|
Culture typing added method
|
$59.40 |
$59.40 |
$59.40 |
$34.45
|
|
Culture typing immunologic
|
$31.80 |
$31.80 |
$31.80 |
$40.70
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$30.60 |
$30.60 |
$30.60 |
$123.76
|
|
Culture urine each isolate
|
$87.00 |
$87.00 |
$87.00 |
$51.35
|
|
Cutter lead
|
$10,635.46 |
$10,635.46 |
$10,635.46 |
$5,790.00
|
|
Cyanocobalamin unsat binding capacity
|
$33.00 |
$33.00 |
$33.00 |
$64.28
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$82.20 |
$82.20 |
$82.20 |
$68.00
|
|
Cyclosporine 2 hour
|
$118.80 |
$118.80 |
$118.80 |
$126.00
|
|
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
|
$477.00 |
$477.00 |
$477.00 |
$419.85
|
|
Cyp2c9 gene com variants
|
$286.80 |
$286.80 |
$286.80 |
$257.36
|
|
Cyp2d6 gene com variants
|
$501.00 |
$501.00 |
$501.00 |
$537.50
|
|
Cyp3a5 gene common variants
|
$286.80 |
$286.80 |
$286.80 |
$231.00
|
|
Cystatin c
|
$158.40 |
$158.40 |
$158.40 |
$78.75
|
|
Cystic fibrosis cftr
|
$778.80 |
$778.80 |
$778.80 |
$1,060.00
|
|
Cystine urine quantitative
|
$286.20 |
$286.20 |
$286.20 |
$101.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$511.80 |
$511.80 |
$511.80 |
$542.10
|
|
Cystoscopy and treatment
|
$2,998.80 |
$2,998.80 |
$2,998.80 |
$2,896.40
|
|
Cystoscopy and treatment
|
$3,036.00 |
$3,036.00 |
$3,036.00 |
$3,219.80
|
|
Cystoscopy (Bladder Scope)
|
$1,066.80 |
$1,066.80 |
$1,066.80 |
$1,525.60
|
|
Cystoscopy & ureter catheter
|
$3,549.60 |
$3,549.60 |
$3,549.60 |
$3,787.80
|
|
Cystourethroscop/calib/dilat stric 52281
|
$1,619.40 |
$1,619.40 |
$1,619.40 |
$3,015.50
|
|
Cytogenetics 25-99
|
$133.80 |
$133.80 |
$133.80 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$121.80 |
$121.80 |
$121.80 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$121.80 |
$121.80 |
$121.80 |
$95.00
|
|
Cytopath c/v thin layer redo
|
$61.20 |
$61.20 |
$61.20 |
$50.40
|
|
Cytopathology cellular enhancement technique non-gyn
|
$187.80 |
$187.80 |
$187.80 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$93.60 |
$93.60 |
$93.60 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$352.20 |
$352.20 |
$352.20 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$209.40 |
$209.40 |
$209.40 |
$137.54
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$217.20 |
$217.20 |
$217.20 |
$132.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$147.00 |
$147.00 |
$147.00 |
$70.00
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$147.00 |
$147.00 |
$147.00 |
$185.64
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$331.80 |
$331.80 |
$331.80 |
$207.50
|
|
Cytopath smear other source
|
$150.00 |
$150.00 |
$150.00 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$175.80 |
$175.80 |
$175.80 |
$96.20
|
|
Cytopath tbs c/v manual
|
$132.00 |
$132.00 |
$132.00 |
$59.01
|
|
Cytotoxic antibody screening
|
$220.80 |
$220.80 |
$220.80 |
$184.63
|
|
Cytp urine 3-5 probes cmptr
|
$792.00 |
$792.00 |
$792.00 |
$708.18
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$2,159.46 |
$2,159.46 |
$2,159.46 |
$5,546.48
|
|
Dch glucoscan
|
$31.20 |
$31.20 |
$31.20 |
$27.50
|
|
Dch validity tests
|
$15.60 |
$15.60 |
$15.60 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$30.00 |
$30.00 |
$30.00 |
$44.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,175.40 |
$1,175.40 |
$1,175.40 |
$668.55
|
|
Debridement bone <= 20 sq cm
|
$4,909.20 |
$4,909.20 |
$4,909.20 |
$2,321.40
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,444.20 |
$1,444.20 |
$1,444.20 |
$810.50
|
|
Debride nail6 or more 11721
|
$5,105.16 |
$5,105.16 |
$5,105.16 |
$167.63
|
|
Debride skin bone at fx site
|
$5,595.60 |
$5,595.60 |
$5,595.60 |
$3,015.00
|
|
Debr musc/fascia 20sq cm/< 11043
|
$9,031.41 |
$9,031.41 |
$9,031.41 |
$1,176.57
|
|
Decalcification
|
$165.60 |
$165.60 |
$165.60 |
$69.60
|
|
Demonstrate use home inr mon
|
$201.00 |
$201.00 |
$201.00 |
$270.40
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$218.40 |
$218.40 |
$218.40 |
$192.72
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$5,232.48 |
$5,232.48 |
$5,232.48 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$478.80 |
$478.80 |
$478.80 |
$414.78
|
|
Dermapure 1 square cm
|
$5,943.34 |
$5,943.34 |
$5,943.34 |
$1,915.73
|
|
Desoxycorticosterone
|
$81.60 |
$81.60 |
$81.60 |
$108.75
|
|
Destroy cervthor facet jnt 64633
|
$4,259.17 |
$4,259.17 |
$4,259.17 |
$2,998.30
|
|
Destroy cth facet jnt addl 64634
|
$4,259.17 |
$4,259.17 |
$4,259.17 |
$1,441.44
|
|
Destruction benign lesions < 14 lesions
|
$5,786.22 |
$5,786.22 |
$5,786.22 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$4,202.65 |
$4,202.65 |
$4,202.65 |
$1,626.95
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$4,203.55 |
$4,203.55 |
$4,203.55 |
$3,148.11
|
|
Detect agent nos dna dir
|
$180.60 |
$180.60 |
$180.60 |
$80.08
|
|
Detect agnt mult dna direc
|
$144.60 |
$144.60 |
$144.60 |
$147.75
|
|
Device ablt adv novasure
|
$14,448.73 |
$14,448.73 |
$14,448.73 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$7,447.80 |
$7,447.80 |
$7,447.80 |
$4,285.86
|
|
Device sut capio slim opn
|
$3,408.11 |
$3,408.11 |
$3,408.11 |
$1,936.74
|
|
Device tiss remov myosure reach
|
$2,759.41 |
$2,759.41 |
$2,759.41 |
$2,529.60
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$615.60 |
$615.60 |
$615.60 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$3.84 |
$3.84 |
$3.84 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$15.30 |
$15.30 |
$15.30 |
$22.05
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$30.00 |
$30.00 |
$30.00 |
$36.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$30.00 |
$30.00 |
$30.00 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$30.00 |
$30.00 |
$30.00 |
$42.32
|
|
Dextrose 5 % IV bolus
|
$30.00 |
$30.00 |
$30.00 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$139.20 |
$139.20 |
$139.20 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$125.40 |
$125.40 |
$125.40 |
$79.52
|
|
Diab manage trn ind/group
|
$67.80 |
$67.80 |
$67.80 |
$57.75
|
|
Diagnostic anoscopy spx 46600
|
$174.60 |
$174.60 |
$174.60 |
$195.50
|
|
Diagnostic laryngoscopy 31575
|
$375.60 |
$375.60 |
$375.60 |
$367.19
|
|
Diagnostic Mammogram (both breasts)
|
$181.20 |
$181.20 |
$181.20 |
$399.94
|
|
Diagnostic Mammogram (one breast)
|
$164.40 |
$164.40 |
$164.40 |
$310.00
|
|
Dialysis one evaluation
|
$906.00 |
$906.00 |
$906.00 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$34.38 |
$34.38 |
$34.38 |
$74.02
|
|
Dicyclomine injection
|
$79.56 |
$79.56 |
$79.56 |
$157.69
|
|
Diffusing capacity
|
$457.20 |
$457.20 |
$457.20 |
$332.01
|
|
Digital analysis of eeg
|
$775.20 |
$775.20 |
$775.20 |
$605.60
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$9.00 |
$9.00 |
$9.00 |
$69.81
|
|
Digoxin immune fab 40 mg intravenous solution
|
$13,877.46 |
$13,877.46 |
$13,877.46 |
$8,930.80
|
|
Digoxin total therapeutic drug level
|
$46.80 |
$46.80 |
$46.80 |
$99.60
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$214.20 |
$214.20 |
$214.20 |
$304.16
|
|
Dilation/urethral strict/male/ini 53620
|
$1,213.20 |
$1,213.20 |
$1,213.20 |
$1,386.89
|
|
Dilator fascial 10fx20cm
|
$945.57 |
$945.57 |
$945.57 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$46.56 |
$46.56 |
$46.56 |
$51.12
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$17.38
|
|
Disaccharidases
|
$237.00 |
$237.00 |
$237.00 |
$203.08
|
|
Dmd dup/delet analysis
|
$541.80 |
$541.80 |
$541.80 |
$385.02
|
|
Dna antibody native/double stranded
|
$150.00 |
$150.00 |
$150.00 |
$100.00
|
|
Dna gardnerella
|
$43.20 |
$43.20 |
$43.20 |
$62.50
|
