|
Culture mycobacteria definitive id each isolate
|
$43.97 |
$43.97 |
$43.97 |
$100.00
|
|
Culture mycoplasma any source
|
$43.28 |
$43.28 |
$43.28 |
$83.21
|
|
Culture quantitative aerobic other source
|
$41.91 |
$41.91 |
$41.91 |
$87.02
|
|
Culture screening strep group a
|
$45.34 |
$45.34 |
$45.34 |
$84.60
|
|
Culture typing glc/hplc
|
$26.11 |
$26.11 |
$26.11 |
$53.75
|
|
Culture typing immunologic
|
$58.40 |
$58.40 |
$58.40 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$94.12 |
$94.12 |
$94.12 |
$140.80
|
|
Culture urine each isolate
|
$17.18 |
$17.18 |
$17.18 |
$55.50
|
|
Cutter lead
|
$15,466.63 |
$15,466.63 |
$15,466.63 |
$6,581.45
|
|
Cv stress test i&r only 93018
|
$21.60 |
$21.60 |
$21.60 |
$36.40
|
|
Cv stress test/supervision only 93016
|
$24.98 |
$24.98 |
$24.98 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$40.46 |
$40.46 |
$40.46 |
$60.75
|
|
Cyclic citrullinated peptide antibody
|
$46.08 |
$46.08 |
$46.08 |
$72.36
|
|
Cyclosporine 2 hour
|
$35.55 |
$35.55 |
$35.55 |
$130.40
|
|
Cyclosporine oral 100 mg
|
$0.46 |
$0.46 |
$0.46 |
$37.31
|
|
Cylinder pump set 20cm titan zero angl
|
$43,693.16 |
$43,693.16 |
$43,693.16 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$644.88 |
$644.88 |
$644.88 |
$524.00
|
|
Cyp2c9 gene com variants
|
$386.92 |
$386.92 |
$386.92 |
$275.10
|
|
Cyp2d6 gene com variants
|
$997.16 |
$997.16 |
$997.16 |
$570.70
|
|
Cyp3a4 gene common variants
|
$386.92 |
$386.92 |
$386.92 |
$241.24
|
|
Cyp3a5 gene common variants
|
$386.92 |
$386.92 |
$386.92 |
$245.31
|
|
Cystatin c
|
$34.33 |
$34.33 |
$34.33 |
$77.60
|
|
Cystic fibrosis cftr
|
$1,103.29 |
$1,103.29 |
$1,103.29 |
$1,104.40
|
|
Cystine urine quantitative
|
$55.78 |
$55.78 |
$55.78 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$387.00 |
$387.00 |
$387.00 |
$586.95
|
|
Cystoscopy and treatment
|
$229.82 |
$229.82 |
$229.82 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$534.13 |
$534.13 |
$534.13 |
$1,493.80
|
|
Cystourethroscop/calib/dilat stric 52281
|
$862.90 |
$862.90 |
$862.90 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$390.49 |
$390.49 |
$390.49 |
$4,057.50
|
|
Cytogenetics 25-99
|
$72.32 |
$72.32 |
$72.32 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$46.08 |
$46.08 |
$46.08 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$46.85 |
$46.85 |
$46.85 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$61.02 |
$61.02 |
$61.02 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$91.53 |
$91.53 |
$91.53 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$34.46 |
$34.46 |
$34.46 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$44.63 |
$44.63 |
$44.63 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$44.63 |
$44.63 |
$44.63 |
$127.50
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$61.02 |
$61.02 |
$61.02 |
$213.85
|
|
Cytopath smear other source
|
$40.11 |
$40.11 |
$40.11 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$38.42 |
$38.42 |
$38.42 |
$96.20
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$257.38 |
$257.38 |
$257.38 |
$3,774.81
|
|
Dch validity tests
|
$7.17 |
$7.17 |
$7.17 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$45.31 |
$45.31 |
$45.31 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$67.95 |
$67.95 |
$67.95 |
$284.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$327.71 |
$327.71 |
$327.71 |
$835.20
|
|
Debride nail1-5 11720
|
$38.30 |
$38.30 |
$38.30 |
$149.60
|
|
Debride nail6 or more 11721
|
$59.05 |
$59.05 |
$59.05 |
$169.80
|
|
Debrid mastoidectomy cavity simple 69220
|
$71.87 |
$71.87 |
$71.87 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$312.22 |
$312.22 |
$312.22 |
$1,149.50
|
|
Debr musc/fascia 20sq cm/< 11043
|
$883.12 |
$883.12 |
$883.12 |
$1,165.50
|
|
Decalcification
|
$16.30 |
$16.30 |
$16.30 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$222.91 |
$222.91 |
$222.91 |
$572.95
|
|
Delivery of placenta 59414
|
$1,418.17 |
$1,418.17 |
$1,418.17 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$140.93 |
$140.93 |
$140.93 |
$185.17
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$171.59 |
$171.59 |
$171.59 |
$401.60
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$81.36 |
$81.36 |
$81.36 |
$275.88
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$111.64 |
$111.64 |
$111.64 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$129.72 |
$129.72 |
$129.72 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$89.50 |
$89.50 |
$89.50 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$98.54 |
$98.54 |
$98.54 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$115.26 |
$115.26 |
$115.26 |
$311.20
|
|
Dest mal lesion tal <0.5 17260
|
$65.54 |
$65.54 |
$65.54 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$81.36 |
$81.36 |
$81.36 |
$274.80
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$104.41 |
$104.41 |
$104.41 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$116.16 |
$116.16 |
$116.16 |
$364.50
|
|
Destroy cervthor facet jnt 64633
|
$1,960.95 |
$1,960.95 |
$1,960.95 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$588.92 |
$588.92 |
$588.92 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$50.17 |
$50.17 |
$50.17 |
$202.40
|
|
Destroy vulva lesion simple 56501
|
$117.52 |
$117.52 |
$117.52 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$76.39 |
$76.39 |
$76.39 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$3.72 |
$3.72 |
$3.72 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$137.26 |
$137.26 |
$137.26 |
$240.24
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$531.47 |
$531.47 |
$531.47 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,943.40 |
$1,943.40 |
$1,943.40 |
$3,296.80
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$130.18 |
$130.18 |
$130.18 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$159.56 |
$159.56 |
$159.56 |
$558.97
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$123.85 |
$123.85 |
$123.85 |
$482.00
|
|
Destruction mal lsn t/a/l >4cm
|
$146.00 |
$146.00 |
$146.00 |
$569.80
|
|
Destruction premal lesions 15/> 17004
|
$91.30 |
$91.30 |
$91.30 |
$442.61
|
|
Device sut capio slim opn
|
$7,700.70 |
$7,700.70 |
$7,700.70 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$6,766.86 |
$6,766.86 |
$6,766.86 |
$2,515.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$41.07 |
$41.07 |
$41.07 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$18.39 |
$18.39 |
$18.39 |
$79.30
|
|
Diab manage trn ind/group
|
$28.58 |
$28.58 |
$28.58 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$46.16 |
$46.16 |
$46.16 |
$195.50
|
|
Diagnostic laryngoscopy 31505
|
$54.84 |
$54.84 |
$54.84 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$155.88 |
$155.88 |
$155.88 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$339.39 |
$339.39 |
$339.39 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$225.22 |
$225.22 |
$225.22 |
$314.00
|
|
Diffusing capacity
|
$259.34 |
$259.34 |
$259.34 |
$336.80
|
|
Digoxin total therapeutic drug level
|
$32.49 |
$32.49 |
$32.49 |
$102.07
|
|
Dilation of salivary duct
|
$82.26 |
$82.26 |
$82.26 |
$790.00
|
|
Dilator fascial 10fx20cm
|
$1,050.46 |
$1,050.46 |
$1,050.46 |
$402.10
|
|
Disability dlco
|
$259.97 |
$259.97 |
$259.97 |
$293.76
|
|
Disaccharidases
|
$221.91 |
$221.91 |
$221.91 |
$230.40
|
|
Dna antibody native/double stranded
|
$47.62 |
$47.62 |
$47.62 |
$100.00
|
|
Dna gardnerella
|
$61.83 |
$61.83 |
$61.83 |
$61.83
|
|
Dna trichomonas
|
$41.91 |
$41.91 |
$41.91 |
$63.00
|
|
Doppler echo complete
|
$456.29 |
$456.29 |
$456.29 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$608.98 |
$608.98 |
$608.98 |
$679.64
|