|
Culture aerobic additional method definitive id each
|
$78.75 |
$78.75 |
$78.75 |
$63.75
|
|
Culture afb any source
|
$132.75 |
$132.75 |
$132.75 |
$93.50
|
|
Culture anaerobic except blood
|
$127.50 |
$127.50 |
$127.50 |
$99.43
|
|
Culture body fluid
|
$130.50 |
$130.50 |
$130.50 |
$93.00
|
|
Culture fungi definitive id mold
|
$63.75 |
$63.75 |
$63.75 |
$74.83
|
|
Culture fungi definitive id yeast
|
$66.00 |
$66.00 |
$66.00 |
$72.00
|
|
Culture fungi other (except blood)
|
$126.00 |
$126.00 |
$126.00 |
$92.50
|
|
Culture fungi skin/hair/nail
|
$126.00 |
$126.00 |
$126.00 |
$79.80
|
|
Culture mycobacteria definitive id each isolate
|
$96.00 |
$96.00 |
$96.00 |
$81.00
|
|
Culture mycoplasma any source
|
$145.50 |
$145.50 |
$145.50 |
$94.00
|
|
Culture quantitative aerobic other source
|
$99.75 |
$99.75 |
$99.75 |
$57.85
|
|
Culture screening strep group a
|
$115.50 |
$115.50 |
$115.50 |
$73.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$408.75 |
$408.75 |
$408.75 |
$384.85
|
|
Curette/treat cornea
|
$1,133.25 |
$1,133.25 |
$1,133.25 |
$1,175.85
|
|
Cutter lead
|
$22,020.89 |
$22,020.89 |
$22,020.89 |
$10,158.00
|
|
Cv line/pic reposition
|
$2,100.75 |
$2,100.75 |
$2,100.75 |
$1,608.00
|
|
Cyanocobalamin unsat binding capacity
|
$76.50 |
$76.50 |
$76.50 |
$64.28
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$25.86 |
$25.86 |
$25.86 |
$25.86
|
|
Cyclic citrullinated peptide antibody
|
$249.75 |
$249.75 |
$249.75 |
$93.00
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$4,143.90 |
$4,143.90 |
$4,143.90 |
$13.20
|
|
Cyclophosphamide 25 mg capsule
|
$2,769.06 |
$2,769.06 |
$2,769.06 |
$2,769.06
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$243.99 |
$243.99 |
$243.99 |
$243.99
|
|
Cyclosporine 2 hour
|
$115.50 |
$115.50 |
$115.50 |
$126.00
|
|
Cyclosporine modified 25 mg capsule
|
$470.55 |
$470.55 |
$470.55 |
$51.45
|
|
Cyclosporine oral 100 mg
|
$2,865.39 |
$2,865.39 |
$2,865.39 |
$2,865.39
|
|
Cylinder pump set 20cm titan zero angl
|
$42,849.57 |
$42,849.57 |
$42,849.57 |
$42,849.57
|
|
Cyp2c19 gene com variants
|
$613.50 |
$613.50 |
$613.50 |
$583.20
|
|
Cyp2c9 gene com variants
|
$368.25 |
$368.25 |
$368.25 |
$287.82
|
|
Cyp2d6 gene com variants
|
$949.50 |
$949.50 |
$949.50 |
$644.67
|
|
Cyp3a4 gene common variants
|
$328.50 |
$328.50 |
$328.50 |
$241.24
|
|
Cyp3a5 gene common variants
|
$328.50 |
$328.50 |
$328.50 |
$245.31
|
|
Cystatin c
|
$78.75 |
$78.75 |
$78.75 |
$83.20
|
|
Cystic fibrosis cftr
|
$6,969.00 |
$6,969.00 |
$6,969.00 |
$1,060.00
|
|
Cystine urine quantitative
|
$239.25 |
$239.25 |
$239.25 |
$112.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$919.50 |
$919.50 |
$919.50 |
$546.00
|
|
Cystoscopy and treatment
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$3,970.98
|
|
Cystoscopy and treatment
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$4,160.10
|
|
Cystoscopy and treatment
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$4,846.99
|
|
Cystoscopy and treatment
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$4,846.99
|
|
Cystoscopy and treatment
|
$5,949.75 |
$5,949.75 |
$5,949.75 |
$5,949.75
|
|
Cystoscopy and treatment
|
$4,587.75 |
$4,587.75 |
$4,587.75 |
$2,874.36
|
|
Cystoscopy (Bladder Scope)
|
$2,580.00 |
$2,580.00 |
$2,580.00 |
$1,636.00
|
|
Cystoscopy chemodenervation
|
$975.75 |
$975.75 |
$975.75 |
$2,874.36
|
|
Cystoscopy & ureter catheter
|
$2,397.00 |
$2,397.00 |
$2,397.00 |
$3,546.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$2,396.25 |
$2,396.25 |
$2,396.25 |
$4,319.20
|
|
Cystouretero w/lithotripsy
|
$11,789.25 |
$11,789.25 |
$11,789.25 |
$7,372.68
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,360.25 |
$2,360.25 |
$2,360.25 |
$3,036.00
|
|
Cytarabine 20 mg/ml injection solution
|
$64.71 |
$64.71 |
$64.71 |
$64.71
|
|
Cytogenetics 25-99
|
$143.25 |
$143.25 |
$143.25 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$101.25 |
$101.25 |
$101.25 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$131.25 |
$131.25 |
$131.25 |
$109.85
|
|
Cytomegalovirus imm IV /vial
|
$6,333.64 |
$6,333.64 |
$6,333.64 |
$6,333.64
|
|
Cytopathology cellular enhancement technique non-gyn
|
$197.25 |
$197.25 |
$197.25 |
$179.00
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$198.75 |
$198.75 |
$198.75 |
$101.64
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$173.25 |
$173.25 |
$173.25 |
$90.88
|
|
Cytopathology concentration technique smears & interpretation
|
$225.00 |
$225.00 |
$225.00 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$111.00 |
$111.00 |
$111.00 |
$147.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$131.25 |
$131.25 |
$131.25 |
$180.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$186.75 |
$186.75 |
$186.75 |
$233.00
|
|
Cytopath smear other source
|
$94.50 |
$94.50 |
$94.50 |
$94.50
|
|
Cytopath tbs c/v manual
|
$168.75 |
$168.75 |
$168.75 |
$57.94
|
|
Cytotoxic antibody screening
|
$504.75 |
$504.75 |
$504.75 |
$75.20
|
|
Cytp urine 3-5 probes cmptr
|
$907.50 |
$907.50 |
$907.50 |
$859.95
|
|
Dacarbazine 100 mg intravenous solution
|
$53.55 |
$53.55 |
$53.55 |
$53.55
|
|
Dactinomycin 0.5 mg intravenous solution
|
$10,014.84 |
$10,014.84 |
$10,014.84 |
$10,014.84
|
|
Dalbavancin 500 mg intravenous solution
|
$6,061.91 |
$6,061.91 |
$6,061.91 |
$6,061.91
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$38,894.03 |
$38,894.03 |
$38,894.03 |
$38,894.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$5,546.48 |
$5,546.48 |
$5,546.48 |
$5,546.48
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$38,568.63 |
$38,568.63 |
$38,568.63 |
$38,568.63
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$300.73 |
$300.73 |
$300.73 |
$300.73
|
|
D&c after delivery 59160
|
$3,102.00 |
$3,102.00 |
$3,102.00 |
$3,441.98
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$2,361.75 |
$2,361.75 |
$2,361.75 |
$3,627.00
|
|
Dch glucoscan
|
$23.25 |
$23.25 |
$23.25 |
$28.10
|
|
Dch pulmonary stress test
|
$1,811.25 |
$1,811.25 |
$1,811.25 |
$1,010.00
|
|
Dch validity tests
|
$34.50 |
$34.50 |
$34.50 |
$25.20
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,238.00 |
$2,238.00 |
$2,238.00 |
$4,021.68
|
|
Deamidated gliadin antibody iga
|
$42.75 |
$42.75 |
$42.75 |
$54.40
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$3,006.00 |
$3,006.00 |
$3,006.00 |
$726.05
|
|
Debridement (>20 cm) charge pt
|
$363.75 |
$363.75 |
$363.75 |
$341.40
|
|
Debridement bone <= 20 sq cm
|
$4,119.00 |
$4,119.00 |
$4,119.00 |
$2,700.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$654.75 |
$654.75 |
$654.75 |
$719.57
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,045.25 |
$2,045.25 |
$2,045.25 |
$1,738.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,148.25 |
$1,148.25 |
$1,148.25 |
$885.60
|
|
Debride nail1-5 11720
|
$291.75 |
$291.75 |
$291.75 |
$186.88
|
|
Debride nail6 or more 11721
|
$300.75 |
$300.75 |
$300.75 |
$200.21
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$940.50 |
$940.50 |
$940.50 |
$798.75
|
|
Debrid mastoidectomy cavity simple 69220
|
$292.50 |
$292.50 |
$292.50 |
$259.25
|
|
Debr musc/fascia 20sq cm/< 11043
|
$888.00 |
$888.00 |
$888.00 |
$1,160.00
|
|
Decalcification
|
$50.25 |
$50.25 |
$50.25 |
$75.38
|
|
Decitabine 50 mg intravenous solution
|
$634.17 |
$634.17 |
$634.17 |
$634.17
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$610.50 |
$610.50 |
$610.50 |
$534.80
|
|
Deferoxamine 500 mg solution for injection
|
$102.84 |
$102.84 |
$102.84 |
$102.84
|
|
Degarelix 120 mg subcutaneous solution
|
$3,396.16 |
$3,396.16 |
$3,396.16 |
$3,396.16
|
|
Delivery of placenta 59414
|
$2,570.25 |
$2,570.25 |
$2,570.25 |
$3,135.14
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$10,770.75 |
$10,770.75 |
$10,770.75 |
$8,127.00
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$196.50 |
$196.50 |
$196.50 |
$195.78
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$12,371.55 |
$12,371.55 |
$12,371.55 |
$12,371.55
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$460.50 |
$460.50 |
$460.50 |
$481.65
|
|
Dermagraft
|
$129.00 |
$129.00 |
$129.00 |
$129.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$172.46 |
$172.46 |
$172.46 |
$172.46
|