|
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 five
|
$12,500.80 |
$12,500.80 |
$12,500.80 |
$6,372.80
|
|
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/vein only/4 cor venous gfts 33513
|
$11,796.20 |
$11,796.20 |
$11,796.20 |
$6,062.40
|
|
Cabg vein six or more
|
$12,937.60 |
$12,937.60 |
$12,937.60 |
$31,898.10
|
|
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 cath 22-pin diag
|
$1,930.50 |
$1,930.50 |
$1,930.50 |
$4,946.50
|
|
Cable centrimag pressure
|
$6,890.00 |
$6,890.00 |
$6,890.00 |
$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
|
$936.00 |
$936.00 |
$936.00 |
$2,210.98
|
|
Calcium 24 hour urine
|
$52.00 |
$52.00 |
$52.00 |
$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 |
$0.92 |
$91.60
|
|
Calcium ionized
|
$86.45 |
$86.45 |
$86.45 |
$90.00
|
|
Calcium total
|
$48.10 |
$48.10 |
$48.10 |
$50.00
|
|
Caloric vestibular test
|
$167.70 |
$167.70 |
$167.70 |
$110.88
|
|
Caloric vstblr test w/rec
|
$508.95 |
$508.95 |
$508.95 |
$315.28
|
|
Calprotectin fecal
|
$177.45 |
$177.45 |
$177.45 |
$170.00
|
|
Cam cervix uteri drg colp
|
$210.60 |
$210.60 |
$210.60 |
$515.20
|
|
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 declotting 36861
|
$25,255.10 |
$25,255.10 |
$25,255.10 |
$5,741.00
|
|
Cannula ercp contour 5-4-3 tip
|
$24,043.50 |
$24,043.50 |
$24,043.50 |
$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
|
|
Cap nerve 2x15mm
|
$5,616.00 |
$5,616.00 |
$5,616.00 |
$18,466.88
|
|
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; interphalangeal joint, each joint (separate proc)
|
$1,019.20 |
$1,019.20 |
$1,019.20 |
$2,211.05
|
|
Capsulotomy mpj ea joint (sep proc)
|
$1,281.80 |
$1,281.80 |
$1,281.80 |
$3,594.44
|
|
Cap trach decann 15mm
|
$2,203.50 |
$2,203.50 |
$2,203.50 |
$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
|
|
Carbon dioxide
|
$48.10 |
$48.10 |
$48.10 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$348.40 |
$348.40 |
$348.40 |
$196.00
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$746.44 |
$746.44 |
$746.44 |
$455.11
|
|
Carboxyhemoglobin quantitative
|
$12.35 |
$12.35 |
$12.35 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$118.30 |
$118.30 |
$118.30 |
$145.20
|
|
Cardiac drug stress test
|
$2,198.95 |
$2,198.95 |
$2,198.95 |
$558.56
|
|
Cardiac MRI w/stress img
|
$3,073.85 |
$3,073.85 |
$3,073.85 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$7,667.40 |
$7,667.40 |
$7,667.40 |
$2,902.20
|
|
Cardiac perf planar sgl/ef/wm
|
$7,579.00 |
$7,579.00 |
$7,579.00 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$7,713.55 |
$7,713.55 |
$7,713.55 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$661.05 |
$661.05 |
$661.05 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$635.05 |
$635.05 |
$635.05 |
$204.54
|
|
Cardiac shunt imaging
|
$2,455.70 |
$2,455.70 |
$2,455.70 |
$1,200.00
|
|
Cardiac Stress Test
|
$214.50 |
$214.50 |
$214.50 |
$214.50
|
|
Cardiolipin antibody iga
|
$37.70 |
$37.70 |
$37.70 |
$107.25
|
|
Cardioversion/elective/internal 92961
|
$3,057.60 |
$3,057.60 |
$3,057.60 |
$1,158.00
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$3,057.60 |
$3,057.60 |
$3,057.60 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$531.70 |
$531.70 |
$531.70 |
$633.90
|
|
Caregiver health risk assmt
|
$57.85 |
$57.85 |
$57.85 |
$43.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$720.85 |
$720.85 |
$720.85 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$720.85 |
$720.85 |
$720.85 |
$51.52
|
|
Care mgmt svc bhvl hlth cond
|
$241.80 |
$241.80 |
$241.80 |
$55.09
|
|
Carfilzomib 10 mg intravenous solution
|
$11,036.04 |
$11,036.04 |
$11,036.04 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$12,264.04 |
$12,264.04 |
$12,264.04 |
$1,854.00
|
|
Carotene
|
$9.10 |
$9.10 |
$9.10 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,358.50 |
$1,358.50 |
$1,358.50 |
$1,024.32
|
|
Car outp meas drg cath chd
|
$546.65 |
$546.65 |
$546.65 |
$482.30
|
|
Carpal Tunnel Release Surgery
|
$10,947.95 |
$10,947.95 |
$10,947.95 |
$3,867.50
|
|
Ca screen;flexi sigmoidscope
|
$240.50 |
$240.50 |
$240.50 |
$1,278.72
|
|
Caspofungin acetate
|
$788.58 |
$788.58 |
$788.58 |
$633.91
|
|
Cast sup lng arm splint fbrg
|
$26.65 |
$26.65 |
$26.65 |
$29.40
|
|
Cast sup lng arm splint plst
|
$70.20 |
$70.20 |
$70.20 |
$23.20
|
