|
Culture afb any source
|
$700.64 |
$700.64 |
$700.64 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$353.12 |
$353.12 |
$353.12 |
$77.31
|
|
Culture anaerobic except blood
|
$498.68 |
$498.68 |
$498.68 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$165.92 |
$165.92 |
$165.92 |
$52.80
|
|
Culture body fluid
|
$415.77 |
$415.77 |
$415.77 |
$130.50
|
|
Culture fungi definitive id mold
|
$80.48 |
$80.48 |
$80.48 |
$70.00
|
|
Culture fungi definitive id yeast
|
$311.53 |
$311.53 |
$311.53 |
$80.60
|
|
Culture fungi other (except blood)
|
$371.92 |
$371.92 |
$371.92 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$390.31 |
$390.31 |
$390.31 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$451.52 |
$451.52 |
$451.52 |
$84.75
|
|
Culture mycoplasma any source
|
$124.73 |
$124.73 |
$124.73 |
$90.37
|
|
Culture quantitative aerobic other source
|
$189.34 |
$189.34 |
$189.34 |
$87.02
|
|
Culture screening strep group a
|
$434.18 |
$434.18 |
$434.18 |
$81.60
|
|
Culture typing added method
|
$133.05 |
$133.05 |
$133.05 |
$34.45
|
|
Culture typing immunologic
|
$133.55 |
$133.55 |
$133.55 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$1,749.29 |
$1,749.29 |
$1,749.29 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$357.16 |
$357.16 |
$357.16 |
$124.40
|
|
Culture urine each isolate
|
$128.63 |
$128.63 |
$128.63 |
$46.20
|
|
Cv line/pic reposition
|
$8,430.07 |
$8,430.07 |
$8,430.07 |
$1,829.42
|
|
Cv stress test/supervision only 93016
|
$92.58 |
$92.58 |
$92.58 |
$59.25
|
|
Cyanocobalamin unsat binding capacity
|
$73.20 |
$73.20 |
$73.20 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$51.42 |
$51.42 |
$51.42 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$104.57 |
$104.57 |
$104.57 |
$80.05
|
|
Cyclosporine 2 hour
|
$438.32 |
$438.32 |
$438.32 |
$121.80
|
|
Cyclosporine oral 100 mg
|
$29.83 |
$29.83 |
$29.83 |
$39.04
|
|
Cyp2c19 gene com variants
|
$2,150.79 |
$2,150.79 |
$2,150.79 |
$567.75
|
|
Cyp2c9 gene com variants
|
$2,779.40 |
$2,779.40 |
$2,779.40 |
$275.10
|
|
Cyp2d6 gene com variants
|
$14.75 |
$14.75 |
$14.75 |
$537.50
|
|
Cystatin c
|
$222.85 |
$222.85 |
$222.85 |
$82.26
|
|
Cystine urine quantitative
|
$276.53 |
$276.53 |
$276.53 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$996.74 |
$996.74 |
$996.74 |
$539.55
|
|
Cystometrogram w/up 51727
|
$3,623.55 |
$3,623.55 |
$3,623.55 |
$857.38
|
|
Cystoscopy and treatment
|
$10,606.65 |
$10,606.65 |
$10,606.65 |
$3,174.25
|
|
Cystoscopy and treatment
|
$13,059.18 |
$13,059.18 |
$13,059.18 |
$3,219.80
|
|
Cystoscopy (Bladder Scope)
|
$3,623.55 |
$3,623.55 |
$3,623.55 |
$1,610.20
|
|
Cystoscopy removal of clots
|
$17,729.13 |
$17,729.13 |
$17,729.13 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$10,263.24 |
$10,263.24 |
$10,263.24 |
$3,416.48
|
|
Cystourethroscop/calib/dilat stric 52281
|
$10,263.24 |
$10,263.24 |
$10,263.24 |
$2,874.36
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$13,259.81 |
$13,259.81 |
$13,259.81 |
$3,970.98
|
|
Cystourethro w/addl implant 52442
|
$1,702.51 |
$1,702.51 |
$1,702.51 |
$1,502.96
|
|
Cystourethro w/implant
|
$3,736.61 |
$3,736.61 |
$3,736.61 |
$3,312.80
|
|
Cytarabine 20 mg/ml injection solution
|
$89.95 |
$89.95 |
$89.95 |
$89.95
|
|
Cytogenetics 25-99
|
$485.89 |
$485.89 |
$485.89 |
$180.32
|
|
Cytogenetics 3-5
|
$333.87 |
$333.87 |
$333.87 |
$127.64
|
|
Cytogenom microarray copy nmbr var
|
$9,501.86 |
$9,501.86 |
$9,501.86 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$254.33 |
$254.33 |
$254.33 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$202.76 |
$202.76 |
$202.76 |
$96.80
|
|
Cyto/molecular report
|
$383.99 |
$383.99 |
$383.99 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$630.50 |
$630.50 |
$630.50 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$390.90 |
$390.90 |
$390.90 |
$90.75
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$304.56 |
$304.56 |
$304.56 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$352.91 |
$352.91 |
$352.91 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$333.46 |
$333.46 |
$333.46 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$161.70 |
$161.70 |
$161.70 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$161.70 |
$161.70 |
$161.70 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$400.00 |
$400.00 |
$400.00 |
$205.00
|
|
Cytopath smear other source
|
$285.28 |
$285.28 |
$285.28 |
$85.80
|
|
Cytopath smear oth prep screen & interp
|
$313.82 |
$313.82 |
$313.82 |
$95.89
|
|
Cytopath tbs c/v manual
|
$117.53 |
$117.53 |
$117.53 |
$57.94
|
|
Cytotoxic antibody screening
|
$1,116.52 |
$1,116.52 |
$1,116.52 |
$157.60
|
|
Cytp urine 3-5 probes cmptr
|
$1,013.40 |
$1,013.40 |
$1,013.40 |
$690.00
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$43,777.27 |
$43,777.27 |
$43,777.27 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$7,301.58 |
$7,301.58 |
$7,301.58 |
$5,546.48
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$17,731.06 |
$17,731.06 |
$17,731.06 |
$3,774.81
|
|
Dch pulmonary stress test
|
$2,401.28 |
$2,401.28 |
$2,401.28 |
$964.41
|
|
Dch validity tests
|
$55.34 |
$55.34 |
$55.34 |
$25.20
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$21,284.82 |
$21,284.82 |
$21,284.82 |
$4,021.68
|
|
Deamidated gliadin antibody iga
|
$222.47 |
$222.47 |
$222.47 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$2,167.91 |
$2,167.91 |
$2,167.91 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$814.96 |
$814.96 |
$814.96 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$3,944.13 |
$3,944.13 |
$3,944.13 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$2,640.21 |
$2,640.21 |
$2,640.21 |
$688.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$3,944.13 |
$3,944.13 |
$3,944.13 |
$1,283.44
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$1,336.28 |
$1,336.28 |
$1,336.28 |
$810.50
|
|
Debride nail1-5 11720
|
$462.40 |
$462.40 |
$462.40 |
$173.25
|
|
Debride nail6 or more 11721
|
$509.52 |
$509.52 |
$509.52 |
$195.20
|
|
Debride skin bone at fx site
|
$13,727.14 |
$13,727.14 |
$13,727.14 |
$3,278.34
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,336.28 |
$1,336.28 |
$1,336.28 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,279.47 |
$1,279.47 |
$1,279.47 |
$1,193.40
|
|
Decalcification
|
$226.99 |
$226.99 |
$226.99 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$991.93 |
$991.93 |
$991.93 |
$545.90
|
|
Decompression of tibia nerve
|
$14,931.95 |
$14,931.95 |
$14,931.95 |
$2,625.60
|
|
Decompres spinal cord;thoracic 63055
|
$31,370.27 |
$31,370.27 |
$31,370.27 |
$7,907.11
|
|
Decompress spinal cord lmbr
|
$41,668.27 |
$41,668.27 |
$41,668.27 |
$7,913.97
|
|
Decomp spinal cord/transped/ad seg 63057
|
$9,153.58 |
$9,153.58 |
$9,153.58 |
$768.00
|
|
Deferoxamine 500 mg solution for injection
|
$555.09 |
$555.09 |
$555.09 |
$110.82
|
|
Delivery of placenta 59414
|
$6,260.09 |
$6,260.09 |
$6,260.09 |
$3,271.20
|
|
Delivery transcath fxtn dvc to endogrft w/s&i
|
$9,038.69 |
$9,038.69 |
$9,038.69 |
$7,763.47
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$309.28 |
$309.28 |
$309.28 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$11,540.95 |
$11,540.95 |
$11,540.95 |
$7,933.81
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$977.77 |
$977.77 |
$977.77 |
$460.50
|
|
Descend thora aorta rpr/lt sub art 33880
|
$29,440.34 |
$29,440.34 |
$29,440.34 |
$5,702.04
|
|
Design mlc device for imrt
|
$2,126.51 |
$2,126.51 |
$2,126.51 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$821.46 |
$821.46 |
$821.46 |
$102.32
|
|
Desoxycorticosterone
|
$355.19 |
$355.19 |
$355.19 |
$109.28
|
|
Des thora aorta rpr without left sub art 33881
|
$36,644.49 |
$36,644.49 |
$36,644.49 |
$5,698.68
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$1,239.85 |
$1,239.85 |
$1,239.85 |
$269.60
|
|
Destroy cervthor facet jnt 64633
|
$3,761.89 |
$3,761.89 |
$3,761.89 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$1,314.84 |
$1,314.84 |
$1,314.84 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$1,112.09 |
$1,112.09 |
$1,112.09 |
$220.12
|