|
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
|
$132.49 |
$132.49 |
$132.49 |
$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
|
$224.60 |
$224.60 |
$224.60 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$173.21 |
$173.21 |
$173.21 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$219.04 |
$219.04 |
$219.04 |
$80.05
|
|
Cyclosporine 2 hour
|
$461.38 |
$461.38 |
$461.38 |
$121.80
|
|
Cyclosporine oral 100 mg
|
$62.92 |
$62.92 |
$62.92 |
$39.04
|
|
Cyp2c19 gene com variants
|
$811.51 |
$811.51 |
$811.51 |
$567.75
|
|
Cyp2c9 gene com variants
|
$389.07 |
$389.07 |
$389.07 |
$275.10
|
|
Cystatin c
|
$90.19 |
$90.19 |
$90.19 |
$82.26
|
|
Cystic fibrosis cftr
|
$2,143.61 |
$2,143.61 |
$2,143.61 |
$1,041.95
|
|
Cystine urine quantitative
|
$507.67 |
$507.67 |
$507.67 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$2,074.88 |
$2,074.88 |
$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 |
$165.51 |
$165.51 |
$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
|
|
Cytomegalovirus (cmv) antibody igg
|
$230.09 |
$230.09 |
$230.09 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$322.19 |
$322.19 |
$322.19 |
$96.80
|
|
Cyto/molecular report
|
$553.67 |
$553.67 |
$553.67 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$599.53 |
$599.53 |
$599.53 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$328.42 |
$328.42 |
$328.42 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$324.72 |
$324.72 |
$324.72 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$332.69 |
$332.69 |
$332.69 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$592.53 |
$592.53 |
$592.53 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$132.03 |
$132.03 |
$132.03 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$1,114.40 |
$1,114.40 |
$1,114.40 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$599.53 |
$599.53 |
$599.53 |
$205.00
|
|
Cytopath smear other source
|
$133.45 |
$133.45 |
$133.45 |
$85.80
|
|
Cytopath smear oth prep screen & interp
|
$328.88 |
$328.88 |
$328.88 |
$95.89
|
|
Cytopath tbs c/v manual
|
$158.99 |
$158.99 |
$158.99 |
$57.94
|
|
Cytotoxic antibody screening
|
$110.11 |
$110.11 |
$110.11 |
$157.60
|
|
Cytp urine 3-5 probes cmptr
|
$1,956.42 |
$1,956.42 |
$1,956.42 |
$690.00
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$44,408.52 |
$44,408.52 |
$44,408.52 |
$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
|
|
Dch pulmonary stress test
|
$3,963.28 |
$3,963.28 |
$3,963.28 |
$964.41
|
|
Dch validity tests
|
$90.15 |
$90.15 |
$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
|
$1,680.28 |
$1,680.28 |
$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 |
$167.63 |
$167.63 |
$73.60
|
|
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
|
$2,272.10 |
$2,272.10 |
$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
|
$632.27 |
$632.27 |
$632.27 |
$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
|
$29,991.75 |
$29,991.75 |
$29,991.75 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$2,296.67 |
$2,296.67 |
$2,296.67 |
$102.32
|
|
Desoxycorticosterone
|
$465.68 |
$465.68 |
$465.68 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$2,007.40 |
$2,007.40 |
$2,007.40 |
$5,698.68
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$273.72 |
$273.72 |
$273.72 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$328.46 |
$328.46 |
$328.46 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$394.17 |
$394.17 |
$394.17 |
$394.17
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$273.72 |
$273.72 |
$273.72 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$328.46 |
$328.46 |
$328.46 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$394.17 |
$394.17 |
$394.17 |
$278.40
|
|
Dest mal lesion tal <0.5 17260
|
$1,660.41 |
$1,660.41 |
$1,660.41 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$2,052.02 |
$2,052.02 |
$2,052.02 |
$269.60
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$2,592.44 |
$2,592.44 |
$2,592.44 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$2,866.56 |
$2,866.56 |
$2,866.56 |
$354.00
|
|
Destroy cervthor facet jnt 64633
|
$5,071.14 |
$5,071.14 |
$5,071.14 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$2,535.56 |
$2,535.56 |
$2,535.56 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$292.05 |
$292.05 |
$292.05 |
$220.12
|
|
Destroy vulva lesion extensive 56515
|
$5,030.19 |
$5,030.19 |
$5,030.19 |
$2,837.09
|
|
Destroy vulva lesion simple 56501
|
$5,030.19 |
$5,030.19 |
$5,030.19 |
$3,691.50
|
|
Destruct ben lesion 15/> 17111
|
$526.32 |
$526.32 |
$526.32 |
$238.20
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$1,693.24 |
$1,693.24 |
$1,693.24 |
$1,016.25
|
|
Destruct cut vasl lesions <10cm 17106
|
$1,087.35 |
$1,087.35 |
$1,087.35 |
$658.40
|
|
Destruct cut vasl lesions >50cm 17108
|
$5,030.19 |
$5,030.19 |
$5,030.19 |
$1,999.13
|
|
Destruction 2-14 lesions 17003
|
$48.17 |
$48.17 |
$48.17 |
$72.60
|
|
Destruction anal lesion(s)
|
$5,030.19 |
$5,030.19 |
$5,030.19 |
$2,772.60
|
|
Destruction anal lesion(s) smpl chem 46900
|
$1,087.35 |
$1,087.35 |
$1,087.35 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$273.45 |
$273.45 |
$273.45 |
$250.60
|
|
Destruction by injection tx of nerve 64630
|
$1,845.91 |
$1,845.91 |
$1,845.91 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$2,535.56 |
$2,535.56 |
$2,535.56 |
$1,879.50
|