|
Culture fungi skin/hair/nail
|
$126.00 |
$126.00 |
$126.00 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$96.75 |
$96.75 |
$96.75 |
$100.00
|
|
Culture mycoplasma any source
|
$148.50 |
$148.50 |
$148.50 |
$83.21
|
|
Culture quantitative aerobic other source
|
$99.75 |
$99.75 |
$99.75 |
$87.02
|
|
Culture screening strep group a
|
$115.50 |
$115.50 |
$115.50 |
$84.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$408.75 |
$408.75 |
$408.75 |
$408.37
|
|
Cutter lead
|
$22,020.89 |
$22,020.89 |
$22,020.89 |
$6,581.45
|
|
Cv line/pic reposition
|
$2,363.25 |
$2,363.25 |
$2,363.25 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$105.75 |
$105.75 |
$105.75 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$25.86 |
$25.86 |
$25.86 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$249.75 |
$249.75 |
$249.75 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$4,143.90 |
$4,143.90 |
$4,143.90 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$2,769.06 |
$2,769.06 |
$2,769.06 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$243.99 |
$243.99 |
$243.99 |
$140.78
|
|
Cyclosporine 2 hour
|
$166.50 |
$166.50 |
$166.50 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$470.55 |
$470.55 |
$470.55 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$2,865.39 |
$2,865.39 |
$2,865.39 |
$37.31
|
|
Cylinder pump set 20cm titan zero angl
|
$42,849.57 |
$42,849.57 |
$42,849.57 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$613.50 |
$613.50 |
$613.50 |
$524.00
|
|
Cyp2c9 gene com variants
|
$368.25 |
$368.25 |
$368.25 |
$275.10
|
|
Cyp2d6 gene com variants
|
$949.50 |
$949.50 |
$949.50 |
$570.70
|
|
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
|
$113.25 |
$113.25 |
$113.25 |
$77.60
|
|
Cystic fibrosis cftr
|
$7,404.75 |
$7,404.75 |
$7,404.75 |
$1,104.40
|
|
Cystine urine quantitative
|
$88.50 |
$88.50 |
$88.50 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$726.00 |
$726.00 |
$726.00 |
$586.95
|
|
Cystoscopy and treatment
|
$3,325.50 |
$3,325.50 |
$3,325.50 |
$4,081.37
|
|
Cystoscopy and treatment
|
$3,900.75 |
$3,900.75 |
$3,900.75 |
$4,638.40
|
|
Cystoscopy and treatment
|
$3,273.75 |
$3,273.75 |
$3,273.75 |
$5,304.00
|
|
Cystoscopy and treatment
|
$3,273.75 |
$3,273.75 |
$3,273.75 |
$5,995.60
|
|
Cystoscopy and treatment
|
$3,168.00 |
$3,168.00 |
$3,168.00 |
$6,593.60
|
|
Cystoscopy and treatment
|
$3,834.75 |
$3,834.75 |
$3,834.75 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$2,693.25 |
$2,693.25 |
$2,693.25 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$1,722.00 |
$1,722.00 |
$1,722.00 |
$2,874.36
|
|
Cystoscopy & ureter catheter
|
$2,397.00 |
$2,397.00 |
$2,397.00 |
$3,728.50
|
|
Cystouretero w/lithotripsy
|
$11,789.25 |
$11,789.25 |
$11,789.25 |
$7,372.68
|
|
Cytarabine 20 mg/ml injection solution
|
$64.71 |
$64.71 |
$64.71 |
$90.00
|
|
Cytogenetics 25-99
|
$188.25 |
$188.25 |
$188.25 |
$189.80
|
|
Cytog genom-wid alys hem mal
|
$2,368.50 |
$2,368.50 |
$2,368.50 |
$1,263.53
|
|
Cytomegalovirus (cmv) antibody igg
|
$171.00 |
$171.00 |
$171.00 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$84.00 |
$84.00 |
$84.00 |
$100.00
|
|
Cytomegalovirus imm IV /vial
|
$6,333.64 |
$6,333.64 |
$6,333.64 |
$3,072.34
|
|
Cytopath c/v index add-on
|
$47.25 |
$47.25 |
$47.25 |
$34.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$240.75 |
$240.75 |
$240.75 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$201.75 |
$201.75 |
$201.75 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$189.00 |
$189.00 |
$189.00 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$314.25 |
$314.25 |
$314.25 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$266.25 |
$266.25 |
$266.25 |
$127.50
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$164.25 |
$164.25 |
$164.25 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$339.00 |
$339.00 |
$339.00 |
$213.85
|
|
Cytopath smear other source
|
$190.50 |
$190.50 |
$190.50 |
$92.50
|
|
Cytopath tbs c/v manual
|
$96.00 |
$96.00 |
$96.00 |
$59.28
|
|
Cytotoxic antibody screening
|
$505.50 |
$505.50 |
$505.50 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$907.50 |
$907.50 |
$907.50 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$53.55 |
$53.55 |
$53.55 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$10,014.84 |
$10,014.84 |
$10,014.84 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$6,061.91 |
$6,061.91 |
$6,061.91 |
$3,493.11
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$38,894.03 |
$38,894.03 |
$38,894.03 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$5,546.48 |
$5,546.48 |
$5,546.48 |
$6,281.29
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$38,568.63 |
$38,568.63 |
$38,568.63 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$300.73 |
$300.73 |
$300.73 |
$259.58
|
|
D&c after delivery 59160
|
$2,361.75 |
$2,361.75 |
$2,361.75 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$2,361.75 |
$2,361.75 |
$2,361.75 |
$3,774.81
|
|
Dch glucoscan
|
$30.00 |
$30.00 |
$30.00 |
$29.16
|
|
Dch pulmonary stress test
|
$1,811.25 |
$1,811.25 |
$1,811.25 |
$963.30
|
|
Dch validity tests
|
$34.50 |
$34.50 |
$34.50 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,238.00 |
$2,238.00 |
$2,238.00 |
$5,121.00
|
|
Deamidated gliadin antibody iga
|
$42.75 |
$42.75 |
$42.75 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$3,137.25 |
$3,137.25 |
$3,137.25 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$432.75 |
$432.75 |
$432.75 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$3,915.75 |
$3,915.75 |
$3,915.75 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$915.75 |
$915.75 |
$915.75 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,219.25 |
$2,219.25 |
$2,219.25 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$899.25 |
$899.25 |
$899.25 |
$835.20
|
|
Debride nail1-5 11720
|
$222.75 |
$222.75 |
$222.75 |
$149.60
|
|
Debride nail6 or more 11721
|
$236.25 |
$236.25 |
$236.25 |
$169.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$798.75 |
$798.75 |
$798.75 |
$663.30
|
|
Debrid mastoidectomy cavity simple 69220
|
$292.50 |
$292.50 |
$292.50 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$2,165.25 |
$2,165.25 |
$2,165.25 |
$1,149.50
|
|
Debr musc/fascia 20sq cm/< 11043
|
$997.50 |
$997.50 |
$997.50 |
$1,165.50
|
|
Decalcification
|
$197.25 |
$197.25 |
$197.25 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$634.17 |
$634.17 |
$634.17 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$610.50 |
$610.50 |
$610.50 |
$572.95
|
|
Deferoxamine 500 mg solution for injection
|
$102.84 |
$102.84 |
$102.84 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$3,396.16 |
$3,396.16 |
$3,396.16 |
$1,856.85
|
|
Delivery of placenta 59414
|
$2,361.75 |
$2,361.75 |
$2,361.75 |
$2,912.46
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$10,770.75 |
$10,770.75 |
$10,770.75 |
$6,670.30
|
|
Demonstrate use home inr mon
|
$153.75 |
$153.75 |
$153.75 |
$294.75
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$208.50 |
$208.50 |
$208.50 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$12,371.55 |
$12,371.55 |
$12,371.55 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$372.75 |
$372.75 |
$372.75 |
$401.60
|
|
Dermagraft
|
$283.50 |
$283.50 |
$283.50 |
$85.00
|
|
Dermapure 1 square cm
|
$5,197.50 |
$5,197.50 |
$5,197.50 |
$3,300.73
|
|
Derm-maxx, per sq cm
|
$7,762.50 |
$7,762.50 |
$7,762.50 |
$1.00
|
|
Descend thora aorta rpr/lt sub art 33880
|
$5,062.50 |
$5,062.50 |
$5,062.50 |
$6,288.45
|
|
Design mlc device for imrt
|
$2,016.00 |
$2,016.00 |
$2,016.00 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$172.46 |
$172.46 |
$172.46 |
$91.84
|
|
Desoxycorticosterone
|
$465.75 |
$465.75 |
$465.75 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$15,243.75 |
$15,243.75 |
$15,243.75 |
$5,267.20
|
