|
Crystal identification light microscopy
|
$171.89 |
$171.89 |
$171.89 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$1,047.67 |
$1,047.67 |
$1,047.67 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,211.19 |
$3,211.19 |
$3,211.19 |
$2,050.28
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,211.19 |
$3,211.19 |
$3,211.19 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,211.19 |
$3,211.19 |
$3,211.19 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$3,211.19 |
$3,211.19 |
$3,211.19 |
$1,977.25
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,614.32 |
$4,614.32 |
$4,614.32 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,211.19 |
$3,211.19 |
$3,211.19 |
$2,032.54
|
|
CT Angiogram of the Head
|
$3,211.19 |
$3,211.19 |
$3,211.19 |
$2,075.26
|
|
CT angio hrt w/3d image
|
$3,201.77 |
$3,201.77 |
$3,201.77 |
$1,601.60
|
|
Cta upper extremity w &/or without contrast left
|
$6,422.37 |
$6,422.37 |
$6,422.37 |
$1,661.13
|
|
CT guidance for needle placement
|
$2,504.44 |
$2,504.44 |
$2,504.44 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,685.09 |
$2,685.09 |
$2,685.09 |
$1,077.80
|
|
CT guid parench tis ablat
|
$1,992.63 |
$1,992.63 |
$1,992.63 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$301.65 |
$301.65 |
$301.65 |
$196.67
|
|
CT hrt w/3d image
|
$1,376.92 |
$1,376.92 |
$1,376.92 |
$1,481.04
|
|
CT limited or localized follow-up study
|
$825.23 |
$825.23 |
$825.23 |
$630.75
|
|
CT lower extremity w/contrast (both sides)
|
$3,045.44 |
$3,045.44 |
$3,045.44 |
$1,728.39
|
|
CT lower extremity without contrast (both sides)
|
$2,706.44 |
$2,706.44 |
$2,706.44 |
$1,420.00
|
|
CT lwr extremity w/o&w/dye
|
$1,376.92 |
$1,376.92 |
$1,376.92 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$3,621.78 |
$3,621.78 |
$3,621.78 |
$1,677.39
|
|
CT neck soft tissue without contrast
|
$3,254.49 |
$3,254.49 |
$3,254.49 |
$1,363.35
|
|
CT neck soft tissue without & w/contrast
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$4,543.71 |
$4,543.71 |
$4,543.71 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$4,154.73 |
$4,154.73 |
$4,154.73 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$3,808.23 |
$3,808.23 |
$3,808.23 |
$1,379.95
|
|
Ctrl nosebld postir subsq 30906
|
$1,857.31 |
$1,857.31 |
$1,857.31 |
$456.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,094.57 |
$5,094.57 |
$5,094.57 |
$3,337.20
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,702.82 |
$4,702.82 |
$4,702.82 |
$2,883.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,098.26 |
$4,098.26 |
$4,098.26 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$6,565.55 |
$6,565.55 |
$6,565.55 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$4,444.81 |
$4,444.81 |
$4,444.81 |
$1,464.00
|
|
CT upper extremity w/contrast (both sides)
|
$3,045.44 |
$3,045.44 |
$3,045.44 |
$1,714.05
|
|
CT upper extremity without contrast (both sides)
|
$2,706.44 |
$2,706.44 |
$2,706.44 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$1,376.92 |
$1,376.92 |
$1,376.92 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$495.77 |
$495.77 |
$495.77 |
$66.00
|
|
Culture afb any source
|
$366.93 |
$366.93 |
$366.93 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$779.67 |
$779.67 |
$779.67 |
$78.82
|
|
Culture anaerobic except blood
|
$909.95 |
$909.95 |
$909.95 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$187.34 |
$187.34 |
$187.34 |
$52.50
|
|
Culture body fluid
|
$1,090.93 |
$1,090.93 |
$1,090.93 |
$130.50
|
|
Culture fungi definitive id mold
|
$195.27 |
$195.27 |
$195.27 |
$72.15
|
|
Culture fungi definitive id yeast
|
$195.68 |
$195.68 |
$195.68 |
$80.60
|
|
Culture fungi other (except blood)
|
$391.03 |
$391.03 |
$391.03 |
$100.20
|
|
Culture fungi skin/hair/nail
|
$153.01 |
$153.01 |
$153.01 |
$77.37
|
|
Culture mycobacteria definitive id each isolate
|
$289.94 |
$289.94 |
$289.94 |
$88.14
|
|
Culture mycoplasma any source
|
$59.38 |
$59.38 |
$59.38 |
$90.75
|
|
Culture quantitative aerobic other source
|
$196.27 |
$196.27 |
$196.27 |
$85.80
|
|
Culture screening strep group a
|
$950.15 |
$950.15 |
$950.15 |
$81.25
|
|
Culture typing added method
|
$153.60 |
$153.60 |
$153.60 |
$34.45
|
|
Culture typing immunologic
|
$102.80 |
$102.80 |
$102.80 |
$43.46
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$4,327.40 |
$4,327.40 |
$4,327.40 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$696.36 |
$696.36 |
$696.36 |
$124.02
|
|
Cv line/pic reposition
|
$3,480.84 |
$3,480.84 |
$3,480.84 |
$1,801.20
|
|
Cyanocobalamin unsat binding capacity
|
$43.68 |
$43.68 |
$43.68 |
$58.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$216.72 |
$216.72 |
$216.72 |
$27.22
|
|
Cyclic citrullinated peptide antibody
|
$45.94 |
$45.94 |
$45.94 |
$82.00
|
|
Cyclosporine 2 hour
|
$56.42 |
$56.42 |
$56.42 |
$119.40
|
|
Cyclosporine oral 100 mg
|
$104.17 |
$104.17 |
$104.17 |
$42.97
|
|
Cystatin c
|
$516.89 |
$516.89 |
$516.89 |
$82.50
|
|
Cystine urine quantitative
|
$456.04 |
$456.04 |
$456.04 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$867.91 |
$867.91 |
$867.91 |
$527.50
|
|
Cytarabine 20 mg/ml injection solution
|
$172.08 |
$172.08 |
$172.08 |
$71.71
|
|
Cytomegalovirus (cmv) antibody igg
|
$285.57 |
$285.57 |
$285.57 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$334.39 |
$334.39 |
$334.39 |
$100.75
|
|
Cyto/molecular report
|
$376.36 |
$376.36 |
$376.36 |
$150.30
|
|
Cytopathology cellular enhancement technique non-gyn
|
$511.92 |
$511.92 |
$511.92 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$462.37 |
$462.37 |
$462.37 |
$85.60
|
|
Cytopathology concentration technique smears & interpretation
|
$129.28 |
$129.28 |
$129.28 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$129.28 |
$129.28 |
$129.28 |
$122.40
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$499.22 |
$499.22 |
$499.22 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$511.92 |
$511.92 |
$511.92 |
$203.08
|
|
Cytopath tbs c/v manual
|
$363.32 |
$363.32 |
$363.32 |
$57.94
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$105,334.14 |
$105,334.14 |
$105,334.14 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$50,675.73 |
$50,675.73 |
$50,675.73 |
$5,546.48
|
|
Dch validity tests
|
$79.42 |
$79.42 |
$79.42 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$76.22 |
$76.22 |
$76.22 |
$43.60
|
|
Debridement (>20 cm) charge pt
|
$645.62 |
$645.62 |
$645.62 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$4,484.69 |
$4,484.69 |
$4,484.69 |
$2,494.27
|
|
Debridement/bone/20 sq cm or less 11046
|
$2,505.56 |
$2,505.56 |
$2,505.56 |
$665.40
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$3,914.18 |
$3,914.18 |
$3,914.18 |
$1,359.15
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,618.07 |
$1,618.07 |
$1,618.07 |
$798.23
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,618.07 |
$1,618.07 |
$1,618.07 |
$640.00
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,505.56 |
$2,505.56 |
$2,505.56 |
$1,161.05
|
|
Decalcification
|
$231.92 |
$231.92 |
$231.92 |
$75.38
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,621.37 |
$1,621.37 |
$1,621.37 |
$510.95
|
|
Deferoxamine 500 mg solution for injection
|
$2,874.55 |
$2,874.55 |
$2,874.55 |
$112.87
|
|
Delivery of placenta 59414
|
$8,726.66 |
$8,726.66 |
$8,726.66 |
$3,135.14
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$734.57 |
$734.57 |
$734.57 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$80,143.60 |
$80,143.60 |
$80,143.60 |
$7,737.00
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$910.58 |
$910.58 |
$910.58 |
$460.50
|
|
Desmopressin 4 mcg/ml injection solution
|
$5,632.35 |
$5,632.35 |
$5,632.35 |
$148.77
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$120.94 |
$120.94 |
$120.94 |
$23.79
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$356.05 |
$356.05 |
$356.05 |
$46.35
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$356.05 |
$356.05 |
$356.05 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$88.45 |
$88.45 |
$88.45 |
$48.56
|
|
Dextrose 5 % IV bolus
|
$356.05 |
$356.05 |
$356.05 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$67.80 |
$67.80 |
$67.80 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$244.02 |
$244.02 |
$244.02 |
$79.30
|
|
Diab manage trn ind/group
|
$101.01 |
$101.01 |
$101.01 |
$49.50
|