|
Cytomegalovirus dfa
|
$108.12 |
$108.12 |
$108.12 |
$59.59
|
|
Cytopath c/v index add-on
|
$43.46 |
$43.46 |
$45.58 |
$29.60
|
|
Cytopathology cellular enhancement technique non-gyn
|
$91.16 |
$91.16 |
$195.57 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$93.81 |
$93.81 |
$185.50 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$33.92 |
$80.03 |
$80.03 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$74.73 |
$74.73 |
$193.45 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$97.52 |
$97.52 |
$101.76 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$127.73 |
$127.73 |
$133.56 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$90.63 |
$90.63 |
$161.12 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$115.01 |
$115.01 |
$266.06 |
$205.00
|
|
Cytopath smear other source
|
$58.30 |
$58.30 |
$116.07 |
$85.80
|
|
Cytopath smear other source
|
$171.72 |
$171.72 |
$179.14 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$66.78 |
$66.78 |
$106.53 |
$95.89
|
|
Cytopath tbs c/v manual
|
$81.09 |
$81.09 |
$84.80 |
$57.94
|
|
Cytp urine 3-5 probes cmptr
|
$483.89 |
$484.95 |
$484.95 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$13.47 |
$13.47 |
$13.47 |
$82.91
|
|
Dactinomycin 0.5 mg intravenous solution
|
$2,526.62 |
$2,526.62 |
$2,526.62 |
$2,526.62
|
|
Dalbavancin 500 mg intravenous solution
|
$24.80 |
$27.59 |
$29.58 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.52 |
$0.52 |
$1.20 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$77.35 |
$77.35 |
$77.35 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$12.18 |
$12.18 |
$14.19 |
$5,546.48
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$109.12 |
$109.12 |
$109.12 |
$260.95
|
|
Dch glucoscan
|
$9.54 |
$10.60 |
$10.60 |
$24.85
|
|
Dch validity tests
|
$13.78 |
$13.78 |
$13.78 |
$25.20
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$3,863.17 |
$3,863.17 |
$12,344.23 |
$4,021.68
|
|
Deamidated gliadin antibody iga
|
$7.42 |
$7.42 |
$7.42 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$129.85 |
$232.14 |
$232.14 |
$262.60
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$527.88 |
$527.88 |
$704.90 |
$810.50
|
|
Debride nail1-5 11720
|
$148.93 |
$148.93 |
$333.90 |
$173.25
|
|
Debride nail6 or more 11721
|
$240.09 |
$240.09 |
$413.93 |
$195.20
|
|
Decalcification
|
$33.39 |
$33.39 |
$91.69 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$18.04 |
$49.27 |
$54.06 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$227.37 |
$497.14 |
$598.90 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$26.54 |
$30.94 |
$51.38 |
$110.82
|
|
Degarelix 120 mg subcutaneous solution
|
$11.20 |
$11.20 |
$11.20 |
$2,086.82
|
|
Delivery of placenta 59414
|
$2,118.41 |
$2,118.41 |
$2,118.41 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$3,263.74 |
$3,263.74 |
$7,178.85 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$111.30 |
$111.30 |
$134.62 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$39.78 |
$39.78 |
$43.11 |
$7,933.81
|
|
Dermagraft
|
$1,432.59 |
$1,432.59 |
$1,557.14 |
$1,912.31
|
|
Descend thora aorta rpr/lt sub art 33880
|
$4,539.98 |
$4,539.98 |
$30,814.20 |
$5,702.04
|
|
Design mlc device for imrt
|
$757.90 |
$757.90 |
$860.72 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$26.36 |
$26.36 |
$31.49 |
$102.32
|
|
Des thora aorta/ea add prox prosth 33884
|
$1,285.78 |
$1,285.78 |
$1,285.78 |
$1,285.78
|
|
Des thora aorta rpr without left sub art 33881
|
$30,814.20 |
$31,412.57 |
$31,412.57 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$2,571.56 |
$2,571.56 |
$2,571.56 |
$2,498.88
|
|
Destroy cervthor facet jnt 64633
|
$1,100.81 |
$1,696.00 |
$1,696.00 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$848.00 |
$848.00 |
$848.00 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$920.61 |
$920.61 |
$920.61 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,240.20 |
$1,841.22 |
$1,841.22 |
$3,375.00
|
|
Detect agnt mult dna direc
|
$102.82 |
$102.82 |
$1,213.70 |
$109.60
|
|
Developmental screen/score/document 96110
|
$171.72 |
$171.72 |
$171.72 |
$139.10
|
|
Device intraute mirena
|
$1,999.72 |
$1,999.72 |
$1,999.72 |
$2,618.91
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$134.62 |
$134.62 |
$134.62 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$0.66 |
$2.76 |
$6.12 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$1.43 |
$1.43 |
$1.43 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$346.77 |
$346.77 |
$390.89 |
$560.92
|
|
Dextran 40 infusion
|
$65.30 |
$65.30 |
$69.96 |
$171.76
|
|
Dhea-s (dehydroepiand sulfate)
|
$72.61 |
$72.61 |
$156.88 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$38.16 |
$38.16 |
$84.27 |
$78.03
|
|
Diagnostic laryngoscopy 31505
|
$292.56 |
$292.56 |
$292.56 |
$242.14
|
|
Diagnostic Mammogram (both breasts)
|
$241.15 |
$381.60 |
$381.60 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$193.45 |
$271.89 |
$271.89 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$123.49 |
$123.49 |
$123.49 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$4,560.65 |
$4,560.65 |
$4,560.65 |
$7,145.00
|
|
Dialysis one evaluation
|
$706.49 |
$706.49 |
$706.49 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$26.35 |
$26.35 |
$28.34 |
$72.34
|
|
Dicyclomine injection
|
$117.76 |
$117.76 |
$117.76 |
$211.81
|
|
Diffusing capacity
|
$214.12 |
$214.12 |
$299.98 |
$360.10
|
|
Digital analysis of eeg
|
$1,622.33 |
$1,622.33 |
$1,622.33 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$10.67 |
$33.75 |
$59.06 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$6,878.14 |
$6,878.14 |
$7,653.66 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$56.18 |
$56.18 |
$84.80 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$90.95 |
$240.87 |
$240.87 |
$334.68
|
|
Dilate biliary duct/ampulla
|
$1,276.77 |
$1,276.77 |
$5,852.79 |
$2,304.60
|
|
Dilate esophagus
|
$1,009.12 |
$1,009.12 |
$1,009.12 |
$2,003.04
|
|
Dilate esophagus 1/mult pass
|
$1,490.36 |
$1,490.36 |
$1,490.36 |
$1,484.17
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$1,340.37 |
$1,340.37 |
$7,788.35 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$696.95 |
$696.95 |
$7,788.35 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$1,394.43 |
$1,394.43 |
$15,576.70 |
$6,280.95
|
|
Dilation of salivary duct
|
$333.37 |
$333.37 |
$333.37 |
$599.72
|
|
Dilation salivary duct 42650
|
$1,015.48 |
$1,015.48 |
$1,015.48 |
$1,744.44
|
|
Dilat xst trc ndurlgc px
|
$3,632.62 |
$3,632.62 |
$3,632.62 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$6,110.90 |
$6,110.90 |
$6,110.90 |
$5,020.00
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,105.82 |
$1,105.82 |
$1,105.82 |
$1,155.52
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.63 |
$1.63 |
$1.64 |
$26.87
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$84.92 |
$84.92 |
$84.92 |
$106.59
|
|
Disability dlco
|
$292.03 |
$292.03 |
$607.91 |
$307.58
|
|
Disaccharidases
|
$153.17 |
$153.17 |
$335.49 |
$223.80
|
|
Discography cerv/thor spine
|
$1,023.96 |
$1,023.96 |
$1,023.96 |
$2,404.00
|
|
Dissolve clot heart vessel
|
$1,579.93 |
$1,579.93 |
$3,787.91 |
$1,396.47
|
|
Dlyd plmt xtn prosth ea addl
|
$1,631.87 |
$1,631.87 |
$2,867.83 |
$2,001.55
|
|
Dna antibody native/double stranded
|
$51.94 |
$51.94 |
$111.30 |
$102.60
|
|
Dna gardnerella
|
$51.41 |
$51.41 |
$51.41 |
$67.68
|
|
Dna probe chlamydia
|
$119.78 |
$119.78 |
$119.78 |
$82.20
|
|
Dna probe gc
|
$146.81 |
$146.81 |
$146.81 |
$88.67
|
|
Dna trichomonas
|
$104.94 |
$104.94 |
$104.94 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$33.00 |
$33.00 |
$33.00 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$3.79 |
$3.79 |
$9.96 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$3.22 |
$3.22 |
$3.22 |
$84.30
|