|
Culture aerobic additional method definitive id each
|
$436.00 |
$436.00 |
$436.00 |
$62.65
|
|
Culture afb any source
|
$572.00 |
$572.00 |
$572.00 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$92.00 |
$92.00 |
$92.00 |
$75.29
|
|
Culture anaerobic except blood
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$120.00
|
|
Culture fungi definitive id mold
|
$305.00 |
$305.00 |
$305.00 |
$70.00
|
|
Culture fungi definitive id yeast
|
$554.00 |
$554.00 |
$554.00 |
$79.00
|
|
Culture fungi other (except blood)
|
$1,561.00 |
$1,561.00 |
$1,561.00 |
$94.90
|
|
Culture fungi skin/hair/nail
|
$305.00 |
$305.00 |
$305.00 |
$76.05
|
|
Culture mycobacteria definitive id each isolate
|
$589.00 |
$589.00 |
$589.00 |
$88.14
|
|
Culture urine each isolate
|
$215.00 |
$215.00 |
$215.00 |
$46.20
|
|
Cyanocobalamin unsat binding capacity
|
$277.00 |
$277.00 |
$277.00 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$68.00 |
$68.00 |
$68.00 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$468.00 |
$468.00 |
$468.00 |
$85.03
|
|
Cyclosporine 2 hour
|
$286.00 |
$286.00 |
$286.00 |
$119.40
|
|
Cyclosporine modified 25 mg capsule
|
$17.00 |
$17.00 |
$17.00 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$83.00 |
$83.00 |
$83.00 |
$42.97
|
|
Cyp2c19 gene com variants
|
$223.00 |
$223.00 |
$223.00 |
$553.00
|
|
Cystatin c
|
$328.00 |
$328.00 |
$328.00 |
$82.50
|
|
Cystic fibrosis cftr
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$1,041.95
|
|
Cystogram >= 3 views supervision & interpretation
|
$3,621.00 |
$3,621.00 |
$3,621.00 |
$527.50
|
|
Cytarabine 20 mg/ml injection solution
|
$361.00 |
$361.00 |
$361.00 |
$66.95
|
|
Cytogenetics 25-99
|
$860.00 |
$860.00 |
$860.00 |
$180.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$454.00 |
$454.00 |
$454.00 |
$101.94
|
|
Cytomegalovirus dfa
|
$305.00 |
$305.00 |
$305.00 |
$51.20
|
|
Cytopath fl nongyn filter
|
$215.00 |
$215.00 |
$215.00 |
$66.61
|
|
Cytopathology cellular enhancement technique non-gyn
|
$474.00 |
$474.00 |
$474.00 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$626.00 |
$626.00 |
$626.00 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$2,338.00 |
$2,338.00 |
$2,338.00 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$1,229.00 |
$1,229.00 |
$1,229.00 |
$122.40
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$143.00 |
$143.00 |
$143.00 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$241.00 |
$241.00 |
$241.00 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$1,845.00 |
$1,845.00 |
$1,845.00 |
$203.08
|
|
Cytopath smear oth prep screen & interp
|
$1,338.00 |
$1,338.00 |
$1,338.00 |
$95.00
|
|
Cytp urine 3-5 probes cmptr
|
$745.00 |
$745.00 |
$745.00 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$117.00 |
$117.00 |
$117.00 |
$61.64
|
|
Dactinomycin 0.5 mg intravenous solution
|
$3,631.00 |
$3,631.00 |
$3,631.00 |
$2,281.50
|
|
Dch validity tests
|
$153.00 |
$153.00 |
$153.00 |
$25.00
|
|
Decalcification
|
$617.00 |
$617.00 |
$617.00 |
$75.38
|
|
Deferoxamine 500 mg solution for injection
|
$216.00 |
$216.00 |
$216.00 |
$112.87
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$1,473.00 |
$1,473.00 |
$1,473.00 |
$182.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$23,543.00 |
$23,543.00 |
$23,543.00 |
$7,737.00
|
|
Desoxycorticosterone
|
$906.00 |
$906.00 |
$906.00 |
$109.28
|
|
Detect agent nos dna dir
|
$156.00 |
$156.00 |
$156.00 |
$67.15
|
|
Devel tst phys/qhp 1st hr
|
$3,847.00 |
$3,847.00 |
$3,847.00 |
$343.20
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$196.30
|
|
Dextran 40 infusion
|
$731.00 |
$731.00 |
$731.00 |
$173.97
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$9.00 |
$9.00 |
$9.00 |
$68.25
|
|
Dextrose 5 % IV bolus
|
$217.00 |
$217.00 |
$217.00 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$265.00 |
$265.00 |
$265.00 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$128.00 |
$128.00 |
$128.00 |
$78.03
|
|
Diagnostic Mammogram (both breasts)
|
$792.00 |
$792.00 |
$792.00 |
$403.32
|
|
Diatrizoate meglumine 18 % urethral solution
|
$82.00 |
$82.00 |
$82.00 |
$122.25
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$234.00 |
$234.00 |
$234.00 |
$67.89
|
|
Dicyclomine injection
|
$733.00 |
$733.00 |
$733.00 |
$210.00
|
|
Diffusing capacity
|
$740.00 |
$740.00 |
$740.00 |
$357.50
|
|
Digital analysis of eeg
|
$815.00 |
$815.00 |
$815.00 |
$641.56
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$113.00 |
$113.00 |
$113.00 |
$53.00
|
|
Digoxin immune fab 40 mg intravenous solution
|
$32,695.00 |
$32,695.00 |
$32,695.00 |
$9,684.65
|
|
Digoxin total therapeutic drug level
|
$1,507.00 |
$1,507.00 |
$1,507.00 |
$99.35
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$399.00 |
$399.00 |
$399.00 |
$308.90
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,027.00 |
$1,027.00 |
$1,027.00 |
$1,001.55
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.00 |
$1.00 |
$1.00 |
$1.62
|
|
Disability dlco
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$302.40
|
|
Discography cerv/thor spine
|
$5,465.00 |
$5,465.00 |
$5,465.00 |
$2,360.70
|
|
Dna antibody native/double stranded
|
$187.00 |
$187.00 |
$187.00 |
$101.40
|
|
Dna probe gc
|
$265.00 |
$265.00 |
$265.00 |
$88.67
|
|
Doppler echo complete
|
$4,193.00 |
$4,193.00 |
$4,193.00 |
$644.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$76.00 |
$76.00 |
$76.00 |
$681.20
|
|
Dornase alfa non-comp unit
|
$880.00 |
$880.00 |
$880.00 |
$500.29
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$165.51 |
$165.51 |
$165.51 |
$89.34
|
|
Droperidol 2.5 mg/ml injection solution
|
$260.00 |
$260.00 |
$260.00 |
$33.99
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$11,411.00 |
$11,411.00 |
$11,411.00 |
$327.39
|
|
Drug assay caffeine
|
$171.00 |
$171.00 |
$171.00 |
$86.45
|
|
Drug assay voriconazole
|
$127.00 |
$127.00 |
$127.00 |
$96.75
|
|
Drug of abuse screen urine
|
$1,858.00 |
$1,858.00 |
$1,858.00 |
$63.75
|
|
Drug test def 15-21 classes
|
$186.00 |
$186.00 |
$186.00 |
$142.17
|
|
Drug test def 1-7 classes
|
$186.00 |
$186.00 |
$186.00 |
$263.86
|
|
Drug test def 22+ classes
|
$186.00 |
$186.00 |
$186.00 |
$246.92
|
|
Drug test def 8-14 classes
|
$186.00 |
$186.00 |
$186.00 |
$172.25
|
|
Drug test prsmv instrmnt
|
$1,858.00 |
$1,858.00 |
$1,858.00 |
$78.65
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,858.00 |
$1,858.00 |
$1,858.00 |
$278.85
|
|
Drvvt confirm - quest
|
$260.00 |
$260.00 |
$260.00 |
$102.30
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$4,576.00 |
$4,576.00 |
$4,576.00 |
$750.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$10,427.00 |
$10,427.00 |
$10,427.00 |
$885.60
|
|
Ecg external < 48 hours scanning analysis w/report
|
$3,846.00 |
$3,846.00 |
$3,846.00 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$16,025.00 |
$16,025.00 |
$16,025.00 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$3,698.00 |
$3,698.00 |
$3,698.00 |
$461.61
|
|
Echocardiography transthoracic 2d followup/limited
|
$3,698.00 |
$3,698.00 |
$3,698.00 |
$773.30
|
|
Echocardiograpy doppler follow up/limited study
|
$3,698.00 |
$3,698.00 |
$3,698.00 |
$354.90
|
|
Echo exam uterus 76831-
|
$2,270.00 |
$2,270.00 |
$2,270.00 |
$547.23
|
|
Echo guide for amniocentesis
|
$3,516.00 |
$3,516.00 |
$3,516.00 |
$377.11
|
|
Echo guide for artery repair
|
$6,026.00 |
$6,026.00 |
$6,026.00 |
$676.80
|
|
Echo stress
|
$7,288.00 |
$7,288.00 |
$7,288.00 |
$1,607.45
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$9,002.00 |
$9,002.00 |
$9,002.00 |
$648.84
|
|
Echo transesophageal
|
$9,002.00 |
$9,002.00 |
$9,002.00 |
$913.33
|
|
Echo transesophageal
|
$9,002.00 |
$9,002.00 |
$9,002.00 |
$1,734.10
|
|
Echo transesophageal intraop
|
$9,002.00 |
$9,002.00 |
$9,002.00 |
$1,571.70
|
|
Echo transthoracic
|
$8,140.00 |
$8,140.00 |
$8,140.00 |
$1,475.25
|
|
Echo transthoracic
|
$3,698.00 |
$3,698.00 |
$3,698.00 |
$944.14
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$8,140.00 |
$8,140.00 |
$8,140.00 |
$1,020.09
|
