|
Culture afb any source
|
$72.00 |
$72.00 |
$72.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$86.00 |
$86.00 |
$86.00 |
$84.76
|
|
Culture anaerobic except blood
|
$63.00 |
$63.00 |
$63.00 |
$121.22
|
|
Culture body fluid
|
$58.00 |
$58.00 |
$58.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$91.00 |
$91.00 |
$91.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$68.00 |
$68.00 |
$68.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$57.00 |
$57.00 |
$57.00 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$50.00 |
$50.00 |
$50.00 |
$74.75
|
|
Culture mycoplasma any source
|
$94.00 |
$94.00 |
$94.00 |
$83.21
|
|
Culture quantitative aerobic other source
|
$44.00 |
$44.00 |
$44.00 |
$87.02
|
|
Culture screening strep group a
|
$60.00 |
$60.00 |
$60.00 |
$84.60
|
|
Culture typing immunologic
|
$32.00 |
$32.00 |
$32.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$526.00 |
$526.00 |
$526.00 |
$408.37
|
|
Cv line/pic reposition
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$1,681.20
|
|
Cyclic citrullinated peptide antibody
|
$91.00 |
$91.00 |
$91.00 |
$72.36
|
|
Cyclosporine 2 hour
|
$139.00 |
$139.00 |
$139.00 |
$130.40
|
|
Cystatin c
|
$56.00 |
$56.00 |
$56.00 |
$77.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$546.00 |
$546.00 |
$546.00 |
$586.95
|
|
Cystoscopy and treatment
|
$2,320.00 |
$2,320.00 |
$2,320.00 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$1,818.00 |
$1,818.00 |
$1,818.00 |
$1,493.80
|
|
Cystostomy cystotomy w/drainage 51040
|
$5,031.00 |
$5,031.00 |
$5,031.00 |
$4,129.45
|
|
Cystourethroscop/calib/dilat stric 52281
|
$5,026.00 |
$5,026.00 |
$5,026.00 |
$3,245.90
|
|
Cytogenetics 25-99
|
$461.00 |
$461.00 |
$461.00 |
$189.80
|
|
Cytogenomic neo microra alys
|
$2,688.00 |
$2,688.00 |
$2,688.00 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$147.00 |
$147.00 |
$147.00 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$171.00 |
$171.00 |
$171.00 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$292.00 |
$292.00 |
$292.00 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$143.00 |
$143.00 |
$143.00 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$143.00 |
$143.00 |
$143.00 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$148.00 |
$148.00 |
$148.00 |
$135.20
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$21.00 |
$21.00 |
$21.00 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$185.00 |
$185.00 |
$185.00 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$233.00 |
$233.00 |
$233.00 |
$213.85
|
|
Cytopath smear other source
|
$184.00 |
$184.00 |
$184.00 |
$92.50
|
|
Dch pulmonary stress test
|
$1,216.00 |
$1,216.00 |
$1,216.00 |
$963.30
|
|
Dch validity tests
|
$32.00 |
$32.00 |
$32.00 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$113.00 |
$113.00 |
$113.00 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$877.00 |
$877.00 |
$877.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$229.00 |
$229.00 |
$229.00 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$2,781.00 |
$2,781.00 |
$2,781.00 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$414.00 |
$414.00 |
$414.00 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$932.00 |
$932.00 |
$932.00 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$557.00 |
$557.00 |
$557.00 |
$835.20
|
|
Debride nail1-5 11720
|
$187.00 |
$187.00 |
$187.00 |
$149.60
|
|
Debride nail6 or more 11721
|
$216.00 |
$216.00 |
$216.00 |
$169.80
|
|
Debride skin bone at fx site
|
$2,711.00 |
$2,711.00 |
$2,711.00 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$598.00 |
$598.00 |
$598.00 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$739.00 |
$739.00 |
$739.00 |
$1,165.50
|
|
Decalcification
|
$40.00 |
$40.00 |
$40.00 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$605.00 |
$605.00 |
$605.00 |
$572.95
|
|
Delivery of placenta 59414
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$2,912.46
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$438.00 |
$438.00 |
$438.00 |
$401.60
|
|
Design mlc device for imrt
|
$1,878.00 |
$1,878.00 |
$1,878.00 |
$1,753.00
|
|
Destroy cervthor facet jnt 64633
|
$4,589.00 |
$4,589.00 |
$4,589.00 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$4,589.00 |
$4,589.00 |
$4,589.00 |
$1,441.44
|
|
Destroy vulva lesion simple 56501
|
$3,458.00 |
$3,458.00 |
$3,458.00 |
$3,562.00
|
|
Destruction benign lesions < 14 lesions
|
$183.00 |
$183.00 |
$183.00 |
$240.24
|
|
Destruction by injection tx of nerve 64630
|
$2,723.00 |
$2,723.00 |
$2,723.00 |
$1,646.40
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$4,589.00 |
$4,589.00 |
$4,589.00 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$7,982.00 |
$7,982.00 |
$7,982.00 |
$3,296.80
|
|
Developmental screen/score/document 96110
|
$42.00 |
$42.00 |
$42.00 |
$142.38
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$158.00 |
$158.00 |
$158.00 |
$227.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$84.00 |
$84.00 |
$84.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$26.00 |
$26.00 |
$26.00 |
$79.30
|
|
Diab manage trn ind/group
|
$84.00 |
$84.00 |
$84.00 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$325.00 |
$325.00 |
$325.00 |
$195.50
|
|
Diagnostic laryngoscopy 31575
|
$863.00 |
$863.00 |
$863.00 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$567.00 |
$567.00 |
$567.00 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$492.00 |
$492.00 |
$492.00 |
$314.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$14,324.00 |
$14,324.00 |
$14,324.00 |
$5,741.00
|
|
Dialysis one evaluation
|
$389.00 |
$389.00 |
$389.00 |
$936.00
|
|
Diffusing capacity
|
$176.00 |
$176.00 |
$176.00 |
$336.80
|
|
Digoxin total therapeutic drug level
|
$113.00 |
$113.00 |
$113.00 |
$102.07
|
|
Dilate biliary duct/ampulla
|
$16,191.00 |
$16,191.00 |
$16,191.00 |
$1,866.73
|
|
Dilation of salivary duct
|
$878.00 |
$878.00 |
$878.00 |
$790.00
|
|
Disability dlco
|
$474.00 |
$474.00 |
$474.00 |
$293.76
|
|
Dna antibody native/double stranded
|
$141.00 |
$141.00 |
$141.00 |
$100.00
|
|
Doppler echo complete
|
$198.00 |
$198.00 |
$198.00 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$6,994.00 |
$6,994.00 |
$6,994.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$342.00 |
$342.00 |
$342.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$297.00 |
$297.00 |
$297.00 |
$481.65
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$954.00 |
$954.00 |
$954.00 |
$800.00
|
|
Drainage external ear simple 69000
|
$889.00 |
$889.00 |
$889.00 |
$790.40
|
|
Drainage mouth roof lesion
|
$324.00 |
$324.00 |
$324.00 |
$405.60
|
|
Drainage of kidney lesion
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$1,506.00
|
|
Drainage of mouth lesion
|
$4,651.00 |
$4,651.00 |
$4,651.00 |
$3,837.72
|
|
Drainage of mouth lesion
|
$797.00 |
$797.00 |
$797.00 |
$905.30
|
|
Drainage of mouth lesion
|
$3,459.00 |
$3,459.00 |
$3,459.00 |
$3,459.00
|
|
Drainage of nose lesion sept 30020
|
$994.00 |
$994.00 |
$994.00 |
$781.44
|
|
Drain bladder by trocar/cath
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$140.00 |
$140.00 |
$140.00 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$6,268.00 |
$6,268.00 |
$6,268.00 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$3,885.00 |
$3,885.00 |
$3,885.00 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$975.00 |
$975.00 |
$975.00 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$312.00 |
$312.00 |
$312.00 |
$428.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$455.00 |
$455.00 |
$455.00 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$396.00 |
$396.00 |
$396.00 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$523.00 |
$523.00 |
$523.00 |
$541.00
|
|
Drill hole implt ventricular cath/device 61107
|
$2,104.00 |
$2,104.00 |
$2,104.00 |
$1,485.75
|
|
Drng hand tendon sheath 26020
|
$4,544.00 |
$4,544.00 |
$4,544.00 |
$3,839.54
|
