|
Culture fungi definitive id yeast
|
$37.35 |
$37.35 |
$45.97 |
$80.00
|
|
Culture fungi other (except blood)
|
$30.43 |
$30.43 |
$37.46 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$27.88 |
$27.88 |
$34.31 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$42.84 |
$42.84 |
$52.72 |
$100.00
|
|
Culture mycoplasma any source
|
$55.69 |
$55.69 |
$68.54 |
$83.21
|
|
Culture screening strep group a
|
$23.98 |
$23.98 |
$29.51 |
$84.60
|
|
Culture typing added method
|
$19.60 |
$19.60 |
$24.12 |
$42.60
|
|
Culture typing immunologic
|
$18.74 |
$18.74 |
$23.06 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$513.64 |
$513.64 |
$632.18 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$108.84 |
$108.84 |
$133.96 |
$140.80
|
|
Culture urine each isolate
|
$29.28 |
$29.28 |
$36.04 |
$55.50
|
|
Curette/treat cornea
|
$2,693.73 |
$2,693.73 |
$2,693.73 |
$1,365.60
|
|
Cutter lead
|
$1,278.37 |
$1,278.37 |
$3,462.25 |
$6,581.45
|
|
Cv line/pic reposition
|
$2,535.44 |
$2,535.44 |
$2,722.00 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$51.81 |
$51.81 |
$63.77 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$4.80 |
$4.80 |
$5.91 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$46.85 |
$46.85 |
$57.66 |
$72.36
|
|
Cyclosporine 2 hour
|
$65.30 |
$65.30 |
$80.37 |
$130.40
|
|
Cygnus matrix, per sq cm
|
$4,500.00 |
$4,500.00 |
$4,500.00 |
$295.20
|
|
Cyp2c19 gene com variants
|
$854.05 |
$854.05 |
$1,051.14 |
$524.00
|
|
Cyp2c9 gene com variants
|
$411.77 |
$411.77 |
$411.77 |
$275.10
|
|
Cyp2d6 gene com variants
|
$1,321.75 |
$1,321.75 |
$1,626.77 |
$570.70
|
|
Cyp3a4 gene common variants
|
$411.77 |
$411.77 |
$506.79 |
$241.24
|
|
Cyp3a5 gene common variants
|
$411.77 |
$411.77 |
$506.79 |
$245.31
|
|
Cystatin c
|
$54.28 |
$54.28 |
$66.81 |
$77.60
|
|
Cystic fibrosis cftr
|
$1,462.70 |
$1,462.70 |
$1,800.25 |
$1,104.40
|
|
Cystine urine quantitative
|
$67.37 |
$67.37 |
$82.91 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$732.28 |
$732.28 |
$901.26 |
$586.95
|
|
Cystometrogram w/up 51727
|
$1,966.48 |
$1,966.48 |
$1,966.48 |
$908.59
|
|
Cystoscopy and biopsy
|
$8,076.85 |
$8,076.85 |
$8,076.85 |
$4,081.37
|
|
Cystoscopy and treatment
|
$5,191.40 |
$5,191.40 |
$5,191.40 |
$4,638.40
|
|
Cystoscopy and treatment
|
$5,191.40 |
$5,191.40 |
$5,191.40 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$1,857.51 |
$1,857.51 |
$1,966.48 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$5,191.40 |
$5,191.40 |
$5,191.40 |
$2,874.36
|
|
Cystoscopy & ureter catheter
|
$5,191.40 |
$5,191.40 |
$5,573.38 |
$3,728.50
|
|
Cystourethroscop/calib/dilat stric 52281
|
$5,191.40 |
$5,191.40 |
$5,191.40 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$4,211.14 |
$4,211.14 |
$4,211.14 |
$4,057.50
|
|
Cystourethro w/addl implant 52442
|
$1,611.14 |
$1,611.14 |
$1,611.14 |
$2,161.60
|
|
Cystourethro w/implant
|
$6,556.66 |
$6,556.66 |
$6,556.66 |
$2,777.60
|
|
Cytogenetics 25-99
|
$126.00 |
$126.00 |
$155.07 |
$189.80
|
|
Cytogenomic neo microra alys
|
$3,084.16 |
$3,084.16 |
$3,795.89 |
$2,198.00
|
|
Cytogenom microarray copy nmbr var
|
$2,638.16 |
$2,638.16 |
$3,246.96 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$52.10 |
$52.10 |
$64.12 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$60.97 |
$60.97 |
$75.04 |
$100.00
|
|
Cytomeg dna dir probe
|
$108.34 |
$108.34 |
$108.34 |
$178.88
|
|
Cyto/molecular report
|
$95.50 |
$95.50 |
$117.54 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$130.14 |
$130.14 |
$160.18 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$73.31 |
$73.31 |
$90.23 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$92.99 |
$92.99 |
$114.45 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$92.99 |
$92.99 |
$114.45 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$88.49 |
$88.49 |
$108.91 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$318.32 |
$318.32 |
$391.78 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$130.14 |
$130.14 |
$160.18 |
$213.85
|
|
Cytopath smear oth prep screen & interp
|
$92.99 |
$92.99 |
$114.45 |
$96.20
|
|
Cytopath tbs c/v manual
|
$42.95 |
$42.95 |
$52.86 |
$59.28
|
|
Cytotoxic antibody screening
|
$199.15 |
$199.15 |
$245.11 |
$193.80
|
|
Cytp urine 3-5 probes cmptr
|
$733.43 |
$733.43 |
$733.43 |
$664.80
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.05 |
$0.05 |
$0.06 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$7.37 |
$7.37 |
$9.07 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$7.37 |
$7.37 |
$9.07 |
$7.20
|
|
D&c after delivery 59160
|
$7,627.40 |
$7,627.40 |
$8,188.62 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$8,188.62 |
$8,188.62 |
$8,188.62 |
$3,774.81
|
|
Dch pulmonary stress test
|
$870.76 |
$870.76 |
$934.83 |
$963.30
|
|
Dch validity tests
|
$10.20 |
$10.20 |
$12.56 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$29.19 |
$29.19 |
$35.93 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,651.23 |
$1,651.23 |
$1,772.72 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$212.14 |
$212.14 |
$387.69 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$4,582.16 |
$4,582.16 |
$4,919.31 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$761.82 |
$761.82 |
$864.34 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$668.22 |
$668.22 |
$1,213.28 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,107.30 |
$1,107.30 |
$1,362.72 |
$835.20
|
|
Debride nail1-5 11720
|
$192.19 |
$192.19 |
$206.34 |
$149.60
|
|
Debride nail6 or more 11721
|
$192.19 |
$192.19 |
$206.34 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,609.91 |
$1,609.91 |
$1,994.36 |
$1,163.24
|
|
Debride skin bone at fx site
|
$7,746.22 |
$7,746.22 |
$7,746.22 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$761.82 |
$761.82 |
$864.34 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$444.74 |
$444.74 |
$444.74 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$1,149.50
|
|
Debr inf skin add-on 11001
|
$260.67 |
$260.67 |
$479.96 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,651.23 |
$1,651.23 |
$1,772.72 |
$1,165.50
|
|
Decalcification
|
$63.34 |
$63.34 |
$77.95 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$590.24 |
$590.24 |
$631.10 |
$572.95
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$6,661.44 |
$6,661.44 |
$8,198.70 |
$4,914.00
|
|
Decomp forearm 1 space 25020
|
$3,053.43 |
$3,053.43 |
$3,758.07 |
$3,137.60
|
|
Decompression of leg
|
$8,441.76 |
$8,441.76 |
$8,441.76 |
$3,839.54
|
|
Decompression of lower leg
|
$8,441.76 |
$8,441.76 |
$8,441.76 |
$3,969.00
|
|
Decompression of lower leg
|
$6,661.44 |
$6,661.44 |
$8,198.70 |
$3,839.54
|
|
Decompression of thigh/knee
|
$8,441.76 |
$8,441.76 |
$8,441.76 |
$4,192.86
|
|
Decomp spinal cord/transped/ad seg 63057
|
$11,614.55 |
$11,614.55 |
$11,614.55 |
$1,365.00
|
|
Deep muscle biopsy 20205
|
$3,419.83 |
$3,419.83 |
$3,419.83 |
$3,386.84
|
|
Degarelix 120 mg subcutaneous solution
|
$7.77 |
$7.77 |
$7.77 |
$1,856.85
|
|
Delivery of placenta 59414
|
$7,627.40 |
$7,627.40 |
$7,627.40 |
$2,912.46
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$12,051.32 |
$12,051.32 |
$14,832.40 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$527.84 |
$527.84 |
$566.67 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$63.98 |
$63.98 |
$78.74 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$335.52 |
$335.52 |
$360.21 |
$401.60
|
|
Derm autograft trnk/arm/leg
|
$2,699.50 |
$2,699.50 |
$2,699.50 |
$2,984.90
|
|
Dermavest, plurivest sq cm
|
$924.00 |
$924.00 |
$924.00 |
$1.00
|
|
Descend thora aorta rpr/lt sub art 33880
|
$14,572.26 |
$14,572.26 |
$17,935.09 |
$6,288.45
|
|
Design mlc device for imrt
|
$1,145.92 |
$1,145.92 |
$1,157.38 |
$1,753.00
|
