|
Cyanocobalamin unsat binding capacity
|
$31.81 |
$31.81 |
$31.81 |
$60.75
|
|
Cyclic citrullinated peptide antibody
|
$34.56 |
$34.56 |
$34.56 |
$72.36
|
|
Cyclosporine 2 hour
|
$27.96 |
$27.96 |
$27.96 |
$130.40
|
|
Cylinder pump set 20cm titan zero angl
|
$37,779.80 |
$37,779.80 |
$37,779.80 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$425.25 |
$425.25 |
$425.25 |
$524.00
|
|
Cyp2c9 gene com variants
|
$255.15 |
$255.15 |
$255.15 |
$275.10
|
|
Cyp2d6 gene com variants
|
$657.56 |
$657.56 |
$657.56 |
$570.70
|
|
Cyp3a4 gene common variants
|
$255.15 |
$255.15 |
$255.15 |
$241.24
|
|
Cyp3a5 gene common variants
|
$255.15 |
$255.15 |
$255.15 |
$245.31
|
|
Cystatin c
|
$26.99 |
$26.99 |
$26.99 |
$77.60
|
|
Cystine urine quantitative
|
$43.86 |
$43.86 |
$43.86 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$211.18 |
$211.18 |
$211.18 |
$586.95
|
|
Cytogenetics 25-99
|
$27.65 |
$27.65 |
$27.65 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$34.56 |
$34.56 |
$34.56 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$35.14 |
$35.14 |
$35.14 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$24.62 |
$24.62 |
$24.62 |
$159.90
|
|
Cytopathology concentration technique smears & interpretation
|
$18.14 |
$18.14 |
$18.14 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$18.14 |
$18.14 |
$18.14 |
$127.50
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$24.62 |
$24.62 |
$24.62 |
$213.85
|
|
Dch validity tests
|
$5.29 |
$5.29 |
$5.29 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$33.98 |
$33.98 |
$33.98 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$37.70 |
$37.70 |
$37.70 |
$284.00
|
|
Decalcification
|
$11.44 |
$11.44 |
$11.44 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$142.78 |
$142.78 |
$142.78 |
$572.95
|
|
Delivery of placenta 59414
|
$1,184.59 |
$1,184.59 |
$1,184.59 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$76.02 |
$76.02 |
$76.02 |
$185.17
|
|
Destroy cervthor facet jnt 64633
|
$1,044.26 |
$1,044.26 |
$1,044.26 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$171.19 |
$171.19 |
$171.19 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$177.00 |
$177.00 |
$177.00 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,033.92 |
$1,033.92 |
$1,033.92 |
$3,296.80
|
|
Developmental screen/score/document 96110
|
$111.36 |
$111.36 |
$111.36 |
$142.38
|
|
Device sut capio slim opn
|
$6,658.50 |
$6,658.50 |
$6,658.50 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$6,711.28 |
$6,711.28 |
$6,711.28 |
$2,515.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$221.90 |
$221.90 |
$221.90 |
$227.25
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$0.64 |
$0.64 |
$0.64 |
$36.05
|
|
Dhea-s (dehydroepiand sulfate)
|
$32.29 |
$32.29 |
$32.29 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$30.37 |
$30.37 |
$30.37 |
$79.30
|
|
Diagnostic laryngoscopy 31575
|
$144.38 |
$144.38 |
$144.38 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$244.53 |
$244.53 |
$244.53 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$161.77 |
$161.77 |
$161.77 |
$314.00
|
|
Diffusing capacity
|
$181.91 |
$181.91 |
$181.91 |
$336.80
|
|
Digoxin total therapeutic drug level
|
$25.55 |
$25.55 |
$25.55 |
$102.07
|
|
Dilator fascial 10fx20cm
|
$1,041.83 |
$1,041.83 |
$1,041.83 |
$402.10
|
|
Disability dlco
|
$186.00 |
$186.00 |
$186.00 |
$293.76
|
|
Disaccharidases
|
$174.48 |
$174.48 |
$174.48 |
$230.40
|
|
Dna antibody native/double stranded
|
$35.71 |
$35.71 |
$35.71 |
$100.00
|
|
Doppler echo complete
|
$315.30 |
$315.30 |
$315.30 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$480.04 |
$480.04 |
$480.04 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$291.00 |
$291.00 |
$291.00 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$125,927.30 |
$125,927.30 |
$125,927.30 |
$34,278.00
|
|
Dpyd gene common variants
|
$255.15 |
$255.15 |
$255.15 |
$423.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$5,327.38 |
$5,327.38 |
$5,327.38 |
$1,818.32
|
|
Drug assay caffeine
|
$55.91 |
$55.91 |
$55.91 |
$80.00
|
|
Drug assay posaconazole
|
$56.88 |
$56.88 |
$56.88 |
$96.75
|
|
Drug assay vedolizumab
|
$152.79 |
$152.79 |
$152.79 |
$154.00
|
|
Drug assay voriconazole
|
$61.21 |
$61.21 |
$61.21 |
$96.75
|
|
Drug screening tapentadol
|
$26.99 |
$26.99 |
$26.99 |
$47.03
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$216.42 |
$216.42 |
$216.42 |
$278.85
|
|
Ductogram sgl duct
|
$242.81 |
$242.81 |
$242.81 |
$469.80
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$242.90 |
$242.90 |
$242.90 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$499.28 |
$499.28 |
$499.28 |
$904.78
|
|
Dxa bone density axl vrt fx
|
$352.69 |
$352.69 |
$352.69 |
$401.20
|
|
Ecg/1-3 leads/tracing only 93041
|
$78.67 |
$78.67 |
$78.67 |
$132.08
|
|
Ecg external < 48 hours recording
|
$182.29 |
$182.29 |
$182.29 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$271.70 |
$271.70 |
$271.70 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$841.10 |
$841.10 |
$841.10 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$269.04 |
$269.04 |
$269.04 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$192.58 |
$192.58 |
$192.58 |
$511.55
|
|
Echocardiograpy doppler follow up/limited study
|
$130.27 |
$130.27 |
$130.27 |
$371.25
|
|
Echo exam uterus 76831-
|
$547.23 |
$547.23 |
$547.23 |
$561.00
|
|
Echo guide for amniocentesis
|
$464.87 |
$464.87 |
$464.87 |
$455.57
|
|
Echo guide for artery repair
|
$345.51 |
$345.51 |
$345.51 |
$696.30
|
|
Echo stress
|
$591.42 |
$591.42 |
$591.42 |
$1,609.44
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$502.21 |
$502.21 |
$502.21 |
$1,033.00
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$114.54 |
$114.54 |
$114.54 |
$94.32
|
|
E equine encephalitis igg
|
$37.44 |
$37.44 |
$37.44 |
$51.84
|
|
Egfr gene com variants
|
$473.36 |
$473.36 |
$473.36 |
$672.88
|
|
EKG (Tracing Only)
|
$214.65 |
$214.65 |
$214.65 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$113.63 |
$113.63 |
$113.63 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$128.10 |
$128.10 |
$128.10 |
$364.20
|
|
Electrd sq emblem s-icd
|
$6,658.50 |
$6,658.50 |
$6,658.50 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$72.96 |
$72.96 |
$72.96 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$54.11 |
$54.11 |
$54.11 |
$81.75
|
|
Electrolyte panel
|
$37.60 |
$37.60 |
$37.60 |
$79.30
|
|
Electron microscopy diagnostic
|
$753.28 |
$753.28 |
$753.28 |
$1,011.98
|
|
Encephalitis, california igg/igm
|
$37.44 |
$37.44 |
$37.44 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$37.44 |
$37.44 |
$37.44 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$37.44 |
$37.44 |
$37.44 |
$54.99
|
|
Entamoeba histolytica ag eia - sendout
|
$38.76 |
$38.76 |
$38.76 |
$56.89
|
|
Epoetin alfa, 100 units esrd
|
$15.11 |
$15.11 |
$15.11 |
$6.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$28.90 |
$28.90 |
$28.90 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$31.68 |
$31.68 |
$31.68 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$31.10 |
$31.10 |
$31.10 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$35.71 |
$35.71 |
$35.71 |
$85.50
|
|
Ercp biliary & pancreas
|
$229.94 |
$229.94 |
$229.94 |
$967.04
|
|
ER Visit (level 1, minor)
|
$123.20 |
$123.20 |
$123.20 |
$252.60
|
|
ER Visit (level 2)
|
$256.87 |
$256.87 |
$256.87 |
$463.00
|
|
ER Visit (level 3)
|
$738.40 |
$738.40 |
$738.40 |
$812.18
|
|
ER Visit (level 4)
|
$2,097.47 |
$2,097.47 |
$2,097.47 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$2,469.72 |
$2,469.72 |
$2,469.72 |
$1,871.60
|
