|
Ctrl nosebld postir subsq 30906
|
$243.39 |
$243.39 |
$243.39 |
$437.04
|
|
CT scan for therapy guide
|
$833.26 |
$833.26 |
$833.26 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,188.05 |
$5,188.05 |
$5,188.05 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,605.71 |
$3,605.71 |
$3,605.71 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,759.64 |
$2,759.64 |
$2,759.64 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,951.39 |
$1,951.39 |
$1,951.39 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$1,697.02 |
$1,697.02 |
$1,697.02 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$1,212.07 |
$1,212.07 |
$1,212.07 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,968.47 |
$1,968.47 |
$1,968.47 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$1,797.06 |
$1,797.06 |
$1,797.06 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,535.98 |
$1,535.98 |
$1,535.98 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$2,165.50 |
$2,165.50 |
$2,165.50 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$63.44 |
$63.44 |
$63.44 |
$68.64
|
|
Culture afb any source
|
$191.54 |
$191.54 |
$191.54 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$42.70 |
$42.70 |
$42.70 |
$79.00
|
|
Culture anaerobic except blood
|
$120.78 |
$120.78 |
$120.78 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$59.78 |
$59.78 |
$59.78 |
$51.45
|
|
Culture body fluid
|
$86.62 |
$86.62 |
$86.62 |
$126.75
|
|
Culture fungi definitive id mold
|
$40.87 |
$40.87 |
$40.87 |
$77.28
|
|
Culture fungi definitive id yeast
|
$42.09 |
$42.09 |
$42.09 |
$79.10
|
|
Culture fungi other (except blood)
|
$84.79 |
$84.79 |
$84.79 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$58.56 |
$58.56 |
$58.56 |
$74.88
|
|
Culture quantitative aerobic other source
|
$76.25 |
$76.25 |
$76.25 |
$90.35
|
|
Culture screening strep group a
|
$35.38 |
$35.38 |
$35.38 |
$81.00
|
|
Culture typing immunologic
|
$23.79 |
$23.79 |
$23.79 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$49.41 |
$49.41 |
$49.41 |
$133.90
|
|
Culture urine each isolate
|
$24.40 |
$24.40 |
$24.40 |
$57.00
|
|
Cutter lead
|
$5,246.61 |
$5,246.61 |
$5,246.61 |
$6,092.06
|
|
Cv line/pic reposition
|
$1,107.15 |
$1,107.15 |
$1,107.15 |
$1,720.93
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$3.90 |
$3.90 |
$3.90 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$111.63 |
$111.63 |
$111.63 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$212.85 |
$212.85 |
$212.85 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$4.18 |
$4.18 |
$4.18 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$7.79 |
$7.79 |
$7.79 |
$140.78
|
|
Cyclosporine 2 hour
|
$61.00 |
$61.00 |
$61.00 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$2.51 |
$2.51 |
$2.51 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$8.80 |
$8.80 |
$8.80 |
$34.88
|
|
Cylinder pump set 20cm titan zero angl
|
$16,220.03 |
$16,220.03 |
$16,220.03 |
$22,803.38
|
|
Cystatin c
|
$40.26 |
$40.26 |
$40.26 |
$77.50
|
|
Cystine urine quantitative
|
$120.78 |
$120.78 |
$120.78 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$515.45 |
$515.45 |
$515.45 |
$542.10
|
|
Cysto/uretero w/lithotripsy
|
$6,001.79 |
$6,001.79 |
$6,001.79 |
$9,002.88
|
|
Cytarabine 20 mg/ml injection solution
|
$0.57 |
$0.57 |
$0.57 |
$89.94
|
|
Cytomegalovirus (cmv) antibody igg
|
$88.45 |
$88.45 |
$88.45 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$22.57 |
$22.57 |
$22.57 |
$97.50
|
|
Cytopathology cellular enhancement technique non-gyn
|
$65.27 |
$65.27 |
$65.27 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$40.87 |
$40.87 |
$40.87 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$35.99 |
$35.99 |
$35.99 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$53.68 |
$53.68 |
$53.68 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$51.85 |
$51.85 |
$51.85 |
$129.35
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$89.67 |
$89.67 |
$89.67 |
$209.23
|
|
Cytopath smear other source
|
$37.82 |
$37.82 |
$37.82 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$67.10 |
$67.10 |
$67.10 |
$96.20
|
|
Cytopath tbs c/v manual
|
$34.16 |
$34.16 |
$34.16 |
$59.28
|
|
Dacarbazine 100 mg intravenous solution
|
$6.59 |
$6.59 |
$6.59 |
$58.22
|
|
Dactinomycin 0.5 mg intravenous solution
|
$390.87 |
$390.87 |
$390.87 |
$3,024.59
|
|
Dalbavancin 500 mg intravenous solution
|
$942.96 |
$942.96 |
$942.96 |
$3,480.35
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$427.78 |
$427.78 |
$427.78 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$2,275.14 |
$2,275.14 |
$2,275.14 |
$6,072.48
|
|
Dch validity tests
|
$47.58 |
$47.58 |
$47.58 |
$24.50
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$5,243.56 |
$5,243.56 |
$5,243.56 |
$4,952.36
|
|
Deamidated gliadin antibody iga
|
$28.67 |
$28.67 |
$28.67 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$227.53 |
$227.53 |
$227.53 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$384.91 |
$384.91 |
$384.91 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$1,140.70 |
$1,140.70 |
$1,140.70 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$617.93 |
$617.93 |
$617.93 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$671.61 |
$671.61 |
$671.61 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$807.64 |
$807.64 |
$807.64 |
$810.50
|
|
Debride nail1-5 11720
|
$134.20 |
$134.20 |
$134.20 |
$148.80
|
|
Debride nail6 or more 11721
|
$131.76 |
$131.76 |
$131.76 |
$169.60
|
|
Debride skin bone at fx site
|
$1,294.42 |
$1,294.42 |
$1,294.42 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$519.11 |
$519.11 |
$519.11 |
$639.60
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$898.53 |
$898.53 |
$898.53 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$193.98 |
$193.98 |
$193.98 |
$114.10
|
|
Debr musc/fascia 20sq cm/< 11043
|
$824.72 |
$824.72 |
$824.72 |
$1,160.00
|
|
Decalcification
|
$42.09 |
$42.09 |
$42.09 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$334.75 |
$334.75 |
$334.75 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$469.70 |
$469.70 |
$469.70 |
$543.00
|
|
Deferoxamine 500 mg solution for injection
|
$29.38 |
$29.38 |
$29.38 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$425.18 |
$425.18 |
$425.18 |
$1,807.08
|
|
Delivery of placenta 59414
|
$3,400.14 |
$3,400.14 |
$3,400.14 |
$3,070.56
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$146.40 |
$146.40 |
$146.40 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$1,194.41 |
$1,194.41 |
$1,194.41 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$236.68 |
$236.68 |
$236.68 |
$408.10
|
|
Depo-estradiol cypionate inj
|
$24.90 |
$24.90 |
$24.90 |
$71.51
|
|
Dermagraft
|
$2,305.80 |
$2,305.80 |
$2,305.80 |
$85.00
|
|
Design mlc device for imrt
|
$3,627.06 |
$3,627.06 |
$3,627.06 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$45.84 |
$45.84 |
$45.84 |
$89.78
|
|
Destroy cervthor facet jnt 64633
|
$966.85 |
$966.85 |
$966.85 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$322.08 |
$322.08 |
$322.08 |
$1,441.44
|
|
Destruction benign lesions < 14 lesions
|
$157.99 |
$157.99 |
$157.99 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$443.47 |
$443.47 |
$443.47 |
$1,616.72
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,268.80 |
$1,268.80 |
$1,268.80 |
$3,202.98
|
|
Determination venous press
|
$317.20 |
$317.20 |
$317.20 |
$117.60
|
|
Device ablt adv novasure
|
$7,729.38 |
$7,729.38 |
$7,729.38 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,783.43 |
$2,783.43 |
$2,783.43 |
$4,200.00
|
|
Device intraute mirena
|
$666.84 |
$666.84 |
$666.84 |
$2,125.00
|
|
Device sut capio slim opn
|
$906.15 |
$906.15 |
$906.15 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$1,496.94 |
$1,496.94 |
$1,496.94 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$246.44 |
$246.44 |
$246.44 |
$227.15
|