|
Bx vulva or perineum/1 lesion 56605
|
$152.40 |
$152.40 |
$160.20 |
$1,110.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$109.80 |
$109.80 |
$115.20 |
$461.40
|
|
Bypass temp external fem-fem
|
$470.40 |
$470.40 |
$493.80 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$149.40 |
$149.40 |
$166.80 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$24,606.44 |
$24,606.44 |
$25,473.62 |
$27,013.07
|
|
Cabg 2 arterial grafts 33534
|
$4,098.60 |
$4,098.60 |
$4,303.80 |
$5,366.40
|
|
Cabg 3 arterial grafts 33535
|
$4,566.60 |
$4,566.60 |
$4,795.20 |
$5,984.80
|
|
Cabg arterial four or more 33536
|
$5,422.20 |
$5,422.20 |
$5,693.40 |
$6,450.40
|
|
Cabgsingle artery graft 33533
|
$3,948.60 |
$3,948.60 |
$4,146.00 |
$4,567.20
|
|
Cabgsingle coronary venous graft 33510
|
$3,606.60 |
$3,606.60 |
$3,787.20 |
$4,723.20
|
|
Cabg/valve reop >1 mo p org proced 33530
|
$974.40 |
$974.40 |
$1,023.00 |
$1,285.60
|
|
Cabg/vein only/2 cor venous gfts 33511
|
$3,959.40 |
$3,959.40 |
$4,157.40 |
$5,184.00
|
|
Cabg/vein only/3 cor venous gfts 33512
|
$4,494.00 |
$4,494.00 |
$4,719.00 |
$5,904.80
|
|
Cabg/vein only/4 cor venous gfts 33513
|
$4,612.80 |
$4,612.80 |
$4,843.20 |
$6,062.40
|
|
Cabg venous & art 1 vein graft 33517
|
$348.00 |
$348.00 |
$365.40 |
$602.00
|
|
Cabg venous & art 2 vein graft 33518
|
$763.20 |
$763.20 |
$801.60 |
$1,764.80
|
|
Cabg venous & art 3 vein graft 33519
|
$1,011.00 |
$1,011.00 |
$1,061.40 |
$1,071.60
|
|
Cabg venous & art 4 vein graft 33521
|
$1,215.60 |
$1,215.60 |
$1,276.20 |
$1,841.60
|
|
Cabg venous & art 5 vein graft 33522
|
$1,870.80 |
$1,870.80 |
$1,964.40 |
$1,918.40
|
|
Cabg venous & art 6 vein graft 33523
|
$2,245.80 |
$2,245.80 |
$2,358.00 |
$2,358.00
|
|
Cable cath 22-pin diag
|
$1,912.80 |
$1,912.80 |
$2,704.80 |
$4,946.50
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$12,338.18 |
$12,338.18 |
$12,338.18 |
$13,247.32
|
|
Cadd pump refill
|
$332.40 |
$332.40 |
$370.20 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$88.08 |
$88.08 |
$88.08 |
$46.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$4,056.94 |
$4,056.94 |
$5,560.00 |
$2,210.98
|
|
Calcium 24 hour urine
|
$60.60 |
$60.60 |
$64.20 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$30.17 |
$30.17 |
$30.17 |
$64.49
|
|
Calcium ionized
|
$130.80 |
$130.80 |
$137.40 |
$90.00
|
|
Calcium total
|
$46.20 |
$46.20 |
$48.60 |
$50.00
|
|
Calculi urinary-sendout
|
$34.80 |
$34.80 |
$39.00 |
$66.00
|
|
Calprotectin fecal
|
$168.60 |
$168.60 |
$187.80 |
$170.00
|
|
Campylobacter antibody
|
$154.20 |
$154.20 |
$171.60 |
$77.83
|
|
Candida dna
|
$49.80 |
$49.80 |
$74.40 |
$61.10
|
|
Candida skin test
|
$54.00 |
$54.00 |
$60.00 |
$62.05
|
|
Cannula declotting 36861
|
$445.80 |
$445.80 |
$468.00 |
$5,741.00
|
|
Cannula ercp contour 5-4-3 tip
|
$9,000.00 |
$9,000.00 |
$9,000.00 |
$44,000.00
|
|
Canthotomy 67715
|
$415.80 |
$415.80 |
$436.80 |
$3,099.00
|
|
Capecitabine, oral, 50 mg
|
$59.42 |
$59.42 |
$59.42 |
$59.42
|
|
Cap nerve 2x15mm
|
$4,955.40 |
$4,955.40 |
$6,246.00 |
$18,466.88
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$714.60 |
$714.60 |
$750.60 |
$2,211.05
|
|
Capsulotomy mpj ea joint (sep proc)
|
$890.40 |
$890.40 |
$934.80 |
$3,594.44
|
|
Cap trach decann 15mm
|
$870.00 |
$870.00 |
$1,547.40 |
$3,238.70
|
|
Carbamazepine free
|
$107.40 |
$107.40 |
$112.80 |
$60.00
|
|
Carbamazepine free -sendout
|
$95.40 |
$95.40 |
$100.20 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$126.00 |
$126.00 |
$132.60 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$223.20 |
$223.20 |
$234.60 |
$116.40
|
|
Carbohydrate urine - sendout
|
$138.00 |
$138.00 |
$154.20 |
$66.64
|
|
Carbon dioxide
|
$150.60 |
$150.60 |
$158.40 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$156.53 |
$156.53 |
$156.53 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$102.00 |
$102.00 |
$113.40 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$96.60 |
$96.60 |
$102.00 |
$145.20
|
|
Cardiac perf planar mult/ef/wm
|
$1,470.00 |
$1,470.00 |
$1,605.60 |
$2,902.20
|
|
Cardiac perf planar sgl/ef/wm
|
$1,467.00 |
$1,467.00 |
$1,602.60 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,837.80 |
$1,837.80 |
$2,007.60 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$138.60 |
$138.60 |
$154.80 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$126.00 |
$126.00 |
$141.00 |
$204.54
|
|
Cardiac shunt imaging
|
$568.20 |
$568.20 |
$621.00 |
$1,200.00
|
|
Cardiac Stress Test
|
$186.60 |
$186.60 |
$196.20 |
$214.50
|
|
Cardiolipin antibody iga
|
$228.00 |
$228.00 |
$239.40 |
$107.25
|
|
Cardioversion/elective/internal 92961
|
$742.80 |
$742.80 |
$826.80 |
$1,158.00
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$650.40 |
$650.40 |
$724.20 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$744.60 |
$744.60 |
$782.40 |
$633.90
|
|
Caregiver health risk assmt
|
$8.40 |
$8.40 |
$9.00 |
$43.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$75.00 |
$75.00 |
$79.20 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$37.80 |
$37.80 |
$40.20 |
$51.52
|
|
Carfilzomib 10 mg intravenous solution
|
$5,318.16 |
$5,318.16 |
$6,306.47 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$336.97 |
$336.97 |
$336.97 |
$1,854.00
|
|
Carotene
|
$96.00 |
$96.00 |
$107.40 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$544.80 |
$544.80 |
$606.60 |
$1,024.32
|
|
Carpal Tunnel Release Surgery
|
$770.40 |
$770.40 |
$2,944.80 |
$3,867.50
|
|
Car seat/bed test 60 minutes
|
$67.80 |
$67.80 |
$75.60 |
$111.15
|
|
Ca screen;flexi sigmoidscope
|
$217.80 |
$217.80 |
$228.60 |
$1,278.72
|
|
Caspofungin acetate
|
$633.91 |
$633.91 |
$633.91 |
$633.91
|
|
Cast sup lng arm splint fbrg
|
$28.20 |
$28.20 |
$29.40 |
$29.40
|
|
Cast sup lng arm splint plst
|
$18.60 |
$18.60 |
$19.80 |
$23.20
|
|
Cast sup lng arm splnt ped f
|
$15.60 |
$15.60 |
$16.20 |
$18.40
|
|
Cast sup lng arm splnt ped p
|
$7.80 |
$7.80 |
$8.40 |
$11.44
|
|
Cast sup lng leg ped fbrgls
|
$75.00 |
$75.00 |
$78.60 |
$87.36
|
|
Cast sup lng leg ped plaster
|
$27.60 |
$27.60 |
$28.80 |
$36.80
|
|
Cast sup lng leg splnt fbrgl
|
$67.20 |
$67.20 |
$70.80 |
$85.60
|
|
Cast sup lng leg splnt ped f
|
$34.80 |
$34.80 |
$36.60 |
$43.16
|
|
Cast sup lng leg splnt ped p
|
$20.40 |
$20.40 |
$21.60 |
$25.60
|
|
Cast sup long arm adult fbrg
|
$58.20 |
$58.20 |
$61.20 |
$58.20
|
|
Cast sup long arm adult plst
|
$25.20 |
$25.20 |
$26.40 |
$32.76
|
|
Cast sup long arm ped fbrgls
|
$28.20 |
$28.20 |
$29.40 |
$36.80
|
|
Cast sup long arm ped plster
|
$14.40 |
$14.40 |
$15.00 |
$15.00
|
|
Cast sup long leg fiberglass
|
$150.00 |
$150.00 |
$157.80 |
$157.80
|
|
Cast sup shrt leg ped fbrgls
|
$41.40 |
$41.40 |
$43.20 |
$52.00
|
|
Cast sup shrt leg ped plster
|
$17.40 |
$17.40 |
$18.00 |
$20.80
|
|
Cast sup shrt leg plaster
|
$32.40 |
$32.40 |
$34.20 |
$41.60
|
|
Cast sup sht arm adult fbrgl
|
$39.60 |
$39.60 |
$41.40 |
$36.00
|
|
Cast sup sht arm adult plstr
|
$18.00 |
$18.00 |
$19.20 |
$22.40
|
|
Cast sup sht arm ped fbrglas
|
$19.80 |
$19.80 |
$21.00 |
$24.96
|
|
Cast sup sht arm ped plaster
|
$7.80 |
$7.80 |
$8.40 |
$11.20
|
|
Cast sup sht arm splint fbrg
|
$24.00 |
$24.00 |
$25.20 |
$26.98
|
|
Cast sup sht arm splint plst
|
$15.00 |
$15.00 |
$15.60 |
$17.16
|
|
Cast sup sht arm splnt ped f
|
$13.80 |
$13.80 |
$14.40 |
$15.60
|
|
Cast sup sht arm splnt ped p
|
$6.00 |
$6.00 |
$6.60 |
$8.80
|
|
Cast sup sht leg splnt fbrgl
|
$37.80 |
$37.80 |
$39.60 |
$40.63
|
|
Cast sup sht leg splnt ped f
|
$19.20 |
$19.20 |
$20.40 |
$23.92
|
