|
Culture afb any source
|
$178.85 |
$178.85 |
$178.85 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$118.58 |
$118.58 |
$118.58 |
$84.76
|
|
Culture anaerobic except blood
|
$120.54 |
$120.54 |
$120.54 |
$120.54
|
|
Culture bacteria anaerobic
|
$188.65 |
$188.65 |
$188.65 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$86.24 |
$86.24 |
$86.24 |
$52.50
|
|
Culture body fluid
|
$129.36 |
$129.36 |
$129.36 |
$126.00
|
|
Culture fungi definitive id mold
|
$92.12 |
$92.12 |
$92.12 |
$80.00
|
|
Culture fungi definitive id yeast
|
$82.32 |
$82.32 |
$82.32 |
$79.50
|
|
Culture fungi other (except blood)
|
$184.73 |
$184.73 |
$184.73 |
$109.20
|
|
Culture fungi skin/hair/nail
|
$70.07 |
$70.07 |
$70.07 |
$74.40
|
|
Culture mycoplasma any source
|
$80.85 |
$80.85 |
$80.85 |
$81.62
|
|
Culture quantitative aerobic other source
|
$44.59 |
$44.59 |
$44.59 |
$90.35
|
|
Culture screening strep group a
|
$69.58 |
$69.58 |
$69.58 |
$83.16
|
|
Culture typing immunologic
|
$115.15 |
$115.15 |
$115.15 |
$43.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$105.84 |
$105.84 |
$105.84 |
$138.40
|
|
Culture urine each isolate
|
$61.74 |
$61.74 |
$61.74 |
$54.78
|
|
Cutter lead
|
$4,214.49 |
$4,214.49 |
$4,214.49 |
$6,685.72
|
|
Cv stress test i&r only 93018
|
$30.38 |
$30.38 |
$30.38 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$30.38 |
$30.38 |
$30.38 |
$51.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$48.76 |
$48.76 |
$48.76 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$73.50 |
$73.50 |
$73.50 |
$72.15
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$854.88 |
$854.88 |
$854.88 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$1,342.60 |
$1,342.60 |
$1,342.60 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$156.36 |
$156.36 |
$156.36 |
$140.78
|
|
Cyclosporine 2 hour
|
$142.10 |
$142.10 |
$142.10 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$241.26 |
$241.26 |
$241.26 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$1,412.28 |
$1,412.28 |
$1,412.28 |
$35.57
|
|
Cylinder pump set 20cm titan zero angl
|
$13,029.20 |
$13,029.20 |
$13,029.20 |
$24,372.98
|
|
Cystatin c
|
$66.64 |
$66.64 |
$66.64 |
$76.48
|
|
Cystine urine quantitative
|
$173.95 |
$173.95 |
$173.95 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$240.10 |
$240.10 |
$240.10 |
$564.85
|
|
Cystoscopy and biopsy
|
$578.69 |
$578.69 |
$578.69 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,125.53 |
$1,125.53 |
$1,125.53 |
$4,081.37
|
|
Cystoscopy and treatment
|
$436.10 |
$436.10 |
$436.10 |
$4,055.01
|
|
Cystoscopy and treatment
|
$578.69 |
$578.69 |
$578.69 |
$2,850.95
|
|
Cystoscopy (Bladder Scope)
|
$694.82 |
$694.82 |
$694.82 |
$1,445.41
|
|
Cystoscopy & ureter catheter
|
$1,432.76 |
$1,432.76 |
$1,432.76 |
$3,688.80
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$578.69 |
$578.69 |
$578.69 |
$4,045.60
|
|
Cytarabine 20 mg/ml injection solution
|
$140.02 |
$140.02 |
$140.02 |
$90.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$135.73 |
$135.73 |
$135.73 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$89.18 |
$89.18 |
$89.18 |
$100.00
|
|
Cytopath fl nongyn filter
|
$99.47 |
$99.47 |
$99.47 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$158.76 |
$158.76 |
$158.76 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$86.73 |
$86.73 |
$86.73 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$74.97 |
$74.97 |
$74.97 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$96.53 |
$96.53 |
$96.53 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$85.26 |
$85.26 |
$85.26 |
$124.00
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$69.09 |
$69.09 |
$69.09 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$71.05 |
$71.05 |
$71.05 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$209.23 |
$209.23 |
$209.23 |
$209.92
|
|
Cytopath smear other source
|
$54.88 |
$54.88 |
$54.88 |
$91.20
|
|
Cytopath smear other source
|
$32.83 |
$32.83 |
$32.83 |
$140.07
|
|
Cytopath smear oth prep screen & interp
|
$1,238.23 |
$1,238.23 |
$1,238.23 |
$96.20
|
|
Cytopath tbs c/v manual
|
$44.10 |
$44.10 |
$44.10 |
$59.28
|
|
Cytotoxic antibody screening
|
$843.29 |
$843.29 |
$843.29 |
$133.25
|
|
Dacarbazine 100 mg intravenous solution
|
$48.76 |
$48.76 |
$48.76 |
$62.70
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,569.89 |
$1,569.89 |
$1,569.89 |
$3,047.85
|
|
Dalbavancin 500 mg intravenous solution
|
$3,787.29 |
$3,787.29 |
$3,787.29 |
$3,480.87
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$71.77 |
$71.77 |
$71.77 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$25,771.57 |
$25,771.57 |
$25,771.57 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$9,137.84 |
$9,137.84 |
$9,137.84 |
$6,273.69
|
|
Dark field exam spec collj
|
$120.05 |
$120.05 |
$120.05 |
$31.20
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$202.43 |
$202.43 |
$202.43 |
$259.58
|
|
Dch glucoscan
|
$24.50 |
$24.50 |
$24.50 |
$29.16
|
|
Dch pulmonary stress test
|
$271.95 |
$271.95 |
$271.95 |
$963.30
|
|
Dch validity tests
|
$44.10 |
$44.10 |
$44.10 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$113.68 |
$113.68 |
$113.68 |
$42.75
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$384.16 |
$384.16 |
$384.16 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$117.60 |
$117.60 |
$117.60 |
$278.50
|
|
Debridement bone <= 20 sq cm
|
$1,431.29 |
$1,431.29 |
$1,431.29 |
$2,293.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$182.28 |
$182.28 |
$182.28 |
$687.35
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$564.48 |
$564.48 |
$564.48 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,091.23 |
$1,091.23 |
$1,091.23 |
$820.15
|
|
Debride nail1-5 11720
|
$58.80 |
$58.80 |
$58.80 |
$149.04
|
|
Debride nail6 or more 11721
|
$340.55 |
$340.55 |
$340.55 |
$167.63
|
|
Debride skin bone at fx site
|
$916.30 |
$916.30 |
$916.30 |
$2,921.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$182.28 |
$182.28 |
$182.28 |
$641.52
|
|
Debrid mastoidectomy cavity simple 69220
|
$187.18 |
$187.18 |
$187.18 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$620.83 |
$620.83 |
$620.83 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$339.57 |
$339.57 |
$339.57 |
$1,160.00
|
|
Decalcification
|
$61.25 |
$61.25 |
$61.25 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$1,344.47 |
$1,344.47 |
$1,344.47 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$442.47 |
$442.47 |
$442.47 |
$546.84
|
|
Deep muscle biopsy 20205
|
$414.54 |
$414.54 |
$414.54 |
$3,370.52
|
|
Deferoxamine 500 mg solution for injection
|
$117.97 |
$117.97 |
$117.97 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$3,415.35 |
$3,415.35 |
$3,415.35 |
$1,855.50
|
|
Delivery of placenta 59414
|
$370.93 |
$370.93 |
$370.93 |
$2,822.68
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$83.30 |
$83.30 |
$83.30 |
$182.40
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$8,155.25 |
$8,155.25 |
$8,155.25 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$404.25 |
$404.25 |
$404.25 |
$399.93
|
|
Depo-estradiol cypionate inj
|
$499.88 |
$499.88 |
$499.88 |
$87.27
|
|
Dermagraft
|
$1,852.20 |
$1,852.20 |
$1,852.20 |
$85.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$1,840.81 |
$1,840.81 |
$1,840.81 |
$93.84
|
|
Destroy premlg lesns;1st lesn 17000
|
$92.61 |
$92.61 |
$92.61 |
$202.40
|
|
Destruct ben lesion 15/> 17111
|
$101.92 |
$101.92 |
$101.92 |
$235.13
|
|
Destruct cut vasl lesions <10cm 17106
|
$469.42 |
$469.42 |
$469.42 |
$666.75
|
|
Destruction 2-14 lesions 17003
|
$42.14 |
$42.14 |
$42.14 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$94.08 |
$94.08 |
$94.08 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,359.75 |
$1,359.75 |
$1,359.75 |
$1,618.65
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,359.75 |
$1,359.75 |
$1,359.75 |
$3,295.50
|