|
Cryosurgery penis lesion(s) 54056
|
$118.80 |
$118.80 |
$118.80 |
$271.20
|
|
Cryptococcus abs qn - sendout
|
$216.00 |
$216.00 |
$216.00 |
$89.70
|
|
Cryptosporidium antigen
|
$162.60 |
$162.60 |
$162.60 |
$52.08
|
|
Crystal identification light microscopy
|
$93.00 |
$93.00 |
$93.00 |
$66.43
|
|
C-section delivery incl p/p care 59515
|
$1,012.80 |
$1,012.80 |
$1,012.80 |
$2,884.20
|
|
CT 3d report other modality w/workstation
|
$697.20 |
$697.20 |
$697.20 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$7,318.20 |
$7,318.20 |
$7,318.20 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$3,739.20 |
$3,739.20 |
$3,739.20 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$4,764.00 |
$4,764.00 |
$4,764.00 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,384.00 |
$3,384.00 |
$3,384.00 |
$1,915.30
|
|
CT Angiogram of the Head
|
$4,092.00 |
$4,092.00 |
$4,092.00 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,598.60 |
$2,598.60 |
$2,598.60 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$2,133.00 |
$2,133.00 |
$2,133.00 |
$1,428.68
|
|
CT angio pelvis
|
$2,494.20 |
$2,494.20 |
$2,494.20 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$3,739.20 |
$3,739.20 |
$3,739.20 |
$1,691.30
|
|
CT guidance for needle placement
|
$2,904.60 |
$2,904.60 |
$2,904.60 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,921.40 |
$2,921.40 |
$2,921.40 |
$1,215.06
|
|
CT guid parench tis ablat
|
$3,177.00 |
$3,177.00 |
$3,177.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$120.00 |
$120.00 |
$120.00 |
$150.00
|
|
CT hrt w/3d image
|
$3,384.00 |
$3,384.00 |
$3,384.00 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$541.20 |
$541.20 |
$541.20 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$2,819.40 |
$2,819.40 |
$2,819.40 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$3,691.20 |
$3,691.20 |
$3,691.20 |
$422.80
|
|
CT scan for therapy guide
|
$592.80 |
$592.80 |
$592.80 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,723.40 |
$5,723.40 |
$5,723.40 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,453.20 |
$4,453.20 |
$4,453.20 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,320.40 |
$3,320.40 |
$3,320.40 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,602.20 |
$2,602.20 |
$2,602.20 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$3,574.80 |
$3,574.80 |
$3,574.80 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$67.80 |
$67.80 |
$67.80 |
$72.00
|
|
Culture afb any source
|
$76.80 |
$76.80 |
$76.80 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$127.80 |
$127.80 |
$127.80 |
$84.76
|
|
Culture anaerobic except blood
|
$147.00 |
$147.00 |
$147.00 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$86.40 |
$86.40 |
$86.40 |
$52.50
|
|
Culture body fluid
|
$232.20 |
$232.20 |
$232.20 |
$126.75
|
|
Culture fungi definitive id mold
|
$137.40 |
$137.40 |
$137.40 |
$80.00
|
|
Culture fungi definitive id yeast
|
$75.00 |
$75.00 |
$75.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$170.40 |
$170.40 |
$170.40 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$70.80 |
$70.80 |
$70.80 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$154.20 |
$154.20 |
$154.20 |
$100.00
|
|
Culture mycoplasma any source
|
$289.80 |
$289.80 |
$289.80 |
$83.21
|
|
Culture screening strep group a
|
$75.00 |
$75.00 |
$75.00 |
$84.60
|
|
Culture typing immunologic
|
$14.40 |
$14.40 |
$14.40 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$481.20 |
$481.20 |
$481.20 |
$140.80
|
|
Cutter lead
|
$3,079.80 |
$3,079.80 |
$3,079.80 |
$6,581.45
|
|
Cv line/pic reposition
|
$2,403.00 |
$2,403.00 |
$2,403.00 |
$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
|
$54.00 |
$54.00 |
$54.00 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$251.40 |
$251.40 |
$251.40 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$13.20 |
$13.20 |
$13.20 |
$1,305.02
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$29.00 |
$29.00 |
$29.00 |
$140.78
|
|
Cyclosporine 2 hour
|
$448.80 |
$448.80 |
$448.80 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$8.80 |
$8.80 |
$8.80 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$34.00 |
$34.00 |
$34.00 |
$37.31
|
|
Cyp2c19 gene com variants
|
$916.20 |
$916.20 |
$916.20 |
$524.00
|
|
Cyp2c9 gene com variants
|
$1,852.80 |
$1,852.80 |
$1,852.80 |
$275.10
|
|
Cyp2d6 gene com variants
|
$258.60 |
$258.60 |
$258.60 |
$570.70
|
|
Cystatin c
|
$275.40 |
$275.40 |
$275.40 |
$77.60
|
|
Cystic fibrosis cftr
|
$3,831.00 |
$3,831.00 |
$3,831.00 |
$1,104.40
|
|
Cystine urine quantitative
|
$116.40 |
$116.40 |
$116.40 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$795.00 |
$795.00 |
$795.00 |
$586.95
|
|
Cystoscopy and treatment
|
$4,493.40 |
$4,493.40 |
$4,493.40 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$1,287.60 |
$1,287.60 |
$1,287.60 |
$1,493.80
|
|
Cystostomy cystotomy w/drainage 51040
|
$6,497.40 |
$6,497.40 |
$6,497.40 |
$4,129.45
|
|
Cystourethroscop/calib/dilat stric 52281
|
$4,732.80 |
$4,732.80 |
$4,732.80 |
$3,245.90
|
|
Cytarabine 20 mg/ml injection solution
|
$28.80 |
$28.80 |
$28.80 |
$90.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$146.40 |
$146.40 |
$146.40 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$146.40 |
$146.40 |
$146.40 |
$100.00
|
|
Cyto/molecular report
|
$269.40 |
$269.40 |
$269.40 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$142.20 |
$142.20 |
$142.20 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$78.00 |
$78.00 |
$78.00 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$61.20 |
$61.20 |
$61.20 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$51.00 |
$51.00 |
$51.00 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$232.20 |
$232.20 |
$232.20 |
$127.50
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$70.80 |
$70.80 |
$70.80 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$372.60 |
$372.60 |
$372.60 |
$213.85
|
|
Cytopath smear other source
|
$54.60 |
$54.60 |
$54.60 |
$92.50
|
|
Dacarbazine 100 mg intravenous solution
|
$51.20 |
$51.20 |
$51.20 |
$62.41
|
|
Dalbavancin 500 mg intravenous solution
|
$7,113.00 |
$7,113.00 |
$7,113.00 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$2,063.40 |
$2,063.40 |
$2,063.40 |
$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
|
$5,376.60 |
$5,376.60 |
$5,376.60 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$2,171.40 |
$2,171.40 |
$2,171.40 |
$7.20
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$413.60 |
$413.60 |
$413.60 |
$259.58
|
|
Dch glucoscan
|
$12.00 |
$12.00 |
$12.00 |
$29.16
|
|
Dch pulmonary stress test
|
$660.60 |
$660.60 |
$660.60 |
$963.30
|
|
Dch validity tests
|
$51.00 |
$51.00 |
$51.00 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$80.40 |
$80.40 |
$80.40 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,317.00 |
$1,317.00 |
$1,317.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$429.00 |
$429.00 |
$429.00 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$1,738.80 |
$1,738.80 |
$1,738.80 |
$2,320.80
|
|
Debridement/bone/20 sq cm or less 11046
|
$728.40 |
$728.40 |
$728.40 |
$702.28
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,023.60 |
$1,023.60 |
$1,023.60 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$825.60 |
$825.60 |
$825.60 |
$835.20
|
|
Debride nail1-5 11720
|
$471.00 |
$471.00 |
$471.00 |
$149.60
|
|
Debride nail6 or more 11721
|
$202.20 |
$202.20 |
$202.20 |
$169.80
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$4,833.60 |
$4,833.60 |
$4,833.60 |
$1,163.24
|
|
Debride skin bone at fx site
|
$4,947.60 |
$4,947.60 |
$4,947.60 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$728.40 |
$728.40 |
$728.40 |
$663.30
|
