|
Culture typing added method
|
$172.15 |
$172.15 |
$172.15 |
$34.45
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$323.52 |
$323.52 |
$323.52 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$505.40 |
$505.40 |
$505.40 |
$124.40
|
|
Cv line/pic reposition
|
$1,978.92 |
$1,978.92 |
$1,978.92 |
$1,829.42
|
|
Cv stress test i&r only 93018
|
$23.75 |
$23.75 |
$23.75 |
$40.50
|
|
Cv stress test/supervision only 93016
|
$33.39 |
$33.39 |
$33.39 |
$59.25
|
|
Cyanocobalamin unsat binding capacity
|
$162.50 |
$162.50 |
$162.50 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$16.33 |
$16.33 |
$16.33 |
$28.67
|
|
Cyclic citrullinated peptide antibody
|
$38.44 |
$38.44 |
$38.44 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$2,001.18 |
$2,001.18 |
$2,001.18 |
$1,193.26
|
|
Cyclosporine 2 hour
|
$53.58 |
$53.58 |
$53.58 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$6.68 |
$6.68 |
$6.68 |
$8.73
|
|
Cyclosporine oral 100 mg
|
$11.13 |
$11.13 |
$11.13 |
$41.22
|
|
Cystatin c
|
$59.36 |
$59.36 |
$59.36 |
$82.26
|
|
Cystic fibrosis cftr
|
$443.72 |
$443.72 |
$443.72 |
$1,041.95
|
|
Cystine urine quantitative
|
$612.15 |
$612.15 |
$612.15 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$756.84 |
$756.84 |
$756.84 |
$539.55
|
|
Cystorrhaphy wound comp 51865
|
$1,262.89 |
$1,262.89 |
$1,262.89 |
$2,256.00
|
|
Cystorrhaphy wound simple 51860
|
$1,080.36 |
$1,080.36 |
$1,080.36 |
$4,627.00
|
|
Cystoscopy and radiotracer
|
$365.07 |
$365.07 |
$365.07 |
$4,081.37
|
|
Cystoscopy and treatment
|
$245.61 |
$245.61 |
$245.61 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,213.17 |
$1,213.17 |
$1,213.17 |
$4,081.37
|
|
Cystoscopy and treatment
|
$374.71 |
$374.71 |
$374.71 |
$4,081.37
|
|
Cystoscopy and treatment
|
$438.53 |
$438.53 |
$438.53 |
$4,846.99
|
|
Cystoscopy and treatment
|
$550.57 |
$550.57 |
$550.57 |
$5,949.75
|
|
Cystoscopy and treatment
|
$402.17 |
$402.17 |
$402.17 |
$2,424.12
|
|
Cystoscopy and treatment
|
$350.23 |
$350.23 |
$350.23 |
$2,424.12
|
|
Cystoscopy and treatment
|
$494.18 |
$494.18 |
$494.18 |
$3,174.25
|
|
Cystoscopy and treatment
|
$727.91 |
$727.91 |
$727.91 |
$3,219.80
|
|
Cystoscopy and treatment
|
$345.03 |
$345.03 |
$345.03 |
$3,970.98
|
|
Cystoscopy (Bladder Scope)
|
$371.75 |
$371.75 |
$371.75 |
$1,610.20
|
|
Cystoscopy chemodenervation
|
$241.90 |
$241.90 |
$241.90 |
$2,412.45
|
|
Cystoscopy removal of clots
|
$220.38 |
$220.38 |
$220.38 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$188.47 |
$188.47 |
$188.47 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$425.91 |
$425.91 |
$425.91 |
$3,774.40
|
|
Cystotomy excise/incise/repair 51535
|
$1,128.59 |
$1,128.59 |
$1,128.59 |
$3,940.80
|
|
Cystouretero & or pyeloscope
|
$460.04 |
$460.04 |
$460.04 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$560.96 |
$560.96 |
$560.96 |
$4,081.37
|
|
Cystouretero w/biopsy
|
$595.83 |
$595.83 |
$595.83 |
$4,881.00
|
|
Cysto/uretero w/lithotripsy
|
$631.45 |
$631.45 |
$631.45 |
$5,844.61
|
|
Cystouretero w/lithotripsy
|
$595.83 |
$595.83 |
$595.83 |
$6,015.75
|
|
Cystouretero w/stone remove
|
$538.70 |
$538.70 |
$538.70 |
$4,724.46
|
|
Cystourethroscop/calib/dilat stric 52281
|
$506.05 |
$506.05 |
$506.05 |
$2,874.36
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$586.18 |
$586.18 |
$586.18 |
$3,970.98
|
|
Cystourethro w/addl implant 52442
|
$1,341.54 |
$1,341.54 |
$1,341.54 |
$1,502.96
|
|
Cystourethro w/implant
|
$1,966.30 |
$1,966.30 |
$1,966.30 |
$3,312.80
|
|
Cysto w/ureter stricture tx
|
$399.94 |
$399.94 |
$399.94 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$132.08 |
$132.08 |
$132.08 |
$99.40
|
|
Cytogenetics 25-99
|
$214.44 |
$214.44 |
$214.44 |
$180.32
|
|
Cytomegalovirus (cmv) antibody igg
|
$89.04 |
$89.04 |
$89.04 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$127.63 |
$127.63 |
$127.63 |
$96.80
|
|
Cyto/molecular report
|
$207.02 |
$207.02 |
$207.02 |
$144.75
|
|
Cytopath c/v auto in fluid
|
$132.08 |
$132.08 |
$132.08 |
$35.01
|
|
Cytopath c/v index add-on
|
$45.27 |
$45.27 |
$45.27 |
$29.60
|
|
Cytopath fl nongyn filter
|
$61.59 |
$61.59 |
$61.59 |
$73.70
|
|
Cytopathology cellular enhancement technique non-gyn
|
$37.85 |
$37.85 |
$37.85 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$162.50 |
$162.50 |
$162.50 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$92.01 |
$92.01 |
$92.01 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$212.96 |
$212.96 |
$212.96 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$181.79 |
$181.79 |
$181.79 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$37.10 |
$37.10 |
$37.10 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$161.02 |
$161.02 |
$161.02 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$290.13 |
$290.13 |
$290.13 |
$205.00
|
|
Cytopath smear other source
|
$91.27 |
$91.27 |
$91.27 |
$85.80
|
|
Cytopath smear other source
|
$101.66 |
$101.66 |
$101.66 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$54.91 |
$54.91 |
$54.91 |
$95.89
|
|
Cytopath tbs c/v manual
|
$73.46 |
$73.46 |
$73.46 |
$57.94
|
|
Cytp urine 3-5 probes cmptr
|
$403.65 |
$403.65 |
$403.65 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$137.27 |
$137.27 |
$137.27 |
$73.20
|
|
Dalbavancin 500 mg intravenous solution
|
$6,447.98 |
$6,447.98 |
$6,447.98 |
$3,291.43
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$112.79 |
$112.79 |
$112.79 |
$267.00
|
|
Dch glucoscan
|
$7.42 |
$7.42 |
$7.42 |
$24.85
|
|
Dch pulmonary stress test
|
$455.59 |
$455.59 |
$455.59 |
$964.41
|
|
Dch validity tests
|
$5.20 |
$5.20 |
$5.20 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$35.77 |
$35.77 |
$35.77 |
$44.16
|
|
Debr g/per/abd wall 11006
|
$999.48 |
$999.48 |
$999.48 |
$1,742.40
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$41.56 |
$41.56 |
$41.56 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$777.62 |
$777.62 |
$777.62 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$5,395.83 |
$5,395.83 |
$5,395.83 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,627.21 |
$1,627.21 |
$1,627.21 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$7,743.52 |
$7,743.52 |
$7,743.52 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$2,059.80 |
$2,059.80 |
$2,059.80 |
$810.50
|
|
Debride nail1-5 11720
|
$338.36 |
$338.36 |
$338.36 |
$173.25
|
|
Debride nail6 or more 11721
|
$407.36 |
$407.36 |
$407.36 |
$195.20
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$464.50 |
$464.50 |
$464.50 |
$1,265.16
|
|
Debride skin bone at fx site
|
$647.77 |
$647.77 |
$647.77 |
$3,278.34
|
|
Debride skn/sq/musc/abd wall 11004
|
$792.46 |
$792.46 |
$792.46 |
$1,184.95
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,750.38 |
$1,750.38 |
$1,750.38 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$426.65 |
$426.65 |
$426.65 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,265.33 |
$2,265.33 |
$2,265.33 |
$1,193.40
|
|
Decalcification
|
$83.11 |
$83.11 |
$83.11 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$736.81 |
$736.81 |
$736.81 |
$545.90
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$4,963.98 |
$4,963.98 |
$4,963.98 |
$4,963.98
|
|
Decomp forearm 1 space 25020
|
$1,040.29 |
$1,040.29 |
$1,040.29 |
$3,137.60
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$1,783.77 |
$1,783.77 |
$1,783.77 |
$4,627.00
|
|
Decompress forearm 1 space
|
$2,036.79 |
$2,036.79 |
$2,036.79 |
$3,957.20
|
|
Decompression of leg
|
$871.11 |
$871.11 |
$871.11 |
$3,839.54
|
|
Decompression of leg
|
$1,345.25 |
$1,345.25 |
$1,345.25 |
$3,839.54
|
|
Decompression of lower leg
|
$4,963.98 |
$4,963.98 |
$4,963.98 |
$3,839.54
|
|
Decompression of lower leg
|
$4,963.98 |
$4,963.98 |
$4,963.98 |
$3,839.54
|