|
Culture urine each isolate
|
$58.50 |
$58.50 |
$58.50 |
$44.80
|
|
Cyanocobalamin unsat binding capacity
|
$68.90 |
$68.90 |
$68.90 |
$64.28
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$17.58
|
|
Cyclic citrullinated peptide antibody
|
$96.85 |
$96.85 |
$96.85 |
$91.20
|
|
Cyclosporine 2 hour
|
$161.20 |
$161.20 |
$161.20 |
$126.10
|
|
Cystatin c
|
$91.65 |
$91.65 |
$91.65 |
$83.20
|
|
Cystic fibrosis cftr
|
$1,190.80 |
$1,190.80 |
$1,190.80 |
$1,041.95
|
|
Cytogenetics 25-99
|
$92.30 |
$92.30 |
$92.30 |
$188.40
|
|
Cytogenom microarray copy nmbr var
|
$906.10 |
$906.10 |
$906.10 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$107.90 |
$107.90 |
$107.90 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$91.00 |
$91.00 |
$91.00 |
$95.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$146.90 |
$146.90 |
$146.90 |
$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
|
|
Cytopathology concentration technique smears & interpretation
|
$146.90 |
$146.90 |
$146.90 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$146.90 |
$146.90 |
$146.90 |
$129.90
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$68.90 |
$68.90 |
$68.90 |
$71.25
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$195.00 |
$195.00 |
$195.00 |
$179.44
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$168.35 |
$168.35 |
$168.35 |
$205.00
|
|
Cytopath smear oth prep screen & interp
|
$74.10 |
$74.10 |
$74.10 |
$95.00
|
|
Cytopath tbs c/v manual
|
$53.30 |
$53.30 |
$53.30 |
$57.94
|
|
Cytotoxic antibody screening
|
$260.65 |
$260.65 |
$260.65 |
$184.63
|
|
Dalbavancin 500 mg intravenous solution
|
$4,496.23 |
$4,496.23 |
$4,496.23 |
$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
|
$92.30 |
$92.30 |
$92.30 |
$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/bone/20 sq cm or less 11046
|
$753.35 |
$753.35 |
$753.35 |
$717.92
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$228.15 |
$228.15 |
$228.15 |
$779.35
|
|
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
|
|
Decalcification
|
$65.65 |
$65.65 |
$65.65 |
$72.15
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$346.45 |
$346.45 |
$346.45 |
$482.35
|
|
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
|
|
Desoxycorticosterone
|
$142.35 |
$142.35 |
$142.35 |
$109.28
|
|
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 % 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
|
$60.45 |
$60.45 |
$60.45 |
$70.00
|
|
Diab manage trn ind/group
|
$56.55 |
$56.55 |
$56.55 |
$56.55
|
|
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)
|
$13.97 |
$13.97 |
$13.97 |
$42.12
|
|
Dicyclomine injection
|
$53.02 |
$53.02 |
$53.02 |
$153.53
|
|
Diffusing capacity
|
$397.15 |
$397.15 |
$397.15 |
$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)
|
$7.15 |
$7.15 |
$7.15 |
$9.29
|
|
Disaccharidases
|
$311.35 |
$311.35 |
$311.35 |
$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
|
$87.10 |
$87.10 |
$87.10 |
$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
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$62.34 |
$62.34 |
$62.34 |
$60.21
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$416.65 |
$416.65 |
$416.65 |
$463.20
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$105.69 |
$105.69 |
$105.69 |
$81.30
|
|
Drainage external ear simple 69000
|
$332.80 |
$332.80 |
$332.80 |
$800.00
|
|
Drainage of nose lesion int 30000
|
$334.75 |
$334.75 |
$334.75 |
$615.20
|
|
Drain blood from under nail 11740
|
$96.20 |
$96.20 |
$96.20 |
$173.21
|
|
Drain finger abscess;simple 26010
|
$378.30 |
$378.30 |
$378.30 |
$451.20
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$256.75 |
$256.75 |
$256.75 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$189.15 |
$189.15 |
$189.15 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$367.25 |
$367.25 |
$367.25 |
$515.00
|
|
Drng of finger abscess comp 26011
|
$681.85 |
$681.85 |
$681.85 |
$1,908.09
|
|
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 test prsmv instrmnt
|
$72.80 |
$72.80 |
$72.80 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$252.85 |
$252.85 |
$252.85 |
$278.85
|
|
Drvvt confirm - quest
|
$99.45 |
$99.45 |
$99.45 |
$108.55
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$887.25 |
$887.25 |
$887.25 |
$852.57
|
|
Ear irrigation 69209
|
$109.20 |
$109.20 |
$109.20 |
$152.50
|
|
Ecg 12 lead tracing only
|
$185.90 |
$185.90 |
$185.90 |
$222.30
|
|
Ecg external < 48 hours recording
|
$302.25 |
$302.25 |
$302.25 |
$461.76
|
|
Echocardiogram (Heart Ultrasound)
|
$1,801.15 |
$1,801.15 |
$1,801.15 |
$2,021.12
|
|
Echocardiography transthoracic 2d followup/limited
|
$685.10 |
$685.10 |
$685.10 |
$720.60
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$68.25 |
$68.25 |
$68.25 |
$94.32
|
|
E equine encephalitis igg
|
$49.40 |
$49.40 |
$49.40 |
$49.92
|
|
Egfr gene com variants
|
$646.75 |
$646.75 |
$646.75 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$134.55 |
$134.55 |
$134.55 |
$112.50
|
|
Electrical stimulation/unattended 97014
|
$65.00 |
$65.00 |
$65.00 |
$79.20
|
|
Electrolyte panel
|
$85.15 |
$85.15 |
$85.15 |
$68.56
|
|
Electron microscopy diagnostic
|
$783.90 |
$783.90 |
$783.90 |
$1,107.84
|
|
Encephalitis, california igg/igm
|
$49.40 |
$49.40 |
$49.40 |
$49.92
|
|
Encephalitis, st louis igg/igm
|
$51.35 |
$51.35 |
$51.35 |
$55.75
|
|
Encephalitis, western equine igg/igm
|
$50.70 |
$50.70 |
$50.70 |
$55.25
|
|
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
|
|
Enzyme histochemistry
|
$369.85 |
$369.85 |
$369.85 |
$506.35
|
|
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
|
