|
Culture afb any source
|
$117.00 |
$117.00 |
$117.00 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$78.00 |
$78.00 |
$78.00 |
$76.80
|
|
Culture anaerobic except blood
|
$281.40 |
$281.40 |
$281.40 |
$117.45
|
|
Culture bact stool aero addl path ea
|
$157.80 |
$157.80 |
$157.80 |
$52.50
|
|
Culture body fluid
|
$194.40 |
$194.40 |
$194.40 |
$126.75
|
|
Culture fungi definitive id mold
|
$57.60 |
$57.60 |
$57.60 |
$74.83
|
|
Culture fungi definitive id yeast
|
$124.20 |
$124.20 |
$124.20 |
$79.00
|
|
Culture fungi other (except blood)
|
$176.40 |
$176.40 |
$176.40 |
$105.81
|
|
Culture fungi skin/hair/nail
|
$135.00 |
$135.00 |
$135.00 |
$77.37
|
|
Culture mycoplasma any source
|
$42.00 |
$42.00 |
$42.00 |
$83.21
|
|
Culture screening strep group a
|
$116.40 |
$116.40 |
$116.40 |
$84.81
|
|
Culture typing added method
|
$63.00 |
$63.00 |
$63.00 |
$36.78
|
|
Culture typing immunologic
|
$32.40 |
$32.40 |
$32.40 |
$40.86
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$32.40 |
$32.40 |
$32.40 |
$123.76
|
|
Culture urine each isolate
|
$91.80 |
$91.80 |
$91.80 |
$51.30
|
|
Cutter lead
|
$10,635.46 |
$10,635.46 |
$10,635.46 |
$5,999.07
|
|
Cv line/pic reposition
|
$3,266.40 |
$3,266.40 |
$3,266.40 |
$1,720.93
|
|
Cyanocobalamin unsat binding capacity
|
$33.60 |
$33.60 |
$33.60 |
$64.28
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$25.30
|
|
Cyclic citrullinated peptide antibody
|
$102.00 |
$102.00 |
$102.00 |
$68.00
|
|
Cyclophosphamide 25 mg capsule
|
$28.80 |
$28.80 |
$28.80 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$290.40 |
$290.40 |
$290.40 |
$140.78
|
|
Cyclosporine 2 hour
|
$141.60 |
$141.60 |
$141.60 |
$126.00
|
|
Cyclosporine modified 25 mg capsule
|
$17.82 |
$17.82 |
$17.82 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$70.20 |
$70.20 |
$70.20 |
$34.88
|
|
Cygnus, per sq cm
|
$13,406.04 |
$13,406.04 |
$13,406.04 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$43,408.91 |
$43,408.91 |
$43,408.91 |
$24,131.60
|
|
Cyp2c19 gene com variants
|
$481.20 |
$481.20 |
$481.20 |
$425.25
|
|
Cyp2c9 gene com variants
|
$289.80 |
$289.80 |
$289.80 |
$266.50
|
|
Cyp2d6 gene com variants
|
$505.80 |
$505.80 |
$505.80 |
$554.00
|
|
Cyp3a5 gene common variants
|
$289.80 |
$289.80 |
$289.80 |
$237.90
|
|
Cystatin c
|
$168.00 |
$168.00 |
$168.00 |
$78.75
|
|
Cystic fibrosis cftr
|
$555.60 |
$555.60 |
$555.60 |
$1,060.00
|
|
Cystine urine quantitative
|
$300.60 |
$300.60 |
$300.60 |
$101.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$260.40 |
$260.40 |
$260.40 |
$546.00
|
|
Cystoscopy and treatment
|
$6,199.62 |
$6,199.62 |
$6,199.62 |
$5,304.00
|
|
Cystoscopy and treatment
|
$8,247.42 |
$8,247.42 |
$8,247.42 |
$5,855.00
|
|
Cystoscopy and treatment
|
$4,710.90 |
$4,710.90 |
$4,710.90 |
$2,896.40
|
|
Cystoscopy and treatment
|
$12,316.07 |
$12,316.07 |
$12,316.07 |
$3,986.00
|
|
Cystoscopy (Bladder Scope)
|
$4,550.70 |
$4,550.70 |
$4,550.70 |
$1,594.35
|
|
Cystoscopy chemodenervation
|
$12,061.44 |
$12,061.44 |
$12,061.44 |
$2,424.12
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$20,823.30 |
$20,823.30 |
$20,823.30 |
$4,045.60
|
|
Cytarabine 20 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
$89.94
|
|
Cytogenetics 25-99
|
$141.60 |
$141.60 |
$141.60 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$163.20 |
$163.20 |
$163.20 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$163.20 |
$163.20 |
$163.20 |
$95.00
|
|
Cyto/molecular report
|
$114.60 |
$114.60 |
$114.60 |
$144.75
|
|
Cytopath c/v thin layer redo
|
$64.80 |
$64.80 |
$64.80 |
$50.40
|
|
Cytopathology cellular enhancement technique non-gyn
|
$157.80 |
$157.80 |
$157.80 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$81.00 |
$81.00 |
$81.00 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$181.80 |
$181.80 |
$181.80 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$87.60 |
$87.60 |
$87.60 |
$137.54
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$118.20 |
$118.20 |
$118.20 |
$132.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$130.80 |
$130.80 |
$130.80 |
$70.00
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$156.00 |
$156.00 |
$156.00 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$277.20 |
$277.20 |
$277.20 |
$207.50
|
|
Cytopath smear other source
|
$159.00 |
$159.00 |
$159.00 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$156.60 |
$156.60 |
$156.60 |
$98.43
|
|
Cytopath tbs c/v manual
|
$67.20 |
$67.20 |
$67.20 |
$59.15
|
|
Cytotoxic antibody screening
|
$223.20 |
$223.20 |
$223.20 |
$184.63
|
|
Dalbavancin 500 mg intravenous solution
|
$4,963.80 |
$4,963.80 |
$4,963.80 |
$3,410.61
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$97.68 |
$97.68 |
$97.68 |
$262.47
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$10,797.30 |
$10,797.30 |
$10,797.30 |
$5,546.48
|
|
Dch glucoscan
|
$37.20 |
$37.20 |
$37.20 |
$27.75
|
|
Dch validity tests
|
$16.20 |
$16.20 |
$16.20 |
$24.61
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$12,322.80 |
$12,322.80 |
$12,322.80 |
$4,478.50
|
|
D&c of cervical stump
|
$2,640.60 |
$2,640.60 |
$2,640.60 |
$3,762.53
|
|
Deamidated gliadin antibody iga
|
$30.00 |
$30.00 |
$30.00 |
$44.16
|
|
Debridement (>20 cm) charge pt
|
$466.80 |
$466.80 |
$466.80 |
$272.00
|
|
Debridement bone <= 20 sq cm
|
$3,516.06 |
$3,516.06 |
$3,516.06 |
$2,347.90
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,927.80 |
$1,927.80 |
$1,927.80 |
$1,418.55
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$3,544.74 |
$3,544.74 |
$3,544.74 |
$811.20
|
|
Debride nail1-5 11720
|
$309.60 |
$309.60 |
$309.60 |
$161.70
|
|
Debride nail6 or more 11721
|
$413.40 |
$413.40 |
$413.40 |
$169.60
|
|
Debride skin bone at fx site
|
$23,456.11 |
$23,456.11 |
$23,456.11 |
$3,015.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$9,223.56 |
$9,223.56 |
$9,223.56 |
$1,914.40
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$640.00
|
|
Debr musc/fascia 20sq cm/< 11043
|
$3,336.84 |
$3,336.84 |
$3,336.84 |
$1,193.40
|
|
Decalcification
|
$176.40 |
$176.40 |
$176.40 |
$69.60
|
|
Decitabine 50 mg intravenous solution
|
$129.18 |
$129.18 |
$129.18 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$902.40 |
$902.40 |
$902.40 |
$540.00
|
|
Decompression of lower leg
|
$34,116.88 |
$34,116.88 |
$34,116.88 |
$3,839.54
|
|
Deep muscle biopsy 20205
|
$7,643.46 |
$7,643.46 |
$7,643.46 |
$3,386.84
|
|
Deferoxamine 500 mg solution for injection
|
$168.12 |
$168.12 |
$168.12 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$2,117.10 |
$2,117.10 |
$2,117.10 |
$1,780.55
|
|
Delayed breast prosthesis 19342
|
$31,250.30 |
$31,250.30 |
$31,250.30 |
$7,507.66
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$134.40 |
$134.40 |
$134.40 |
$193.05
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$9,624.78 |
$9,624.78 |
$9,624.78 |
$6,324.98
|
|
Depo-estradiol cypionate inj
|
$188.70 |
$188.70 |
$188.70 |
$69.99
|
|
Dermapure 1 square cm
|
$5,943.34 |
$5,943.34 |
$5,943.34 |
$1,915.73
|
|
Design mlc device for imrt
|
$1,753.20 |
$1,753.20 |
$1,753.20 |
$1,677.86
|
|
Desmopressin 4 mcg/ml injection solution
|
$40.32 |
$40.32 |
$40.32 |
$85.94
|
|
Desoxycorticosterone
|
$82.80 |
$82.80 |
$82.80 |
$109.28
|
|
Destroy cervthor facet jnt 64633
|
$3,042.00 |
$3,042.00 |
$3,042.00 |
$2,998.30
|
|
Destroy cth facet jnt addl 64634
|
$302.40 |
$302.40 |
$302.40 |
$1,441.44
|
|
Destruction by injection tx of nerve 64630
|
$1,441.20 |
$1,441.20 |
$1,441.20 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$935.40 |
$935.40 |
$935.40 |
$1,626.95
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$8,018.40 |
$8,018.40 |
$8,018.40 |
$3,153.00
|
|
Detect agent nos dna dir
|
$181.80 |
$181.80 |
$181.80 |
$80.08
|
