|
CT scan for therapy guide
|
$302.05 |
$302.05 |
$305.34 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,742.67 |
$3,742.67 |
$3,783.46 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,198.78 |
$3,198.78 |
$3,233.64 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,143.28 |
$2,143.28 |
$2,166.64 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$3,273.64 |
$3,273.64 |
$3,309.32 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,661.78 |
$1,661.78 |
$1,679.89 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$281.13 |
$281.13 |
$284.19 |
$400.20
|
|
CT t-spine w /wo contrast
|
$3,689.09 |
$3,689.09 |
$3,729.30 |
$2,030.60
|
|
Culture aerobic additional method definitive id each
|
$124.78 |
$124.78 |
$126.14 |
$63.75
|
|
Culture afb any source
|
$17.62 |
$17.62 |
$17.81 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$53.59 |
$53.59 |
$58.25 |
$77.31
|
|
Culture anaerobic except blood
|
$190.11 |
$190.11 |
$192.18 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$12.96 |
$12.96 |
$13.11 |
$52.80
|
|
Culture body fluid
|
$221.31 |
$221.31 |
$223.72 |
$130.50
|
|
Culture fungi definitive id mold
|
$12.85 |
$12.85 |
$12.99 |
$70.00
|
|
Culture fungi definitive id yeast
|
$51.38 |
$51.38 |
$51.94 |
$80.60
|
|
Culture fungi other (except blood)
|
$183.50 |
$183.50 |
$185.50 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$71.57 |
$71.57 |
$72.35 |
$77.40
|
|
Culture mycoplasma any source
|
$14.17 |
$14.17 |
$14.33 |
$90.37
|
|
Culture screening strep group a
|
$55.42 |
$55.42 |
$56.03 |
$81.60
|
|
Culture typing immunologic
|
$58.72 |
$58.72 |
$59.36 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$200.39 |
$200.39 |
$202.57 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$62.50 |
$62.50 |
$63.18 |
$124.40
|
|
Culture urine each isolate
|
$84.05 |
$84.05 |
$84.96 |
$46.20
|
|
Cutter lead
|
$4,405.84 |
$4,405.84 |
$4,453.86 |
$5,538.98
|
|
Cv line/pic reposition
|
$1,155.69 |
$1,155.69 |
$1,401.64 |
$1,829.42
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$438.20 |
$438.20 |
$442.98 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$8.32 |
$8.32 |
$8.41 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,284.14 |
$1,284.14 |
$1,298.13 |
$1,048.28
|
|
Cyclophosphamide 25 mg capsule
|
$26.35 |
$26.35 |
$26.35 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$70.12 |
$70.12 |
$70.12 |
$179.10
|
|
Cyclosporine 2 hour
|
$5.51 |
$5.51 |
$8.54 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$4.78 |
$4.78 |
$4.83 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$18.18 |
$18.18 |
$563.35 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$25,855.15 |
$25,855.15 |
$26,136.95 |
$22,594.80
|
|
Cyp2c19 gene com variants
|
$47.71 |
$47.71 |
$48.23 |
$567.75
|
|
Cyp2c9 gene com variants
|
$32.84 |
$32.84 |
$33.20 |
$275.10
|
|
Cyp2d6 gene com variants
|
$32.84 |
$32.84 |
$33.20 |
$537.50
|
|
Cyp3a4 gene common variants
|
$32.84 |
$32.84 |
$33.20 |
$230.01
|
|
Cyp3a5 gene common variants
|
$32.84 |
$32.84 |
$33.20 |
$220.50
|
|
Cystatin c
|
$3.67 |
$3.67 |
$3.71 |
$82.26
|
|
Cystine urine quantitative
|
$21.98 |
$21.98 |
$22.22 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$502.06 |
$502.06 |
$507.53 |
$539.55
|
|
Cystoscopy and treatment
|
$81.11 |
$81.11 |
$82.00 |
$3,970.98
|
|
Cystoscopy & duct catheter
|
$706.48 |
$706.48 |
$714.18 |
$822.50
|
|
Cytarabine 20 mg/ml injection solution
|
$372.51 |
$372.51 |
$376.57 |
$89.95
|
|
Cytogenomic neo microra alys
|
$495.75 |
$495.75 |
$501.15 |
$1,911.78
|
|
Cytomegalovirus (cmv) antibody igg
|
$19.57 |
$19.57 |
$19.78 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$4.41 |
$4.41 |
$8.17 |
$96.80
|
|
Cytomegalovirus imm IV /vial
|
$3,079.50 |
$3,079.50 |
$3,113.07 |
$3,113.07
|
|
Cytopathology cellular enhancement technique non-gyn
|
$42.94 |
$42.94 |
$43.41 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$45.15 |
$45.15 |
$45.64 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$43.31 |
$43.31 |
$43.78 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$85.15 |
$85.15 |
$86.08 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$77.07 |
$77.07 |
$77.91 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$58.36 |
$58.36 |
$58.99 |
$205.00
|
|
Cytopath smear other source
|
$41.11 |
$41.11 |
$41.56 |
$85.80
|
|
Cytopath smear other source
|
$55.79 |
$55.79 |
$56.40 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$36.34 |
$36.34 |
$36.73 |
$95.89
|
|
Cytopath tbs c/v manual
|
$17.62 |
$17.62 |
$17.81 |
$57.94
|
|
Dacarbazine 100 mg intravenous solution
|
$40.74 |
$40.74 |
$41.19 |
$82.91
|
|
Dactinomycin 0.5 mg intravenous solution
|
$2,693.42 |
$2,693.42 |
$2,722.77 |
$2,526.62
|
|
Dalbavancin 500 mg intravenous solution
|
$2,640.41 |
$2,640.41 |
$2,640.41 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$780.98 |
$780.98 |
$789.49 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$13,275.86 |
$13,275.86 |
$13,275.86 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$6,783.63 |
$6,783.63 |
$6,783.63 |
$5,546.48
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$18,873.35 |
$18,873.35 |
$19,079.05 |
$26,349.55
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$235.25 |
$235.25 |
$237.82 |
$260.95
|
|
D&c after delivery 59160
|
$2,167.76 |
$2,167.76 |
$2,167.76 |
$3,762.53
|
|
Dch validity tests
|
$26.80 |
$26.80 |
$27.09 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$3.57 |
$3.57 |
$3.61 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$88.82 |
$88.82 |
$89.79 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$1,695.91 |
$1,695.91 |
$1,714.40 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$397.10 |
$397.10 |
$401.43 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$700.97 |
$700.97 |
$708.61 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$446.28 |
$446.28 |
$451.14 |
$810.50
|
|
Debride nail1-5 11720
|
$69.00 |
$69.00 |
$69.00 |
$173.25
|
|
Debride nail6 or more 11721
|
$117.44 |
$117.44 |
$117.44 |
$195.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$191.58 |
$191.58 |
$193.67 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$622.54 |
$622.54 |
$1,133.67 |
$1,193.40
|
|
Decalcification
|
$20.56 |
$20.56 |
$20.78 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$2,849.76 |
$2,849.76 |
$2,880.82 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$365.17 |
$365.17 |
$369.15 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$182.77 |
$182.77 |
$184.76 |
$110.82
|
|
Degarelix 120 mg subcutaneous solution
|
$1,335.88 |
$1,335.88 |
$1,350.44 |
$2,086.82
|
|
Delivery of placenta 59414
|
$2,451.57 |
$2,451.57 |
$2,619.28 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$3,681.01 |
$3,681.01 |
$3,681.01 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$86.98 |
$86.98 |
$87.93 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$4,003.24 |
$4,003.24 |
$4,003.24 |
$7,933.81
|
|
Depo-estradiol cypionate inj
|
$92.86 |
$92.86 |
$93.87 |
$132.72
|
|
Dermagraft
|
$2,605.70 |
$2,605.70 |
$2,634.10 |
$1,912.31
|
|
Desmopressin 4 mcg/ml injection solution
|
$122.95 |
$122.95 |
$1,256.21 |
$102.32
|
|
Desoxycorticosterone
|
$10.26 |
$10.26 |
$10.37 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$2,031.97 |
$2,031.97 |
$2,146.59 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$429.62 |
$429.62 |
$429.62 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,342.65 |
$1,342.65 |
$1,342.65 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,031.97 |
$2,031.97 |
$2,146.59 |
$3,375.00
|
|
Detect agent nos dna dir
|
$27.53 |
$27.53 |
$27.83 |
$67.15
|
|
Developmental screen/score/document 96110
|
$73.77 |
$73.77 |
$73.77 |
$139.10
|
|
Devel tst phys/qhp 1st hr
|
$88.45 |
$88.45 |
$88.45 |
$339.30
|