|
Culture screening strep group a
|
$44.02 |
$44.02 |
$89.52 |
$84.60
|
|
Culture typing added method
|
$8.31 |
$8.31 |
$8.31 |
$42.60
|
|
Culture typing glc/hplc
|
$12.77 |
$12.77 |
$12.77 |
$53.75
|
|
Culture typing immunologic
|
$28.56 |
$28.56 |
$77.24 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$182.55 |
$182.55 |
$182.55 |
$140.80
|
|
Culture urine each isolate
|
$8.40 |
$8.40 |
$8.58 |
$55.50
|
|
Cutter lead
|
$7,247.26 |
$7,247.26 |
$12,092.28 |
$6,581.45
|
|
Cv line/pic reposition
|
$657.68 |
$657.68 |
$891.18 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$12.94 |
$12.94 |
$12.94 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$14.48 |
$14.48 |
$14.48 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$20.47 |
$20.47 |
$37.79 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,968.20 |
$1,968.20 |
$1,968.20 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$31.90 |
$31.90 |
$31.90 |
$19.49
|
|
Cyclosporine 2 hour
|
$11.37 |
$11.37 |
$19.35 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$6.97 |
$6.97 |
$6.97 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$27.88 |
$27.88 |
$27.88 |
$37.31
|
|
Cylinder pump set 20cm titan zero angl
|
$18,594.23 |
$18,594.23 |
$29,737.02 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$312.34 |
$312.34 |
$428.22 |
$524.00
|
|
Cyp2c9 gene com variants
|
$160.12 |
$160.12 |
$160.12 |
$275.10
|
|
Cyp2d6 gene com variants
|
$412.66 |
$412.66 |
$412.66 |
$570.70
|
|
Cyp3a4 gene common variants
|
$160.12 |
$160.12 |
$160.12 |
$241.24
|
|
Cyp3a5 gene common variants
|
$160.12 |
$160.12 |
$160.12 |
$245.31
|
|
Cystatin c
|
$10.98 |
$10.98 |
$19.86 |
$77.60
|
|
Cystic fibrosis cftr
|
$733.52 |
$733.52 |
$733.52 |
$1,104.40
|
|
Cystine urine quantitative
|
$17.84 |
$17.84 |
$17.84 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$315.58 |
$315.58 |
$325.89 |
$586.95
|
|
Cytarabine 20 mg/ml injection solution
|
$50.66 |
$50.66 |
$50.66 |
$90.00
|
|
Cytogenetics 25-99
|
$43.25 |
$43.25 |
$43.25 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$20.82 |
$20.82 |
$153.03 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$21.17 |
$21.17 |
$159.20 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$39.25 |
$39.25 |
$61.11 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$32.28 |
$32.28 |
$32.28 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$24.69 |
$24.69 |
$43.15 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$44.76 |
$44.76 |
$66.47 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$44.76 |
$44.76 |
$44.76 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$9.92 |
$9.92 |
$34.58 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$77.02 |
$77.02 |
$230.22 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$61.11 |
$61.11 |
$86.30 |
$213.85
|
|
Cytopath smear other source
|
$27.88 |
$27.88 |
$27.88 |
$92.50
|
|
Cytopath smear other source
|
$61.11 |
$61.11 |
$61.11 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$27.88 |
$27.88 |
$46.00 |
$96.20
|
|
Cytotoxic antibody screening
|
$31.23 |
$31.23 |
$31.23 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$431.22 |
$431.22 |
$431.22 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$32.97 |
$32.97 |
$32.97 |
$62.41
|
|
Dalbavancin 500 mg intravenous solution
|
$4,073.07 |
$4,073.07 |
$4,073.07 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.02 |
$0.02 |
$1,217.80 |
$171.19
|
|
Dch pulmonary stress test
|
$65.99 |
$65.99 |
$65.99 |
$963.30
|
|
Dch validity tests
|
$3.40 |
$3.40 |
$20.91 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$20.06 |
$20.06 |
$20.47 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$179.03 |
$179.03 |
$179.03 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$1,588.71 |
$1,588.71 |
$1,588.71 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$794.36 |
$794.36 |
$794.36 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,449.08 |
$1,449.08 |
$1,449.08 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$454.00 |
$454.00 |
$454.00 |
$835.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$366.90 |
$366.90 |
$366.90 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$694.12 |
$694.12 |
$694.12 |
$1,165.50
|
|
Decalcification
|
$11.48 |
$11.48 |
$57.36 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$237.23 |
$237.23 |
$306.06 |
$572.95
|
|
Deferoxamine 500 mg solution for injection
|
$85.23 |
$85.23 |
$85.23 |
$95.85
|
|
Delivery of placenta 59414
|
$1,511.64 |
$1,511.64 |
$1,511.64 |
$2,912.46
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$857.87 |
$857.87 |
$857.87 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$90.65 |
$90.65 |
$132.40 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$3,332.58 |
$3,332.58 |
$3,332.58 |
$6,324.98
|
|
Desmopressin 4 mcg/ml injection solution
|
$191.62 |
$191.62 |
$191.62 |
$91.84
|
|
Desoxycorticosterone
|
$18.23 |
$18.23 |
$33.22 |
$109.28
|
|
Destruct cut vasl lesions <10cm 17106
|
$264.79 |
$264.79 |
$264.79 |
$666.75
|
|
Developmental screen/score/document 96110
|
$96.46 |
$96.46 |
$96.46 |
$142.38
|
|
Devel tst phys/qhp 1st hr
|
$157.32 |
$157.32 |
$157.32 |
$350.40
|
|
Device ablt adv novasure
|
$2,478.12 |
$2,478.12 |
$9,422.08 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$1,306.47 |
$1,306.47 |
$4,285.86 |
$4,200.00
|
|
Device intraute mirena
|
$1,922.10 |
$1,922.10 |
$1,922.10 |
$2,125.00
|
|
Device sut capio slim opn
|
$3,277.14 |
$3,277.14 |
$3,295.60 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$2,973.53 |
$2,973.53 |
$3,295.60 |
$2,515.00
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$94.34 |
$94.34 |
$94.34 |
$199.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$106.67 |
$106.67 |
$106.67 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$5.10 |
$5.10 |
$5.10 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$14.48 |
$14.48 |
$14.48 |
$20.76
|
|
Dextran 40 infusion
|
$93.80 |
$93.80 |
$93.80 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$93.80 |
$93.80 |
$93.80 |
$36.05
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$93.80 |
$93.80 |
$93.80 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$93.80 |
$93.80 |
$93.80 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$13.13 |
$13.13 |
$103.45 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$34.69 |
$34.69 |
$80.94 |
$79.30
|
|
Diab manage trn ind/group
|
$61.64 |
$61.64 |
$61.64 |
$54.99
|
|
Diagnostic digital breast tomosynthesis bil
|
$157.32 |
$157.32 |
$157.32 |
$117.94
|
|
Diagnostic laryngoscopy 31575
|
$208.81 |
$208.81 |
$208.81 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$164.82 |
$164.82 |
$164.82 |
$420.35
|
|
Diagnostic radio unlisted proc
|
$1,497.86 |
$1,497.86 |
$1,497.86 |
$259.00
|
|
Dialysis one evaluation
|
$1,037.43 |
$1,037.43 |
$1,037.43 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$143.92 |
$143.92 |
$143.92 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$23.86 |
$23.86 |
$23.86 |
$79.71
|
|
Dicyclomine injection
|
$229.68 |
$229.68 |
$229.68 |
$154.33
|
|
Diffusing capacity
|
$33.49 |
$33.49 |
$157.32 |
$336.80
|
|
Digital analysis of eeg
|
$243.21 |
$243.21 |
$243.21 |
$593.40
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$15.28 |
$15.28 |
$15.28 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$5,398.86 |
$5,398.86 |
$5,398.86 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$10.39 |
$10.39 |
$105.33 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$213.33 |
$213.33 |
$213.33 |
$297.86
|
|
Dilate ic vasospasm ea add vsl same territory
|
$3,166.96 |
$3,166.96 |
$3,166.96 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$4,222.34 |
$4,222.34 |
$4,222.34 |
$5,151.95
|
