|
Culture mycobacteria definitive id each isolate
|
$116.40 |
$116.40 |
$130.20 |
$100.00
|
|
Culture mycoplasma any source
|
$134.40 |
$134.40 |
$149.40 |
$83.21
|
|
Culture screening strep group a
|
$201.00 |
$201.00 |
$211.20 |
$84.60
|
|
Culture typing immunologic
|
$66.00 |
$66.00 |
$73.80 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$523.80 |
$523.80 |
$550.20 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$95.40 |
$95.40 |
$100.20 |
$140.80
|
|
Culture urine each isolate
|
$41.40 |
$41.40 |
$46.20 |
$55.50
|
|
Culture virus isolation
|
$221.40 |
$221.40 |
$246.60 |
$162.00
|
|
Cutter lead
|
$709.80 |
$709.80 |
$1,421.40 |
$6,581.45
|
|
Cv line/pic reposition
|
$933.60 |
$933.60 |
$1,078.80 |
$1,681.20
|
|
Cv stress test i&r only 93018
|
$40.20 |
$40.20 |
$42.00 |
$36.40
|
|
Cv stress test/supervision only 93016
|
$48.60 |
$48.60 |
$51.00 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$60.00 |
$60.00 |
$67.20 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$25.32 |
$25.32 |
$25.32 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$99.60 |
$99.60 |
$111.00 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$2,636.21 |
$2,636.21 |
$2,636.21 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$66.76 |
$66.76 |
$66.76 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$128.89 |
$128.89 |
$136.01 |
$140.78
|
|
Cyclosporine 2 hour
|
$193.80 |
$193.80 |
$204.00 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$9.17 |
$9.17 |
$9.62 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$1,460.71 |
$1,460.71 |
$1,489.72 |
$37.31
|
|
Cygnus matrix, per sq cm
|
$1,252.80 |
$1,252.80 |
$1,252.80 |
$295.20
|
|
Cystatin c
|
$106.20 |
$106.20 |
$118.80 |
$77.60
|
|
Cystic fibrosis cftr
|
$1,606.80 |
$1,606.80 |
$1,788.60 |
$1,104.40
|
|
Cystine urine quantitative
|
$325.20 |
$325.20 |
$362.40 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$291.60 |
$291.60 |
$318.60 |
$586.95
|
|
Cystometrogram w/up 51727
|
$571.80 |
$571.80 |
$600.60 |
$908.59
|
|
Cystorrhaphy wound comp 51865
|
$1,673.40 |
$1,673.40 |
$1,756.80 |
$1,756.80
|
|
Cystorrhaphy wound simple 51860
|
$1,384.80 |
$1,384.80 |
$1,453.80 |
$6,297.20
|
|
Cystoscopy and treatment
|
$1,056.00 |
$1,056.00 |
$1,108.80 |
$3,203.50
|
|
Cystoscopy (Bladder Scope)
|
$379.20 |
$379.20 |
$398.40 |
$1,493.80
|
|
Cystostomy cystotomy w/drainage 51040
|
$663.60 |
$663.60 |
$696.60 |
$4,129.45
|
|
Cystotomy/cystostomy fulg+/insj radact matrl 51020
|
$879.00 |
$879.00 |
$922.80 |
$4,081.37
|
|
Cystotomy excise/incise/repair 51535
|
$1,459.20 |
$1,459.20 |
$1,532.40 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$517.80 |
$517.80 |
$543.60 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$715.80 |
$715.80 |
$751.80 |
$4,057.50
|
|
Cystourethro w/addl implant 52442
|
$123.60 |
$123.60 |
$129.60 |
$2,161.60
|
|
Cystourethro w/implant
|
$459.60 |
$459.60 |
$482.40 |
$2,777.60
|
|
Cytarabine 20 mg/ml injection solution
|
$92.04 |
$92.04 |
$92.04 |
$90.00
|
|
Cytogenetics 25-99
|
$169.20 |
$169.20 |
$188.40 |
$189.80
|
|
Cytogenomic neo microra alys
|
$2,784.00 |
$2,784.00 |
$3,098.40 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$135.60 |
$135.60 |
$142.80 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$93.00 |
$93.00 |
$103.80 |
$100.00
|
|
Cyto/molecular report
|
$216.60 |
$216.60 |
$241.80 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$189.60 |
$189.60 |
$211.20 |
$159.90
|
|
Cytopathology concentration technique smears & interpretation
|
$56.40 |
$56.40 |
$63.00 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$58.80 |
$58.80 |
$66.00 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$90.60 |
$90.60 |
$100.80 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$152.40 |
$152.40 |
$161.40 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$120.60 |
$120.60 |
$134.40 |
$213.85
|
|
Cytopath smear oth prep screen & interp
|
$72.00 |
$72.00 |
$80.40 |
$96.20
|
|
Cytotoxic antibody screening
|
$78.00 |
$78.00 |
$87.00 |
$193.80
|
|
Dacarbazine 100 mg intravenous solution
|
$82.33 |
$82.33 |
$82.33 |
$62.41
|
|
Dalbavancin 500 mg intravenous solution
|
$3,089.02 |
$3,089.02 |
$3,180.80 |
$3,493.11
|
|
Dalteparin sodium
|
$41.88 |
$41.88 |
$41.88 |
$469.55
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$801.47 |
$801.47 |
$801.47 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$15,496.78 |
$15,496.78 |
$18,766.29 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$6,866.96 |
$6,866.96 |
$6,866.96 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$6,866.96 |
$6,866.96 |
$6,866.96 |
$7.20
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$292.03 |
$292.03 |
$292.03 |
$259.58
|
|
D&c after delivery 59160
|
$403.80 |
$403.80 |
$424.20 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$609.00 |
$609.00 |
$639.60 |
$3,774.81
|
|
Dch glucoscan
|
$30.60 |
$30.60 |
$32.40 |
$29.16
|
|
Dch pulmonary stress test
|
$472.80 |
$472.80 |
$477.60 |
$963.30
|
|
Dch validity tests
|
$18.60 |
$18.60 |
$19.80 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$3,158.40 |
$3,158.40 |
$3,648.00 |
$5,121.00
|
|
Deamidated gliadin antibody iga
|
$27.60 |
$27.60 |
$31.20 |
$43.35
|
|
Debr g/per/abd wall 11006
|
$1,293.00 |
$1,293.00 |
$1,357.80 |
$1,562.83
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$225.00 |
$225.00 |
$260.40 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$158.40 |
$158.40 |
$192.00 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$1,481.40 |
$1,481.40 |
$1,711.20 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$319.20 |
$319.20 |
$385.80 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$672.60 |
$672.60 |
$777.00 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$636.60 |
$636.60 |
$1,011.60 |
$835.20
|
|
Debride nail1-5 11720
|
$58.20 |
$58.20 |
$61.20 |
$149.60
|
|
Debride nail6 or more 11721
|
$81.60 |
$81.60 |
$85.80 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$964.80 |
$964.80 |
$1,012.80 |
$1,163.24
|
|
Debride skin bone at fx site
|
$1,279.20 |
$1,279.20 |
$1,343.40 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,063.80 |
$1,063.80 |
$1,117.20 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,417.20 |
$1,417.20 |
$1,488.00 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$271.20 |
$271.20 |
$327.60 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$255.60 |
$255.60 |
$268.20 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$885.60 |
$885.60 |
$930.00 |
$1,149.50
|
|
Debr inf skin add-on 11001
|
$99.60 |
$99.60 |
$115.80 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$861.00 |
$861.00 |
$994.80 |
$1,165.50
|
|
Decalcification
|
$48.00 |
$48.00 |
$54.00 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$1,930.68 |
$1,930.68 |
$1,930.68 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$357.60 |
$357.60 |
$413.40 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$921.00 |
$921.00 |
$967.20 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$1,045.80 |
$1,045.80 |
$1,098.00 |
$3,137.60
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$2,393.40 |
$2,393.40 |
$2,512.80 |
$4,664.40
|
|
Decompress fasciotomyhand 26037
|
$1,082.40 |
$1,082.40 |
$1,136.40 |
$3,839.54
|
|
Decompression of leg
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$4,134.40
|
|
Decompression of lower leg
|
$595.20 |
$595.20 |
$625.20 |
$3,969.00
|
|
Decompression of lower leg
|
$691.80 |
$691.80 |
$691.80 |
$3,839.54
|
|
Decompression of tibia nerve
|
$739.20 |
$739.20 |
$739.20 |
$2,685.07
|
|
Decompression unspecified nerve 64722
|
$744.00 |
$744.00 |
$781.20 |
$2,310.83
|
|
Decompres spinal cord;thoracic 63055
|
$3,207.60 |
$3,207.60 |
$3,367.80 |
$8,412.89
|
|
Decompress small bowel
|
$1,503.60 |
$1,503.60 |
$1,503.60 |
$1,503.60
|
|
Decompress spinal cord lmbr
|
$2,950.80 |
$2,950.80 |
$3,098.40 |
$8,446.03
|