|
Culture bact stool aero addl path ea
|
$39.60 |
$39.60 |
$39.60 |
$52.50
|
|
Culture body fluid
|
$108.00 |
$108.00 |
$108.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$137.40 |
$137.40 |
$137.40 |
$80.00
|
|
Culture fungi definitive id yeast
|
$171.00 |
$171.00 |
$171.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$118.80 |
$118.80 |
$118.80 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$108.00 |
$108.00 |
$108.00 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$154.20 |
$154.20 |
$154.20 |
$100.00
|
|
Culture mycoplasma any source
|
$262.80 |
$262.80 |
$262.80 |
$83.21
|
|
Culture screening strep group a
|
$73.20 |
$73.20 |
$73.20 |
$84.60
|
|
Culture typing immunologic
|
$75.60 |
$75.60 |
$75.60 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$481.20 |
$481.20 |
$481.20 |
$140.80
|
|
Cutter lead
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$6,581.45
|
|
Cv line/pic reposition
|
$915.60 |
$915.60 |
$915.60 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$108.60 |
$108.60 |
$108.60 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$4.80 |
$4.80 |
$4.80 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$49.20 |
$49.20 |
$49.20 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$16.20 |
$16.20 |
$16.20 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$18.60 |
$18.60 |
$18.60 |
$19.49
|
|
Cyclosporine 2 hour
|
$126.00 |
$126.00 |
$126.00 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$12.40 |
$12.40 |
$12.40 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$1,973.40 |
$1,973.40 |
$1,973.40 |
$37.31
|
|
Cylinder pump set 20cm titan zero angl
|
$18,920.40 |
$18,920.40 |
$18,920.40 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$524.00
|
|
Cyp2c9 gene com variants
|
$1,852.80 |
$1,852.80 |
$1,852.80 |
$275.10
|
|
Cyp2d6 gene com variants
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$570.70
|
|
Cystatin c
|
$108.00 |
$108.00 |
$108.00 |
$77.60
|
|
Cystic fibrosis cftr
|
$2,890.80 |
$2,890.80 |
$2,890.80 |
$1,104.40
|
|
Cystine urine quantitative
|
$116.40 |
$116.40 |
$116.40 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$235.20 |
$235.20 |
$235.20 |
$586.95
|
|
Cystoscopy and treatment
|
$4,494.00 |
$4,494.00 |
$4,494.00 |
$2,867.70
|
|
Cystoscopy & ureter catheter
|
$4,494.00 |
$4,494.00 |
$4,494.00 |
$3,728.50
|
|
Cystouretero w/stone remove
|
$7,240.20 |
$7,240.20 |
$7,240.20 |
$5,741.00
|
|
Cytarabine 20 mg/ml injection solution
|
$87.00 |
$87.00 |
$87.00 |
$90.00
|
|
Cytogenetics 25-99
|
$158.40 |
$158.40 |
$158.40 |
$189.80
|
|
Cytogenomic neo microra alys
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$164.40 |
$164.40 |
$164.40 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$148.80 |
$148.80 |
$148.80 |
$100.00
|
|
Cyto/molecular report
|
$97.80 |
$97.80 |
$97.80 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$177.60 |
$177.60 |
$177.60 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$102.00 |
$102.00 |
$102.00 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$61.20 |
$61.20 |
$61.20 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$193.20 |
$193.20 |
$193.20 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$130.80 |
$130.80 |
$130.80 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$57.60 |
$57.60 |
$57.60 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$154.80 |
$154.80 |
$154.80 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$249.60 |
$249.60 |
$249.60 |
$213.85
|
|
Cytp urine 3-5 probes cmptr
|
$3,105.00 |
$3,105.00 |
$3,105.00 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$22.20 |
$22.20 |
$22.20 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$808.20 |
$808.20 |
$808.20 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$68.80 |
$68.80 |
$68.80 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1,068.60 |
$1,068.60 |
$1,068.60 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$104.40 |
$104.40 |
$104.40 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,736.40 |
$1,736.40 |
$1,736.40 |
$6,281.29
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$483.00 |
$483.00 |
$483.00 |
$20,196.00
|
|
D&c after delivery 59160
|
$8,304.00 |
$8,304.00 |
$8,304.00 |
$3,827.25
|
|
Dch pulmonary stress test
|
$629.40 |
$629.40 |
$629.40 |
$963.30
|
|
Dch validity tests
|
$18.60 |
$18.60 |
$18.60 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$336.60 |
$336.60 |
$336.60 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$389.40 |
$389.40 |
$389.40 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$248.40 |
$248.40 |
$248.40 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$704.40 |
$704.40 |
$704.40 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,191.20 |
$2,191.20 |
$2,191.20 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$835.20
|
|
Debride nail1-5 11720
|
$172.20 |
$172.20 |
$172.20 |
$149.60
|
|
Debride nail6 or more 11721
|
$172.20 |
$172.20 |
$172.20 |
$169.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$704.40 |
$704.40 |
$704.40 |
$663.30
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$5,050.20 |
$5,050.20 |
$5,050.20 |
$1,149.50
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$1,165.50
|
|
Decalcification
|
$127.80 |
$127.80 |
$127.80 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$169.60 |
$169.60 |
$169.60 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$496.80 |
$496.80 |
$496.80 |
$572.95
|
|
Deferoxamine 500 mg solution for injection
|
$38.00 |
$38.00 |
$38.00 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$22.80 |
$22.80 |
$22.80 |
$1,856.85
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$4,564.20 |
$4,564.20 |
$4,564.20 |
$6,670.30
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$98.40 |
$98.40 |
$98.40 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$3,061.20 |
$3,061.20 |
$3,061.20 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$401.60
|
|
Descend thora aorta rpr/lt sub art 33880
|
$21,473.40 |
$21,473.40 |
$21,473.40 |
$6,288.45
|
|
Design mlc device for imrt
|
$7,088.40 |
$7,088.40 |
$7,088.40 |
$1,753.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$696.00 |
$696.00 |
$696.00 |
$91.84
|
|
Desoxycorticosterone
|
$398.40 |
$398.40 |
$398.40 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$5,048.40 |
$5,048.40 |
$5,048.40 |
$5,267.20
|
|
Destroy premlg lesns;1st lesn 17000
|
$52.20 |
$52.20 |
$52.20 |
$202.40
|
|
Destruct ben lesion 15/> 17111
|
$1,086.60 |
$1,086.60 |
$1,086.60 |
$235.13
|
|
Destruction 2-14 lesions 17003
|
$26.40 |
$26.40 |
$26.40 |
$78.61
|
|
Destruction benign lesions < 14 lesions
|
$52.20 |
$52.20 |
$52.20 |
$240.24
|
|
Device ablt adv novasure
|
$9,189.60 |
$9,189.60 |
$9,189.60 |
$6,237.48
|
|
Device intraute mirena
|
$2,857.60 |
$2,857.60 |
$2,857.60 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,857.00 |
$1,857.00 |
$1,857.00 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$2,367.60 |
$2,367.60 |
$2,367.60 |
$2,515.00
|
|
Dexametha opth insert 0.1 mg
|
$477.60 |
$477.60 |
$477.60 |
$888.47
|
|
Dexamethasone 4 mg tablet
|
$73.20 |
$73.20 |
$73.20 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$2.40 |
$2.40 |
$2.40 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,873.60 |
$1,873.60 |
$1,873.60 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$28.20 |
$28.20 |
$28.20 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$74.40 |
$74.40 |
$74.40 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$57.20 |
$57.20 |
$57.20 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$16.60 |
$16.60 |
$16.60 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$259.20 |
$259.20 |
$259.20 |
$112.00
|
