|
Burr hole/treph sttl expl
|
$4,076.80 |
$4,076.80 |
$4,076.80 |
$4,076.80
|
|
Butorphanol tartrate 1 mg
|
$6.40 |
$6.40 |
$6.40 |
$41.79
|
|
Buttock fasciotomy
|
$4,411.20 |
$4,411.20 |
$4,411.20 |
$5,886.74
|
|
Buttock fasciotomy w/dbrdmt
|
$4,984.00 |
$4,984.00 |
$4,984.00 |
$3,786.00
|
|
Bx arm/elbow soft tissue supf 24065
|
$1,275.20 |
$1,275.20 |
$1,275.20 |
$1,917.33
|
|
Bx bone trocar/ndl deep
|
$1,027.20 |
$1,027.20 |
$1,027.20 |
$2,388.00
|
|
Bx breast 1st lesion mr imag
|
$4,500.80 |
$4,500.80 |
$4,500.80 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$3,601.35 |
$3,601.35 |
$3,601.35 |
$3,536.63
|
|
Bx breast add lesion mr imag
|
$1,784.00 |
$1,784.00 |
$1,784.00 |
$1,695.00
|
|
Bx breast add lesion strtctc
|
$1,800.68 |
$1,800.68 |
$1,800.68 |
$1,721.26
|
|
Bx breast add lesion Ultrasound imag
|
$1,167.20 |
$1,167.20 |
$1,167.20 |
$1,670.79
|
|
Bx breast perq without image 19100
|
$745.60 |
$745.60 |
$745.60 |
$1,312.15
|
|
Bx/curett of cervix w/scope 57454
|
$405.60 |
$405.60 |
$405.60 |
$515.50
|
|
Bx/exc idrl imed lesn cervl
|
$6,138.40 |
$6,138.40 |
$6,138.40 |
$6,138.40
|
|
Bx/exc idrl imed lesn thrc
|
$6,069.60 |
$6,069.60 |
$6,069.60 |
$6,069.60
|
|
Bx/exc idrl imed lesn thrlmb
|
$6,440.80 |
$6,440.80 |
$6,440.80 |
$6,440.80
|
|
Bx/exc idrl spine lesn crvl
|
$4,980.80 |
$4,980.80 |
$4,980.80 |
$4,980.80
|
|
Bx/exc idrl spine lesn scrl
|
$4,463.20 |
$4,463.20 |
$4,463.20 |
$4,463.20
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$2,579.20 |
$2,579.20 |
$2,579.20 |
$4,804.51
|
|
Bx/exc lymph node/open/superfic 38500
|
$1,640.00 |
$1,640.00 |
$1,640.00 |
$4,184.94
|
|
Bx/exc xdrl/idrl lsn any lvl
|
$6,551.20 |
$6,551.20 |
$6,551.20 |
$6,551.20
|
|
Bx/exc xdrl spine lesn crvl
|
$4,260.80 |
$4,260.80 |
$4,260.80 |
$4,260.80
|
|
Bx/exc xdrl spine lesn lmbr
|
$3,712.80 |
$3,712.80 |
$3,712.80 |
$3,712.80
|
|
Bx/exc xdrl spine lesn scrl
|
$3,737.60 |
$3,737.60 |
$3,737.60 |
$3,737.60
|
|
Bx/exc xdrl spine lesn thrc
|
$4,230.40 |
$4,230.40 |
$4,230.40 |
$4,230.40
|
|
Bx leg/ankle soft tissue deep 27614
|
$2,856.00 |
$2,856.00 |
$2,856.00 |
$3,370.52
|
|
Bx liver with other
|
$255.20 |
$255.20 |
$255.20 |
$601.53
|
|
Bx muscle
|
$514.40 |
$514.40 |
$514.40 |
$2,653.97
|
|
Bx nasopharynx/unknown pri lesion 42806
|
$544.00 |
$544.00 |
$544.00 |
$3,213.60
|
|
Bx of breast open 19101
|
$1,630.40 |
$1,630.40 |
$1,630.40 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$753.60 |
$753.60 |
$753.60 |
$4,010.04
|
|
Bx pancreas pq ndl
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$1,610.05
|
|
Bx perianal mass
|
$572.00 |
$572.00 |
$572.00 |
$1,557.40
|
|
Bx pleura pq ndl
|
$397.60 |
$397.60 |
$397.60 |
$1,608.00
|
|
Bx prst8 ndl sat sampling
|
$941.60 |
$941.60 |
$941.60 |
$4,627.00
|
|
Bx shoulder tissues deep 23066
|
$2,768.00 |
$2,768.00 |
$2,768.00 |
$3,265.60
|
|
Bx shoulder tissues supf 23065
|
$1,100.80 |
$1,100.80 |
$1,100.80 |
$2,040.00
|
|
Bx skin incisnl ea sep/add l les
|
$580.71 |
$580.71 |
$580.71 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$398.06 |
$398.06 |
$398.06 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$130.40 |
$130.40 |
$130.40 |
$206.00
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$1,268.80 |
$1,268.80 |
$1,268.80 |
$1,917.33
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,697.60 |
$1,697.60 |
$1,697.60 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$3,444.80 |
$3,444.80 |
$3,444.80 |
$2,168.40
|
|
Bx soft tissue back/flank deep 21925
|
$1,141.60 |
$1,141.60 |
$1,141.60 |
$2,814.35
|
|
Bx soft tissue back/flank supf 21920
|
$630.40 |
$630.40 |
$630.40 |
$1,929.85
|
|
Bx spinal cord pq ndl
|
$677.60 |
$677.60 |
$677.60 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$1,358.40 |
$1,358.40 |
$1,358.40 |
$2,294.00
|
|
Bx thyroid/percutan core needle 60100
|
$573.23 |
$573.23 |
$573.23 |
$963.80
|
|
Bx vag mucos smpl (sep proc)
|
$237.60 |
$237.60 |
$237.60 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$223.20 |
$223.20 |
$223.20 |
$1,110.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$96.00 |
$96.00 |
$96.00 |
$461.40
|
|
Bypass graft/av fist patency
|
$392.80 |
$392.80 |
$392.80 |
$2,889.15
|
|
Bypass graft patency/patch
|
$484.80 |
$484.80 |
$484.80 |
$1,050.40
|
|
Bypass temp external fem-fem
|
$2,650.40 |
$2,650.40 |
$2,650.40 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$48.57 |
$48.57 |
$48.57 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$230.40 |
$230.40 |
$230.40 |
$27,013.07
|
|
Cabg 2 arterial grafts 33534
|
$5,366.40 |
$5,366.40 |
$5,366.40 |
$5,366.40
|
|
Cabg 3 arterial grafts 33535
|
$5,984.80 |
$5,984.80 |
$5,984.80 |
$5,984.80
|
|
Cabg arterial four or more 33536
|
$6,450.40 |
$6,450.40 |
$6,450.40 |
$6,450.40
|
|
Cabgsingle artery graft 33533
|
$4,567.20 |
$4,567.20 |
$4,567.20 |
$4,567.20
|
|
Cabgsingle coronary venous graft 33510
|
$4,723.20 |
$4,723.20 |
$4,723.20 |
$4,723.20
|
|
Cabg/valve reop >1 mo p org proced 33530
|
$1,285.60 |
$1,285.60 |
$1,285.60 |
$1,285.60
|
|
Cabg vein five
|
$6,372.80 |
$6,372.80 |
$6,372.80 |
$6,372.80
|
|
Cabg/vein only/2 cor venous gfts 33511
|
$5,184.00 |
$5,184.00 |
$5,184.00 |
$5,184.00
|
|
Cabg/vein only/3 cor venous gfts 33512
|
$5,904.80 |
$5,904.80 |
$5,904.80 |
$5,904.80
|
|
Cabg/vein only/4 cor venous gfts 33513
|
$6,062.40 |
$6,062.40 |
$6,062.40 |
$6,062.40
|
|
Cabg venous & art 1 vein graft 33517
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$602.00
|
|
Cabg venous & art 2 vein graft 33518
|
$1,764.80 |
$1,764.80 |
$1,764.80 |
$1,764.80
|
|
Cabg venous & art 3 vein graft 33519
|
$1,803.20 |
$1,803.20 |
$1,803.20 |
$1,071.60
|
|
Cabg venous & art 4 vein graft 33521
|
$1,841.60 |
$1,841.60 |
$1,841.60 |
$1,841.60
|
|
Cabg venous & art 5 vein graft 33522
|
$1,918.40 |
$1,918.40 |
$1,918.40 |
$1,918.40
|
|
Cacna1a gen detc abnor allel
|
$153.56 |
$153.56 |
$153.56 |
$260.58
|
|
Cadd pump refill
|
$249.60 |
$249.60 |
$249.60 |
$386.60
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,537.60 |
$2,537.60 |
$2,537.60 |
$2,210.98
|
|
Calcitonin stimul panel
|
$201.60 |
$201.60 |
$201.60 |
$110.91
|
|
Calcium 24 hour urine
|
$33.57 |
$33.57 |
$33.57 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.87 |
$0.87 |
$0.87 |
$64.49
|
|
Calcium infusion test
|
$27.20 |
$27.20 |
$27.20 |
$18.41
|
|
Calcium ionized
|
$64.28 |
$64.28 |
$64.28 |
$90.00
|
|
Calcium total
|
$33.57 |
$33.57 |
$33.57 |
$50.00
|
|
Calculi urinary-sendout
|
$64.28 |
$64.28 |
$64.28 |
$66.00
|
|
Calculus analysis qual
|
$29.60 |
$29.60 |
$29.60 |
$81.90
|
|
Caloric vestibular test
|
$60.00 |
$60.00 |
$60.00 |
$110.88
|
|
Caloric vstblr test w/rec
|
$50.40 |
$50.40 |
$50.40 |
$315.28
|
|
Calprotectin fecal
|
$64.28 |
$64.28 |
$64.28 |
$170.00
|
|
Campylobacter antibody
|
$48.57 |
$48.57 |
$48.57 |
$77.83
|
|
Candida dna
|
$50.40 |
$50.40 |
$50.40 |
$61.10
|
|
Candida dna quant
|
$120.80 |
$120.80 |
$120.80 |
$76.92
|
|
Candida skin test
|
$24.00 |
$24.00 |
$24.00 |
$62.05
|
|
Cannabinoids synthetic 1-3
|
$36.00 |
$36.00 |
$36.00 |
$57.20
|
|
Cannabinoids synthetic 4-6
|
$18.40 |
$18.40 |
$18.40 |
$16.24
|
|
Cannabinoid synthetic 7/more
|
$72.14 |
$72.14 |
$72.14 |
$78.10
|
|
Cannula declotting 36861
|
$339.20 |
$339.20 |
$339.20 |
$5,741.00
|
|
Cannula ercp contour 5-4-3 tip
|
$812.04 |
$812.04 |
$812.04 |
$44,000.00
|
|
Canthotomy 67715
|
$1,236.80 |
$1,236.80 |
$1,236.80 |
$3,099.00
|
|
Capsaicin 8% patch
|
$4.80 |
$4.80 |
$4.80 |
$5,668.65
|
|
Capsular contracture release
|
$3,395.20 |
$3,395.20 |
$3,395.20 |
$3,839.54
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$2,211.05
|
|
Capsulotomy mpj ea joint (sep proc)
|
$2,464.00 |
$2,464.00 |
$2,464.00 |
$3,594.44
|
|
Carbamazepine free
|
$66.43 |
$66.43 |
$66.43 |
$60.00
|
