|
Culture mycoplasma any source
|
$72.00 |
$72.00 |
$72.00 |
$85.26
|
|
Culture of specimen by kit
|
$49.00 |
$49.00 |
$49.00 |
$37.36
|
|
Culture quantitative aerobic other source
|
$15.00 |
$15.00 |
$15.00 |
$87.02
|
|
Culture screening strep group a
|
$37.00 |
$37.00 |
$37.00 |
$81.00
|
|
Culture typing immunologic
|
$30.00 |
$30.00 |
$30.00 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$105.00 |
$105.00 |
$105.00 |
$130.38
|
|
Cutter lead
|
$3,071.88 |
$3,071.88 |
$3,071.88 |
$5,790.00
|
|
Cv line/pic reposition
|
$871.50 |
$871.50 |
$871.50 |
$1,629.75
|
|
Cyanocobalamin unsat binding capacity
|
$175.50 |
$175.50 |
$175.50 |
$64.28
|
|
Cyclic citrullinated peptide antibody
|
$68.00 |
$68.00 |
$68.00 |
$72.36
|
|
Cyclosporine 2 hour
|
$123.50 |
$123.50 |
$123.50 |
$129.48
|
|
Cylinder pump set 20cm titan zero angl
|
$12,175.20 |
$12,175.20 |
$12,175.20 |
$22,636.93
|
|
Cyp2c19 gene com variants
|
$433.00 |
$433.00 |
$433.00 |
$433.00
|
|
Cyp2c9 gene com variants
|
$133.00 |
$133.00 |
$133.00 |
$266.50
|
|
Cyp2d6 gene com variants
|
$554.00 |
$554.00 |
$554.00 |
$525.95
|
|
Cystatin c
|
$346.00 |
$346.00 |
$346.00 |
$78.60
|
|
Cystine urine quantitative
|
$56.00 |
$56.00 |
$56.00 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$654.00 |
$654.00 |
$654.00 |
$538.40
|
|
Cystoscopy and treatment
|
$2,147.00 |
$2,147.00 |
$2,147.00 |
$2,873.00
|
|
Cystoscopy and treatment
|
$3,203.50 |
$3,203.50 |
$3,203.50 |
$3,203.50
|
|
Cystoscopy (Bladder Scope)
|
$1,432.00 |
$1,432.00 |
$1,432.00 |
$1,493.80
|
|
Cystoscopy removal of clots
|
$4,861.50 |
$4,861.50 |
$4,861.50 |
$4,051.50
|
|
Cystoscopy & ureter catheter
|
$4,861.50 |
$4,861.50 |
$4,861.50 |
$3,694.00
|
|
Cystouretero & or pyeloscope
|
$2,174.00 |
$2,174.00 |
$2,174.00 |
$4,315.98
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,015.50 |
$3,015.50 |
$3,015.50 |
$3,036.00
|
|
Cysto w/ureter stricture tx
|
$5,319.00 |
$5,319.00 |
$5,319.00 |
$4,081.37
|
|
Cytomegalovirus (cmv) antibody igg
|
$110.50 |
$110.50 |
$110.50 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$18.00 |
$18.00 |
$18.00 |
$96.20
|
|
Cytopath c/v auto in fluid
|
$20.00 |
$20.00 |
$20.00 |
$56.00
|
|
Cytopath c/v manual
|
$20.00 |
$20.00 |
$20.00 |
$32.40
|
|
Cytopathology cellular enhancement technique non-gyn
|
$172.50 |
$172.50 |
$172.50 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$15.50 |
$15.50 |
$15.50 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$129.00 |
$129.00 |
$129.00 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$144.00 |
$144.00 |
$144.00 |
$130.40
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$257.50 |
$257.50 |
$257.50 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$106.50 |
$106.50 |
$106.50 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$194.00 |
$194.00 |
$194.00 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$219.00 |
$219.00 |
$219.00 |
$207.50
|
|
Cytopath smear other source
|
$57.50 |
$57.50 |
$57.50 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$57.50 |
$57.50 |
$57.50 |
$95.00
|
|
Cytp urine 3-5 probes cmptr
|
$793.00 |
$793.00 |
$793.00 |
$690.00
|
|
D&c after delivery 59160
|
$2,633.00 |
$2,633.00 |
$2,633.00 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$2,339.00 |
$2,339.00 |
$2,339.00 |
$3,774.81
|
|
Dch glucoscan
|
$55.00 |
$55.00 |
$55.00 |
$28.10
|
|
Dch pulmonary stress test
|
$1,534.00 |
$1,534.00 |
$1,534.00 |
$930.80
|
|
Dch validity tests
|
$20.50 |
$20.50 |
$20.50 |
$24.36
|
|
Deamidated gliadin antibody iga
|
$95.50 |
$95.50 |
$95.50 |
$43.86
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$340.00 |
$340.00 |
$340.00 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$374.00 |
$374.00 |
$374.00 |
$262.25
|
|
Debridement bone <= 20 sq cm
|
$2,706.50 |
$2,706.50 |
$2,706.50 |
$2,291.20
|
|
Debridement/bone/20 sq cm or less 11046
|
$663.00 |
$663.00 |
$663.00 |
$654.75
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,050.00 |
$2,050.00 |
$2,050.00 |
$1,313.25
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$868.00 |
$868.00 |
$868.00 |
$810.50
|
|
Debride nail1-5 11720
|
$306.00 |
$306.00 |
$306.00 |
$148.80
|
|
Debride nail6 or more 11721
|
$102.00 |
$102.00 |
$102.00 |
$167.63
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,012.80
|
|
Debride skin bone at fx site
|
$1,922.00 |
$1,922.00 |
$1,922.00 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$684.00 |
$684.00 |
$684.00 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$246.00 |
$246.00 |
$246.00 |
$235.13
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,129.45
|
|
Debr inf skin add-on 11001
|
$223.00 |
$223.00 |
$223.00 |
$106.86
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,299.50 |
$1,299.50 |
$1,299.50 |
$1,160.00
|
|
Decalcification
|
$95.50 |
$95.50 |
$95.50 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$727.00 |
$727.00 |
$727.00 |
$540.00
|
|
Delay flap trunk 15600
|
$4,718.50 |
$4,718.50 |
$4,718.50 |
$4,332.25
|
|
Delivery of placenta 59414
|
$1,878.00 |
$1,878.00 |
$1,878.00 |
$2,916.00
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$308.00 |
$308.00 |
$308.00 |
$186.00
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$300.50 |
$300.50 |
$300.50 |
$402.36
|
|
Dermagraft
|
$67.80 |
$67.80 |
$67.80 |
$87.60
|
|
Design mlc device for imrt
|
$7,911.50 |
$7,911.50 |
$7,911.50 |
$1,677.86
|
|
Dest mal lesion feenlm <0.5cm 17280
|
$364.50 |
$364.50 |
$364.50 |
$273.72
|
|
Dest mal lesion feenlm 0.6-1cm 17281
|
$663.00 |
$663.00 |
$663.00 |
$362.58
|
|
Dest mal lesion feenlm 1.1 - 2.0 cm 17282
|
$663.00 |
$663.00 |
$663.00 |
$408.50
|
|
Dest mal lesion snhfg 0.6-1cm 17271
|
$364.50 |
$364.50 |
$364.50 |
$295.50
|
|
Dest mal lesion snhfg 1.1-2cm 17272
|
$364.50 |
$364.50 |
$364.50 |
$290.50
|
|
Dest mal lesion tal <0.5 17260
|
$273.50 |
$273.50 |
$273.50 |
$238.40
|
|
Dest mal lesion tal 0.6-1.0cm 17261
|
$364.50 |
$364.50 |
$364.50 |
$261.00
|
|
Dest mal lesion tal 1.1-2.0cm 17262
|
$364.50 |
$364.50 |
$364.50 |
$332.25
|
|
Dest mal lesion tal 2.1-3.0cm 17263
|
$364.50 |
$364.50 |
$364.50 |
$354.00
|
|
Destroy cervthor facet jnt 64633
|
$1,904.50 |
$1,904.50 |
$1,904.50 |
$2,998.30
|
|
Destroy cth facet jnt addl 64634
|
$1,256.00 |
$1,256.00 |
$1,256.00 |
$1,441.44
|
|
Destroy internal hemorrhoids destroy 46930
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$1,305.08
|
|
Destroy premlg lesns;1st lesn 17000
|
$145.00 |
$145.00 |
$145.00 |
$199.50
|
|
Destroy vulva lesion simple 56501
|
$3,239.50 |
$3,239.50 |
$3,239.50 |
$3,562.00
|
|
Destruct ben lesion 15/> 17111
|
$223.50 |
$223.50 |
$223.50 |
$234.00
|
|
Destruction 2-14 lesions 17003
|
$94.50 |
$94.50 |
$94.50 |
$72.24
|
|
Destruction anal lesion(s) smpl chem 46900
|
$645.00 |
$645.00 |
$645.00 |
$535.46
|
|
Destruction benign lesions < 14 lesions
|
$137.00 |
$137.00 |
$137.00 |
$235.13
|
|
Destruction by injection tx of nerve 64630
|
$802.50 |
$802.50 |
$802.50 |
$1,589.38
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,904.50 |
$1,904.50 |
$1,904.50 |
$1,612.80
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,747.50 |
$2,747.50 |
$2,747.50 |
$3,138.15
|
|
Destruction cryosurgery anal lesion(s) simpl 46916
|
$364.50 |
$364.50 |
$364.50 |
$355.29
|
|
Destruction mal lsn s/n/h/f/g 2.1-3cm
|
$663.00 |
$663.00 |
$663.00 |
$513.60
|
|
Destruction mal lsn t/a/l 3.1-4cm
|
$364.50 |
$364.50 |
$364.50 |
$472.79
|
|
Destruction mal lsn t/a/l >4cm
|
$364.50 |
$364.50 |
$364.50 |
$558.97
|
|
Destruction penis lesion(s) chem 54050
|
$348.50 |
$348.50 |
$348.50 |
$332.00
|
|
Destruction premal lesions 15/> 17004
|
$663.00 |
$663.00 |
$663.00 |
$413.25
|
|
Destruct penis les/smp/electrodesi 54055
|
$3,249.00 |
$3,249.00 |
$3,249.00 |
$2,507.31
|
|
Determine refractive state
|
$26.50 |
$26.50 |
$26.50 |
$19.80
|
|
Devel tst phys/qhp 1st hr
|
$238.00 |
$238.00 |
$238.00 |
$307.20
|
