|
Culture mycobacteria definitive id each isolate
|
$60.00 |
$114.60 |
$3,052.80 |
|
|
Culture mycoplasma any source
|
$54.60 |
$86.40 |
$588.00 |
|
|
Culture quantitative aerobic other source
|
$40.00 |
$50.40 |
$379.00 |
|
|
Culture screening strep group a
|
$27.20 |
$74.40 |
$337.60 |
|
|
Culture typing added method
|
$100.80 |
$100.80 |
$100.80 |
|
|
Culture typing glc/hplc
|
$45.60 |
$45.60 |
$152.40 |
|
|
Culture typing immunologic
|
$14.40 |
$29.40 |
$153.40 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$181.80 |
$459.00 |
$872.24 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$54.00 |
$195.60 |
$588.60 |
|
|
Culture urine each isolate
|
$25.80 |
$58.80 |
$400.40 |
|
|
Culture virus isolation
|
$186.00 |
$186.00 |
$186.00 |
|
|
Curette/treat cornea
|
$748.20 |
$1,345.80 |
$2,283.20 |
|
|
Curette/treat cornea
|
$2,732.50 |
$2,732.50 |
$2,732.50 |
|
|
Cutter lead
|
$195.60 |
$1,505.40 |
$10,158.00 |
|
|
Cv line/pic reposition
|
$915.60 |
$1,515.00 |
$10,446.60 |
|
|
Cv stress test i&r only 93018
|
$42.60 |
$66.00 |
$94.20 |
|
|
Cv stress test/supervision only 93016
|
$42.60 |
$85.80 |
$112.20 |
|
|
Cyanocobalamin unsat binding capacity
|
$39.00 |
$108.60 |
$210.00 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$3.60 |
$10.80 |
$101.60 |
|
|
Cyclic citrullinated peptide antibody
|
$31.00 |
$85.20 |
$594.60 |
|
|
Cyclophosphamide 100 mg inj
|
$445.20 |
$445.20 |
$607.80 |
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1.20 |
$13.20 |
$1,045.00 |
|
|
Cyclophosphamide 25 mg capsule
|
$7.80 |
$19.00 |
$133.20 |
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$7.80 |
$29.00 |
$268.20 |
|
|
Cyclosporine 2 hour
|
$75.20 |
$119.40 |
$542.40 |
|
|
Cyclosporine modified 25 mg capsule
|
$2.00 |
$8.80 |
$54.00 |
|
|
Cyclosporine oral 100 mg
|
$10.20 |
$50.60 |
$3,460.20 |
|
|
Cygnus matrix, per sq cm
|
$221.50 |
$221.50 |
$221.50 |
|
|
Cylinder pump set 20cm titan zero angl
|
$1,438.20 |
$22,476.00 |
$37,825.20 |
|
|
Cymetra injectable
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
|
|
Cyp2c19 gene com variants
|
$790.80 |
$1,017.60 |
$2,046.00 |
|
|
Cyp2c9 gene com variants
|
$845.40 |
$1,870.20 |
$1,870.20 |
|
|
Cyp2d6 gene com variants
|
$240.00 |
$269.40 |
$2,536.80 |
|
|
Cyp3a4 gene common variants
|
$414.00 |
$438.60 |
$438.60 |
|
|
Cyp3a5 gene common variants
|
$414.00 |
$438.60 |
$438.60 |
|
|
Cystatin c
|
$63.60 |
$102.00 |
$451.40 |
|
|
Cystic fibrosis cftr
|
$2,890.80 |
$3,831.00 |
$8,681.40 |
|
|
Cystine urine quantitative
|
$94.20 |
$116.40 |
$464.40 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$176.40 |
$795.00 |
$2,813.40 |
|
|
Cysto impl 4 or more
|
$544.50 |
$544.50 |
$544.50 |
|
|
Cystometrogram w/up 51727
|
$1,421.60 |
$2,776.80 |
$3,349.80 |
|
|
Cystorrhaphy wound simple 51860
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
|
|
Cysto rx balo cath urtl strx
|
$198.60 |
$198.60 |
$198.60 |
|
|
Cystoscopy and treatment
|
$391.50 |
$391.50 |
$391.50 |
|
|
Cystoscopy and treatment
|
$880.80 |
$880.80 |
$4,051.50 |
|
|
Cystoscopy and treatment
|
$477.00 |
$3,071.40 |
$4,250.50 |
|
|
Cystoscopy and treatment
|
$631.20 |
$1,921.00 |
$3,071.40 |
|
|
Cystoscopy and treatment
|
$1,460.40 |
$1,460.40 |
$2,771.50 |
|
|
Cystoscopy and treatment
|
$2,402.50 |
$2,402.50 |
$2,402.50 |
|
|
Cystoscopy and treatment
|
$2,402.50 |
$2,402.50 |
$2,402.50 |
|
|
Cystoscopy and treatment
|
$1,385.50 |
$1,385.50 |
$1,385.50 |
|
|
Cystoscopy and treatment
|
$801.50 |
$801.50 |
$801.50 |
|
|
Cystoscopy and treatment
|
$565.20 |
$3,203.40 |
$5,744.80 |
|
|
Cystoscopy and treatment
|
$1,558.50 |
$1,558.50 |
$1,558.50 |
|
|
Cystoscopy and treatment
|
$6,795.45 |
$6,795.45 |
$6,795.45 |
|
|
Cystoscopy and treatment
|
$545.67 |
$3,045.00 |
$3,769.20 |
|
|
Cystoscopy (Bladder Scope)
|
$400.80 |
$1,815.60 |
$4,303.80 |
|
|
Cystoscopy chemodenervation
|
$293.40 |
$1,871.40 |
$2,459.50 |
|
|
Cystoscopy & duct catheter
|
$264.60 |
$264.60 |
$264.60 |
|
|
Cystoscopy inject material
|
$441.00 |
$441.00 |
$16,425.00 |
|
|
Cystoscopy prostatic imp 1-3
|
$712.50 |
$5,953.80 |
$8,013.60 |
|
|
Cystoscopy removal of clots
|
$4,152.00 |
$4,152.00 |
$4,152.00 |
|
|
Cystoscopy & revise urethra
|
$385.80 |
$385.80 |
$385.80 |
|
|
Cystoscopy & ureter catheter
|
$355.80 |
$3,787.80 |
$6,144.60 |
|
|
Cystostomy cystotomy w/drainage 51040
|
$489.00 |
$4,228.80 |
$6,497.40 |
|
|
Cystouretero & or pyeloscope
|
$456.60 |
$4,730.40 |
$4,730.40 |
|
|
Cysto/uretero stricture tx
|
$600.00 |
$600.00 |
$1,089.67 |
|
|
Cystouretero w/biopsy
|
$491.40 |
$491.40 |
$2,949.67 |
|
|
Cysto/uretero w/lithotripsy
|
$675.60 |
$675.60 |
$9,599.50 |
|
|
Cystouretero w/lithotripsy
|
$667.20 |
$667.20 |
$4,305.00 |
|
|
Cystouretero w/stone remove
|
$514.80 |
$2,468.33 |
$7,240.20 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$732.60 |
$3,442.20 |
$6,072.00 |
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$379.20 |
$2,459.50 |
$4,869.60 |
|
|
Cystourethro w/addl implant 52442
|
$61.20 |
$61.20 |
$61.20 |
|
|
Cystourethro w/implant
|
$253.20 |
$253.20 |
$692.83 |
|
|
Cysto w/up stricture tx
|
$507.60 |
$507.60 |
$507.60 |
|
|
Cysto w/ureter stricture tx
|
$630.00 |
$630.00 |
$630.00 |
|
|
Cytarabine 20 mg/ml injection solution
|
$0.60 |
$70.80 |
$2,244.00 |
|
|
Cytarabine liposome inj
|
$1,720.20 |
$1,720.20 |
$3,818.40 |
|
|
Cytogenetics 25-99
|
$136.80 |
$308.40 |
$666.60 |
|
|
Cytogenetics 3-5
|
$366.00 |
$366.00 |
$366.00 |
|
|
Cytogenomic neo microra alys
|
$1,245.00 |
$1,343.40 |
$1,416.00 |
|
|
Cytogenom microarray copy nmbr var
|
$4,206.60 |
$4,206.60 |
$4,206.60 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$60.00 |
$81.00 |
$1,002.00 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$35.50 |
$110.40 |
$1,845.00 |
|
|
Cytomegalovirus dfa
|
$61.20 |
$61.20 |
$61.20 |
|
|
Cytomegalovirus imm IV /vial
|
$5,413.80 |
$5,413.80 |
$5,413.80 |
|
|
Cyto/molecular report
|
$23.40 |
$57.60 |
$420.60 |
|
|
Cytopath c/v auto in fluid
|
$334.40 |
$334.40 |
$334.40 |
|
|
Cytopath c/v auto rescreen
|
$100.80 |
$100.80 |
$100.80 |
|
|
Cytopath c/v index add-on
|
$34.20 |
$34.20 |
$63.60 |
|
|
Cytopath c/v manual
|
$30.60 |
$32.40 |
$82.20 |
|
|
Cytopath c/v thin layer redo
|
$156.60 |
$156.60 |
$156.60 |
|
|
Cytopath fl nongyn filter
|
$57.00 |
$91.20 |
$169.60 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$97.20 |
$208.80 |
$776.40 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$64.20 |
$78.00 |
$367.80 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$48.60 |
$61.20 |
$367.80 |
|
|
Cytopathology concentration technique smears & interpretation
|
$51.00 |
$96.60 |
$233.40 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$54.60 |
$137.40 |
$1,102.20 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$29.60 |
$57.60 |
$132.00 |
|
