|
Culture fungi other (except blood)
|
$108.00 |
$108.00 |
$108.00 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$45.50 |
$45.50 |
$45.50 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$140.00 |
$140.00 |
$140.00 |
$89.70
|
|
Culture quantitative aerobic other source
|
$123.50 |
$123.50 |
$123.50 |
$90.35
|
|
Culture screening strep group a
|
$44.50 |
$44.50 |
$44.50 |
$81.00
|
|
Culture typing immunologic
|
$22.00 |
$22.00 |
$22.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$202.00 |
$202.00 |
$202.00 |
$133.90
|
|
Culture urine each isolate
|
$68.50 |
$68.50 |
$68.50 |
$57.00
|
|
Curette/treat cornea
|
$1,217.00 |
$1,217.00 |
$1,217.00 |
$1,345.80
|
|
Cutter lead
|
$603.95 |
$603.95 |
$603.95 |
$6,092.06
|
|
Cv line/pic reposition
|
$2,961.00 |
$2,961.00 |
$2,961.00 |
$1,720.93
|
|
Cyanocobalamin unsat binding capacity
|
$92.00 |
$92.00 |
$92.00 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$52.72 |
$52.72 |
$52.72 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$93.50 |
$93.50 |
$93.50 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$608.80 |
$608.80 |
$608.80 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$136.13 |
$136.13 |
$136.13 |
$19.49
|
|
Cyclosporine 2 hour
|
$115.00 |
$115.00 |
$115.00 |
$129.48
|
|
Cyclosporine oral 100 mg
|
$46.47 |
$46.47 |
$46.47 |
$34.88
|
|
Cygnus matrix, per sq cm
|
$2,064.00 |
$2,064.00 |
$2,064.00 |
$295.20
|
|
Cylinder pump set 20cm titan zero angl
|
$15,514.67 |
$15,514.67 |
$15,514.67 |
$22,803.38
|
|
Cyp2c9 gene com variants
|
$200.00 |
$200.00 |
$200.00 |
$275.10
|
|
Cyp2d6 gene com variants
|
$185.00 |
$185.00 |
$185.00 |
$554.00
|
|
Cystatin c
|
$85.00 |
$85.00 |
$85.00 |
$77.50
|
|
Cystine urine quantitative
|
$316.00 |
$316.00 |
$316.00 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$733.00 |
$733.00 |
$733.00 |
$542.10
|
|
Cysto impl 4 or more
|
$3,193.00 |
$3,193.00 |
$3,193.00 |
$6,860.21
|
|
Cystorrhaphy wound simple 51860
|
$12,761.00 |
$12,761.00 |
$12,761.00 |
$5,855.00
|
|
Cystoscopy and treatment
|
$5,324.00 |
$5,324.00 |
$5,324.00 |
$4,081.37
|
|
Cystoscopy and treatment
|
$4,083.00 |
$4,083.00 |
$4,083.00 |
$4,160.10
|
|
Cystoscopy and treatment
|
$6,699.00 |
$6,699.00 |
$6,699.00 |
$5,162.50
|
|
Cystoscopy and treatment
|
$5,662.50 |
$5,662.50 |
$5,662.50 |
$5,995.60
|
|
Cystoscopy and treatment
|
$7,855.50 |
$7,855.50 |
$7,855.50 |
$6,475.26
|
|
Cystoscopy and treatment
|
$3,222.00 |
$3,222.00 |
$3,222.00 |
$3,213.14
|
|
Cystoscopy and treatment
|
$2,417.00 |
$2,417.00 |
$2,417.00 |
$2,424.12
|
|
Cystoscopy and treatment
|
$6,569.00 |
$6,569.00 |
$6,569.00 |
$4,045.60
|
|
Cystoscopy and treatment
|
$3,828.00 |
$3,828.00 |
$3,828.00 |
$958.81
|
|
Cystoscopy and treatment
|
$6,341.00 |
$6,341.00 |
$6,341.00 |
$2,874.36
|
|
Cystoscopy and treatment
|
$5,928.00 |
$5,928.00 |
$5,928.00 |
$3,203.50
|
|
Cystoscopy and treatment
|
$4,083.00 |
$4,083.00 |
$4,083.00 |
$4,061.71
|
|
Cystoscopy and treatment
|
$4,083.00 |
$4,083.00 |
$4,083.00 |
$3,820.84
|
|
Cystoscopy (Bladder Scope)
|
$8,483.17 |
$8,483.17 |
$8,483.17 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$2,980.25 |
$2,980.25 |
$2,980.25 |
$2,704.80
|
|
Cystoscopy prostatic imp 1-3
|
$1,986.83 |
$1,986.83 |
$1,986.83 |
$5,741.40
|
|
Cystoscopy removal of clots
|
$7,293.00 |
$7,293.00 |
$7,293.00 |
$4,081.37
|
|
Cystoscopy & revise urethra
|
$2,447.17 |
$2,447.17 |
$2,447.17 |
$2,874.36
|
|
Cystoscopy & ureter catheter
|
$7,045.33 |
$7,045.33 |
$7,045.33 |
$3,786.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$9,718.50 |
$9,718.50 |
$9,718.50 |
$3,863.60
|
|
Cystouretero & or pyeloscope
|
$3,061.83 |
$3,061.83 |
$3,061.83 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$5,140.50 |
$5,140.50 |
$5,140.50 |
$4,846.99
|
|
Cystouretero w/biopsy
|
$8,235.34 |
$8,235.34 |
$8,235.34 |
$5,986.78
|
|
Cystouretero w/excise tumor
|
$5,654.17 |
$5,654.17 |
$5,654.17 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$27,092.50 |
$27,092.50 |
$27,092.50 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$8,762.50 |
$8,762.50 |
$8,762.50 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$5,771.17 |
$5,771.17 |
$5,771.17 |
$5,110.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,927.00 |
$3,927.00 |
$3,927.00 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$7,056.83 |
$7,056.83 |
$7,056.83 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$1,301.33 |
$1,301.33 |
$1,301.33 |
$2,161.60
|
|
Cystourethro w/implant
|
$2,602.67 |
$2,602.67 |
$2,602.67 |
$2,298.40
|
|
Cysto w/ureter stricture tx
|
$4,612.83 |
$4,612.83 |
$4,612.83 |
$4,081.37
|
|
Cytogenetics 25-99
|
$115.00 |
$115.00 |
$115.00 |
$190.00
|
|
Cytogenomic neo microra alys
|
$1,882.75 |
$1,882.75 |
$1,882.75 |
$2,020.20
|
|
Cytogenom microarray copy nmbr var
|
$2,298.00 |
$2,298.00 |
$2,298.00 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$63.00 |
$63.00 |
$63.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$119.50 |
$119.50 |
$119.50 |
$97.50
|
|
Cyto/molecular report
|
$50.00 |
$50.00 |
$50.00 |
$133.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$143.00 |
$143.00 |
$143.00 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$148.00 |
$148.00 |
$148.00 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$50.00 |
$50.00 |
$50.00 |
$87.50
|
|
Cytopathology concentration technique smears & interpretation
|
$304.50 |
$304.50 |
$304.50 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$330.00 |
$330.00 |
$330.00 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$24.00 |
$24.00 |
$24.00 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$460.50 |
$460.50 |
$460.50 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$258.00 |
$258.00 |
$258.00 |
$209.23
|
|
Cytopath smear other source
|
$114.50 |
$114.50 |
$114.50 |
$88.13
|
|
Cytopath tbs c/v manual
|
$74.50 |
$74.50 |
$74.50 |
$59.28
|
|
Cytp urine 3-5 probes cmptr
|
$741.50 |
$741.50 |
$741.50 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$70.78 |
$70.78 |
$70.78 |
$58.22
|
|
Dalbavancin 500 mg intravenous solution
|
$6,201.23 |
$6,201.23 |
$6,201.23 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$37.20 |
$37.20 |
$37.20 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$19,945.05 |
$19,945.05 |
$19,945.05 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$8,394.35 |
$8,394.35 |
$8,394.35 |
$6,072.48
|
|
Darbepoetin alfa, esrd use
|
$17.00 |
$17.00 |
$17.00 |
$4.48
|
|
D&c after delivery 59160
|
$4,636.50 |
$4,636.50 |
$4,636.50 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$5,791.50 |
$5,791.50 |
$5,791.50 |
$3,774.81
|
|
Dch pulmonary stress test
|
$429.50 |
$429.50 |
$429.50 |
$963.30
|
|
Dch validity tests
|
$24.50 |
$24.50 |
$24.50 |
$24.50
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,244.50 |
$2,244.50 |
$2,244.50 |
$4,952.36
|
|
Deamidated gliadin antibody iga
|
$77.50 |
$77.50 |
$77.50 |
$43.60
|
|
Debr g/per/abd wall 11006
|
$1,700.50 |
$1,700.50 |
$1,700.50 |
$1,357.80
|
|
Debridement (>20 cm) charge pt
|
$2,488.50 |
$2,488.50 |
$2,488.50 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$6,864.67 |
$6,864.67 |
$6,864.67 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$704.00 |
$704.00 |
$704.00 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,404.33 |
$2,404.33 |
$2,404.33 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$6,570.50 |
$6,570.50 |
$6,570.50 |
$810.50
|
|
Debride nail1-5 11720
|
$1,804.67 |
$1,804.67 |
$1,804.67 |
$148.80
|
|
Debride nail6 or more 11721
|
$190.00 |
$190.00 |
$190.00 |
$169.60
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$859.50 |
$859.50 |
$859.50 |
$1,012.80
|
|
Debride skin bone at fx site
|
$3,964.92 |
$3,964.92 |
$3,964.92 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$2,789.83 |
$2,789.83 |
$2,789.83 |
$903.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$2,061.67 |
$2,061.67 |
$2,061.67 |
$639.60
|