|
Crystal identification light microscopy
|
$34.00 |
$34.00 |
$34.00 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$1,365.00 |
$1,365.00 |
$1,365.00 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,859.00 |
$2,859.00 |
$2,859.00 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,859.00 |
$2,859.00 |
$2,859.00 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,428.68
|
|
CT angio pelvis
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$1,691.30
|
|
CT guidance for needle placement
|
$2,450.00 |
$2,450.00 |
$2,450.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$292.00 |
$292.00 |
$292.00 |
$1,215.06
|
|
CT guid parench tis ablat
|
$300.00 |
$300.00 |
$300.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$224.00 |
$224.00 |
$224.00 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,395.79
|
|
CT hrt w/3d image
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,818.96
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,272.00 |
$2,272.00 |
$2,272.00 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,272.00 |
$2,272.00 |
$2,272.00 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,418.00 |
$1,418.00 |
$1,418.00 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,272.00 |
$2,272.00 |
$2,272.00 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$2,272.00 |
$2,272.00 |
$2,272.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$40.00 |
$40.00 |
$40.00 |
$72.00
|
|
Culture afb any source
|
$50.00 |
$50.00 |
$50.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$37.00 |
$37.00 |
$37.00 |
$84.76
|
|
Culture anaerobic except blood
|
$44.00 |
$44.00 |
$44.00 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$44.00 |
$44.00 |
$44.00 |
$52.50
|
|
Culture body fluid
|
$40.00 |
$40.00 |
$40.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$47.00 |
$47.00 |
$47.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$47.00 |
$47.00 |
$47.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$39.00 |
$39.00 |
$39.00 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$36.00 |
$36.00 |
$36.00 |
$74.75
|
|
Culture mycoplasma any source
|
$71.00 |
$71.00 |
$71.00 |
$83.21
|
|
Culture quantitative aerobic other source
|
$46.00 |
$46.00 |
$46.00 |
$87.02
|
|
Culture screening strep group a
|
$31.00 |
$31.00 |
$31.00 |
$84.60
|
|
Culture typing glc/hplc
|
$58.00 |
$58.00 |
$58.00 |
$53.75
|
|
Culture typing immunologic
|
$24.00 |
$24.00 |
$24.00 |
$44.00
|
|
Cutter lead
|
$8,722.04 |
$8,722.04 |
$8,722.04 |
$6,581.45
|
|
Cyanocobalamin unsat binding capacity
|
$66.00 |
$66.00 |
$66.00 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$30.59 |
$30.59 |
$30.59 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$60.00 |
$60.00 |
$60.00 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$4,889.00 |
$4,889.00 |
$4,889.00 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$60.13 |
$60.13 |
$60.13 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$298.94 |
$298.94 |
$298.94 |
$140.78
|
|
Cyclosporine 2 hour
|
$72.00 |
$72.00 |
$72.00 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$19.22 |
$19.22 |
$19.22 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$3,509.10 |
$3,509.10 |
$3,509.10 |
$37.31
|
|
Cylinder pump set 20cm titan zero angl
|
$19,154.14 |
$19,154.14 |
$19,154.14 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$1,340.00 |
$1,340.00 |
$1,340.00 |
$524.00
|
|
Cystatin c
|
$85.00 |
$85.00 |
$85.00 |
$77.60
|
|
Cystic fibrosis cftr
|
$2,295.00 |
$2,295.00 |
$2,295.00 |
$1,104.40
|
|
Cystine urine quantitative
|
$106.00 |
$106.00 |
$106.00 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,937.00 |
$1,937.00 |
$1,937.00 |
$586.95
|
|
Cystoscopy (Bladder Scope)
|
$2,279.00 |
$2,279.00 |
$2,279.00 |
$1,493.80
|
|
Cystourethroscop/calib/dilat stric 52281
|
$6,760.00 |
$6,760.00 |
$6,760.00 |
$3,245.90
|
|
Cytarabine 20 mg/ml injection solution
|
$185.40 |
$185.40 |
$185.40 |
$90.00
|
|
Cytogenetics 25-99
|
$196.00 |
$196.00 |
$196.00 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$67.00 |
$67.00 |
$67.00 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$78.00 |
$78.00 |
$78.00 |
$100.00
|
|
Cytomegalovirus imm IV /vial
|
$4,216.40 |
$4,216.40 |
$4,216.40 |
$3,072.34
|
|
Cytopathology cellular enhancement technique non-gyn
|
$214.00 |
$214.00 |
$214.00 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$136.00 |
$136.00 |
$136.00 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$93.00 |
$93.00 |
$93.00 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$145.00 |
$145.00 |
$145.00 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$145.00 |
$145.00 |
$145.00 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$78.00 |
$78.00 |
$78.00 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$659.00 |
$659.00 |
$659.00 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$214.00 |
$214.00 |
$214.00 |
$213.85
|
|
Cytopath smear other source
|
$106.00 |
$106.00 |
$106.00 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$118.00 |
$118.00 |
$118.00 |
$96.20
|
|
Cytp urine 3-5 probes cmptr
|
$1,251.00 |
$1,251.00 |
$1,251.00 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$68.92 |
$68.92 |
$68.92 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$3,645.18 |
$3,645.18 |
$3,645.18 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$6,597.03 |
$6,597.03 |
$6,597.03 |
$3,493.11
|
|
Dalteparin sodium
|
$1.00 |
$1.00 |
$1.00 |
$469.55
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,163.40 |
$1,163.40 |
$1,163.40 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$35,941.89 |
$35,941.89 |
$35,941.89 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$9,288.00 |
$9,288.00 |
$9,288.00 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$8,609.98 |
$8,609.98 |
$8,609.98 |
$7.20
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$26,352.00 |
$26,352.00 |
$26,352.00 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$4,973.97 |
$4,973.97 |
$4,973.97 |
$259.58
|
|
Dch pulmonary stress test
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$963.30
|
|
Dch validity tests
|
$16.00 |
$16.00 |
$16.00 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$115.00 |
$115.00 |
$115.00 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$401.00 |
$401.00 |
$401.00 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$6,025.00 |
$6,025.00 |
$6,025.00 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$732.00 |
$732.00 |
$732.00 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,085.00 |
$2,085.00 |
$2,085.00 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,499.00 |
$1,499.00 |
$1,499.00 |
$835.20
|
|
Debride nail1-5 11720
|
$231.00 |
$231.00 |
$231.00 |
$149.60
|
|
Debride nail6 or more 11721
|
$231.00 |
$231.00 |
$231.00 |
$169.80
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$3,254.00 |
$3,254.00 |
$3,254.00 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$476.00 |
$476.00 |
$476.00 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$1,149.50
|
|
Debr musc/fascia 20sq cm/< 11043
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$1,165.50
|
|
Decalcification
|
$102.00 |
$102.00 |
$102.00 |
$68.34
|
