|
Culture bact stool aero addl path ea
|
$16.10 |
$16.10 |
$16.10 |
$51.20
|
|
Culture body fluid
|
$14.72 |
$14.72 |
$14.72 |
$120.50
|
|
Culture fungi definitive id mold
|
$17.94 |
$17.94 |
$17.94 |
$74.97
|
|
Culture fungi definitive id yeast
|
$17.94 |
$17.94 |
$17.94 |
$79.10
|
|
Culture fungi other (except blood)
|
$14.49 |
$14.49 |
$14.49 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$13.34 |
$13.34 |
$13.34 |
$74.40
|
|
Culture mycoplasma any source
|
$25.30 |
$25.30 |
$25.30 |
$85.26
|
|
Culture quantitative aerobic other source
|
$16.10 |
$16.10 |
$16.10 |
$87.02
|
|
Culture screening strep group a
|
$11.27 |
$11.27 |
$11.27 |
$81.00
|
|
Culture typing added method
|
$8.97 |
$8.97 |
$8.97 |
$36.78
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$289.11 |
$289.11 |
$289.11 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$60.03 |
$60.03 |
$60.03 |
$130.38
|
|
Culture urine each isolate
|
$14.03 |
$14.03 |
$14.03 |
$52.00
|
|
Culture virus isolation
|
$18.40 |
$18.40 |
$18.40 |
$112.76
|
|
Cutter lead
|
$15,380.61 |
$15,380.61 |
$15,380.61 |
$5,790.00
|
|
Cyanocobalamin unsat binding capacity
|
$24.61 |
$24.61 |
$24.61 |
$64.28
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$16.08 |
$16.08 |
$16.08 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$11.73 |
$11.73 |
$11.73 |
$72.36
|
|
Cyclosporine 2 hour
|
$30.82 |
$30.82 |
$30.82 |
$129.48
|
|
Cymetra injectable
|
$432.94 |
$432.94 |
$432.94 |
$578.24
|
|
Cyp2c19 gene com variants
|
$411.93 |
$411.93 |
$411.93 |
$433.00
|
|
Cyp2c9 gene com variants
|
$220.80 |
$220.80 |
$220.80 |
$266.50
|
|
Cyp2d6 gene com variants
|
$634.11 |
$634.11 |
$634.11 |
$525.95
|
|
Cystatin c
|
$20.47 |
$20.47 |
$20.47 |
$78.60
|
|
Cystic fibrosis cftr
|
$1,020.28 |
$1,020.28 |
$1,020.28 |
$1,060.00
|
|
Cystine urine quantitative
|
$29.21 |
$29.21 |
$29.21 |
$103.35
|
|
Cystoscopy (Bladder Scope)
|
$266.34 |
$266.34 |
$266.34 |
$1,493.80
|
|
Cystourethroscop/calib/dilat stric 52281
|
$429.18 |
$429.18 |
$429.18 |
$3,036.00
|
|
Cytogenetics 25-99
|
$33.12 |
$33.12 |
$33.12 |
$189.80
|
|
Cytogenetics 3-5
|
$21.16 |
$21.16 |
$21.16 |
$147.36
|
|
Cytogenom microarray copy nmbr var
|
$522.33 |
$522.33 |
$522.33 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$24.61 |
$24.61 |
$24.61 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$28.06 |
$28.06 |
$28.06 |
$96.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$76.13 |
$76.13 |
$76.13 |
$159.45
|
|
Cytopathology concentration technique smears & interpretation
|
$62.79 |
$62.79 |
$62.79 |
$130.40
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$50.37 |
$50.37 |
$50.37 |
$127.50
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$84.64 |
$84.64 |
$84.64 |
$207.50
|
|
Cytopath smear other source
|
$42.78 |
$42.78 |
$42.78 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$51.52 |
$51.52 |
$51.52 |
$95.00
|
|
Cytotoxic antibody screening
|
$31.28 |
$31.28 |
$31.28 |
$76.56
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$161.00 |
$161.00 |
$161.00 |
$163.80
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$1,247.98 |
$1,247.98 |
$1,247.98 |
$3,774.81
|
|
Dch glucoscan
|
$5.52 |
$5.52 |
$5.52 |
$28.10
|
|
Dch pulmonary stress test
|
$242.65 |
$242.65 |
$242.65 |
$930.80
|
|
Dch validity tests
|
$4.37 |
$4.37 |
$4.37 |
$24.36
|
|
Deamidated gliadin antibody iga
|
$72.91 |
$72.91 |
$72.91 |
$43.86
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$153.87 |
$153.87 |
$153.87 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$75.67 |
$75.67 |
$75.67 |
$262.25
|
|
Debridement bone <= 20 sq cm
|
$470.35 |
$470.35 |
$470.35 |
$2,291.20
|
|
Debridement/bone/20 sq cm or less 11046
|
$26.91 |
$26.91 |
$26.91 |
$654.75
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$452.18 |
$452.18 |
$452.18 |
$1,313.25
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$299.00 |
$299.00 |
$299.00 |
$810.50
|
|
Debride nail1-5 11720
|
$16.10 |
$16.10 |
$16.10 |
$148.80
|
|
Debride nail6 or more 11721
|
$24.38 |
$24.38 |
$24.38 |
$167.63
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$289.11 |
$289.11 |
$289.11 |
$1,012.80
|
|
Debride skin bone at fx site
|
$355.81 |
$355.81 |
$355.81 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$111.32 |
$111.32 |
$111.32 |
$639.60
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$338.79 |
$338.79 |
$338.79 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$30.59 |
$30.59 |
$30.59 |
$106.86
|
|
Debr musc/fascia 20sq cm/< 11043
|
$284.74 |
$284.74 |
$284.74 |
$1,160.00
|
|
Decalcification
|
$8.97 |
$8.97 |
$8.97 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$256.91 |
$256.91 |
$256.91 |
$540.00
|
|
Decomp fasct leg ant+/lat+pst cmprt 27602
|
$1,450.84 |
$1,450.84 |
$1,450.84 |
$4,914.00
|
|
Deep muscle biopsy 20205
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$3,170.64
|
|
Deferoxamine 500 mg solution for injection
|
$80.55 |
$80.55 |
$80.55 |
$95.85
|
|
Delivery of placenta 59414
|
$847.09 |
$847.09 |
$847.09 |
$2,916.00
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$34.04 |
$34.04 |
$34.04 |
$186.00
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$201.94 |
$201.94 |
$201.94 |
$402.36
|
|
Dermapure 1 square cm
|
$215.16 |
$215.16 |
$215.16 |
$2,319.00
|
|
Desmopressin 4 mcg/ml injection solution
|
$114.94 |
$114.94 |
$114.94 |
$87.79
|
|
Desoxycorticosterone
|
$32.43 |
$32.43 |
$32.43 |
$109.28
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$81.88 |
$81.88 |
$81.88 |
$273.72
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$90.39 |
$90.39 |
$90.39 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$99.36 |
$99.36 |
$99.36 |
$408.50
|
|
Dest mal lesion snhfg <0.5cm 17270
|
$81.88 |
$81.88 |
$81.88 |
$273.72
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$90.39 |
$90.39 |
$90.39 |
$295.50
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$99.36 |
$99.36 |
$99.36 |
$290.50
|
|
Dest mal lesion tal <0.5 17260
|
$81.88 |
$81.88 |
$81.88 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$90.39 |
$90.39 |
$90.39 |
$261.00
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$99.36 |
$99.36 |
$99.36 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$109.25 |
$109.25 |
$109.25 |
$354.00
|
|
Destroy internal hemorrhoids destroy 46930
|
$379.96 |
$379.96 |
$379.96 |
$1,305.08
|
|
Destroy premlg lesns;1st lesn 17000
|
$97.52 |
$97.52 |
$97.52 |
$199.50
|
|
Destroy vulva lesion extensive 56515
|
$1,343.66 |
$1,343.66 |
$1,343.66 |
$2,164.64
|
|
Destroy vulva lesion simple 56501
|
$366.39 |
$366.39 |
$366.39 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$81.88 |
$81.88 |
$81.88 |
$234.00
|
|
Destruct cut vasl lesions 10-50cm 17107
|
$242.88 |
$242.88 |
$242.88 |
$874.00
|
|
Destruct cut vasl lesions <10cm 17106
|
$157.09 |
$157.09 |
$157.09 |
$652.20
|
|
Destruct cut vasl lesions >50cm 17108
|
$765.90 |
$765.90 |
$765.90 |
$2,024.70
|
|
Destruction 2-14 lesions 17003
|
$32.66 |
$32.66 |
$32.66 |
$72.24
|
|
Destruction benign lesions < 14 lesions
|
$38.64 |
$38.64 |
$38.64 |
$235.13
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$109.25 |
$109.25 |
$109.25 |
$513.60
|
|
Destruction mal lsn s/n/h/f/g 3.1-4cm
|
$120.06 |
$120.06 |
$120.06 |
$531.00
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$120.06 |
$120.06 |
$120.06 |
$472.79
|
|
Destruction mal lsn t/a/l >4cm
|
$132.02 |
$132.02 |
$132.02 |
$558.97
|
|
Destruction penis lesion(s) chem 54050
|
$157.09 |
$157.09 |
$157.09 |
$332.00
|
|
Destruction penis lesion(s) exten 54065
|
$765.90 |
$765.90 |
$765.90 |
$2,507.31
|
|
Destruction premal lesions 15/> 17004
|
$157.09 |
$157.09 |
$157.09 |
$413.25
|
|
Destruction vag lesions complex 57065
|
$1,118.95 |
$1,118.95 |
$1,118.95 |
$3,744.41
|
|
Destruction vag lesions simple 57061
|
$1,118.95 |
$1,118.95 |
$1,118.95 |
$3,762.53
|
