|
CT hrt c+ strux cgen hrt ds
|
$2,009.15 |
$2,009.15 |
$2,009.15 |
$1,217.45
|
|
CT hrt w/3d image
|
$1,613.30 |
$1,613.30 |
$1,613.30 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$1,615.90 |
$1,615.90 |
$1,615.90 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$2,756.65 |
$2,756.65 |
$2,756.65 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$2,506.40 |
$2,506.40 |
$2,506.40 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$3,032.25 |
$3,032.25 |
$3,032.25 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$1,706.90 |
$1,706.90 |
$1,706.90 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,551.55 |
$1,551.55 |
$1,551.55 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$1,878.50 |
$1,878.50 |
$1,878.50 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,046.20 |
$2,046.20 |
$2,046.20 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,859.65 |
$1,859.65 |
$1,859.65 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,691.30 |
$1,691.30 |
$1,691.30 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$1,080.30 |
$1,080.30 |
$1,080.30 |
$456.00
|
|
CT scan for therapy guide
|
$2,571.40 |
$2,571.40 |
$2,571.40 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,977.65 |
$2,977.65 |
$2,977.65 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,707.90 |
$2,707.90 |
$2,707.90 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,460.90 |
$2,460.90 |
$2,460.90 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$1,916.20 |
$1,916.20 |
$1,916.20 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,569.10 |
$1,569.10 |
$1,569.10 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$1,076.40 |
$1,076.40 |
$1,076.40 |
$400.20
|
|
CT t-spine w /wo contrast
|
$2,109.25 |
$2,109.25 |
$2,109.25 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$2,760.55 |
$2,760.55 |
$2,760.55 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$2,511.60 |
$2,511.60 |
$2,511.60 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$3,036.80 |
$3,036.80 |
$3,036.80 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$140.40 |
$140.40 |
$140.40 |
$63.75
|
|
Culture afb any source
|
$234.65 |
$234.65 |
$234.65 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$195.00 |
$195.00 |
$195.00 |
$77.31
|
|
Culture anaerobic except blood
|
$263.25 |
$263.25 |
$263.25 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$52.00 |
$52.00 |
$52.00 |
$52.80
|
|
Culture body fluid
|
$182.00 |
$182.00 |
$182.00 |
$130.50
|
|
Culture fungi definitive id mold
|
$85.80 |
$85.80 |
$85.80 |
$70.00
|
|
Culture fungi definitive id yeast
|
$131.30 |
$131.30 |
$131.30 |
$80.60
|
|
Culture fungi other (except blood)
|
$230.10 |
$230.10 |
$230.10 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$283.40 |
$283.40 |
$283.40 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$275.60 |
$275.60 |
$275.60 |
$84.75
|
|
Culture mycoplasma any source
|
$176.15 |
$176.15 |
$176.15 |
$90.37
|
|
Culture quantitative aerobic other source
|
$153.40 |
$153.40 |
$153.40 |
$87.02
|
|
Culture screening strep group a
|
$114.40 |
$114.40 |
$114.40 |
$81.60
|
|
Culture typing immunologic
|
$72.80 |
$72.80 |
$72.80 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$1,839.50 |
$1,839.50 |
$1,839.50 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$181.35 |
$181.35 |
$181.35 |
$124.40
|
|
Culture urine each isolate
|
$97.50 |
$97.50 |
$97.50 |
$46.20
|
|
Cv line/pic reposition
|
$2,995.20 |
$2,995.20 |
$2,995.20 |
$1,829.42
|
|
Cyanocobalamin unsat binding capacity
|
$239.85 |
$239.85 |
$239.85 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$22.10 |
$22.10 |
$22.10 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$120.90 |
$120.90 |
$120.90 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$359.09 |
$359.09 |
$359.09 |
$1,048.28
|
|
Cyclophosphamide 25 mg capsule
|
$6.18 |
$6.18 |
$6.18 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$235.95 |
$235.95 |
$235.95 |
$179.10
|
|
Cyclosporine 2 hour
|
$35.10 |
$35.10 |
$35.10 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$3.84 |
$3.84 |
$3.84 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$6.47 |
$6.47 |
$6.47 |
$39.04
|
|
Cyp2c19 gene com variants
|
$1,287.65 |
$1,287.65 |
$1,287.65 |
$567.75
|
|
Cyp2c9 gene com variants
|
$1,740.05 |
$1,740.05 |
$1,740.05 |
$275.10
|
|
Cyp2d6 gene com variants
|
$614.25 |
$614.25 |
$614.25 |
$537.50
|
|
Cyp3a4 gene common variants
|
$1,475.50 |
$1,475.50 |
$1,475.50 |
$230.01
|
|
Cyp3a5 gene common variants
|
$1,723.80 |
$1,723.80 |
$1,723.80 |
$220.50
|
|
Cystatin c
|
$83.85 |
$83.85 |
$83.85 |
$82.26
|
|
Cystic fibrosis cftr
|
$3,445.65 |
$3,445.65 |
$3,445.65 |
$1,041.95
|
|
Cystine urine quantitative
|
$273.65 |
$273.65 |
$273.65 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$955.50 |
$955.50 |
$955.50 |
$539.55
|
|
Cystoscopy and treatment
|
$3,353.35 |
$3,353.35 |
$3,353.35 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$1,949.35 |
$1,949.35 |
$1,949.35 |
$1,610.20
|
|
Cystoscopy chemodenervation
|
$1,335.75 |
$1,335.75 |
$1,335.75 |
$2,412.45
|
|
Cystoscopy removal of clots
|
$2,236.65 |
$2,236.65 |
$2,236.65 |
$3,970.98
|
|
Cystostomy cystotomy w/drainage 51040
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$3,774.40
|
|
Cystouretero & or pyeloscope
|
$3,485.30 |
$3,485.30 |
$3,485.30 |
$4,315.98
|
|
Cytarabine 20 mg/ml injection solution
|
$99.16 |
$99.16 |
$99.16 |
$89.95
|
|
Cytogenetics 25-99
|
$58.50 |
$58.50 |
$58.50 |
$180.32
|
|
Cytogenomic neo microra alys
|
$7,259.20 |
$7,259.20 |
$7,259.20 |
$1,911.78
|
|
Cytogenom microarray copy nmbr var
|
$5,374.20 |
$5,374.20 |
$5,374.20 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$141.70 |
$141.70 |
$141.70 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$113.10 |
$113.10 |
$113.10 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$193.70 |
$193.70 |
$193.70 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$31.85 |
$31.85 |
$31.85 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$28.60 |
$28.60 |
$28.60 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$219.05 |
$219.05 |
$219.05 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$124.80 |
$124.80 |
$124.80 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$158.60 |
$158.60 |
$158.60 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$182.65 |
$182.65 |
$182.65 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$482.30 |
$482.30 |
$482.30 |
$205.00
|
|
Cytopath smear oth prep screen & interp
|
$786.50 |
$786.50 |
$786.50 |
$95.89
|
|
Dacarbazine 100 mg intravenous solution
|
$82.91 |
$82.91 |
$82.91 |
$82.91
|
|
Dalbavancin 500 mg intravenous solution
|
$5,116.02 |
$5,116.02 |
$5,116.02 |
$3,469.30
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$69.65 |
$69.65 |
$69.65 |
$315.32
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$28,415.40 |
$28,415.40 |
$28,415.40 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$7,371.55 |
$7,371.55 |
$7,371.55 |
$5,546.48
|
|
Dch pulmonary stress test
|
$2,050.75 |
$2,050.75 |
$2,050.75 |
$964.41
|
|
Dch validity tests
|
$55.25 |
$55.25 |
$55.25 |
$25.20
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$3,429.40 |
$3,429.40 |
$3,429.40 |
$4,021.68
|
|
Deamidated gliadin antibody iga
|
$44.20 |
$44.20 |
$44.20 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$312.65 |
$312.65 |
$312.65 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$219.70 |
$219.70 |
$219.70 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,672.15 |
$2,672.15 |
$2,672.15 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$283.40 |
$283.40 |
$283.40 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$325.65 |
$325.65 |
$325.65 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$658.45 |
$658.45 |
$658.45 |
$810.50
|
|
Debride nail1-5 11720
|
$110.50 |
$110.50 |
$110.50 |
$173.25
|
|
Debride nail6 or more 11721
|
$162.50 |
$162.50 |
$162.50 |
$195.20
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$284.70 |
$284.70 |
$284.70 |
$663.30
|