|
Culture fungi other (except blood)
|
$67.20 |
$67.20 |
$67.20 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$97.80 |
$97.80 |
$97.80 |
$74.88
|
|
Culture mycoplasma any source
|
$124.80 |
$124.80 |
$124.80 |
$85.26
|
|
Culture quantitative aerobic other source
|
$100.80 |
$100.80 |
$100.80 |
$90.35
|
|
Culture screening strep group a
|
$141.60 |
$141.60 |
$141.60 |
$81.00
|
|
Culture typing added method
|
$118.80 |
$118.80 |
$118.80 |
$38.58
|
|
Culture typing immunologic
|
$29.40 |
$29.40 |
$29.40 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$318.00 |
$318.00 |
$318.00 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$33.60 |
$33.60 |
$33.60 |
$133.90
|
|
Culture urine each isolate
|
$41.40 |
$41.40 |
$41.40 |
$57.00
|
|
Cutter lead
|
$10,244.97 |
$10,244.97 |
$10,244.97 |
$6,092.06
|
|
Cv line/pic reposition
|
$2,583.60 |
$2,583.60 |
$2,583.60 |
$1,720.93
|
|
Cyanocobalamin unsat binding capacity
|
$84.60 |
$84.60 |
$84.60 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$57.60 |
$57.60 |
$57.60 |
$70.72
|
|
Cyclosporine 2 hour
|
$142.20 |
$142.20 |
$142.20 |
$129.48
|
|
Cygnus, per sq cm
|
$12,913.83 |
$12,913.83 |
$12,913.83 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$41,815.13 |
$41,815.13 |
$41,815.13 |
$22,803.38
|
|
Cyp2c19 gene com variants
|
$234.60 |
$234.60 |
$234.60 |
$504.00
|
|
Cyp2c9 gene com variants
|
$168.00 |
$168.00 |
$168.00 |
$275.10
|
|
Cyp2d6 gene com variants
|
$433.80 |
$433.80 |
$433.80 |
$554.00
|
|
Cyp3a4 gene common variants
|
$132.60 |
$132.60 |
$132.60 |
$245.31
|
|
Cyp3a5 gene common variants
|
$103.80 |
$103.80 |
$103.80 |
$245.31
|
|
Cystatin c
|
$142.80 |
$142.80 |
$142.80 |
$77.50
|
|
Cystic fibrosis cftr
|
$1,145.40 |
$1,145.40 |
$1,145.40 |
$1,100.00
|
|
Cystine urine quantitative
|
$266.40 |
$266.40 |
$266.40 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$639.60 |
$639.60 |
$639.60 |
$542.10
|
|
Cystoscopy and treatment
|
$9,166.98 |
$9,166.98 |
$9,166.98 |
$4,160.10
|
|
Cystoscopy and treatment
|
$9,974.28 |
$9,974.28 |
$9,974.28 |
$5,162.50
|
|
Cystoscopy and treatment
|
$11,256.36 |
$11,256.36 |
$11,256.36 |
$5,995.60
|
|
Cystoscopy and treatment
|
$14,342.27 |
$14,342.27 |
$14,342.27 |
$6,475.26
|
|
Cystoscopy and treatment
|
$8,960.76 |
$8,960.76 |
$8,960.76 |
$2,874.36
|
|
Cystoscopy and treatment
|
$3,454.20 |
$3,454.20 |
$3,454.20 |
$3,203.50
|
|
Cystoscopy (Bladder Scope)
|
$9,449.14 |
$9,449.14 |
$9,449.14 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$11,055.42 |
$11,055.42 |
$11,055.42 |
$2,704.80
|
|
Cystoscopy & ureter catheter
|
$9,543.30 |
$9,543.30 |
$9,543.30 |
$3,786.00
|
|
Cystotomy excise/incise/repair 51535
|
$15,253.45 |
$15,253.45 |
$15,253.45 |
$4,081.37
|
|
Cystouretero & or pyeloscope
|
$13,406.77 |
$13,406.77 |
$13,406.77 |
$4,315.98
|
|
Cysto/uretero w/lithotripsy
|
$16,338.50 |
$16,338.50 |
$16,338.50 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$14,331.77 |
$14,331.77 |
$14,331.77 |
$7,061.60
|
|
Cystourethroscop/calib/dilat stric 52281
|
$10,397.79 |
$10,397.79 |
$10,397.79 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$10,619.58 |
$10,619.58 |
$10,619.58 |
$4,045.60
|
|
Cytogenetics 25-99
|
$277.20 |
$277.20 |
$277.20 |
$190.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$154.80 |
$154.80 |
$154.80 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$180.00 |
$180.00 |
$180.00 |
$97.50
|
|
Cytopath c/v thin layer redo
|
$139.80 |
$139.80 |
$139.80 |
$61.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$239.40 |
$239.40 |
$239.40 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$160.20 |
$160.20 |
$160.20 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$135.60 |
$135.60 |
$135.60 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$458.40 |
$458.40 |
$458.40 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$279.00 |
$279.00 |
$279.00 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$379.20 |
$379.20 |
$379.20 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$471.60 |
$471.60 |
$471.60 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$599.40 |
$599.40 |
$599.40 |
$209.23
|
|
Cytopath smear other source
|
$111.00 |
$111.00 |
$111.00 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$345.00 |
$345.00 |
$345.00 |
$96.20
|
|
Cytopath tbs c/v manual
|
$126.60 |
$126.60 |
$126.60 |
$59.28
|
|
Cytotoxic antibody screening
|
$242.40 |
$242.40 |
$242.40 |
$189.00
|
|
Dacarbazine 100 mg intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$58.22
|
|
Dalbavancin 500 mg intravenous solution
|
$3,661.56 |
$3,661.56 |
$3,661.56 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$31,525.32 |
$31,525.32 |
$31,525.32 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$9,218.34 |
$9,218.34 |
$9,218.34 |
$6,072.48
|
|
Dch glucoscan
|
$39.00 |
$39.00 |
$39.00 |
$28.10
|
|
Dch validity tests
|
$41.40 |
$41.40 |
$41.40 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$30.00 |
$30.00 |
$30.00 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$340.80 |
$340.80 |
$340.80 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$2,053.80 |
$2,053.80 |
$2,053.80 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$233.40 |
$233.40 |
$233.40 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$625.80 |
$625.80 |
$625.80 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$17,230.20 |
$17,230.20 |
$17,230.20 |
$810.50
|
|
Debride skin bone at fx site
|
$5,014.80 |
$5,014.80 |
$5,014.80 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$233.40 |
$233.40 |
$233.40 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$210.60 |
$210.60 |
$210.60 |
$235.13
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,093.80 |
$1,093.80 |
$1,093.80 |
$1,160.00
|
|
Decalcification
|
$168.00 |
$168.00 |
$168.00 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$138.30 |
$138.30 |
$138.30 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$439.20 |
$439.20 |
$439.20 |
$543.00
|
|
Decompression of lower leg
|
$14,584.32 |
$14,584.32 |
$14,584.32 |
$3,839.54
|
|
Decompression of tibia nerve
|
$14,584.32 |
$14,584.32 |
$14,584.32 |
$2,625.60
|
|
Deferoxamine 500 mg solution for injection
|
$51.30 |
$51.30 |
$51.30 |
$95.85
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$186.00 |
$186.00 |
$186.00 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$8,217.30 |
$8,217.30 |
$8,217.30 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$316.20 |
$316.20 |
$316.20 |
$408.10
|
|
Dermapure 1 square cm
|
$5,725.13 |
$5,725.13 |
$5,725.13 |
$3,822.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$43.32 |
$43.32 |
$43.32 |
$89.78
|
|
Desoxycorticosterone
|
$162.60 |
$162.60 |
$162.60 |
$109.28
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$331.20 |
$331.20 |
$331.20 |
$362.58
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$334.80 |
$334.80 |
$334.80 |
$312.00
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$175.80 |
$175.80 |
$175.80 |
$317.00
|
|
Destroy cervthor facet jnt 64633
|
$6,521.52 |
$6,521.52 |
$6,521.52 |
$3,011.50
|
|
Destroy cth facet jnt addl 64634
|
$6,521.52 |
$6,521.52 |
$6,521.52 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$10,497.06 |
$10,497.06 |
$10,497.06 |
$1,344.85
|
|
Destroy premlg lesns;1st lesn 17000
|
$142.80 |
$142.80 |
$142.80 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$3,152.40 |
$3,152.40 |
$3,152.40 |
$2,837.09
|
|
Destruct ben lesion 15/> 17111
|
$207.00 |
$207.00 |
$207.00 |
$235.13
|
|
Destruction anal lesion(s)
|
$4,549.80 |
$4,549.80 |
$4,549.80 |
$3,363.79
|
|
Destruction benign lesions < 14 lesions
|
$135.00 |
$135.00 |
$135.00 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$6,338.88 |
$6,338.88 |
$6,338.88 |
$1,616.72
|
