|
Cryptosporidium antigen
|
$65.30 |
$65.30 |
$65.30 |
$56.00
|
|
Crystal identification light microscopy
|
$111.26 |
$111.26 |
$111.26 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$320.54 |
$320.54 |
$320.54 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$744.55 |
$744.55 |
$744.55 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$838.69 |
$838.69 |
$838.69 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$727.43 |
$727.43 |
$727.43 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,489.10 |
$1,489.10 |
$1,489.10 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$920.38 |
$920.38 |
$920.38 |
$1,955.80
|
|
CT Angiogram of the Head
|
$909.49 |
$909.49 |
$909.49 |
$2,021.40
|
|
CT angio pelvis
|
$788.90 |
$788.90 |
$788.90 |
$1,775.28
|
|
CT guidance for needle placement
|
$1,188.79 |
$1,188.79 |
$1,188.79 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$4,038.60 |
$4,038.60 |
$4,038.60 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,011.40 |
$1,011.40 |
$1,011.40 |
$1,281.75
|
|
CT neck soft tissue w/contrast
|
$1,781.62 |
$1,781.62 |
$1,781.62 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,478.98 |
$1,478.98 |
$1,478.98 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$2,120.05 |
$2,120.05 |
$2,120.05 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,782.40 |
$1,782.40 |
$1,782.40 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,616.69 |
$1,616.69 |
$1,616.69 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,381.73 |
$1,381.73 |
$1,381.73 |
$1,351.20
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,225.05 |
$5,225.05 |
$5,225.05 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,504.62 |
$4,504.62 |
$4,504.62 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,972.74 |
$2,972.74 |
$2,972.74 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$3,090.22 |
$3,090.22 |
$3,090.22 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,568.45 |
$1,568.45 |
$1,568.45 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$297.20 |
$297.20 |
$297.20 |
$400.20
|
|
CT t-spine w /wo contrast
|
$3,482.33 |
$3,482.33 |
$3,482.33 |
$2,030.60
|
|
Culture aerobic additional method definitive id each
|
$63.02 |
$63.02 |
$63.02 |
$63.75
|
|
Culture afb any source
|
$147.82 |
$147.82 |
$147.82 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$43.48 |
$43.48 |
$43.48 |
$77.31
|
|
Culture anaerobic except blood
|
$141.60 |
$141.60 |
$141.60 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$15.56 |
$15.56 |
$15.56 |
$52.80
|
|
Culture body fluid
|
$195.28 |
$195.28 |
$195.28 |
$130.50
|
|
Culture fungi definitive id mold
|
$29.57 |
$29.57 |
$29.57 |
$70.00
|
|
Culture fungi definitive id yeast
|
$86.36 |
$86.36 |
$86.36 |
$80.60
|
|
Culture fungi other (except blood)
|
$24.12 |
$24.12 |
$24.12 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$21.79 |
$21.79 |
$21.79 |
$77.40
|
|
Culture mycoplasma any source
|
$28.01 |
$28.01 |
$28.01 |
$90.37
|
|
Culture quantitative aerobic other source
|
$131.49 |
$131.49 |
$131.49 |
$87.02
|
|
Culture screening strep group a
|
$69.25 |
$69.25 |
$69.25 |
$81.60
|
|
Culture typing immunologic
|
$59.13 |
$59.13 |
$59.13 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$534.49 |
$534.49 |
$534.49 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$132.48 |
$132.48 |
$132.48 |
$124.40
|
|
Cutter lead
|
$7,955.83 |
$7,955.83 |
$7,955.83 |
$5,538.98
|
|
Cv line/pic reposition
|
$1,289.93 |
$1,289.93 |
$1,289.93 |
$1,829.42
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$1,633.80 |
$1,633.80 |
$1,633.80 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$85.58 |
$85.58 |
$85.58 |
$80.05
|
|
Cyclosporine 2 hour
|
$11.67 |
$11.67 |
$11.67 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$10.90 |
$10.90 |
$10.90 |
$9.79
|
|
Cylinder pump set 20cm titan zero angl
|
$35,084.69 |
$35,084.69 |
$35,084.69 |
$22,594.80
|
|
Cyp2c19 gene com variants
|
$69.62 |
$69.62 |
$69.62 |
$567.75
|
|
Cyp2c9 gene com variants
|
$69.62 |
$69.62 |
$69.62 |
$275.10
|
|
Cyp2d6 gene com variants
|
$69.62 |
$69.62 |
$69.62 |
$537.50
|
|
Cyp3a4 gene common variants
|
$69.62 |
$69.62 |
$69.62 |
$230.01
|
|
Cyp3a5 gene common variants
|
$69.62 |
$69.62 |
$69.62 |
$220.50
|
|
Cystatin c
|
$7.78 |
$7.78 |
$7.78 |
$82.26
|
|
Cystic fibrosis cftr
|
$492.74 |
$492.74 |
$492.74 |
$1,041.95
|
|
Cystine urine quantitative
|
$46.59 |
$46.59 |
$46.59 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$565.61 |
$565.61 |
$565.61 |
$539.55
|
|
Cystoscopy (Bladder Scope)
|
$1,236.25 |
$1,236.25 |
$1,236.25 |
$1,610.20
|
|
Cytogenetics 25-99
|
$41.62 |
$41.62 |
$41.62 |
$180.32
|
|
Cytogenomic neo microra alys
|
$1,128.10 |
$1,128.10 |
$1,128.10 |
$1,911.78
|
|
Cytomegalovirus (cmv) antibody igg
|
$40.85 |
$40.85 |
$40.85 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$7.78 |
$7.78 |
$7.78 |
$96.80
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$27.53 |
$27.53 |
$27.53 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$318.98 |
$318.98 |
$318.98 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$221.73 |
$221.73 |
$221.73 |
$124.80
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$188.28 |
$188.28 |
$188.28 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$220.18 |
$220.18 |
$220.18 |
$205.00
|
|
Cytopath smear other source
|
$87.92 |
$87.92 |
$87.92 |
$85.80
|
|
Cytopath smear oth prep screen & interp
|
$145.49 |
$145.49 |
$145.49 |
$95.89
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$2,912.06 |
$2,912.06 |
$2,912.06 |
$315.32
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,265.03 |
$1,265.03 |
$1,265.03 |
$5,546.48
|
|
Dch validity tests
|
$31.12 |
$31.12 |
$31.12 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$7.56 |
$7.56 |
$7.56 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$153.27 |
$153.27 |
$153.27 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$3,690.06 |
$3,690.06 |
$3,690.06 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$708.76 |
$708.76 |
$708.76 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,844.64 |
$1,844.64 |
$1,844.64 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$798.23 |
$798.23 |
$798.23 |
$810.50
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$459.02 |
$459.02 |
$459.02 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,429.97 |
$1,429.97 |
$1,429.97 |
$1,193.40
|
|
Decalcification
|
$49.80 |
$49.80 |
$49.80 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$525.15 |
$525.15 |
$525.15 |
$545.90
|
|
Deferoxamine 500 mg solution for injection
|
$175.83 |
$175.83 |
$175.83 |
$110.82
|
|
Delivery of placenta 59414
|
$1,764.51 |
$1,764.51 |
$1,764.51 |
$3,271.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$231.85 |
$231.85 |
$231.85 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$5,446.00 |
$5,446.00 |
$5,446.00 |
$7,933.81
|
|
Desmopressin 4 mcg/ml injection solution
|
$4,632.99 |
$4,632.99 |
$4,632.99 |
$102.32
|
|
Desoxycorticosterone
|
$118.42 |
$118.42 |
$118.42 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$2,043.81 |
$2,043.81 |
$2,043.81 |
$3,164.80
|
|
Device ablt adv novasure
|
$13,450.85 |
$13,450.85 |
$13,450.85 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$4,704.57 |
$4,704.57 |
$4,704.57 |
$4,298.87
|
|
Device sut capio slim opn
|
$3,617.70 |
$3,617.70 |
$3,617.70 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$4,704.57 |
$4,704.57 |
$4,704.57 |
$2,440.98
|
|
Dexamethasone 4 mg tablet
|
$142.38 |
$142.38 |
$142.38 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$47.46 |
$47.46 |
$47.46 |
$30.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$70.80 |
$70.80 |
$70.80 |
$60.00
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$706.43 |
$706.43 |
$706.43 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$69.25 |
$69.25 |
$69.25 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$4.67 |
$4.67 |
$4.67 |
$107.50
|