|
CT limited or localized follow-up study
|
$624.60 |
$624.60 |
$624.60 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$1,852.80 |
$1,852.80 |
$1,852.80 |
$422.80
|
|
CT scan for localization
|
$1,312.80 |
$1,312.80 |
$1,312.80 |
$1,216.80
|
|
CT scan for therapy guide
|
$1,276.80 |
$1,276.80 |
$1,276.80 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,985.60 |
$2,985.60 |
$2,985.60 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,985.60 |
$2,985.60 |
$2,985.60 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,213.40 |
$2,213.40 |
$2,213.40 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$45.60 |
$45.60 |
$45.60 |
$72.00
|
|
Culture afb any source
|
$61.20 |
$61.20 |
$61.20 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$45.60 |
$45.60 |
$45.60 |
$84.76
|
|
Culture anaerobic except blood
|
$52.80 |
$52.80 |
$52.80 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$52.80 |
$52.80 |
$52.80 |
$52.50
|
|
Culture body fluid
|
$48.00 |
$48.00 |
$48.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$57.00 |
$57.00 |
$57.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$57.00 |
$57.00 |
$57.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$46.80 |
$46.80 |
$46.80 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$43.20 |
$43.20 |
$43.20 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$81.00 |
$81.00 |
$81.00 |
$100.00
|
|
Culture mycoplasma any source
|
$86.40 |
$86.40 |
$86.40 |
$83.21
|
|
Culture screening strep group a
|
$37.80 |
$37.80 |
$37.80 |
$84.60
|
|
Culture typing glc/hplc
|
$45.60 |
$45.60 |
$45.60 |
$53.75
|
|
Culture typing immunologic
|
$29.40 |
$29.40 |
$29.40 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$459.00 |
$459.00 |
$459.00 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$195.60 |
$195.60 |
$195.60 |
$140.80
|
|
Culture urine each isolate
|
$45.60 |
$45.60 |
$45.60 |
$55.50
|
|
Curette/treat cornea
|
$1,345.80 |
$1,345.80 |
$1,345.80 |
$1,365.60
|
|
Cutter lead
|
$1,505.40 |
$1,505.40 |
$1,505.40 |
$6,581.45
|
|
Cv line/pic reposition
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$1,681.20
|
|
Cv stress test i&r only 93018
|
$66.00 |
$66.00 |
$66.00 |
$36.40
|
|
Cv stress test/supervision only 93016
|
$85.80 |
$85.80 |
$85.80 |
$51.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$3.60 |
$3.60 |
$3.60 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$72.60 |
$72.60 |
$72.60 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$439.20 |
$439.20 |
$439.20 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$7.80 |
$7.80 |
$7.80 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$7.80 |
$7.80 |
$7.80 |
$140.78
|
|
Cyclosporine 2 hour
|
$119.40 |
$119.40 |
$119.40 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$2.40 |
$2.40 |
$2.40 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$10.20 |
$10.20 |
$10.20 |
$37.31
|
|
Cystatin c
|
$94.20 |
$94.20 |
$94.20 |
$77.60
|
|
Cystine urine quantitative
|
$116.40 |
$116.40 |
$116.40 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$896.40 |
$896.40 |
$896.40 |
$586.95
|
|
Cystoscopy and treatment
|
$784.80 |
$784.80 |
$784.80 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$1,815.60 |
$1,815.60 |
$1,815.60 |
$1,493.80
|
|
Cystoscopy & ureter catheter
|
$6,144.60 |
$6,144.60 |
$6,144.60 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$4,129.45
|
|
Cystouretero & or pyeloscope
|
$4,730.40 |
$4,730.40 |
$4,730.40 |
$4,315.98
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,428.80 |
$2,428.80 |
$2,428.80 |
$3,245.90
|
|
Cytarabine 20 mg/ml injection solution
|
$0.60 |
$0.60 |
$0.60 |
$90.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$81.00 |
$81.00 |
$81.00 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$94.20 |
$94.20 |
$94.20 |
$100.00
|
|
Cyto/molecular report
|
$57.60 |
$57.60 |
$57.60 |
$144.75
|
|
Cytopath c/v index add-on
|
$34.20 |
$34.20 |
$34.20 |
$34.20
|
|
Cytopath fl nongyn filter
|
$91.20 |
$91.20 |
$91.20 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$265.20 |
$265.20 |
$265.20 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$110.40 |
$110.40 |
$110.40 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$115.20 |
$115.20 |
$115.20 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$85.80 |
$85.80 |
$85.80 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$78.60 |
$78.60 |
$78.60 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$132.00 |
$132.00 |
$132.00 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$337.20 |
$337.20 |
$337.20 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$223.80 |
$223.80 |
$223.80 |
$213.85
|
|
Cytopath smear other source
|
$54.60 |
$54.60 |
$54.60 |
$92.50
|
|
Cytopath smear other source
|
$116.40 |
$116.40 |
$116.40 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$54.60 |
$54.60 |
$54.60 |
$96.20
|
|
Cytopath tbs c/v manual
|
$36.60 |
$36.60 |
$36.60 |
$59.28
|
|
Dacarbazine 100 mg intravenous solution
|
$19.20 |
$19.20 |
$19.20 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$1,624.80 |
$1,624.80 |
$1,624.80 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$1,067.40 |
$1,067.40 |
$1,067.40 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$267.00 |
$267.00 |
$267.00 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$387.60 |
$387.60 |
$387.60 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$2,322.00 |
$2,322.00 |
$2,322.00 |
$6,281.29
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$19.80 |
$19.80 |
$19.80 |
$259.58
|
|
Dch glucoscan
|
$19.80 |
$19.80 |
$19.80 |
$29.16
|
|
Dch pulmonary stress test
|
$650.40 |
$650.40 |
$650.40 |
$963.30
|
|
Dch validity tests
|
$25.20 |
$25.20 |
$25.20 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$58.80 |
$58.80 |
$58.80 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,488.00 |
$1,488.00 |
$1,488.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$483.60 |
$483.60 |
$483.60 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$2,320.80 |
$2,320.80 |
$2,320.80 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$147.00 |
$147.00 |
$147.00 |
$702.28
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,580.40 |
$1,580.40 |
$1,580.40 |
$835.20
|
|
Debride nail1-5 11720
|
$232.20 |
$232.20 |
$232.20 |
$149.60
|
|
Debride skin bone at fx site
|
$3,515.40 |
$3,515.40 |
$3,515.40 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,539.00 |
$1,539.00 |
$1,539.00 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$2,073.00 |
$2,073.00 |
$2,073.00 |
$1,899.80
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,965.00 |
$1,965.00 |
$1,965.00 |
$1,165.50
|
|
Decalcification
|
$124.80 |
$124.80 |
$124.80 |
$68.34
|
|
Decitabine 50 mg intravenous solution
|
$1,026.60 |
$1,026.60 |
$1,026.60 |
$1,073.52
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$740.40 |
$740.40 |
$740.40 |
$572.95
|
|
Decompress small bowel
|
$3,899.40 |
$3,899.40 |
$3,899.40 |
$1,503.60
|
|
Deferoxamine 500 mg solution for injection
|
$20.40 |
$20.40 |
$20.40 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$457.20 |
$457.20 |
$457.20 |
$1,856.85
|
|
Delivery of placenta 59414
|
$3,786.60 |
$3,786.60 |
$3,786.60 |
$2,912.46
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$8,864.40 |
$8,864.40 |
$8,864.40 |
$6,670.30
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$1,127.40 |
$1,127.40 |
$1,127.40 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$734.40 |
$734.40 |
$734.40 |
$401.60
|
|
Design mlc device for imrt
|
$1,479.60 |
$1,479.60 |
$1,479.60 |
$1,753.00
|
