|
Cystic fibrosis cftr
|
$1,190.80 |
$1,190.80 |
$1,190.80 |
$1,041.95
|
|
Cystogram >= 3 views supervision & interpretation
|
$681.85 |
$681.85 |
$681.85 |
$487.04
|
|
Cystometrogram w/up 51727
|
$671.45 |
$671.45 |
$671.45 |
$857.38
|
|
Cytogenetics 25-99
|
$91.65 |
$91.65 |
$91.65 |
$188.40
|
|
Cytomegalovirus (cmv) antibody igg
|
$106.60 |
$106.60 |
$106.60 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$100.75 |
$100.75 |
$100.75 |
$95.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$146.25 |
$146.25 |
$146.25 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$71.50 |
$71.50 |
$71.50 |
$98.00
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$70.20 |
$70.20 |
$70.20 |
$90.88
|
|
Cytopath tbs c/v manual
|
$53.30 |
$53.30 |
$53.30 |
$57.94
|
|
Dalbavancin 500 mg intravenous solution
|
$5,203.96 |
$5,203.96 |
$5,203.96 |
$3,480.61
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$262.47 |
$262.47 |
$262.47 |
$1.80
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$11,319.75 |
$11,319.75 |
$11,319.75 |
$4,542.99
|
|
Dch validity tests
|
$27.95 |
$27.95 |
$27.95 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$91.65 |
$91.65 |
$91.65 |
$53.95
|
|
Debridement (>20 cm) charge pt
|
$286.00 |
$286.00 |
$286.00 |
$313.30
|
|
Debridement bone <= 20 sq cm
|
$776.75 |
$776.75 |
$776.75 |
$2,481.05
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$222.30 |
$222.30 |
$222.30 |
$779.35
|
|
Debride skin bone at fx site
|
$1,429.35 |
$1,429.35 |
$1,429.35 |
$3,127.88
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$107.90 |
$107.90 |
$107.90 |
$728.40
|
|
Debr musc/fascia 20sq cm/< 11043
|
$523.90 |
$523.90 |
$523.90 |
$1,101.10
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$354.25 |
$354.25 |
$354.25 |
$482.35
|
|
Delivery of placenta 59414
|
$348.40 |
$348.40 |
$348.40 |
$3,135.14
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$126.75 |
$126.75 |
$126.75 |
$165.60
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$6,313.74 |
$6,313.74 |
$6,313.74 |
$4,681.80
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$396.50 |
$396.50 |
$396.50 |
$460.50
|
|
Developmental screen/score/document 96110
|
$208.00 |
$208.00 |
$208.00 |
$126.75
|
|
Dexamethasone 4 mg tablet
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$13.12 |
$13.12 |
$13.12 |
$8.23
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$37.50
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$42.25 |
$42.25 |
$42.25 |
$48.56
|
|
Dextrose 5 % IV bolus
|
$42.25 |
$42.25 |
$42.25 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$99.45 |
$99.45 |
$99.45 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$69.55 |
$69.55 |
$69.55 |
$70.00
|
|
Diagnostic Mammogram (both breasts)
|
$297.70 |
$297.70 |
$297.70 |
$381.60
|
|
Diagnostic Mammogram (one breast)
|
$236.60 |
$236.60 |
$236.60 |
$276.60
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$22.70 |
$22.70 |
$22.70 |
$42.12
|
|
Dicyclomine injection
|
$53.02 |
$53.02 |
$53.02 |
$153.53
|
|
Diffusing capacity
|
$351.65 |
$351.65 |
$351.65 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$7.15 |
$7.15 |
$7.15 |
$29.85
|
|
Digoxin total therapeutic drug level
|
$74.10 |
$74.10 |
$74.10 |
$92.95
|
|
Diltiazem 5 mg/ml intravenous solution
|
$49.92 |
$49.92 |
$49.92 |
$49.92
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$13.17 |
$13.17 |
$13.17 |
$9.29
|
|
Disaccharidases
|
$21.45 |
$21.45 |
$21.45 |
$224.58
|
|
Dna antibody native/double stranded
|
$86.45 |
$86.45 |
$86.45 |
$101.40
|
|
Dna gardnerella
|
$68.25 |
$68.25 |
$68.25 |
$67.68
|
|
Dna probe chlamydia
|
$87.75 |
$87.75 |
$87.75 |
$98.40
|
|
Dna probe gc
|
$86.45 |
$86.45 |
$86.45 |
$88.67
|
|
Dna trichomonas
|
$71.50 |
$71.50 |
$71.50 |
$69.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$98.43 |
$98.43 |
$98.43 |
$95.06
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$105.69 |
$105.69 |
$105.69 |
$81.30
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$390.65 |
$390.65 |
$390.65 |
$800.00
|
|
Drainage external ear complex 69005
|
$468.65 |
$468.65 |
$468.65 |
$3,016.11
|
|
Drainage external ear simple 69000
|
$392.60 |
$392.60 |
$392.60 |
$800.00
|
|
Drainage of nose lesion sept 30020
|
$289.90 |
$289.90 |
$289.90 |
$637.50
|
|
Drain blood from under nail 11740
|
$96.20 |
$96.20 |
$96.20 |
$173.21
|
|
Drain cerebro spinal fluid 62272
|
$393.25 |
$393.25 |
$393.25 |
$1,025.00
|
|
Drain finger abscess;simple 26010
|
$489.45 |
$489.45 |
$489.45 |
$451.20
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$294.45 |
$294.45 |
$294.45 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$260.65 |
$260.65 |
$260.65 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$331.50 |
$331.50 |
$331.50 |
$515.00
|
|
Drng of finger abscess comp 26011
|
$802.10 |
$802.10 |
$802.10 |
$1,908.09
|
|
Drng of scrotum abscess 55100
|
$559.65 |
$559.65 |
$559.65 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$46.50 |
$46.50 |
$46.50 |
$32.82
|
|
Drug assay caffeine
|
$105.30 |
$105.30 |
$105.30 |
$89.17
|
|
Drug assay posaconazole
|
$130.00 |
$130.00 |
$130.00 |
$96.75
|
|
Drug assay voriconazole
|
$102.70 |
$102.70 |
$102.70 |
$96.75
|
|
Drug of abuse screen urine
|
$79.95 |
$79.95 |
$79.95 |
$58.50
|
|
Drug test prsmv instrmnt
|
$72.80 |
$72.80 |
$72.80 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$250.90 |
$250.90 |
$250.90 |
$278.85
|
|
Drvvt confirm - quest
|
$98.80 |
$98.80 |
$98.80 |
$108.55
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$995.80 |
$995.80 |
$995.80 |
$852.57
|
|
Dx bronchoscope/brush 31623
|
$518.05 |
$518.05 |
$518.05 |
$2,283.00
|
|
Dx bronchoscope/lavage 31624
|
$586.30 |
$586.30 |
$586.30 |
$2,858.00
|
|
Dx bronchoscope/wash 31622
|
$564.85 |
$564.85 |
$564.85 |
$2,512.54
|
|
Ear irrigation 69209
|
$144.95 |
$144.95 |
$144.95 |
$152.50
|
|
Ecg 12 lead tracing only
|
$168.35 |
$168.35 |
$168.35 |
$222.30
|
|
Ecg external < 48 hours recording
|
$626.60 |
$626.60 |
$626.60 |
$461.76
|
|
Echocardiogram (Heart Ultrasound)
|
$1,825.85 |
$1,825.85 |
$1,825.85 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$676.00 |
$676.00 |
$676.00 |
$450.40
|
|
Echocardiography transthoracic 2d followup/limited
|
$898.95 |
$898.95 |
$898.95 |
$720.60
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,318.85 |
$1,318.85 |
$1,318.85 |
$997.40
|
|
E coli 0157 ag ia
|
$76.70 |
$76.70 |
$76.70 |
$32.00
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$68.25 |
$68.25 |
$68.25 |
$94.32
|
|
Eeg recording awake and asleep
|
$906.10 |
$906.10 |
$906.10 |
$937.95
|
|
Egfr gene com variants
|
$644.15 |
$644.15 |
$644.15 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$133.90 |
$133.90 |
$133.90 |
$112.50
|
|
Elbow arthroscopy
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$3,594.44
|
|
Electrical stimulation/unattended 97014
|
$65.00 |
$65.00 |
$65.00 |
$79.20
|
|
Electrolyte panel
|
$85.15 |
$85.15 |
$85.15 |
$68.56
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$46.11 |
$46.11 |
$46.11 |
$43.20
|
|
Entamoeba histolytica ag eia - sendout
|
$62.40 |
$62.40 |
$62.40 |
$68.90
|
|
Epidural/lumbar/sacral/ea add level64484
|
$358.15 |
$358.15 |
$358.15 |
$1,341.04
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$66.06 |
$66.06 |
$66.06 |
$66.06
|
|
Epinephrine 1 mg/ml im kit - adult
|
$10.76 |
$10.76 |
$10.76 |
$10.76
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$3,126.82 |
$3,126.82 |
$3,126.82 |
$379.58
|
|
Epstein barr early antigen antibody
|
$91.65 |
$91.65 |
$91.65 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$76.05 |
$76.05 |
$76.05 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$89.70 |
$89.70 |
$89.70 |
$112.50
|
