|
Bx liver with other
|
$77.76 |
$77.76 |
$77.76 |
$543.40
|
|
Bx nasopharynx/unknown pri lesion 42806
|
$118.08 |
$118.08 |
$118.08 |
$3,213.60
|
|
Bx of breast open 19101
|
$150.40 |
$150.40 |
$150.40 |
$4,531.42
|
|
Bx pancreas pq ndl
|
$848.00 |
$848.00 |
$848.00 |
$1,588.50
|
|
Bx pleura pq ndl
|
$921.92 |
$921.92 |
$921.92 |
$1,617.00
|
|
Bx prostate trnsrctl u/s guid
|
$109.12 |
$109.12 |
$109.12 |
$4,050.75
|
|
Bx prst8 ndl sat sampling
|
$2,944.32 |
$2,944.32 |
$2,944.32 |
$4,096.52
|
|
Bx skin incisnl ea sep/add l les
|
$24.32 |
$24.32 |
$24.32 |
$249.60
|
|
Bx skin punch ea sep/ addl les
|
$35.52 |
$35.52 |
$35.52 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$53.76 |
$53.76 |
$53.76 |
$203.70
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$2,139.68
|
|
Bx thyroid/percutan core needle 60100
|
$416.00 |
$416.00 |
$416.00 |
$964.62
|
|
Bx vag mucos smpl (sep proc)
|
$51.20 |
$51.20 |
$51.20 |
$1,059.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$495.36 |
$495.36 |
$495.36 |
$1,127.00
|
|
Bx vulva or perineum/ea add lesion 56606
|
$22.72 |
$22.72 |
$22.72 |
$465.09
|
|
Bypass temp external fem-fem
|
$610.56 |
$610.56 |
$610.56 |
$1,781.60
|
|
C1 esterase inhibitor func - sendout
|
$10.88 |
$10.88 |
$10.88 |
$96.72
|
|
Cabg 2 arterial grafts 33534
|
$1,644.16 |
$1,644.16 |
$1,644.16 |
$5,366.40
|
|
Cabg 3 arterial grafts 33535
|
$1,824.64 |
$1,824.64 |
$1,824.64 |
$5,984.80
|
|
Cabg arterial four or more 33536
|
$1,964.80 |
$1,964.80 |
$1,964.80 |
$6,450.40
|
|
Cabgsingle artery graft 33533
|
$1,401.60 |
$1,401.60 |
$1,401.60 |
$4,567.20
|
|
Cabgsingle coronary venous graft 33510
|
$1,447.04 |
$1,447.04 |
$1,447.04 |
$4,723.20
|
|
Cabg/vein only/2 cor venous gfts 33511
|
$1,588.48 |
$1,588.48 |
$1,588.48 |
$5,184.00
|
|
Cabg/vein only/3 cor venous gfts 33512
|
$1,807.04 |
$1,807.04 |
$1,807.04 |
$5,904.80
|
|
Cabg/vein only/4 cor venous gfts 33513
|
$1,842.24 |
$1,842.24 |
$1,842.24 |
$6,062.40
|
|
Cabg venous & art 1 vein graft 33517
|
$136.00 |
$136.00 |
$136.00 |
$602.00
|
|
Cabg venous & art 2 vein graft 33518
|
$301.12 |
$301.12 |
$301.12 |
$1,764.80
|
|
Cabg venous & art 3 vein graft 33519
|
$394.88 |
$394.88 |
$394.88 |
$1,071.60
|
|
Cabg venous & art 4 vein graft 33521
|
$226.24 |
$226.24 |
$226.24 |
$1,841.60
|
|
Cable cath 22-pin diag
|
$2,744.00 |
$2,744.00 |
$2,744.00 |
$4,946.50
|
|
Cacna1a gen detc abnor allel
|
$72.25 |
$72.25 |
$72.25 |
$189.06
|
|
Cadd pump refill
|
$149.12 |
$149.12 |
$149.12 |
$360.00
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$896.00 |
$896.00 |
$896.00 |
$2,111.64
|
|
Calcium 24 hour urine
|
$50.88 |
$50.88 |
$50.88 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$28.73 |
$28.73 |
$28.73 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$14.28 |
$14.28 |
$14.28 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$56.15 |
$56.15 |
$56.15 |
$91.60
|
|
Calcium ionized
|
$78.72 |
$78.72 |
$78.72 |
$89.88
|
|
Calcium total
|
$43.20 |
$43.20 |
$43.20 |
$50.00
|
|
Calprotectin fecal
|
$17.92 |
$17.92 |
$17.92 |
$169.95
|
|
Campylobacter antibody
|
$4.27 |
$4.27 |
$4.27 |
$77.83
|
|
Canakinumab injection
|
$13,549.12 |
$13,549.12 |
$13,549.12 |
$35,959.82
|
|
Candida dna
|
$18.24 |
$18.24 |
$18.24 |
$62.50
|
|
Cannabinoid synthetic 7/more
|
$45.44 |
$45.44 |
$45.44 |
$78.10
|
|
Cannula ercp contour 5-4-3 tip
|
$44,000.00 |
$44,000.00 |
$44,000.00 |
$34,218.66
|
|
Cap nerve 2x15mm
|
$15,679.04 |
$15,679.04 |
$15,679.04 |
$18,466.88
|
|
Cap trach decann 15mm
|
$2,195.20 |
$2,195.20 |
$2,195.20 |
$2,597.62
|
|
Carbamazepine free
|
$13.44 |
$13.44 |
$13.44 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$72.32 |
$72.32 |
$72.32 |
$120.25
|
|
Carbon dioxide
|
$39.68 |
$39.68 |
$39.68 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$6.10 |
$6.10 |
$6.10 |
$186.10
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$342.98 |
$342.98 |
$342.98 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$59.52 |
$59.52 |
$59.52 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$111.68 |
$111.68 |
$111.68 |
$144.00
|
|
Cardiac perf planar mult/ef/wm
|
$1,697.60 |
$1,697.60 |
$1,697.60 |
$2,768.80
|
|
Cardiac perf planar sgl/ef/wm
|
$1,400.32 |
$1,400.32 |
$1,400.32 |
$2,063.70
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,731.20 |
$1,731.20 |
$1,731.20 |
$2,626.88
|
|
Cardiolipin antibody iga
|
$84.16 |
$84.16 |
$84.16 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$539.20 |
$539.20 |
$539.20 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$339.20 |
$339.20 |
$339.20 |
$1,114.00
|
|
Car ion chnnlpath inc 10 gns
|
$467.20 |
$467.20 |
$467.20 |
$1,038.57
|
|
Carotene
|
$61.76 |
$61.76 |
$61.76 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$464.64 |
$464.64 |
$464.64 |
$1,007.40
|
|
Car seat/bed test 60 minutes
|
$27.20 |
$27.20 |
$27.20 |
$112.50
|
|
Car seat/bed test additional 30 minutes
|
$10.24 |
$10.24 |
$10.24 |
$65.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$819.52 |
$819.52 |
$819.52 |
$830.50
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$3,292.48 |
$3,292.48 |
$3,292.48 |
$6,545.59
|
|
Cath ablt clsfast 7fx100cmx
|
$2,076.16 |
$2,076.16 |
$2,076.16 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$4,200.64 |
$4,200.64 |
$4,200.64 |
$6,386.85
|
|
Cath acuity innr ic130 6f 63cm
|
$5,398.72 |
$5,398.72 |
$5,398.72 |
$8,785.60
|
|
Cath acunav ge 10frx90cm
|
$3,551.68 |
$3,551.68 |
$3,551.68 |
$6,285.56
|
|
Cath adherent clot 10mm 6f 10
|
$10,400.00 |
$10,400.00 |
$10,400.00 |
$18,673.71
|
|
Cath baloon occl urnry 34f 7x2x65
|
$3,494.40 |
$3,494.40 |
$3,494.40 |
$6,475.07
|
|
Cath bi-dir df smarttouch
|
$5,360.64 |
$5,360.64 |
$5,360.64 |
$8,282.05
|
|
Cath blazer dx/20 2-10-2 space
|
$3,371.52 |
$3,371.52 |
$3,371.52 |
$4,012.78
|
|
Cath combo lt&rt heart w/inj/s
|
$5,461.12 |
$5,461.12 |
$5,461.12 |
$8,899.15
|
|
Cath cv dl inj 7fx16cm
|
$1,499.84 |
$1,499.84 |
$1,499.84 |
$3,889.06
|
|
Cath del ampltz 12f 45d 80cm
|
$891.84 |
$891.84 |
$891.84 |
$2,337.00
|
|
Cath epdrl brevi-stf 12in .043
|
$2,388.16 |
$2,388.16 |
$2,388.16 |
$1,911.42
|
|
Catheterization collection of specimen single patient all places of service
|
$25.28 |
$25.28 |
$25.28 |
$40.95
|
|
Catheter stripping venous
|
$1,899.52 |
$1,899.52 |
$1,899.52 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$768.32 |
$768.32 |
$768.32 |
$1,653.00
|
|
Cath hawkone s directional
|
$8,296.32 |
$8,296.32 |
$8,296.32 |
$6,996.60
|
|
Cath imag ivus pv 8.5fx90 .035
|
$2,340.16 |
$2,340.16 |
$2,340.16 |
$4,160.00
|
|
Cath intrdsc spnecth 8 pin
|
$3,175.04 |
$3,175.04 |
$3,175.04 |
$1,994.50
|
|
Cathj umbilical vein dx/ther nb
|
$41.92 |
$41.92 |
$41.92 |
$254.80
|
|
Cath left heart/lv gram
|
$4,443.52 |
$4,443.52 |
$4,443.52 |
$7,685.82
|
|
Cath left heart transseptal punc
|
$4,602.88 |
$4,602.88 |
$4,602.88 |
$6,009.00
|
|
Cath lt/rt pulm art
|
$528.96 |
$528.96 |
$528.96 |
$1,281.93
|
|
Cath malecot 28fr 4-wing ltx
|
$8,929.92 |
$8,929.92 |
$8,929.92 |
$2,164.32
|
|
Cath place 1st order venous 36011
|
$782.40 |
$782.40 |
$782.40 |
$1,377.75
|
|
Cath plc art ang/grft lt/rt hr
|
$5,794.88 |
$5,794.88 |
$5,794.88 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$5,392.32 |
$5,392.32 |
$5,392.32 |
$9,954.00
|
|
Cath plc art/grft/angio right hrt
|
$5,520.64 |
$5,520.64 |
$5,520.64 |
$10,389.60
|
|
Cath ptca pcltxl agent 3x20mm
|
$5,062.40 |
$5,062.40 |
$5,062.40 |
$11,356.50
|
|
Cath right heart w/o2 sat & card
|
$3,493.76 |
$3,493.76 |
$3,493.76 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$508.80 |
$508.80 |
$508.80 |
$1,015.96
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$169.60 |
$169.60 |
$169.60 |
$468.48
|
|
Cath steerable flex adv 12f
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$2,925.00
|
