|
Culture fungi definitive id yeast
|
$22.71 |
$22.71 |
$31.82 |
$80.00
|
|
Culture fungi other (except blood)
|
$13.03 |
$13.03 |
$18.25 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$9.85 |
$9.85 |
$13.81 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$10.69 |
$10.69 |
$14.98 |
$100.00
|
|
Culture mycoplasma any source
|
$10.52 |
$10.52 |
$14.74 |
$83.21
|
|
Culture quantitative aerobic other source
|
$10.19 |
$10.19 |
$14.27 |
$87.02
|
|
Culture screening strep group a
|
$21.88 |
$21.88 |
$30.65 |
$84.60
|
|
Culture typing glc/hplc
|
$6.35 |
$6.35 |
$8.89 |
$53.75
|
|
Culture typing immunologic
|
$14.20 |
$14.20 |
$19.89 |
$44.00
|
|
Culture urine each isolate
|
$4.18 |
$4.18 |
$5.85 |
$55.50
|
|
Cutter lead
|
$11,470.72 |
$11,470.72 |
$11,922.77 |
$6,581.45
|
|
Cv line/pic reposition
|
$660.30 |
$660.30 |
$958.61 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$10.30 |
$10.30 |
$10.69 |
$60.75
|
|
Cyclic citrullinated peptide antibody
|
$8.02 |
$8.02 |
$12.69 |
$72.36
|
|
Cyclosporine 2 hour
|
$9.05 |
$9.05 |
$9.40 |
$130.40
|
|
Cylinder pump set 20cm titan zero angl
|
$18,528.53 |
$18,528.53 |
$24,467.86 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$149.62 |
$149.62 |
$212.62 |
$524.00
|
|
Cyp2c9 gene com variants
|
$89.78 |
$89.78 |
$127.58 |
$275.10
|
|
Cyp2d6 gene com variants
|
$231.36 |
$231.36 |
$328.78 |
$570.70
|
|
Cyp3a4 gene common variants
|
$89.78 |
$89.78 |
$127.58 |
$241.24
|
|
Cyp3a5 gene common variants
|
$89.78 |
$89.78 |
$127.58 |
$245.31
|
|
Cystatin c
|
$8.74 |
$8.74 |
$9.07 |
$77.60
|
|
Cystic fibrosis cftr
|
$350.04 |
$350.04 |
$497.42 |
$1,104.40
|
|
Cystine urine quantitative
|
$14.20 |
$14.20 |
$39.53 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$226.20 |
$226.20 |
$232.23 |
$586.95
|
|
Cystostomy cystotomy w/drainage 51040
|
$1,424.05 |
$1,424.05 |
$2,067.42 |
$4,129.45
|
|
Cytogenetics 25-99
|
$41.06 |
$41.06 |
$42.63 |
$189.80
|
|
Cytogenomic neo microra alys
|
$845.64 |
$845.64 |
$845.64 |
$2,198.00
|
|
Cytogenom microarray copy nmbr var
|
$656.10 |
$656.10 |
$656.10 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$8.16 |
$8.16 |
$12.90 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$8.30 |
$8.30 |
$13.12 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$37.52 |
$37.52 |
$38.95 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$30.68 |
$30.68 |
$31.85 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$23.36 |
$23.36 |
$24.25 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$19.82 |
$19.82 |
$20.58 |
$135.20
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$9.44 |
$9.44 |
$9.80 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$86.14 |
$86.14 |
$89.42 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$82.13 |
$82.13 |
$85.26 |
$213.85
|
|
Cytopath smear oth prep screen & interp
|
$12.51 |
$12.51 |
$12.98 |
$96.20
|
|
Cytotoxic antibody screening
|
$12.24 |
$12.24 |
$19.35 |
$133.25
|
|
Dalbavancin 500 mg intravenous solution
|
$13.76 |
$13.76 |
$13.76 |
$3,493.11
|
|
Dch pulmonary stress test
|
$191.62 |
$191.62 |
$191.62 |
$963.30
|
|
Dch validity tests
|
$2.12 |
$2.12 |
$2.17 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$8.02 |
$8.02 |
$12.69 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$37.20 |
$37.20 |
$56.22 |
$284.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$321.62 |
$321.62 |
$321.62 |
$835.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$152.46 |
$152.46 |
$152.46 |
$663.30
|
|
Decalcification
|
$9.54 |
$9.54 |
$10.12 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$99.10 |
$99.10 |
$143.87 |
$572.95
|
|
Deferoxamine 500 mg solution for injection
|
$6.14 |
$6.14 |
$6.14 |
$95.85
|
|
Delivery of placenta 59414
|
$755.82 |
$755.82 |
$2,291.40 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$97.58 |
$97.58 |
$97.58 |
$185.17
|
|
Design mlc device for imrt
|
$341.86 |
$341.86 |
$341.86 |
$1,753.00
|
|
Desoxycorticosterone
|
$14.51 |
$14.51 |
$15.07 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$5,607.26 |
$5,607.26 |
$5,607.26 |
$5,267.20
|
|
Destroy cervthor facet jnt 64633
|
$1,548.19 |
$1,548.19 |
$1,548.19 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$651.95 |
$651.95 |
$946.49 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$61.69 |
$61.69 |
$61.69 |
$202.40
|
|
Destruction 2-14 lesions 17003
|
$5.38 |
$5.38 |
$5.38 |
$78.61
|
|
Destruction by injection tx of nerve 64630
|
$489.69 |
$489.69 |
$489.69 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$818.56 |
$818.56 |
$1,188.38 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,609.18 |
$1,609.18 |
$2,372.17 |
$3,296.80
|
|
Detect agent nos dna dir
|
$38.61 |
$38.61 |
$38.61 |
$138.00
|
|
Device ablt adv novasure
|
$2,350.74 |
$2,350.74 |
$2,443.38 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,820.69 |
$2,820.69 |
$2,931.84 |
$4,200.00
|
|
Device sut capio slim opn
|
$3,265.56 |
$3,265.56 |
$3,404.52 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$2,820.69 |
$2,820.69 |
$2,931.84 |
$2,515.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$122.10 |
$122.10 |
$125.36 |
$227.25
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$0.01 |
$0.01 |
$0.01 |
$20.76
|
|
Dhea-s (dehydroepiand sulfate)
|
$10.45 |
$10.45 |
$10.85 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$19.50 |
$19.50 |
$20.25 |
$79.30
|
|
Diagnostic laryngoscopy 31575
|
$168.07 |
$168.07 |
$244.00 |
$338.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$10,713.22 |
$10,713.22 |
$15,553.35 |
$5,741.00
|
|
Diffusing capacity
|
$109.06 |
$109.06 |
$151.09 |
$336.80
|
|
Digital analysis of eeg
|
$155.16 |
$155.16 |
$311.74 |
$593.40
|
|
Digoxin total therapeutic drug level
|
$8.27 |
$8.27 |
$8.59 |
$102.07
|
|
Dilate biliary duct/ampulla
|
$1,158.70 |
$1,158.70 |
$1,682.18 |
$1,866.73
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$2,661.52 |
$2,661.52 |
$3,863.96 |
$3,169.00
|
|
Dilate ic vasospasm ea add vsl same territory
|
$2,661.52 |
$2,661.52 |
$3,863.96 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$3,548.69 |
$3,548.69 |
$5,151.95 |
$5,151.95
|
|
Dilator fascial 10fx20cm
|
$437.87 |
$437.87 |
$455.13 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$3,202.39 |
$3,202.39 |
$4,649.19 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$5,455.89 |
$5,455.89 |
$7,920.81 |
$4,258.20
|
|
Disability dlco
|
$68.35 |
$68.35 |
$68.35 |
$293.76
|
|
Disaccharidases
|
$56.47 |
$56.47 |
$60.75 |
$230.40
|
|
Dissolve clot heart vessel
|
$2,907.27 |
$2,907.27 |
$4,220.74 |
$1,579.93
|
|
#d/lmeth-l-methamphetamine
|
$10.85 |
$10.85 |
$10.85 |
$72.14
|
|
Dmd dup/delet analysis
|
$203.39 |
$203.39 |
$203.39 |
$418.50
|
|
Dmpk gene detc abnor allele
|
$141.08 |
$141.08 |
$200.48 |
$313.60
|
|
Dna antibody native/double stranded
|
$8.43 |
$8.43 |
$13.33 |
$100.00
|
|
Dna gardnerella
|
$10.19 |
$10.19 |
$14.27 |
$61.83
|
|
Dna trichomonas
|
$10.19 |
$10.19 |
$14.27 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$0.07 |
$0.07 |
$0.07 |
$95.06
|
|
Doppler echo complete
|
$161.41 |
$161.41 |
$221.16 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$573.62 |
$573.62 |
$1,052.47 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$275.65 |
$275.65 |
$300.19 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$176.66 |
$176.66 |
$192.39 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$61,759.13 |
$61,759.13 |
$64,387.18 |
$34,278.00
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$0.08 |
$0.08 |
$0.08 |
$450.14
|
|
Dpyd gene common variants
|
$122.61 |
$122.61 |
$174.23 |
$423.60
|
