|
CT uppr extremity w/o&w/dye
|
$7,527.96 |
$7,527.96 |
$7,527.96 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$62.65 |
$277.00 |
$557.00 |
$63.75
|
|
Culture afb any source
|
$347.95 |
$408.67 |
$1,808.75 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$68.59 |
$253.68 |
$1,694.25 |
$77.31
|
|
Culture anaerobic except blood
|
$366.88 |
$394.73 |
$1,789.00 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$170.82 |
$170.82 |
$170.82 |
$52.80
|
|
Culture body fluid
|
$460.84 |
$460.84 |
$460.84 |
$130.50
|
|
Culture fungi definitive id mold
|
$347.46 |
$428.84 |
$980.25 |
$70.00
|
|
Culture fungi definitive id yeast
|
$165.31 |
$337.00 |
$980.25 |
$80.60
|
|
Culture fungi other (except blood)
|
$283.38 |
$510.70 |
$1,789.25 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$123.50 |
$123.50 |
$123.50 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$169.01 |
$494.55 |
$1,403.00 |
$84.75
|
|
Culture mycoplasma any source
|
$256.92 |
$256.92 |
$256.92 |
$90.37
|
|
Culture quantitative aerobic other source
|
$146.28 |
$542.32 |
$2,541.00 |
$87.02
|
|
Culture screening strep group a
|
$140.68 |
$140.68 |
$140.68 |
$81.60
|
|
Culture typing added method
|
$408.37 |
$408.37 |
$408.37 |
$34.45
|
|
Culture typing immunologic
|
$265.75 |
$265.75 |
$265.75 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$408.37 |
$408.37 |
$408.37 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$510.21 |
$510.21 |
$510.21 |
$124.40
|
|
Culture urine each isolate
|
$68.59 |
$132.49 |
$2,000.00 |
$46.20
|
|
Cv line/pic reposition
|
$4,341.50 |
$4,341.50 |
$4,341.50 |
$1,829.42
|
|
Cv stress test/supervision only 93016
|
$4,879.91 |
$4,879.91 |
$4,879.91 |
$59.25
|
|
Cyanocobalamin unsat binding capacity
|
$190.91 |
$224.60 |
$2,295.00 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$20.33 |
$173.21 |
$232.00 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$219.04 |
$378.81 |
$1,722.00 |
$80.05
|
|
Cyclophosphamide 25 mg capsule
|
$20.00 |
$34.47 |
$48.25 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$33.36 |
$33.36 |
$683.00 |
$179.10
|
|
Cyclosporine 2 hour
|
$164.05 |
$461.38 |
$1,418.00 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$27.00 |
$27.00 |
$37.92 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$20.54 |
$20.54 |
$62.92 |
$39.04
|
|
Cyp2c19 gene com variants
|
$811.51 |
$1,298.00 |
$1,775.25 |
$567.75
|
|
Cyp2c9 gene com variants
|
$389.07 |
$1,850.00 |
$3,549.75 |
$275.10
|
|
Cyp2d6 gene com variants
|
$6,834.75 |
$6,834.75 |
$6,834.75 |
$537.50
|
|
Cystatin c
|
$90.19 |
$438.48 |
$1,211.75 |
$82.26
|
|
Cystic fibrosis cftr
|
$2,143.61 |
$3,475.50 |
$18,596.00 |
$1,041.95
|
|
Cystine urine quantitative
|
$507.67 |
$507.67 |
$507.67 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,293.77 |
$1,702.00 |
$2,074.88 |
$539.55
|
|
Cystoscopy removal of clots
|
$3,455.51 |
$3,455.51 |
$3,455.51 |
$3,970.98
|
|
Cystourethroscop/calib/dilat stric 52281
|
$783.15 |
$783.15 |
$783.15 |
$2,874.36
|
|
Cytarabine 20 mg/ml injection solution
|
$165.51 |
$414.98 |
$798.00 |
$89.95
|
|
Cytogenetics 25-99
|
$505.06 |
$505.06 |
$505.06 |
$180.32
|
|
Cytogenetics 3-5
|
$425.91 |
$425.91 |
$425.91 |
$127.64
|
|
Cytogenomic neo microra alys
|
$1,523.47 |
$1,523.47 |
$1,523.47 |
$1,911.78
|
|
Cytogenom microarray copy nmbr var
|
$7,404.75 |
$7,404.75 |
$15,584.00 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$24.00 |
$230.09 |
$345.00 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$322.19 |
$455.00 |
$1,240.00 |
$96.80
|
|
Cytomegalovirus imm IV /vial
|
$4,196.40 |
$4,196.40 |
$11,282.00 |
$3,113.07
|
|
Cyto/molecular report
|
$553.67 |
$553.67 |
$553.67 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$360.94 |
$599.53 |
$822.00 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$328.42 |
$328.42 |
$518.00 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$214.25 |
$324.72 |
$523.00 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$283.38 |
$332.69 |
$1,863.00 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$343.04 |
$592.53 |
$1,183.00 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$132.03 |
$629.00 |
$1,316.50 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$879.00 |
$1,114.40 |
$1,346.25 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$466.80 |
$599.53 |
$1,278.00 |
$205.00
|
|
Cytopath smear other source
|
$133.45 |
$133.45 |
$1,097.50 |
$85.80
|
|
Cytopath smear other source
|
$1,027.00 |
$1,027.00 |
$1,361.00 |
$122.19
|
|
Cytopath smear oth prep screen & interp
|
$328.88 |
$966.00 |
$1,361.00 |
$95.89
|
|
Cytopath tbs c/v manual
|
$158.99 |
$190.00 |
$537.25 |
$57.94
|
|
Cytotoxic antibody screening
|
$110.11 |
$110.11 |
$9,243.75 |
$157.60
|
|
Cytp urine 3-5 probes cmptr
|
$1,956.42 |
$1,956.42 |
$1,956.42 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$221.50 |
$221.50 |
$515.00 |
$82.91
|
|
Dactinomycin 0.5 mg intravenous solution
|
$4,906.88 |
$9,436.00 |
$10,330.00 |
$2,526.62
|
|
Dalbavancin 500 mg intravenous solution
|
$9,120.25 |
$9,120.25 |
$9,120.25 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,064.50 |
$1,064.50 |
$1,064.50 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$44,408.52 |
$44,408.52 |
$50,221.00 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$8,925.25 |
$8,925.25 |
$8,925.25 |
$5,546.48
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$1,303.00 |
$1,303.00 |
$1,303.00 |
$260.95
|
|
Dch pulmonary stress test
|
$3,963.28 |
$5,201.00 |
$8,884.50 |
$964.41
|
|
Dch validity tests
|
$53.71 |
$53.71 |
$90.15 |
$25.20
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$7,732.65 |
$7,732.65 |
$7,732.65 |
$4,021.68
|
|
Deamidated gliadin antibody iga
|
$140.62 |
$140.62 |
$140.62 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,603.56 |
$1,603.56 |
$1,603.56 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$919.70 |
$919.70 |
$1,680.28 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$5,614.71 |
$5,614.71 |
$5,614.71 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$2,526.62 |
$2,526.62 |
$2,526.62 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$5,053.23 |
$5,053.23 |
$5,053.23 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$2,339.44 |
$2,339.44 |
$2,339.44 |
$810.50
|
|
Debride nail1-5 11720
|
$343.85 |
$343.85 |
$343.85 |
$173.25
|
|
Debride nail6 or more 11721
|
$412.60 |
$412.60 |
$412.60 |
$195.20
|
|
Debride skin bone at fx site
|
$6,102.89 |
$6,102.89 |
$6,102.89 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$2,105.51 |
$2,105.51 |
$2,105.51 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,807.34 |
$2,807.34 |
$2,807.34 |
$1,193.40
|
|
Decalcification
|
$167.63 |
$450.42 |
$882.00 |
$73.60
|
|
Decitabine 50 mg intravenous solution
|
$20,138.00 |
$20,138.00 |
$20,138.00 |
$975.45
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,784.10 |
$1,784.10 |
$1,784.10 |
$545.90
|
|
Decompression of tibia nerve
|
$5,239.05 |
$5,239.05 |
$5,239.05 |
$2,625.60
|
|
Decompres spinal cord;thoracic 63055
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,907.11
|
|
Decompress spinal cord lmbr
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,913.97
|
|
Deferoxamine 500 mg solution for injection
|
$230.82 |
$570.00 |
$2,272.10 |
$110.82
|
|
Delivery of placenta 59414
|
$5,813.68 |
$5,813.68 |
$5,813.68 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$9,561.95 |
$9,561.95 |
$9,561.95 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$551.88 |
$632.27 |
$1,093.00 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$14,105.35 |
$14,105.35 |
$14,105.35 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$1,632.08 |
$1,632.08 |
$1,632.08 |
$460.50
|
|
Dermagraft
|
$220.24 |
$220.24 |
$220.24 |
$1,912.31
|
|
Descend thora aorta rpr/lt sub art 33880
|
$2,081.80 |
$2,081.80 |
$2,081.80 |
$5,702.04
|
|
Design mlc device for imrt
|
$9,903.00 |
$11,039.75 |
$29,991.75 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$270.00 |
$1,715.69 |
$2,296.67 |
$102.32
|