|
Bx breast add lesion strtctc
|
$2,072.20 |
$2,072.20 |
$2,072.20 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$2,135.90 |
$2,135.90 |
$2,135.90 |
$1,670.79
|
|
Bx breast perq without image 19100
|
$3,949.40 |
$3,949.40 |
$3,949.40 |
$1,312.15
|
|
Bx breast pq tomo guide
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$4,509.59
|
|
Bx/curett of cervix w/scope 57454
|
$1,136.85 |
$1,136.85 |
$1,136.85 |
$515.50
|
|
Bx/exc idrl imed lesn cervl
|
$9,893.00 |
$9,893.00 |
$9,893.00 |
$6,138.40
|
|
Bx/exc idrl imed lesn thrc
|
$9,781.20 |
$9,781.20 |
$9,781.20 |
$6,069.60
|
|
Bx/exc idrl imed lesn thrlmb
|
$10,420.80 |
$10,420.80 |
$10,420.80 |
$6,440.80
|
|
Bx/exc idrl spine lesn crvl
|
$7,875.40 |
$7,875.40 |
$7,875.40 |
$4,980.80
|
|
Bx/exc idrl spine lesn scrl
|
$6,957.60 |
$6,957.60 |
$6,957.60 |
$4,463.20
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$12,444.90 |
$12,444.90 |
$12,444.90 |
$4,804.51
|
|
Bx/exc lymph node/open/superfic 38500
|
$12,444.90 |
$12,444.90 |
$12,444.90 |
$4,184.94
|
|
Bx/exc xdrl/idrl lsn any lvl
|
$10,613.20 |
$10,613.20 |
$10,613.20 |
$6,551.20
|
|
Bx/exc xdrl spine lesn crvl
|
$6,723.60 |
$6,723.60 |
$6,723.60 |
$4,260.80
|
|
Bx/exc xdrl spine lesn lmbr
|
$5,821.40 |
$5,821.40 |
$5,821.40 |
$3,712.80
|
|
Bx/exc xdrl spine lesn scrl
|
$5,751.20 |
$5,751.20 |
$5,751.20 |
$3,737.60
|
|
Bx/exc xdrl spine lesn thrc
|
$6,679.40 |
$6,679.40 |
$6,679.40 |
$4,230.40
|
|
Bx leg/ankle soft tissue deep 27614
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$3,370.52
|
|
Bx liver with other
|
$543.40 |
$543.40 |
$543.40 |
$601.53
|
|
Bx muscle
|
$379.60 |
$379.60 |
$379.60 |
$2,653.97
|
|
Bx nasopharynx/unknown pri lesion 42806
|
$12,121.20 |
$12,121.20 |
$12,121.20 |
$3,213.60
|
|
Bx of breast open 19101
|
$9,334.00 |
$9,334.00 |
$9,334.00 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$4,010.04
|
|
Bx pancreas pq ndl
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$1,610.05
|
|
Bx perianal mass
|
$18,103.80 |
$18,103.80 |
$18,103.80 |
$1,557.40
|
|
Bx pleura pq ndl
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$1,608.00
|
|
Bx prostate trnsrctl u/s guid
|
$13,460.20 |
$13,460.20 |
$13,460.20 |
$4,051.50
|
|
Bx prst8 ndl sat sampling
|
$12,890.15 |
$12,890.15 |
$12,890.15 |
$4,627.00
|
|
Bx shoulder tissues deep 23066
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$3,265.60
|
|
Bx skin incisnl ea sep/add l les
|
$230.10 |
$230.10 |
$230.10 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$149.50 |
$149.50 |
$149.50 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$129.35 |
$129.35 |
$129.35 |
$206.00
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$530.40 |
$530.40 |
$530.40 |
$1,917.33
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$759.20 |
$759.20 |
$759.20 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$2,646.80 |
$2,646.80 |
$2,646.80 |
$2,168.40
|
|
Bx soft tissue back/flank deep 21925
|
$1,203.80 |
$1,203.80 |
$1,203.80 |
$2,814.35
|
|
Bx soft tissue back/flank supf 21920
|
$548.60 |
$548.60 |
$548.60 |
$1,929.85
|
|
Bx spinal cord pq ndl
|
$9,083.75 |
$9,083.75 |
$9,083.75 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$605.80 |
$605.80 |
$605.80 |
$2,294.00
|
|
Bx thyroid/percutan core needle 60100
|
$2,286.70 |
$2,286.70 |
$2,286.70 |
$963.80
|
|
Bx vag mucos smpl (sep proc)
|
$3,253.90 |
$3,253.90 |
$3,253.90 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$3,253.90 |
$3,253.90 |
$3,253.90 |
$1,110.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$637.00 |
$637.00 |
$637.00 |
$461.40
|
|
Bypass graft/av fist patency
|
$868.40 |
$868.40 |
$868.40 |
$2,889.15
|
|
Bypass graft patency/patch
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$1,050.40
|
|
Bypass temp external fem-fem
|
$39,825.50 |
$39,825.50 |
$39,825.50 |
$1,938.60
|
|
C-1 esterase, berinert
|
$10,395.37 |
$10,395.37 |
$10,395.37 |
$8,114.40
|
|
C-1 esterase, cinryze
|
$7,483.77 |
$7,483.77 |
$7,483.77 |
$7,189.05
|
|
C1 esterase inhibitor func - sendout
|
$421.20 |
$421.20 |
$421.20 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$30,617.29 |
$30,617.29 |
$30,617.29 |
$27,013.07
|
|
Cabergoline, oral 0.25mg
|
$47.66 |
$47.66 |
$47.66 |
$66.09
|
|
Cabg 2 arterial grafts 33534
|
$11,405.55 |
$11,405.55 |
$11,405.55 |
$5,366.40
|
|
Cabg 3 arterial grafts 33535
|
$12,798.50 |
$12,798.50 |
$12,798.50 |
$5,984.80
|
|
Cabg arterial four or more 33536
|
$13,850.85 |
$13,850.85 |
$13,850.85 |
$6,450.40
|
|
Cabgsingle artery graft 33533
|
$9,652.50 |
$9,652.50 |
$9,652.50 |
$4,567.20
|
|
Cabgsingle coronary venous graft 33510
|
$9,094.80 |
$9,094.80 |
$9,094.80 |
$4,723.20
|
|
Cabg/valve reop >1 mo p org proced 33530
|
$2,633.80 |
$2,633.80 |
$2,633.80 |
$1,285.60
|
|
Cabg/vein only/2 cor venous gfts 33511
|
$9,997.00 |
$9,997.00 |
$9,997.00 |
$5,184.00
|
|
Cabg/vein only/3 cor venous gfts 33512
|
$11,434.80 |
$11,434.80 |
$11,434.80 |
$5,904.80
|
|
Cabg venous & art 1 vein graft 33517
|
$1,032.20 |
$1,032.20 |
$1,032.20 |
$602.00
|
|
Cabg venous & art 2 vein graft 33518
|
$2,267.85 |
$2,267.85 |
$2,267.85 |
$1,764.80
|
|
Cabg venous & art 3 vein graft 33519
|
$3,000.40 |
$3,000.40 |
$3,000.40 |
$1,071.60
|
|
Cabg venous & art 4 vein graft 33521
|
$3,601.00 |
$3,601.00 |
$3,601.00 |
$1,841.60
|
|
Cabg venous & art 5 vein graft 33522
|
$4,044.30 |
$4,044.30 |
$4,044.30 |
$1,918.40
|
|
Cabg venous & art 6 vein graft 33523
|
$4,598.75 |
$4,598.75 |
$4,598.75 |
$2,358.00
|
|
Cable centrimag pressure
|
$4,343.30 |
$4,343.30 |
$4,343.30 |
$9,015.12
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$2,781.85 |
$2,781.85 |
$2,781.85 |
$13,247.32
|
|
Cacna1a gen detc abnor allel
|
$408.85 |
$408.85 |
$408.85 |
$260.58
|
|
Cacna1a gene full gene seq
|
$908.70 |
$908.70 |
$908.70 |
$846.27
|
|
Cad breast MRI w/r&i
|
$1,080.95 |
$1,080.95 |
$1,080.95 |
$100.80
|
|
Cadd pump refill
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$15.60 |
$15.60 |
$15.60 |
$46.09
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$13,928.64 |
$13,928.64 |
$13,928.64 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$6,830.85 |
$6,830.85 |
$6,830.85 |
$2,210.98
|
|
Calcium 24 hour urine
|
$48.10 |
$48.10 |
$280.00 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$4.74 |
$4.74 |
$4.74 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$2.34 |
$2.34 |
$2.34 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.92 |
$0.92 |
$76.00 |
$91.60
|
|
Calcium ionized
|
$86.45 |
$86.45 |
$86.45 |
$90.00
|
|
Calcium total
|
$49.40 |
$49.40 |
$49.40 |
$50.00
|
|
Caloric vestibular test
|
$167.70 |
$167.70 |
$167.70 |
$110.88
|
|
Caloric vstblr test w/rec
|
$85.80 |
$85.80 |
$85.80 |
$315.28
|
|
Calprotectin fecal
|
$21.53 |
$21.53 |
$177.45 |
$170.00
|
|
Campylobacter antibody
|
$155.35 |
$155.35 |
$155.35 |
$77.83
|
|
Canakinumab injection
|
$50,039.38 |
$50,039.38 |
$50,039.38 |
$35,959.82
|
|
Candida dna
|
$139.75 |
$139.75 |
$139.75 |
$61.10
|
|
Candida skin test
|
$31.20 |
$31.20 |
$31.20 |
$62.05
|
|
Cannula ercp contour 5-4-3 tip
|
$19,337.50 |
$19,337.50 |
$19,337.50 |
$44,000.00
|
|
Canthotomy 67715
|
$8,719.75 |
$8,719.75 |
$8,719.75 |
$3,099.00
|
|
Capecitabine, oral, 50 mg
|
$50.86 |
$50.86 |
$50.86 |
$59.42
|
|
Capsaicin 8% patch
|
$5,668.65 |
$5,668.65 |
$5,668.65 |
$5,668.65
|
|
Capsular contracture release
|
$2,433.60 |
$2,433.60 |
$2,433.60 |
$3,839.54
|
|
Capsulectomy/capsulotomy hip
|
$3,738.80 |
$3,738.80 |
$3,738.80 |
$3,738.80
|
|
Capsulotomy mpj ea joint (sep proc)
|
$1,281.80 |
$1,281.80 |
$1,281.80 |
$3,594.44
|
|
Cap trach decann 15mm
|
$604.50 |
$604.50 |
$604.50 |
$3,238.70
|
|
Carbamazepine free
|
$16.90 |
$16.90 |
$16.90 |
$60.00
|
|
Carbamazepine free -sendout
|
$99.45 |
$99.45 |
$99.45 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$127.40 |
$127.40 |
$127.40 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$328.25 |
$328.25 |
$328.25 |
$116.40
|
|
Carbohydrate urine - sendout
|
$81.25 |
$81.25 |
$81.25 |
$66.64
|
