|
Culture fungi definitive id yeast
|
$17.82 |
$62.50 |
$185.50 |
$80.00
|
|
Culture fungi other (except blood)
|
$39.93 |
$67.50 |
$232.40 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$92.50 |
$92.50 |
$102.20 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$19.47 |
$72.50 |
$112.70 |
$100.00
|
|
Culture mycoplasma any source
|
$23.43 |
$23.43 |
$162.40 |
$83.21
|
|
Culture quantitative aerobic other source
|
$97.50 |
$97.50 |
$168.00 |
$87.02
|
|
Culture screening strep group a
|
$17.82 |
$142.50 |
$190.40 |
$84.60
|
|
Culture type pulse field gel
|
$120.00 |
$120.00 |
$951.30 |
$38.58
|
|
Culture typing added method
|
$101.50 |
$101.50 |
$101.50 |
$42.60
|
|
Culture typing immunologic
|
$13.86 |
$45.00 |
$74.90 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$257.50 |
$257.50 |
$529.20 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$37.62 |
$160.30 |
$187.50 |
$140.80
|
|
Culture urine each isolate
|
$10.56 |
$47.50 |
$162.40 |
$55.50
|
|
Curette/treat cornea
|
$26,247.12 |
$26,247.12 |
$26,247.12 |
$1,365.60
|
|
Cutter lead
|
$930.73 |
$2,924.61 |
$18,414.06 |
$6,581.45
|
|
Cv line/pic reposition
|
$1,380.00 |
$1,470.00 |
$3,909.84 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$84.70 |
$97.68 |
$112.50 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$30.14 |
$30.14 |
$129.67 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$64.68 |
$72.50 |
$198.10 |
$72.36
|
|
Cyclophosphamide 100 mg inj
|
$1,051.51 |
$1,051.51 |
$1,051.51 |
$287.88
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$7.20 |
$8.91 |
$6,389.07 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$258.82 |
$258.82 |
$258.82 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$125.30 |
$125.30 |
$125.30 |
$140.78
|
|
Cyclosporine 2 hour
|
$48.84 |
$115.00 |
$232.40 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$24.85 |
$24.85 |
$24.85 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$10,535.52 |
$10,535.52 |
$10,535.52 |
$37.31
|
|
Cylinder pump set 20cm titan zero angl
|
$23,912.22 |
$28,903.42 |
$71,115.10 |
$24,728.89
|
|
Cymetra injectable
|
$579.07 |
$579.07 |
$579.07 |
$578.24
|
|
Cyp2c19 gene com variants
|
$209.88 |
$209.88 |
$656.60 |
$524.00
|
|
Cyp2c9 gene com variants
|
$230.01 |
$230.01 |
$403.20 |
$275.10
|
|
Cyp2d6 gene com variants
|
$466.62 |
$466.62 |
$1,361.50 |
$570.70
|
|
Cyp3a4 gene common variants
|
$230.01 |
$230.01 |
$230.01 |
$241.24
|
|
Cyp3a5 gene common variants
|
$230.01 |
$230.01 |
$403.20 |
$245.31
|
|
Cystatin c
|
$36.96 |
$82.50 |
$167.30 |
$77.60
|
|
Cystic fibrosis cftr
|
$532.29 |
$1,060.00 |
$1,877.40 |
$1,104.40
|
|
Cystine urine quantitative
|
$112.50 |
$112.50 |
$277.53 |
$100.70
|
|
Cysto cgen post urtl valves
|
$19,647.29 |
$19,647.29 |
$19,647.29 |
$4,175.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$605.22 |
$675.00 |
$921.20 |
$586.95
|
|
Cystometrogram w/up 51727
|
$765.00 |
$765.00 |
$765.00 |
$908.59
|
|
Cysto rx balo cath urtl strx
|
$27,912.14 |
$27,912.14 |
$27,912.14 |
$6,853.60
|
|
Cystoscopy and biopsy
|
$26,586.38 |
$26,586.38 |
$26,586.38 |
$4,081.37
|
|
Cystoscopy and radiotracer
|
$99,213.93 |
$99,213.93 |
$99,213.93 |
$4,846.99
|
|
Cystoscopy and treatment
|
$2,850.00 |
$2,850.00 |
$11,752.69 |
$4,081.37
|
|
Cystoscopy and treatment
|
$32,880.81 |
$32,880.81 |
$32,880.81 |
$4,638.40
|
|
Cystoscopy and treatment
|
$20,784.54 |
$20,784.54 |
$20,784.54 |
$5,304.00
|
|
Cystoscopy and treatment
|
$16,081.90 |
$16,081.90 |
$16,081.90 |
$5,995.60
|
|
Cystoscopy and treatment
|
$29,162.43 |
$29,162.43 |
$29,162.43 |
$6,593.60
|
|
Cystoscopy and treatment
|
$6,459.40 |
$6,459.40 |
$6,459.40 |
$3,320.50
|
|
Cystoscopy and treatment
|
$21,433.11 |
$21,433.11 |
$21,433.11 |
$2,424.12
|
|
Cystoscopy and treatment
|
$8,661.48 |
$8,661.48 |
$8,661.48 |
$4,045.60
|
|
Cystoscopy and treatment
|
$33,127.98 |
$33,127.98 |
$33,127.98 |
$2,424.12
|
|
Cystoscopy and treatment
|
$35,851.99 |
$35,851.99 |
$35,851.99 |
$4,081.37
|
|
Cystoscopy and treatment
|
$97,376.53 |
$97,376.53 |
$97,376.53 |
$6,015.75
|
|
Cystoscopy and treatment
|
$1,750.00 |
$1,750.00 |
$11,574.77 |
$2,867.70
|
|
Cystoscopy and treatment
|
$12,628.66 |
$12,628.66 |
$12,628.66 |
$3,203.50
|
|
Cystoscopy and treatment
|
$19,758.34 |
$19,758.34 |
$19,758.34 |
$4,081.37
|
|
Cystoscopy (Bladder Scope)
|
$1,080.00 |
$1,080.00 |
$9,786.06 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$15,312.79 |
$15,312.79 |
$15,312.79 |
$2,874.36
|
|
Cystoscopy implant stent
|
$36,096.53 |
$36,096.53 |
$36,096.53 |
$4,081.37
|
|
Cystoscopy inject material
|
$31,871.67 |
$31,871.67 |
$31,871.67 |
$5,986.78
|
|
Cystoscopy removal of clots
|
$16,819.68 |
$16,819.68 |
$16,819.68 |
$4,081.37
|
|
Cystoscopy & ureter catheter
|
$2,295.00 |
$2,295.00 |
$18,225.56 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$19,628.58 |
$19,628.58 |
$19,628.58 |
$4,129.45
|
|
Cystouretero & or pyeloscope
|
$20,831.93 |
$20,831.93 |
$20,831.93 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$20,718.45 |
$20,718.45 |
$20,718.45 |
$5,110.00
|
|
Cystouretero w/biopsy
|
$28,500.82 |
$28,500.82 |
$28,500.82 |
$6,015.75
|
|
Cysto/uretero w/lithotripsy
|
$28,741.29 |
$28,741.29 |
$28,741.29 |
$9,430.00
|
|
Cystouretero w/lithotripsy
|
$35,980.58 |
$35,980.58 |
$35,980.58 |
$7,372.68
|
|
Cystouretero w/renal strict
|
$32,767.50 |
$32,767.50 |
$32,767.50 |
$5,741.00
|
|
Cystouretero w/stone remove
|
$22,619.73 |
$22,619.73 |
$22,619.73 |
$5,741.00
|
|
Cysto/uretero w/up stricture
|
$39,332.93 |
$39,332.93 |
$39,332.93 |
$4,081.37
|
|
Cystourethro cut ejacul duct
|
$23,020.84 |
$23,020.84 |
$23,020.84 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,295.00 |
$2,295.00 |
$20,532.82 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$2,625.00 |
$2,625.00 |
$8,453.05 |
$4,057.50
|
|
Cysto w/renal stricture tx
|
$24,073.78 |
$24,073.78 |
$24,073.78 |
$4,045.60
|
|
Cysto w/ureter stricture tx
|
$81,091.67 |
$81,091.67 |
$81,091.67 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$600.77 |
$600.77 |
$600.77 |
$90.00
|
|
Cytogenetics 25-99
|
$31.68 |
$190.00 |
$230.30 |
$189.80
|
|
Cytogenetics 3-5
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$147.36
|
|
Cytogenomic neo microra alys
|
$6,578.60 |
$6,578.60 |
$6,578.60 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$30.69 |
$85.00 |
$387.80 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$36.63 |
$95.00 |
$231.70 |
$100.00
|
|
Cytomegalovirus imm IV /vial
|
$7,313.07 |
$7,313.07 |
$7,313.07 |
$3,072.34
|
|
Cyto/molecular report
|
$427.00 |
$427.00 |
$427.00 |
$144.75
|
|
Cytopath c/v auto rescreen
|
$361.20 |
$361.20 |
$361.20 |
$39.20
|
|
Cytopath c/v index add-on
|
$13.20 |
$13.20 |
$13.20 |
$34.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$58.74 |
$192.50 |
$360.50 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$30.69 |
$128.10 |
$137.50 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$42.90 |
$110.00 |
$129.50 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$55.44 |
$177.50 |
$407.40 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$50.49 |
$132.50 |
$357.70 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$23.76 |
$81.90 |
$147.50 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$177.21 |
$295.00 |
$326.20 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$205.00 |
$205.00 |
$518.00 |
$213.85
|
|
Cytopath smear other source
|
$76.56 |
$97.50 |
$97.50 |
$92.50
|
|
Cytopath smear other source
|
$58.08 |
$140.00 |
$140.00 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$65.01 |
$95.00 |
$95.00 |
$96.20
|
|
Cytopath tbs c/v manual
|
$30.69 |
$62.50 |
$62.50 |
$59.28
|
|
Cytotoxic antibody screening
|
$795.20 |
$795.20 |
$795.20 |
$193.80
|
|
Cytotoxic antibody screening
|
$800.80 |
$800.80 |
$800.80 |
$133.25
|
