|
Culture fungi skin/hair/nail
|
$112.20 |
$112.20 |
$112.20 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$146.85 |
$146.85 |
$146.85 |
$84.75
|
|
Culture mycoplasma any source
|
$42.35 |
$42.35 |
$42.35 |
$90.37
|
|
Culture quantitative aerobic other source
|
$85.25 |
$85.25 |
$85.25 |
$87.02
|
|
Culture screening strep group a
|
$95.15 |
$95.15 |
$95.15 |
$81.60
|
|
Culture typing immunologic
|
$44.00 |
$44.00 |
$44.00 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$485.65 |
$485.65 |
$485.65 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$58.85 |
$58.85 |
$58.85 |
$124.40
|
|
Culture urine each isolate
|
$58.30 |
$58.30 |
$58.30 |
$46.20
|
|
Cutter lead
|
$1,468.52 |
$1,468.52 |
$1,468.52 |
$5,538.98
|
|
Cv line/pic reposition
|
$1,230.35 |
$1,230.35 |
$1,230.35 |
$1,829.42
|
|
Cyanocobalamin unsat binding capacity
|
$199.10 |
$199.10 |
$199.10 |
$60.00
|
|
Cyclic citrullinated peptide antibody
|
$95.70 |
$95.70 |
$95.70 |
$80.05
|
|
Cyclosporine 2 hour
|
$268.40 |
$268.40 |
$268.40 |
$121.80
|
|
Cyp2c19 gene com variants
|
$231.00 |
$231.00 |
$231.00 |
$567.75
|
|
Cyp2c9 gene com variants
|
$479.05 |
$479.05 |
$479.05 |
$275.10
|
|
Cyp2d6 gene com variants
|
$1,015.30 |
$1,015.30 |
$1,015.30 |
$537.50
|
|
Cyp3a4 gene common variants
|
$138.60 |
$138.60 |
$138.60 |
$230.01
|
|
Cyp3a5 gene common variants
|
$138.60 |
$138.60 |
$138.60 |
$220.50
|
|
Cystatin c
|
$88.00 |
$88.00 |
$88.00 |
$82.26
|
|
Cystic fibrosis cftr
|
$2,844.05 |
$2,844.05 |
$2,844.05 |
$1,041.95
|
|
Cystine urine quantitative
|
$116.05 |
$116.05 |
$116.05 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$629.20 |
$629.20 |
$629.20 |
$539.55
|
|
Cystoscopy and treatment
|
$2,783.00 |
$2,783.00 |
$2,783.00 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$1,252.90 |
$1,252.90 |
$1,252.90 |
$1,610.20
|
|
Cystostomy cystotomy w/drainage 51040
|
$3,465.00 |
$3,465.00 |
$3,465.00 |
$3,774.40
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,065.15 |
$3,065.15 |
$3,065.15 |
$2,874.36
|
|
Cytogenetics 25-99
|
$575.30 |
$575.30 |
$575.30 |
$180.32
|
|
Cytomegalovirus (cmv) antibody igg
|
$253.55 |
$253.55 |
$253.55 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$220.55 |
$220.55 |
$220.55 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$169.95 |
$169.95 |
$169.95 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$113.85 |
$113.85 |
$113.85 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$121.55 |
$121.55 |
$121.55 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$124.30 |
$124.30 |
$124.30 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$102.85 |
$102.85 |
$102.85 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$286.00 |
$286.00 |
$286.00 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$223.30 |
$223.30 |
$223.30 |
$205.00
|
|
Cytopath smear other source
|
$118.80 |
$118.80 |
$118.80 |
$85.80
|
|
Cytopath smear oth prep screen & interp
|
$160.60 |
$160.60 |
$160.60 |
$95.89
|
|
Cytp urine 3-5 probes cmptr
|
$816.20 |
$816.20 |
$816.20 |
$690.00
|
|
Dch validity tests
|
$34.10 |
$34.10 |
$34.10 |
$25.20
|
|
Deamidated gliadin antibody iga
|
$27.50 |
$27.50 |
$27.50 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$729.30 |
$729.30 |
$729.30 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$240.35 |
$240.35 |
$240.35 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,121.35 |
$2,121.35 |
$2,121.35 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$585.75 |
$585.75 |
$585.75 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,163.25 |
$1,163.25 |
$1,163.25 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$910.80 |
$910.80 |
$910.80 |
$810.50
|
|
Debride nail1-5 11720
|
$80.85 |
$80.85 |
$80.85 |
$173.25
|
|
Debride nail6 or more 11721
|
$96.80 |
$96.80 |
$96.80 |
$195.20
|
|
Debride skin bone at fx site
|
$2,703.80 |
$2,703.80 |
$2,703.80 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$663.30 |
$663.30 |
$663.30 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$207.35 |
$207.35 |
$207.35 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$710.60 |
$710.60 |
$710.60 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$966.90 |
$966.90 |
$966.90 |
$1,193.40
|
|
Decalcification
|
$90.20 |
$90.20 |
$90.20 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$573.65 |
$573.65 |
$573.65 |
$545.90
|
|
Delivery of placenta 59414
|
$3,185.60 |
$3,185.60 |
$3,185.60 |
$3,271.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$101.20 |
$101.20 |
$101.20 |
$196.26
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$326.15 |
$326.15 |
$326.15 |
$460.50
|
|
Design mlc device for imrt
|
$1,323.85 |
$1,323.85 |
$1,323.85 |
$1,669.85
|
|
Desoxycorticosterone
|
$247.50 |
$247.50 |
$247.50 |
$109.28
|
|
Destruction benign lesions < 14 lesions
|
$207.35 |
$207.35 |
$207.35 |
$250.60
|
|
Device ablt adv novasure
|
$4,452.25 |
$4,452.25 |
$4,452.25 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,475.66 |
$2,475.66 |
$2,475.66 |
$4,298.87
|
|
Device sut capio slim opn
|
$676.05 |
$676.05 |
$676.05 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$1,076.93 |
$1,076.93 |
$1,076.93 |
$2,440.98
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$243.65 |
$243.65 |
$243.65 |
$220.43
|
|
Dhea-s (dehydroepiand sulfate)
|
$352.00 |
$352.00 |
$352.00 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$59.95 |
$59.95 |
$59.95 |
$78.03
|
|
Diab manage trn ind/group
|
$80.30 |
$80.30 |
$80.30 |
$49.50
|
|
Diagnostic anoscopy spx 46600
|
$152.90 |
$152.90 |
$152.90 |
$245.35
|
|
Diagnostic digital breast tomosynthesis bil
|
$80.85 |
$80.85 |
$80.85 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$40.15 |
$40.15 |
$40.15 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$416.35 |
$416.35 |
$416.35 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$580.25 |
$580.25 |
$580.25 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$289.85 |
$289.85 |
$289.85 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$646.80 |
$646.80 |
$646.80 |
$239.25
|
|
Dialysis one evaluation
|
$484.00 |
$484.00 |
$484.00 |
$842.10
|
|
Diffusing capacity
|
$438.90 |
$438.90 |
$438.90 |
$360.10
|
|
Digoxin total therapeutic drug level
|
$169.40 |
$169.40 |
$169.40 |
$102.00
|
|
Dilate urethra stricture
|
$426.80 |
$426.80 |
$426.80 |
$514.79
|
|
Dilation of cervical canal 57800
|
$2,390.85 |
$2,390.85 |
$2,390.85 |
$4,096.04
|
|
Dilation/urethral strict/male/ini 53620
|
$2,080.10 |
$2,080.10 |
$2,080.10 |
$1,550.25
|
|
Dilat xst trc ndurlgc px
|
$2,411.20 |
$2,411.20 |
$2,411.20 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$4,052.95 |
$4,052.95 |
$4,052.95 |
$5,020.00
|
|
Disability dlco
|
$326.70 |
$326.70 |
$326.70 |
$307.58
|
|
Disaccharidases
|
$390.50 |
$390.50 |
$390.50 |
$223.80
|
|
Discography cerv/thor spine
|
$4,674.45 |
$4,674.45 |
$4,674.45 |
$2,404.00
|
|
Dissolve clot heart vessel
|
$1,098.35 |
$1,098.35 |
$1,098.35 |
$1,396.47
|
|
Dmd dup/delet analysis
|
$1,010.35 |
$1,010.35 |
$1,010.35 |
$385.02
|
|
Dna antibody native/double stranded
|
$124.30 |
$124.30 |
$124.30 |
$102.60
|
|
Doppler echo complete
|
$796.95 |
$796.95 |
$796.95 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$5,369.65 |
$5,369.65 |
$5,369.65 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$831.05 |
$831.05 |
$831.05 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$495.00 |
$495.00 |
$495.00 |
$482.03
|
|
Dpyd gene common variants
|
$527.45 |
$527.45 |
$527.45 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$849.75 |
$849.75 |
$849.75 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$805.20 |
$805.20 |
$805.20 |
$900.80
|
|
Drainage external ear simple 69000
|
$975.15 |
$975.15 |
$975.15 |
$809.25
|
