|
CT guid parench tis ablat
|
$689.50 |
$689.50 |
$689.50 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$364.00 |
$364.00 |
$364.00 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$695.00 |
$695.00 |
$695.00 |
$1,395.79
|
|
CT hrt w/3d image
|
$794.00 |
$794.00 |
$794.00 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$416.00 |
$416.00 |
$416.00 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$919.50 |
$919.50 |
$919.50 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$381.00 |
$381.00 |
$381.00 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,149.00 |
$1,149.00 |
$1,149.00 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,064.50 |
$1,064.50 |
$1,064.50 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$747.00 |
$747.00 |
$747.00 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$919.50 |
$919.50 |
$919.50 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$919.50 |
$919.50 |
$919.50 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$76.00 |
$76.00 |
$76.00 |
$72.00
|
|
Culture afb any source
|
$93.50 |
$93.50 |
$93.50 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$73.00 |
$73.00 |
$73.00 |
$84.76
|
|
Culture anaerobic except blood
|
$85.00 |
$85.00 |
$85.00 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$89.50 |
$89.50 |
$89.50 |
$52.50
|
|
Culture body fluid
|
$92.50 |
$92.50 |
$92.50 |
$126.75
|
|
Culture fungi definitive id mold
|
$108.00 |
$108.00 |
$108.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$82.00 |
$82.00 |
$82.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$92.50 |
$92.50 |
$92.50 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$81.50 |
$81.50 |
$81.50 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$79.00 |
$79.00 |
$79.00 |
$100.00
|
|
Culture mycoplasma any source
|
$173.00 |
$173.00 |
$173.00 |
$83.21
|
|
Culture quantitative aerobic other source
|
$140.00 |
$140.00 |
$140.00 |
$87.02
|
|
Culture screening strep group a
|
$76.00 |
$76.00 |
$76.00 |
$84.60
|
|
Culture typing added method
|
$31.00 |
$31.00 |
$31.00 |
$42.60
|
|
Culture typing immunologic
|
$39.50 |
$39.50 |
$39.50 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$2,354.50 |
$2,354.50 |
$2,354.50 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$209.00 |
$209.00 |
$209.00 |
$140.80
|
|
Culture urine each isolate
|
$68.50 |
$68.50 |
$68.50 |
$55.50
|
|
Cutter lead
|
$1,494.98 |
$1,494.98 |
$1,494.98 |
$6,581.45
|
|
Cv line/pic reposition
|
$1,325.50 |
$1,325.50 |
$1,325.50 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$125.50 |
$125.50 |
$125.50 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$18.03 |
$18.03 |
$18.03 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$93.00 |
$93.00 |
$93.00 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1.64 |
$1.64 |
$1.64 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$4.08 |
$4.08 |
$4.08 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$23.94 |
$23.94 |
$23.94 |
$140.78
|
|
Cyclosporine 2 hour
|
$166.00 |
$166.00 |
$166.00 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$2.29 |
$2.29 |
$2.29 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$4.02 |
$4.02 |
$4.02 |
$37.31
|
|
Cylinder pump set 20cm titan zero angl
|
$24,131.60 |
$24,131.60 |
$24,131.60 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$1,147.00 |
$1,147.00 |
$1,147.00 |
$524.00
|
|
Cyp2c9 gene com variants
|
$266.50 |
$266.50 |
$266.50 |
$275.10
|
|
Cyp2d6 gene com variants
|
$1,611.50 |
$1,611.50 |
$1,611.50 |
$570.70
|
|
Cyp3a4 gene common variants
|
$262.00 |
$262.00 |
$262.00 |
$241.24
|
|
Cyp3a5 gene common variants
|
$262.00 |
$262.00 |
$262.00 |
$245.31
|
|
Cystatin c
|
$88.00 |
$88.00 |
$88.00 |
$77.60
|
|
Cystic fibrosis cftr
|
$9,771.00 |
$9,771.00 |
$9,771.00 |
$1,104.40
|
|
Cystine urine quantitative
|
$153.50 |
$153.50 |
$153.50 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$527.50 |
$527.50 |
$527.50 |
$586.95
|
|
Cystoscopy and treatment
|
$6,962.50 |
$6,962.50 |
$6,962.50 |
$4,638.40
|
|
Cystoscopy and treatment
|
$6,962.50 |
$6,962.50 |
$6,962.50 |
$5,304.00
|
|
Cystoscopy and treatment
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$2,867.70
|
|
Cystoscopy and treatment
|
$12,616.00 |
$12,616.00 |
$12,616.00 |
$3,817.53
|
|
Cystoscopy (Bladder Scope)
|
$506.50 |
$506.50 |
$506.50 |
$1,493.80
|
|
Cystoscopy removal of clots
|
$4,646.00 |
$4,646.00 |
$4,646.00 |
$4,081.37
|
|
Cystoscopy & ureter catheter
|
$3,274.00 |
$3,274.00 |
$3,274.00 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$3,027.00 |
$3,027.00 |
$3,027.00 |
$4,129.45
|
|
Cystouretero & or pyeloscope
|
$2,864.00 |
$2,864.00 |
$2,864.00 |
$4,315.98
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,845.50 |
$2,845.50 |
$2,845.50 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$4,057.50 |
$4,057.50 |
$4,057.50 |
$4,057.50
|
|
Cytarabine 20 mg/ml injection solution
|
$61.21 |
$61.21 |
$61.21 |
$90.00
|
|
Cytogenetics 25-99
|
$317.00 |
$317.00 |
$317.00 |
$189.80
|
|
Cytogenetics 3-5
|
$314.50 |
$314.50 |
$314.50 |
$147.36
|
|
Cytogenomic neo microra alys
|
$2,756.50 |
$2,756.50 |
$2,756.50 |
$2,198.00
|
|
Cytogenom microarray copy nmbr var
|
$1,264.00 |
$1,264.00 |
$1,264.00 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$163.00 |
$163.00 |
$163.00 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$135.00 |
$135.00 |
$135.00 |
$100.00
|
|
Cytomegalovirus dfa
|
$177.50 |
$177.50 |
$177.50 |
$77.40
|
|
Cytopath c/v auto in fluid
|
$79.00 |
$79.00 |
$79.00 |
$56.00
|
|
Cytopath c/v index add-on
|
$29.00 |
$29.00 |
$29.00 |
$34.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$281.50 |
$281.50 |
$281.50 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$98.00 |
$98.00 |
$98.00 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$84.50 |
$84.50 |
$84.50 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$96.50 |
$96.50 |
$96.50 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$91.50 |
$91.50 |
$91.50 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$32.50 |
$32.50 |
$32.50 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$122.00 |
$122.00 |
$122.00 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$125.00 |
$125.00 |
$125.00 |
$213.85
|
|
Cytopath smear other source
|
$81.50 |
$81.50 |
$81.50 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$91.00 |
$91.00 |
$91.00 |
$96.20
|
|
Cytopath tbs c/v manual
|
$89.50 |
$89.50 |
$89.50 |
$59.28
|
|
Cytotoxic antibody screening
|
$184.00 |
$184.00 |
$184.00 |
$193.80
|
|
Cytotoxic antibody screening
|
$242.00 |
$242.00 |
$242.00 |
$133.25
|
|
Cytp urine 3-5 probes cmptr
|
$860.50 |
$860.50 |
$860.50 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$14.10 |
$14.10 |
$14.10 |
$62.41
|
|
Dactinomycin 0.5 mg intravenous solution
|
$427.22 |
$427.22 |
$427.22 |
$3,264.26
|
|
Dalbavancin 500 mg intravenous solution
|
$21.78 |
$21.78 |
$21.78 |
$3,493.11
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$80.70 |
$80.70 |
$80.70 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$9.85 |
$9.85 |
$9.85 |
$6,281.29
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$328.01 |
$328.01 |
$328.01 |
$20,196.00
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$72.51 |
$72.51 |
$72.51 |
$259.58
|
|
Dbrdmt prmlg les w/pdt
|
$2,231.00 |
$2,231.00 |
$2,231.00 |
$468.00
|
|
D&c after delivery 59160
|
$5,187.00 |
$5,187.00 |
$5,187.00 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$6,672.50 |
$6,672.50 |
$6,672.50 |
$3,774.81
|
|
Dch glucoscan
|
$27.50 |
$27.50 |
$27.50 |
$29.16
|
|
Dch pulmonary stress test
|
$1,090.50 |
$1,090.50 |
$1,090.50 |
$963.30
|
|
Dch validity tests
|
$25.00 |
$25.00 |
$25.00 |
$25.00
|
