302.50 |
$302.50 |
$302.50 |
$452.50
|
|
Duplex scan bilateral study 93985
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$730.00 |
$730.00 |
$730.00 |
$392.15
|
|
Dup scan/hemodialysis access 93990
|
$600.00 |
$600.00 |
$600.00 |
$499.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$745.00 |
$745.00 |
$745.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$710.00 |
$710.00 |
$710.00 |
$890.55
|
