|
Cabg venous & art 2 vein graft 33518
|
$1,324.00 |
$1,324.00 |
$1,764.80 |
$1,764.80
|
|
Cabg venous & art 3 vein graft 33519
|
$1,750.00 |
$1,750.00 |
$1,803.20 |
$1,071.60
|
|
Cabg venous & art 4 vein graft 33521
|
$1,841.60 |
$1,841.60 |
$2,099.00 |
$1,841.60
|
|
Cabg venous & art 5 vein graft 33522
|
$1,918.40 |
$1,918.40 |
$2,357.00 |
$1,918.40
|
|
Cable cath 22-pin diag
|
$4,428.84 |
$4,428.84 |
$8,141.09 |
$4,946.50
|
|
Cable centrimag pressure
|
$123,355.44 |
$123,355.44 |
$123,355.44 |
$9,015.12
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$21,398.90 |
$21,398.90 |
$21,398.90 |
$13,247.32
|
|
Cacna1a gen detc abnor allel
|
$153.56 |
$153.56 |
$153.56 |
$260.58
|
|
Cadd pump refill
|
$436.80 |
$436.80 |
$674.92 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$34.00 |
$34.00 |
$46.05 |
$46.09
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$124.15 |
$124.15 |
$77,352.35 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,902.00 |
$2,902.00 |
$3,679.20 |
$2,210.98
|
|
Calcitonin stimul panel
|
$201.60 |
$201.60 |
$201.60 |
$110.91
|
|
Calcium 24 hour urine
|
$33.57 |
$33.57 |
$52.00 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$3.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$0.16 |
$0.16 |
$44.70 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$1.02 |
$1.02 |
$52.50 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$1.02 |
$1.02 |
$83.00 |
$91.60
|
|
Calcium infusion test
|
$27.20 |
$27.20 |
$27.20 |
$18.41
|
|
Calcium ionized
|
$64.28 |
$64.28 |
$176.15 |
$90.00
|
|
Calcium total
|
$33.57 |
$33.57 |
$38,680.91 |
$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 |
$279.50 |
$170.00
|
|
Camisole mastectomy wht/l post-surg gental touch
|
$78.94 |
$78.94 |
$78.94 |
$78.94
|
|
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
|
$5,453.18 |
$5,453.18 |
$36,313.87 |
$44,000.00
|
|
Canthotomy 67715
|
$2,804.70 |
$2,804.70 |
$2,804.70 |
$3,099.00
|
|
Cap nerve 2x15mm
|
$3,277.40 |
$3,277.40 |
$24,158.39 |
$18,466.88
|
|
Capsaicin 8% patch
|
$4.80 |
$4.80 |
$18,623.00 |
$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
|
|
Cap trach decann 15mm
|
$1,217.06 |
$1,217.06 |
$3,283.80 |
$3,238.70
|
|
Carbamazepine free
|
$66.43 |
$66.43 |
$66.43 |
$60.00
|
|
Carbamazepine free -sendout
|
$66.43 |
$66.43 |
$66.43 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$66.43 |
$66.43 |
$204.75 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$64.28 |
$64.28 |
$64.28 |
$116.40
|
|
Carbohydrate urine - sendout
|
$33.57 |
$33.57 |
$33.57 |
$66.64
|
|
Carbon dioxide
|
$33.57 |
$33.57 |
$53.95 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$98.32 |
$98.32 |
$303.90 |
$196.00
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$331.15 |
$331.15 |
$331.15 |
$455.11
|
|
Carboxyhemoglobin quantitative
|
$64.28 |
$64.28 |
$177.45 |
$84.73
|
|
Car-car bp grft/endovas taa
|
$4,699.20 |
$4,699.20 |
$4,699.20 |
$4,699.20
|
|
Carcinoembryonic ag (cea)
|
$64.28 |
$64.28 |
$289.25 |
$145.20
|
|
Cardiac drug stress test
|
$239.20 |
$239.20 |
$239.20 |
$558.56
|
|
Cardiac MRI w/stress img
|
$955.20 |
$955.20 |
$955.20 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$1,701.05 |
$1,701.05 |
$2,632.22 |
$2,902.20
|
|
Cardiac perf planar sgl/ef/wm
|
$1,987.38 |
$1,987.38 |
$1,987.38 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,233.48 |
$2,233.48 |
$3,193.45 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$273.58 |
$273.58 |
$360.10 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$273.58 |
$273.58 |
$4,320.00 |
$204.54
|
|
Cardiac shunt imaging
|
$403.20 |
$403.20 |
$403.20 |
$1,200.00
|
|
Cardiac Stress Test
|
$168.00 |
$168.00 |
$406.25 |
$214.50
|
|
Cardiokymography
|
$43.20 |
$43.20 |
$43.20 |
$43.48
|
|
Cardiolipin antibody iga
|
$64.00 |
$64.00 |
$239.85 |
$107.25
|
|
Cardiology hrt trnspl mrna
|
$6,480.00 |
$6,480.00 |
$6,480.00 |
$3,564.00
|
|
Cardioversion/elective/internal 92961
|
$1,192.92 |
$1,192.92 |
$1,244.75 |
$1,158.00
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,437.12 |
$1,437.12 |
$4,473.35 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$132.80 |
$132.80 |
$132.80 |
$633.90
|
|
Caregiver health risk assmt
|
$7.20 |
$7.20 |
$7.20 |
$43.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$89.05 |
$89.05 |
$205.72 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$103.04 |
$103.04 |
$103.04 |
$51.52
|
|
Care mgmt svc bhvl hlth cond
|
$100.80 |
$100.80 |
$100.80 |
$55.09
|
|
Carfilzomib 10 mg intravenous solution
|
$51.20 |
$51.20 |
$11,354.40 |
$6,306.47
|
|
Carinal reconstruction
|
$4,328.00 |
$4,328.00 |
$4,328.00 |
$4,328.00
|
|
Car ion chnnlpath inc 10 gns
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$1,038.57
|
|
Car ion chnnlpath inc 2 gns
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$1,091.81
|
|
Carmustine 100 mg intravenous powder for solution
|
$3,449.25 |
$3,449.25 |
$3,449.25 |
$1,854.00
|
|
Carotene
|
$33.57 |
$33.57 |
$120.25 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$986.07 |
$986.07 |
$2,462.00 |
$1,024.32
|
|
Car outp meas drg cath chd
|
$252.85 |
$252.85 |
$252.85 |
$482.30
|
|
Carpal Tunnel Release Surgery
|
$2,139.20 |
$2,139.20 |
$16,541.85 |
$3,867.50
|
|
Car seat/bed test 60 minutes
|
$55.90 |
$55.90 |
$144.82 |
$111.15
|
|
Car seat/bed test additional 30 minutes
|
$72.42 |
$72.42 |
$72.42 |
$65.00
|
|
Car-t admn autologous
|
$523.20 |
$523.20 |
$523.20 |
$722.40
|
|
Ca screen;flexi sigmoidscope
|
$427.20 |
$427.20 |
$18,014.85 |
$1,278.72
|
|
Caspofungin acetate
|
$16.40 |
$16.40 |
$16.40 |
$633.91
|
|
Cassette provox xtraflow hme
|
$2.67 |
$2.67 |
$2.67 |
$2.67
|
|
Cast sup lng arm splint fbrg
|
$36.80 |
$36.80 |
$36.80 |
$29.40
|
|
Cast sup lng arm splint plst
|
$23.20 |
$23.20 |
$23.20 |
$23.20
|
|
Cast sup lng arm splnt ped f
|
$18.40 |
$18.40 |
$18.40 |
$18.40
|
|
Cast sup lng arm splnt ped p
|
$12.00 |
$12.00 |
$12.00 |
$11.44
|
|
Cast sup lng leg ped fbrgls
|
$95.20 |
$95.20 |
$95.20 |
$87.36
|
|
Cast sup lng leg ped plaster
|
$36.80 |
$36.80 |
$36.80 |
$36.80
|
|
Cast sup lng leg splnt fbrgl
|
$85.60 |
$85.60 |
$85.60 |
$85.60
|
|
Cast sup lng leg splnt ped f
|
$43.20 |
$43.20 |
$43.20 |
$43.16
|
|
Cast sup lng leg splnt ped p
|
$25.60 |
$25.60 |
$25.60 |
$25.60
|
|
Cast sup long arm adult fbrg
|
$73.60 |
$73.60 |
$73.60 |
$58.20
|
|
Cast sup long arm adult plst
|
$32.80 |
$32.80 |
$32.80 |
$32.76
|
|
Cast sup long arm ped fbrgls
|
$36.80 |
$36.80 |
$36.80 |
$36.80
|
