|
Culture bact stool aero addl path ea
|
$23.94 |
$23.94 |
$23.94 |
$51.57
|
|
Culture body fluid
|
$64.98 |
$64.98 |
$64.98 |
$127.75
|
|
Culture fungi definitive id mold
|
$48.45 |
$48.45 |
$48.45 |
$79.30
|
|
Culture fungi definitive id yeast
|
$29.83 |
$29.83 |
$29.83 |
$80.00
|
|
Culture fungi other (except blood)
|
$49.97 |
$49.97 |
$49.97 |
$108.80
|
|
Culture fungi skin/hair/nail
|
$49.97 |
$49.97 |
$49.97 |
$74.40
|
|
Culture mycoplasma any source
|
$8.34 |
$8.34 |
$8.34 |
$85.26
|
|
Culture screening strep group a
|
$29.83 |
$29.83 |
$29.83 |
$83.16
|
|
Culture typing added method
|
$3.91 |
$3.91 |
$3.91 |
$38.58
|
|
Culture typing immunologic
|
$19.00 |
$19.00 |
$19.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$176.13 |
$176.13 |
$176.13 |
$402.38
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$46.93 |
$46.93 |
$46.93 |
$135.00
|
|
Culture urine each isolate
|
$51.30 |
$51.30 |
$51.30 |
$58.20
|
|
Curette/treat cornea
|
$46.36 |
$46.36 |
$46.36 |
$1,345.80
|
|
Curette/treat cornea
|
$246.62 |
$246.62 |
$246.62 |
$2,818.14
|
|
Cutter lead
|
$476.33 |
$476.33 |
$476.33 |
$6,092.06
|
|
Cv line/pic reposition
|
$742.90 |
$742.90 |
$742.90 |
$1,681.20
|
|
Cv stress test i&r only 93018
|
$10.64 |
$10.64 |
$10.64 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$15.58 |
$15.58 |
$15.58 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$2.42 |
$2.42 |
$2.42 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$8.42 |
$8.42 |
$8.42 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$25.27 |
$25.27 |
$25.27 |
$72.00
|
|
Cyclosporine 2 hour
|
$3.05 |
$3.05 |
$3.05 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$4.26 |
$4.26 |
$4.26 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$5.34 |
$5.34 |
$5.34 |
$34.88
|
|
Cylinder pump set 20cm titan zero angl
|
$21,284.75 |
$21,284.75 |
$21,284.75 |
$23,912.22
|
|
Cyp2c19 gene com variants
|
$24.70 |
$24.70 |
$24.70 |
$483.00
|
|
Cyp2c9 gene com variants
|
$19.00 |
$19.00 |
$19.00 |
$275.10
|
|
Cyp2d6 gene com variants
|
$34.20 |
$34.20 |
$34.20 |
$553.80
|
|
Cyp3a4 gene common variants
|
$13.30 |
$13.30 |
$13.30 |
$245.31
|
|
Cyp3a5 gene common variants
|
$13.30 |
$13.30 |
$13.30 |
$241.24
|
|
Cystatin c
|
$2.81 |
$2.81 |
$2.81 |
$78.62
|
|
Cystic fibrosis cftr
|
$236.28 |
$236.28 |
$236.28 |
$1,100.00
|
|
Cystine urine quantitative
|
$3.49 |
$3.49 |
$3.49 |
$103.35
|
|
Cysto cgen post urtl valves
|
$309.51 |
$309.51 |
$309.51 |
$4,175.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$440.80 |
$440.80 |
$440.80 |
$565.61
|
|
Cystorrhaphy wound comp 51865
|
$580.07 |
$580.07 |
$580.07 |
$1,756.80
|
|
Cystorrhaphy wound simple 51860
|
$483.17 |
$483.17 |
$483.17 |
$5,855.00
|
|
Cysto rx balo cath urtl strx
|
$105.64 |
$105.64 |
$105.64 |
$6,015.75
|
|
Cystoscopy and biopsy
|
$106.97 |
$106.97 |
$106.97 |
$4,081.37
|
|
Cystoscopy and treatment
|
$111.34 |
$111.34 |
$111.34 |
$4,081.37
|
|
Cystoscopy and treatment
|
$128.63 |
$128.63 |
$128.63 |
$4,160.10
|
|
Cystoscopy and treatment
|
$157.32 |
$157.32 |
$157.32 |
$5,162.50
|
|
Cystoscopy and treatment
|
$184.30 |
$184.30 |
$184.30 |
$5,995.60
|
|
Cystoscopy and treatment
|
$249.85 |
$249.85 |
$249.85 |
$6,475.26
|
|
Cystoscopy and treatment
|
$134.71 |
$134.71 |
$134.71 |
$3,213.14
|
|
Cystoscopy and treatment
|
$104.12 |
$104.12 |
$104.12 |
$2,424.12
|
|
Cystoscopy and treatment
|
$169.29 |
$169.29 |
$169.29 |
$4,045.60
|
|
Cystoscopy and treatment
|
$206.34 |
$206.34 |
$206.34 |
$4,061.71
|
|
Cystoscopy and treatment
|
$129.77 |
$129.77 |
$129.77 |
$2,424.12
|
|
Cystoscopy and treatment
|
$126.16 |
$126.16 |
$126.16 |
$958.81
|
|
Cystoscopy and treatment
|
$156.18 |
$156.18 |
$156.18 |
$2,874.36
|
|
Cystoscopy and treatment
|
$178.98 |
$178.98 |
$178.98 |
$4,081.37
|
|
Cystoscopy and treatment
|
$97.47 |
$97.47 |
$97.47 |
$2,867.70
|
|
Cystoscopy and treatment
|
$175.37 |
$175.37 |
$175.37 |
$3,203.50
|
|
Cystoscopy and treatment
|
$157.51 |
$157.51 |
$157.51 |
$4,061.71
|
|
Cystoscopy and treatment
|
$168.15 |
$168.15 |
$168.15 |
$3,820.84
|
|
Cystoscopy (Bladder Scope)
|
$51.49 |
$51.49 |
$51.49 |
$1,445.41
|
|
Cystoscopy chemodenervation
|
$108.30 |
$108.30 |
$108.30 |
$2,704.80
|
|
Cystoscopy inject material
|
$164.35 |
$164.35 |
$164.35 |
$5,986.78
|
|
Cystoscopy removal of clots
|
$183.35 |
$183.35 |
$183.35 |
$4,051.50
|
|
Cystoscopy & revise urethra
|
$159.22 |
$159.22 |
$159.22 |
$2,874.36
|
|
Cystoscopy stone removal
|
$203.87 |
$203.87 |
$203.87 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$86.26 |
$86.26 |
$86.26 |
$3,684.30
|
|
Cystostomy cystotomy w/drainage 51040
|
$194.37 |
$194.37 |
$194.37 |
$4,129.45
|
|
Cystotomy/cystostomy fulg+/insj radact matrl 51020
|
$311.03 |
$311.03 |
$311.03 |
$4,081.37
|
|
Cystouretero & or pyeloscope
|
$193.42 |
$193.42 |
$193.42 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$235.79 |
$235.79 |
$235.79 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$266.00 |
$266.00 |
$266.00 |
$5,971.01
|
|
Cystouretero w/excise tumor
|
$297.92 |
$297.92 |
$297.92 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$264.86 |
$264.86 |
$264.86 |
$7,372.68
|
|
Cystouretero w/lithotripsy
|
$249.85 |
$249.85 |
$249.85 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$226.29 |
$226.29 |
$226.29 |
$5,014.02
|
|
Cysto/uretero w/up stricture
|
$251.37 |
$251.37 |
$251.37 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$98.23 |
$98.23 |
$98.23 |
$3,015.50
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$91.20 |
$91.20 |
$91.20 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$32.30 |
$32.30 |
$32.30 |
$2,161.60
|
|
Cystourethro w/implant
|
$134.14 |
$134.14 |
$134.14 |
$2,298.40
|
|
Cysto w/up stricture tx
|
$197.60 |
$197.60 |
$197.60 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$181.45 |
$181.45 |
$181.45 |
$4,081.37
|
|
Cytogenomic neo microra alys
|
$291.65 |
$291.65 |
$291.65 |
$2,156.05
|
|
Cytomegalovirus (cmv) antibody igg
|
$2.35 |
$2.35 |
$2.35 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$2.73 |
$2.73 |
$2.73 |
$100.00
|
|
Cyto/molecular report
|
$26.22 |
$26.22 |
$26.22 |
$130.20
|
|
Cytopath c/v manual
|
$2.81 |
$2.81 |
$2.81 |
$36.80
|
|
Cytopath fl nongyn filter
|
$4.18 |
$4.18 |
$4.18 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$20.33 |
$20.33 |
$20.33 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$6.72 |
$6.72 |
$6.72 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$8.44 |
$8.44 |
$8.44 |
$126.00
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$4.28 |
$4.28 |
$4.28 |
$125.50
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$6.84 |
$6.84 |
$6.84 |
$210.97
|
|
Cytopath smear other source
|
$4.18 |
$4.18 |
$4.18 |
$88.13
|
|
Cytopath smear other source
|
$5.90 |
$5.90 |
$5.90 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$10.45 |
$10.45 |
$10.45 |
$95.00
|
|
Cytopath tbs c/v manual
|
$5.70 |
$5.70 |
$5.70 |
$59.28
|
|
Cytp urine 3-5 probes cmptr
|
$84.93 |
$84.93 |
$84.93 |
$690.00
|
|
Dalbavancin 500 mg intravenous solution
|
$1,439.99 |
$1,439.99 |
$1,439.99 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$48.57 |
$48.57 |
$48.57 |
$170.40
|
|
Dark field exam without collj
|
$1.98 |
$1.98 |
$1.98 |
$28.80
|
|
D&c after delivery 59160
|
$119.13 |
$119.13 |
$119.13 |
$3,827.25
|
