|
CT uppr extremity w/o&w/dye
|
$458.92 |
$7,527.96 |
$7,527.96 |
|
|
Cuffs adj lock with active con
|
$1,664.95 |
$1,664.95 |
$1,664.95 |
|
|
Culture aerobic additional method definitive id each
|
$14.93 |
$419.56 |
$573.00 |
|
|
Culture afb any source
|
$9.42 |
$347.95 |
$1,808.75 |
|
|
Culture anaerobic additional method definitive id each
|
$17.11 |
$253.68 |
$1,694.25 |
|
|
Culture anaerobic except blood
|
$4.20 |
$394.73 |
$1,789.00 |
|
|
Culture bacteria anaerobic
|
$2,541.10 |
$2,541.10 |
$2,541.10 |
|
|
Culture bact stool aero addl path ea
|
$9.13 |
$170.82 |
$170.82 |
|
|
Culture body fluid
|
$20.30 |
$460.84 |
$460.84 |
|
|
Culture fungi definitive id mold
|
$20.01 |
$428.84 |
$1,256.77 |
|
|
Culture fungi definitive id yeast
|
$8.99 |
$165.31 |
$1,256.77 |
|
|
Culture fungi other (except blood)
|
$11.31 |
$510.70 |
$1,789.25 |
|
|
Culture fungi skin/hair/nail
|
$8.55 |
$123.50 |
$198.00 |
|
|
Culture mycobacteria definitive id each isolate
|
$9.28 |
$494.55 |
$2,421.18 |
|
|
Culture mycoplasma any source
|
$9.13 |
$256.92 |
$704.00 |
|
|
Culture quantitative aerobic other source
|
$8.84 |
$146.28 |
$3,217.57 |
|
|
Culture screening strep group a
|
$9.57 |
$140.68 |
$140.68 |
|
|
Culture type pulse field gel
|
$1,870.23 |
$4,225.53 |
$6,330.00 |
|
|
Culture typing added method
|
$408.37 |
$408.37 |
$2,570.91 |
|
|
Culture typing glc/hplc
|
$10.60 |
$1,229.31 |
$2,314.25 |
|
|
Culture typing immunologic
|
$12.32 |
$107.00 |
$265.75 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$408.37 |
$408.37 |
$408.37 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$19.86 |
$259.50 |
$510.21 |
|
|
Culture urine each isolate
|
$3.62 |
$132.49 |
$2,000.00 |
|
|
Cutter lead
|
$8,420.39 |
$10,661.00 |
$15,784.22 |
|
|
Cv line/pic reposition
|
$822.61 |
$4,341.50 |
$4,341.50 |
|
|
Cv stress test/supervision only 93016
|
$4,879.91 |
$4,879.91 |
$4,879.91 |
|
|
Cyanocobalamin unsat binding capacity
|
$14.98 |
$224.60 |
$2,295.00 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$1.27 |
$173.21 |
$505.68 |
|
|
Cyclic citrullinated peptide antibody
|
$11.10 |
$219.04 |
$1,722.00 |
|
|
Cyclophosphamide 100 mg inj
|
$289.51 |
$555.25 |
$807.79 |
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$2.09 |
$2.09 |
$2.09 |
|
|
Cyclophosphamide 25 mg capsule
|
$20.00 |
$34.47 |
$129.00 |
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$33.36 |
$683.00 |
$1,942.64 |
|
|
Cyclosporine 2 hour
|
$13.17 |
$461.38 |
$1,910.51 |
|
|
Cyclosporine modified 25 mg capsule
|
$25.76 |
$35.09 |
$77.29 |
|
|
Cyclosporine oral 100 mg
|
$20.54 |
$62.92 |
$62.92 |
|
|
Cygnus matrix, per sq cm
|
$1.00 |
$1.00 |
$1.00 |
|
|
Cygnus, per sq cm
|
$1.00 |
$1.00 |
$924.00 |
|
|
Cylinder pump set 20cm titan zero angl
|
$26,478.71 |
$27,626.14 |
$35,151.64 |
|
|
Cymetra injectable
|
$7,318.08 |
$7,318.08 |
$7,318.08 |
|
|
Cyp2c19 gene com variants
|
$121.63 |
$811.51 |
$4,117.41 |
|
|
Cyp2c9 gene com variants
|
$72.98 |
$389.07 |
$3,549.75 |
|
|
Cyp2d6 gene com variants
|
$188.07 |
$584.50 |
$6,834.75 |
|
|
Cyp3a4 gene common variants
|
$72.98 |
$161.70 |
$331.80 |
|
|
Cyp3a5 gene common variants
|
$72.98 |
$161.70 |
$331.80 |
|
|
Cystatin c
|
$12.71 |
$90.19 |
$1,387.72 |
|
|
Cystic fibrosis cftr
|
$208.08 |
$2,143.61 |
$18,596.00 |
|
|
Cystine urine quantitative
|
$20.66 |
$507.67 |
$1,237.97 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$206.62 |
$2,074.88 |
$4,066.04 |
|
|
Cysto rx balo cath urtl strx
|
$3,292.66 |
$3,292.66 |
$3,735.58 |
|
|
Cystoscopy removal of clots
|
$3,455.51 |
$3,455.51 |
$3,455.51 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$783.15 |
$783.15 |
$783.15 |
|
|
Cytarabine 20 mg/ml injection solution
|
$165.51 |
$165.51 |
$798.00 |
|
|
Cytogenetics 25-99
|
$57.34 |
$505.06 |
$1,711.64 |
|
|
Cytogenetics 3-5
|
$425.91 |
$425.91 |
$425.91 |
|
|
Cytogenomic neo microra alys
|
$1,523.47 |
$1,523.47 |
$1,523.47 |
|
|
Cytogenom microarray copy nmbr var
|
$7,404.75 |
$15,989.10 |
$20,919.56 |
|
|
Cytomegalovirus ag ia
|
$992.78 |
$992.78 |
$1,804.50 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$11.10 |
$230.09 |
$528.10 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$11.29 |
$322.19 |
$1,304.62 |
|
|
Cytomegalovirus imm IV /vial
|
$4,196.40 |
$7,913.42 |
$11,282.00 |
|
|
Cyto/molecular report
|
$553.67 |
$553.67 |
$553.67 |
|
|
Cytopath c/v manual
|
$845.13 |
$845.13 |
$845.13 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$48.38 |
$599.53 |
$908.88 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$72.58 |
$328.42 |
$962.59 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$27.33 |
$324.72 |
$1,575.68 |
|
|
Cytopathology concentration technique smears & interpretation
|
$35.39 |
$332.69 |
$1,863.00 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$35.39 |
$592.53 |
$1,485.85 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$40.32 |
$132.03 |
$1,316.50 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$154.11 |
$879.00 |
$1,420.50 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$48.38 |
$599.53 |
$1,723.51 |
|
|
Cytopath smear other source
|
$31.81 |
$133.45 |
$1,097.50 |
|
|
Cytopath smear other source
|
$1,027.00 |
$1,027.00 |
$1,361.00 |
|
|
Cytopath smear oth prep screen & interp
|
$30.46 |
$328.88 |
$1,381.46 |
|
|
Cytopath tbs c/v manual
|
$158.99 |
$158.99 |
$708.86 |
|
|
Cytotoxic antibody screening
|
$110.11 |
$137.50 |
$9,243.75 |
|
|
Cytp urine 3-5 probes cmptr
|
$324.04 |
$1,956.42 |
$2,838.36 |
|
|
Dacarbazine 100 mg intravenous solution
|
$0.66 |
$385.84 |
$771.71 |
|
|
Dactinomycin 0.5 mg intravenous solution
|
$4,906.88 |
$7,338.24 |
$10,330.00 |
|
|
Dalbavancin 500 mg intravenous solution
|
$2.32 |
$9,120.25 |
$15,817.00 |
|
|
Dalteparin sodium
|
$674.92 |
$674.92 |
$674.92 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,064.50 |
$1,064.50 |
$1,064.50 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$39,092.28 |
$44,408.52 |
$78,909.00 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$3.68 |
$8,925.25 |
$8,925.25 |
|
|
Darbepoetin alfa, esrd use
|
$89.04 |
$89.04 |
$89.04 |
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$77,576.20 |
$77,576.20 |
$77,576.20 |
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$108.20 |
$1,303.00 |
$1,548.67 |
|
|
Dch pulmonary stress test
|
$542.68 |
$3,963.28 |
$8,884.50 |
|
|
Dch validity tests
|
$1.41 |
$90.15 |
$114.71 |
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$7,732.65 |
$7,732.65 |
$7,732.65 |
|
|
Deamidated gliadin antibody iga
|
$10.91 |
$140.62 |
$140.62 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$374.22 |
$1,603.56 |
$1,603.56 |
|
|
Debridement (>20 cm) charge pt
|
$73.40 |
$919.70 |
$1,680.28 |
|
|
Debridement bone <= 20 sq cm
|
$954.18 |
$5,614.71 |
$5,614.71 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$112.33 |
$2,526.62 |
$2,526.62 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$260.01 |
$5,053.23 |
$5,053.23 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$269.54 |
$2,339.44 |
$2,339.44 |
|
|
Debride nail1-5 11720
|
$15.59 |
$343.85 |
$343.85 |
|
|
Debride nail6 or more 11721
|
$63.18 |
$412.60 |
$412.60 |
|
