|
Cad breast MRI w/r&i
|
$0.00 |
$0.50 |
$1,330.56 |
|
|
Cadd pump refill
|
$175.20 |
$444.49 |
$794.40 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$12.00 |
$37.64 |
$488.42 |
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$122.61 |
$4,073.73 |
$183,830.67 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$248.83 |
$2,446.85 |
$13,796.46 |
|
|
Calcitonin stimul panel
|
$201.60 |
$201.60 |
$201.60 |
|
|
Calcium 24 hour urine
|
$17.49 |
$67.90 |
$304.80 |
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$0.07 |
$0.32 |
$226.10 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.35 |
$11.66 |
$388.85 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.55 |
$4.30 |
$404.42 |
|
|
Calcium infusion test
|
$27.20 |
$27.20 |
$27.20 |
|
|
Calcium ionized
|
$35.00 |
$111.30 |
$304.80 |
|
|
Calcium total
|
$14.85 |
$81.00 |
$147.60 |
|
|
Calculi urinary-sendout
|
$16.83 |
$133.20 |
$280.80 |
|
|
Calculus analysis qual
|
$29.60 |
$137.52 |
$157.68 |
|
|
Caloric vestibular test
|
$60.00 |
$60.00 |
$60.00 |
|
|
Caloric vstblr test w/rec
|
$50.40 |
$385.20 |
$440.40 |
|
|
Calprotectin fecal
|
$60.48 |
$187.80 |
$819.20 |
|
|
Camisole mastectomy wht/l post-surg gental touch
|
$401.04 |
$401.04 |
$401.04 |
|
|
Campylobacter antibody
|
$31.25 |
$75.00 |
$286.20 |
|
|
Canakinumab injection
|
$12,284.88 |
$12,284.88 |
$124,807.55 |
|
|
Candida dna
|
$17.50 |
$78.40 |
$184.00 |
|
|
Candida dna quant
|
$120.80 |
$120.80 |
$120.80 |
|
|
Candida skin test
|
$24.00 |
$47.40 |
$81.00 |
|
|
Cannabinoids synthetic 1-3
|
$36.00 |
$36.00 |
$36.00 |
|
|
Cannabinoids synthetic 4-6
|
$18.40 |
$18.40 |
$18.40 |
|
|
Cannabinoid synthetic 7/more
|
$64.80 |
$330.00 |
$330.00 |
|
|
Cannula declotting 36861
|
$339.20 |
$468.00 |
$11,676.24 |
|
|
Cannula ercp contour 5-4-3 tip
|
$540.00 |
$11,182.33 |
$613,341.60 |
|
|
Canthotomy 67715
|
$436.80 |
$2,712.00 |
$14,185.79 |
|
|
Capecitabine, oral, 50 mg
|
$1.75 |
$59.42 |
$88.02 |
|
|
Cap nerve 2x15mm
|
$831.91 |
$7,311.38 |
$72,704.85 |
|
|
Capsaicin 8% patch
|
$4.80 |
$1,309.09 |
$5,302.15 |
|
|
Capsular contracture release
|
$3,395.20 |
$3,395.20 |
$3,395.20 |
|
|
Capsulectomy/capsulotomy hip
|
$2,236.20 |
$2,236.20 |
$2,236.20 |
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$750.60 |
$750.60 |
$5,925.00 |
|
|
Capsulotomy mpj ea joint (sep proc)
|
$915.00 |
$934.80 |
$2,464.00 |
|
|
Cap trach decann 15mm
|
$756.00 |
$1,155.48 |
$20,186.81 |
|
|
Carbamazepine free
|
$35.00 |
$72.50 |
$253.60 |
|
|
Carbamazepine free -sendout
|
$22.00 |
$52.80 |
$152.60 |
|
|
Carbamazepine total therapeutic drug level
|
$19.20 |
$172.00 |
$807.84 |
|
|
Carbidopa levodopa ent 100ml
|
$0.70 |
$0.70 |
$0.70 |
|
|
Carbohydrate deficient transf - sendout
|
$44.22 |
$167.50 |
$477.60 |
|
|
Carbohydrate urine - sendout
|
$33.57 |
$166.32 |
$476.00 |
|
|
Carbon dioxide
|
$14.19 |
$69.60 |
$128.80 |
|
|
Carboplatin 10 mg/ml desensitization
|
$24.07 |
$64.71 |
$2,409.05 |
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$427.87 |
$713.12 |
$1,533.17 |
|
|
Carboxyhemoglobin quantitative
|
$32.67 |
$103.68 |
$406.80 |
|
|
Car-car bp grft/endovas taa
|
$4,699.20 |
$4,699.20 |
$4,699.20 |
|
|
Carcinoembryonic ag (cea)
|
$62.50 |
$170.80 |
$905.60 |
|
|
Cardiac drug stress test
|
$239.20 |
$239.20 |
$303.27 |
|
|
Cardiac MRI w/stress img
|
$955.20 |
$1,340.00 |
$4,086.00 |
|
|
Cardiac perf planar mult/ef/wm
|
$964.92 |
$2,701.20 |
$5,137.60 |
|
|
Cardiac perf planar sgl/ef/wm
|
$1,075.00 |
$1,779.00 |
$2,864.40 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$643.75 |
$2,436.60 |
$5,558.40 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$103.75 |
$229.99 |
$369.60 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$37.10 |
$200.40 |
$315.70 |
|
|
Cardiac shunt imaging
|
$336.60 |
$1,421.40 |
$2,124.50 |
|
|
Cardiac Stress Test
|
$168.00 |
$431.20 |
$431.20 |
|
|
Cardiokymography
|
$43.20 |
$43.20 |
$43.20 |
|
|
Cardiolipin antibody iga
|
$31.68 |
$153.60 |
$373.80 |
|
|
Cardiology hrt trnspl mrna
|
$6,480.00 |
$6,480.00 |
$6,480.00 |
|
|
Cardioversion/elective/internal 92961
|
$489.00 |
$948.00 |
$2,901.60 |
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$425.00 |
$1,300.75 |
$4,193.70 |
|
|
Card MRI veloc flow mapping
|
$80.85 |
$744.80 |
$3,091.80 |
|
|
Caregiver health risk assmt
|
$7.20 |
$9.00 |
$40.20 |
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$62.37 |
$84.00 |
$126.40 |
|
|
Caregiver training strategies&tq ea addl 15 min
|
$31.02 |
$55.00 |
$81.90 |
|
|
Care mgmt svc bhvl hlth cond
|
$100.80 |
$100.80 |
$100.80 |
|
|
Carfilzomib 10 mg intravenous solution
|
$90.40 |
$6,306.47 |
$22,148.17 |
|
|
Carinal reconstruction
|
$4,328.00 |
$4,328.00 |
$4,328.00 |
|
|
Car ion chnnlpath inc 10 gns
|
$1,276.00 |
$3,110.10 |
$3,110.10 |
|
|
Car ion chnnlpath inc 2 gns
|
$1,276.00 |
$3,110.10 |
$3,110.10 |
|
|
Carmustine 100 mg intravenous powder for solution
|
$336.97 |
$672.60 |
$14,869.22 |
|
|
Carotene
|
$19.47 |
$62.50 |
$193.20 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$307.23 |
$1,207.20 |
$2,336.60 |
|
|
Car outp meas drg cath chd
|
$556.50 |
$556.50 |
$2,665.44 |
|
|
Carpal Tunnel Release Surgery
|
$808.80 |
$12,552.42 |
$19,196.44 |
|
|
Car seat/bed test 60 minutes
|
$26.25 |
$71.50 |
$280.20 |
|
|
Car seat/bed test additional 30 minutes
|
$12.50 |
$91.80 |
$150.42 |
|
|
Car-t admn autologous
|
$523.20 |
$620.90 |
$1,855.00 |
|
|
Car-t therapy hrvg bld-drv t lymphcyt pr day
|
$2,350.00 |
$3,938.90 |
$11,761.84 |
|
|
Car-t therapy prepj bld-drv t lymphcyt f/trns
|
$325.00 |
$325.00 |
$14,893.87 |
|
|
Car-t therapy receipt & prepj car-t cells f/admn
|
$185.00 |
$185.00 |
$3,057.60 |
|
|
Ca screen;flexi sigmoidscope
|
$228.60 |
$2,116.10 |
$3,418.56 |
|
|
Caspofungin acetate
|
$18.40 |
$247.52 |
$1,410.54 |
|
|
Cast sup lng arm splint fbrg
|
$29.40 |
$29.40 |
$36.80 |
|
|
Cast sup lng arm splint plst
|
$19.80 |
$19.80 |
$23.20 |
|
|
Cast sup lng arm splnt ped f
|
$16.20 |
$16.20 |
$18.40 |
|
|
Cast sup lng arm splnt ped p
|
$8.40 |
$8.40 |
$12.00 |
|
|
Cast sup lng leg ped fbrgls
|
$78.60 |
$78.60 |
$95.20 |
|
|
Cast sup lng leg ped plaster
|
$28.80 |
$28.80 |
$36.80 |
|
|
Cast sup lng leg splnt fbrgl
|
$70.80 |
$70.80 |
$85.60 |
|
|
Cast sup lng leg splnt ped f
|
$36.60 |
$36.60 |
$43.20 |
|
|
Cast sup lng leg splnt ped p
|
$21.60 |
$21.60 |
$25.60 |
|
|
Cast sup long arm adult fbrg
|
$61.20 |
$61.20 |
$73.60 |
|
|
Cast sup long arm adult plst
|
$26.40 |
$26.40 |
$32.80 |
|
|
Cast sup long arm ped fbrgls
|
$29.40 |
$29.40 |
$36.80 |
|
|
Cast sup long arm ped plster
|
$15.00 |
$15.00 |
$15.00 |
|
|
Cast sup long leg fiberglass
|
$157.80 |
$157.80 |
$190.40 |
|
