|
Culture bact stool aero addl path ea
|
$75.85 |
$75.85 |
$75.85 |
$52.00
|
|
Culture body fluid
|
$48.79 |
$48.79 |
$48.79 |
$125.16
|
|
Culture fungi definitive id yeast
|
$45.92 |
$45.92 |
$45.92 |
$79.00
|
|
Culture fungi other (except blood)
|
$59.45 |
$59.45 |
$59.45 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$137.35 |
$137.35 |
$137.35 |
$76.80
|
|
Culture mycoplasma any source
|
$48.79 |
$48.79 |
$48.79 |
$81.62
|
|
Culture quantitative aerobic other source
|
$15.58 |
$15.58 |
$15.58 |
$87.43
|
|
Culture screening strep group a
|
$202.54 |
$202.54 |
$202.54 |
$84.60
|
|
Culture typing immunologic
|
$86.92 |
$86.92 |
$86.92 |
$40.70
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$301.35 |
$301.35 |
$301.35 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$45.10 |
$45.10 |
$45.10 |
$123.76
|
|
Culture urine each isolate
|
$37.72 |
$37.72 |
$37.72 |
$51.35
|
|
Cyanocobalamin unsat binding capacity
|
$44.28 |
$44.28 |
$44.28 |
$64.28
|
|
Cyclic citrullinated peptide antibody
|
$41.82 |
$41.82 |
$41.82 |
$68.00
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,319.48 |
$1,319.48 |
$1,319.48 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$91.84 |
$91.84 |
$91.84 |
$126.10
|
|
Cystatin c
|
$41.82 |
$41.82 |
$41.82 |
$78.75
|
|
Cystic fibrosis cftr
|
$690.44 |
$690.44 |
$690.44 |
$1,060.00
|
|
Cystine urine quantitative
|
$445.67 |
$445.67 |
$445.67 |
$101.60
|
|
Cystoscopy and treatment
|
$2,278.78 |
$2,278.78 |
$2,278.78 |
$2,896.40
|
|
Cystoscopy (Bladder Scope)
|
$659.28 |
$659.28 |
$659.28 |
$1,525.60
|
|
Cystourethroscop/calib/dilat stric 52281
|
$1,047.96 |
$1,047.96 |
$1,047.96 |
$3,015.50
|
|
Cytogenomic neo microra alys
|
$1,669.52 |
$1,669.52 |
$1,669.52 |
$2,020.20
|
|
Cytog genom-wid alys hem mal
|
$906.10 |
$906.10 |
$906.10 |
$1,263.53
|
|
Cytomegalovirus (cmv) antibody igg
|
$15.58 |
$15.58 |
$15.58 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$114.39 |
$114.39 |
$114.39 |
$95.55
|
|
Cytomegalovirus dfa
|
$158.67 |
$158.67 |
$158.67 |
$74.88
|
|
Cytopathology cellular enhancement technique non-gyn
|
$76.67 |
$76.67 |
$76.67 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$49.61 |
$49.61 |
$49.61 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$22.55 |
$22.55 |
$22.55 |
$87.50
|
|
Cytp urine 3-5 probes cmptr
|
$439.93 |
$439.93 |
$439.93 |
$708.18
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,727.92 |
$1,727.92 |
$1,727.92 |
$3,703.37
|
|
Daptomycin (xellia) unrefrig
|
$51.20 |
$51.20 |
$51.20 |
$0.05
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$351.61 |
$351.61 |
$351.61 |
$259.58
|
|
Dch validity tests
|
$39.36 |
$39.36 |
$39.36 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$15.58 |
$15.58 |
$15.58 |
$44.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$310.37 |
$310.37 |
$310.37 |
$668.55
|
|
Debridement bone <= 20 sq cm
|
$1,564.56 |
$1,564.56 |
$1,564.56 |
$2,321.40
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$438.29 |
$438.29 |
$438.29 |
$810.50
|
|
Debride nail1-5 11720
|
$107.42 |
$107.42 |
$107.42 |
$155.40
|
|
Debride nail6 or more 11721
|
$135.30 |
$135.30 |
$135.30 |
$167.63
|
|
Debride skin bone at fx site
|
$1,495.27 |
$1,495.27 |
$1,495.27 |
$3,015.00
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$682.65 |
$682.65 |
$682.65 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$583.43 |
$583.43 |
$583.43 |
$1,176.57
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$445.67 |
$445.67 |
$445.67 |
$540.00
|
|
Delivery of placenta 59414
|
$1,108.23 |
$1,108.23 |
$1,108.23 |
$2,993.25
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$98.40 |
$98.40 |
$98.40 |
$414.78
|
|
Desmopressin 4 mcg/ml injection solution
|
$914.32 |
$914.32 |
$914.32 |
$77.66
|
|
Destroy cervthor facet jnt 64633
|
$1,051.65 |
$1,051.65 |
$1,051.65 |
$2,998.30
|
|
Destroy premlg lesns;1st lesn 17000
|
$107.42 |
$107.42 |
$107.42 |
$199.50
|
|
Destruct ben lesion 15/> 17111
|
$159.90 |
$159.90 |
$159.90 |
$235.13
|
|
Destruction benign lesions < 14 lesions
|
$107.42 |
$107.42 |
$107.42 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,051.65 |
$1,051.65 |
$1,051.65 |
$3,148.11
|
|
Detect agent nos dna dir
|
$59.45 |
$59.45 |
$59.45 |
$80.08
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$223.02 |
$223.02 |
$223.02 |
$842.89
|
|
Dhea-s (dehydroepiand sulfate)
|
$27.47 |
$27.47 |
$27.47 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$47.56 |
$47.56 |
$47.56 |
$79.52
|
|
Diab manage trn ind/group
|
$13.94 |
$13.94 |
$13.94 |
$57.75
|
|
Diagnostic digital breast tomosynthesis bil
|
$43.05 |
$43.05 |
$43.05 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$43.05 |
$43.05 |
$43.05 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$86.92 |
$86.92 |
$86.92 |
$367.19
|
|
Diagnostic Mammogram (both breasts)
|
$255.02 |
$255.02 |
$255.02 |
$399.94
|
|
Diagnostic Mammogram (one breast)
|
$175.48 |
$175.48 |
$175.48 |
$310.00
|
|
Digoxin total therapeutic drug level
|
$70.11 |
$70.11 |
$70.11 |
$99.60
|
|
Dilate urethra stricture
|
$270.19 |
$270.19 |
$270.19 |
$513.00
|
|
Disaccharidases
|
$146.78 |
$146.78 |
$146.78 |
$203.08
|
|
Dna antibody native/double stranded
|
$50.43 |
$50.43 |
$50.43 |
$100.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$291.51 |
$291.51 |
$291.51 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$500.61 |
$500.61 |
$500.61 |
$476.45
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,422.34 |
$1,422.34 |
$1,422.34 |
$1,718.24
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$375.15 |
$375.15 |
$375.15 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$375.15 |
$375.15 |
$375.15 |
$914.34
|
|
Drainage external ear complex 69005
|
$934.39 |
$934.39 |
$934.39 |
$2,809.25
|
|
Drainage external ear simple 69000
|
$115.62 |
$115.62 |
$115.62 |
$789.60
|
|
Drainage mouth roof lesion
|
$210.33 |
$210.33 |
$210.33 |
$405.60
|
|
Drainage of arm bursa 23931
|
$1,494.86 |
$1,494.86 |
$1,494.86 |
$2,362.62
|
|
Drainage of eye
|
$2,872.46 |
$2,872.46 |
$2,872.46 |
$2,360.00
|
|
Drainage of mouth lesion
|
$3,372.66 |
$3,372.66 |
$3,372.66 |
$3,589.62
|
|
Drainage of nose lesion int 30000
|
$119.72 |
$119.72 |
$119.72 |
$548.00
|
|
Drain blood from under nail 11740
|
$48.38 |
$48.38 |
$48.38 |
$173.21
|
|
Drain cerebro spinal fluid 62272
|
$423.53 |
$423.53 |
$423.53 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$80.77 |
$80.77 |
$80.77 |
$442.00
|
|
Drain thigh/knee lesion 27301
|
$224.27 |
$224.27 |
$224.27 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$583.43 |
$583.43 |
$583.43 |
$397.15
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$583.43 |
$583.43 |
$583.43 |
$355.80
|
|
Dress/debrid prtl-thick burn l 16030
|
$583.43 |
$583.43 |
$583.43 |
$526.40
|
|
Drng of eyelid abscess 67700
|
$172.20 |
$172.20 |
$172.20 |
$684.95
|
|
Drng of finger abscess comp 26011
|
$934.39 |
$934.39 |
$934.39 |
$1,917.33
|
|
Drng of hydrocele 55000
|
$270.19 |
$270.19 |
$270.19 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$787.61 |
$787.61 |
$787.61 |
$1,956.40
|
|
Drug assay posaconazole
|
$36.90 |
$36.90 |
$36.90 |
$91.00
|
|
Drug assay rufinamide
|
$31.57 |
$31.57 |
$31.57 |
$88.20
|
|
Drug assay voriconazole
|
$22.14 |
$22.14 |
$22.14 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$25.42 |
$25.42 |
$25.42 |
$66.43
|
|
Drug of abuse screen urine
|
$33.21 |
$33.21 |
$33.21 |
$60.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$76.26 |
$76.26 |
$76.26 |
$278.85
|
|
Duplex scan unilateral study 93986
|
$146.78 |
$146.78 |
$146.78 |
$392.15
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$415.33 |
$415.33 |
$415.33 |
$903.00
|
|
Ear irrigation 69209
|
$40.18 |
$40.18 |
$40.18 |
$150.00
|
|
Ecg 12 lead tracing only
|
$44.28 |
$44.28 |
$44.28 |
$226.50
|