|
Cardioversion/elective/internal 92961
|
$372.24 |
$372.24 |
$372.24 |
$1,114.00
|
|
Caregiver health risk assmt
|
$15.84 |
$15.84 |
$15.84 |
$43.50
|
|
Care mgmt svc bhvl hlth cond
|
$90.42 |
$90.42 |
$90.42 |
$55.09
|
|
Carfilzomib 10 mg intravenous solution
|
$5,462.84 |
$5,462.84 |
$5,462.84 |
$6,877.19
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,296.24 |
$1,296.24 |
$1,296.24 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$1,032.90 |
$1,032.90 |
$1,032.90 |
$3,608.80
|
|
Ca screen;flexi sigmoidscope
|
$92.40 |
$92.40 |
$92.40 |
$1,206.00
|
|
Cast sup sht arm adult fbrgl
|
$40.26 |
$40.26 |
$40.26 |
$40.26
|
|
Cataract Surgery
|
$1,252.02 |
$1,252.02 |
$1,252.02 |
$4,881.00
|
|
Cath combo lt&rt heart w/inj/s
|
$480.48 |
$480.48 |
$480.48 |
$8,899.15
|
|
Cath cv dl inj 7fx16cm
|
$650.10 |
$650.10 |
$650.10 |
$3,889.06
|
|
Catheter declot mechanical
|
$101.64 |
$101.64 |
$101.64 |
$1,838.28
|
|
Catheter insert artery
|
$229.02 |
$229.02 |
$229.02 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$15.18 |
$15.18 |
$15.18 |
$40.95
|
|
Catheter stripping venous
|
$396.66 |
$396.66 |
$396.66 |
$3,193.94
|
|
Cathj umbilical vein dx/ther nb
|
$117.48 |
$117.48 |
$117.48 |
$254.80
|
|
Cath left heart/lv gram
|
$359.04 |
$359.04 |
$359.04 |
$7,685.82
|
|
Cath left heart transseptal punc
|
$314.16 |
$314.16 |
$314.16 |
$6,009.00
|
|
Cath lt/rt pulm art
|
$1,788.60 |
$1,788.60 |
$1,788.60 |
$1,281.93
|
|
Cath malecot 28fr 4-wing ltx
|
$747.78 |
$747.78 |
$747.78 |
$2,173.58
|
|
Cath place 1st order venous 36011
|
$334.62 |
$334.62 |
$334.62 |
$1,377.75
|
|
Cath place cardio brachytx
|
$243.54 |
$243.54 |
$243.54 |
$3,320.80
|
|
Cath plc art ang/grft lt/rt hr
|
$628.32 |
$628.32 |
$628.32 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$473.22 |
$473.22 |
$473.22 |
$9,954.00
|
|
Cath plc art/grft/angio right hrt
|
$531.96 |
$531.96 |
$531.96 |
$10,389.60
|
|
Cath right heart w/o2 sat & card
|
$200.64 |
$200.64 |
$200.64 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$273.24 |
$273.24 |
$273.24 |
$1,015.96
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$132.00 |
$132.00 |
$132.00 |
$469.09
|
|
Cath stripping venous s&i
|
$56.76 |
$56.76 |
$56.76 |
$682.34
|
|
Cauterization chemical granulation tissue
|
$430.32 |
$430.32 |
$430.32 |
$340.90
|
|
Cauterization of cervix 57510
|
$254.76 |
$254.76 |
$254.76 |
$3,762.53
|
|
Cciiv4 vacc abx free im
|
$53.46 |
$53.46 |
$53.46 |
$31.36
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$140.58 |
$140.58 |
$140.58 |
$34.80
|
|
Cdna analysis for variants
|
$270.60 |
$270.60 |
$270.60 |
$525.00
|
|
Cdp-sot 6 cond w/i&r
|
$54.12 |
$54.12 |
$54.12 |
$215.25
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$77.88 |
$77.88 |
$77.88 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$37.02 |
$37.02 |
$37.02 |
$44.03
|
|
Ceftriaxone 1 gram solution for injection
|
$70.34 |
$70.34 |
$70.34 |
$84.18
|
|
Cell count body fluid
|
$203.28 |
$203.28 |
$203.28 |
$63.63
|
|
Cell count w differential body fluid
|
$106.92 |
$106.92 |
$106.92 |
$93.23
|
|
Cell function assay w/stim
|
$89.67 |
$89.67 |
$89.67 |
$314.25
|
|
Cerclage of uterine cervix nonob 57700
|
$821.70 |
$821.70 |
$821.70 |
$3,762.53
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$4,099.97 |
$4,099.97 |
$4,099.97 |
$10,638.62
|
|
Cervical laminoplsty 2/> seg
|
$3,306.60 |
$3,306.60 |
$3,306.60 |
$2,128.21
|
|
Cervical lymphadenectomy 38720
|
$3,033.36 |
$3,033.36 |
$3,033.36 |
$6,839.00
|
|
Cervical or vaginal cancer screening g0101
|
$64.68 |
$64.68 |
$64.68 |
$109.46
|
|
Cesarean section delivery only 59514
|
$1,937.76 |
$1,937.76 |
$1,937.76 |
$2,194.65
|
|
#cf-97variants
|
$108.90 |
$108.90 |
$108.90 |
$622.20
|
|
Cftr gene dup/delet variants
|
$396.00 |
$396.00 |
$396.00 |
$779.35
|
|
Change cystostomy tube; complex 51710
|
$181.50 |
$181.50 |
$181.50 |
$1,470.75
|
|
Change cystostomy tube simple
|
$229.02 |
$229.02 |
$229.02 |
$451.00
|
|
Change g-tube to g-j perc
|
$320.10 |
$320.10 |
$320.10 |
$2,198.40
|
|
Change of ureter tube/stent
|
$179.52 |
$179.52 |
$179.52 |
$2,423.46
|
|
Change of windpipe airway 31502
|
$77.22 |
$77.22 |
$77.22 |
$388.00
|
|
Change stent via transureth
|
$477.18 |
$477.18 |
$477.18 |
$3,927.00
|
|
Chemical exfoliation acne 17360
|
$287.76 |
$287.76 |
$287.76 |
$275.88
|
|
Chemical peel nonfacial 15793
|
$1,127.94 |
$1,127.94 |
$1,127.94 |
$558.97
|
|
Chemical peel nonfacial; epidermal
|
$797.94 |
$797.94 |
$797.94 |
$942.40
|
|
Chemo adm cns w/lmbr punct
|
$246.18 |
$246.18 |
$246.18 |
$665.40
|
|
Chemodener muscle larynx emg
|
$372.90 |
$372.90 |
$372.90 |
$798.40
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$213.18 |
$213.18 |
$213.18 |
$540.80
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$275.22 |
$275.22 |
$275.22 |
$552.00
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$411.84 |
$411.84 |
$411.84 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$353.10 |
$353.10 |
$353.10 |
$932.40
|
|
Chemodenervation anal musc
|
$575.52 |
$575.52 |
$575.52 |
$2,462.82
|
|
Chemodenervation/face muscl/unilat 64612
|
$318.78 |
$318.78 |
$318.78 |
$569.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$495.66 |
$495.66 |
$495.66 |
$436.44
|
|
Chemodenerv eccrine glands
|
$238.92 |
$238.92 |
$238.92 |
$422.07
|
|
Chemodenerv eccrine glands 64650
|
$205.92 |
$205.92 |
$205.92 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$339.90 |
$339.90 |
$339.90 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$468.60 |
$468.60 |
$468.60 |
$698.60
|
|
Chemodenerv saliv glands bilat 64611
|
$258.72 |
$258.72 |
$258.72 |
$455.00
|
|
Chemodenerv trunk musc 1-5 64646
|
$368.94 |
$368.94 |
$368.94 |
$1,064.00
|
|
Chemodenerv trunk musc 6/] 64647
|
$413.16 |
$413.16 |
$413.16 |
$1,250.60
|
|
Chemo extend IV infus w/pump
|
$301.62 |
$301.62 |
$301.62 |
$737.10
|
|
Chemo ia push tecnique
|
$245.52 |
$245.52 |
$245.52 |
$493.25
|
|
Chest 2 vws w oblique
|
$455.40 |
$455.40 |
$455.40 |
$377.06
|
|
Chest apical lordotic proj
|
$422.40 |
$422.40 |
$422.40 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,277.00 |
$2,277.00 |
$2,277.00 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$2,014.32 |
$2,014.32 |
$2,014.32 |
$1,350.03
|
|
Chest X-ray
|
$389.40 |
$389.40 |
$389.40 |
$294.06
|
|
Chest X-ray (single view)
|
$318.12 |
$318.12 |
$318.12 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$124.74 |
$124.74 |
$124.74 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$480.48 |
$480.48 |
$480.48 |
$511.59
|
|
Chiropractic manj 5 regions
|
$85.80 |
$85.80 |
$85.80 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$45.54 |
$45.54 |
$45.54 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$66.00 |
$66.00 |
$66.00 |
$56.99
|
|
Chlnggrphy intraop addl s&i
|
$349.80 |
$349.80 |
$349.80 |
$301.40
|
|
Chloride
|
$50.82 |
$50.82 |
$50.82 |
$40.95
|
|
Chloride 24 hour urine
|
$31.02 |
$31.02 |
$31.02 |
$49.50
|
|
Chloroprocaine hcl injection
|
$65.41 |
$65.41 |
$65.41 |
$61.51
|
|
Cholangiogram percutaneous compl
|
$2,562.12 |
$2,562.12 |
$2,562.12 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$476.52 |
$476.52 |
$476.52 |
$602.40
|
|
Cholecystectomy w/cholangiography 47605
|
$2,490.18 |
$2,490.18 |
$2,490.18 |
$1,963.37
|
|
Cholecystostomy complete w/supervision & interpretation
|
$758.34 |
$758.34 |
$758.34 |
$3,690.60
|
|
Cholesterol
|
$35.64 |
$35.64 |
$35.64 |
$45.76
|
|
Cholesterol body fluid
|
$36.30 |
$36.30 |
$36.30 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$118.80 |
$118.80 |
$118.80 |
$115.80
|
|
Cholinesterase
|
$4.62 |
$4.62 |
$4.62 |
$38.69
|
