|
Cabg/vein only/4 cor venous gfts 33513
|
$52,921.00 |
$52,921.00 |
$52,921.00 |
|
|
Cabg vein six or more
|
$54,417.00 |
$54,417.00 |
$54,417.00 |
|
|
Cable cath 22-pin diag
|
$806.31 |
$2,912.84 |
$6,534.29 |
|
|
Cable centrimag pressure
|
$9,015.12 |
$9,015.12 |
$154,561.00 |
|
|
Cacna1a gen detc abnor allel
|
$225.42 |
$225.42 |
$225.42 |
|
|
Cacna1a gene full gene seq
|
$1,391.52 |
$1,391.52 |
$1,391.52 |
|
|
Cacna1a gen known famil vrnt
|
$304.59 |
$304.59 |
$304.59 |
|
|
Cad breast MRI w/r&i
|
$56.16 |
$56.16 |
$1,289.00 |
|
|
Cadd pump refill
|
$117.81 |
$712.14 |
$1,446.00 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$29.86 |
$35.71 |
$140.00 |
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$61,881.86 |
$61,881.86 |
$61,881.86 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,283.33 |
$5,530.57 |
$11,613.83 |
|
|
Calcium 24 hour urine
|
$10.66 |
$159.70 |
$452.31 |
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$84.91 |
$84.91 |
$84.91 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.85 |
$0.85 |
$717.72 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.85 |
$0.85 |
$433.96 |
|
|
Calcium ionized
|
$54.94 |
$208.26 |
$485.23 |
|
|
Calcium total
|
$25.00 |
$62.01 |
$421.12 |
|
|
Calculi urinary-sendout
|
$361.14 |
$361.14 |
$361.14 |
|
|
Calculus analysis qual
|
$149.37 |
$149.37 |
$149.37 |
|
|
Caloric vstblr test w/rec
|
$385.00 |
$385.00 |
$385.00 |
|
|
Calprotectin fecal
|
$91.00 |
$505.44 |
$1,052.08 |
|
|
Campylobacter antibody
|
$60.00 |
$60.00 |
$892.51 |
|
|
Candida dna
|
$25.76 |
$94.77 |
$94.77 |
|
|
Cannula ercp contour 5-4-3 tip
|
$7,489.40 |
$64,091.55 |
$154,561.00 |
|
|
Canthotomy 67715
|
$3,629.73 |
$3,629.73 |
$3,920.00 |
|
|
Capecitabine, oral, 50 mg
|
$14.11 |
$14.11 |
$159.19 |
|
|
Cap nerve 2x15mm
|
$7,675.80 |
$25,972.19 |
$25,972.19 |
|
|
Capsular contracture release
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
|
|
Capsulectomy/capsulotomy hip
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Capsulotomy mpj ea joint (sep proc)
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Cap trach decann 15mm
|
$3,696.00 |
$5,077.51 |
$7,121.76 |
|
|
Carbamazepine free
|
$17.76 |
$139.00 |
$710.15 |
|
|
Carbamazepine free -sendout
|
$22.20 |
$74.00 |
$75.00 |
|
|
Carbamazepine total therapeutic drug level
|
$57.72 |
$122.85 |
$1,105.64 |
|
|
Carbohydrate deficient transf - sendout
|
$83.00 |
$83.00 |
$83.00 |
|
|
Carbohydrate urine - sendout
|
$75.66 |
$75.66 |
$75.66 |
|
|
Carbon dioxide
|
$7.40 |
$62.01 |
$150.34 |
|
|
Carboplatin 10 mg/ml desensitization
|
$92.45 |
$92.45 |
$400.46 |
|
|
Carboxyhemoglobin quantitative
|
$15.10 |
$110.54 |
$504.28 |
|
|
Carcinoembryonic ag (cea)
|
$87.00 |
$306.93 |
$1,016.17 |
|
|
Cardiac drug stress test
|
$1,933.00 |
$1,933.00 |
$1,933.00 |
|
|
Cardiac MRI w/stress img
|
$181.45 |
$1,474.98 |
$2,244.00 |
|
|
Cardiac perf planar mult/ef/wm
|
$3,563.04 |
$3,563.04 |
$3,563.04 |
|
|
Cardiac perf planar sgl/ef/wm
|
$785.00 |
$2,624.00 |
$2,624.00 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,369.30 |
$3,132.09 |
$13,385.68 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$160.14 |
$574.00 |
$686.40 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$138.45 |
$138.45 |
$531.33 |
|
|
Cardiac shunt imaging
|
$696.15 |
$696.15 |
$696.15 |
|
|
Cardiolipin antibody iga
|
$117.00 |
$196.56 |
$686.27 |
|
|
Cardioversion/elective/internal 92961
|
$667.48 |
$1,501.11 |
$2,209.00 |
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$652.68 |
$2,476.89 |
$5,484.07 |
|
|
Card MRI veloc flow mapping
|
$33.16 |
$414.18 |
$5,308.94 |
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$70.98 |
$70.98 |
$156.00 |
|
|
Caregiver training strategies&tq ea addl 15 min
|
$32.76 |
$32.76 |
$84.00 |
|
|
Carfilzomib 10 mg intravenous solution
|
$148.71 |
$148.71 |
$11,599.21 |
|
|
Car ion chnnlpath inc 10 gns
|
$1,038.57 |
$1,038.57 |
$1,038.57 |
|
|
Car ion chnnlpath inc 2 gns
|
$1,168.44 |
$1,168.44 |
$1,168.44 |
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,854.00 |
$1,854.00 |
$3,600.00 |
|
|
Carotene
|
$15.40 |
$139.62 |
$259.00 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$760.72 |
$1,387.23 |
$2,922.83 |
|
|
Carotid intima atheroma eval
|
$692.64 |
$692.64 |
$692.64 |
|
|
Car outp meas drg cath chd
|
$80.81 |
$957.00 |
$957.00 |
|
|
Carpal Tunnel Release Surgery
|
$1,998.30 |
$9,074.00 |
$9,074.00 |
|
|
Car seat/bed test 60 minutes
|
$109.00 |
$232.05 |
$448.12 |
|
|
Car seat/bed test additional 30 minutes
|
$80.00 |
$83.46 |
$224.05 |
|
|
Car-t admn autologous
|
$915.00 |
$915.00 |
$915.00 |
|
|
Car-t therapy hrvg bld-drv t lymphcyt pr day
|
$22,534.00 |
$22,534.00 |
$22,534.00 |
|
|
Car-t therapy prepj bld-drv t lymphcyt f/trns
|
$575.00 |
$575.00 |
$575.00 |
|
|
Car-t therapy receipt & prepj car-t cells f/admn
|
$3,182.00 |
$3,182.00 |
$3,182.00 |
|
|
Ca screen;flexi sigmoidscope
|
$3,011.00 |
$3,011.00 |
$3,011.00 |
|
|
Casiri and imdev repeat
|
$553.80 |
$553.80 |
$553.80 |
|
|
Cataract Surgery
|
$10,558.00 |
$10,558.00 |
$10,558.00 |
|
|
Cataract surg w/iol 1 stage
|
$10,558.00 |
$10,558.00 |
$10,558.00 |
|
|
Catecholamines,fractionated, urine
|
$126.00 |
$133.00 |
$133.00 |
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$133.20 |
$338.80 |
$3,317.20 |
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$5,852.00 |
$6,545.59 |
$6,545.59 |
|
|
Cath ablt clsfast 7fx100cmx
|
$1,939.94 |
$1,939.94 |
$3,027.20 |
|
|
Cath ablt rx lasr 2.0mm turbo
|
$5,586.11 |
$5,586.11 |
$6,598.90 |
|
|
Cath access del ds spyscop 2.0
|
$454.30 |
$6,534.29 |
$12,071.60 |
|
|
Cath acuity innr ic130 6f 63cm
|
$1,918.08 |
$24,781.80 |
$49,796.69 |
|
|
Cath acunav ge 10frx90cm
|
$5,383.43 |
$5,619.62 |
$5,619.62 |
|
|
Cath adherent clot 10mm 6f 10
|
$7,992.00 |
$32,045.77 |
$40,087.60 |
|
|
Cath baloon occl urnry 34f 7x2x65
|
$5,253.91 |
$5,253.91 |
$8,701.00 |
|
|
Cath bi-dir df smarttouch
|
$5,119.40 |
$16,765.60 |
$17,361.68 |
|
|
Cath blazer dx/20 2-10-2 space
|
$1,436.60 |
$2,812.13 |
$6,118.20 |
|
|
Cath combo lt&rt heart w/inj/s
|
$4,783.36 |
$8,832.72 |
$34,407.30 |
|
|
Cath cv dl inj 7fx16cm
|
$431.57 |
$8,081.88 |
$11,550.00 |
|
|
Cath del ampltz 12f 45d 80cm
|
$337.44 |
$1,544.40 |
$5,227.27 |
|
|
Cath epdrl brevi-stf 12in .043
|
$1,428.92 |
$1,841.26 |
$1,841.26 |
|
|
Catheter declot mechanical
|
$187.37 |
$4,656.60 |
$15,291.79 |
|
|
Catheter insert artery
|
$817.85 |
$1,113.45 |
$1,113.45 |
|
|
Catheterization collection of specimen single patient all places of service
|
$97.50 |
$97.50 |
$97.50 |
|
|
Catheter stripping venous
|
$1,376.40 |
$5,728.71 |
$12,879.00 |
|
|
Cath groshong MRI 8fr plstc port
|
$287.42 |
$1,052.70 |
$4,219.76 |
|
|
Cath hawkone s directional
|
$5,066.60 |
$5,923.97 |
$13,163.40 |
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$412.00 |
$412.00 |
$412.00 |
|
|
Cath imag ivus pv 8.5fx90 .035
|
$4,920.30 |
$5,846.47 |
$11,124.00 |
|
|
Cath impl vasc access portal
|
$1,358.57 |
$1,358.57 |
$1,358.57 |
|
|
Cath intrdsc spnecth 8 pin
|
$8,272.80 |
$8,272.80 |
$8,272.80 |
|
