|
Culture fungi definitive id yeast
|
$79.50 |
$79.50 |
$79.50 |
$79.10
|
|
Culture fungi other (except blood)
|
$77.25 |
$77.25 |
$77.25 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$51.00 |
$51.00 |
$51.00 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$72.00 |
$72.00 |
$72.00 |
$89.70
|
|
Culture mycoplasma any source
|
$96.75 |
$96.75 |
$96.75 |
$85.26
|
|
Culture of specimen by kit
|
$134.25 |
$134.25 |
$134.25 |
$49.00
|
|
Culture quantitative aerobic other source
|
$84.00 |
$84.00 |
$84.00 |
$90.35
|
|
Culture screening strep group a
|
$55.50 |
$55.50 |
$55.50 |
$81.00
|
|
Culture type pulse field gel
|
$38.25 |
$38.25 |
$38.25 |
$38.58
|
|
Culture typing added method
|
$38.25 |
$38.25 |
$38.25 |
$38.58
|
|
Culture typing glc/hplc
|
$75.75 |
$75.75 |
$75.75 |
$54.43
|
|
Culture typing immunologic
|
$31.50 |
$31.50 |
$31.50 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$213.00 |
$213.00 |
$213.00 |
$133.90
|
|
Culture urine each isolate
|
$71.25 |
$71.25 |
$71.25 |
$57.00
|
|
Culture virus isolation
|
$118.50 |
$118.50 |
$118.50 |
$163.70
|
|
Cutter lead
|
$675.00 |
$675.00 |
$675.00 |
$6,092.06
|
|
Cv line/pic reposition
|
$3,534.00 |
$3,534.00 |
$3,534.00 |
$1,720.93
|
|
Cyanocobalamin unsat binding capacity
|
$87.00 |
$87.00 |
$87.00 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$14.16 |
$14.16 |
$14.16 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$102.00 |
$102.00 |
$102.00 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,747.80 |
$1,747.80 |
$1,747.80 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$1,180.97 |
$1,180.97 |
$1,180.97 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$195.93 |
$195.93 |
$195.93 |
$140.78
|
|
Cyclosporine 2 hour
|
$113.25 |
$113.25 |
$113.25 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$15.51 |
$15.51 |
$15.51 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$1,956.57 |
$1,956.57 |
$1,956.57 |
$34.88
|
|
Cylinder pump set 20cm titan zero angl
|
$727.50 |
$727.50 |
$727.50 |
$22,803.38
|
|
Cymetra injectable
|
$417.00 |
$417.00 |
$417.00 |
$578.24
|
|
Cystatin c
|
$99.00 |
$99.00 |
$99.00 |
$77.50
|
|
Cystic fibrosis cftr
|
$105.75 |
$105.75 |
$105.75 |
$1,100.00
|
|
Cystine urine quantitative
|
$114.00 |
$114.00 |
$114.00 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$542.10
|
|
Cystometrogram w/up 51727
|
$1,719.00 |
$1,719.00 |
$1,719.00 |
$908.59
|
|
Cystoscopy (Bladder Scope)
|
$695.25 |
$695.25 |
$695.25 |
$1,493.80
|
|
Cysto/uretero w/lithotripsy
|
$3,435.75 |
$3,435.75 |
$3,435.75 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$3,435.75 |
$3,435.75 |
$3,435.75 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$2,315.25 |
$2,315.25 |
$2,315.25 |
$5,110.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,645.00 |
$3,645.00 |
$3,645.00 |
$3,065.15
|
|
Cysto w/ureter stricture tx
|
$6,298.50 |
$6,298.50 |
$6,298.50 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$120.45 |
$120.45 |
$120.45 |
$89.94
|
|
Cytogenetics 25-99
|
$147.75 |
$147.75 |
$147.75 |
$190.00
|
|
Cytogenetics 3-5
|
$126.00 |
$126.00 |
$126.00 |
$170.27
|
|
Cytomegalovirus ag ia
|
$72.75 |
$72.75 |
$72.75 |
$38.58
|
|
Cytomegalovirus (cmv) antibody igg
|
$124.50 |
$124.50 |
$124.50 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$112.50 |
$112.50 |
$112.50 |
$97.50
|
|
Cytomegalovirus dfa
|
$72.75 |
$72.75 |
$72.75 |
$79.34
|
|
Cytomegalovirus imm IV /vial
|
$4,114.74 |
$4,114.74 |
$4,114.74 |
$3,072.34
|
|
Cytomeg dna dir probe
|
$148.50 |
$148.50 |
$148.50 |
$178.88
|
|
Cyto/molecular report
|
$116.25 |
$116.25 |
$116.25 |
$133.20
|
|
Cytopath c/v auto in fluid
|
$78.75 |
$78.75 |
$78.75 |
$56.00
|
|
Cytopath c/v automated
|
$156.00 |
$156.00 |
$156.00 |
$92.04
|
|
Cytopath c/v auto redo
|
$86.25 |
$86.25 |
$86.25 |
$56.00
|
|
Cytopath c/v auto rescreen
|
$50.25 |
$50.25 |
$50.25 |
$39.20
|
|
Cytopath c/v index add-on
|
$45.00 |
$45.00 |
$45.00 |
$35.57
|
|
Cytopath c/v manual
|
$47.25 |
$47.25 |
$47.25 |
$36.80
|
|
Cytopath c/v redo
|
$74.25 |
$74.25 |
$74.25 |
$48.80
|
|
Cytopath c/v thin layer redo
|
$81.75 |
$81.75 |
$81.75 |
$61.80
|
|
Cytopath fl nongyn filter
|
$207.00 |
$207.00 |
$207.00 |
$92.63
|
|
Cytopathology cellular enhancement technique non-gyn
|
$267.75 |
$267.75 |
$267.75 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$81.75 |
$81.75 |
$81.75 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$79.50 |
$79.50 |
$79.50 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$213.75 |
$213.75 |
$213.75 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$186.00 |
$186.00 |
$186.00 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$66.00 |
$66.00 |
$66.00 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$151.50 |
$151.50 |
$151.50 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$406.50 |
$406.50 |
$406.50 |
$209.23
|
|
Cytopath smear other source
|
$225.00 |
$225.00 |
$225.00 |
$88.13
|
|
Cytopath smear other source
|
$344.25 |
$344.25 |
$344.25 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$237.75 |
$237.75 |
$237.75 |
$96.20
|
|
Cytopath tbs c/v auto redo
|
$47.25 |
$47.25 |
$47.25 |
$36.80
|
|
Cytopath tbs c/v manual
|
$47.25 |
$47.25 |
$47.25 |
$59.28
|
|
Cytopath tbs c/v redo
|
$129.75 |
$129.75 |
$129.75 |
$84.80
|
|
Cytopath tbs c/v select
|
$47.25 |
$47.25 |
$47.25 |
$36.80
|
|
Cytotoxic antibody screening
|
$387.00 |
$387.00 |
$387.00 |
$189.00
|
|
Cytotoxic antibody screening
|
$180.75 |
$180.75 |
$180.75 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$1,412.25 |
$1,412.25 |
$1,412.25 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$83.98 |
$83.98 |
$83.98 |
$58.22
|
|
Dactinomycin 0.5 mg intravenous solution
|
$6,371.73 |
$6,371.73 |
$6,371.73 |
$3,024.59
|
|
Dalbavancin 500 mg intravenous solution
|
$4,166.92 |
$4,166.92 |
$4,166.92 |
$3,480.35
|
|
Dalteparin sodium
|
$2,554.24 |
$2,554.24 |
$2,554.24 |
$469.55
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$22,869.00 |
$22,869.00 |
$22,869.00 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$9,059.55 |
$9,059.55 |
$9,059.55 |
$6,072.48
|
|
Dark field exam spec collj
|
$108.75 |
$108.75 |
$108.75 |
$31.20
|
|
Dark field exam without collj
|
$69.00 |
$69.00 |
$69.00 |
$28.80
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$23,750.55 |
$23,750.55 |
$23,750.55 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$347.65 |
$347.65 |
$347.65 |
$257.10
|
|
D&c after delivery 59160
|
$5,478.00 |
$5,478.00 |
$5,478.00 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$3,774.81
|
|
Dch glucoscan
|
$27.00 |
$27.00 |
$27.00 |
$28.10
|
|
Dch pulmonary stress test
|
$830.25 |
$830.25 |
$830.25 |
$963.30
|
|
Dch validity tests
|
$15.75 |
$15.75 |
$15.75 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$33.75 |
$33.75 |
$33.75 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$738.00 |
$738.00 |
$738.00 |
$668.55
|
|
Debridement bone <= 20 sq cm
|
$1,256.25 |
$1,256.25 |
$1,256.25 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$771.00 |
$771.00 |
$771.00 |
$663.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$917.25 |
$917.25 |
$917.25 |
$810.50
|
|
Debride nail1-5 11720
|
$87.00 |
$87.00 |
$87.00 |
$148.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$2,059.50 |
$2,059.50 |
$2,059.50 |
$1,012.80
|
|
Debride skin bone at fx site
|
$2,338.50 |
$2,338.50 |
$2,338.50 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$494.25 |
$494.25 |
$494.25 |
$639.60
|
