|
Culture fungi definitive id mold
|
$27.10 |
$61.10 |
$183.30 |
|
|
Culture fungi definitive id yeast
|
$37.05 |
$41.90 |
$134.00 |
|
|
Culture fungi other (except blood)
|
$45.51 |
$105.95 |
$248.30 |
|
|
Culture fungi skin/hair/nail
|
$36.45 |
$75.40 |
$130.00 |
|
|
Culture mycobacteria definitive id each isolate
|
$67.60 |
$73.45 |
$116.00 |
|
|
Culture mycoplasma any source
|
$90.37 |
$153.40 |
$592.15 |
|
|
Culture quantitative aerobic other source
|
$52.00 |
$56.55 |
$112.00 |
|
|
Culture screening strep group a
|
$43.29 |
$72.80 |
$298.35 |
|
|
Culture typing added method
|
$53.30 |
$74.75 |
$120.90 |
|
|
Culture typing immunologic
|
$29.32 |
$41.60 |
$110.50 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$677.30 |
$754.65 |
$1,161.00 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$18.85 |
$31.20 |
$48.00 |
|
|
Culture urine each isolate
|
$17.48 |
$41.00 |
$116.35 |
|
|
Curette/treat cornea
|
$1,317.39 |
$1,317.39 |
$1,317.39 |
|
|
Cutter lead
|
$1,920.10 |
$1,920.10 |
$5,644.60 |
|
|
Cv line/pic reposition
|
$1,516.26 |
$1,516.26 |
$3,829.15 |
|
|
Cv stress test/supervision only 93016
|
$81.90 |
$81.90 |
$126.00 |
|
|
Cyanocobalamin unsat binding capacity
|
$68.90 |
$68.90 |
$89.05 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$7.15 |
$7.15 |
$11.00 |
|
|
Cyclic citrullinated peptide antibody
|
$65.68 |
$79.00 |
$109.20 |
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,983.36 |
$1,983.36 |
$5,387.39 |
|
|
Cyclophosphamide 25 mg capsule
|
$22.40 |
$22.40 |
$63.11 |
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$75.74 |
$75.74 |
$317.57 |
|
|
Cyclosporine 2 hour
|
$87.88 |
$160.55 |
$325.65 |
|
|
Cyclosporine modified 25 mg capsule
|
$1.30 |
$1.30 |
$13.19 |
|
|
Cyclosporine oral 100 mg
|
$39.95 |
$263.81 |
$1,827.23 |
|
|
Cylinder pump set 20cm titan zero angl
|
$13,988.00 |
$13,988.00 |
$20,831.20 |
|
|
Cyp2c19 gene com variants
|
$572.00 |
$657.12 |
$731.25 |
|
|
Cyp2c9 gene com variants
|
$318.85 |
$318.85 |
$318.85 |
|
|
Cyp3a4 gene common variants
|
$412.75 |
$412.75 |
$481.65 |
|
|
Cystatin c
|
$56.00 |
$71.23 |
$106.60 |
|
|
Cystic fibrosis cftr
|
$184.63 |
$1,190.80 |
$1,832.00 |
|
|
Cystine urine quantitative
|
$84.50 |
$94.26 |
$294.45 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$265.85 |
$265.85 |
$792.00 |
|
|
Cystometrogram w/up 51727
|
$671.45 |
$671.45 |
$671.45 |
|
|
Cystorrhaphy wound simple 51860
|
$10,534.97 |
$10,534.97 |
$10,534.97 |
|
|
Cysto rx balo cath urtl strx
|
$11,863.22 |
$11,863.22 |
$12,776.67 |
|
|
Cystoscopy and biopsy
|
$4,057.88 |
$4,057.88 |
$4,057.88 |
|
|
Cystoscopy and treatment
|
$5,071.90 |
$5,071.90 |
$5,071.90 |
|
|
Cystoscopy and treatment
|
$6,441.10 |
$6,441.10 |
$7,092.49 |
|
|
Cystoscopy and treatment
|
$6,644.15 |
$6,644.15 |
$8,606.99 |
|
|
Cystoscopy and treatment
|
$6,980.76 |
$6,980.76 |
$8,788.09 |
|
|
Cystoscopy and treatment
|
$7,400.17 |
$7,400.17 |
$7,400.17 |
|
|
Cystoscopy and treatment
|
$4,756.97 |
$4,756.97 |
$8,754.45 |
|
|
Cystoscopy and treatment
|
$6,076.26 |
$6,076.26 |
$12,776.67 |
|
|
Cystoscopy and treatment
|
$6,869.43 |
$6,869.43 |
$6,869.43 |
|
|
Cystoscopy and treatment
|
$4,184.36 |
$4,184.36 |
$11,347.24 |
|
|
Cystoscopy and treatment
|
$7,841.96 |
$7,841.96 |
$7,841.96 |
|
|
Cystoscopy and treatment
|
$8,227.84 |
$8,227.84 |
$8,227.84 |
|
|
Cystoscopy and treatment
|
$5,160.67 |
$5,160.67 |
$13,760.95 |
|
|
Cystoscopy (Bladder Scope)
|
$605.78 |
$605.78 |
$7,708.64 |
|
|
Cystoscopy chemodenervation
|
$6,859.52 |
$6,859.52 |
$8,047.62 |
|
|
Cystoscopy removal of clots
|
$1,528.84 |
$1,528.84 |
$6,148.69 |
|
|
Cystoscopy & ureter catheter
|
$1,757.59 |
$1,757.59 |
$6,034.65 |
|
|
Cystostomy cystotomy w/drainage 51040
|
$976.15 |
$976.15 |
$6,202.53 |
|
|
Cystouretero & or pyeloscope
|
$6,318.95 |
$6,318.95 |
$8,451.22 |
|
|
Cysto/uretero stricture tx
|
$7,283.66 |
$7,283.66 |
$10,130.43 |
|
|
Cystouretero w/biopsy
|
$9,504.27 |
$9,504.27 |
$10,303.88 |
|
|
Cysto/uretero w/lithotripsy
|
$14,369.17 |
$14,369.17 |
$15,912.44 |
|
|
Cystouretero w/lithotripsy
|
$14,791.96 |
$14,791.96 |
$14,791.96 |
|
|
Cystouretero w/stone remove
|
$8,003.60 |
$8,003.60 |
$9,473.63 |
|
|
Cystourethro cut ejacul duct
|
$6,541.54 |
$6,541.54 |
$6,541.54 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$999.19 |
$999.19 |
$6,935.81 |
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$5,465.41 |
$5,465.41 |
$5,465.41 |
|
|
Cysto w/up stricture tx
|
$6,255.24 |
$6,255.24 |
$6,255.24 |
|
|
Cysto w/ureter stricture tx
|
$2,708.31 |
$2,708.31 |
$12,946.03 |
|
|
Cytarabine 20 mg/ml injection solution
|
$28.25 |
$28.25 |
$142.97 |
|
|
Cytogenetics 25-99
|
$91.65 |
$95.55 |
$161.00 |
|
|
Cytogenom microarray copy nmbr var
|
$629.65 |
$629.65 |
$906.10 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$49.03 |
$51.35 |
$107.90 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$49.40 |
$60.45 |
$100.75 |
|
|
Cytomegalovirus imm IV /vial
|
$941.58 |
$941.58 |
$941.58 |
|
|
Cyto/molecular report
|
$107.25 |
$235.90 |
$235.90 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$47.64 |
$146.25 |
$260.00 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$55.90 |
$71.50 |
$90.00 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$70.20 |
$72.80 |
$213.20 |
|
|
Cytopathology concentration technique smears & interpretation
|
$48.56 |
$48.56 |
$218.00 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$40.70 |
$40.70 |
$204.00 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$27.29 |
$27.29 |
$104.00 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$26.92 |
$26.92 |
$312.65 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$73.26 |
$73.26 |
$230.00 |
|
|
Cytopath smear other source
|
$41.07 |
$41.07 |
$99.45 |
|
|
Cytopath smear other source
|
$55.50 |
$55.50 |
$55.50 |
|
|
Cytopath smear oth prep screen & interp
|
$32.75 |
$32.75 |
$146.25 |
|
|
Cytopath tbs c/v manual
|
$49.40 |
$53.30 |
$79.95 |
|
|
Cytotoxic antibody screening
|
$184.63 |
$184.63 |
$465.40 |
|
|
Dacarbazine 100 mg intravenous solution
|
$29.80 |
$29.80 |
$81.02 |
|
|
Dactinomycin 0.5 mg intravenous solution
|
$803.44 |
$803.44 |
$1,862.25 |
|
|
Dalbavancin 500 mg intravenous solution
|
$2,077.81 |
$4,496.23 |
$5,214.38 |
|
|
Dalteparin sodium
|
$55.19 |
$55.19 |
$425.68 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.58 |
$146.25 |
$262.47 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$32,877.34 |
$32,877.34 |
$41,087.78 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$556.33 |
$1,358.37 |
$12,602.65 |
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$11,312.75 |
$11,312.75 |
$41,935.66 |
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$130.13 |
$130.13 |
$525.77 |
|
|
D&c after delivery 59160
|
$119.60 |
$3,273.85 |
$6,824.69 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$12,263.15 |
$12,263.15 |
$12,263.15 |
|
|
Dch glucoscan
|
$3.00 |
$19.50 |
$35.75 |
|
|
Dch pulmonary stress test
|
$246.61 |
$246.61 |
$246.61 |
|
|
Dch validity tests
|
$18.59 |
$22.10 |
$34.00 |
|
