|
CT uppr extremity w/o&w/dye
|
$1,851.30 |
$1,851.30 |
$5,207.77 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$102.11 |
$102.11 |
$134.20 |
$72.00
|
|
Culture afb any source
|
$127.60 |
$127.60 |
$143.01 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$62.57 |
$62.57 |
$249.15 |
$84.76
|
|
Culture anaerobic except blood
|
$117.45 |
$117.45 |
$134.75 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$40.70 |
$40.70 |
$124.04 |
$52.50
|
|
Culture body fluid
|
$114.76 |
$114.76 |
$246.95 |
$126.75
|
|
Culture fungi definitive id mold
|
$41.80 |
$41.80 |
$84.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$96.80 |
$96.80 |
$131.35 |
$80.00
|
|
Culture fungi other (except blood)
|
$42.35 |
$42.35 |
$115.20 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$85.80 |
$85.80 |
$115.20 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$51.20 |
$51.20 |
$128.70 |
$100.00
|
|
Culture mycoplasma any source
|
$64.35 |
$64.35 |
$167.20 |
$83.21
|
|
Culture quantitative aerobic other source
|
$125.80 |
$125.80 |
$125.80 |
$87.02
|
|
Culture screening strep group a
|
$89.08 |
$89.08 |
$113.85 |
$84.60
|
|
Culture type pulse field gel
|
$22.99 |
$22.99 |
$22.99 |
$38.58
|
|
Culture typing added method
|
$88.92 |
$88.92 |
$89.10 |
$42.60
|
|
Culture typing glc/hplc
|
$249.15 |
$249.15 |
$249.15 |
$53.75
|
|
Culture typing immunologic
|
$69.76 |
$69.76 |
$72.05 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$290.40 |
$290.40 |
$616.68 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$183.70 |
$183.70 |
$322.75 |
$140.80
|
|
Culture urine each isolate
|
$98.45 |
$98.45 |
$108.32 |
$55.50
|
|
Cutter lead
|
$2,643.54 |
$2,643.54 |
$10,992.12 |
$6,581.45
|
|
Cv line/pic reposition
|
$1,414.05 |
$1,414.05 |
$2,319.52 |
$1,681.20
|
|
Cv stress test i&r only 93018
|
$303.20 |
$303.20 |
$303.20 |
$36.40
|
|
Cv stress test/supervision only 93016
|
$291.20 |
$291.20 |
$291.20 |
$51.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$81.20 |
$81.20 |
$81.20 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$33.00 |
$33.00 |
$160.18 |
$72.36
|
|
Cyclophosphamide 25 mg capsule
|
$6.80 |
$6.80 |
$6.80 |
$19.49
|
|
Cyclosporine 2 hour
|
$30.25 |
$30.25 |
$222.91 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$4.68 |
$4.68 |
$4.68 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$16.88 |
$16.88 |
$16.88 |
$37.31
|
|
Cylinder pump set 20cm titan zero angl
|
$37,081.60 |
$37,081.60 |
$37,081.60 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$917.87 |
$917.87 |
$917.87 |
$524.00
|
|
Cyp2c9 gene com variants
|
$550.70 |
$550.70 |
$550.70 |
$275.10
|
|
Cyp2d6 gene com variants
|
$423.50 |
$423.50 |
$1,420.49 |
$570.70
|
|
Cyp3a4 gene common variants
|
$519.28 |
$519.28 |
$519.28 |
$241.24
|
|
Cystatin c
|
$39.05 |
$39.05 |
$142.00 |
$77.60
|
|
Cystic fibrosis cftr
|
$60.00 |
$60.00 |
$1,631.30 |
$1,104.40
|
|
Cystine urine quantitative
|
$70.40 |
$70.40 |
$70.40 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$539.55 |
$539.55 |
$2,192.59 |
$586.95
|
|
Cystorrhaphy wound simple 51860
|
$3,736.00 |
$3,736.00 |
$3,736.00 |
$6,297.20
|
|
Cysto rx balo cath urtl strx
|
$6,862.40 |
$6,862.40 |
$6,862.40 |
$6,853.60
|
|
Cystoscopy and treatment
|
$2,191.20 |
$2,191.20 |
$2,191.20 |
$4,081.37
|
|
Cystoscopy and treatment
|
$3,776.80 |
$3,776.80 |
$3,776.80 |
$4,638.40
|
|
Cystoscopy and treatment
|
$3,576.80 |
$3,576.80 |
$3,576.80 |
$5,304.00
|
|
Cystoscopy and treatment
|
$3,576.80 |
$3,576.80 |
$3,576.80 |
$5,995.60
|
|
Cystoscopy and treatment
|
$1,910.40 |
$1,910.40 |
$1,910.40 |
$6,593.60
|
|
Cystoscopy and treatment
|
$3,626.40 |
$3,626.40 |
$3,626.40 |
$4,045.60
|
|
Cystoscopy and treatment
|
$3,536.50 |
$3,536.50 |
$5,918.83 |
$2,867.70
|
|
Cystoscopy and treatment
|
$5,447.20 |
$5,447.20 |
$5,447.20 |
$4,081.37
|
|
Cystoscopy (Bladder Scope)
|
$1,358.50 |
$1,358.50 |
$2,607.43 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$2,140.80 |
$2,140.80 |
$2,140.80 |
$2,874.36
|
|
Cystoscopy removal of clots
|
$2,209.60 |
$2,209.60 |
$2,209.60 |
$4,081.37
|
|
Cystoscopy & revise urethra
|
$3,348.80 |
$3,348.80 |
$3,348.80 |
$3,032.64
|
|
Cystoscopy & ureter catheter
|
$3,881.90 |
$3,881.90 |
$9,900.29 |
$3,728.50
|
|
Cystostomy cystotomy w/drainage 51040
|
$1,335.20 |
$1,335.20 |
$1,335.20 |
$4,129.45
|
|
Cystouretero & or pyeloscope
|
$3,665.60 |
$3,665.60 |
$3,665.60 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$5,402.40 |
$5,402.40 |
$5,402.40 |
$5,110.00
|
|
Cystouretero w/biopsy
|
$7,754.40 |
$7,754.40 |
$7,754.40 |
$6,015.75
|
|
Cystouretero w/excise tumor
|
$3,311.20 |
$3,311.20 |
$3,311.20 |
$5,584.80
|
|
Cysto/uretero w/lithotripsy
|
$14,081.45 |
$14,081.45 |
$14,081.45 |
$9,430.00
|
|
Cystouretero w/lithotripsy
|
$7,752.80 |
$7,752.80 |
$7,752.80 |
$7,372.68
|
|
Cystouretero w/renal strict
|
$3,161.60 |
$3,161.60 |
$3,161.60 |
$5,741.00
|
|
Cystouretero w/stone remove
|
$5,525.60 |
$5,525.60 |
$5,525.60 |
$5,741.00
|
|
Cysto/uretero w/up stricture
|
$2,882.40 |
$2,882.40 |
$2,882.40 |
$4,081.37
|
|
Cystourethro cut ejacul duct
|
$1,260.80 |
$1,260.80 |
$1,260.80 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$4,178.90 |
$4,178.90 |
$6,188.29 |
$3,245.90
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$3,683.20 |
$3,683.20 |
$3,683.20 |
$4,057.50
|
|
Cysto w/renal stricture tx
|
$2,436.80 |
$2,436.80 |
$2,436.80 |
$4,045.60
|
|
Cysto w/up stricture tx
|
$2,189.60 |
$2,189.60 |
$2,189.60 |
$4,081.37
|
|
Cysto w/ureter stricture tx
|
$2,013.60 |
$2,013.60 |
$2,013.60 |
$4,081.37
|
|
Cytogenetics 25-99
|
$185.35 |
$185.35 |
$330.39 |
$189.80
|
|
Cytogenom microarray copy nmbr var
|
$2,673.48 |
$2,673.48 |
$3,749.90 |
$1,564.68
|
|
Cytomegalovirus (cmv) antibody igg
|
$55.00 |
$55.00 |
$144.60 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$15.95 |
$15.95 |
$124.00 |
$100.00
|
|
Cyto/molecular report
|
$154.40 |
$154.40 |
$472.45 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$107.80 |
$107.80 |
$628.80 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$92.75 |
$92.75 |
$92.75 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$48.40 |
$48.40 |
$76.00 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$44.55 |
$44.55 |
$114.49 |
$135.20
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$123.20 |
$123.20 |
$123.20 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$77.55 |
$77.55 |
$310.91 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$223.85 |
$223.85 |
$644.80 |
$213.85
|
|
Cytopath smear other source
|
$78.10 |
$78.10 |
$78.10 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$90.20 |
$90.20 |
$172.00 |
$96.20
|
|
Cytopath tbs c/v manual
|
$30.80 |
$30.80 |
$76.80 |
$59.28
|
|
Cytotoxic antibody screening
|
$268.95 |
$268.95 |
$268.95 |
$193.80
|
|
Cytp urine 3-5 probes cmptr
|
$611.60 |
$611.60 |
$611.60 |
$664.80
|
|
Dalbavancin 500 mg intravenous solution
|
$28.80 |
$28.80 |
$28.80 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$1.44 |
$1.44 |
$1.44 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$15.08 |
$15.08 |
$15.08 |
$6,281.29
|
|
D&c after delivery 59160
|
$2,665.85 |
$2,665.85 |
$4,896.99 |
$3,827.25
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$2,411.20 |
$2,411.20 |
$7,045.50 |
$3,774.81
|
|
Dch glucoscan
|
$6.05 |
$6.05 |
$35.20 |
$29.16
|
|
Dch pulmonary stress test
|
$2,475.59 |
$2,475.59 |
$2,475.59 |
$963.30
|
|
Dch validity tests
|
$15.95 |
$15.95 |
$76.00 |
$25.00
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$9,521.08 |
$9,521.08 |
$9,521.08 |
$5,121.00
|
|
Deamidated gliadin antibody iga
|
$13.20 |
$13.20 |
$138.30 |
$43.35
|
|
Debr g/per/abd wall 11006
|
$2,087.20 |
$2,087.20 |
$2,087.20 |
$1,562.83
|
