|
Culture anaerobic additional method definitive id each
|
$241.80 |
$241.80 |
$241.80 |
$78.82
|
|
Culture anaerobic except blood
|
$113.10 |
$113.10 |
$113.10 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$78.00 |
$78.00 |
$78.00 |
$52.50
|
|
Culture body fluid
|
$96.85 |
$96.85 |
$96.85 |
$130.50
|
|
Culture fungi definitive id mold
|
$94.90 |
$94.90 |
$94.90 |
$72.15
|
|
Culture fungi definitive id yeast
|
$70.85 |
$70.85 |
$70.85 |
$80.60
|
|
Culture fungi other (except blood)
|
$154.70 |
$154.70 |
$154.70 |
$100.20
|
|
Culture fungi skin/hair/nail
|
$32.50 |
$32.50 |
$32.50 |
$77.37
|
|
Culture mycobacteria definitive id each isolate
|
$154.05 |
$154.05 |
$154.05 |
$88.14
|
|
Culture mycoplasma any source
|
$100.10 |
$100.10 |
$100.10 |
$90.75
|
|
Culture quantitative aerobic other source
|
$137.80 |
$137.80 |
$137.80 |
$85.80
|
|
Culture screening strep group a
|
$80.60 |
$80.60 |
$80.60 |
$81.25
|
|
Culture typing immunologic
|
$48.75 |
$48.75 |
$48.75 |
$43.46
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$1,031.55 |
$1,031.55 |
$1,031.55 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$101.40 |
$101.40 |
$101.40 |
$124.02
|
|
Culture urine each isolate
|
$43.55 |
$43.55 |
$43.55 |
$46.20
|
|
Cv line/pic reposition
|
$2,612.35 |
$2,612.35 |
$2,612.35 |
$1,801.20
|
|
Cyanocobalamin unsat binding capacity
|
$186.55 |
$186.55 |
$186.55 |
$58.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$27.81 |
$27.81 |
$27.81 |
$27.22
|
|
Cyclic citrullinated peptide antibody
|
$82.55 |
$82.55 |
$82.55 |
$82.00
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$2.37 |
$2.37 |
$2.37 |
$779.37
|
|
Cyclophosphamide 25 mg capsule
|
$4.03 |
$4.03 |
$4.03 |
$26.35
|
|
Cyclosporine 2 hour
|
$34.45 |
$34.45 |
$34.45 |
$119.40
|
|
Cyclosporine modified 25 mg capsule
|
$3.84 |
$3.84 |
$3.84 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$272.42 |
$272.42 |
$272.42 |
$42.97
|
|
Cylinder pump set 20cm titan zero angl
|
$13,899.37 |
$13,899.37 |
$13,899.37 |
$20,966.02
|
|
Cyp2c19 gene com variants
|
$1,088.10 |
$1,088.10 |
$1,088.10 |
$553.00
|
|
Cyp2c9 gene com variants
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$275.10
|
|
Cyp2d6 gene com variants
|
$370.50 |
$370.50 |
$370.50 |
$537.50
|
|
Cyp3a4 gene common variants
|
$887.90 |
$887.90 |
$887.90 |
$230.01
|
|
Cyp3a5 gene common variants
|
$1,036.75 |
$1,036.75 |
$1,036.75 |
$220.50
|
|
Cystatin c
|
$82.55 |
$82.55 |
$82.55 |
$82.50
|
|
Cystic fibrosis cftr
|
$2,072.85 |
$2,072.85 |
$2,072.85 |
$1,041.95
|
|
Cystine urine quantitative
|
$213.85 |
$213.85 |
$213.85 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,020.50 |
$1,020.50 |
$1,020.50 |
$527.50
|
|
Cystoscopy and treatment
|
$4,295.20 |
$4,295.20 |
$4,295.20 |
$3,018.60
|
|
Cystoscopy (Bladder Scope)
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$1,619.67
|
|
Cystoscopy chemodenervation
|
$2,135.25 |
$2,135.25 |
$2,135.25 |
$2,424.12
|
|
Cystoscopy removal of clots
|
$3,582.15 |
$3,582.15 |
$3,582.15 |
$3,820.84
|
|
Cystostomy cystotomy w/drainage 51040
|
$4,301.70 |
$4,301.70 |
$4,301.70 |
$3,584.28
|
|
Cystouretero & or pyeloscope
|
$5,578.30 |
$5,578.30 |
$5,578.30 |
$4,315.98
|
|
Cytogenetics 25-99
|
$59.15 |
$59.15 |
$59.15 |
$177.45
|
|
Cytogenomic neo microra alys
|
$4,368.00 |
$4,368.00 |
$4,368.00 |
$1,742.40
|
|
Cytogenom microarray copy nmbr var
|
$3,234.40 |
$3,234.40 |
$3,234.40 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$206.70 |
$206.70 |
$206.70 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$95.55 |
$95.55 |
$95.55 |
$100.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$206.70 |
$206.70 |
$206.70 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$33.80 |
$33.80 |
$33.80 |
$91.53
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$30.55 |
$30.55 |
$30.55 |
$85.60
|
|
Cytopathology concentration technique smears & interpretation
|
$234.00 |
$234.00 |
$234.00 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$134.55 |
$134.55 |
$134.55 |
$122.40
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$84.50 |
$84.50 |
$84.50 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$196.30 |
$196.30 |
$196.30 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$516.75 |
$516.75 |
$516.75 |
$203.08
|
|
Cytopath smear oth prep screen & interp
|
$840.45 |
$840.45 |
$840.45 |
$95.00
|
|
Dacarbazine 100 mg intravenous solution
|
$82.91 |
$82.91 |
$82.91 |
$65.60
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$63.64 |
$63.64 |
$63.64 |
$466.31
|
|
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
|
$1,734.85 |
$1,734.85 |
$1,734.85 |
$964.41
|
|
Dch validity tests
|
$72.80 |
$72.80 |
$72.80 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,989.35 |
$2,989.35 |
$2,989.35 |
$4,021.68
|
|
Deamidated gliadin antibody iga
|
$35.10 |
$35.10 |
$35.10 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$379.60 |
$379.60 |
$379.60 |
$678.13
|
|
Debridement (>20 cm) charge pt
|
$194.35 |
$194.35 |
$194.35 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,562.95 |
$2,562.95 |
$2,562.95 |
$2,494.27
|
|
Debridement/bone/20 sq cm or less 11046
|
$247.00 |
$247.00 |
$247.00 |
$665.40
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$283.40 |
$283.40 |
$283.40 |
$1,359.15
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$631.15 |
$631.15 |
$631.15 |
$798.23
|
|
Debride nail1-5 11720
|
$312.65 |
$312.65 |
$312.65 |
$173.25
|
|
Debride nail6 or more 11721
|
$481.65 |
$481.65 |
$481.65 |
$196.56
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$246.35 |
$246.35 |
$246.35 |
$640.00
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$920.40 |
$920.40 |
$920.40 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$955.50 |
$955.50 |
$955.50 |
$1,161.05
|
|
Decalcification
|
$107.90 |
$107.90 |
$107.90 |
$75.38
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$1,162.20 |
$1,162.20 |
$1,162.20 |
$510.95
|
|
Deferoxamine 500 mg solution for injection
|
$60.42 |
$60.42 |
$60.42 |
$112.87
|
|
Delivery of placenta 59414
|
$962.00 |
$962.00 |
$962.00 |
$3,135.14
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$6,470.75 |
$6,470.75 |
$6,470.75 |
$8,127.00
|
|
Demonstrate use home inr mon
|
$109.20 |
$109.20 |
$109.20 |
$152.50
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$145.60 |
$145.60 |
$145.60 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$10,954.38 |
$10,954.38 |
$10,954.38 |
$7,737.00
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$592.80 |
$592.80 |
$592.80 |
$460.50
|
|
Descend thora aorta rpr/lt sub art 33880
|
$1,469.00 |
$1,469.00 |
$1,469.00 |
$5,702.04
|
|
Design mlc device for imrt
|
$702.65 |
$702.65 |
$702.65 |
$1,641.90
|
|
Desmopressin 4 mcg/ml injection solution
|
$36.46 |
$36.46 |
$36.46 |
$148.77
|
|
Desoxycorticosterone
|
$348.40 |
$348.40 |
$348.40 |
$109.28
|
|
Des thora aorta/ea add prox prosth 33884
|
$538.20 |
$538.20 |
$538.20 |
$1,288.90
|
|
Des thora aorta rpr without left sub art 33881
|
$1,469.00 |
$1,469.00 |
$1,469.00 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$538.20 |
$538.20 |
$538.20 |
$2,571.56
|
|
Destroy cervthor facet jnt 64633
|
$5,233.80 |
$5,233.80 |
$5,233.80 |
$2,998.30
|
|
Destroy cth facet jnt addl 64634
|
$1,394.90 |
$1,394.90 |
$1,394.90 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$4,043.65 |
$4,043.65 |
$4,043.65 |
$1,344.85
|
|
Destruction benign lesions < 14 lesions
|
$368.55 |
$368.55 |
$368.55 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$1,343.55 |
$1,343.55 |
$1,343.55 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,684.80 |
$1,684.80 |
$1,684.80 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,976.70 |
$3,976.70 |
$3,976.70 |
$3,375.00
|
|
Developmental screen/score/document 96110
|
$130.65 |
$130.65 |
$130.65 |
$139.10
|
|
Devel tst phys/qhp 1st hr
|
$343.20 |
$343.20 |
$343.20 |
$351.00
|
|
Device intraute mirena
|
$2,211.85 |
$2,211.85 |
$2,211.85 |
$2,427.00
|
