|
Culture fungi other (except blood)
|
$62.70 |
$62.70 |
$62.70 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$163.90 |
$163.90 |
$163.90 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$243.65 |
$243.65 |
$243.65 |
$84.75
|
|
Culture mycoplasma any source
|
$122.65 |
$122.65 |
$122.65 |
$90.37
|
|
Culture screening strep group a
|
$217.25 |
$217.25 |
$217.25 |
$81.60
|
|
Culture typing added method
|
$119.35 |
$119.35 |
$119.35 |
$34.45
|
|
Culture typing immunologic
|
$138.05 |
$138.05 |
$138.05 |
$41.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$430.10 |
$430.10 |
$430.10 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$367.40 |
$367.40 |
$367.40 |
$124.40
|
|
Culture urine each isolate
|
$187.00 |
$187.00 |
$187.00 |
$46.20
|
|
Cutter lead
|
$872.68 |
$872.68 |
$872.68 |
$5,538.98
|
|
Cv line/pic reposition
|
$1,276.55 |
$1,276.55 |
$1,276.55 |
$1,829.42
|
|
Cyclic citrullinated peptide antibody
|
$59.40 |
$59.40 |
$59.40 |
$80.05
|
|
Cyclosporine 2 hour
|
$42.35 |
$42.35 |
$42.35 |
$121.80
|
|
Cyp2d6 gene com variants
|
$573.65 |
$573.65 |
$573.65 |
$537.50
|
|
Cystatin c
|
$45.65 |
$45.65 |
$45.65 |
$82.26
|
|
Cystine urine quantitative
|
$101.75 |
$101.75 |
$101.75 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$822.80 |
$822.80 |
$822.80 |
$539.55
|
|
Cystoscopy (Bladder Scope)
|
$2,352.35 |
$2,352.35 |
$2,352.35 |
$1,610.20
|
|
Cytogenetics 25-99
|
$181.50 |
$181.50 |
$181.50 |
$180.32
|
|
Cytogenom microarray copy nmbr var
|
$5,079.25 |
$5,079.25 |
$5,079.25 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$150.70 |
$150.70 |
$150.70 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$29.70 |
$29.70 |
$29.70 |
$96.80
|
|
Cyto/molecular report
|
$460.90 |
$460.90 |
$460.90 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$220.55 |
$220.55 |
$220.55 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$99.55 |
$99.55 |
$99.55 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$79.75 |
$79.75 |
$79.75 |
$142.94
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$142.45 |
$142.45 |
$142.45 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$459.25 |
$459.25 |
$459.25 |
$205.00
|
|
Cytopath smear other source
|
$161.70 |
$161.70 |
$161.70 |
$85.80
|
|
Cytopath smear oth prep screen & interp
|
$185.90 |
$185.90 |
$185.90 |
$95.89
|
|
Cytopath tbs c/v manual
|
$62.70 |
$62.70 |
$62.70 |
$57.94
|
|
Cytotoxic antibody screening
|
$481.80 |
$481.80 |
$481.80 |
$157.60
|
|
Cytp urine 3-5 probes cmptr
|
$1,255.10 |
$1,255.10 |
$1,255.10 |
$690.00
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,092.65 |
$3,092.65 |
$3,092.65 |
$3,774.81
|
|
Dch glucoscan
|
$6.60 |
$6.60 |
$6.60 |
$24.85
|
|
Dch validity tests
|
$16.50 |
$16.50 |
$16.50 |
$25.20
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$7,630.70 |
$7,630.70 |
$7,630.70 |
$4,021.68
|
|
Deamidated gliadin antibody iga
|
$20.90 |
$20.90 |
$20.90 |
$44.16
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$525.80 |
$525.80 |
$525.80 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$190.85 |
$190.85 |
$190.85 |
$262.60
|
|
Decalcification
|
$40.15 |
$40.15 |
$40.15 |
$73.60
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$403.15 |
$403.15 |
$403.15 |
$545.90
|
|
Delivery of placenta 59414
|
$3,320.35 |
$3,320.35 |
$3,320.35 |
$3,271.20
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$210.65 |
$210.65 |
$210.65 |
$196.26
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$132.00 |
$132.00 |
$132.00 |
$460.50
|
|
Descend thora aorta rpr/lt sub art 33880
|
$5,328.40 |
$5,328.40 |
$5,328.40 |
$5,702.04
|
|
Design mlc device for imrt
|
$2,532.20 |
$2,532.20 |
$2,532.20 |
$1,669.85
|
|
Des thora aorta/ea add prox prosth 33884
|
$1,258.95 |
$1,258.95 |
$1,258.95 |
$1,285.78
|
|
Des thora aorta rpr without left sub art 33881
|
$4,445.65 |
$4,445.65 |
$4,445.65 |
$5,698.68
|
|
Des thor aorta/prox ext prosth/ini 33883
|
$3,388.00 |
$3,388.00 |
$3,388.00 |
$2,498.88
|
|
Destroy cervthor facet jnt 64633
|
$2,960.10 |
$2,960.10 |
$2,960.10 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$1,070.30 |
$1,070.30 |
$1,070.30 |
$1,441.44
|
|
Destroy premlg lesns;1st lesn 17000
|
$210.65 |
$210.65 |
$210.65 |
$220.12
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$955.90 |
$955.90 |
$955.90 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,664.20 |
$2,664.20 |
$2,664.20 |
$3,375.00
|
|
Device ablt adv novasure
|
$6,811.79 |
$6,811.79 |
$6,811.79 |
$6,097.50
|
|
Device sut capio slim opn
|
$976.62 |
$976.62 |
$976.62 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$1,665.50 |
$1,665.50 |
$1,665.50 |
$2,440.98
|
|
Dhea-s (dehydroepiand sulfate)
|
$13.75 |
$13.75 |
$13.75 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$180.40 |
$180.40 |
$180.40 |
$78.03
|
|
Diagnostic anoscopy spx 46600
|
$385.55 |
$385.55 |
$385.55 |
$245.35
|
|
Diagnostic laryngoscopy 31505
|
$140.80 |
$140.80 |
$140.80 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$303.05 |
$303.05 |
$303.05 |
$385.20
|
|
Dialysis circuit perm vascular embolization 36909
|
$3,087.70 |
$3,087.70 |
$3,087.70 |
$7,145.00
|
|
Digoxin total therapeutic drug level
|
$130.90 |
$130.90 |
$130.90 |
$102.00
|
|
Dilate biliary duct/ampulla
|
$3,094.85 |
$3,094.85 |
$3,094.85 |
$2,304.60
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$1,950.85 |
$1,950.85 |
$1,950.85 |
$4,322.56
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,950.85 |
$1,950.85 |
$1,950.85 |
$2,299.05
|
|
Dilate ic vasospasm init
|
$3,661.90 |
$3,661.90 |
$3,661.90 |
$6,280.95
|
|
Dilation of salivary duct
|
$590.15 |
$590.15 |
$590.15 |
$599.72
|
|
Dilat xst trc ndurlgc px
|
$3,408.35 |
$3,408.35 |
$3,408.35 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$5,732.65 |
$5,732.65 |
$5,732.65 |
$5,020.00
|
|
Disaccharidases
|
$527.78 |
$527.78 |
$527.78 |
$223.80
|
|
Discography cerv/thor spine
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$2,404.00
|
|
Dna antibody native/double stranded
|
$335.50 |
$335.50 |
$335.50 |
$102.60
|
|
Dna gardnerella
|
$55.00 |
$55.00 |
$55.00 |
$67.68
|
|
Dna trichomonas
|
$55.00 |
$55.00 |
$55.00 |
$68.75
|
|
Doppler echo complete
|
$525.80 |
$525.80 |
$525.80 |
$608.25
|
|
Dpyd gene common variants
|
$647.35 |
$647.35 |
$647.35 |
$380.50
|
|
Drainage of arm bursa 23931
|
$1,321.10 |
$1,321.10 |
$1,321.10 |
$2,419.30
|
|
Drainage of kidney lesion
|
$639.10 |
$639.10 |
$639.10 |
$1,706.65
|
|
Drain blood from under nail 11740
|
$177.10 |
$177.10 |
$177.10 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,945.90 |
$1,945.90 |
$1,945.90 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$2,383.15 |
$2,383.15 |
$2,383.15 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$948.75 |
$948.75 |
$948.75 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$652.30 |
$652.30 |
$652.30 |
$492.81
|
|
Drain ovarn cyst abd
|
$2,165.35 |
$2,165.35 |
$2,165.35 |
$3,762.53
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$586.30 |
$586.30 |
$586.30 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$379.50 |
$379.50 |
$379.50 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$985.05 |
$985.05 |
$985.05 |
$554.40
|
|
Drng of ovarian cyst(s) 58800
|
$2,165.35 |
$2,165.35 |
$2,165.35 |
$3,474.84
|
|
Drng of scrotum abscess 55100
|
$523.60 |
$523.60 |
$523.60 |
$2,069.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$370.42 |
$370.42 |
$370.42 |
$1,778.40
|
|
Drug assay caffeine
|
$62.15 |
$62.15 |
$62.15 |
$81.61
|
|
Drug assay posaconazole
|
$118.80 |
$118.80 |
$118.80 |
$96.39
|
|
Drug assay rufinamide
|
$301.95 |
$301.95 |
$301.95 |
$93.60
|
|
Drug assay vedolizumab
|
$312.95 |
$312.95 |
$312.95 |
$164.16
|
|
Drug assay voriconazole
|
$118.80 |
$118.80 |
$118.80 |
$96.75
|
|
Drug of abuse screen urine
|
$25.30 |
$25.30 |
$25.30 |
$63.75
|
