|
Culture aerobic additional method definitive id each
|
$18.85 |
$52.00 |
$54.60 |
|
|
Culture afb any source
|
$38.35 |
$71.50 |
$131.95 |
|
|
Culture anaerobic additional method definitive id each
|
$65.65 |
$65.65 |
$78.65 |
|
|
Culture anaerobic except blood
|
$112.45 |
$112.45 |
$132.60 |
|
|
Culture bact stool aero addl path ea
|
$18.20 |
$18.20 |
$57.20 |
|
|
Culture body fluid
|
$126.75 |
$141.05 |
$159.90 |
|
|
Culture fungi definitive id mold
|
$58.50 |
$58.50 |
$68.90 |
|
|
Culture fungi definitive id yeast
|
$32.50 |
$32.50 |
$74.10 |
|
|
Culture fungi other (except blood)
|
$92.30 |
$92.30 |
$113.75 |
|
|
Culture fungi skin/hair/nail
|
$82.55 |
$89.05 |
$89.05 |
|
|
Culture mycobacteria definitive id each isolate
|
$39.00 |
$49.40 |
$88.40 |
|
|
Culture mycoplasma any source
|
$107.90 |
$108.55 |
$128.70 |
|
|
Culture quantitative aerobic other source
|
$72.80 |
$72.80 |
$224.25 |
|
|
Culture screening strep group a
|
$85.80 |
$111.15 |
$130.65 |
|
|
Culture typing added method
|
$43.55 |
$43.55 |
$43.55 |
|
|
Culture typing immunologic
|
$35.75 |
$35.75 |
$53.30 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$708.50 |
$733.20 |
$733.20 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$31.20 |
$35.75 |
$35.75 |
|
|
Culture urine each isolate
|
$29.25 |
$75.40 |
$75.40 |
|
|
Cv stress test i&r only 93018
|
$76.70 |
$76.70 |
$76.70 |
|
|
Cv stress test/supervision only 93016
|
$83.20 |
$83.20 |
$83.20 |
|
|
Cyanocobalamin unsat binding capacity
|
$37.70 |
$39.00 |
$39.00 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$7.15 |
$21.13 |
$21.59 |
|
|
Cyclic citrullinated peptide antibody
|
$69.55 |
$72.15 |
$116.35 |
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$805.31 |
$1,074.57 |
$1,074.57 |
|
|
Cyclophosphamide 25 mg capsule
|
$35.75 |
$35.75 |
$35.75 |
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$224.14 |
$224.14 |
$224.14 |
|
|
Cyclosporine 2 hour
|
$145.60 |
$156.00 |
$159.25 |
|
|
Cyclosporine modified 25 mg capsule
|
$9.97 |
$9.97 |
$10.12 |
|
|
Cyclosporine oral 100 mg
|
$29.85 |
$498.13 |
$498.13 |
|
|
Cyp2c19 gene com variants
|
$579.80 |
$642.20 |
$642.20 |
|
|
Cyp3a4 gene common variants
|
$422.50 |
$438.75 |
$518.05 |
|
|
Cystatin c
|
$87.10 |
$94.90 |
$96.85 |
|
|
Cystic fibrosis cftr
|
$1,041.95 |
$1,041.95 |
$1,231.10 |
|
|
Cystine urine quantitative
|
$87.75 |
$87.75 |
$104.00 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$246.35 |
$246.35 |
$542.10 |
|
|
Cystorrhaphy wound simple 51860
|
$11,250.54 |
$11,250.54 |
$11,250.54 |
|
|
Cysto rx balo cath urtl strx
|
$8,683.56 |
$8,683.56 |
$8,683.56 |
|
|
Cystoscopy and treatment
|
$4,775.97 |
$4,775.97 |
$4,775.97 |
|
|
Cystoscopy and treatment
|
$4,918.76 |
$4,918.76 |
$4,918.76 |
|
|
Cystoscopy and treatment
|
$5,769.46 |
$5,769.46 |
$5,769.46 |
|
|
Cystoscopy and treatment
|
$6,475.26 |
$6,475.26 |
$6,475.26 |
|
|
Cystoscopy and treatment
|
$3,908.31 |
$3,908.31 |
$3,908.31 |
|
|
Cystoscopy and treatment
|
$4,771.60 |
$4,771.60 |
$4,771.60 |
|
|
Cystoscopy and treatment
|
$4,529.78 |
$4,529.78 |
$4,529.78 |
|
|
Cystoscopy and treatment
|
$8,683.32 |
$8,683.32 |
$8,683.32 |
|
|
Cystoscopy (Bladder Scope)
|
$2,887.13 |
$2,887.13 |
$2,887.13 |
|
|
Cystoscopy chemodenervation
|
$4,466.24 |
$4,466.24 |
$4,466.24 |
|
|
Cystoscopy implant stent
|
$6,803.86 |
$6,803.86 |
$6,803.86 |
|
|
Cystoscopy removal of clots
|
$5,391.29 |
$5,391.29 |
$5,391.29 |
|
|
Cystoscopy & ureter catheter
|
$5,798.26 |
$5,798.26 |
$5,798.26 |
|
|
Cystouretero & or pyeloscope
|
$3,971.03 |
$3,971.03 |
$3,971.03 |
|
|
Cystouretero w/biopsy
|
$5,971.01 |
$5,971.01 |
$5,971.01 |
|
|
Cysto/uretero w/lithotripsy
|
$11,311.56 |
$11,311.56 |
$11,311.56 |
|
|
Cystouretero w/lithotripsy
|
$10,865.58 |
$10,865.58 |
$10,865.58 |
|
|
Cystouretero w/stone remove
|
$5,014.02 |
$5,014.02 |
$5,014.02 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,979.80 |
$3,979.80 |
$3,979.80 |
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$3,985.40 |
$3,985.40 |
$3,985.40 |
|
|
Cysto w/renal stricture tx
|
$18,331.22 |
$18,331.22 |
$18,331.22 |
|
|
Cytarabine 20 mg/ml injection solution
|
$48.31 |
$54.05 |
$54.05 |
|
|
Cytogenetics 25-99
|
$118.30 |
$156.00 |
$156.00 |
|
|
Cytogenom microarray copy nmbr var
|
$1,067.30 |
$1,067.30 |
$1,067.30 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$77.35 |
$77.35 |
$91.00 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$76.05 |
$81.25 |
$81.25 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$92.95 |
$117.00 |
$117.00 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$42.25 |
$42.25 |
$66.30 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$45.50 |
$52.65 |
$57.85 |
|
|
Cytopathology concentration technique smears & interpretation
|
$70.20 |
$157.95 |
$157.95 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$79.95 |
$95.55 |
$95.55 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$57.85 |
$60.45 |
$62.40 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$96.20 |
$96.20 |
$98.80 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$126.10 |
$251.55 |
$251.55 |
|
|
Cytopath smear other source
|
$61.75 |
$81.90 |
$81.90 |
|
|
Cytopath smear oth prep screen & interp
|
$79.30 |
$96.20 |
$98.80 |
|
|
Cytopath tbs c/v manual
|
$55.25 |
$55.90 |
$59.15 |
|
|
Cytotoxic antibody screening
|
$286.65 |
$286.65 |
$286.65 |
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
|
|
Dalbavancin 500 mg intravenous solution
|
$3,226.46 |
$3,480.61 |
$3,584.95 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$60.95 |
$90.67 |
$92.62 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$25,572.72 |
$25,572.72 |
$25,572.72 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$935.77 |
$2,339.41 |
$7,798.05 |
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$26,100.75 |
$26,100.75 |
$26,100.75 |
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$311.67 |
$311.67 |
$311.67 |
|
|
D&c after delivery 59160
|
$3,777.64 |
$3,777.64 |
$3,777.64 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,988.43 |
$3,988.43 |
$3,988.43 |
|
|
Dch glucoscan
|
$1.95 |
$1.95 |
$1.95 |
|
|
Dch pulmonary stress test
|
$686.40 |
$686.40 |
$710.45 |
|
|
Dch validity tests
|
$25.35 |
$39.00 |
$40.30 |
|
|
Deamidated gliadin antibody iga
|
$91.65 |
$167.05 |
$197.60 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$99.45 |
$104.65 |
$106.60 |
|
|
Debridement (>20 cm) charge pt
|
$208.00 |
$215.15 |
$313.30 |
|
|
Debridement bone <= 20 sq cm
|
$657.15 |
$657.15 |
$657.15 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$135.85 |
$135.85 |
$135.85 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$206.70 |
$206.70 |
$224.25 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$57.20 |
$57.20 |
$57.20 |
|
|
Debr inf skin add-on 11001
|
$40.95 |
$40.95 |
$40.95 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$464.10 |
$464.10 |
$464.10 |
|
|
Decalcification
|
$58.50 |
$58.50 |
$5,470.71 |
|
|
Decitabine 50 mg intravenous solution
|
$234.00 |
$234.00 |
$234.00 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$223.60 |
$223.60 |
$326.30 |
|
