|
Cyp3a5 gene common variants
|
$1,579.50 |
$1,579.50 |
$1,579.50 |
$245.31
|
|
Cystatin c
|
$72.50 |
$72.50 |
$72.50 |
$76.48
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,237.00 |
$1,237.00 |
$1,237.00 |
$564.85
|
|
Cystoscopy and treatment
|
$1,505.50 |
$1,505.50 |
$1,505.50 |
$2,850.95
|
|
Cysto/uretero w/lithotripsy
|
$5,386.00 |
$5,386.00 |
$5,386.00 |
$7,573.50
|
|
Cytogenetics 25-99
|
$205.50 |
$205.50 |
$205.50 |
$189.80
|
|
Cytogenomic neo microra alys
|
$499.50 |
$499.50 |
$499.50 |
$2,156.05
|
|
Cytomegalovirus (cmv) antibody igg
|
$202.50 |
$202.50 |
$202.50 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$475.00 |
$475.00 |
$475.00 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$192.50 |
$192.50 |
$192.50 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$167.00 |
$167.00 |
$167.00 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$64.50 |
$64.50 |
$64.50 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$191.50 |
$191.50 |
$191.50 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$71.00 |
$71.00 |
$71.00 |
$124.00
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$0.50 |
$0.50 |
$0.50 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$203.50 |
$203.50 |
$203.50 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$192.50 |
$192.50 |
$192.50 |
$209.92
|
|
Cytopath smear other source
|
$70.00 |
$70.00 |
$70.00 |
$91.20
|
|
Cytopath tbs c/v manual
|
$172.00 |
$172.00 |
$172.00 |
$59.28
|
|
Dch glucoscan
|
$17.50 |
$17.50 |
$17.50 |
$29.16
|
|
Dch validity tests
|
$103.00 |
$103.00 |
$103.00 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$385.00 |
$385.00 |
$385.00 |
$42.75
|
|
Debridement (>20 cm) charge pt
|
$292.50 |
$292.50 |
$292.50 |
$278.50
|
|
Debridement bone <= 20 sq cm
|
$1,965.50 |
$1,965.50 |
$1,965.50 |
$2,293.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,965.50 |
$1,965.50 |
$1,965.50 |
$687.35
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,965.50 |
$1,965.50 |
$1,965.50 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$726.50 |
$726.50 |
$726.50 |
$820.15
|
|
Debride nail1-5 11720
|
$543.00 |
$543.00 |
$543.00 |
$149.04
|
|
Debride nail6 or more 11721
|
$543.00 |
$543.00 |
$543.00 |
$167.63
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,965.50 |
$1,965.50 |
$1,965.50 |
$641.52
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,965.50 |
$1,965.50 |
$1,965.50 |
$1,160.00
|
|
Decalcification
|
$118.50 |
$118.50 |
$118.50 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$735.50 |
$735.50 |
$735.50 |
$546.84
|
|
Deep muscle biopsy 20205
|
$10,547.00 |
$10,547.00 |
$10,547.00 |
$3,370.52
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$77.50 |
$77.50 |
$77.50 |
$182.40
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$590.50 |
$590.50 |
$590.50 |
$399.93
|
|
Destroy cervthor facet jnt 64633
|
$2,101.00 |
$2,101.00 |
$2,101.00 |
$3,018.00
|
|
Destroy cth facet jnt addl 64634
|
$630.50 |
$630.50 |
$630.50 |
$1,441.44
|
|
Destruction benign lesions < 14 lesions
|
$428.50 |
$428.50 |
$428.50 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,618.65
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,091.50 |
$3,091.50 |
$3,091.50 |
$3,295.50
|
|
Detect agnt mult dna direc
|
$133.00 |
$133.00 |
$133.00 |
$166.77
|
|
Device ablt adv novasure
|
$5,089.50 |
$5,089.50 |
$5,089.50 |
$6,237.48
|
|
Device sut capio slim opn
|
$1,127.50 |
$1,127.50 |
$1,127.50 |
$1,894.50
|
|
Device tiss remov myosure reach
|
$4,062.00 |
$4,062.00 |
$4,062.00 |
$2,466.14
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$1,189.00 |
$1,189.00 |
$1,189.00 |
$227.15
|
|
Dhea-s (dehydroepiand sulfate)
|
$944.50 |
$944.50 |
$944.50 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$259.50 |
$259.50 |
$259.50 |
$79.20
|
|
Diagnostic anoscopy spx 46600
|
$215.50 |
$215.50 |
$215.50 |
$190.68
|
|
Diagnostic digital breast tomosynthesis bil
|
$468.50 |
$468.50 |
$468.50 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$413.50 |
$413.50 |
$413.50 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$184.50 |
$184.50 |
$184.50 |
$334.95
|
|
Diagnostic Mammogram (both breasts)
|
$413.50 |
$413.50 |
$413.50 |
$413.50
|
|
Diagnostic Mammogram (one breast)
|
$358.00 |
$358.00 |
$358.00 |
$312.72
|
|
Dialysis circuit perm vascular embolization 36909
|
$5,728.50 |
$5,728.50 |
$5,728.50 |
$5,663.50
|
|
Diffusing capacity
|
$313.50 |
$313.50 |
$313.50 |
$335.20
|
|
Digoxin total therapeutic drug level
|
$274.00 |
$274.00 |
$274.00 |
$102.07
|
|
Dilate biliary duct/ampulla
|
$1,163.00 |
$1,163.00 |
$1,163.00 |
$1,729.70
|
|
Dilator fascial 10fx20cm
|
$4,055.50 |
$4,055.50 |
$4,055.50 |
$402.10
|
|
Dilat xst trc new access rcs
|
$6,728.50 |
$6,728.50 |
$6,728.50 |
$4,258.20
|
|
Disability dlco
|
$555.50 |
$555.50 |
$555.50 |
$292.03
|
|
Disaccharidases
|
$164.00 |
$164.00 |
$164.00 |
$224.31
|
|
Dise eval slp do brth flx dx
|
$1,600.50 |
$1,600.50 |
$1,600.50 |
$1,120.00
|
|
Dissolve clot heart vessel
|
$2,711.00 |
$2,711.00 |
$2,711.00 |
$1,560.00
|
|
Dna antibody native/double stranded
|
$435.00 |
$435.00 |
$435.00 |
$100.00
|
|
Dna gardnerella
|
$68.00 |
$68.00 |
$68.00 |
$61.80
|
|
Dna trichomonas
|
$68.00 |
$68.00 |
$68.00 |
$63.00
|
|
Doppler echo complete
|
$495.50 |
$495.50 |
$495.50 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$309.00 |
$309.00 |
$309.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$173.00 |
$173.00 |
$173.00 |
$473.76
|
|
Dornhoffer fixed part w/window
|
$27,833.00 |
$27,833.00 |
$27,833.00 |
$34,278.00
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$206.00 |
$206.00 |
$206.00 |
$794.82
|
|
Drainage external ear simple 69000
|
$759.00 |
$759.00 |
$759.00 |
$779.45
|
|
Drainage mouth roof lesion
|
$1,374.50 |
$1,374.50 |
$1,374.50 |
$405.60
|
|
Drain blood from under nail 11740
|
$152.00 |
$152.00 |
$152.00 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,962.50 |
$2,962.50 |
$2,962.50 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,962.50 |
$2,962.50 |
$2,962.50 |
$2,885.30
|
|
Drain chst dry seal exp thorastat
|
$100.00 |
$100.00 |
$100.00 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$458.50 |
$458.50 |
$458.50 |
$428.40
|
|
Drain lower leg lesion 27603
|
$2,456.00 |
$2,456.00 |
$2,456.00 |
$3,858.40
|
|
Drain ostomy pouch w/flange
|
$23.00 |
$23.00 |
$23.00 |
$8.80
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$672.00 |
$672.00 |
$672.00 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$543.00 |
$543.00 |
$543.00 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$737.50 |
$737.50 |
$737.50 |
$540.80
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$3,878.50 |
$3,878.50 |
$3,878.50 |
$5,857.52
|
|
Drng of finger abscess comp 26011
|
$3,197.00 |
$3,197.00 |
$3,197.00 |
$2,029.60
|
|
Drng of scrotum abscess 55100
|
$2,796.00 |
$2,796.00 |
$2,796.00 |
$1,997.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$76.50 |
$76.50 |
$76.50 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$25.50 |
$25.50 |
$25.50 |
$58.20
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$185.00 |
$185.00 |
$185.00 |
$8,040.27
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$2.00 |
$2.00 |
$2.00 |
$3.11
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$376.50 |
$376.50 |
$376.50 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$373.00 |
$373.00 |
$373.00 |
$578.59
|
|
Drug assay caffeine
|
$57.00 |
$57.00 |
$57.00 |
$81.61
|
|
Drug assay vedolizumab
|
$398.50 |
$398.50 |
$398.50 |
$157.00
|
|
Drug asy hydroxychloroquine
|
$77.00 |
$77.00 |
$77.00 |
$66.43
|
|
Drug of abuse screen urine
|
$37.00 |
$37.00 |
$37.00 |
$64.50
|
|
Drug test prsmv instrmnt
|
$49.00 |
$49.00 |
$49.00 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,162.00 |
$1,162.00 |
$1,162.00 |
$280.95
|
