|
Culture quantitative aerobic other source
|
$291.00 |
$291.00 |
$291.00 |
$92.40
|
|
Culture screening strep group a
|
$209.50 |
$209.50 |
$209.50 |
$82.55
|
|
Culture typing glc/hplc
|
$129.00 |
$129.00 |
$129.00 |
$51.60
|
|
Culture typing immunologic
|
$139.50 |
$139.50 |
$139.50 |
$43.20
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$202.00 |
$202.00 |
$202.00 |
$134.46
|
|
Culture urine each isolate
|
$48.50 |
$48.50 |
$48.50 |
$55.50
|
|
Curette/treat cornea
|
$2,313.50 |
$2,313.50 |
$2,313.50 |
$1,365.60
|
|
Curette/treat cornea
|
$3,693.00 |
$3,693.00 |
$3,693.00 |
$2,818.14
|
|
Cutter lead
|
$7,609.00 |
$7,609.00 |
$7,609.00 |
$6,357.46
|
|
Cv line/pic reposition
|
$2,010.50 |
$2,010.50 |
$2,010.50 |
$1,697.72
|
|
Cyanocobalamin unsat binding capacity
|
$66.00 |
$66.00 |
$66.00 |
$58.65
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$5.50 |
$5.50 |
$5.50 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$192.00 |
$192.00 |
$192.00 |
$70.98
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$859.47 |
$859.47 |
$859.47 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$280.67 |
$280.67 |
$280.67 |
$19.49
|
|
Cyclosporine 2 hour
|
$174.00 |
$174.00 |
$174.00 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$12.23 |
$12.23 |
$12.23 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$29.69 |
$29.69 |
$29.69 |
$35.28
|
|
Cygnus matrix, per sq cm
|
$8,648.00 |
$8,648.00 |
$8,648.00 |
$295.20
|
|
Cylinder pump set 20cm titan zero angl
|
$16,205.64 |
$16,205.64 |
$16,205.64 |
$24,131.60
|
|
Cyp2c19 gene com variants
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$487.50
|
|
Cyp2c9 gene com variants
|
$401.00 |
$401.00 |
$401.00 |
$275.10
|
|
Cyp2d6 gene com variants
|
$436.50 |
$436.50 |
$436.50 |
$554.00
|
|
Cystatin c
|
$65.50 |
$65.50 |
$65.50 |
$76.48
|
|
Cystic fibrosis cftr
|
$2,465.00 |
$2,465.00 |
$2,465.00 |
$1,100.00
|
|
Cystine urine quantitative
|
$159.91 |
$159.91 |
$159.91 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$900.00 |
$900.00 |
$900.00 |
$569.40
|
|
Cysto, litho, vacuum kidney
|
$8,555.00 |
$8,555.00 |
$8,555.00 |
$10,942.71
|
|
Cystometrogram w/up 51727
|
$1,177.50 |
$1,177.50 |
$1,177.50 |
$908.59
|
|
Cystorrhaphy wound simple 51860
|
$23,466.67 |
$23,466.67 |
$23,466.67 |
$5,855.00
|
|
Cystoscopy and treatment
|
$5,768.50 |
$5,768.50 |
$5,768.50 |
$4,081.37
|
|
Cystoscopy and treatment
|
$3,920.50 |
$3,920.50 |
$3,920.50 |
$4,160.10
|
|
Cystoscopy and treatment
|
$5,162.50 |
$5,162.50 |
$5,162.50 |
$5,304.00
|
|
Cystoscopy and treatment
|
$5,886.00 |
$5,886.00 |
$5,886.00 |
$5,995.60
|
|
Cystoscopy and treatment
|
$8,519.50 |
$8,519.50 |
$8,519.50 |
$6,593.60
|
|
Cystoscopy and treatment
|
$2,973.50 |
$2,973.50 |
$2,973.50 |
$3,213.14
|
|
Cystoscopy and treatment
|
$2,670.00 |
$2,670.00 |
$2,670.00 |
$2,424.12
|
|
Cystoscopy and treatment
|
$4,690.50 |
$4,690.50 |
$4,690.50 |
$4,045.60
|
|
Cystoscopy and treatment
|
$890.50 |
$890.50 |
$890.50 |
$958.81
|
|
Cystoscopy and treatment
|
$6,384.50 |
$6,384.50 |
$6,384.50 |
$4,081.37
|
|
Cystoscopy and treatment
|
$4,305.50 |
$4,305.50 |
$4,305.50 |
$4,081.37
|
|
Cystoscopy and treatment
|
$9,309.00 |
$9,309.00 |
$9,309.00 |
$2,874.36
|
|
Cystoscopy and treatment
|
$4,767.50 |
$4,767.50 |
$4,767.50 |
$3,203.50
|
|
Cystoscopy and treatment
|
$2,954.00 |
$2,954.00 |
$2,954.00 |
$4,061.71
|
|
Cystoscopy (Bladder Scope)
|
$8,388.50 |
$8,388.50 |
$8,388.50 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$3,014.00 |
$3,014.00 |
$3,014.00 |
$2,831.92
|
|
Cystoscopy inject material
|
$2,461.00 |
$2,461.00 |
$2,461.00 |
$5,986.78
|
|
Cystoscopy removal of clots
|
$4,536.50 |
$4,536.50 |
$4,536.50 |
$4,051.50
|
|
Cystoscopy & revise urethra
|
$4,578.25 |
$4,578.25 |
$4,578.25 |
$2,874.36
|
|
Cystoscopy stone removal
|
$6,824.83 |
$6,824.83 |
$6,824.83 |
$5,741.00
|
|
Cystoscopy & ureter catheter
|
$4,626.00 |
$4,626.00 |
$4,626.00 |
$3,706.20
|
|
Cystostomy cystotomy w/drainage 51040
|
$5,195.88 |
$5,195.88 |
$5,195.88 |
$4,129.45
|
|
Cystouretero & or pyeloscope
|
$6,692.50 |
$6,692.50 |
$6,692.50 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$7,006.25 |
$7,006.25 |
$7,006.25 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$9,319.00 |
$9,319.00 |
$9,319.00 |
$5,986.78
|
|
Cysto/uretero w/lithotripsy
|
$23,987.00 |
$23,987.00 |
$23,987.00 |
$8,966.17
|
|
Cystouretero w/lithotripsy
|
$13,649.67 |
$13,649.67 |
$13,649.67 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$5,597.46 |
$5,597.46 |
$5,597.46 |
$5,110.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$4,560.63 |
$4,560.63 |
$4,560.63 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$8,478.67 |
$8,478.67 |
$8,478.67 |
$4,045.60
|
|
Cysto w/ureter stricture tx
|
$1,769.38 |
$1,769.38 |
$1,769.38 |
$4,081.37
|
|
Cytarabine 20 mg/ml injection solution
|
$68.55 |
$68.55 |
$68.55 |
$89.95
|
|
Cytogenetics 25-99
|
$337.00 |
$337.00 |
$337.00 |
$190.00
|
|
Cytogenetics 3-5
|
$88.00 |
$88.00 |
$88.00 |
$164.90
|
|
Cytogenom microarray copy nmbr var
|
$1,159.00 |
$1,159.00 |
$1,159.00 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$83.00 |
$83.00 |
$83.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$128.50 |
$128.50 |
$128.50 |
$100.00
|
|
Cytomegalovirus dfa
|
$112.50 |
$112.50 |
$112.50 |
$94.08
|
|
Cyto/molecular report
|
$567.50 |
$567.50 |
$567.50 |
$121.80
|
|
Cytopath fl nongyn filter
|
$74.00 |
$74.00 |
$74.00 |
$96.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$510.00 |
$510.00 |
$510.00 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$148.50 |
$148.50 |
$148.50 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$105.50 |
$105.50 |
$105.50 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$147.00 |
$147.00 |
$147.00 |
$126.00
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$76.00 |
$76.00 |
$76.00 |
$124.30
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$47.50 |
$47.50 |
$47.50 |
$67.68
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$171.50 |
$171.50 |
$171.50 |
$187.80
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$660.00 |
$660.00 |
$660.00 |
$209.23
|
|
Cytopath smear other source
|
$114.50 |
$114.50 |
$114.50 |
$88.13
|
|
Cytopath tbs c/v manual
|
$50.50 |
$50.50 |
$50.50 |
$59.28
|
|
Cytotoxic antibody screening
|
$298.50 |
$298.50 |
$298.50 |
$199.15
|
|
Dacarbazine 100 mg intravenous solution
|
$104.76 |
$104.76 |
$104.76 |
$61.64
|
|
Dactinomycin 0.5 mg intravenous solution
|
$3,024.59 |
$3,024.59 |
$3,024.59 |
$3,047.85
|
|
Dalbavancin 500 mg intravenous solution
|
$9,733.50 |
$9,733.50 |
$9,733.50 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$115.17 |
$115.17 |
$115.17 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$21,038.01 |
$21,038.01 |
$21,038.01 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$8,394.35 |
$8,394.35 |
$8,394.35 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$17.00 |
$17.00 |
$17.00 |
$4.48
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$227.00 |
$227.00 |
$227.00 |
$259.58
|
|
D&c after delivery 59160
|
$4,593.50 |
$4,593.50 |
$4,593.50 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$4,594.00 |
$4,594.00 |
$4,594.00 |
$3,774.81
|
|
Dch glucoscan
|
$11.50 |
$11.50 |
$11.50 |
$29.16
|
|
Dch pulmonary stress test
|
$822.50 |
$822.50 |
$822.50 |
$963.30
|
|
Dch validity tests
|
$23.00 |
$23.00 |
$23.00 |
$24.61
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,494.00 |
$2,494.00 |
$2,494.00 |
$4,952.36
|
|
Dcmprn plantar digital nerve
|
$6,923.50 |
$6,923.50 |
$6,923.50 |
$2,375.24
|
|
Deamidated gliadin antibody iga
|
$41.50 |
$41.50 |
$41.50 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,859.50 |
$1,859.50 |
$1,859.50 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$3,334.50 |
$3,334.50 |
$3,334.50 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$50,740.00 |
$50,740.00 |
$50,740.00 |
$2,320.80
|
