|
Cuffs adj lock with active con
|
$723.98 |
$723.98 |
$723.98 |
|
|
Cultr oocyte/embryo <4 days
|
$1,291.35 |
$1,291.35 |
$1,291.35 |
|
|
Culture aerobic additional method definitive id each
|
$61.03 |
$61.03 |
$97.00 |
|
|
Culture afb any source
|
$101.00 |
$176.08 |
$227.00 |
|
|
Culture anaerobic additional method definitive id each
|
$73.50 |
$73.50 |
$152.57 |
|
|
Culture anaerobic except blood
|
$111.50 |
$151.78 |
$164.00 |
|
|
Culture bact stool aero addl path ea
|
$60.50 |
$68.10 |
$148.00 |
|
|
Culture body fluid
|
$74.00 |
$170.65 |
$325.00 |
|
|
Culture fungi definitive id mold
|
$14.00 |
$74.83 |
$106.47 |
|
|
Culture fungi definitive id yeast
|
$91.50 |
$93.38 |
$205.00 |
|
|
Culture fungi other (except blood)
|
$93.50 |
$170.20 |
$263.00 |
|
|
Culture fungi skin/hair/nail
|
$107.10 |
$107.10 |
$107.10 |
|
|
Culture mycobacteria definitive id each isolate
|
$40.55 |
$40.55 |
$40.55 |
|
|
Culture mycoplasma any source
|
$62.50 |
$119.30 |
$144.00 |
|
|
Culture of specimen by kit
|
$49.00 |
$49.00 |
$49.00 |
|
|
Culture quantitative aerobic other source
|
$13.00 |
$13.00 |
$119.60 |
|
|
Culture screening strep group a
|
$46.50 |
$76.78 |
$166.00 |
|
|
Culture typing added method
|
$104.00 |
$104.00 |
$104.00 |
|
|
Culture typing immunologic
|
$26.00 |
$36.90 |
$76.65 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$384.85 |
$384.85 |
$777.95 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$32.10 |
$32.10 |
$91.50 |
|
|
Culture urine each isolate
|
$34.33 |
$34.33 |
$91.46 |
|
|
Cutter lead
|
$927.50 |
$927.50 |
$2,154.87 |
|
|
Cv line/pic reposition
|
$568.00 |
$568.00 |
$1,100.50 |
|
|
Cv stress test i&r only 93018
|
$91.35 |
$91.35 |
$91.35 |
|
|
Cyanocobalamin unsat binding capacity
|
$109.00 |
$109.00 |
$109.00 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$37.21 |
$47.45 |
$47.45 |
|
|
Cyclic citrullinated peptide antibody
|
$93.10 |
$93.10 |
$211.58 |
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$970.23 |
$970.23 |
$970.23 |
|
|
Cyclophosphamide 25 mg capsule
|
$1,829.80 |
$1,829.80 |
$1,829.80 |
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$173.78 |
$173.78 |
$173.78 |
|
|
Cyclosporine 2 hour
|
$74.00 |
$168.30 |
$168.30 |
|
|
Cyclosporine modified 25 mg capsule
|
$311.03 |
$311.03 |
$311.03 |
|
|
Cyclosporine oral 100 mg
|
$19.26 |
$1,545.50 |
$1,545.50 |
|
|
Cygnus matrix, per sq cm
|
$937.50 |
$937.50 |
$937.50 |
|
|
Cygnus, per sq cm
|
$855.00 |
$855.00 |
$855.00 |
|
|
Cylinder pump set 20cm titan zero angl
|
$5,413.00 |
$5,413.00 |
$5,413.00 |
|
|
Cyp2c19 gene com variants
|
$308.43 |
$308.43 |
$1,819.00 |
|
|
Cyp2c9 gene com variants
|
$133.00 |
$133.00 |
$1,349.00 |
|
|
Cyp2d6 gene com variants
|
$607.00 |
$607.00 |
$1,819.00 |
|
|
Cystatin c
|
$128.63 |
$128.63 |
$215.00 |
|
|
Cystic fibrosis cftr
|
$667.28 |
$667.28 |
$667.28 |
|
|
Cystine urine quantitative
|
$56.00 |
$225.75 |
$225.75 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$301.50 |
$424.25 |
$1,393.35 |
|
|
Cysto insj dev ischmc rmdlg
|
$4,555.88 |
$4,555.88 |
$4,555.88 |
|
|
Cystometrogram w/up 51727
|
$857.38 |
$857.38 |
$857.38 |
|
|
Cystoscopy and treatment
|
$3,944.80 |
$3,944.80 |
$3,944.80 |
|
|
Cystoscopy and treatment
|
$4,160.10 |
$4,160.10 |
$4,160.10 |
|
|
Cystoscopy and treatment
|
$4,078.65 |
$4,078.65 |
$4,078.65 |
|
|
Cystoscopy and treatment
|
$1,029.25 |
$1,029.25 |
$10,297.00 |
|
|
Cystoscopy and treatment
|
$3,219.80 |
$3,219.80 |
$12,678.00 |
|
|
Cystoscopy (Bladder Scope)
|
$404.00 |
$404.00 |
$1,095.00 |
|
|
Cystoscopy chemodenervation
|
$2,005.55 |
$2,005.55 |
$2,005.55 |
|
|
Cystoscopy removal of clots
|
$4,371.50 |
$4,371.50 |
$4,371.50 |
|
|
Cystoscopy & ureter catheter
|
$1,494.90 |
$1,494.90 |
$4,371.50 |
|
|
Cystouretero & or pyeloscope
|
$4,315.98 |
$4,315.98 |
$4,315.98 |
|
|
Cystouretero w/biopsy
|
$4,317.10 |
$4,317.10 |
$4,317.10 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$360.05 |
$360.05 |
$9,963.00 |
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$3,213.03 |
$3,213.03 |
$12,872.00 |
|
|
Cysto w/ureter stricture tx
|
$4,616.05 |
$4,616.05 |
$5,022.00 |
|
|
Cytarabine 20 mg/ml injection solution
|
$48.81 |
$225.00 |
$225.00 |
|
|
Cytog alys chrml abnr lw-ps
|
$1,569.53 |
$1,569.53 |
$1,569.53 |
|
|
Cytogenetics 25-99
|
$270.78 |
$270.78 |
$270.78 |
|
|
Cytogenomic neo microra alys
|
$2,524.93 |
$2,524.93 |
$4,872.00 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$96.00 |
$127.00 |
$178.61 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$15.50 |
$119.20 |
$197.00 |
|
|
Cytomegalovirus imm IV /vial
|
$3,240.73 |
$3,240.73 |
$3,240.73 |
|
|
Cyto/molecular report
|
$278.00 |
$278.00 |
$278.00 |
|
|
Cytopath c/v auto in fluid
|
$20.00 |
$20.00 |
$20.00 |
|
|
Cytopath c/v manual
|
$22.00 |
$22.00 |
$22.00 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$163.43 |
$163.43 |
$674.00 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$15.50 |
$148.68 |
$389.00 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$131.33 |
$131.33 |
$142.00 |
|
|
Cytopathology concentration technique smears & interpretation
|
$99.15 |
$162.83 |
$300.50 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$162.33 |
$162.33 |
$238.50 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$117.00 |
$183.70 |
$183.70 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$204.08 |
$204.08 |
$371.00 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$154.28 |
$154.28 |
$217.00 |
|
|
Cytopath smear other source
|
$88.13 |
$88.13 |
$141.00 |
|
|
Cytopath smear other source
|
$204.78 |
$204.78 |
$204.78 |
|
|
Cytopath smear oth prep screen & interp
|
$63.00 |
$132.15 |
$254.99 |
|
|
Cytopath tbs c/v manual
|
$73.93 |
$73.93 |
$73.93 |
|
|
Cytp urine 3-5 probes cmptr
|
$872.50 |
$872.50 |
$872.50 |
|
|
Dacarbazine 100 mg intravenous solution
|
$225.00 |
$225.00 |
$225.00 |
|
|
Dactinomycin 0.5 mg intravenous solution
|
$5,442.10 |
$5,442.10 |
$5,442.10 |
|
|
Dalbavancin 500 mg intravenous solution
|
$3,291.43 |
$3,291.43 |
$3,291.43 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,047.48 |
$1,047.48 |
$1,047.48 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$21,063.03 |
$21,063.03 |
$52,885.13 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$6,273.69 |
$6,273.69 |
$10,305.29 |
|
|
Darbepoetin alfa, esrd use
|
$6,575.28 |
$6,575.28 |
$6,575.28 |
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$21,560.00 |
$21,560.00 |
$21,560.00 |
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$373.80 |
$373.80 |
$373.80 |
|
|
D&c after delivery 59160
|
$2,188.58 |
$2,188.58 |
$2,497.00 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$1,324.00 |
$2,215.45 |
$2,215.45 |
|
|
Dch pulmonary stress test
|
$270.00 |
$1,387.85 |
$1,387.85 |
|
|
Dch validity tests
|
$18.00 |
$37.18 |
$67.00 |
|
|
Deamidated gliadin antibody iga
|
$65.73 |
$116.60 |
$116.60 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$295.50 |
$475.80 |
$2,631.00 |
|
|
Debridement (>20 cm) charge pt
|
$196.13 |
$196.13 |
$571.00 |
|
|
Debridement bone <= 20 sq cm
|
$1,168.18 |
$1,168.18 |
$2,500.00 |
|
