|
Ctrl nosebld postir subsq 30906
|
$326.65 |
$326.65 |
$326.65 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,227.40 |
$5,227.40 |
$5,227.40 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,248.75 |
$3,248.75 |
$3,248.75 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,766.85 |
$2,766.85 |
$2,766.85 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$3,248.75 |
$3,248.75 |
$3,248.75 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$3,248.75 |
$3,248.75 |
$3,248.75 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$103.75 |
$103.75 |
$103.75 |
$72.00
|
|
Culture afb any source
|
$145.80 |
$145.80 |
$145.80 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$87.70 |
$87.70 |
$87.70 |
$84.76
|
|
Culture anaerobic except blood
|
$134.95 |
$134.95 |
$134.95 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$134.95 |
$134.95 |
$134.95 |
$52.50
|
|
Culture body fluid
|
$127.65 |
$127.65 |
$127.65 |
$126.75
|
|
Culture fungi definitive id mold
|
$79.35 |
$79.35 |
$79.35 |
$80.00
|
|
Culture fungi definitive id yeast
|
$133.65 |
$133.65 |
$133.65 |
$80.00
|
|
Culture fungi other (except blood)
|
$126.85 |
$126.85 |
$126.85 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$121.45 |
$121.45 |
$121.45 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$37.95 |
$37.95 |
$37.95 |
$100.00
|
|
Culture mycoplasma any source
|
$100.40 |
$100.40 |
$100.40 |
$83.21
|
|
Culture screening strep group a
|
$107.95 |
$107.95 |
$107.95 |
$84.60
|
|
Cutter lead
|
$228.00 |
$228.00 |
$228.00 |
$6,581.45
|
|
Cv line/pic reposition
|
$2,313.80 |
$2,313.80 |
$2,313.80 |
$1,681.20
|
|
Cv stress test i&r only 93018
|
$37.10 |
$37.10 |
$37.10 |
$36.40
|
|
Cv stress test/supervision only 93016
|
$55.65 |
$55.65 |
$55.65 |
$51.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$83.95 |
$83.95 |
$83.95 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$166.70 |
$166.70 |
$166.70 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,311.06 |
$1,311.06 |
$1,311.06 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$209.15 |
$209.15 |
$209.15 |
$130.40
|
|
Cystatin c
|
$112.95 |
$112.95 |
$112.95 |
$77.60
|
|
Cystine urine quantitative
|
$167.55 |
$167.55 |
$167.55 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$371.10 |
$371.10 |
$371.10 |
$586.95
|
|
Cystoscopy (Bladder Scope)
|
$723.50 |
$723.50 |
$723.50 |
$1,493.80
|
|
Cytarabine 20 mg/ml injection solution
|
$246.87 |
$246.87 |
$246.87 |
$90.00
|
|
Cytogenetics 25-99
|
$334.65 |
$334.65 |
$334.65 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$204.10 |
$204.10 |
$204.10 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$178.15 |
$178.15 |
$178.15 |
$100.00
|
|
Cyto/molecular report
|
$37.85 |
$37.85 |
$37.85 |
$144.75
|
|
Cytopath c/v manual
|
$26.00 |
$26.00 |
$26.00 |
$36.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$217.30 |
$217.30 |
$217.30 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$168.10 |
$168.10 |
$168.10 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$228.10 |
$228.10 |
$228.10 |
$87.45
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$267.25 |
$267.25 |
$267.25 |
$213.85
|
|
Cytopath smear other source
|
$164.70 |
$164.70 |
$164.70 |
$92.50
|
|
Dacarbazine 100 mg intravenous solution
|
$150.53 |
$150.53 |
$150.53 |
$62.41
|
|
Dalbavancin 500 mg intravenous solution
|
$4,683.03 |
$4,683.03 |
$4,683.03 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$364.47 |
$364.47 |
$364.47 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$27,827.27 |
$27,827.27 |
$27,827.27 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$7,835.98 |
$7,835.98 |
$7,835.98 |
$6,281.29
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$4,372.70 |
$4,372.70 |
$4,372.70 |
$3,774.81
|
|
Dch glucoscan
|
$33.75 |
$33.75 |
$33.75 |
$29.16
|
|
Dch validity tests
|
$23.45 |
$23.45 |
$23.45 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$96.40 |
$96.40 |
$96.40 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$121.45 |
$121.45 |
$121.45 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$52.00 |
$52.00 |
$52.00 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$2,236.90 |
$2,236.90 |
$2,236.90 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,231.50 |
$1,231.50 |
$1,231.50 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,308.80 |
$2,308.80 |
$2,308.80 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$156.20 |
$156.20 |
$156.20 |
$835.20
|
|
Debride nail1-5 11720
|
$375.25 |
$375.25 |
$375.25 |
$149.60
|
|
Debride nail6 or more 11721
|
$34.50 |
$34.50 |
$34.50 |
$169.80
|
|
Debride skin bone at fx site
|
$1,010.95 |
$1,010.95 |
$1,010.95 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$971.15 |
$971.15 |
$971.15 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$981.10 |
$981.10 |
$981.10 |
$1,149.50
|
|
Debr musc/fascia 20sq cm/< 11043
|
$841.25 |
$841.25 |
$841.25 |
$1,165.50
|
|
Decalcification
|
$272.65 |
$272.65 |
$272.65 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$701.60 |
$701.60 |
$701.60 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$427.85 |
$427.85 |
$427.85 |
$572.95
|
|
Decomp forearm 2 spaces w/debrid 25025
|
$2,838.60 |
$2,838.60 |
$2,838.60 |
$4,664.40
|
|
Decompress forearm 2 spaces
|
$1,800.65 |
$1,800.65 |
$1,800.65 |
$3,851.20
|
|
Deferoxamine 500 mg solution for injection
|
$471.20 |
$471.20 |
$471.20 |
$95.85
|
|
Delivery of placenta 59414
|
$1,301.10 |
$1,301.10 |
$1,301.10 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$90.40 |
$90.40 |
$90.40 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$9,080.41 |
$9,080.41 |
$9,080.41 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$487.25 |
$487.25 |
$487.25 |
$401.60
|
|
Desmopressin 4 mcg/ml injection solution
|
$208.33 |
$208.33 |
$208.33 |
$91.84
|
|
Desoxycorticosterone
|
$72.20 |
$72.20 |
$72.20 |
$109.28
|
|
Destruct cut vasl lesions <10cm 17106
|
$660.00 |
$660.00 |
$660.00 |
$666.75
|
|
Developmental screen/score/document 96110
|
$510.15 |
$510.15 |
$510.15 |
$142.38
|
|
Device ablt adv novasure
|
$386.10 |
$386.10 |
$386.10 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$4,200.00
|
|
Device intraute mirena
|
$3,197.15 |
$3,197.15 |
$3,197.15 |
$2,125.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$400.85 |
$400.85 |
$400.85 |
$227.25
|
|
Dexametha opth insert 0.1 mg
|
$2,267.78 |
$2,267.78 |
$2,267.78 |
$888.47
|
|
Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr
|
$6,264.64 |
$6,264.64 |
$6,264.64 |
$21.00
|
|
Dexamethasone 4 mg tablet
|
$2.04 |
$2.04 |
$2.04 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$17.38 |
$17.38 |
$17.38 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,413.82 |
$1,413.82 |
$1,413.82 |
$884.80
|
|
Dhea-s (dehydroepiand sulfate)
|
$205.05 |
$205.05 |
$205.05 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$123.20 |
$123.20 |
$123.20 |
$79.30
|
|
Diab manage trn ind/group
|
$124.20 |
$124.20 |
$124.20 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$329.30 |
$329.30 |
$329.30 |
$195.50
|
|
Diagnostic digital breast tomosynthesis bil
|
$113.40 |
$113.40 |
$113.40 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$113.40 |
$113.40 |
$113.40 |
$75.93
|
|
Diagnostic laryngoscopy 31505
|
$199.80 |
$199.80 |
$199.80 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$273.30 |
$273.30 |
$273.30 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$380.60 |
$380.60 |
$380.60 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$322.60 |
$322.60 |
$322.60 |
$314.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$165.60 |
$165.60 |
$165.60 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$408.96 |
$408.96 |
$408.96 |
$79.71
|
|
Diffusing capacity
|
$283.40 |
$283.40 |
$283.40 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$18.17 |
$18.17 |
$18.17 |
$65.84
|