|
Cutter lead
|
$12,481.29 |
$12,481.29 |
$12,481.29 |
$6,581.45
|
|
Cv line/pic reposition
|
$332.85 |
$332.85 |
$332.85 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$31.02 |
$31.02 |
$31.02 |
$60.75
|
|
Cyclic citrullinated peptide antibody
|
$21.59 |
$21.59 |
$21.59 |
$72.36
|
|
Cyclosporine 2 hour
|
$27.26 |
$27.26 |
$27.26 |
$130.40
|
|
Cylinder pump set 20cm titan zero angl
|
$33,180.52 |
$33,180.52 |
$33,180.52 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$392.00 |
$392.00 |
$392.00 |
$524.00
|
|
Cyp2c9 gene com variants
|
$235.20 |
$235.20 |
$235.20 |
$275.10
|
|
Cyp2d6 gene com variants
|
$606.14 |
$606.14 |
$606.14 |
$570.70
|
|
Cyp3a4 gene common variants
|
$235.20 |
$235.20 |
$235.20 |
$241.24
|
|
Cyp3a5 gene common variants
|
$235.20 |
$235.20 |
$235.20 |
$245.31
|
|
Cystatin c
|
$26.32 |
$26.32 |
$26.32 |
$77.60
|
|
Cystic fibrosis cftr
|
$670.66 |
$670.66 |
$670.66 |
$1,104.40
|
|
Cystine urine quantitative
|
$42.77 |
$42.77 |
$42.77 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$181.26 |
$181.26 |
$181.26 |
$586.95
|
|
Cytogenetics 25-99
|
$63.87 |
$63.87 |
$63.87 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$21.96 |
$21.96 |
$21.96 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$22.33 |
$22.33 |
$22.33 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$56.89 |
$56.89 |
$56.89 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$39.92 |
$39.92 |
$39.92 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$30.44 |
$30.44 |
$30.44 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$41.92 |
$41.92 |
$41.92 |
$135.20
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$25.45 |
$25.45 |
$25.45 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$182.14 |
$182.14 |
$182.14 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$95.81 |
$95.81 |
$95.81 |
$213.85
|
|
Cytopath smear oth prep screen & interp
|
$26.45 |
$26.45 |
$26.45 |
$96.20
|
|
Cytotoxic antibody screening
|
$32.94 |
$32.94 |
$32.94 |
$133.25
|
|
Dch pulmonary stress test
|
$470.86 |
$470.86 |
$470.86 |
$963.30
|
|
Dch validity tests
|
$5.81 |
$5.81 |
$5.81 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$21.59 |
$21.59 |
$21.59 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$30.26 |
$30.26 |
$30.26 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$1,406.94 |
$1,406.94 |
$1,406.94 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$287.21 |
$287.21 |
$287.21 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$344.88 |
$344.88 |
$344.88 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$45.68 |
$45.68 |
$45.68 |
$835.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$159.88 |
$159.88 |
$159.88 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$940.44 |
$940.44 |
$940.44 |
$1,165.50
|
|
Decalcification
|
$28.56 |
$28.56 |
$28.56 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$118.20 |
$118.20 |
$118.20 |
$572.95
|
|
Deferoxamine 500 mg solution for injection
|
$1.41 |
$1.41 |
$1.41 |
$95.85
|
|
Delivery of placenta 59414
|
$1,579.03 |
$1,579.03 |
$1,579.03 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$55.71 |
$55.71 |
$55.71 |
$185.17
|
|
Desoxycorticosterone
|
$43.71 |
$43.71 |
$43.71 |
$109.28
|
|
Device ablt adv novasure
|
$4,550.94 |
$4,550.94 |
$4,550.94 |
$6,237.48
|
|
Device sut capio slim opn
|
$5,847.90 |
$5,847.90 |
$5,847.90 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$5,460.74 |
$5,460.74 |
$5,460.74 |
$2,515.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$121.37 |
$121.37 |
$121.37 |
$227.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$31.49 |
$31.49 |
$31.49 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$14.10 |
$14.10 |
$14.10 |
$79.30
|
|
Diab manage trn ind/group
|
$15.84 |
$15.84 |
$15.84 |
$54.99
|
|
Diagnostic laryngoscopy 31575
|
$215.01 |
$215.01 |
$215.01 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$149.52 |
$149.52 |
$149.52 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$99.06 |
$99.06 |
$99.06 |
$314.00
|
|
Diffusing capacity
|
$142.97 |
$142.97 |
$142.97 |
$336.80
|
|
Digoxin total therapeutic drug level
|
$24.91 |
$24.91 |
$24.91 |
$102.07
|
|
Dilator fascial 10fx20cm
|
$847.70 |
$847.70 |
$847.70 |
$402.10
|
|
Disability dlco
|
$106.19 |
$106.19 |
$106.19 |
$293.76
|
|
Disaccharidases
|
$170.14 |
$170.14 |
$170.14 |
$230.40
|
|
Discography cerv/thor spine
|
$758.43 |
$758.43 |
$758.43 |
$2,565.00
|
|
Dna antibody native/double stranded
|
$22.69 |
$22.69 |
$22.69 |
$100.00
|
|
Dna gardnerella
|
$28.85 |
$28.85 |
$28.85 |
$61.83
|
|
Dna trichomonas
|
$28.85 |
$28.85 |
$28.85 |
$63.00
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$1.98 |
$1.98 |
$1.98 |
$65.40
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$161.95 |
$161.95 |
$161.95 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$110,597.02 |
$110,597.02 |
$110,597.02 |
$34,278.00
|
|
Dpyd gene common variants
|
$235.20 |
$235.20 |
$235.20 |
$423.60
|
|
Drainage lymph node lesion 38300
|
$1,041.37 |
$1,041.37 |
$1,041.37 |
$3,088.80
|
|
Drainage of kidney lesion
|
$1,087.54 |
$1,087.54 |
$1,087.54 |
$1,506.00
|
|
Drain bladder by trocar/cath
|
$3,387.68 |
$3,387.68 |
$3,387.68 |
$1,203.94
|
|
Drain cath image guided visceral pq
|
$895.14 |
$895.14 |
$895.14 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$53.67 |
$53.67 |
$53.67 |
$1,044.00
|
|
Drain shoulder bursa 23031
|
$1,028.38 |
$1,028.38 |
$1,028.38 |
$3,322.80
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$110.20 |
$110.20 |
$110.20 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$53.67 |
$53.67 |
$53.67 |
$349.50
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$4,678.82 |
$4,678.82 |
$4,678.82 |
$1,818.32
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$213.11 |
$213.11 |
$213.11 |
$7,465.97
|
|
Drug assay caffeine
|
$54.52 |
$54.52 |
$54.52 |
$80.00
|
|
Drug assay posaconazole
|
$55.46 |
$55.46 |
$55.46 |
$96.75
|
|
Drug assay voriconazole
|
$59.69 |
$59.69 |
$59.69 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$136.77 |
$136.77 |
$136.77 |
$66.43
|
|
Drug of abuse screen urine
|
$30.08 |
$30.08 |
$30.08 |
$67.89
|
|
Drug screening tapentadol
|
$26.32 |
$26.32 |
$26.32 |
$47.03
|
|
Drug test prsmv instrmnt
|
$24.44 |
$24.44 |
$24.44 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$211.03 |
$211.03 |
$211.03 |
$278.85
|
|
Ductogram sgl duct
|
$178.61 |
$178.61 |
$178.61 |
$469.80
|
|
Dup scan/hemodialysis access 93990
|
$294.02 |
$294.02 |
$294.02 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$205.33 |
$205.33 |
$205.33 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$391.38 |
$391.38 |
$391.38 |
$904.78
|
|
Ecg/1-3 leads/tracing only 93041
|
$55.66 |
$55.66 |
$55.66 |
$132.08
|
|
Echocardiogram (Heart Ultrasound)
|
$652.70 |
$652.70 |
$652.70 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$292.36 |
$292.36 |
$292.36 |
$720.60
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$815.88 |
$815.88 |
$815.88 |
$1,944.80
|
|
Echo exam of fetal heart
|
$317.86 |
$317.86 |
$317.86 |
$904.80
|
|
Echo exam of fetal heart
|
$168.17 |
$168.17 |
$168.17 |
$538.27
|
|
Echo exam of fetal heart
|
$202.66 |
$202.66 |
$202.66 |
$431.41
|
|
Echo exam of fetal heart
|
$182.95 |
$182.95 |
$182.95 |
$318.34
|
|
Echo exam uterus 76831-
|
$313.54 |
$313.54 |
$313.54 |
$561.00
|
|
Echograp trans r pros study
|
$335.72 |
$335.72 |
$335.72 |
$468.00
|
|
Echo guidance radiotherapy
|
$363.44 |
$363.44 |
$363.44 |
$812.00
|
|
Echo guide for amniocentesis
|
$252.56 |
$252.56 |
$252.56 |
$455.57
|
