|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$360.60 |
$360.60 |
$360.60 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$94.80 |
$94.80 |
$94.80 |
$124.40
|
|
Culture urine each isolate
|
$86.40 |
$86.40 |
$86.40 |
$52.56
|
|
Cutter lead
|
$9,368.47 |
$9,368.47 |
$9,368.47 |
$6,012.98
|
|
Cv line/pic reposition
|
$1,482.60 |
$1,482.60 |
$1,482.60 |
$1,634.66
|
|
Cyanocobalamin unsat binding capacity
|
$33.60 |
$33.60 |
$33.60 |
$64.28
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$35.40 |
$35.40 |
$35.40 |
$72.00
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$459.78 |
$459.78 |
$699.54 |
$1,211.81
|
|
Cyclophosphamide 25 mg capsule
|
$8.64 |
$22.50 |
$41.28 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$298.98 |
$298.98 |
$321.18 |
$140.78
|
|
Cyclosporine 2 hour
|
$93.60 |
$93.60 |
$93.60 |
$129.00
|
|
Cyclosporine modified 25 mg capsule
|
$3.00 |
$10.62 |
$13.74 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$7.38 |
$14.16 |
$35.28 |
$34.51
|
|
Cygnus, per sq cm
|
$11,808.99 |
$11,808.99 |
$11,808.99 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$38,237.64 |
$38,237.64 |
$38,237.64 |
$22,803.38
|
|
Cyp2c19 gene com variants
|
$239.40 |
$239.40 |
$239.40 |
$433.00
|
|
Cyp2c9 gene com variants
|
$291.60 |
$291.60 |
$291.60 |
$266.50
|
|
Cyp2d6 gene com variants
|
$508.80 |
$508.80 |
$508.80 |
$525.95
|
|
Cystatin c
|
$72.00 |
$72.00 |
$72.00 |
$75.04
|
|
Cystic fibrosis cftr
|
$1,597.20 |
$1,597.20 |
$1,597.20 |
$1,060.00
|
|
Cystine urine quantitative
|
$121.20 |
$121.20 |
$121.20 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$432.60 |
$432.60 |
$645.60 |
$538.40
|
|
Cysto impl 4 or more
|
$23,416.99 |
$23,416.99 |
$23,726.33 |
$6,900.08
|
|
Cysto, litho, vacuum kidney
|
$32,161.35 |
$32,161.35 |
$33,665.37 |
$10,942.71
|
|
Cysto rx balo cath urtl strx
|
$20,728.01 |
$20,728.01 |
$20,889.08 |
$6,015.75
|
|
Cystoscopy and treatment
|
$11,498.39 |
$13,116.43 |
$26,620.00 |
$4,160.10
|
|
Cystoscopy and treatment
|
$10,203.85 |
$13,289.47 |
$13,684.51 |
$4,918.76
|
|
Cystoscopy and treatment
|
$11,343.32 |
$14,753.23 |
$15,732.75 |
$5,741.00
|
|
Cystoscopy and treatment
|
$16,777.76 |
$19,373.99 |
$23,602.16 |
$6,015.75
|
|
Cystoscopy and treatment
|
$15,384.42 |
$15,384.42 |
$15,384.42 |
$3,171.41
|
|
Cystoscopy and treatment
|
$13,515.97 |
$13,515.97 |
$13,515.97 |
$2,874.36
|
|
Cystoscopy and treatment
|
$7,777.34 |
$9,918.01 |
$13,672.28 |
$2,867.70
|
|
Cystoscopy and treatment
|
$1,637.40 |
$1,637.40 |
$1,637.40 |
$3,203.50
|
|
Cystoscopy (Bladder Scope)
|
$8,276.94 |
$15,071.59 |
$41,693.30 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$13,948.07 |
$16,816.72 |
$19,716.91 |
$2,424.12
|
|
Cystoscopy & ureter catheter
|
$8,295.55 |
$8,453.96 |
$13,938.42 |
$3,694.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$17,313.46 |
$17,313.46 |
$17,313.46 |
$3,863.60
|
|
Cystouretero & or pyeloscope
|
$12,580.00 |
$17,645.18 |
$26,842.15 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$11,409.75 |
$11,409.75 |
$21,851.12 |
$4,384.91
|
|
Cystouretero w/biopsy
|
$26,620.00 |
$26,620.00 |
$26,620.00 |
$5,650.88
|
|
Cysto/uretero w/lithotripsy
|
$28,046.45 |
$34,254.87 |
$43,616.92 |
$7,372.68
|
|
Cystouretero w/lithotripsy
|
$12,194.33 |
$30,182.91 |
$36,825.62 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$15,753.58 |
$18,478.17 |
$18,588.39 |
$4,892.09
|
|
Cystourethroscop/calib/dilat stric 52281
|
$8,148.54 |
$9,184.20 |
$13,948.52 |
$3,015.50
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$10,763.61 |
$11,528.30 |
$12,779.34 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$21,059.65 |
$21,059.65 |
$21,059.65 |
$1,702.51
|
|
Cystourethro w/implant
|
$21,059.65 |
$21,059.65 |
$21,059.65 |
$2,298.40
|
|
Cytarabine 20 mg/ml injection solution
|
$90.00 |
$90.00 |
$104.88 |
$90.00
|
|
Cytogenetics 25-99
|
$73.80 |
$73.80 |
$73.80 |
$189.80
|
|
Cytogenomic neo microra alys
|
$4,171.20 |
$4,171.20 |
$4,171.20 |
$1,911.78
|
|
Cytomegalovirus (cmv) antibody igg
|
$60.00 |
$60.00 |
$66.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$62.40 |
$62.40 |
$62.40 |
$96.20
|
|
Cytopath c/v index add-on
|
$37.80 |
$37.80 |
$37.80 |
$34.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$87.60 |
$87.60 |
$87.60 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$103.80 |
$103.80 |
$103.80 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$103.80 |
$103.80 |
$103.80 |
$86.56
|
|
Cytopathology concentration technique smears & interpretation
|
$164.40 |
$164.40 |
$164.40 |
$132.68
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$163.80 |
$163.80 |
$163.80 |
$129.28
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$118.80 |
$118.80 |
$118.80 |
$68.90
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$193.80 |
$193.80 |
$193.80 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$162.00 |
$162.00 |
$162.00 |
$207.50
|
|
Cytopath smear other source
|
$114.00 |
$144.00 |
$144.00 |
$88.13
|
|
Cytopath smear other source
|
$190.20 |
$190.20 |
$190.20 |
$136.85
|
|
Cytopath smear oth prep screen & interp
|
$143.40 |
$143.40 |
$143.40 |
$95.00
|
|
Cytopath tbs c/v manual
|
$38.40 |
$49.20 |
$49.20 |
$57.94
|
|
Cytotoxic antibody screening
|
$243.60 |
$243.60 |
$243.60 |
$184.63
|
|
Cytp urine 3-5 probes cmptr
|
$941.40 |
$941.40 |
$941.40 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$61.06
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$109.80 |
$109.80 |
$129.60 |
$169.00
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$6,687.36 |
$14,164.20 |
$16,718.40 |
$5,546.48
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$56,656.80 |
$56,656.80 |
$56,656.80 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$135.12 |
$135.12 |
$135.12 |
$259.58
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$48,083.13 |
$48,083.13 |
$48,083.13 |
$3,774.81
|
|
Dch glucoscan
|
$9.60 |
$9.60 |
$9.60 |
$27.50
|
|
Dch validity tests
|
$4.20 |
$15.00 |
$15.00 |
$24.11
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$5,121.00 |
$5,121.00 |
$5,121.00 |
$4,478.50
|
|
Deamidated gliadin antibody iga
|
$19.80 |
$19.80 |
$19.80 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$827.40 |
$827.40 |
$827.40 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$523.80 |
$550.20 |
$550.20 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$5,005.20 |
$19,226.16 |
$19,582.56 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,579.20 |
$1,579.20 |
$8,322.60 |
$654.75
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$5,005.20 |
$5,005.20 |
$16,709.46 |
$1,313.25
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$7,113.61 |
$7,520.78 |
$7,966.07 |
$810.50
|
|
Debride nail1-5 11720
|
$265.80 |
$265.80 |
$265.80 |
$144.95
|
|
Debride nail6 or more 11721
|
$404.40 |
$404.40 |
$404.40 |
$167.00
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,337.40 |
$1,337.40 |
$1,337.40 |
$973.71
|
|
Debride skin bone at fx site
|
$5,495.40 |
$7,781.10 |
$15,001.02 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$2,059.20 |
$2,059.20 |
$9,466.80 |
$639.60
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,476.60 |
$1,476.60 |
$1,476.60 |
$1,110.20
|
|
Debr inf skin add-on 11001
|
$719.40 |
$719.40 |
$719.40 |
$106.86
|
|
Debr musc/fascia 20sq cm/< 11043
|
$6,455.53 |
$7,225.28 |
$7,429.80 |
$1,160.00
|
|
Decalcification
|
$53.40 |
$53.40 |
$53.40 |
$70.40
|
|
Decitabine 50 mg intravenous solution
|
$3,096.00 |
$3,096.00 |
$3,096.00 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$324.60 |
$324.60 |
$324.60 |
$540.00
|
|
Decompression of tibia nerve
|
$23,584.12 |
$23,584.12 |
$32,350.64 |
$2,625.60
|
|
Deep muscle biopsy 20205
|
$3,138.60 |
$3,138.60 |
$13,771.08 |
$3,170.64
|
|
Deferoxamine 500 mg solution for injection
|
$58.44 |
$58.44 |
$58.44 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$3,932.40 |
$3,932.40 |
$3,932.40 |
$1,856.85
|
|
Delayed breast prosthesis 19342
|
$102,729.57 |
$102,729.57 |
$102,729.57 |
$7,698.09
|
