|
Culture afb any source
|
$27.30 |
$39.63 |
$44.60 |
|
|
Culture anaerobic additional method definitive id each
|
$10.50 |
$74.22 |
$83.54 |
|
|
Culture anaerobic except blood
|
$12.18 |
$18.24 |
$20.53 |
|
|
Culture bacteria anaerobic
|
$12.18 |
$12.18 |
$12.18 |
|
|
Culture bact stool aero addl path ea
|
$26.46 |
$39.63 |
$44.60 |
|
|
Culture body fluid
|
$47.04 |
$70.45 |
$79.30 |
|
|
Culture fungi definitive id mold
|
$57.96 |
$86.80 |
$97.70 |
|
|
Culture fungi definitive id yeast
|
$39.00 |
$43.52 |
$57.12 |
|
|
Culture fungi other (except blood)
|
$32.76 |
$49.06 |
$62.30 |
|
|
Culture fungi skin/hair/nail
|
$24.78 |
$37.11 |
$41.77 |
|
|
Culture mycobacteria definitive id each isolate
|
$26.88 |
$26.88 |
$26.88 |
|
|
Culture mycoplasma any source
|
$26.46 |
$39.63 |
$44.60 |
|
|
Culture quantitative aerobic other source
|
$25.62 |
$38.37 |
$43.19 |
|
|
Culture screening strep group a
|
$24.78 |
$41.51 |
$46.73 |
|
|
Culture typing glc/hplc
|
$15.96 |
$15.96 |
$15.96 |
|
|
Culture typing immunologic
|
$6.72 |
$53.47 |
$60.18 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$57.54 |
$86.17 |
$97.00 |
|
|
Culture urine each isolate
|
$10.50 |
$15.72 |
$17.70 |
|
|
Cutter lead
|
$1,668.54 |
$13,338.78 |
$23,247.59 |
|
|
Cv line/pic reposition
|
$954.66 |
$954.66 |
$954.66 |
|
|
Cyanocobalamin unsat binding capacity
|
$27.72 |
$40.59 |
$43.89 |
|
|
Cyclic citrullinated peptide antibody
|
$25.20 |
$41.76 |
$70.98 |
|
|
Cyclosporine 2 hour
|
$24.36 |
$35.67 |
$38.57 |
|
|
Cylinder pump set 20cm titan zero angl
|
$31,274.88 |
$31,274.88 |
$65,375.48 |
|
|
Cyp2c19 gene com variants
|
$367.50 |
$527.62 |
$939.75 |
|
|
Cyp2c9 gene com variants
|
$220.50 |
$316.58 |
$563.85 |
|
|
Cyp2d6 gene com variants
|
$568.26 |
$815.86 |
$1,453.12 |
|
|
Cyp3a4 gene common variants
|
$220.50 |
$316.58 |
$563.85 |
|
|
Cyp3a5 gene common variants
|
$220.50 |
$316.58 |
$563.85 |
|
|
Cystatin c
|
$23.52 |
$34.44 |
$37.24 |
|
|
Cystic fibrosis cftr
|
$628.74 |
$628.74 |
$1,607.78 |
|
|
Cystine urine quantitative
|
$38.22 |
$55.96 |
$60.52 |
|
|
Cystogram >= 3 views supervision & interpretation
|
$315.42 |
$379.46 |
$412.87 |
|
|
Cytogenetics 25-99
|
$53.76 |
$54.27 |
$93.70 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$25.20 |
$41.76 |
$70.98 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$25.62 |
$42.46 |
$72.16 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$44.94 |
$45.79 |
$79.06 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$68.04 |
$103.19 |
$118.58 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$25.62 |
$25.62 |
$25.86 |
|
|
Cytopathology concentration technique smears & interpretation
|
$33.18 |
$33.50 |
$57.83 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$33.18 |
$33.50 |
$57.83 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$37.80 |
$57.33 |
$65.88 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$143.64 |
$145.86 |
$251.81 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$44.94 |
$45.79 |
$79.06 |
|
|
Cytopath smear other source
|
$29.82 |
$29.82 |
$29.82 |
|
|
Cytopath smear oth prep screen & interp
|
$28.56 |
$28.56 |
$28.83 |
|
|
Cytotoxic antibody screening
|
$37.80 |
$37.80 |
$37.80 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.20 |
$0.20 |
$0.20 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$283.93 |
$283.93 |
$283.93 |
|
|
Dch glucoscan
|
$6.72 |
$6.72 |
$6.72 |
|
|
Dch pulmonary stress test
|
$311.14 |
$311.14 |
$627.90 |
|
|
Dch validity tests
|
$4.62 |
$6.52 |
$7.30 |
|
|
Deamidated gliadin antibody iga
|
$24.78 |
$41.06 |
$69.80 |
|
|
Debridement (>20 cm) charge pt
|
$75.22 |
$77.04 |
$90.30 |
|
|
Debridement bone <= 20 sq cm
|
$994.98 |
$994.98 |
$994.98 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$260.82 |
$260.82 |
$260.82 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$620.34 |
$620.34 |
$620.34 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$76.07 |
$77.85 |
$356.16 |
|
|
Debride nail1-5 11720
|
$18.57 |
$18.57 |
$43.68 |
|
|
Debride nail6 or more 11721
|
$58.80 |
$58.80 |
$58.80 |
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$129.78 |
$129.78 |
$129.78 |
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$344.42 |
$344.42 |
$352.47 |
|
|
Debr musc/fascia 20sq cm/< 11043
|
$475.44 |
$475.44 |
$475.44 |
|
|
Decalcification
|
$14.74 |
$17.64 |
$20.77 |
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$152.88 |
$282.83 |
$310.90 |
|
|
Delivery of placenta 59414
|
$1,136.10 |
$1,271.88 |
$1,460.44 |
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$85.68 |
$142.93 |
$146.91 |
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$169.38 |
$189.28 |
$193.71 |
|
|
Descend thora aorta rpr/lt sub art 33880
|
$9,879.24 |
$9,879.24 |
$9,879.24 |
|
|
Design mlc device for imrt
|
$459.48 |
$459.48 |
$459.48 |
|
|
Desmopressin 4 mcg/ml injection solution
|
$0.93 |
$0.93 |
$0.93 |
|
|
Desoxycorticosterone
|
$39.06 |
$39.06 |
$39.06 |
|
|
Des thora aorta rpr without left sub art 33881
|
$8,486.52 |
$8,486.52 |
$8,486.52 |
|
|
Destroy cervthor facet jnt 64633
|
$1,825.74 |
$2,064.16 |
$2,488.05 |
|
|
Destroy cth facet jnt addl 64634
|
$619.92 |
$725.08 |
$747.22 |
|
|
Destruct ben lesion 15/> 17111
|
$103.60 |
$103.60 |
$103.60 |
|
|
Destruction benign lesions < 14 lesions
|
$84.59 |
$84.59 |
$84.59 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$559.44 |
$654.34 |
$708.96 |
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,940.40 |
$2,045.68 |
$2,465.78 |
|
|
Developmental screen/score/document 96110
|
$118.85 |
$118.85 |
$127.95 |
|
|
Device ablt adv novasure
|
$4,863.60 |
$4,863.60 |
$4,863.60 |
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,564.10 |
$2,564.10 |
$2,564.10 |
|
|
Device sut capio slim opn
|
$4,863.60 |
$7,492.26 |
$11,522.10 |
|
|
Device tiss remov myosure reach
|
$5,835.90 |
$5,835.90 |
$10,171.14 |
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$332.99 |
$358.06 |
$362.32 |
|
|
Dhea-s (dehydroepiand sulfate)
|
$28.14 |
$41.20 |
$44.56 |
|
|
Diabetes (HbA1c) Test
|
$12.60 |
$18.45 |
$19.95 |
|
|
Diab manage trn ind/group
|
$15.96 |
$21.20 |
$34.66 |
|
|
Diagnostic anoscopy spx 46600
|
$45.56 |
$45.56 |
$45.56 |
|
|
Diagnostic laryngoscopy 31505
|
$60.50 |
$60.50 |
$60.50 |
|
|
Diagnostic laryngoscopy 31575
|
$145.74 |
$145.74 |
$217.41 |
|
|
Diagnostic Mammogram (both breasts)
|
$297.72 |
$323.76 |
$381.05 |
|
|
Diagnostic Mammogram (one breast)
|
$197.57 |
$214.85 |
$252.86 |
|
|
Dialysis circuit perm vascular embolization 36909
|
$4,114.32 |
$4,114.32 |
$4,114.32 |
|
|
Diffusing capacity
|
$199.92 |
$200.57 |
$272.08 |
|
|
Digoxin total therapeutic drug level
|
$22.26 |
$32.59 |
$35.25 |
|
|
Dilate biliary duct/ampulla
|
$2,714.88 |
$2,714.88 |
$2,714.88 |
|
|
Dilator fascial 10fx20cm
|
$905.94 |
$1,000.85 |
$1,578.92 |
|
|
Dilat xst trc ndurlgc px
|
$3,005.10 |
$3,005.10 |
$3,005.10 |
|
|
Dilat xst trc new access rcs
|
$3,057.60 |
$3,057.60 |
$3,057.60 |
|