|
Calcium total
|
$23.00 |
$65.24 |
$101.40 |
|
|
Calculi urinary-sendout
|
$157.20 |
$163.16 |
$324.00 |
|
|
Calculus analysis qual
|
$88.80 |
$88.80 |
$174.60 |
|
|
Caloric vstblr test w/rec
|
$84.00 |
$103.20 |
$103.20 |
|
|
Calprotectin fecal
|
$32.88 |
$326.40 |
$382.20 |
|
|
Camisole mastectomy wht/l post-surg gental touch
|
$460.10 |
$460.10 |
$460.10 |
|
|
Campylobacter antibody
|
$136.80 |
$136.80 |
$250.53 |
|
|
Canakinumab injection
|
$211.49 |
$27,305.91 |
$27,305.91 |
|
|
Candida dna
|
$40.00 |
$84.50 |
$247.01 |
|
|
Candida skin test
|
$62.89 |
$62.89 |
$62.89 |
|
|
Cannula ercp contour 5-4-3 tip
|
$112,500.00 |
$112,500.00 |
$343,102.50 |
|
|
Capecitabine, oral, 50 mg
|
$41.33 |
$41.33 |
$41.33 |
|
|
Cap nerve 2x15mm
|
$14,747.00 |
$14,747.05 |
$32,867.46 |
|
|
Capsaicin 8% patch
|
$9,665.29 |
$9,665.29 |
$9,665.29 |
|
|
Cap trach decann 15mm
|
$1,298.50 |
$1,298.70 |
$5,746.88 |
|
|
Carbamazepine free
|
$126.00 |
$166.66 |
$200.40 |
|
|
Carbamazepine free -sendout
|
$113.36 |
$113.36 |
$113.36 |
|
|
Carbamazepine total therapeutic drug level
|
$119.12 |
$204.50 |
$320.40 |
|
|
Carbohydrate deficient transf - sendout
|
$375.60 |
$475.20 |
$1,293.80 |
|
|
Carbohydrate urine - sendout
|
$74.40 |
$74.40 |
$2,399.92 |
|
|
Carbon dioxide
|
$21.60 |
$66.00 |
$98.40 |
|
|
Carboplatin 10 mg/ml desensitization
|
$158.75 |
$158.75 |
$569.24 |
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$319.30 |
$319.30 |
$319.30 |
|
|
Carboxyhemoglobin quantitative
|
$80.38 |
$164.40 |
$282.60 |
|
|
Carcinoembryonic ag (cea)
|
$105.38 |
$277.80 |
$635.14 |
|
|
Cardiac drug stress test
|
$1,002.60 |
$1,002.60 |
$1,474.82 |
|
|
Cardiac MRI seg dys strain
|
$582.60 |
$582.60 |
$582.60 |
|
|
Cardiac MRI seg dys stress
|
$582.60 |
$582.60 |
$582.60 |
|
|
Cardiac MRI w/stress img
|
$582.60 |
$582.60 |
$10,892.21 |
|
|
Cardiac perf planar mult/ef/wm
|
$4,064.40 |
$4,064.40 |
$4,064.40 |
|
|
Cardiac perf planar sgl/ef/wm
|
$3,372.00 |
$3,372.00 |
$3,372.00 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,495.00 |
$3,273.00 |
$10,901.67 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$126.62 |
$258.50 |
$3,249.60 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$154.20 |
$252.00 |
$289.80 |
|
|
Cardiac shunt imaging
|
$1,210.80 |
$1,210.80 |
$2,193.08 |
|
|
Cardiac Stress Test
|
$1,184.40 |
$1,184.40 |
$1,184.40 |
|
|
Cardioassist external
|
$309.17 |
$309.17 |
$309.17 |
|
|
Cardioassist internal
|
$22,744.39 |
$22,744.39 |
$22,744.39 |
|
|
Cardiolipin antibody iga
|
$70.20 |
$264.60 |
$382.20 |
|
|
Cardioversion/elective/internal 92961
|
$2,859.60 |
$2,859.60 |
$6,047.16 |
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,283.50 |
$2,319.00 |
$6,047.16 |
|
|
Card MRI veloc flow mapping
|
$207.00 |
$217.50 |
$1,505.40 |
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$96.00 |
$98.00 |
$275.63 |
|
|
Caregiver training strategies&tq ea addl 15 min
|
$50.50 |
$51.50 |
$118.13 |
|
|
Carfilzomib 10 mg intravenous solution
|
$97.12 |
$97.12 |
$8,213.95 |
|
|
Car ion chnnlpath inc 10 gns
|
$9,394.94 |
$9,394.94 |
$9,394.94 |
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,913.55 |
$1,913.55 |
$25,115.76 |
|
|
Carotene
|
$68.00 |
$107.40 |
$308.84 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$719.12 |
$1,435.20 |
$2,195.81 |
|
|
Car outp meas drg cath chd
|
$610.46 |
$610.46 |
$610.46 |
|
|
Car seat/bed test 60 minutes
|
$129.02 |
$305.40 |
$435.50 |
|
|
Car seat/bed test additional 30 minutes
|
$64.53 |
$208.50 |
$219.00 |
|
|
Caspofungin acetate
|
$187.30 |
$187.30 |
$3,491.00 |
|
|
Catecholamines,fractionated, urine
|
$156.60 |
$245.84 |
$454.80 |
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$830.50 |
$830.58 |
$5,443.46 |
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$13,806.00 |
$13,806.00 |
$118,027.26 |
|
|
Cath ablt clsfast 7fx100cmx
|
$1,535.50 |
$1,535.50 |
$9,237.38 |
|
|
Cath ablt rx lasr 2.0mm turbo
|
$11,195.25 |
$11,195.25 |
$30,747.26 |
|
|
Cath access del ds spyscop 2.0
|
$14,911.76 |
$14,911.76 |
$14,911.76 |
|
|
Cath acuity innr ic130 6f 63cm
|
$9,425.25 |
$9,425.25 |
$63,298.01 |
|
|
Cath acunav ge 10frx90cm
|
$11,472.55 |
$11,472.55 |
$30,791.25 |
|
|
Cath adherent clot 10mm 6f 10
|
$31,800.00 |
$31,800.00 |
$105,570.00 |
|
|
Cath baloon occl urnry 34f 7x2x65
|
$12,139.25 |
$12,139.25 |
$28,672.79 |
|
|
Cath bi-dir df smarttouch
|
$18,029.00 |
$18,029.20 |
$54,306.97 |
|
|
Cath blazer dx/20 2-10-2 space
|
$5,360.00 |
$5,360.00 |
$19,310.51 |
|
|
Cath combo lt&rt heart w/inj/s
|
$12,852.00 |
$16,750.20 |
$22,615.81 |
|
|
Cath council tip 16fr 5cc
|
$17.40 |
$127.80 |
$157.80 |
|
|
Cath cv dl inj 7fx16cm
|
$3,745.00 |
$3,745.18 |
$70,230.44 |
|
|
Cath del ampltz 12f 45d 80cm
|
$3,315.00 |
$3,315.00 |
$15,043.73 |
|
|
Cath entrl fd nutri 5fr 40cm
|
$3.60 |
$3.60 |
$4.80 |
|
|
Cath epdrl brevi-stf 12in .043
|
$4,784.00 |
$4,784.00 |
$7,917.75 |
|
|
Catheter declot mechanical
|
$1,008.00 |
$2,868.60 |
$8,365.45 |
|
|
Catheterization collection of specimen single patient all places of service
|
$26.83 |
$84.00 |
$412.80 |
|
|
Catheter stripping venous
|
$2,905.50 |
$3,467.40 |
$3,467.40 |
|
|
Cath groshong MRI 8fr plstc port
|
$1,461.50 |
$1,461.50 |
$6,517.89 |
|
|
Cath hawkone s directional
|
$9,130.25 |
$9,130.25 |
$28,108.01 |
|
|
Cath imag ivus pv 8.5fx90 .035
|
$2,992.00 |
$2,992.00 |
$24,193.13 |
|
|
Cath impl vasc access portal
|
$142.80 |
$150.00 |
$150.00 |
|
|
Cath indw foley 3 way
|
$53.40 |
$55.80 |
$55.80 |
|
|
Cathj umbilical vein dx/ther nb
|
$507.60 |
$1,810.20 |
$1,891.80 |
|
|
Cath left heart/lv gram
|
$11,064.00 |
$14,930.40 |
$19,205.24 |
|
|
Cath left heart transseptal punc
|
$7,387.00 |
$10,432.80 |
$20,910.58 |
|
|
Cath lt/rt pulm art
|
$1,211.00 |
$2,098.80 |
$2,098.80 |
|
|
Cath malecot 28fr 4-wing ltx
|
$3,572.80 |
$3,572.80 |
$96,948.45 |
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$27,650.00 |
$27,650.00 |
$87,931.01 |
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$51.00 |
$58.80 |
$62.40 |
|
|
Cath place 1st order venous 36011
|
$1,211.00 |
$1,357.20 |
$2,455.20 |
|
|
Cath plc art ang/grft lt/rt hr
|
$17,038.20 |
$21,683.40 |
$29,843.66 |
|
|
Cath plc art/angio/rt hrt cath
|
$14,440.80 |
$18,378.00 |
$27,866.85 |
|
|
Cath plc art/grft/angio right hrt
|
$15,277.50 |
$20,100.60 |
$28,255.17 |
|
|
Cath ptca pcltxl agent 3x20mm
|
$15,820.00 |
$15,820.00 |
$49,705.88 |
|
|
Cath right heart w/o2 sat & card
|
$6,294.00 |
$8,010.00 |
$19,205.24 |
|
|
Cath right hrt mnpul art
|
$1,202.40 |
$1,202.40 |
$17,838.11 |
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$171.12 |
$292.50 |
$921.60 |
|
|
Cath segmntl pulm art
|
$1,211.00 |
$2,308.20 |
$2,308.20 |
|
|
Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site
|
$177.00 |
$186.60 |
$522.00 |
|
|
Cath steerable flex adv 12f
|
$3,840.00 |
$3,840.00 |
$20,190.26 |
|
|
Cath stripping venous s&i
|
$490.80 |
$490.80 |
$1,597.00 |
|
|
Cath uret open tp 6fx70cm
|
$259.99 |
$259.99 |
$1,992.72 |
|
|
Cath w/drainage 2-way latex
|
$3.60 |
$3.60 |
$4.20 |
|
