|
Culture screening strep group a
|
$26.52 |
$26.52 |
$26.52 |
$82.17
|
|
Culture typing added method
|
$3.50 |
$3.50 |
$3.50 |
$36.78
|
|
Culture typing immunologic
|
$15.13 |
$15.13 |
$15.13 |
$43.20
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$146.71 |
$146.71 |
$146.71 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$3.92 |
$3.92 |
$3.92 |
$134.16
|
|
Culture urine each isolate
|
$38.42 |
$38.42 |
$38.42 |
$55.25
|
|
Curette/treat cornea
|
$41.48 |
$41.48 |
$41.48 |
$1,365.60
|
|
Curette/treat cornea
|
$232.56 |
$232.56 |
$232.56 |
$2,818.14
|
|
Cv line/pic reposition
|
$364.31 |
$364.31 |
$364.31 |
$1,681.20
|
|
Cv stress test i&r only 93018
|
$106.08 |
$106.08 |
$106.08 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$106.08 |
$106.08 |
$106.08 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$2.16 |
$2.16 |
$2.16 |
$58.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$20.56 |
$20.56 |
$20.56 |
$25.30
|
|
Cyclic citrullinated peptide antibody
|
$3.40 |
$3.40 |
$3.40 |
$70.72
|
|
Cyclosporine 2 hour
|
$2.73 |
$2.73 |
$2.73 |
$129.48
|
|
Cylinder pump set 20cm titan zero angl
|
$11,955.25 |
$11,955.25 |
$11,955.25 |
$24,131.60
|
|
Cyp2c19 gene com variants
|
$22.10 |
$22.10 |
$22.10 |
$483.00
|
|
Cyp2c9 gene com variants
|
$17.00 |
$17.00 |
$17.00 |
$275.10
|
|
Cyp2d6 gene com variants
|
$30.60 |
$30.60 |
$30.60 |
$554.00
|
|
Cyp3a4 gene common variants
|
$11.90 |
$11.90 |
$11.90 |
$245.31
|
|
Cyp3a5 gene common variants
|
$11.90 |
$11.90 |
$11.90 |
$241.24
|
|
Cystatin c
|
$2.52 |
$2.52 |
$2.52 |
$76.48
|
|
Cystic fibrosis cftr
|
$211.41 |
$211.41 |
$211.41 |
$1,100.00
|
|
Cystine urine quantitative
|
$3.12 |
$3.12 |
$3.12 |
$103.35
|
|
Cysto cgen post urtl valves
|
$276.93 |
$276.93 |
$276.93 |
$4,175.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$137.70 |
$137.70 |
$137.70 |
$565.61
|
|
Cysto impl 4 or more
|
$2,828.97 |
$2,828.97 |
$2,828.97 |
$6,860.21
|
|
Cystometrogram w/up 51727
|
$209.10 |
$209.10 |
$209.10 |
$908.59
|
|
Cystorrhaphy wound comp 51865
|
$519.01 |
$519.01 |
$519.01 |
$1,756.80
|
|
Cystorrhaphy wound simple 51860
|
$432.31 |
$432.31 |
$432.31 |
$5,855.00
|
|
Cysto rx balo cath urtl strx
|
$94.52 |
$94.52 |
$94.52 |
$6,015.75
|
|
Cystoscopy and biopsy
|
$95.71 |
$95.71 |
$95.71 |
$4,081.37
|
|
Cystoscopy and treatment
|
$99.62 |
$99.62 |
$99.62 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,395.36 |
$1,395.36 |
$1,395.36 |
$4,160.10
|
|
Cystoscopy and treatment
|
$140.76 |
$140.76 |
$140.76 |
$5,162.50
|
|
Cystoscopy and treatment
|
$164.90 |
$164.90 |
$164.90 |
$5,995.60
|
|
Cystoscopy and treatment
|
$223.55 |
$223.55 |
$223.55 |
$6,475.26
|
|
Cystoscopy and treatment
|
$120.53 |
$120.53 |
$120.53 |
$3,213.14
|
|
Cystoscopy and treatment
|
$93.16 |
$93.16 |
$93.16 |
$2,424.12
|
|
Cystoscopy and treatment
|
$151.47 |
$151.47 |
$151.47 |
$4,045.60
|
|
Cystoscopy and treatment
|
$184.62 |
$184.62 |
$184.62 |
$4,061.71
|
|
Cystoscopy and treatment
|
$116.11 |
$116.11 |
$116.11 |
$2,424.12
|
|
Cystoscopy and treatment
|
$198.90 |
$198.90 |
$198.90 |
$958.81
|
|
Cystoscopy and treatment
|
$139.74 |
$139.74 |
$139.74 |
$2,874.36
|
|
Cystoscopy and treatment
|
$160.14 |
$160.14 |
$160.14 |
$4,081.37
|
|
Cystoscopy and treatment
|
$123.59 |
$123.59 |
$123.59 |
$6,015.75
|
|
Cystoscopy and treatment
|
$625.60 |
$625.60 |
$625.60 |
$2,873.00
|
|
Cystoscopy and treatment
|
$612.17 |
$612.17 |
$612.17 |
$3,203.50
|
|
Cystoscopy and treatment
|
$140.93 |
$140.93 |
$140.93 |
$4,061.71
|
|
Cystoscopy and treatment
|
$150.45 |
$150.45 |
$150.45 |
$3,820.84
|
|
Cystoscopy (Bladder Scope)
|
$432.99 |
$432.99 |
$432.99 |
$1,450.44
|
|
Cystoscopy chemodenervation
|
$1,327.53 |
$1,327.53 |
$1,327.53 |
$2,806.70
|
|
Cystoscopy inject material
|
$147.05 |
$147.05 |
$147.05 |
$5,986.78
|
|
Cystoscopy prostatic imp 1-3
|
$720.12 |
$720.12 |
$720.12 |
$5,741.40
|
|
Cystoscopy removal of clots
|
$1,543.09 |
$1,543.09 |
$1,543.09 |
$3,986.00
|
|
Cystoscopy & revise urethra
|
$142.46 |
$142.46 |
$142.46 |
$2,874.36
|
|
Cystoscopy stone removal
|
$182.41 |
$182.41 |
$182.41 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$77.18 |
$77.18 |
$77.18 |
$3,688.80
|
|
Cystostomy cystotomy w/drainage 51040
|
$173.91 |
$173.91 |
$173.91 |
$4,129.45
|
|
Cystotomy/cystostomy fulg+/insj radact matrl 51020
|
$278.29 |
$278.29 |
$278.29 |
$4,081.37
|
|
Cystouretero & or pyeloscope
|
$173.06 |
$173.06 |
$173.06 |
$4,155.20
|
|
Cysto/uretero stricture tx
|
$210.97 |
$210.97 |
$210.97 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$238.00 |
$238.00 |
$238.00 |
$5,971.01
|
|
Cystouretero w/excise tumor
|
$266.56 |
$266.56 |
$266.56 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$236.98 |
$236.98 |
$236.98 |
$7,372.68
|
|
Cystouretero w/lithotripsy
|
$223.55 |
$223.55 |
$223.55 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$202.47 |
$202.47 |
$202.47 |
$5,014.02
|
|
Cysto/uretero w/up stricture
|
$224.91 |
$224.91 |
$224.91 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$906.10 |
$906.10 |
$906.10 |
$3,036.00
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$813.11 |
$813.11 |
$813.11 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$28.90 |
$28.90 |
$28.90 |
$2,161.60
|
|
Cystourethro w/implant
|
$120.02 |
$120.02 |
$120.02 |
$2,777.60
|
|
Cysto w/up stricture tx
|
$176.80 |
$176.80 |
$176.80 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$162.35 |
$162.35 |
$162.35 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$13.98 |
$13.98 |
$13.98 |
$89.94
|
|
Cytogenomic neo microra alys
|
$260.95 |
$260.95 |
$260.95 |
$2,198.00
|
|
Cytogenom microarray copy nmbr var
|
$173.40 |
$173.40 |
$173.40 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$7.14 |
$7.14 |
$7.14 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$2.44 |
$2.44 |
$2.44 |
$100.00
|
|
Cyto/molecular report
|
$23.46 |
$23.46 |
$23.46 |
$121.60
|
|
Cytopathology cellular enhancement technique non-gyn
|
$18.19 |
$18.19 |
$18.19 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$6.01 |
$6.01 |
$6.01 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$12.58 |
$12.58 |
$12.58 |
$126.00
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$12.58 |
$12.58 |
$12.58 |
$124.30
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$3.91 |
$3.91 |
$3.91 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$39.95 |
$39.95 |
$39.95 |
$187.80
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$17.54 |
$17.54 |
$17.54 |
$208.60
|
|
Cytopath smear other source
|
$9.64 |
$9.64 |
$9.64 |
$88.13
|
|
Cytopath smear other source
|
$15.90 |
$15.90 |
$15.90 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$9.99 |
$9.99 |
$9.99 |
$95.00
|
|
Cytopath tbs c/v manual
|
$5.10 |
$5.10 |
$5.10 |
$59.28
|
|
Cytp urine 3-5 probes cmptr
|
$75.99 |
$75.99 |
$75.99 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$30.46 |
$30.46 |
$30.46 |
$59.15
|
|
Dalbavancin 500 mg intravenous solution
|
$2,246.50 |
$2,246.50 |
$2,246.50 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$175.19 |
$175.19 |
$175.19 |
$170.40
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$13,600.00 |
$13,600.00 |
$13,600.00 |
$21,050.42
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1.70 |
$1.70 |
$1.70 |
$6,281.29
|
|
Dark field exam without collj
|
$1.77 |
$1.77 |
$1.77 |
$28.80
|
|
D&c after delivery 59160
|
$157.93 |
$157.93 |
$157.93 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$1,187.62 |
$1,187.62 |
$1,187.62 |
$3,774.81
|
